Lompat ke konten Lompat ke sidebar Lompat ke footer

ICD 10 || Tabular list of inclusions and four-character subcategories || CHAPTER XV Pregnancy, childbirth and the puerperium (O00–O99) - CHAPTER XVIII Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)



CHAPTER XV
Pregnancy, childbirth and the puerperium
(O00–O99)

The codes included in this chapter are to be used for conditions related to or aggravated by the pregnancy, childbirth or by the puerperium (maternal causes or obstetric causes)
Excl.: Certain diseases or injuries complicating pregnancy, childbirth and the puerperium classified elsewhere:
external causes (for mortality) (V01–Y89)
injury, poisoning and certain other consequences of external cause (S00– T88.1, T88.6–T98)
mental and behavioural disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0) supervision of:
high-risk pregnancy (Z35.-)
normal pregnancy (Z34.-)

This chapter contains the following blocks:
O00–O08   Pregnancy with abortive outcome
O10–O16 Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
O20–O29 Other maternal disorders predominantly related to pregnancy
O30–O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
O60–O75 Complications of labour and delivery O80–O84 Delivery
O85–O92 Complications predominantly related to the puerperium O94–O99 Other obstetric conditions, not elsewhere classified
 
Pregnancy with abortive outcome (O00–O08)
Excl.: continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1)

  O00 Ectopic pregnancy
Incl.: ruptured ectopic pregnancy
Use additional code from category O08.-, if desired, to identify any associated complication.
O00.0 Abdominal pregnancy
Excl.: delivery of viable fetus in abdominal pregnancy (O83.3) maternal care for viable fetus in abdominal pregnancy (O36.7)
O00.1 Tubal pregnancy
Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy Tubal abortion
O00.2 Ovarian pregnancy O00.8 Other ectopic pregnancy
Pregnancy:
cervical
cornual
intraligamentous
mural
O00.9 Ectopic pregnancy, unspecified

  O01 Hydatidiform mole
Use additional code from category O08.-, if desired, to identify any associated complication.
Excl.: malignant hydatidiform mole (D39.2)
O01.0 Classical hydatidiform mole
Complete hydatidiform mole
O01.1 Incomplete and partial hydatidiform mole O01.9 Hydatidiform mole, unspecified
Trophoblastic disease NOS Vesicular mole NOS

  O02 Other abnormal products of conception
Use additional code from category O08.-, if desired, to identify any associated complication.
Excl.: papyraceous fetus (O31.0)
 
O02.0 Blighted ovum and nonhydatidiform mole
Mole:
carneous
fleshy
intrauterine NOS Pathological ovum
O02.1 Missed abortion
Early fetal death with retention of dead fetus
Excl.: missed abortion with:
blighted ovum (O02.0)
mole:
hydatidiform (O01.-)
nonhydatidiform (O02.0)
O02.8 Other specified abnormal products of conception
Excl.: those with:
blighted ovum (O02.0)
mole:
hydatidiform (O01.-)
nonhydatidiform (O02.0)
O02.9 Abnormal product of conception, unspecified
The following fourth-character subdivisions are for use with categories O03–O06:
Note: Incomplete abortion includes retained products of conception following abortion.
.0 Incomplete, complicated by genital tract and pelvic infection
With conditions in O08.0
.1 Incomplete, complicated by delayed or excessive haemorrhage
With conditions in O08.1
.2 Incomplete, complicated by embolism
With conditions in O08.2
.3 Incomplete, with other and unspecified complications
With conditions in O08.3–O08.9
.4 Incomplete, without complication
.5 Complete or unspecified, complicated by genital tract and pelvic infection
With conditions in O08.0
.6 Complete or unspecified, complicated by delayed or excessive haemorrhage
With conditions in O08.1
.7 Complete or unspecified, complicated by embolism
With conditions in O08.2
.8 Complete or unspecified, with other and unspecified complications
With conditions in O08.3–O08.9
.9 Complete or unspecified, without complication
 
  O03 Spontaneous abortion
[See before O03 for subdivisions]
Incl.: miscarriage

  O04 Medical abortion
[See before O03 for subdivisions]
Incl.: termination of pregnancy:
legal
therapeutic therapeutic abortion

  O05 Other abortion
[See before O03 for subdivisions]

  O06 Unspecified abortion
[See before O03 for subdivisions]
Incl.: induced abortion NOS

  O07 Failed attempted abortion
Incl.: failure of attempted induction of abortion
Excl.: incomplete abortion (O03–O06)
O07.0 Failed medical abortion, complicated by genital tract and pelvic infection
With conditions in O08.0
O07.1 Failed medical abortion, complicated by delayed or excessive haemorrhage
With conditions in O08.1
O07.2 Failed medical abortion, complicated by embolism
With conditions in O08.2
O07.3 Failed medical abortion, with other and unspecified complications
With conditions in O08.3–O08.9
O07.4 Failed medical abortion, without complication
Failed medical abortion NOS
O07.5 Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection
With conditions in O08.0
O07.6 Other and unspecified failed attempted abortion, complicated by delayed or excessive haemorrhage
With conditions in O08.1
 
O07.7 Other and unspecified failed attempted abortion, complicated by embolism
With conditions in O08.2
O07.8 Other and unspecified failed attempted abortion, with other and unspecified complications
With conditions in O08.3–O08.9
O07.9 Other and unspecified failed attempted abortion, without complication
Failed attempted abortion NOS

  O08 Complications following abortion and ectopic and molar pregnancy
Note: This code is provided primarily for morbidity coding. For use of this category, reference should be made to the morbidity coding rules and guidelines in Volume 2.
O08.0 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy
Endometritis
Oophoritis Parametritis Pelvic peritonitis Salpingitis
Salpingo-oophoritis Sepsis

following conditions classifiable to O00–O07
Use additional code (R57.2) , if desired, to identify septic shock.
Excl.: septic or septicopyaemic embolism (O08.2) urinary tract infection (O08.8)
O08.1 Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy
Afibrinogenaemia Defibrination syndrome
Intravascular coagulation following conditions classifiable to O00–O07
O08.2 Embolism following abortion and ectopic and molar pregnancy
Embolism:
NOS
air
amniotic fluid
blood-clot
pulmonary
pyaemic
septic or septicopyaemic
soap


following conditions classifiable to O00–O07
 
O08.3 Shock following abortion and ectopic and molar pregnancy
Circulatory collapse
Shock (postoperative) following conditions classifiable to O00–O07
Excl.: septic shock (R57.2)
O08.4 Renal failure following abortion and ectopic and molar pregnancy
Oliguria
Renal:
failure (acute)
shutdown
tubular necrosis Uraemia
following conditions classifiable to O00–O07
O08.5 Metabolic disorders following abortion and ectopic and molar pregnancy
Electrolyte imbalance following conditions classifiable to O00-O07
O08.6 Damage to pelvic organs and tissues following abortion and ectopic and molar pregnancy
Laceration, perforation, tear or
chemical damage of:
bladder
bowel
broad ligament
cervix
periurethral tissue
uterus

following conditions classifiable to O00–O07
O08.7 Other venous complications following abortion and ectopic and molar pregnancy
O08.8 Other complications following abortion and ectopic and molar pregnancy
Cardiac arrest
Urinary tract infection following conditions classifiable to O00–O07
O08.9 Complication following abortion and ectopic and molar pregnancy, unspecified
Unspecified complication following conditions classifiable to O00–O07
 
Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10–O16)

  O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
Incl.: the listed conditions with pre-existing proteinuria
Excl.: that with superimposed pre-eclampsia (O11)
O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
Any condition in I10 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
Any condition in I11.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.2 Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium
Any condition in I12.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.3 Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium Any condition in I13.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium
Any condition in I15.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.9 Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium

  O11 Pre-eclampsia superimposed on chronic hypertension
Incl.: Conditions in O10.- complicated by pre-eclampsia Pre-eclampsia superimposed on:
hypertension NOS
pre-existing hypertension

  O12 Gestational [pregnancy-induced] oedema and proteinuria without hypertension
O12.0 Gestational oedema
 
O12.1 Gestational proteinuria
O12.2 Gestational oedema with proteinuria

  O13 Gestational [pregnancy-induced] hypertension
Incl.: Gestational hypertension NOS
Pregnancy-induced
Transient hypertension of pregnancy

  O14 Pre-eclampsia
Excl.: superimposed pre-eclampsia (O11) O14.0 Mild to moderate pre-eclampsia O14.1 Severe pre-eclampsia
O14.2 HELLP syndrome
Combination of haemolysis, elevated liver enzymes and low platelet count
O14.9 Pre-eclampsia, unspecified

  O15 Eclampsia
Incl.: convulsions following conditions in O10–O14 and O16 eclampsia with pregnancy-induced or pre-existing hypertension
O15.0 Eclampsia in pregnancy O15.1 Eclampsia in labour
O15.2 Eclampsia in the puerperium
O15.9 Eclampsia, unspecified as to time period
Eclampsia NOS

  O16 Unspecified maternal hypertension

Other maternal disorders predominantly related to pregnancy
(O20–O29)
Note: Categories O24.- and O25 include the listed conditions even if they occur during childbirth or the puerperium.
Excl.: maternal:
care related to the fetus and amniotic cavity and possible delivery problems (O30–O48)
diseases classifiable elsewhere but complicating pregnancy, labour and delivery, and the puerperium (O98–O99)
 
  O20 Haemorrhage in early pregnancy
Excl.: pregnancy with abortive outcome (O00–O08)
O20.0 Threatened abortion
Haemorrhage specified as due to threatened abortion
O20.8 Other haemorrhage in early pregnancy
O20.9 Haemorrhage in early pregnancy, unspecified

  O21 Excessive vomiting in pregnancy
O21.0 Mild hyperemesis gravidarum
Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation
O21.1 Hyperemesis gravidarum with metabolic disturbance Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance such as:
carbohydrate depletion
dehydration
electrolyte imbalance
O21.2 Late vomiting of pregnancy
Excessive vomiting starting after 22 completed weeks of gestation
O21.8 Other vomiting complicating pregnancy
Vomiting due to diseases classified elsewhere, complicating pregnancy Use additional code, if desired, to identify cause.
O21.9 Vomiting of pregnancy, unspecified

  O22 Venous complications and haemorrhoids in pregnancy
Excl.: obstetric pulmonary embolism (O88.-) the listed conditions as complications of:
abortion or ectopic or molar pregnancy (O00–O07, O08.7)
childbirth and the puerperium (O87.-)
O22.0 Varicose veins of lower extremity in pregnancy
Varicose veins NOS in pregnancy
O22.1 Genital varices in pregnancy
Perineal
Vaginal Vulval
varices in pregnancy
O22.2 Superficial thrombophlebitis in pregnancy
Thrombophlebitis of legs in pregnancy
O22.3 Deep phlebothrombosis in pregnancy
Deep-vein thrombosis, antepartum
 
O22.4 Haemorrhoids in pregnancy
O22.5 Cerebral venous thrombosis in pregnancy
Cerebrovenous sinus thrombosis in pregnancy
O22.8 Other venous complications in pregnancy O22.9 Venous complication in pregnancy, unspecified
Gestational:
phlebitis NOS
phlebopathy NOS
thrombosis NOS

  O23 Infections of genitourinary tract in pregnancy
Excl.: gonococcal infections (O98.2)
infections with a predominantly sexual mode of transmission NOS (O98.3)
syphilis (O98.1)
tuberculosis of genitourinary system (O98.0) venereal disease NOS (O98.3)
O23.0 Infections of kidney in pregnancy O23.1 Infections of bladder in pregnancy O23.2 Infections of urethra in pregnancy
O23.3 Infections of other parts of urinary tract in pregnancy O23.4 Unspecified infection of urinary tract in pregnancy O23.5 Infections of the genital tract in pregnancy
O23.9 Other and unspecified genitourinary tract infection in pregnancy
Genitourinary tract infection in pregnancy NOS

  O24 Diabetes mellitus in pregnancy
Incl.: in childbirth and the puerperium O24.0 Pre-existing type 1 diabetes mellitus O24.1 Pre-existing type 2 diabetes mellitus
O24.2 Pre-existing malnutrition-related diabetes mellitus O24.3 Pre-existing diabetes mellitus, unspecified
O24.4 Diabetes mellitus arising in pregnancy
Gestational diabetes mellitus NOS
O24.9 Diabetes mellitus in pregnancy, unspecified

  O25 Malnutrition in pregnancy
Incl.: malnutrition in childbirth and the puerperium
 
  O26 Maternal care for other conditions predominantly related to pregnancy
O26.0 Excessive weight gain in pregnancy
Excl.:  gestational oedema (O12.0, O12.2)
O26.1 Low weight gain in pregnancy O26.2 Pregnancy care of habitual aborter
Excl.: habitual aborter:
with current abortion (O03–O06)
without current pregnancy (N96)
O26.3 Retained intrauterine contraceptive device in pregnancy O26.4 Herpes gestationis
O26.5 Maternal hypotension syndrome
Supine hypotensive syndrome
O26.6 Liver disorders in pregnancy, childbirth and the puerperium
Cholestasis (intrahepatic) in pregnancy Obstetric cholestasis
Excl.: hepatorenal syndrome following labour and delivery (O90.4)
O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
Excl.: traumatic separation of symphysis (pubis) during childbirth (O71.6)
O26.8 Other specified pregnancy-related conditions
Exhaustion and fatigue
Peripheral neuritis Renal disease
pregnancy-related
O26.9 Pregnancy-related condition, unspecified

  O28 Abnormal findings on antenatal screening of mother
Excl.: diagnostic findings classified elsewhere – see Alphabetical index maternal care related to the fetus and amniotic cavity and possible delivery problems (O30–O48)
O28.0 Abnormal haematological finding on antenatal screening of mother
O28.1 Abnormal biochemical finding on antenatal screening of mother O28.2 Abnormal cytological finding on antenatal screening of mother O28.3 Abnormal ultrasonic finding on antenatal screening of mother O28.4 Abnormal radiological finding on antenatal screening of mother
 
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother
O28.8 Other abnormal findings on antenatal screening of mother O28.9 Abnormal finding on antenatal screening of mother, unspecified
  O29 Complications of anaesthesia during pregnancy
Incl.: maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during pregnancy
Excl.: complications of anaesthesia during:
abortion or ectopic or molar pregnancy (O00–O08)
labour and delivery (O74.-)
puerperium (O89.-)
O29.0 Pulmonary complications of anaesthesia during pregnancy
Aspiration pneumonitis
Chemical pneumonitis due to aspiration Inhalation of stomach contents or
secretions NOS
Mendelson syndrome Pressure collapse of lung

due to anaesthesia during pregnancy
O29.1 Cardiac complications of anaesthesia during pregnancy
Cardiac:
arrest
failure due to anaesthesia during pregnancy
O29.2 Central nervous system complications of anaesthesia during pregnancy
Cerebral anoxia due to anaesthesia during pregnancy
O29.3 Toxic reaction to local anaesthesia during pregnancy O29.4 Spinal and epidural anaesthesia-induced headache during
pregnancy
O29.5 Other complications of spinal and epidural anaesthesia during pregnancy
O29.6 Failed or difficult intubation during pregnancy
O29.8 Other complications of anaesthesia during pregnancy O29.9 Complication of anaesthesia during pregnancy, unspecified
 
Maternal care related to the fetus and amniotic cavity and possible delivery problems
(O30–O48)

  O30 Multiple gestation
Excl.: complications specific to multiple gestation (O31.-)
O30.0 Twin pregnancy O30.1 Triplet pregnancy
O30.2 Quadruplet pregnancy O30.8 Other multiple gestation
O30.9 Multiple gestation, unspecified
Multiple pregnancy NOS

  O31 Complications specific to multiple gestation
Excl.: conjoined twins causing disproportion (O33.7) delayed delivery of second twin, triplet, etc. (O63.2) malpresentation of one fetus or more (O32.5)
with obstructed labour (O64–O66)
O31.0 Papyraceous fetus
Fetus compressus
O31.1 Continuing pregnancy after abortion of one fetus or more O31.2 Continuing pregnancy after intrauterine death of one fetus or more O31.8 Other complications specific to multiple gestation
  O32 Maternal care for known or suspected malpresentation of fetus
Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour
Excl.: the listed conditions with obstructed labour (O64.-)
O32.0 Maternal care for unstable lie
O32.1 Maternal care for breech presentation O32.2 Maternal care for transverse and oblique lie
Presentation:
oblique
transverse
O32.3 Maternal care for face, brow and chin presentation O32.4 Maternal care for high head at term
Failure of head to enter pelvic brim
 
O32.5 Maternal care for multiple gestation with malpresentation of one fetus or more
O32.6 Maternal care for compound presentation  O32.8 Maternal care for other malpresentation of fetus
O32.9 Maternal care for malpresentation of fetus, unspecified

  O33 Maternal care for known or suspected disproportion
Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour
Excl.: the listed conditions with obstructed labour (O65–O66)
O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
Pelvic deformity causing disproportion NOS
O33.1 Maternal care for disproportion due to generally contracted pelvis
Contracted pelvis NOS causing disproportion
O33.2 Maternal care for disproportion due to inlet contraction of pelvis
Inlet contraction (pelvis) causing disproportion
O33.3 Maternal care for disproportion due to outlet contraction of pelvis
Mid-cavity contraction (pelvis)
Outlet contraction (pelvis causing disproportion
O33.4 Maternal care for disproportion of mixed maternal and fetal origin
O33.5 Maternal care for disproportion due to unusually large fetus
Disproportion of fetal origin with normally formed fetus Fetal disproportion NOS
O33.6 Maternal care for disproportion due to hydrocephalic fetus O33.7 Maternal care for disproportion due to other fetal deformities





O33.8 Maternal care for disproportion of other origin O33.9 Maternal care for disproportion, unspecified
Cephalopelvic disproportion NOS Fetopelvic disproportion NOS
 
  O34 Maternal care for known or suspected abnormality of pelvic organs
Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour
Excl.: the listed conditions with obstructed labour (O65.5)
O34.0 Maternal care for congenital malformation of uterus
Maternal care for:
double uterus
uterus bicornis
O34.1 Maternal care for tumour of corpus uteri
Maternal care for:
polyp of corpus uteri
uterine fibroid
Excl.: maternal care for tumour of cervix (O34.4)
O34.2 Maternal care due to uterine scar from previous surgery
Maternal care for scar from previous caesarean section
Excl.: vaginal delivery following previous caesarean section NOS (O75.7)
O34.3 Maternal care for cervical incompetence
Maternal care for:
cerclage
Shirodkar suture with or without mention of cervical incompetence
O34.4 Maternal care for other abnormalities of cervix
Maternal care for:
polyp of cervix
previous surgery to cervix
stricture or stenosis of cervix
tumour of cervix
O34.5 Maternal care for other abnormalities of gravid uterus
Maternal care for:
incarceration
prolapse
retroversion
of gravid uterus
O34.6 Maternal care for abnormality of vagina
Maternal care for:
previous surgery to vagina
septate vagina
stenosis of vagina (acquired)(congenital)
stricture of vagina
tumour of vagina
Excl.: maternal care for vaginal varices in pregnancy (O22.1)
 
O34.7 Maternal care for abnormality of vulva and perineum
Maternal care for:
fibrosis of perineum
previous surgery to perineum or vulva
rigid perineum
tumour of vulva
Excl.: maternal care for perineal and vulval varices in pregnancy (O22.1)
O34.8 Maternal care for other abnormalities of pelvic organs
Maternal care for:
cystocele
pelvic floor repair (previous)
pendulous abdomen
rectocele
rigid pelvic floor
O34.9 Maternal care for abnormality of pelvic organ, unspecified

  O35 Maternal care for known or suspected fetal abnormality and damage
Incl.: the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy
Excl.: maternal care for known or suspected disproportion (O33.-)
O35.0 Maternal care for (suspected) central nervous system malformation in fetus
Maternal care for (suspected) fetal:
anencephaly
spina bifida
Excl.: chromosomal abnormality in fetus (O35.1)
O35.1 Maternal care for (suspected) chromosomal abnormality in fetus O35.2 Maternal care for (suspected) hereditary disease in fetus
Excl.: chromosomal abnormality in fetus (O35.1)
O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
Maternal care for (suspected) damage to fetus from maternal:
cytomegalovirus infection
rubella
O35.4 Maternal care for (suspected) damage to fetus from alcohol O35.5 Maternal care for (suspected) damage to fetus by drugs
Maternal care for (suspected) damage to fetus from drug addiction
Excl.: fetal distress in labour and delivery due to drug administration (O68.-)
 
O35.6 Maternal care for (suspected) damage to fetus by radiation O35.7 Maternal care for (suspected) damage to fetus by other
medical procedures
Maternal care for (suspected) damage to fetus by:
amniocentesis
biopsy procedures
haematological investigation
intrauterine contraceptive device
intrauterine surgery
O35.8 Maternal care for other (suspected) fetal abnormality and damage
Maternal care for (suspected) damage to fetus from maternal:
listeriosis
toxoplasmosis
O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified

  O36 Maternal care for other known or suspected fetal problems
Incl.: the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy
Excl.: labour and delivery complicated by fetal stress [distress] (O68.-) placental transfusion syndromes (O43.0)
O36.0 Maternal care for rhesus isoimmunization
Anti-D [Rh] antibodies
Rh incompatibility (with hydrops fetalis)
O36.1 Maternal care for other isoimmunization
ABO isoimmunization
Isoimmunization NOS (with hydrops fetalis)
O36.2 Maternal care for hydrops fetalis
Hydrops fetalis:
NOS
not associated with isoimmunization
O36.3 Maternal care for signs of fetal hypoxia O36.4 Maternal care for intrauterine death
Excl.: missed abortion (O02.1)
O36.5 Maternal care for poor fetal growth
Maternal care for known or suspected:
light-for-dates
placental insufficiency
small-for-dates
 
O36.6 Maternal care for excessive fetal growth
Maternal care for known or suspected large-for-dates
O36.7 Maternal care for viable fetus in abdominal pregnancy O36.8 Maternal care for other specified fetal problems
O36.9 Maternal care for fetal problem, unspecified

  O40 Polyhydramnios
Incl.: Hydramnios

  O41 Other disorders of amniotic fluid and membranes
Excl.: premature rupture of membranes (O42.-)
O41.0 Oligohydramnios
Oligohydramnios without mention of rupture of membranes
O41.1 Infection of amniotic sac and membranes
Amnionitis Chorioamnionitis Membranitis Placentitis
O41.8 Other specified disorders of amniotic fluid and membranes O41.9 Disorder of amniotic fluid and membranes, unspecified
  O42 Premature rupture of membranes
O42.0 Premature rupture of membranes, onset of labour within 24 hours
O42.1 Premature rupture of membranes, onset of labour after 24 hours
Excl.: with labour delayed by therapy (O42.2)
O42.2 Premature rupture of membranes, labour delayed by therapy O42.9 Premature rupture of membranes, unspecified
  O43 Placental disorders
Excl.: maternal care for poor fetal growth due to placental insufficiency (O36.5)
placenta praevia (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
O43.0 Placental transfusion syndromes
Transfusion:
fetomaternal
maternofetal
twin-to-twin
O43.1 Malformation of placenta
Abnormal placenta NOS Circumvallate placenta
 
O43.2 Morbidly adherent placenta
Placenta:
accreta
increta
percreta
Use additional code, if desired, to identify any:
postpartum haemorrhage, third stage O72.0
retained placenta without haemorrhage O73.0
O43.8 Other placental disorders
Placental:
dysfunction
infarction
O43.9 Placental disorder, unspecified

  O44 Placenta praevia
O44.0 Placenta praevia specified as without haemorrhage
Low implantation of placenta specified as without haemorrhage
O44.1 Placenta praevia with haemorrhage
Low implantation of placenta, NOS or with haemorrhage
Placenta praevia:
marginal
partial
total
NOS or with haemorrhage
Excl.: labour and delivery complicated by haemorrhage from vasa praevia (O69.4)

  O45 Premature separation of placenta [abruptio placentae]
O45.0 Premature separation of placenta with coagulation defect
Abruptio placentae with (excessive) haemorrhage associated with:
afibrinogenaemia
disseminated intravascular coagulation
hyperfibrinolysis
hypofibrinogenaemia
O45.8 Other premature separation of placenta
O45.9 Premature separation of placenta, unspecified
Abruptio placentae NOS

  O46 Antepartum haemorrhage, not elsewhere classified
Excl.: haemorrhage in early pregnancy (O20.-) intrapartum haemorrhage NEC (O67.-) placenta praevia (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
 
O46.0 Antepartum haemorrhage with coagulation defect
Antepartum haemorrhage (excessive) associated with:
afibrinogenaemia
disseminated intravascular coagulation
hyperfibrinolysis
hypofibrinogenaemia
O46.8 Other antepartum haemorrhage
O46.9 Antepartum haemorrhage, unspecified

  O47 False labour
O47.0 False labour before 37 completed weeks of gestation O47.1 False labour at or after 37 completed weeks of gestation O47.9 False labour, unspecified
  O48 Prolonged pregnancy
Incl.: post-dates
post-term

Complications of labour and delivery (O60–O75)

  O60 Preterm labour and delivery
Incl.: onset (spontaneous) of labour before 37 completed weeks of gestation
O60.0 Preterm labour without delivery
Preterm labour:
induced
spontaneous
O60.1 Preterm spontaneous labour with preterm delivery
Preterm labour with delivery NOS
Preterm spontaneous labour with preterm delivery by caesarean section
O60.2 Preterm spontaneous labour with term delivery
Preterm spontaneous labour with term delivery by caesarean section
O60.3 Preterm delivery without spontaneous labour
Preterm delivery by:
caesarean section, without spontaneous labour
induction

  O61 Failed induction of labour
O61.0 Failed medical induction of labour
Failed induction (of labour) by:
oxytocin
prostaglandins
 
O61.1 Failed instrumental induction of labour
Failed induction (of labour):
mechanical
surgical
O61.8 Other failed induction of labour
O61.9 Failed induction of labour, unspecified

  O62 Abnormalities of forces of labour
O62.0 Primary inadequate contractions
Failure of cervical dilatation
Primary hypotonic uterine dysfunction Uterine inertia during latent phase of labour
O62.1 Secondary uterine inertia
Arrested active phase of labour Secondary hypotonic uterine dysfunction
O62.2 Other uterine inertia
Atony of uterus Desultory labour
Hypotonic uterine dysfunction NOS Irregular labour
Poor contractions Uterine inertia NOS
O62.3 Precipitate labour
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
Contraction ring dystocia Dyscoordinate labour
Hour-glass contraction of uterus Hypertonic uterine dysfunction Incoordinate uterine action Tetanic contractions
Uterine dystocia NOS
Excl.: dystocia (fetal)(maternal) NOS (O66.9) O62.8 Other abnormalities of forces of labour O62.9 Abnormality of forces of labour, unspecified
  O63 Long labour
O63.0 Prolonged first stage (of labour) O63.1 Prolonged second stage (of labour)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labour, unspecified
Prolonged labour NOS
 
  O64 Obstructed labour due to malposition and malpresentation of fetus
O64.0 Obstructed labour due to incomplete rotation of fetal head
Deep transverse arrest
Obstructed labour due to persistent (position):
occipitoiliac
occipitoposterior
occipitosacral
occipitotransverse
O64.1 Obstructed labour due to breech presentation O64.2 Obstructed labour due to face presentation
Obstructed labour due to chin presentation
O64.3 Obstructed labour due to brow presentation O64.4 Obstructed labour due to shoulder presentation
Prolapsed arm
Excl.: impacted shoulders (O66.0) shoulder dystocia (O66.0)
O64.5 Obstructed labour due to compound presentation
O64.8 Obstructed labour due to other malposition and malpresentation O64.9 Obstructed labour due to malposition and malpresentation,
unspecified

  O65 Obstructed labour due to maternal pelvic abnormality
O65.0 Obstructed labour due to deformed pelvis
O65.1 Obstructed labour due to generally contracted pelvis O65.2 Obstructed labour due to pelvic inlet contraction
O65.3 Obstructed labour due to pelvic outlet and mid-cavity contraction
O65.4 Obstructed labour due to fetopelvic disproportion, unspecified
Excl.: dystocia due to abnormality of fetus (O66.2–O66.3)
O65.5 Obstructed labour due to abnormality of maternal pelvic organs
Obstructed labour due to conditions listed in O34.-
O65.8 Obstructed labour due to other maternal pelvic abnormalities O65.9 Obstructed labour due to maternal pelvic abnormality,
unspecified

  O66 Other obstructed labour
O66.0 Obstructed labour due to shoulder dystocia
Impacted shoulders
 
O66.1 Obstructed labour due to locked twins
O66.2 Obstructed labour due to unusually large fetus
O66.3 Obstructed labour due to other abnormalities of fetus
Dystocia due to:
conjoined twins
fetal:
ascites
hydrops
meningomyelocele
sacral teratoma
tumour
hydrocephalic fetus
O66.4 Failed trial of labour, unspecified
Failed trial of labour with subsequent delivery by caesarean section
O66.5 Failed application of vacuum extractor and forceps, unspecified
Failed application of ventouse or forceps, with subsequent delivery by forceps or caesarean section respectively
O66.8 Other specified obstructed labour O66.9 Obstructed labour, unspecified
Dystocia:
NOS
fetal NOS
maternal NOS

  O67 Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified
Excl.: antepartum haemorrhage NEC (O46.-) placenta praevia (O44.-)
postpartum haemorrhage (O72.-)
premature separation of placenta [abruptio placentae] (O45.-)
O67.0 Intrapartum haemorrhage with coagulation defect
Intrapartum haemorrhage (excessive) associated with:
afibrinogenaemia
disseminated intravascular coagulation
hyperfibrinolysis
hypofibrinogenaemia
O67.8 Other intrapartum haemorrhage
Excessive intrapartum haemorrhage
O67.9 Intrapartum haemorrhage, unspecified
 
  O68 Labour and delivery complicated by fetal stress [distress]
Incl.: fetal distress in labour or delivery due to drug administration
O68.0 Labour and delivery complicated by fetal heart rate anomaly
Fetal:
bradycardia
heart rate irregularity
tachycardia
Excl.: with meconium in amniotic fluid (O68.2)
O68.1 Labour and delivery complicated by meconium in amniotic fluid
Excl.: with fetal heart rate anomaly (O68.2)
O68.2 Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic fluid
O68.3 Labour and delivery complicated by biochemical evidence of fetal stress
Abnormal fetal:
acidaemia
acid–base balance
O68.8 Labour and delivery complicated by other evidence of fetal stress
Evidence of fetal distress:
electrocardiographic
ultrasonic
O68.9 Labour and delivery complicated by fetal stress, unspecified

  O69 Labour and delivery complicated by umbilical cord complications
O69.0 Labour and delivery complicated by prolapse of cord
O69.1 Labour and delivery complicated by cord around neck, with compression
O69.2 Labour and delivery complicated by other cord entanglement, with compression
Compression of cord NOS
Entanglement of cords of twins in monoamniotic sac Knot in cord
O69.3 Labour and delivery complicated by short cord O69.4 Labour and delivery complicated by vasa praevia
Haemorrhage from vasa praevia
O69.5 Labour and delivery complicated by vascular lesion of cord
Cord:
bruising
haematoma
Thrombosis of umbilical vessels
 
O69.8 Labour and delivery complicated by other cord complications
Cord around neck without compression
O69.9 Labour and delivery complicated by cord complication, unspecified

  O70 Perineal laceration during delivery
Incl.: episiotomy extended by laceration
Excl.: obstetric high vaginal laceration (O71.4) vaginal sulcus laceration (O71.4)
O70.0 First-degree perineal laceration during delivery
Perineal laceration, rupture or tear (involving):
fourchette
labia
periurethral tissue
skin
slight
vagina, low
vulva


during delivery
Excl.: periurethral laceration involving urethra (O71.5) with laceration of:
high vaginal wall (middle)(upper third of vaginal wall) (O71.4)
vaginal sulcus (O71.4)
O70.1 Second-degree perineal laceration during delivery
Perineal laceration, rupture or tear as in O70.0, also involving:
pelvic floor
perineal muscles
vaginal muscles
during delivery
Excl.: that involving anal sphincter (O70.2)
O70.2 Third-degree perineal laceration during delivery
Perineal laceration, rupture or tear as in O70.1, also involving:
anal sphincter
rectovaginal septum
sphincter NOS
during delivery
Excl.: that involving anal or rectal mucosa (O70.3)
O70.3 Fourth-degree perineal laceration during delivery
Perineal laceration, rupture or tear as in O70.2, also involving:
anal mucosa
rectal mucosa
during delivery
O70.9 Perineal laceration during delivery, unspecified
 
  O71 Other obstetric trauma
Incl.: damage from instruments
O71.0 Rupture of uterus before onset of labour O71.1 Rupture of uterus during labour
Rupture of uterus not stated as occurring before onset of labour
O71.2 Postpartum inversion of uterus O71.3 Obstetric laceration of cervix
Annular detachment of cervix
O71.4 Obstetric high vaginal laceration
Laceration of:
middle or upper third of vaginal wall
vaginal sulcus
Excl.: that of the lower vagina (O70.-)
O71.5 Other obstetric injury to pelvic organs
Obstetric injury to:
bladder
urethra
Excl.: (minor) laceration involving periurethral tissue only (O70.0)
O71.6 Obstetric damage to pelvic joints and ligaments
Avulsion of inner symphyseal cartilage
Damage to coccyx
Traumatic separation of symphysis (pubis)
obstetric
O71.7 Obstetric haematoma of pelvis
Obstetric haematoma of:
perineum
vagina
vulva
O71.8 Other specified obstetric trauma O71.9 Obstetric trauma, unspecified
  O72 Postpartum haemorrhage
Incl.: haemorrhage after delivery of fetus or infant
O72.0 Third-stage haemorrhage
Haemorrhage associated with retained, trapped or adherent placenta Retained placenta NOS
Use additional code, if desired, to identify any morbidly adherent placenta 043.2
O72.1 Other immediate postpartum haemorrhage Haemorrhage following delivery of placenta Postpartum haemorrhage (atonic) NOS
 
O72.2 Delayed and secondary postpartum haemorrhage
Haemorrhage associated with retained portions of placenta or membranes Retained products of conception NOS, following delivery
O72.3 Postpartum coagulation defects
Postpartum:
afibrinogenaemia
fibrinolysis

  O73 Retained placenta and membranes, without haemorrhage
O73.0 Retained placenta without haemorrhage
Use additional code, if desired, to identify any morbidly adherent placenta 043.2
O73.1 Retained portions of placenta and membranes, without haemorrhage
Retained products of conception following delivery, without haemorrhage

  O74 Complications of anaesthesia during labour and delivery
Incl.: maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during labour and delivery
O74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery
Chemical pneumonitis due to aspiration
Inhalation of stomach contents or secretions NOS Mendelson syndrome due to anaesthesia during labour and delivery
O74.1 Other pulmonary complications of anaesthesia during labour and delivery
Pressure collapse of lung due to anaesthesia during labour and delivery
O74.2 Cardiac complications of anaesthesia during labour and delivery
Cardiac:
arrest
failure due to anaesthesia during labour and delivery
O74.3 Central nervous system complications of anaesthesia during labour and delivery
Cerebral anoxia due to anaesthesia during labour and delivery
 
O74.4 Toxic reaction to local anaesthesia during labour and delivery O74.5 Spinal and epidural anaesthesia-induced headache during
labour and delivery
O74.6 Other complications of spinal and epidural anaesthesia during labour and delivery
O74.7 Failed or difficult intubation during labour and delivery
O74.8 Other complications of anaesthesia during labour and delivery O74.9 Complication of anaesthesia during labour and delivery,
unspecified

  O75 Other complications of labour and delivery, not elsewhere classified
Excl.: puerperal:
infection (O86.-)
sepsis (O85)
O75.0 Maternal distress during labour and delivery O75.1 Shock during or following labour and delivery
Obstetric shock
O75.2 Pyrexia during labour, not elsewhere classified O75.3 Other infection during labour
Sepsis during labour
O75.4 Other complications of obstetric surgery and procedures
Cardiac:
arrest
failure
Cerebral anoxia following caesarean or other obstetric surgery or procedures, including delivery NOS
Excl.: complications of anaesthesia during labour and delivery (O74.-) obstetric (surgical) wound:
disruption (O90.0–O90.1)
haematoma (O90.2)
infection (O86.0)
O75.5 Delayed delivery after artificial rupture of membranes
O75.6 Delayed delivery after spontaneous or unspecified rupture of membranes
Excl.: spontaneous premature rupture of membranes (O42.-) O75.7 Vaginal delivery following previous caesarean section O75.8 Other specified complications of labour and delivery O75.9 Complication of labour and delivery, unspecified
 
Delivery (O80–O84)
Note: For use of these categories, reference should be made to the mortality and morbidity coding rules and guidelines in Volume 2.

  O80 Single spontaneous delivery
Incl.: cases with minimal or no assistance, with or without episiotomy delivery in a completely normal case
O80.0 Spontaneous vertex delivery O80.1 Spontaneous breech delivery O80.8 Other single spontaneous delivery
O80.9 Single spontaneous delivery, unspecified
Spontaneous delivery NOS

  O81 Single delivery by forceps and vacuum extractor
Excl.: failed application of vacuum extractor or forceps (O66.5)
O81.0 Low forceps delivery O81.1 Mid-cavity forceps delivery
O81.2 Mid-cavity forceps with rotation
O81.3 Other and unspecified forceps delivery O81.4 Vacuum extractor delivery
Ventouse delivery
O81.5 Delivery by combination of forceps and vacuum extractor
Forceps and ventouse delivery

  O82 Single delivery by caesarean section
O82.0 Delivery by elective caesarean section
Repeat caesarean section NOS
O82.1 Delivery by emergency caesarean section O82.2 Delivery by  caesarean hysterectomy O82.8 Other single delivery by caesarean section
O82.9 Delivery by caesarean section, unspecified

  O83 Other assisted single delivery
O83.0 Breech extraction
O83.1 Other assisted breech delivery
Breech delivery NOS
 
O83.2 Other manipulation-assisted delivery
Version with extraction
O83.3 Delivery of viable fetus in abdominal pregnancy O83.4 Destructive operation for delivery


O83.8 Other specified assisted single delivery O83.9 Assisted single delivery, unspecified
Assisted delivery NOS

  O84 Multiple delivery
Use additional code (O80–O83), if desired, to indicate the method of delivery of each fetus or infant.
O84.0 Multiple delivery, all spontaneous
O84.1 Multiple delivery, all by forceps and vacuum extractor O84.2 Multiple delivery, all by caesarean section
O84.8 Other multiple delivery
Multiple delivery by combination of methods
O84.9 Multiple delivery, unspecified

Complications predominantly related to the puerperium (O85–O92)
Note: Categories O88.-, O91.- and O92.- include the listed conditions even if they occur during pregnancy and childbirth.
Excl.: mental and behavioural disorders associated with the puerperium (F53.-) obstetrical tetanus (A34)
puerperal osteomalacia (M83.0)

  O85 Puerperal sepsis
Incl.: puerperal:
endometritis
fever
peritonitis
sepsis
Use additional code (B95–B98) , if desired, to identify infectious agent.
Excl.: obstetric pyaemic and septic embolism (O88.3) sepsis during labour (O75.3)
 
  O86 Other puerperal infections
Use additional code (B95–B98) , if desired, to identify infectious agent.
Excl.: infection during labour (O75.3)
O86.0 Infection of obstetric surgical wound
Infected:
caesarean section wound
perineal repair
following delivery
O86.1 Other infection of genital tract following delivery
Cervicitis
Vaginitis following delivery
O86.2 Urinary tract infection following delivery
Conditions in N10-N12, N15.-, N30.-, N34.-, N39.0 following delivery
O86.3 Other genitourinary tract infections following delivery
Puerperal genitourinary tract infection NOS
O86.4 Pyrexia of unknown origin following delivery
Puerperal:
infection NOS
pyrexia NOS
Excl.: puerperal fever (O85)
pyrexia during labour (O75.2)
O86.8 Other specified puerperal infections

  O87 Venous complications and haemorrhoids in the puerperium
Incl.: in labour, delivery and the puerperium
Excl.: obstetric embolism (O88.-)
venous complications in pregnancy (O22.-)
O87.0 Superficial thrombophlebitis in the puerperium O87.1 Deep phlebothrombosis in the puerperium
Deep-vein thrombosis, postpartum Pelvic thrombophlebitis, postpartum
O87.2 Haemorrhoids in the puerperium
O87.3 Cerebral venous thrombosis in the puerperium
Cerebrovenous sinus thrombosis in the puerperium
O87.8 Other venous complications in the puerperium
Genital varices in the puerperium
O87.9 Venous complication in the puerperium, unspecified
Puerperal:
phlebitis NOS
phlebopathy NOS
thrombosis NOS
 
  O88 Obstetric embolism
Incl.: pulmonary emboli in pregnancy, childbirth or the puerperium
Excl.: embolism complicating abortion or ectopic or molar pregnancy (O00–O07, O08.2)
O88.0 Obstetric air embolism O88.1 Amniotic fluid embolism
Anaphylactoid syndrome of pregnancy
O88.2 Obstetric blood-clot embolism Obstetric (pulmonary) embolism NOS Puerperal (pulmonary) embolism NOS
O88.3 Obstetric pyaemic and septic embolism O88.8 Other obstetric embolism
Obstetric fat embolism

  O89 Complications of anaesthesia during the puerperium
Incl.: maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during the puerperium
O89.0 Pulmonary complications of anaesthesia during the puerperium
Aspiration pneumonitis
Chemical pneumonitis due to aspiration Inhalation of stomach contents or secretions NOS Mendelson syndrome
Pressure collapse of lung
due to anaesthesia during the puerperium
O89.1 Cardiac complications of anaesthesia during the puerperium
Cardiac:
arrest
failure
due to anaesthesia during the puerperium
O89.2 Central nervous system complications of anaesthesia during the puerperium
Cerebral anoxia due to anaesthesia during the puerperium
O89.3 Toxic reaction to local anaesthesia during the puerperium O89.4 Spinal and epidural anaesthesia-induced headache during the
puerperium
O89.5 Other complications of spinal and epidural anaesthesia during the puerperium
O89.6 Failed or difficult intubation during the puerperium
O89.8 Other complications of anaesthesia during the puerperium O89.9 Complication of anaesthesia during the puerperium, unspecified
 
  O90 Complications of the puerperium, not elsewhere classified
O90.0 Disruption of caesarean section wound O90.1 Disruption of perineal obstetric wound
Disruption of wound of:
episiotomy
perineal laceration Secondary perineal tear
O90.2 Haematoma of obstetric wound O90.3 Cardiomyopathy in the puerperium
Conditions in I42.-
O90.4 Postpartum acute renal failure
Hepatorenal syndrome following labour and delivery
O90.5 Postpartum thyroiditis
O90.8 Other complications of the puerperium, not elsewhere classified
Placental polyp
O90.9 Complication of the puerperium, unspecified

  O91 Infections of breast associated with childbirth
Incl.: the listed conditions during pregnancy, the puerperium or lactation
O91.0 Infection of nipple associated with childbirth
Abscess of nipple:
gestational
puerperal
O91.1 Abscess of breast associated with childbirth
Mammary abscess
Purulent mastitis Subareolar abscess
gestational or puerperal
O91.2 Nonpurulent mastitis associated with childbirth
Lymphangitis of breast
Mastitis:
NOS
interstitial
parenchymatous

gestational or puerperal

  O92 Other disorders of breast and lactation associated with childbirth
Incl.: the listed conditions during pregnancy, the puerperium or lactation
O92.0 Retracted nipple associated with childbirth
 
O92.1 Cracked nipple associated with childbirth
Fissure of nipple, gestational or puerperal
O92.2 Other and unspecified disorders of breast associated with childbirth
O92.3 Agalactia
Primary agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation
Agalactia:
elective
secondary
therapeutic
O92.6 Galactorrhoea
Excl.: galactorrhoea not associated with childbirth (N64.3)
O92.7 Other and unspecified disorders of lactation
Puerperal galactocele

Other obstetric conditions, not elsewhere classified (O94–O99)
Note: For use of categories O95–O97, reference should be made to the mortality coding rules and guidelines in Volume 2.

  O94 Sequelae of complication of pregnancy, childbirth and the puerperium
Note: This category is to be used for morbidity coding only to indicate conditions in categories O00–O75 and O85–O92 as the cause of sequelae, which are themselves classified elsewhere. The ‘sequelae’ include conditions specified as such or as late effects, or those present one year or more after the onset of the causal condition.
Not to be used for chronic complications of pregnancy, childbirth and the puerperium. Code these to O00–O75 and O85–O92.
Excl.: that resulting in death (O96.-, O97.-)

  O95 Obstetric death of unspecified cause
Incl.: maternal death from unspecified cause occurring during pregnancy, labour and delivery, or the puerperium
 
  O96 Death from any obstetric cause occurring more than 42 days but less than one year after delivery
Note: This category is to be used to indicate death from any obstetric cause (conditions in categories O00-O75, O85-O92 and O98-O99, occurring more than 42 days but less than one year after delivery.
Use additional code, if desired, to identify obstetric cause (direct or indirect) of death.
Excl.: death from conditions specified as sequelae or late effects of obstetric causes (O97.-)
conditions specified as sequelae or late effects of obstetric causes that are not resulting in death (O94)
O96.0 Death from direct obstetric cause occurring more than 42 days but less than one year after delivery
O96.1 Death from indirect obstetric cause occurring more than 42 days but less than one year after delivery
O96.9 Death from unspecified obstetric cause occurring more than 42 days but less than one year after delivery

  O97 Death from sequelae of obstetric causes
Note: This category is to be used to indicate death from sequelae of any obstetric cause (conditions in categories O00-O75, O85-O92 and O98-O99, occurring more than one year after delivery. The ‘sequelae’ include conditions specified as such or as late effects, or those present one year or more after delivery.
Use additional code, if desired, to identify the obstetric cause (direct or indirect).
Excl.: conditions specified as sequelae or late effects of obstetric causes that are not resulting in death (O94)
O97.0 Death from sequelae of direct obstetric cause O97.1 Death from sequelae of indirect obstetric cause
O97.9 Death from sequelae of obstetric cause, unspecified
 
  O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Incl.: the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
Use additional code (Chapter I), if desired, to identify specific condition.
Excl.: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
laboratory evidence of human immunodeficiency virus [HIV] (R75) obstetrical tetanus (A34)
puerperal:
infection (O86.-)
sepsis (O85)
when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35–O36)
O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium
Conditions in A15–A19
O98.1 Syphilis complicating pregnancy, childbirth and the puerperium
Conditions in A50–A53
O98.2 Gonorrhoea complicating pregnancy, childbirth and the puerperium
Conditions in A54.-
O98.3 Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium
Conditions in A55–A64
O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium
Conditions in B15–B19
O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium
Conditions in A80–B09, B25–B34
O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium
Conditions in B50–B64
O98.7 Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium
Conditions in (B20–B24)
 
O98.8 Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
O98.9 Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium

  O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Note: This category includes conditions that complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care and for which the Alphabetical index does not indicate a specific rubric in Chapter XV.
Use additional code, if desired, to identify specific condition.
Excl.: infectious and parasitic diseases (O98.-)
injury, poisoning and certain other consequences of external causes (S00–T98)
when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35–O36)
O99.0 Anaemia complicating pregnancy, childbirth and the puerperium
Conditions in D50–D64
O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium Conditions in D65–D89
Excl.: haemorrhage with coagulation defects (O46.0, O67.0, O72.3)
O99.2 Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
Conditions in E00–E90
Excl.: diabetes mellitus (O24.-) malnutrition (O25) postpartum thyroiditis (O90.5)
O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium Conditions in F00–F99 and G00–G99
Excl.: postnatal depression (F53.0)
pregnancy-related peripheral neuritis (O26.8) puerperal psychosis (F53.1)
 
O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
Conditions in I00–I99
Excl.: cardiomyopathy in the puerperium (O90.3) hypertensive disorders (O10–O16) obstetric embolism (O88.-)
venous complications and cerebrovenous sinus thrombosis in:
labour, childbirth and the puerperium (O87.-)
pregnancy (O22.-)
O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
Conditions in J00–J99
O99.6 Diseases of the digestive system complicating pregnancy, childbirth and the puerperium
Conditions in K00–K93
Excl.: haemorrhoids in pregnancy (O22.4)
liver disorders in pregnancy, childbirth and the puerperium (O26.6)
O99.7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium
Conditions in L00–L99
Excl.: herpes gestationis (O26.4) pruritus in pregnancy (O26.8)
O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Combination of conditions classifiable to O99.0–O99.7
Conditions in C00–D48, H00–H95, M00–M99, N00–N99 and Q00–Q99
not elsewhere classified
Excl.: genitourinary infections in pregnancy (O23.-)
infection of genitourinary tract following delivery (O86.0–O86.3) maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
postpartum acute renal failure (O90.4) postpartum nephritis (O90.8)

CHAPTER XVI
Certain conditions originating in the perinatal period
(P00–P96)

Incl.: conditions that have their origin in the perinatal period even though death or morbidity occurs later
Excl.: congenital malformations, deformations and chromosomal abnormalities (Q00–Q99)
endocrine, nutritional and metabolic diseases (E00–E90)
injury, poisoning and certain other consequences of external causes (S00–T98)
neoplasms (C00–D48) tetanus neonatorum (A33)

This chapter contains the following blocks:
P00–P04 Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
P05–P08 Disorders related to length of gestation and fetal growth P10–P15 Birth trauma
P20–P29 Respiratory and cardiovascular disorders specific to the perinatal period P35–P39 Infections specific to the perinatal period
P50–P61 Haemorrhagic and haematological disorders of fetus and newborn P70–P74 Transitory endocrine and metabolic disorders specific to fetus and newborn P75–P78 Digestive system disorders of fetus and newborn
P80–P83 Conditions involving the integument and temperature regulation of fetus and newborn
P90–P96 Other disorders originating in the perinatal period

Asterisk categories for this chapter are provided as follows:
P75* Meconium ileus in cystic fibrosis
 
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00–P04)
Incl.: the listed maternal conditions only when specified as a cause of mortality or morbidity in fetus or newborn

  P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy
Excl.: fetus and newborn affected by:
maternal complications of pregnancy (P01.-)
maternal endocrine and metabolic disorders (P70–P74)
noxious influences transmitted via placenta or breast milk (P04.-)
P00.0 Fetus and newborn affected by maternal hypertensive disorders
Fetus or newborn affected by maternal conditions classifiable to O10–O11, O13–O16
P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases
Fetus or newborn affected by maternal conditions classifiable to N00–N39
P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases
Fetus or newborn affected by maternal infectious disease classifiable to A00–B99 and J09–J11, but not itself manifesting that disease
Excl.: infections specific to the perinatal period (P35–P39) maternal genital tract and other localized infections (P00.8)
P00.3 Fetus and newborn affected by other maternal circulatory and respiratory diseases
Fetus or newborn affected by maternal conditions classifiable to I00–I99, J00–J99, Q20–Q34 and not included in P00.0, P00.2
P00.4 Fetus and newborn affected by maternal nutritional disorders Fetus or newborn affected by maternal disorders classifiable to E40–E64 Maternal malnutrition NOS
P00.5 Fetus and newborn affected by maternal injury
Fetus or newborn affected by maternal conditions classifiable to S00–T79
P00.6 Fetus and newborn affected by surgical procedure on mother
Excl.: caesarean section for present delivery (P03.4)
damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1)
previous surgery to uterus or pelvic organs (P03.8) termination of pregnancy, fetus (P96.4)
 

P00.7 Fetus and newborn affected by other medical procedures on mother, not elsewhere classified
Fetus or newborn affected by radiology on mother
Excl.: damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1)
fetus or newborn affected by other complications of labour and delivery (P03.-)
P00.8 Fetus and newborn affected by other maternal conditions
Fetus or newborn affected by:
conditions classifiable to T80–T88
maternal genital tract and other localized infections
maternal systemic lupus erythematosus
Excl.: transitory neonatal endocrine and metabolic disorders (P70–P74)
P00.9 Fetus and newborn affected by unspecified maternal condition

  P01 Fetus and newborn affected by maternal complications of pregnancy
P01.0 Fetus and newborn affected by incompetent cervix P01.1 Fetus and newborn affected by premature rupture of
membranes
P01.2 Fetus and newborn affected by oligohydramnios
Excl.: when due to premature rupture of membranes (P01.1)
P01.3 Fetus and newborn affected by polyhydramnios
Hydramnios
P01.4 Fetus and newborn affected by ectopic pregnancy
Abdominal pregnancy
P01.5 Fetus and newborn affected by multiple pregnancy
Triplet (pregnancy) Twin (pregnancy)
P01.6 Fetus and newborn affected by maternal death
P01.7 Fetus and newborn affected by malpresentation before labour
Breech presentation
External version Face presentation Transverse lie Unstable lie

before labour
P01.8 Fetus and newborn affected by other maternal complications of pregnancy
Spontaneous abortion, fetus
P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified
 
  P02 Fetus and newborn affected by complications of placenta, cord and membranes
P02.0 Fetus and newborn affected by placenta praevia
P02.1 Fetus and newborn affected by other forms of placental separation and haemorrhage
Abruptio placentae Accidental haemorrhage Antepartum haemorrhage
Damage to placenta from amniocentesis, caesarean section or surgical induction
Maternal blood loss
Premature separation of placenta
P02.2 Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta Placental:
dysfunction
infarction
insufficiency
P02.3 Fetus and newborn affected by placental transfusion syndromes
Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
Use additional code, if desired, to indicate resultant condition in the fetus or newborn.
P02.4 Fetus and newborn affected by prolapsed cord
P02.5 Fetus and newborn affected by other compression of umbilical cord
Cord (tightly) around neck Entanglement of cord Knot in cord
P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical cord
Short cord Vasa praevia
Excl.: single umbilical artery (Q27.0)
P02.7 Fetus and newborn affected by chorioamnionitis
Amnionitis Membranitis Placentitis
P02.8 Fetus and newborn affected by other abnormalities of membranes P02.9 Fetus and newborn affected by abnormality of membranes,
unspecified
 

  P03 Fetus and newborn affected by other complications of labour and delivery
P03.0 Fetus and newborn affected by breech delivery and extraction P03.1 Fetus and newborn affected by other malpresentation,
malposition and disproportion during labour and delivery
Contracted pelvis
Fetus or newborn affected by conditions classifiable to O64–O66 Persistent occipitoposterior
Transverse lie
P03.2 Fetus and newborn affected by forceps delivery
P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse]
P03.4 Fetus and newborn affected by caesarean delivery P03.5 Fetus and newborn affected by precipitate delivery
Rapid second stage
P03.6 Fetus and newborn affected by abnormal uterine contractions Fetus or newborn affected by conditions classifiable to O62.-, except O62.3
Hypertonic labour Uterine inertia
P03.8 Fetus and newborn affected by other specified complications of labour and delivery
Abnormality of maternal soft tissues Destructive operation to facilitate delivery
Fetus or newborn affected by conditions classifiable to O60–O75 and by procedures used in labour and delivery not included in P02.- and P03.0–P03.6
Induction of labour
P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified

  P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk
Incl.: nonteratogenic effects of substances transmitted via placenta
Excl.: congenital malformations (Q00–Q99)
neonatal jaundice due to drugs or toxins transmitted from mother (P58.4)
P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery
Reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery
 
P04.1 Fetus and newborn affected by other maternal medication
Cancer chemotherapy Cytotoxic drugs
Excl.:  dysmorphism due to warfarin (Q86.2) fetal hydantoin syndrome (Q86.1) maternal use of drugs of addiction (P04.4)
P04.2 Fetus and newborn affected by maternal use of tobacco P04.3 Fetus and newborn affected by maternal use of alcohol
Excl.: fetal alcohol syndrome (Q86.0)
P04.4 Fetus and newborn affected by maternal use of drugs of addiction
Excl.: maternal anaesthesia and analgesia (P04.0)
withdrawal symptoms from maternal use of drugs of addiction (P96.1)
P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances
P04.6 Fetus and newborn affected by maternal exposure to environmental chemical substances
P04.8 Fetus and newborn affected by other maternal noxious influences
P04.9 Fetus and newborn affected by maternal noxious influence, unspecified

Disorders related to length of gestation and fetal growth (P05–P08)

  P05 Slow fetal growth and fetal malnutrition
P05.0 Light for gestational age
Usually referred to as weight below but length above 10th centile for gestational age.
Light-for-dates
P05.1 Small for gestational age
Usually referred to as weight and length below 10th centile for gestational age.
Small-for-dates
Small-and-light-for-dates
 

P05.2 Fetal malnutrition without mention of light or small for gestational age
Infant, not light or small for gestational age, showing signs of fetal malnutrition, such as dry, peeling skin and loss of subcutaneous tissue.
Excl.: fetal malnutrition with mention of:
light for gestational age (P05.0)
small for gestational age (P05.1)
P05.9 Slow fetal growth, unspecified
Fetal growth retardation NOS

  P07 Disorders related to short gestation and low birth weight, not elsewhere classified
Note: When both birth weight and gestational age are available, priority of assignment should be given to birth weight.
Incl.: the listed conditions, without further specification, as the cause of mortality, morbidity or additional care, in newborn
Excl.: low birth weight due to slow fetal growth and fetal malnutrition (P05.-)
P07.0 Extremely low birth weight
Birth weight 999 g or less
P07.1 Other low birth weight
Birth weight 1000–2499 g
P07.2 Extreme immaturity
Less than 28 completed weeks (less than 196 completed days) of gestation
P07.3 Other preterm infants
28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation
Prematurity NOS

  P08 Disorders related to long gestation and high birth weight
Note: When both birth weight and gestational age are available, priority of assignment should be given to birth weight.
Incl.: the listed conditions, without further specification, as causes of mortality, morbidity or additional care, in fetus or newborn
P08.0 Exceptionally large baby
Usually implies a birth weight of 4500 g or more
Excl.: syndrome of:
infant of mother with diabetes (P70.1)
infant of mother with gestational diabetes (P70.0)
 
P08.1 Other heavy for gestational age infants
Usually implies a birth weight >90th percentile for gestational age or 4000 g or more at term
Other fetus or infant heavy- or large-for-dates regardless of period of gestation.
Excl.: syndrome of infant of:
mother with diabetes (P70.1)
mother with gestational diabetes (P70.0)
birth weight of 4500 g or more (P08.0)
P08.2 Post-term infant, not heavy for gestational age
Fetus or infant with gestation period of 42 completed weeks or more (294 days or more), not heavy- or large-for-dates.
Postmaturity NOS

Birth trauma (P10–P15)

  P10 Intracranial laceration and haemorrhage due to birth injury
Excl.: intracranial haemorrhage of fetus or newborn:
NOS (P52.9)
due to anoxia or hypoxia (P52.-)
P10.0 Subdural haemorrhage due to birth injury
Subdural haematoma (localized) due to birth injury
Excl.: subdural haemorrhage accompanying tentorial tear (P10.4)
P10.1 Cerebral haemorrhage due to birth injury
P10.2 Intraventricular haemorrhage due to birth injury P10.3 Subarachnoid haemorrhage due to birth injury P10.4 Tentorial tear due to birth injury
P10.8 Other intracranial lacerations and haemorrhages due to birth injury
P10.9 Unspecified intracranial laceration and haemorrhage due to birth injury

  P11 Other birth injuries to central nervous system
P11.0 Cerebral oedema due to birth injury
P11.1 Other specified brain damage due to birth injury
 

P11.2 Unspecified brain damage due to birth injury P11.3 Birth injury to facial nerve
Facial palsy due to birth injury
P11.4 Birth injury to other cranial nerves P11.5 Birth injury to spine and spinal cord
Fracture of spine due to birth injury
P11.9 Birth injury to central nervous system, unspecified

  P12 Birth injury to scalp
P12.0 Cephalhaematoma due to birth injury P12.1 Chignon due to birth injury
P12.2 Epicranial subaponeurotic haemorrhage due to birth injury P12.3 Bruising of scalp due to birth injury
P12.4 Monitoring injury of scalp of newborn
Sampling incision
Scalp clip (electrode) injury
P12.8 Other birth injuries to scalp P12.9 Birth injury to scalp, unspecified
  P13 Birth injury to skeleton
Excl.: birth injury to spine (P11.5)
P13.0 Fracture of skull due to birth injury P13.1 Other birth injuries to skull
Excl.: cephalhaematoma (P12.0)
P13.2 Birth injury to femur
P13.3 Birth injury to other long bones
P13.4 Fracture of clavicle due to birth injury P13.8 Birth injuries to other parts of skeleton P13.9 Birth injury to skeleton, unspecified
  P14 Birth injury to peripheral nervous system
P14.0 Erb paralysis due to birth injury P14.1 Klumpke paralysis due to birth injury
P14.2 Phrenic nerve paralysis due to birth injury P14.3 Other brachial plexus birth injuries
P14.8 Birth injuries to other parts of peripheral nervous system P14.9 Birth injury to peripheral nervous system, unspecified
 
  P15 Other birth injuries
P15.0 Birth injury to liver
Rupture of liver due to birth injury
P15.1 Birth injury to spleen
Rupture of spleen due to birth injury
P15.2 Sternomastoid injury due to birth injury P15.3 Birth injury to eye


P15.4 Birth injury to face
Facial congestion due to birth injury
P15.5 Birth injury to external genitalia
P15.6 Subcutaneous fat necrosis due to birth injury P15.8 Other specified birth injuries
P15.9 Birth injury, unspecified

Respiratory and cardiovascular disorders specific to the perinatal period
(P20–P29)

  P20 Intrauterine hypoxia
Incl.: abnormal fetal heart rate fetal or intrauterine:
acidosis
anoxia
asphyxia
distress
hypoxia meconium in liquor
passage of meconium
Excl.: intracranial haemorrhage due to anoxia or hypoxia (P52.-) P20.0 Intrauterine hypoxia first noted before onset of labour P20.1 Intrauterine hypoxia first noted during labour and delivery P20.9 Intrauterine hypoxia, unspecified
 

  P21 Birth asphyxia
Note: This category is not to be used for low Apgar score without mention of asphyxia or other respiratory problems.
Excl.: intrauterine hypoxia or asphyxia (P20.-)
P21.0 Severe birth asphyxia
Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, colour poor, tone absent.
Asphyxia with 1-minute Apgar score 0–3 White asphyxia
P21.1 Mild and moderate birth asphyxia
Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation.
Asphyxia with 1-minute Apgar score 4–7 Blue asphyxia
P21.9 Birth asphyxia, unspecified
Anoxia
Asphyxia Hypoxia
NOS

  P22 Respiratory distress of newborn
Excl.: respiratory failure of newborn (P28.5)
P22.0 Respiratory distress syndrome of newborn
Hyaline membrane disease
P22.1 Transient tachypnoea of newborn P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified

  P23 Congenital pneumonia
Incl.:   infective pneumonia acquired in utero or during birth
Excl.:  neonatal pneumonia resulting from aspiration (P24.-)
P23.0 Congenital pneumonia due to viral agent
Excl.: congenital rubella pneumonitis (P35.0)
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to Staphylococcus
P23.3 Congenital pneumonia due to Streptococcus, group B P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas
 
P23.6 Congenital pneumonia due to other bacterial agents
Haemophilus influenzae Klebsiella pneumoniae Mycoplasma
Streptococcus, except group B
P23.8 Congenital pneumonia due to other organisms P23.9 Congenital pneumonia, unspecified
  P24 Neonatal aspiration syndromes
Incl.: neonatal pneumonia resulting from aspiration
P24.0 Neonatal aspiration of meconium
P24.1 Neonatal aspiration of amniotic fluid and mucus
Aspiration of liquor (amnii)
P24.2 Neonatal aspiration of blood
P24.3 Neonatal aspiration of milk and regurgitated food P24.8 Other neonatal aspiration syndromes
P24.9 Neonatal aspiration syndrome, unspecified
Neonatal aspiration pneumonia NOS

  P25 Interstitial emphysema and related conditions originating in the perinatal period
P25.0 Interstitial emphysema originating in the perinatal period P25.1 Pneumothorax originating in the perinatal period
P25.2 Pneumomediastinum originating in the perinatal period P25.3 Pneumopericardium originating in the perinatal period
P25.8 Other conditions related to interstitial emphysema originating in the perinatal period

  P26 Pulmonary haemorrhage originating in the perinatal period
P26.0 Tracheobronchial haemorrhage originating in the perinatal period
P26.1 Massive pulmonary haemorrhage originating in the perinatal period
P26.8 Other pulmonary haemorrhages originating in the perinatal period
P26.9 Unspecified pulmonary haemorrhage originating in the perinatal period
 

  P27 Chronic respiratory disease originating in the perinatal period
P27.0 Wilson–Mikity syndrome
Pulmonary dysmaturity
P27.1 Bronchopulmonary dysplasia originating in the perinatal period
P27.8 Other chronic respiratory diseases originating in the perinatal period
Congenital pulmonary fibrosis Ventilator lung in newborn
P27.9 Unspecified chronic respiratory disease originating in the perinatal period

  P28 Other respiratory conditions originating in the perinatal period
Excl.: congenital malformations of the respiratory system (Q30–Q34)
P28.0 Primary atelectasis of newborn
Primary failure to expand terminal respiratory units Pulmonary:
hypoplasia associated with short gestation
immaturity NOS
P28.1 Other and unspecified atelectasis of newborn
Atelectasis:
NOS
partial
secondary
Resorption atelectasis without respiratory distress syndrome
P28.2 Cyanotic attacks of newborn
Excl.: apnoea of newborn (P28.3–P28.4)
P28.3 Primary sleep apnoea of newborn
Sleep apnoea of newborn:
central
NOS
obstructive
P28.4 Other apnoea of newborn
Apnoea (of):
newborn, obstructive
prematurity
Excl.: obstructive sleep apnoea of newborn (P28.3)
P28.5 Respiratory failure of newborn
 
P28.8 Other specified respiratory conditions of newborn
Congenital (laryngeal) stridor NOS Snuffles in newborn
Excl.: early congenital syphilitic rhinitis (A50.0)
P28.9 Respiratory condition of newborn, unspecified

  P29 Cardiovascular disorders originating in the perinatal period
Excl.: congenital malformations of the circulatory system (Q20–Q28)
P29.0 Neonatal cardiac failure
P29.1 Neonatal cardiac dysrhythmia P29.2 Neonatal hypertension
P29.3 Persistent fetal circulation
Delayed closure of ductus arteriosus
Pulmonary hypertension of newborn (persistent)
P29.4 Transient myocardial ischaemia of newborn
P29.8 Other cardiovascular disorders originating in the perinatal period
P29.9 Cardiovascular disorder originating in the perinatal period, unspecified

Infections specific to the perinatal period (P35–P39)
Incl.: infections acquired in utero or during birth
Excl.: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
congenital:
gonococcal infection (A54.-)
pneumonia (P23.-)
syphilis (A50.-)
human immunodeficiency virus [HIV] disease (B20–B24) infectious diseases acquired after birth (A00–B99, J09–J11) intestinal infectious diseases (A00–A09)
laboratory evidence of human immunodeficiency virus [HIV] (R75) maternal infectious disease as a cause of mortality or morbidity in fetus or newborn not itself manifesting the disease (P00.2)
tetanus neonatorum (A33)
 

  P35 Congenital viral diseases
P35.0 Congenital rubella syndrome
Congenital rubella pneumonitis
P35.1 Congenital cytomegalovirus infection
P35.2 Congenital herpesviral [herpes simplex] infection P35.3 Congenital viral hepatitis
P35.8 Other congenital viral diseases
Congenital varicella [chickenpox]
P35.9 Congenital viral disease, unspecified

  P36 Bacterial sepsis of newborn
Incl.: congenital septicaemia
P36.0 Sepsis of newborn due to Streptococcus, group B
P36.1 Sepsis of newborn due to other and unspecified Streptococci
P36.2 Sepsis of newborn due to Staphylococcus aureus
P36.3 Sepsis of newborn due to other and unspecified staphylococci P36.4 Sepsis of newborn due to Escherichia coli
P36.5 Sepsis of newborn due to anaerobes P36.8 Other bacterial sepsis of newborn
P36.9 Bacterial sepsis of newborn, unspecified

  P37 Other congenital infectious and parasitic diseases
Excl.: congenital syphilis (A50.-)
necrotizing enterocolitis of fetus or newborn (P77) neonatal diarrhoea:
infectious (A00–A09)
noninfective (P78.3)
ophthalmia neonatorum due to gonococcus (A54.3) tetanus neonatorum (A33)
P37.0 Congenital tuberculosis P37.1 Congenital toxoplasmosis
Hydrocephalus due to congenital toxoplasmosis P37.2 Neonatal (disseminated) listeriosis P37.3 Congenital falciparum malaria
P37.4 Other congenital malaria P37.5 Neonatal candidiasis
 
P37.8 Other specified congenital infectious and parasitic diseases P37.9 Congenital infectious and parasitic disease, unspecified
  P38 Omphalitis of newborn with or without mild haemorrhage
  P39 Other infections specific to the perinatal period
P39.0 Neonatal infective mastitis
Excl.: breast engorgement of newborn (P83.4) noninfective mastitis of newborn (P83.4)
P39.1 Neonatal conjunctivitis and dacryocystitis
Neonatal chlamydial conjunctivitis Ophthalmia neonatorum NOS
Excl.: gonococcal conjunctivitis (A54.3)
P39.2 Intra-amniotic infection of fetus, not elsewhere classified P39.3 Neonatal urinary tract infection
P39.4 Neonatal skin infection
Neonatal pyoderma
Excl.: pemphigus neonatorum (L00) staphylococcal scalded skin syndrome (L00)
P39.8 Other specified infections specific to the perinatal period P39.9 Infection specific to the perinatal period, unspecified

Haemorrhagic and haematological disorders of fetus and newborn
(P50–P61)
Excl.: congenital stenosis and stricture of bile ducts (Q44.3) Crigler–Najjar syndrome (E80.5)
Dubin–Johnson syndrome (E80.6) Gilbert syndrome (E80.4)
hereditary haemolytic anaemias (D55–D58)

  P50 Fetal blood loss
Excl.: congenital anaemia from fetal blood loss (P61.3)
P50.0 Fetal blood loss from vasa praevia P50.1 Fetal blood loss from ruptured cord P50.2 Fetal blood loss from placenta P50.3 Haemorrhage into co-twin
 

P50.4 Haemorrhage into maternal circulation
P50.5 Fetal blood loss from cut end of co-twin’s cord P50.8 Other fetal blood loss
P50.9 Fetal blood loss, unspecified
Fetal haemorrhage NOS

  P51 Umbilical haemorrhage of newborn
Excl.: omphalitis with mild haemorrhage (P38)
P51.0 Massive umbilical haemorrhage of newborn P51.8 Other umbilical haemorrhages of newborn
Slipped umbilical ligature NOS
P51.9 Umbilical haemorrhage of newborn, unspecified

  P52 Intracranial nontraumatic haemorrhage of fetus and newborn
Incl.: intracranial haemorrhage due to anoxia or hypoxia
Excl.: intracranial haemorrhage due to injury:
birth (P10.-)
maternal (P00.5)
other (S06.-)
P52.0 Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn
Subependymal haemorrhage (without intraventricular extension)
P52.1 Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn
Subependymal haemorrhage with intraventricular extension
P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3 and grade 4 of fetus and newborn
Subependymal haemorrhage with both intraventricular and intracerebral extension
P52.3 Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn
P52.4 Intracerebral (nontraumatic) haemorrhage of fetus and newborn P52.5 Subarachnoid (nontraumatic) haemorrhage of fetus and
newborn
P52.6 Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn
 
P52.8 Other intracranial (nontraumatic) haemorrhages of fetus and newborn
P52.9 Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified

  P53 Haemorrhagic disease of fetus and newborn
Incl.: Vitamin K deficiency of newborn

  P54 Other neonatal haemorrhages
Excl.: fetal blood loss (P50.-)
pulmonary haemorrhage originating in the perinatal period (P26.-)
P54.0 Neonatal haematemesis
Excl.: that due to swallowed maternal blood (P78.2)
P54.1 Neonatal melaena
Excl.: that due to swallowed maternal blood (P78.2)
P54.2 Neonatal rectal haemorrhage
P54.3 Other neonatal gastrointestinal haemorrhage P54.4 Neonatal adrenal haemorrhage
P54.5 Neonatal cutaneous haemorrhage
Bruising
Ecchymoses Petechiae
Superficial haematomata
in fetus or newborn
Excl.: bruising of scalp due to birth injury (P12.3) cephalhaematoma due to birth injury (P12.0)
P54.6 Neonatal vaginal haemorrhage
Pseudomenses
P54.8 Other specified neonatal haemorrhages P54.9 Neonatal haemorrhage, unspecified
  P55 Haemolytic disease of fetus and newborn P55.0 Rh isoimmunization of fetus and newborn P55.1 ABO isoimmunization of fetus and newborn
P55.8 Other haemolytic diseases of fetus and newborn P55.9 Haemolytic disease of fetus and newborn, unspecified
  P56 Hydrops fetalis due to haemolytic disease
Excl.: hydrops fetalis NOS (P83.2) hydrops fetalis NOS
not due to haemolytic disease (P83.2)
 

P56.0 Hydrops fetalis due to isoimmunization
P56.9 Hydrops fetalis due to other and unspecified haemolytic disease

  P57 Kernicterus
P57.0 Kernicterus due to isoimmunization P57.8 Other specified kernicterus
Excl.: Crigler–Najjar syndrome (E80.5)
P57.9 Kernicterus, unspecified

  P58 Neonatal jaundice due to other excessive haemolysis
Excl.: jaundice due to isoimmunization (P55–P57)
P58.0 Neonatal jaundice due to bruising P58.1 Neonatal jaundice due to bleeding P58.2 Neonatal jaundice due to infection
P58.3 Neonatal jaundice due to polycythaemia
P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
P58.5 Neonatal jaundice due to swallowed maternal blood P58.8 Neonatal jaundice due to other specified excessive
haemolysis
P58.9 Neonatal jaundice due to excessive haemolysis, unspecified

  P59 Neonatal jaundice from other and unspecified causes
Excl.: due to inborn errors of metabolism (E70–E90) kernicterus (P57.-)
P59.0 Neonatal jaundice associated with preterm delivery
Hyperbilirubinaemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery
P59.1 Inspissated bile syndrome
P59.2 Neonatal jaundice from other and unspecified hepatocellular damage
Fetal or neonatal giant cell hepatitis Fetal or neonatal (idiopathic) hepatitis
Excl.: congenital viral hepatitis (P35.3)
P59.3 Neonatal jaundice from breast milk inhibitor P59.8 Neonatal jaundice from other specified causes
 
P59.9 Neonatal jaundice, unspecified
Physiological jaundice (intense)(prolonged) NOS

  P60 Disseminated intravascular coagulation of fetus and newborn
Incl.: Defibrination syndrome of fetus or newborn

  P61 Other perinatal haematological disorders
Excl.: transient hypogammaglobulinaemia of infancy (D80.7)
P61.0 Transient neonatal thrombocytopenia
Neonatal thrombocytopenia due to:
exchange transfusion
idiopathic maternal thrombocytopenia
isoimmunization
P61.1 Polycythaemia neonatorum P61.2 Anaemia of prematurity
P61.3 Congenital anaemia from fetal blood loss
P61.4 Other congenital anaemias, not elsewhere classified
Congenital anaemia NOS
P61.5 Transient neonatal neutropenia
P61.6 Other transient neonatal disorders of coagulation P61.8 Other specified perinatal haematological disorders P61.9 Perinatal haematological disorder, unspecified

Transitory endocrine and metabolic disorders specific to fetus and newborn
(P70–P74)
Incl.: transitory endocrine and metabolic disturbances caused by the infant’s response to maternal endocrine and metabolic factors, or its adjustment to extrauterine existence

  P70 Transitory disorders of carbohydrate metabolism specific to fetus and newborn
P70.0 Syndrome of infant of mother with gestational diabetes Fetus or newborn (with hypoglycaemia) affected by maternal gestational diabetes
P70.1 Syndrome of infant of a diabetic mother
Fetus or newborn (with hypoglyacemia) affected by maternal diabetes mellitus (pre-existing)
 

P70.2 Neonatal diabetes mellitus
P70.3 Iatrogenic neonatal hypoglycaemia P70.4 Other neonatal hypoglycaemia
Transitory neonatal hypoglycaemia
P70.8 Other transitory disorders of carbohydrate metabolism of fetus and newborn
P70.9 Transitory disorder of carbohydrate metabolism of fetus and newborn, unspecified

  P71 Transitory neonatal disorders of calcium and magnesium metabolism
P71.0 Cow’s milk hypocalcaemia in newborn P71.1 Other neonatal hypocalcaemia
Excl.: neonatal hypoparathyroidism (P71.4)
P71.2 Neonatal hypomagnesaemia
P71.3 Neonatal tetany without calcium or magnesium deficiency
Neonatal tetany NOS
P71.4 Transitory neonatal hypoparathyroidism
P71.8 Other transitory neonatal disorders of calcium and magnesium metabolism
P71.9 Transitory neonatal disorder of calcium and magnesium metabolism, unspecified

  P72 Other transitory neonatal endocrine disorders
Excl.: congenital hypothyroidism with or without goitre (E03.0–E03.1) dyshormogenetic goitre (E07.1)
Pendred syndrome (E07.1)
P72.0 Neonatal goitre, not elsewhere classified
Transitory congenital goitre with normal function
P72.1 Transitory neonatal hyperthyroidism
Neonatal thyrotoxicosis
P72.2 Other transitory neonatal disorders of thyroid function, not elsewhere classified
Transitory neonatal hypothyroidism
P72.8 Other specified transitory neonatal endocrine disorders P72.9 Transitory neonatal endocrine disorder, unspecified
 
  P74 Other transitory neonatal electrolyte and metabolic disturbances
P74.0 Late metabolic acidosis of newborn P74.1 Dehydration of newborn
P74.2 Disturbances of sodium balance of newborn P74.3 Disturbances of potassium balance of newborn
P74.4 Other transitory electrolyte disturbances of newborn P74.5 Transitory tyrosinaemia of newborn
P74.8 Other transitory metabolic disturbances of newborn P74.9 Transitory metabolic disturbance of newborn, unspecified

Digestive system disorders of fetus and newborn (P75–P78)

  P75* Meconium ileus in cystic fibrosis (E84.1†)
  P76 Other intestinal obstruction of newborn
P76.0 Meconium plug syndrome
Meconium ileus in cases where cystic fibrosis is known not to be present.
P76.1 Transitory ileus of newborn
Excl.: Hirschsprung disease (Q43.1)
P76.2 Intestinal obstruction due to inspissated milk P76.8 Other specified intestinal obstruction of newborn
Excl.: intestinal obstruction classifiable to K56.0–K56.5
P76.9 Intestinal obstruction of newborn, unspecified

  P77 Necrotizing enterocolitis of fetus and newborn
  P78 Other perinatal digestive system disorders
Excl.: neonatal gastrointestinal haemorrhages (P54.0–P54.3)
P78.0 Perinatal intestinal perforation
Meconium peritonitis
P78.1 Other neonatal peritonitis
Neonatal peritonitis NOS
P78.2 Neonatal haematemesis and melaena due to swallowed maternal blood
 

P78.3 Noninfective neonatal diarrhoea
Excl.: neonatal diarrhoea:
NOS (A09.9)
infectious (A09.9)
P78.8 Other specified perinatal digestive system disorders
Congenital cirrhosis (of liver) Neonatal oesophageal reflux Peptic ulcer of newborn
P78.9 Perinatal digestive system disorder, unspecified

Conditions involving the integument and temperature regulation of fetus and newborn
(P80–P83)

  P80 Hypothermia of newborn
P80.0 Cold injury syndrome
Severe and usually chronic hypothermia associated with a pink flushed appearance, oedema and neurological and biochemical abnormalities
Excl.: mild hypothermia of newborn (P80.8)
P80.8 Other hypothermia of newborn
Mild hypothermia of newborn
P80.9 Hypothermia of newborn, unspecified

  P81 Other disturbances of temperature regulation of newborn
P81.0 Environmental hyperthermia of newborn
P81.8 Other specified disturbances of temperature regulation of newborn
P81.9 Disturbance of temperature regulation of newborn, unspecified
Fever of newborn NOS

  P83 Other conditions of integument specific to fetus and newborn
Excl.: congenital malformations of skin and integument (Q80–Q84) cradle cap (L21.0)
diaper [napkin] dermatitis (L22)
hydrops fetalis due to haemolytic disease (P56.-) neonatal skin infection (P39.4)
staphylococcal scalded skin syndrome (L00)
 
P83.0 Sclerema neonatorum P83.1 Neonatal erythema toxicum
P83.2 Hydrops fetalis not due to haemolytic disease
Hydrops fetalis NOS
P83.3 Other and unspecified oedema specific to fetus and newborn P83.4 Breast engorgement of newborn
Noninfective mastitis of newborn
P83.5 Congenital  hydrocele P83.6 Umbilical polyp of newborn
P83.8 Other specified conditions of integument specific to fetus and newborn
Bronze baby syndrome Neonatal scleroderma Urticaria neonatorum
P83.9 Condition of integument specific to fetus and newborn, unspecified

Other disorders originating in the perinatal period (P90–P96)

  P90 Convulsions of newborn
Excl.: benign neonatal convulsions (familial) (G40.3)

  P91 Other disturbances of cerebral status of newborn
P91.0 Neonatal cerebral ischaemia
P91.1 Acquired periventricular cysts of newborn P91.2 Neonatal cerebral leukomalacia
P91.3 Neonatal cerebral irritability P91.4 Neonatal cerebral depression P91.5 Neonatal coma
P91.6 Hypoxic ischaemic encephalopathy of newborn
P91.7 Acquired hydrocephalus of newborn
Posthaemorrhagic hydrocephalus of newborn
P91.8 Other specified disturbances of cerebral status of newborn P91.9 Disturbance of cerebral status of newborn, unspecified
 

  P92 Feeding problems of newborn
P92.0 Vomiting in newborn
P92.1 Regurgitation and rumination in newborn P92.2 Slow feeding of newborn
P92.3 Underfeeding of newborn P92.4 Overfeeding of newborn
P92.5 Neonatal difficulty in feeding at breast P92.8 Other feeding problems of newborn
P92.9 Feeding problem of newborn, unspecified

  P93 Reactions and intoxications due to drugs administered to fetus and newborn
Incl.: grey syndrome from chloramphenicol administration in newborn
Excl.: jaundice due to drugs or toxins transmitted from mother or given to newborn (P58.4)
reactions and intoxications from maternal opiates, tranquillizers and other medication (P04.0–P04.1, P04.4)
withdrawal symptoms from:
maternal use of drugs of addiction (P96.1)
therapeutic use of drugs in newborn (P96.2)

  P94 Disorders of muscle tone of newborn
P94.0 Transient neonatal myasthenia gravis
Excl.: myasthenia gravis (G70.0)
P94.1 Congenital hypertonia P94.2 Congenital hypotonia
Nonspecific floppy baby syndrome
P94.8 Other disorders of muscle tone of newborn P94.9 Disorder of muscle tone of newborn, unspecified
 
  P95 Fetal death of unspecified cause
Incl.: deadborn fetus NOS stillbirth NOS

  P96 Other conditions originating in the perinatal period
P96.0 Congenital renal failure
Uraemia of newborn
P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction
Drug withdrawal syndrome in infant of dependent mother Neonatal abstinence syndrome
Excl.: reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery (P04.0)
P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn P96.3 Wide cranial sutures of newborn
Neonatal craniotabes
P96.4 Termination of pregnancy, affecting fetus and newborn
Excl.: termination of pregnancy (affecting mother) (O04.-)
P96.5 Complications of intrauterine procedures, not elsewhere classified P96.8 Other specified conditions originating in the perinatal period P96.9 Condition originating in the perinatal period, unspecified
Congenital debility NOS

CHAPTER XVII                                             

Congenital malformations, deformations and chromosomal abnormalities (Q00–Q99)

 

Excl.:           inborn errors of metabolism (E70–E90)

 

This chapter contains the following blocks:

Q00–Q07 Congenital malformations of the nervous system Q10–Q18 Congenital malformations of eye, ear, face and neck Q20–Q28 Congenital malformations of the circulatory system Q30–Q34 Congenital malformations of the respiratory system Q35–Q37 Cleft lip and cleft palate

Q38–Q45 Other congenital malformations of the digestive system Q50–Q56 Congenital malformations of genital organs

Q60–Q64 Congenital malformations of the urinary system

Q65–Q79 Congenital malformations and deformations of the musculoskeletal system Q80–Q89 Other congenital malformations

Text Box: CHAPTER XVIIQ90–Q99 Chromosomal abnormalities, not elsewhere classified

Congenital malformations of the nervous system (Q00–Q07)

 

  Q00        Anencephaly and similar malformations

Q00.0        Anencephaly Acephaly Acrania Amyelencephaly Hemianencephaly Hemicephaly

Q00.1        Craniorachischisis Q00.2         Iniencephaly

  Q01        Encephalocele

Incl.: encephalomyelocele hydroencephalocele hydromeningocele, cranial meningocele, cerebral meningoencephalocele

Excl.: Meckel–Gruber syndrome (Q61.9)

Q01.0        Frontal  encephalocele Q01.1  Nasofrontal encephalocele Q01.2        Occipital encephalocele Q01.8                 Encephalocele of other sites Q01.9      Encephalocele, unspecified

  Q02        Microcephaly

Incl.: hydromicrocephaly micrencephalon

Excl.: Meckel–Gruber syndrome (Q61.9)

 

  Q03        Congenital hydrocephalus

Incl.: hydrocephalus in newborn

Excl.: Arnold–Chiari syndrome (Q07.0) hydrocephalus:

  acquired NOS (G91.-)

  acquired, of newborn (P91.7)

  due to congenital toxoplasmosis (P37.1)

  with spina bifida (Q05.0-Q05.4)

 

Q03.0        Malformations of aqueduct of Sylvius

Aqueduct of Sylvius:

   anomaly

   obstruction, congenital

   stenosis

Q03.1        Atresia of foramina of Magendie and Luschka

Dandy–Walker syndrome

Q03.8        Other congenital hydrocephalus

Q03.9        Congenital hydrocephalus, unspecified

 

  Q04        Other congenital malformations of brain

Excl.: cyclopia (Q87.0)

macrocephaly (Q75.3)

Q04.0        Congenital malformations of corpus callosum

Agenesis of corpus callosum

Q04.1        Arhinencephaly Q04.2   Holoprosencephaly

Q04.3        Other reduction deformities of brain

Absence

Agenesis Aplasia Hypoplasia

 

of part of brain

Agyria Hydranencephaly Lissencephaly Microgyria Pachygyria

Excl.: congenital malformations of corpus callosum (Q04.0)

Q04.4        Septo-optic dysplasia Q04.5      Megalencephaly

Q04.6        Congenital cerebral cysts

Porencephaly Schizencephaly

Excl.: acquired porencephalic cyst (G93.0)

Q04.8        Other specified congenital malformations of brain

Macrogyria

Q04.9        Congenital malformation of brain, unspecified

Congenital:

   anomaly

   deformity

   disease or lesion

   multiple anomalies

 

NOS of brain

  Q05        Spina bifida

Incl.: hydromeningocele (spinal) meningocele (spinal) meningomyelocele myelocele myelomeningocele rachischisis

spina bifida (aperta)(cystica) syringomyelocele

Excl.: Arnold–Chiari syndrome (Q07.0) spina bifida occulta (Q76.0)

Spina bifida:

   dorsal

   thoracolumbar

 

with hydrocephalus

 

 

Q05.0        Cervical spina bifida with hydrocephalus Q05.1          Thoracic spina bifida with hydrocephalus

 

 

Q05.2        Lumbar spina bifida with hydrocephalus

Lumbosacral spina bifida with hydrocephalus Q05.3 Sacral spina bifida with hydrocephalus Q05.4        Unspecified spina bifida with hydrocephalus Q05.5                 Cervical spina bifida without hydrocephalus

Q05.6        Thoracic spina bifida without hydrocephalus

Spina bifida:

      dorsal NOS

      thoracolumbar NOS

Q05.7        Lumbar spina bifida without hydrocephalus

Lumbosacral spina bifida NOS

Q05.8        Sacral spina bifida without hydrocephalus Q05.9        Spina bifida, unspecified

  Q06        Other congenital malformations of spinal cord

Q06.0        Amyelia

Q06.1        Hypoplasia and dysplasia of spinal cord

Atelomyelia Myelatelia

Myelodysplasia of spinal cord

Q06.2        Diastematomyelia

Q06.3        Other congenital cauda equina malformations Q06.4  Hydromyelia

Hydrorachis

 

Congenital:

   anomaly

   deformity

   disease or lesion

 

NOS of spinal cord or meninges

 

 

Q06.8        Other specified congenital malformations of spinal cord Q06.9            Congenital malformation of spinal cord, unspecified

 

 

 

 

  Q07        Other congenital malformations of nervous system

Excl.: familial dysautonomia [Riley–Day] (G90.1) neurofibromatosis (nonmalignant) (Q85.0)

Q07.0        Arnold–Chiari syndrome

Q07.8        Other specified congenital malformations of nervous system

Agenesis of nerve Displacement of brachial plexus Jaw-winking syndrome

Marcus Gunn syndrome

Q07.9        Congenital malformation of nervous system, unspecified

Congenital:

   anomaly

   deformity

   disease or lesion

 

NOS of nervous system

 

Congenital malformations of eye, ear, face and neck (Q10–Q18)

Excl.:           cleft lip and cleft palate (Q35–Q37) congenital malformation of:

   cervical spine (Q05.0, Q05.5, Q67.5, Q76.0–Q76.4)

   larynx (Q31.-)

   lip NEC (Q38.0)

   nose (Q30.-)

   parathyroid gland (Q89.2)

   thyroid gland (Q89.2)

 

  Q10        Congenital malformations of eyelid, lacrimal apparatus and orbit

Excl.: cryptophthalmos:

      NOS (Q11.2)

      syndrome (Q87.0) Q10.0    Congenital ptosis Q10.1        Congenital ectropion Q10.2       Congenital entropion

Q10.3        Other congenital malformations of eyelid

Ablepharon

Absence or agenesis of:

   cilia

   eyelid Accessory:

   eyelid

   eye muscle Blepharophimosis, congenital Coloboma of eyelid

Congenital malformation of eyelid NOS

Q10.4        Absence and agenesis of lacrimal apparatus

Absence of punctum lacrimale

Q10.5        Congenital stenosis and stricture of lacrimal duct Q10.6        Other congenital malformations of lacrimal apparatus

Congenital malformation of lacrimal apparatus NOS

Q10.7        Congenital malformation of orbit

 

  Q11        Anophthalmos, microphthalmos and macrophthalmos

Q11.0        Cystic eyeball

Q11.1        Other anophthalmos

Agenesis

Aplasia

of eye

Q11.2        Microphthalmos

Cryptophthalmos NOS Dysplasia of eye Hypoplasia of eye Rudimentary eye

Excl.: cryptophthalmos syndrome (Q87.0)

Q11.3        Macrophthalmos

Excl.: macrophthalmos in congenital glaucoma (Q15.0)

 

  Q12        Congenital lens malformations

Q12.0        Congenital cataract

Q12.1        Congenital displaced lens Q12.2         Coloboma of lens

Q12.3        Congenital aphakia Q12.4        Spherophakia

Q12.8        Other congenital lens malformations Q12.9    Congenital lens malformation, unspecified

 

  Q13        Congenital malformations of anterior segment of eye

Q13.0        Coloboma of iris

Coloboma NOS

Q13.1        Absence of iris

Aniridia

Q13.2        Other congenital malformations of iris

Anisocoria, congenital Atresia of pupil

Congenital malformation of iris NOS Corectopia

Q13.3        Congenital corneal opacity

Q13.4        Other congenital corneal malformations Congenital malformation of cornea NOS Microcornea

Peter anomaly

Q13.5        Blue sclera

Q13.8        Other congenital malformations of anterior segment of eye

Rieger anomaly

Q13.9        Congenital malformation of anterior segment of eye, unspecified

 

  Q14        Congenital malformations of posterior segment of eye

Q14.0        Congenital malformation of vitreous humour

Congenital vitreous opacity

Q14.1        Congenital malformation of retina

Congenital retinal aneurysm

Q14.2        Congenital malformation of optic disc

Coloboma of optic disc

Q14.3        Congenital malformation of choroid

Q14.8        Other congenital malformations of posterior segment of eye

Coloboma of the fundus

Q14.9        Congenital malformation of posterior segment of eye, unspecified

  Q15        Other congenital malformations of eye

Excl.: congenital nystagmus (H55) ocular albinism (E70.3) retinitis pigmentosa (H35.5)

Q15.0        Congenital glaucoma

Buphthalmos Glaucoma of newborn Hydrophthalmos

Keratoglobus, congenital, with glaucoma Macrocornea with glaucoma Macrophthalmos in congenital glaucoma Megalocornea with glaucoma

Congenital:

   anomaly

   deformity

 

NOS of eye

 

 

Q15.8        Other specified congenital malformations of eye Q15.9          Congenital malformation of eye, unspecified

 

 

 

  Q16        Congenital malformations of ear causing impairment of hearing

Excl.: congenital deafness (H90.-)

Q16.0        Congenital absence of (ear) auricle

Q16.1        Congenital absence, atresia and stricture of auditory canal (external)

Atresia or stricture of osseous meatus

Q16.2        Absence of eustachian tube

Q16.3        Congenital malformation of ear ossicles

Fusion of ear ossicles

Q16.4        Other congenital malformations of middle ear

Congenital malformation of middle ear NOS

Q16.5        Congenital malformation of inner ear

Anomaly:

   membranous labyrinth

   organ of Corti

Q16.9        Congenital malformation of ear causing impairment of hearing, unspecified

Congenital absence of ear NOS

 

  Q17        Other congenital malformations of ear

Excl.: preauricular sinus (Q18.1)

 

Q17.0        Accessory auricle

Accessory tragus Polyotia

Preauricular appendage or tag Supernumerary:

  ear

  lobule

Q17.1        Macrotia

Q17.2        Microtia

Q17.3        Other misshapen ear

Pointed ear

Q17.4        Misplaced ear

Low-set ears

Excl.: cervical auricle (Q18.2)

Q17.5        Prominent ear

Bat ear

Q17.8        Other specified congenital malformations of ear

Congenital absence of lobe of ear

Q17.9        Congenital malformation of ear, unspecified

Congenital anomaly of ear NOS

 

  Q18        Other congenital malformations of face and neck

Excl.: cleft lip and cleft palate (Q35–Q37) conditions classified to Q67.0–Q67.4

congenital malformations of skull and face bones (Q75.-) cyclopia (Q87.0)

dentofacial anomalies [including malocclusion] (K07.-) malformation syndromes affecting facial appearance (Q87.0) persistent thyroglossal duct (Q89.2)

Q18.0        Sinus, fistula and cyst of branchial cleft

Branchial vestige

Q18.1        Preauricular sinus and cyst

Fistula (of):

  auricle, congenital

  cervicoaural Pretragal sinus and cyst

Q18.2        Other branchial cleft malformations Branchial cleft malformation NOS Cervical auricle

Otocephaly

Q18.3        Webbing of neck

Pterygium colli

Q18.4        Macrostomia

Q18.5        Microstomia

Q18.6        Macrocheilia

Hypertrophy of lip, congenital

Q18.7        Microcheilia

Q18.8        Other specified congenital malformations of face and neck

Medial:

   cyst

   fistula

   sinus

 

of face and neck

Q18.9        Congenital malformation of face and neck, unspecified

Congenital anomaly NOS of face and neck

 

Congenital malformations of the circulatory system (Q20–Q28)

 

  Q20        Congenital malformations of cardiac chambers and connections

Excl.: dextrocardia with situs inversus (Q89.3)

mirror-image atrial arrangement with situs inversus (Q89.3)

Q20.0        Common arterial trunk

Persistent truncus arteriosus

Q20.1        Double outlet right ventricle

Taussig–Bing syndrome

Q20.2        Double outlet left ventricle

Q20.3        Discordant ventriculoarterial connection

Dextrotransposition of aorta Transposition of great vessels (complete)

Q20.4        Double inlet ventricle

Common ventricle

Cor triloculare biatriatum Single ventricle

Q20.5        Discordant atrioventricular connection

Corrected transposition Laevotransposition Ventricular inversion


 

Q20.6        Isomerism of atrial appendages

Isomerism of atrial appendages with asplenia or polysplenia

Q20.8        Other congenital malformations of cardiac chambers and connections

Q20.9        Congenital malformation of cardiac chambers and connections, unspecified

 

  Q21        Congenital malformations of cardiac septa

Excl.: acquired cardiac septal defect (I51.0)

Q21.0        Ventricular septal defect Q21.1  Atrial septal defect

Coronary sinus defect Patent or persistent:

  foramen ovale

  ostium secundum defect (type II) Sinus venosus defect

Q21.2        Atrioventricular septal defect Common atrioventricular canal Endocardial cushion defect

Ostium primum atrial septal defect (type I)

Q21.3        Tetralogy of Fallot

Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.

Q21.4        Aortopulmonary septal defect Aortic septal defect Aortopulmonary window

Q21.8        Other congenital malformations of cardiac septa

Eisenmenger defect Pentalogy of Fallot

Excl.: Eisenmenger

      complex (I27.8)

      syndrome (I27.8)

Q21.9        Congenital malformation of cardiac septum, unspecified

Septal (heart) defect NOS

 

  Q22        Congenital malformations of pulmonary and tricuspid valves

Q22.0        Pulmonary valve atresia

Q22.1        Congenital pulmonary valve stenosis Q22.2     Congenital pulmonary valve insufficiency

Congenital pulmonary valve regurgitation


Q22.3        Other congenital malformations of pulmonary valve

Congenital malformation of pulmonary valve NOS

Q22.4        Congenital tricuspid stenosis

Tricuspid atresia

Q22.5        Ebstein’s anomaly

Q22.6        Hypoplastic right heart syndrome

Q22.8        Other congenital malformations of tricuspid valve Q22.9       Congenital malformation of tricuspid valve, unspecified

  Q23        Congenital malformations of aortic and mitral valves

Q23.0        Congenital stenosis of aortic valve

Congenital aortic:

   atresia

   stenosis

Excl.: congenital subaortic stenosis (Q24.4)

that in hypoplastic left heart syndrome (Q23.4)

Q23.1        Congenital insufficiency of aortic valve

Bicuspid aortic valve Congenital aortic insufficiency

Q23.2        Congenital mitral stenosis

Congenital mitral atresia

Q23.3        Congenital mitral insufficiency Q23.4  Hypoplastic left heart syndrome

Atresia, or marked hypoplasia of aortic orifice or valve, with hypoplasia of

ascending aorta and defective development of left ventricle (with mitral valve stenosis or atresia)

Q23.8        Other congenital malformations of aortic and mitral valves Q23.9      Congenital malformation of aortic and mitral valves,

unspecified

 

  Q24        Other congenital malformations of heart

Excl.: endocardial fibroelastosis (I42.4)

Q24.0        Dextrocardia

Excl.: dextrocardia with situs inversus (Q89.3)

isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)

mirror-image atrial arrangement with situs inversus (Q89.3)

Q24.1        Laevocardia

Location of heart in left hemithorax with apex pointing to the left, but with situs inversus of other viscera and defects of the heart, or corrected transposition of great vessels.


 

Q24.2        Cor triatriatum

Q24.3        Pulmonary infundibular stenosis Q24.4            Congenital subaortic stenosis Q24.5    Malformation of coronary vessels

Congenital coronary (artery) aneurysm

Q24.6        Congenital heart block

Q24.8        Other specified congenital malformations of heart

Congenital:

  diverticulum of left ventricle

  malformation of:

    myocardium

    pericardium Malposition of heart Uhl disease

Q24.9        Congenital malformation of heart, unspecified

Congenital:

   anomaly

   disease

 

NOS of heart

 

  Q25        Congenital malformations of great arteries

Q25.0        Patent ductus arteriosus

Patent ductus Botalli Persistent ductus arteriosus

Q25.1        Coarctation of aorta

Coarctation of aorta (preductal)(postductal)

Q25.2        Atresia of aorta Q25.3    Stenosis of aorta

Supravalvular aortic stenosis

Excl.: congenital stenosis of aortic valve (Q23.0)

Q25.4        Other congenital malformations of aorta

Absence

Aplasia Congenital:

   aneurysm

   dilatation

 

of aorta

Aneurysm of sinus of Valsalva (ruptured) Double aortic arch [vascular ring of aorta] Hypoplasia of aorta

Persistent:

  convolutions of aortic arch

  right aortic arch

Excl.: hypoplasia of aorta in hypoplastic left heart syndrome (Q23.4)


Q25.5        Atresia of pulmonary artery Q25.6       Stenosis of pulmonary artery

Supravalvular pulmonary stenosis

Q25.7        Other congenital malformations of pulmonary artery

Aberrant pulmonary artery Agenesis


Aneurysm, congenital Anomaly

Hypoplasia


of pulmonary artery


Pulmonary arteriovenous aneurysm

Q25.8        Other congenital malformations of great arteries Q25.9          Congenital malformation of great arteries, unspecified

  Q26        Congenital malformations of great veins

Q26.0        Congenital stenosis of vena cava

Congenital stenosis of vena cava (inferior)(superior)

Q26.1        Persistent left superior vena cava

Q26.2        Total anomalous pulmonary venous connection Q26.3           Partial anomalous pulmonary venous connection

Q26.4        Anomalous pulmonary venous connection, unspecified Q26.5           Anomalous portal venous connection

Q26.6        Portal vein–hepatic artery fistula

Q26.8        Other congenital malformations of great veins

Absence of vena cava (inferior)(superior) Azygos continuation of inferior vena cava Persistent left posterior cardinal vein Scimitar syndrome

Q26.9        Congenital malformation of great vein, unspecified

Anomaly of vena cava (inferior)(superior) NOS

 

  Q27        Other congenital malformations of peripheral vascular system

Excl.: anomalies of:

     cerebral and precerebral vessels (Q28.0–Q28.3)

     coronary vessels (Q24.5)

     pulmonary artery (Q25.5–Q25.7) congenital retinal aneurysm (Q14.1) haemangioma and lymphangioma (D18.-)

Q27.0        Congenital absence and hypoplasia of umbilical artery

Single umbilical artery

Q27.1        Congenital renal artery stenosis


 

Q27.2        Other congenital malformations of renal artery

Congenital malformation of renal artery NOS Multiple renal arteries

Q27.3        Peripheral arteriovenous malformation

Arteriovenous aneurysm

Excl.: acquired arteriovenous aneurysm (I77.0)

Q27.4        Congenital phlebectasia

Q27.8        Other specified congenital malformations of peripheral vascular system

Aberrant subclavian artery

Absence

Atresia

of artery or vein NEC

Congenital:

  aneurysm (peripheral)

  stricture, artery

  varix

Q27.9        Congenital malformation of peripheral vascular system, unspecified

Anomaly of artery or vein NOS

 

  Q28        Other congenital malformations of circulatory system

Excl.: congenital aneurysm:

      NOS (Q27.8)

      coronary (Q24.5)

      peripheral (Q27.8)

      pulmonary (Q25.7)

      retinal (Q14.1) ruptured:

      cerebral arteriovenous malformation (I60.8)

      malformation of precerebral vessels (I72.-)

Q28.0        Arteriovenous malformation of precerebral vessels

Congenital arteriovenous precerebral aneurysm (nonruptured)

Q28.1        Other malformations of precerebral vessels

Congenital:

  malformation of precerebral vessels NOS

  precerebral aneurysm (nonruptured)

Q28.2        Arteriovenous malformation of cerebral vessels

Arteriovenous malformation of brain NOS

Congenital arteriovenous cerebral aneurysm (nonruptured)

Q28.3        Other malformations of cerebral vessels

Congenital:

  cerebral aneurysm (nonruptured)

  malformation of cerebral vessels NOS


Q28.8        Other specified congenital malformations of circulatory system

Congenital aneurysm, specified site NEC

Q28.9        Congenital malformation of circulatory system, unspecified

 

Congenital malformations of the respiratory system (Q30–Q34)

 

  Q30        Congenital malformations of nose

Excl.: congenital deviation of nasal septum (Q67.4)

Q30.0        Choanal atresia

Atresia

Congenital stenosis

of nares (anterior)(posterior)

Q30.1        Agenesis and underdevelopment of nose

Congenital absence of nose

Q30.2        Fissured, notched and cleft nose Q30.3          Congenital perforated nasal septum

Q30.8        Other congenital malformations of nose

Accessory nose

Congenital anomaly of nasal sinus wall

Q30.9        Congenital malformation of nose, unspecified

 

  Q31        Congenital malformations of larynx

Excl.: congenital (laryngeal) stridor NOS (P28.8)

Q31.0        Web of larynx

Web of larynx:

      NOS

      glottic

      subglottic

Q31.1        Congenital subglottic stenosis Q31.2  Laryngeal hypoplasia

Q31.3        Laryngocele

Q31.5        Congenital laryngomalacia


 

Q31.8        Other congenital malformations of larynx

Absence

Agenesis Atresia

of cricoid cartilage, epiglottis, glottis, larynx or thyroid cartilage

Cleft thyroid cartilage

Congenital stenosis of larynx NEC Fissure of epiglottis

Posterior cleft of cricoid cartilage

Q31.9        Congenital malformation of larynx, unspecified

 

  Q32        Congenital malformations of trachea and bronchus

Excl.: congenital bronchiectasis (Q33.4)

Q32.0        Congenital tracheomalacia

Q32.1        Other congenital malformations of trachea

Anomaly of tracheal cartilage Atresia of trachea

Congenital:

   dilatation

   malformation

   stenosis

 

of trachea

Congenital tracheocele

Q32.2        Congenital bronchomalacia Q32.3        Congenital stenosis of bronchus

Q32.4        Other congenital malformations of bronchus

Absence

Agenesis Atresia

Congenital malformation NOS

Diverticulum

 

 

of bronchus

 

  Q33        Congenital malformations of lung

Q33.0        Congenital cystic lung

Congenital:

  honeycomb lung

  lung disease:

    cystic

    polycystic

Excl.: cystic lung disease, acquired or unspecified (J98.4)

Q33.1        Accessory lobe of lung Q33.2    Sequestration of lung Q33.3  Agenesis of lung

Absence of lung (lobe)

Q33.4        Congenital bronchiectasis


Q33.5        Ectopic tissue in lung

Q33.6        Hypoplasia and dysplasia of lung

Excl.: pulmonary hypoplasia associated with short gestation (P28.0)

Q33.8        Other congenital malformations of lung Q33.9            Congenital malformation of lung, unspecified

  Q34        Other congenital malformations of respiratory system

Q34.0        Anomaly of pleura

Q34.1        Congenital cyst of mediastinum

Q34.8        Other specified congenital malformations of respiratory system

Atresia of nasopharynx

Q34.9        Congenital malformation of respiratory system, unspecified

Congenital:

   absence

   anomaly NOS

 

of respiratory organ

 

Cleft lip and cleft palate (Q35–Q37)

Use additional code (Q30.2), if desired, to identify associated malformations of the nose.

Excl.:           Robin syndrome (Q87.0)

 

  Q35        Cleft palate

Incl.: fissure of palate

palatoschisis

Excl.: cleft palate with cleft lip (Q37.-)

Q35.1        Cleft hard palate Q35.3            Cleft soft palate

Q35.5        Cleft hard palate with cleft soft palate Q35.7   Cleft uvula

Q35.9        Cleft palate, unspecified

 

  Q36        Cleft lip

Incl.: cheiloschisis

congenital fissure of lip harelip

labium leporinum

Excl.: cleft lip with cleft palate (Q37.-)


 

Q36.0        Cleft lip, bilateral Q36.1 Cleft lip, median Q36.9        Cleft lip, unilateral

Cleft lip NOS

 

  Q37        Cleft palate with cleft lip

Q37.0        Cleft hard palate with bilateral cleft lip Q37.1    Cleft hard palate with unilateral cleft lip

Cleft hard palate with cleft lip NOS

Q37.2        Cleft soft palate with bilateral cleft lip Q37.3     Cleft soft palate with unilateral cleft lip

Cleft soft palate with cleft lip NOS

Q37.4        Cleft hard and soft palate with bilateral cleft lip Q37.5  Cleft hard and soft palate with unilateral cleft lip

Cleft hard and soft palate with cleft lip NOS

Q37.8        Unspecified cleft palate with bilateral cleft lip Q37.9     Unspecified cleft palate with unilateral cleft lip

Cleft palate with cleft lip NOS

 

Other congenital malformations of the digestive system (Q38–Q45)

 

  Q38        Other congenital malformations of tongue, mouth and pharynx

Excl.: macrostomia (Q18.4) microstomia (Q18.5)

Q38.0        Congenital malformations of lips, not elsewhere classified

Congenital:

  fistula of lip

  malformation of lip NOS Van der Woude syndrome

Excl.: cleft lip (Q36.-) cleft lip:

      with cleft palate (Q37.-) macrocheilia (Q18.6) microcheilia (Q18.7)

Q38.1        Ankyloglossia

Tongue tie

Q38.2        Macroglossia


Q38.3        Other congenital malformations of tongue

Aglossia Bifid tongue

Congenital:

   adhesion

   fissure

   malformation NOS

 

of tongue

Hypoglossia Hypoplasia of tongue Microglossia

Q38.4        Congenital malformations of salivary glands and ducts

Absence

Accessory Atresia

 

(of) salivary gland or duct

Congenital fistula of salivary gland

Q38.5        Congenital malformations of palate, not elsewhere classified

Absence of uvula

Congenital malformation of palate NOS High arched palate

Excl.: cleft palate (Q35.-) cleft palate:

  with cleft lip (Q37.-)

Q38.6        Other congenital malformations of mouth

Congenital malformation of mouth NOS

Q38.7        Pharyngeal pouch

Diverticulum of pharynx

Excl.: pharyngeal pouch syndrome (D82.1)

Q38.8        Other congenital malformations of pharynx

Congenital malformation of pharynx NOS

 

  Q39        Congenital malformations of oesophagus

Q39.0        Atresia of oesophagus without fistula

Atresia of oesophagus NOS

Q39.1        Atresia of oesophagus with tracheo-oesophageal fistula

Atresia of oesophagus with broncho-oesophageal fistula

Q39.2        Congenital tracheo-oesophageal fistula without atresia

Congenital tracheo-oesophageal fistula NOS

Q39.3        Congenital stenosis and stricture of oesophagus


 

Q39.4        Oesophageal web

Q39.5        Congenital dilatation of oesophagus Q39.6       Diverticulum of oesophagus

Oesophageal pouch

Q39.8        Other congenital malformations of oesophagus

Absent

Congenital displacement Duplication

 

(of) oesophagus

Q39.9        Congenital malformation of oesophagus, unspecified

 

  Q40        Other congenital malformations of upper alimentary tract

Q40.0        Congenital hypertrophic pyloric stenosis

Congenital or infantile:

   constriction

   hypertrophy

   spasm

   stenosis

   stricture

 

 

of pylorus

Q40.1        Congenital hiatus hernia

Displacement of cardia through oesophageal hiatus

Excl.: congenital diaphragmatic hernia (Q79.0)

Q40.2        Other specified congenital malformations of stomach

Congenital:

  displacement of stomach

  diverticulum of stomach

  hourglass stomach Duplication of stomach Megalogastria Microgastria

Q40.3        Congenital malformation of stomach, unspecified Q40.8          Other specified congenital malformations of upper

alimentary tract

Q40.9        Congenital malformation of upper alimentary tract, unspecified

Congenital:

   anomaly

   deformity

NOS of upper alimentary tract


  Q41        Congenital absence, atresia and stenosis of small intestine

Incl.: congenital obstruction, occlusion and stricture of small intestine or intestine NOS

Excl.: meconium ileus (E84.1)

Q41.0        Congenital absence, atresia and stenosis of duodenum Q41.1            Congenital absence, atresia and stenosis of jejunum

Apple peel syndrome Imperforate jejunum

Q41.2        Congenital absence, atresia and stenosis of ileum

Q41.8        Congenital absence, atresia and stenosis of other specified parts of small intestine

Q41.9        Congenital absence, atresia and stenosis of small intestine, part unspecified

Congenital absence, atresia and stenosis of intestine NOS

 

  Q42        Congenital absence, atresia and stenosis of large intestine

Incl.:   congenital obstruction, occlusion and stricture of large intestine

Q42.0        Congenital absence, atresia and stenosis of rectum with fistula Q42.1  Congenital absence, atresia and stenosis of rectum without

fistula

Imperforate rectum

Q42.2        Congenital absence, atresia and stenosis of anus with fistula Q42.3  Congenital absence, atresia and stenosis of anus without fistula

Imperforate anus

Q42.8        Congenital absence, atresia and stenosis of other parts of large intestine

Q42.9        Congenital absence, atresia and stenosis of large intestine, part unspecified

 

  Q43        Other congenital malformations of intestine

Q43.0        Meckel’s diverticulum

Persistent:

      omphalomesenteric duct

      vitelline duct

Q43.1        Hirschsprung disease

Aganglionosis

Congenital (aganglionic) megacolon

Q43.2        Other congenital functional disorders of colon

Congenital dilatation of colon


 

Q43.3        Congenital malformations of intestinal fixation

Congenital adhesions [bands]:

  omental, anomalous

  peritoneal Jackson membrane

Malrotation of colon

Rotation:

   failure of

   incomplete

   insufficient

 

of caecum and colon

Universal mesentery Q43.4 Duplication of intestine Q43.5        Ectopic anus

Q43.6        Congenital fistula of rectum and anus

Excl.: congenital fistula:

      rectovaginal (Q52.2)

      urethrorectal (Q64.7) pilonidal fistula or sinus (L05.-)

with absence, atresia and stenosis (Q42.0, Q42.2)

Q43.7        Persistent cloaca

Cloaca NOS

Q43.8        Other specified congenital malformations of intestine

Congenital:

  blind loop syndrome

  diverticulitis, colon

  diverticulum, intestine Dolichocolon Megaloappendix Megaloduodenum Microcolon Transposition of:

  appendix

  colon

  intestine

Q43.9        Congenital malformation of intestine, unspecified

 

  Q44        Congenital malformations of gallbladder, bile ducts and liver

Q44.0        Agenesis, aplasia and hypoplasia of gallbladder

Congenital absence of gallbladder

Q44.1        Other congenital malformations of gallbladder Congenital malformation of gallbladder NOS Intrahepatic gallbladder

Q44.2        Atresia of bile ducts


Q44.3        Congenital stenosis and stricture of bile ducts Q44.4 Choledochal cyst

Q44.5        Other congenital malformations of bile ducts

Accessory hepatic duct

Congenital malformation of bile duct NOS Duplication:

      biliary duct

      cystic duct

Q44.6        Cystic disease of liver

Fibrocystic disease of liver

Q44.7        Other congenital malformations of liver

Accessory liver Alagille’s syndrome Congenital:

      absence of liver

      hepatomegaly

      malformation of liver NOS

 

  Q45        Other congenital malformations of digestive system

Excl.: congenital:

  diaphragmatic hernia (Q79.0)

  hiatus hernia (Q40.1)

Q45.0        Agenesis, aplasia and hypoplasia of pancreas

Congenital absence of pancreas

Q45.1        Annular pancreas

Q45.2        Congenital pancreatic cyst

Q45.3        Other congenital malformations of pancreas and pancreatic duct

Accessory pancreas

Congenital malformation of pancreas or pancreatic duct NOS

Excl.: diabetes mellitus:

  congenital (E10.-)

  neonatal (P70.2)

fibrocystic disease of pancreas (E84.-)

Q45.8        Other specified congenital malformations of digestive system

Absence (complete)(partial) of alimentary tract NOS

Duplication

Malposition, congenital

of digestive organs NOS

Q45.9        Congenital malformation of digestive system, unspecified

Congenital:

   anomaly

   deformity

 

NOS of digestive system


Congenital malformations of genital organs (Q50–Q56)

Excl.:           androgen-resistance syndrome (E34.5)

syndromes associated with anomalies in the number and form of chromosomes (Q90–Q99)

testicular feminization syndrome (E34.5)

 

  Q50 Congenital malformations of ovaries, fallopian tubes and broad ligaments

Q50.0 Congenital absence of ovary

Excl.: Turner syndrome (Q96.-) Q50.1 Developmental ovarian cyst Q50.2 Congenital torsion of ovary

Q50.3 Other congenital malformations of ovary

Accessory ovary

Congenital malformation of ovary NOS Ovarian streak

Q50.4 Embryonic cyst of fallopian tube

Fimbrial cyst

Q50.5        Embryonic cyst of broad ligament

Cyst:

  epoophoron

  Gartner duct

  parovarian

Q50.6        Other congenital malformations of fallopian tube and broad ligament

Absence Accessory

Atresia

 

(of) fallopian tube or broad ligament

Congenital malformation of fallopian tube or broad ligament NOS

 

  Q51        Congenital malformations of uterus and cervix

Q51.0        Agenesis and aplasia of uterus

Congenital absence of uterus

Q51.1        Doubling of uterus with doubling of cervix and vagina Q51.2   Other doubling of uterus

Doubling of uterus NOS

Q51.3        Bicornate uterus Q51.4  Unicornate uterus


Q51.5        Agenesis and aplasia of cervix

Congenital absence of cervix

Q51.6        Embryonic cyst of cervix

Q51.7        Congenital fistulae between uterus and digestive and urinary tracts

Q51.8        Other congenital malformations of uterus and cervix

Hypoplasia of uterus and cervix

Q51.9        Congenital malformation of uterus and cervix, unspecified

 

  Q52        Other congenital malformations of female genitalia

Q52.0        Congenital absence of vagina Q52.1   Doubling of vagina

Septate vagina

Excl.: doubling of vagina with doubling of uterus and cervix (Q51.1)

Q52.2        Congenital rectovaginal fistula

Excl.:  cloaca (Q43.7)

Q52.3        Imperforate hymen

Q52.4        Other congenital malformations of vagina

Congenital malformation of vagina NOS Cyst:

      canal of Nuck, congenital

      embryonic vaginal

Q52.5        Fusion of labia

Congenital:

   absence

   cyst

   malformation NOS

 

of vulva

 

 

Q52.6        Congenital malformation of clitoris Q52.7       Other congenital malformations of vulva

 

 

 

Q52.8        Other specified congenital malformations of female genitalia Q52.9   Congenital malformation of female genitalia, unspecified

  Q53        Undescended testicle

Q53.0        Ectopic testis

Unilateral or bilateral ectopic testes Q53.1   Undescended testicle, unilateral Q53.2   Undescended testicle, bilateral

Q53.9        Undescended testicle, unspecified

Cryptorchism NOS


 

  Q54        Hypospadias

Excl.: epispadias (Q64.0)

Q54.0        Hypospadias, balanic

Hypospadias:

  coronal

  glandular

Q54.1        Hypospadias, penile Q54.2        Hypospadias, penoscrotal Q54.3  Hypospadias, perineal Q54.4   Congenital chordee

Q54.8        Other hypospadias

Q54.9        Hypospadias, unspecified

 

  Q55        Other congenital malformations of male genital organs

Excl.: congenital hydrocele (P83.5) hypospadias (Q54.-)

Q55.0        Absence and aplasia of testis

Monorchism

Q55.1        Hypoplasia of testis and scrotum

Fusion of testes

Q55.2        Other congenital malformations of testis and scrotum Congenital malformation of testis or scrotum NOS Polyorchism

Retractile testis Testis migrans

Q55.3        Atresia of vas deferens

Q55.4        Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

Absence or aplasia of:

  prostate

  spermatic cord

Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS

Q55.5        Congenital absence and aplasia of penis Q55.6            Other congenital malformations of penis

Congenital malformation of penis NOS Curvature of penis (lateral)

Hypoplasia of penis


Congenital:

   anomaly

   deformity

 

NOS of male genital organ

 

 

Q55.8        Other specified congenital malformations of male genital organs Q55.9            Congenital malformation of male genital organ, unspecified

 

 

 

  Q56        Indeterminate sex and pseudohermaphroditism

Excl.: pseudohermaphroditism:

     female, with adrenocortical disorder (E25.-)

     male, with androgen resistance (E34.5)

     with specified chromosomal anomaly (Q96–Q99)

Q56.0        Hermaphroditism, not elsewhere classified

Ovotestis

Q56.1        Male pseudohermaphroditism, not elsewhere classified

Male pseudohermaphroditism NOS

Q56.2        Female pseudohermaphroditism, not elsewhere classified

Female pseudohermaphroditism NOS

Q56.3        Pseudohermaphroditism, unspecified Q56.4   Indeterminate sex, unspecified

Ambiguous genitalia

 

Congenital malformations of the urinary system (Q60–Q64)

 

  Q60        Renal agenesis and other reduction defects of kidney

Incl.: atrophy of kidney:

     congenital

     infantile

congenital absence of kidney Q60.0  Renal agenesis, unilateral Q60.1     Renal agenesis, bilateral Q60.2            Renal agenesis, unspecified Q60.3         Renal hypoplasia, unilateral Q60.4                 Renal hypoplasia, bilateral Q60.5        Renal hypoplasia, unspecified Q60.6 Potter syndrome


 

  Q61        Cystic kidney disease

Excl.: cyst of kidney (acquired) (N28.1) Potter syndrome (Q60.6)

Q61.0        Congenital single renal cyst

Congenital cyst of kidney (single)

Q61.1        Polycystic kidney, autosomal recessive

Congenital cyst of kidney (single)

Q61.2        Polycystic kidney, autosomal dominant

Polycystic kidney, adult type

Q61.3        Polycystic kidney, unspecified Q61.4    Renal dysplasia

Multicystic:

  dyplastic kidney

  kidney (developmental)

  kidney disease

  renal dysplasia

Excl.: polycystic kidney disease (Q61.1–Q61.3)

Q61.5        Medullary cystic kidney

Sponge kidney NOS

Q61.8        Other cystic kidney diseases

Fibrocystic:

  kidney

  renal degeneration or disease

Q61.9        Cystic kidney disease, unspecified

Meckel–Gruber syndrome

 

  Q62        Congenital obstructive defects of renal pelvis and congenital malformations of ureter

Q62.0        Congenital hydronephrosis Q62.1         Atresia and stenosis of ureter

Congenital occlusion of:

  ureter

  ureteropelvic junction

  ureterovesical orifice Impervious ureter

Q62.2        Congenital megaloureter

Congenital dilatation of ureter

Q62.3        Other obstructive defects of renal pelvis and ureter

Congenital ureterocele

Q62.4        Agenesis of ureter

Absent ureter


 

 

Duplication of

Accessory

Double

 

ureter

ureter

 

 

Q62.5

 

 

Q62.6        Malposition of ureter

Deviation

Displacement Ectopic

Implantation, anomalous

 

(of) ureter or ureteric orifice

Q62.7        Congenital vesico-uretero-renal reflux Q62.8  Other congenital malformations of ureter

Anomaly of ureter NOS

  Q63        Other congenital malformations of kidney

Excl.: congenital nephrotic syndrome (N04.-)

Q63.0        Accessory kidney

Q63.1        Lobulated, fused and horseshoe kidney Q63.2            Ectopic kidney

Congenital displaced kidney Malrotation of kidney

Q63.3        Hyperplastic and giant kidney

Q63.8        Other specified congenital malformations of kidney

Congenital renal calculi

Q63.9        Congenital malformation of kidney, unspecified

 

  Q64        Other congenital malformations of urinary system

Q64.0        Epispadias

Excl.: hypospadias (Q54.-)

Q64.1        Exstrophy of urinary bladder

Ectopia vesicae Extroversion of bladder

Q64.2        Congenital posterior urethral valves

Q64.3        Other atresia and stenosis of urethra and bladder neck

Congenital:

      bladder neck obstruction

      stricture of:

   urethra

   urinary meatus

   vesicourethral orifice Impervious urethra

Q64.4        Malformation of urachus

Cyst of urachus Patent urachus Prolapse of urachus


 

Q64.5        Congenital absence of bladder and urethra Q64.6        Congenital diverticulum of bladder

Q64.7        Other congenital malformations of bladder and urethra

Accessory:

  bladder

  urethra Congenital:

  hernia of bladder

  malformation of bladder or urethra NOS

  prolapse of:

    bladder (mucosa)

    urethra

    urinary meatus

  urethrorectal fistula Double:

  urethra

  urinary meatus

Congenital:

   anomaly

   deformity

 

NOS of urinary system

 

 

Q64.8        Other specified congenital malformations of urinary system Q64.9      Congenital malformation of urinary system, unspecified

 

 

 

Congenital malformations and deformations of the musculoskeletal system

(Q65–Q79)

 

  Q65        Congenital deformities of hip

Excl.: clicking hip (R29.4)

Q65.0        Congenital dislocation of hip, unilateral Q65.1  Congenital dislocation of hip, bilateral Q65.2         Congenital dislocation of hip, unspecified Q65.3                 Congenital subluxation of hip, unilateral Q65.4 Congenital subluxation of hip, bilateral Q65.5  Congenital subluxation of hip, unspecified Q65.6        Unstable hip

Dislocatable hip Subluxatable hip


Q65.8        Other congenital deformities of hip

Anteversion of femoral neck Congenital acetabular dysplasia Congenital coxa:

      valga

      vara

Q65.9        Congenital deformity of hip, unspecified

 

  Q66        Congenital deformities of feet

Excl.: reduction defects of feet (Q72.-) valgus deformities (acquired) (M21.0) varus deformities (acquired) (M21.1)

Q66.0        Talipes equinovarus Q66.1       Talipes calcaneovarus Q66.2        Metatarsus varus

Q66.3        Other congenital varus deformities of feet

Hallux varus, congenital

Q66.4        Talipes calcaneovalgus Q66.5  Congenital pes planus

Flat foot:

      congenital

      rigid

      spastic (everted)

Q66.6        Other congenital valgus deformities of feet

Metatarsus valgus

Q66.7        Pes cavus

Q66.8        Other congenital deformities of feet

Clubfoot NOS

Hammer toe, congenital Talipes:

      NOS

      asymmetric Tarsal coalition Vertical talus

Q66.9        Congenital deformity of feet, unspecified


 

  Q67        Congenital musculoskeletal deformities of head, face, spine and chest

Excl.: congenital malformation syndromes classified to Q87.- Potter syndrome (Q60.6)

Q67.0        Facial asymmetry Q67.1            Compression facies Q67.2            Dolichocephaly Q67.3  Plagiocephaly

Q67.4        Other congenital deformities of skull, face and jaw

Depressions in skull

Deviation of nasal septum, congenital Hemifacial atrophy or hypertrophy Squashed or bent nose, congenital

Excl.: dentofacial anomalies [including malocclusion] (K07.-) syphilitic saddle nose (A50.5)

Q67.5        Congenital deformity of spine

Congenital scoliosis:

  NOS

  postural

Excl.: infantile idiopathic scoliosis (M41.0)

scoliosis due to congenital bony malformation (Q76.3)

Q67.6        Pectus excavatum

Congenital funnel chest

Q67.7        Pectus carinatum

Congenital pigeon chest

Q67.8        Other congenital deformities of chest

Congenital deformity of chest wall NOS

 

  Q68        Other congenital musculoskeletal deformities

Excl.: reduction defects of limb(s) (Q71–Q73)

Q68.0        Congenital deformity of sternocleidomastoid muscle

Congenital (sternomastoid) torticollis Contracture of sternocleidomastoid (muscle) Sternomastoid tumour (congenital)

Q68.1        Congenital deformity of hand

Congenital clubfinger

Spade-like hand (congenital)

Q68.2        Congenital deformity of knee

Congenital:

  dislocation of knee

  genu recurvatum


Q68.3 Congenital bowing of femur

Excl.:  anteversion of femur (neck) (Q65.8)

Q68.4         Congenital bowing of tibia and fibula

Q68.5    Congenital bowing of long bones of leg, unspecified Q68.8 Other specified congenital musculoskeletal deformities

Congenital:

      deformity of:

   clavicle

   elbow

   forearm

   scapula

      dislocation of:

   elbow

   shoulder

 

  Q69 Polydactyly

Q69.0 Accessory finger(s) Q69.1 Accessory thumb(s) Q69.2 Accessory toe(s)

Accessory hallux

Q69.9        Polydactyly, unspecified

Supernumerary digit(s) NOS

 

  Q70 Syndactyly

Q70.0 Fused fingers

Complex syndactyly of fingers with synostosis

Q70.1 Webbed fingers

Simple syndactyly of fingers without synostosis

Q70.2 Fused toes

Complex syndactyly of toes with synostosis

Q70.3 Webbed toes

Simple syndactyly of toes without synostosis

Q70.4 Polysyndactyly

Q70.9 Syndactyly, unspecified

Symphalangy NOS


 

  Q71        Reduction defects of upper limb

Q71.0        Congenital complete absence of upper limb(s)

Q71.1        Congenital absence of upper arm and forearm with hand present Q71.2  Congenital absence of both forearm and hand

Q71.3        Congenital absence of hand and finger(s)

Q71.4        Longitudinal reduction defect of radius

Clubhand (congenital) Radial clubhand

Q71.5        Longitudinal reduction defect of ulna Q71.6     Lobster-claw hand

Q71.8        Other reduction defects of upper limb(s)

Congenital shortening of upper limb(s)

Q71.9        Reduction defect of upper limb, unspecified

 

  Q72        Reduction defects of lower limb

Q72.0        Congenital complete absence of lower limb(s)

Q72.1        Congenital absence of thigh and lower leg with foot present Q72.2     Congenital absence of both lower leg and foot

Q72.3        Congenital absence of foot and toe(s)

Q72.4        Longitudinal reduction defect of femur

Proximal femoral focal deficiency

Q72.5        Longitudinal reduction defect of tibia Q72.6     Longitudinal reduction defect of fibula Q72.7     Split foot

Q72.8        Other reduction defects of lower limb(s)

Congenital shortening of lower limb(s)

Q72.9        Reduction defect of lower limb, unspecified

 

  Q73        Reduction defects of unspecified limb

Q73.0        Congenital absence of unspecified limb(s)

Amelia NOS

Q73.1        Phocomelia, unspecified limb(s)

Phocomelia NOS

Q73.8        Other reduction defects of unspecified limb(s)

Longitudinal reduction deformity of unspecified limb(s)

Ectromelia NOS

Hemimelia NOS Reduction defect

 

of limb(s) NOS


  Q74        Other congenital malformations of limb(s)

Excl.: polydactyly (Q69.-)

reduction defect of limb (Q71–Q73) syndactyly (Q70.-)

Q74.0        Other congenital malformations of upper limb(s), including shoulder girdle

Accessory carpal bones Cleidocranial dysostosis

Congenital pseudarthrosis of clavicle Macrodactylia (fingers)

Madelung deformity Radioulnar synostosis Sprengel deformity Triphalangeal thumb

Q74.1        Congenital malformation of knee

Congenital:

      absence of patella

      dislocation of patella

      genu:

   valgum

   varum Rudimentary patella

Excl.: congenital:

  dislocation of knee (Q68.2)

  genu recurvatum (Q68.2) nail patella syndrome (Q87.2)

Q74.2        Other congenital malformations of lower limb(s), including pelvic girdle

Congenital:

      fusion of sacroiliac joint

      malformation (of):

   ankle (joint)

   sacroiliac (joint)

Excl.:  anteversion of femur (neck) (Q65.8)

Q74.3        Arthrogryposis multiplex congenita

Q74.8        Other specified congenital malformations of limb(s) Q74.9     Unspecified congenital malformation of limb(s)

Congenital anomaly of limb(s) NOS


  Q75        Other congenital malformations of skull and face bones

Excl.: congenital malformation of face NOS (Q18.-) congenital malformation syndromes classified to Q87.- dentofacial anomalies [including malocclusion] (K07.-)

musculoskeletal deformities of head and face (Q67.0–Q67.4)

skull defects associated with congenital anomalies of brain such as:

  anencephaly (Q00.0)

  encephalocele (Q01.-)

  hydrocephalus (Q03.-)

  microcephaly (Q02)

Q75.0        Craniosynostosis

Acrocephaly

Imperfect fusion of skull Oxycephaly Trigonocephaly

Q75.1        Craniofacial dysostosis

Crouzon disease

Q75.2        Hypertelorism

Q75.3        Macrocephaly

Q75.4        Mandibulofacial dysostosis

Syndrome:

   Franceschetti

   Treacher–Collins

Q75.5        Oculomandibular dysostosis

Q75.8        Other specified congenital malformations of skull and face bones

Absence of skull bone, congenital Congenital deformity of forehead Platybasia

Q75.9        Congenital malformation of skull and face bones, unspecified

Congenital anomaly of:

   face bones NOS

   skull NOS

 

  Q76        Congenital malformations of spine and bony thorax

Excl.: congenital musculoskeletal deformities of spine and chest (Q67.5–Q67.8)

Q76.0        Spina bifida occulta

Excl.: meningocele (spinal) (Q05.-)

spina bifida (aperta)(cystica) (Q05.-)

Q76.1        Klippel–Feil syndrome

Cervical fusion syndrome


Q76.2        Congenital spondylolisthesis

Congenital spondylolysis

Excl.: spondylolisthesis (acquired) (M43.1) spondylolysis (acquired) (M43.0)

Q76.3        Congenital scoliosis due to congenital bony malformation

Hemivertebra fusion or failure of segmentation with scoliosis

Q76.4        Other congenital malformations of spine, not associated with scoliosis

Congenital:

   absence of vertebra

   fusion of spine

   kyphosis

   lordosis

   malformation of lumbosacral (joint) (region)

Hemivertebra Malformation of spine Platyspondylisis Supernumerary vertebra

 

 

 

 

unspecified or not associated with scoliosis

Q76.5        Cervical rib

Supernumerary rib in cervical region

Q76.6        Other congenital malformations of ribs

Accessory rib Congenital:

      absence of rib

      fusion of ribs

      malformation of ribs NOS

Excl.: short rib syndrome (Q77.2)

Q76.7        Congenital malformation of sternum

Congenital absence of sternum Sternum bifidum

Q76.8        Other congenital malformations of bony thorax Q76.9            Congenital malformation of bony thorax, unspecified

  Q77        Osteochondrodysplasia with defects of growth of tubular bones and spine

Excl.: mucopolysaccharidosis (E76.0–E76.3)

Q77.0        Achondrogenesis

Hypochondrogenesis

Q77.1        Thanatophoric short stature


 

Q77.2        Short rib syndrome

Asphyxiating thoracic dysplasia [Jeune]

Q77.3        Chondrodysplasia punctata Q77.4                 Achondroplasia

Hypochondroplasia Osteosclerosis congenita

Q77.5        Dystrophic dysplasia

Q77.6        Chondroectodermal dysplasia

Ellis–van Creveld syndrome

Q77.7        Spondyloepiphyseal dysplasia

Q77.8        Other osteochondrodysplasia with defects of growth of tubular bones and spine

Q77.9        Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified

 

  Q78        Other osteochondrodysplasias

Q78.0        Osteogenesis imperfecta Fragilitas ossium Osteopsathyrosis

Q78.1        Polyostotic fibrous dysplasia

Albright(–McCune)(–Sternberg) syndrome

Q78.2        Osteopetrosis

Albers–Schönberg syndrome

Q78.3        Progressive diaphyseal dysplasia

Camurati–Engelmann syndrome

Q78.4        Enchondromatosis

Maffucci’s syndrome Ollier’s disease

Q78.5        Metaphyseal dysplasia

Pyle’s syndrome

Q78.6        Multiple congenital exostoses

Diaphyseal aclasis

Q78.8        Other specified osteochondrodysplasias

Osteopoikilosis

Q78.9        Osteochondrodysplasia, unspecified

Chondrodystrophy NOS Osteodystrophy NOS


  Q79        Congenital malformations of the musculoskeletal system, not elsewhere classified

Excl.: congenital (sternomastoid) torticollis (Q68.0)

Q79.0        Congenital diaphragmatic hernia

Excl.: congenital hiatus hernia (Q40.1)

Q79.1        Other congenital malformations of diaphragm

Absence of diaphragm

Congenital malformation of diaphragm NOS Eventration of diaphragm

Q79.2        Exomphalos

Omphalocele

Excl.: umbilical hernia (K42.-)

Q79.3        Gastroschisis

Q79.4        Prune belly syndrome

Q79.5        Other congenital malformations of abdominal wall

Excl.: umbilical hernia (K42.-)

Q79.6        Ehlers–Danlos syndrome

Q79.8        Other congenital malformations of musculoskeletal system

Absence of:

      muscle

      tendon Accessory muscle

Amyotrophia congenita Congenital:

      constricting bands

      shortening of tendon Poland’s syndrome

Q79.9        Congenital malformation of musculoskeletal system, unspecified

Congenital:

   anomaly NOS

   deformity NOS

 

of musculoskeletal system NOS


Other congenital malformations (Q80–Q89)

 

  Q80        Congenital ichthyosis

Excl.: Refsum disease (G60.1)

Q80.0 Ichthyosis vulgaris Q80.1 X-linked ichthyosis Q80.2 Lamellar ichthyosis

Collodion baby

Q80.3        Congenital bullous ichthyosiform erythroderma Q80.4 Harlequin fetus

Q80.8        Other congenital ichthyosis

Q80.9        Congenital ichthyosis, unspecified

 

  Q81        Epidermolysis bullosa

Q81.0        Epidermolysis bullosa simplex

Excl.:  Cockayne syndrome (Q87.1)

Q81.1        Epidermolysis bullosa letalis

Herlitz’ syndrome

Q81.2        Epidermolysis bullosa dystrophica Q81.8         Other epidermolysis bullosa

Q81.9        Epidermolysis bullosa, unspecified

 

  Q82        Other congenital malformations of skin

Excl.: acrodermatitis enteropathica (E83.2) congenital erythropoietic porphyria (E80.0) pilonidal cyst or sinus (L05.-) Sturge–Weber(–Dimitri) syndrome (Q85.8)

Q82.0 Hereditary lymphoedema Q82.1 Xeroderma pigmentosum Q82.2 Mastocytosis

Urticaria pigmentosa

Excl.: malignant mastocytosis (C96.2)

Q82.3        Incontinentia pigmenti

Q82.4        Ectodermal dysplasia (anhidrotic)

Excl.: Ellis–van Creveld syndrome (Q77.6)


Q82.5        Congenital non-neoplastic naevus

Birthmark NOS Naevus:

      flammeus

      portwine

      sanguineous

      strawberry

      vascular NOS

      verrucous

Excl.: café au lait spots (L81.3) lentigo (L81.4)

naevus:

  NOS (D22.-)

  araneus (I78.1)

  melanocytic (D22.-)

  pigmented (D22.-)

  spider (I78.1)

  stellar (I78.1)

Q82.8        Other specified congenital malformations of skin

Abnormal palmar creases Accessory skin tags

Benign familial pemphigus [Hailey–Hailey] Cutis laxa (hyperelastica)

Dermatoglyphic anomalies

Inherited keratosis palmaris et plantaris Keratosis follicularis [Darier–White]

Excl.: Ehlers–Danlos syndrome (Q79.6)

Q82.9        Congenital malformation of skin, unspecified

 

  Q83        Congenital malformations of breast

Excl.: absence of pectoral muscle (Q79.8)

Q83.0        Congenital absence of breast with absent nipple Q83.1          Accessory breast

Supernumerary breast

Q83.2        Absent nipple Q83.3    Accessory nipple

Supernumerary nipple

Q83.8        Other congenital malformations of breast

Hypoplasia of breast

Q83.9        Congenital malformation of breast, unspecified


 

  Q84        Other congenital malformations of integument

Q84.0        Congenital alopecia

Congenital atrichosis

Q84.1        Congenital morphological disturbances of hair, not elsewhere classified

Beaded hair Monilethrix Pili annulati

Excl.: Menkes kinky hair syndrome (E83.0)

Q84.2        Other congenital malformations of hair

Congenital:

  hypertrichosis

  malformation of hair NOS Persistent lanugo

Q84.3        Anonychia

Excl.: nail patella syndrome (Q87.2)

Q84.4        Congenital leukonychia

Q84.5        Enlarged and hypertrophic nails

Congenital onychauxis Pachyonychia

Q84.6        Other congenital malformations of nails

Congenital:

  clubnail

  koilonychia

  malformation of nail NOS

Q84.8        Other specified congenital malformations of integument

Aplasia cutis congenita

Q84.9        Congenital malformation of integument, unspecified

Congenital:

   anomaly NOS

   deformity NOS

 

of integument NOS

 

  Q85        Phakomatoses, not elsewhere classified

Excl.: ataxia telangiectasia [Louis–Bar] (G11.3) familial dysautonomia [Riley–Day] (G90.1)

Q85.0        Neurofibromatosis (nonmalignant)

Von Recklinghausen disease

Q85.1        Tuberous sclerosis

Bourneville’s disease Epiloia


Q85.8        Other phakomatoses, not elsewhere classified

Syndrome:

      Peutz–Jeghers

      Sturge–Weber(–Dimitri)

      von Hippel–Lindau

Excl.: Meckel–Gruber syndrome (Q61.9)

Q85.9        Phakomatosis, unspecified

Hamartosis NOS

 

  Q86        Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

Excl.: iodine-deficiency-related hypothyroidism (E00–E02) nonteratogenic effects of substances transmitted via placenta or breast milk (P04.-)

Q86.0        Fetal alcohol syndrome (dysmorphic) Q86.1   Fetal hydantoin syndrome

Meadow’s syndrome

Q86.2        Dysmorphism due to warfarin

Q86.8        Other congenital malformation syndromes due to known exogenous causes

 

  Q87        Other specified congenital malformation syndromes affecting multiple systems

Q87.0        Congenital malformation syndromes predominantly affecting facial appearance

Acrocephalopolysyndactyly Acrocephalosyndactyly [Apert] Cryptophthalmos syndrome Cyclopia

Syndrome:

      Goldenhar

      Moebius

      oro-facial-digital

      Robin Whistling face


 

Q87.1        Congenital malformation syndromes predominantly associated with short stature

Syndrome:

  Aarskog

  Cockayne

  De Lange

  Dubowitz

  Noonan

  Prader–Willi

  Robinow–Silverman–Smith

  Russell–Silver

  Seckel

  Smith–Lemli–Opitz

Excl.: Ellis–van Creveld syndrome (Q77.6)

Q87.2        Congenital malformation syndromes predominantly involving limbs

Syndrome:

  Holt–Oram

  Klippel–Trénaunay–Weber

  nail patella

  Rubinstein–Taybi

  sirenomelia

  thrombocytopenia with absent radius [TAR]

  VATER

Q87.3        Congenital malformation syndromes involving early overgrowth

Syndrome:

  Beckwith–Wiedemann

  Sotos

  Weaver

Q87.4        Marfan syndrome

Q87.5        Other congenital malformation syndromes with other skeletal changes

Q87.8        Other specified congenital malformation syndromes, not elsewhere classified

Syndrome:

  Alport

  Laurence–Moon(–Bardet)–Biedl

  Zellweger


  Q89        Other congenital malformations, not elsewhere classified

Q89.0        Congenital malformations of spleen

Asplenia (congenital) Congenital splenomegaly

Excl.: isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)

Q89.1        Congenital malformations of adrenal gland

Excl.: congenital adrenal hyperplasia (E25.0)

Q89.2        Congenital malformations of other endocrine glands Congenital malformation of parathyroid or thyroid gland Persistent thyroglossal duct

Thyroglossal cyst

Q89.3        Situs inversus

Dextrocardia with situs inversus

Mirror-image atrial arrangement with situs inversus Situs inversus or transversus:

      abdominalis

      thoracis

Transposition of viscera:

      abdominal

      thoracic

Excl.: dextrocardia NOS (Q24.0) laevocardia (Q24.1)

Q89.4        Conjoined twins

Craniopagus Dicephaly Double monster Pygopagus Thoracopagus

Q89.7        Multiple congenital malformations, not elsewhere classified

Monster NOS Multiple congenital:

      anomalies NOS

      deformities NOS

Excl.: congenital malformation syndromes affecting multiple systems (Q87.-)

Q89.8        Other specified congenital malformations Q89.9         Congenital malformation, unspecified

Congenital:

      anomaly NOS

      deformity NOS


Chromosomal abnormalities, not elsewhere classified (Q90–Q99)

 

  Q90        Down syndrome

Q90.0        Trisomy 21, meiotic nondisjunction

Q90.1        Trisomy 21, mosaicism (mitotic nondisjunction) Q90.2 Trisomy 21, translocation

Q90.9        Down syndrome, unspecified

Trisomy 21 NOS

 

  Q91        Edwards syndrome and Patau syndrome

Q91.0        Trisomy 18, meiotic nondisjunction

Q91.1        Trisomy 18, mosaicism (mitotic nondisjunction) Q91.2 Trisomy 18, translocation

Q91.3        Edwards syndrome, unspecified Q91.4 Trisomy 13, meiotic nondisjunction

Q91.5        Trisomy 13, mosaicism (mitotic nondisjunction) Q91.6 Trisomy 13, translocation

Q91.7        Patau syndrome, unspecified

 

  Q92        Other trisomies and partial trisomies of the autosomes, not elsewhere classified

Incl.: unbalanced translocations and insertions

Excl.: trisomies of chromosomes 13, 18, 21 (Q90–Q91) Q92.0  Whole chromosome trisomy, meiotic nondisjunction Q92.1       Whole chromosome trisomy, mosaicism (mitotic

nondisjunction)

Q92.2        Major partial trisomy

Whole arm or more duplicated.

Q92.3        Minor partial trisomy

Less than whole arm duplicated.

Q92.4        Duplications seen only at prometaphase

Q92.5        Duplications with other complex rearrangements Q92.6           Extra marker chromosomes

Q92.7        Triploidy and polyploidy


Q92.8        Other specified trisomies and partial trisomies of autosomes Q92.9  Trisomy and partial trisomy of autosomes, unspecified

  Q93        Monosomies and deletions from the autosomes, not elsewhere classified

Q93.0        Whole chromosome monosomy, meiotic nondisjunction Q93.1          Whole chromosome monosomy, mosaicism (mitotic

nondisjunction)

Q93.2        Chromosome replaced with ring or dicentric Q93.3    Deletion of short arm of chromosome 4

Wolff–Hirschorn syndrome

Q93.4        Deletion of short arm of chromosome 5

Cri-du-chat syndrome

Q93.5        Other deletions of part of a chromosome

Angelman syndrome

Q93.6        Deletions seen only at prometaphase

Q93.7        Deletions with other complex rearrangements Q93.8  Other deletions from the autosomes

Q93.9        Deletion from autosomes, unspecified

 

  Q95        Balanced rearrangements and structural markers, not elsewhere classified

Incl.: Robertsonian and balanced reciprocal translocations and insertions Q95.0 Balanced translocation and insertion in normal individual Q95.1    Chromosome inversion in normal individual

Q95.2        Balanced autosomal rearrangement in abnormal individual Q95.3     Balanced sex/autosomal rearrangement in abnormal individual Q95.4          Individuals with marker heterochromatin

Q95.5        Individuals with autosomal fragile site

Q95.8        Other balanced rearrangements and structural markers Q95.9           Balanced rearrangement and structural marker, unspecified


 

  Q96        Turner syndrome

Excl.: Noonan syndrome (Q87.1)

Q96.0        Karyotype 45,X

Q96.1        Karyotype 46,X iso (Xq)

Q96.2        Karyotype 46,X with abnormal sex chromosome, except iso (Xq) Q96.3  Mosaicism, 45,X/46,XX or XY

Q96.4        Mosaicism, 45,X/other cell line(s) with abnormal sex chromosome

Q96.8        Other variants of Turner syndrome Q96.9         Turner syndrome, unspecified

  Q97        Other sex chromosome abnormalities, female phenotype, not elsewhere classified

Excl.: Turner syndrome (Q96.-)

Q97.0        Karyotype 47,XXX

Q97.1        Female with more than three X chromosomes

Q97.2        Mosaicism, lines with various numbers of X chromosomes Q97.3       Female with 46,XY karyotype

Q97.8        Other specified sex chromosome abnormalities, female phenotype

Q97.9        Sex chromosome abnormality, female phenotype, unspecified

 

  Q98        Other sex chromosome abnormalities, male phenotype, not elsewhere classified

Q98.0        Klinefelter syndrome karyotype 47,XXY

Q98.1        Klinefelter syndrome, male with more than two X chromosomes

Q98.2        Klinefelter syndrome, male with 46,XX karyotype Q98.3            Other male with 46,XX karyotype

Q98.4        Klinefelter syndrome, unspecified Q98.5           Karyotype 47,XYY

Q98.6        Male with structurally abnormal sex chromosome Q98.7          Male with sex chromosome mosaicism

Q98.8        Other specified sex chromosome abnormalities, male phenotype Q98.9  Sex chromosome abnormality, male phenotype, unspecified


  Q99        Other chromosome abnormalities, not elsewhere classified

Q99.0        Chimera 46,XX/46,XY

Chimera 46,XX/46,XY true hermaphrodite

Q99.1        46,XX true hermaphrodite 46,XX with streak gonads 46,XY with streak gonads Pure gonadal dysgenesis

Q99.2        Fragile X chromosome

Fragile X syndrome

Q99.8        Other specified chromosome abnormalities Q99.9      Chromosomal abnormality, unspecified


CHAPTER XVIII                                            

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

(R00–R99)

 

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.

Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated ‘not otherwise specified’, ‘unknown etiology’ or ‘transient’. The Alphabetical index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.

The conditions and signs or symptoms included in categories R00–R99 consist of:

a)  Text Box: CHAPTER XVIIIcases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;

b)  signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;

c)  provisional diagnoses in a patient who failed to return for further investigation or care;

d)  cases referred elsewhere for investigation or treatment before the diagnosis was made;

e)  cases in which a more precise diagnosis was not available for any other reason;

f)  certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excl.:           abnormal findings on antenatal screening of mother (O28.-) certain conditions originating in the perinatal period (P00–P96)

 

This chapter contains the following blocks:

R00–R09 Symptoms and signs involving the circulatory and respiratory systems R10–R19 Symptoms and signs involving the digestive system and abdomen R20–R23  Symptoms and signs involving the skin and subcutaneous tissue R25–R29 Symptoms and signs involving the nervous and musculoskeletal systems R30–R39 Symptoms and signs involving the urinary system

R40–R46 Symptoms and signs involving cognition, perception, emotional state and behaviour

R47–R49 Symptoms and signs involving speech and voice R50–R69 General symptoms and signs

R70–R79 Abnormal findings on examination of blood, without diagnosis R80–R82  Abnormal findings on examination of urine, without diagnosis R83–R89 Abnormal findings on examination of other body fluids, substances and

tissues, without diagnosis

R90–R94 Abnormal findings on diagnostic imaging and in function studies, without diagnosis

R95–R99 Ill-defined and unknown causes of mortality

Symptoms and signs involving the circulatory and respiratory systems

(R00–R09)

 

  R00        Abnormalities of heart beat

Excl.: abnormalities originating in the perinatal period (P29.1) specified arrhythmias (I47–I49)

R00.0         Tachycardia, unspecified Rapid heart beat Tachycardia:

   sinoauricular NOS

   sinus [sinusal] NOS

R00.1         Bradycardia, unspecified

Bradycardia:

   sinoatrial

   sinus

   vagal

Slow heart beat

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

R00.2         Palpitations

Awareness of heart beat

R00.8         Other and unspecified abnormalities of heart beat

 

  R01        Cardiac murmurs and other cardiac sounds

Excl.: those originating in the perinatal period (P29.8)

R01.0         Benign and innocent cardiac murmurs

Functional cardiac murmur

R01.1         Cardiac murmur, unspecified

Cardiac bruit NOS Systolic murmur NOS

R01.2         Other cardiac sounds

Cardiac dullness, increased or decreased Precordial friction

 

  R02        Gangrene, not elsewhere classified

Excl.: gangrene in:

  atherosclerosis (I70.2)

  diabetes mellitus (E10–E14 with common fourth character .5)

  other peripheral vascular diseases (I73.-)

gangrene of certain specified sites – see Alphabetical index gas gangrene (A48.0)

pyoderma gangrenosum (L88)

  R03        Abnormal blood-pressure reading, without diagnosis

R03.0         Elevated blood-pressure reading, without diagnosis of hypertension

Note: This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an isolated incidental finding.

R03.1         Nonspecific low blood-pressure reading

Excl.: hypotension (I95.-)

maternal hypotension syndrome (O26.5) neurogenic orthostatic hypotension (G23.8)

 

  R04        Haemorrhage from respiratory passages

R04.0         Epistaxis Haemorrhage from nose Nosebleed

R04.1         Haemorrhage from throat

Excl.: haemoptysis (R04.2)

R04.2         Haemoptysis

Blood-stained sputum Cough with haemorrhage

R04.8         Haemorrhage from other sites in respiratory passages

Pulmonary haemorrhage NOS

Excl.: perinatal pulmonary haemorrhage (P26.-)

R04.9         Haemorrhage from respiratory passages, unspecified

 

  R05        Cough

Excl.: cough with haemorrhage (R04.2) psychogenic cough (F45.3)

 

  R06        Abnormalities of breathing

Excl.: respiratory:

  arrest (R09.2)

  distress:

       syndrome of adult (J80)

       in newborn (P22.-)

  failure (J96.-)

  failure

       of newborn (P28.5)

 

R06.0         Dyspnoea Orthopnoea Shortness of breath

Excl.: transient tachypnoea of newborn (P22.1)

R06.1         Stridor

Excl.: congenital laryngeal stridor (P28.8) laryngismus (stridulus) (J38.5)

R06.2         Wheezing

R06.3         Periodic breathing

Cheyne–Stokes breathing

R06.4         Hyperventilation

Excl.: psychogenic hyperventilation (F45.3)

R06.5         Mouth breathing

Snoring

Excl.: dry mouth NOS (R68.2)

R06.6         Hiccough

Excl.: psychogenic hiccough (F45.3)

R06.7         Sneezing

R06.8         Other and unspecified abnormalities of breathing

Apnoea NOS

Breath-holding (spells) Choking sensation Sighing

Excl.: apnoea (of):

   newborn (P28.4)

   sleep (G47.3)

   sleep:

– newborn (primary) (P28.3)

 

  R07        Pain in throat and chest

Excl.: dysphagia (R13)

epidemic myalgia (B33.0) pain in:

   breast (N64.4)

   neck (M54.2)

sore throat (acute) NOS (J02.9)

R07.0         Pain in throat

R07.1         Chest pain on breathing

Painful respiration

R07.2         Precordial pain R07.3   Other chest pain

Anterior chest-wall pain NOS

R07.4         Chest pain, unspecified

 

  R09        Other symptoms and signs involving the circulatory and respiratory systems

Excl.: respiratory:

  distress (syndrome)(of):

       adult (J80)

       newborn (P22.-)

  failure (J96.-)

  failure:

       newborn (P28.5)

R09.0         Asphyxia

Excl.: asphyxia (due to):

  birth (P21.-)

  carbon monoxide (T58)

  foreign body in respiratory tract (T17.-)

  intrauterine (P20.-)

  traumatic (T71)

R09.1         Pleurisy

Excl.: pleurisy with effusion (J90)

R09.2         Respiratory arrest

Cardiorespiratory failure

R09.3         Abnormal sputum

Abnormal:

   amount

   colour

   odour Excessive

 

 

(of) sputum

Excl.: blood-stained sputum (R04.2)

R09.8         Other specified symptoms and signs involving the circulatory and respiratory systems

Bruit (arterial) Chest:

   abnormal percussion

   friction sounds

   tympany Rales Weak pulse

Symptoms and signs involving the digestive system and abdomen

(R10–R19)

Excl.:           gastrointestinal haemorrhage (K92.0–K92.2) gastrointestinal haemorrhage:

       newborn (P54.0–P54.3) intestinal obstruction (K56.-) intestinal obstruction:

       newborn (P76.-) pylorospasm (K31.3) pylorospasm:

       congenital or infantile (Q40.0)

symptoms and signs involving the urinary system (R30–R39) symptoms referable to genital organs:

       female (N94.-)

       male (N48–N50)

 

  R10        Abdominal and pelvic pain

Excl.: dorsalgia (M54.-)

flatulence and related conditions (R14) renal colic (N23)

R10.0         Acute abdomen

Severe abdominal pain (generalized)(localized)(with abdominal rigidity)

R10.1         Pain localized to upper abdomen

Dyspepsia NOS Epigastric pain

Excl.: functional dysp epsia (K30)

R10.2         Pelvic and perineal pain

R10.3         Pain localized to other parts of lower abdomen R10.4  Other and unspecified abdominal pain

Abdominal tenderness NOS Colic:

     NOS

     infantile

 

  R11        Nausea and vomiting

Excl.: haematemesis (K92.0) haematemesis

   neonatal (P54.0) vomiting (of):

   excessive, in pregnancy (O21.-)

   following gastrointestinal surgery (K91.0)

   newborn (P92.0)


   psychogenic (F50.5)


763


  R12        Heartburn

Excl.: dyspepsia

  NOS (R10.1)

  functional (K30)

 

  R13        Dysphagia

Incl.: difficulty in swallowing

 

  R14        Flatulence and related conditions

Incl.: abdominal distension (gaseous) bloating

eructation gas pain

tympanites (abdominal)(intestinal)

Excl.: psychogenic aerophagy (F45.3)

 

  R15        Faecal incontinence

Incl.: encopresis NOS

Excl.: that of nonorganic origin (F98.1)

 

  R16        Hepatomegaly and splenomegaly, not elsewhere classified

R16.0         Hepatomegaly, not elsewhere classified

Hepatomegaly NOS

R16.1         Splenomegaly, not elsewhere classified

Splenomegaly NOS

R16.2         Hepatomegaly with splenomegaly, not elsewhere classified

Hepatosplenomegaly NOS

 

  R17        Unspecified jaundice

Excl.: neonatal jaundice (P55.-, P57–P59)

 

  R18        Ascites

Incl.: fluid in peritoneal cavity

 

  R19        Other symptoms and signs involving the digestive system and abdomen

Excl.: acute abdomen (R10.0)

R19.0         Intra-abdominal and pelvic swelling, mass and lump

Diffuse or generalized swelling or mass:

   intra-abdominal NOS

   pelvic NOS

   umbilical

Excl.: abdominal distension (gaseous) (R14) ascites (R18)


 

R19.1         Abnormal bowel sounds

Absent bowel sounds Hyperactive bowel sounds

R19.2         Visible peristalsis

Hyperperistalsis

R19.3         Abdominal rigidity

Excl.: that with severe abdominal pain (R10.0)

R19.4         Change in bowel habit

Excl.: constipation (K59.0) functional diarrhoea (K59.1)

R19.5         Other faecal abnormalities

Abnormal stool colour Bulky stools

Mucus in stools Occult blood in stools

Excl.: melaena (K92.1) melaena:

   neonatal (P54.1)

R19.6         Halitosis

R19.8         Other specified symptoms and signs involving the digestive system and abdomen

 

Symptoms and signs involving the skin and subcutaneous tissue

(R20–R23)

 

  R20        Disturbances of skin sensation

Excl.: dissociative anaesthesia and sensory loss (F44.6) psychogenic disturbances (F45.8)

R20.0         Anaesthesia of skin R20.1         Hypoaesthesia of skin R20.2 Paraesthesia of skin

Formication Pins and needles Tingling skin

Excl.: acroparaesthesia (I73.8)

R20.3         Hyperaesthesia

R20.8         Other and unspecified disturbances of skin sensation


  R21        Rash and other nonspecific skin eruption

 

  R22        Localized swelling, mass and lump of skin and subcutaneous tissue

Incl.: subcutaneous nodules (localized)(superficial)

Excl.: abnormal findings on diagnostic imaging (R90–R93) enlarged lymph nodes (R59.-)

localized adiposity (E65) mass and lump:

  breast (N63)

  intra-abdominal or pelvic (R19.0) oedema (R60.-)

swelling (of):

  intra-abdominal or pelvic (R19.0)

  joint (M25.4)

R22.0         Localized swelling, mass and lump, head R22.1          Localized swelling, mass and lump, neck R22.2          Localized swelling, mass and lump, trunk R22.3                 Localized swelling, mass and lump, upper limb R22.4            Localized swelling, mass and lump, lower limb

R22.7         Localized swelling, mass and lump, multiple sites R22.9        Localized swelling, mass and lump, unspecified

  R23        Other skin changes

R23.0         Cyanosis

Excl.: acrocyanosis (I73.8)

cyanotic attacks of newborn (P28.2)

R23.1         Pallor

Clammy skin

R23.2         Flushing

Excessive blushing

Excl.: menopausal and female climacteric states (N95.1)

R23.3         Spontaneous ecchymoses

Petechiae

Excl.: ecchymoses in fetus and newborn (P54.5) purpura (D69.-)


 

R23.4         Changes in skin texture

Desquamation

Induration Scaling

 

of skin

Excl.: epidermal thickening NOS (L85.9)

R23.8         Other and unspecified skin changes

 

Symptoms and signs involving the nervous and musculoskeletal systems

(R25–R29)

 

  R25        Abnormal involuntary movements

Excl.: specific movement disorders (G20–G26) stereotyped movement disorders (F98.4) tic disorders (F95.-)

R25.0         Abnormal head movements R25.1         Tremor, unspecified

Excl.: chorea NOS (G25.5) tremor:

   essential (G25.0)

   hysterical (F44.4)

   intention (G25.2)

R25.2         Cramp and spasm

Excl.: carpopedal spasm (R29.0) infantile spasms (G40.4)

R25.3         Fasciculation

Twitching NOS

R25.8         Other and unspecified abnormal involuntary movements

 

  R26        Abnormalities of gait and mobility

Excl.: ataxia:

   NOS (R27.0)

   hereditary (G11.-)

   locomotor (syphilitic) (A52.1) immobility syndrome (paraplegic) (M62.3)

R26.0         Ataxic gait

Staggering gait

R26.1         Paralytic gait

Spastic gait

R26.2         Difficulty in walking, not elsewhere classified


R26.3         Immobility Bedfast Chairfast

R26.8         Other and unspecified abnormalities of gait and mobility

Unsteadiness on feet NOS

 

  R27        Other lack of coordination

Excl.: ataxic gait (R26.0) hereditary ataxia (G11.-) vertigo NOS (R42)

R27.0         Ataxia, unspecified

R27.8         Other and unspecified lack of coordination

 

  R29        Other symptoms and signs involving the nervous and musculoskeletal systems

R29.0         Tetany

Carpopedal spasm

Excl.: tetany:

  hysterical (F44.5)

  neonatal (P71.3)

  parathyroid (E20.9)

  post-thyroidectomy (E89.2)

R29.1         Meningismus R29.2     Abnormal reflex

Excl.: abnormal pupillary reflex (H57.0) hyperactive gag reflex (J39.2) vasovagal reaction or syncope (R55)

R29.3         Abnormal posture R29.4          Clicking hip

Excl.: congenital deformities of hip (Q65.-)

R29.6         Tendency to fall, not elsewhere classified

Tendency to fall because of old age or other unclear health problems

Excl.: accidents (X59.-)

difficulty in walking (R26.2) dizziness and giddiness (R42) falls causing injury (W00–W19)

falls due to diseases classified elsewhere syncope and collapse (R55)

R29.8         Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems


Symptoms and signs involving the urinary system (R30–R39)

 

  R30        Pain associated with micturition

Excl.: psychogenic pain (F45.3)

R30.0         Dysuria

Strangury

R30.1         Vesical tenesmus

R30.9         Painful micturition, unspecified

Painful urination NOS

 

  R31        Unspecified haematuria

Excl.: recurrent or persistent haematuria (N02.-)

 

  R32        Unspecified urinary incontinence

Incl.: enuresis NOS

Excl.: nonorganic enuresis (F98.0)

stress incontinence and other specified urinary incontinence (N39.3–N39.4)

 

  R33        Retention of urine

  R34        Anuria and oliguria

Excl.:  that complicating:

   abortion or ectopic or molar pregnancy (O00–O07, O08.4)

   pregnancy, childbirth and the puerperium (O26.8, O90.4)

 

  R35        Polyuria

Incl.: frequency of micturition nocturia

Excl.: psychogenic polyuria (F45.3)

 

  R36        Urethral discharge

Incl.: penile discharge

urethrorrhoea

 

  R39        Other symptoms and signs involving the urinary system

R39.0         Extravasation of urine

R39.1         Other difficulties with micturition

Hesitancy of micturition Poor urinary stream Splitting of urinary stream


R39.2         Extrarenal uraemia

Prerenal uraemia

R39.8         Other and unspecified symptoms and signs involving the urinary system

 

Symptoms and signs involving cognition, perception, emotional state and behaviour

(R40–R46)

Excl.:           those constituting part of a pattern of mental disorder (F00–F99)

 

  R40        Somnolence, stupor and coma

Excl.: coma:

  diabetic (E10–E14 with common fourth character .0)

  hepatic (K72.-)

  hypoglycaemic (nondiabetic) (E15)

  neonatal (P91.5)

  uraemic (N19)

R40.0         Somnolence

Drowsiness

R40.1         Stupor

Semicoma

Excl.: stupor:

  catatonic (F20.2)

  depressive (F31–F33)

  dissociative (F44.2)

  manic (F30.2)

R40.2         Coma, unspecified

Unconsciousness NOS

 

  R41        Other symptoms and signs involving cognitive functions and awareness

Excl.: dissociative [conversion] disorders (F44.-)

R41.0         Disorientation, unspecified

Confusion NOS

Excl.: psychogenic disorientation (F44.8)

R41.1         Anterograde amnesia R41.2     Retrograde amnesia


 

R41.3         Other amnesia

Amnesia NOS

Excl.: amnesic syndrome:

   due to psychoactive substance use (F10–F19 with common fourth character .6)

   organic (F04)

transient global amnesia (G45.4)

R41.8         Other and unspecified symptoms and signs involving cognitive functions and awareness

 

  R42        Dizziness and giddiness

Incl.: light-headedness

vertigo NOS

Excl.: vertiginous syndromes (H81.-)

 

  R43        Disturbances of smell and taste

R43.0         Anosmia

R43.1         Parosmia

R43.2         Parageusia

R43.8         Other and unspecified disturbances of smell and taste

Mixed disturbance of smell and taste

 

  R44        Other symptoms and signs involving general sensations and perceptions

Excl.: disturbances of skin sensation (R20.-)

R44.0         Auditory hallucinations R44.1   Visual hallucinations R44.2           Other hallucinations

R44.3         Hallucinations, unspecified

R44.8         Other and unspecified symptoms and signs involving general sensations and perceptions

 

  R45        Symptoms and signs involving emotional state

R45.0         Nervousness

Nervous tension

R45.1         Restlessness and agitation R45.2          Unhappiness

Worries NOS

R45.3         Demoralization and apathy


R45.4         Irritability and anger R45.5       Hostility

R45.6         Physical violence

R45.7         State of emotional shock and stress, unspecified R45.8         Other symptoms and signs involving emotional state

Suicidal ideation (tendencies)

Excl.: signs and symptoms constituting part of a mental disorder (F00-F99)

 

  R46        Symptoms and signs involving appearance and behaviour

R46.0         Very low level of personal hygiene R46.1         Bizarre personal appearance

R46.2         Strange and inexplicable behaviour R46.3       Overactivity

R46.4         Slowness and poor responsiveness

Excl.: stupor (R40.1)

R46.5         Suspiciousness and marked evasiveness

R46.6         Undue concern and preoccupation with stressful events R46.7          Verbosity and circumstantial detail obscuring reason for

contact

R46.8         Other symptoms and signs involving appearance and behaviour

Self neglect NOS

Excl.: insufficient intake of food and water due to self-neglect (R63.6)

 

Symptoms and signs involving speech and voice (R47–R49)

 

  R47        Speech disturbances, not elsewhere classified

Excl.: autism (F84.0–F84.1) cluttering (F98.6)

specific developmental disorders of speech and language (F80.-) stuttering [stammering] (F98.5)

R47.0         Dysphasia and aphasia

Excl.: progressive isolated aphasia (G31.0)

R47.1         Dysarthria and anarthria

R47.8         Other and unspecified speech disturbances


 

  R48        Dyslexia and other symbolic dysfunctions, not elsewhere classified

Excl.: specific developmental disorders of scholastic skills (F81.-)

R48.0         Dyslexia and alexia R48.1          Agnosia

R48.2         Apraxia

R48.8         Other and unspecified symbolic dysfunctions

Acalculia Agraphia

 

  R49        Voice disturbances

Excl.: psychogenic voice disturbance (F44.4)

R49.0         Dysphonia

Hoarseness

R49.1         Aphonia

Loss of voice

R49.2         Hypernasality and hyponasality

R49.8         Other and unspecified voice disturbances

Change in voice NOS

 

General symptoms and signs (R50–R69)

 

  R50        Fever of other and unknown origin

Excl.:  fever of unknown origin (during)(in):

   labour (O75.2)

   newborn (P81.9)

puerperal pyrexia NOS (O86.4)

R50.2         Drug-induced fever

Use additional external cause code (Chapter XX), if desired, to identify drug.

R50.8         Other specified fever

Fever with chills Fever with rigors Persistent fever

R50.9         Fever, unspecified

Hyperpyrexia NOS Pyrexia NOS

Excl.: malignant hyperthermia due to anaesthesia (T88.3)


  R51        Headache

Incl.: Facial pain NOS

Excl.: atypical facial pain (G50.1)

migraine and other headache syndromes (G43–G44) trigeminal neuralgia (G50.0)

 

  R52        Pain, not elsewhere classified

Incl.: pain not referable to any one organ or body region

Excl.: chronic pain personality syndrome (F62.8) headache (R51)

pain (in):

  abdomen (R10.-)

  back (M54.9)

  breast (N64.4)

  chest (R07.1-R07.4)

  ear (H92.0)

  eye (H57.1)

  joint (M25.5)

  limb (M79.6)

  lumbar region (M54.5)

  pelvic and perineal (R10.2)

  psychogenic (F45.4)

  shoulder (M25.5)

  spine (M54.-)

  throat (R07.0)

  tongue (K14.6)

  tooth (K08.8) renal colic (N23)

R52.0         Acute pain

R52.1         Chronic intractable pain R52.2             Other chronic pain R52.9            Pain, unspecified

Generalized pain NOS

 

  R53        Malaise and fatigue

Incl.: asthenia NOS debility:

  NOS

  chronic

general physical deterioration lethargy

tiredness


 

Excl.: debility:

   congenital (P96.9)

   senile (R54)

exhaustion and fatigue (due to)(in):

   combat (F43.0)

   excessive exertion (T73.3)

   exposure (T73.2)

   heat (T67.-)

   neurasthenia (F48.0)

   pregnancy (O26.8)

   senile asthenia (R54) fatigue syndrome (F48.0) fatigue syndrome:

   postviral (G93.3)

 

  R54        Senility

Incl.: old age

senescence

without mention of psychosis

senile:

   asthenia

   debility

Excl.: senile psychosis (F03)

 

  R55        Syncope and collapse

Incl.: blackout

fainting

Excl.: neurocirculatory asthenia (F45.3) orthostatic hypotension (I95.1)

neurogenic orthostatic hypotension (G23.8) shock:

   NOS (R57.9)

   cardiogenic (R57.0)

   complicating or following:

       abortion or ectopic or molar pregnancy (O00–O07, O08.3)

       labour and delivery (O75.1)

   postoperative (T81.1) Stokes–Adams attack (I45.9) syncope:

   carotid sinus (G90.0)

   heat (T67.1)

   psychogenic (F48.8) unconsciousness NOS (R40.2)


  R56        Convulsions, not elsewhere classified

Excl.: convulsions and seizures (in):

  dissociative (F44.5)

  epilepsy (G40–G41)

  newborn (P90)

R56.0         Febrile convulsions

R56.8         Other and unspecified convulsions

Fit NOS

Seizure (convulsive) NOS

 

  R57        Shock, not elsewhere classified

Excl.: shock (due to):

  anaesthesia (T88.2)

  anaphylactic (due to):

– NOS (T78.2)

       adverse food reaction (T78.0)

       serum (T80.5)

  complicating or following abortion or ectopic or molar pregnancy (O00–O07, O08.3)

  electric (T75.4)

  lightning (T75.0)

  obstetric (O75.1)

  postoperative (T81.1)

  psychic (F43.0)

  traumatic (T79.4)

toxic shock syndrome (A48.3)

R57.0         Cardiogenic shock R57.1         Hypovolaemic shock R57.2          Septic shock

R57.8         Other shock

Endotoxic shock

R57.9         Shock, unspecified

Failure of peripheral circulation NOS

 

  R58        Haemorrhage, not elsewhere classified

Incl.: haemorrhage NOS


 

  R59        Enlarged lymph nodes

Incl.:   swollen glands

Excl.:  lymphadenitis:

   NOS (I88.9)

   acute (L04.-)

   chronic (I88.1)

   mesenteric (acute)(chronic) (I88.0)

R59.0         Localized enlarged lymph nodes R59.1 Generalized enlarged lymph nodes

Lymphadenopathy NOS

Excl.: HIV disease resulting in (persistent) generalized lymphadenopathy (B23.1)

R59.9         Enlarged lymph nodes, unspecified

 

  R60        Oedema, not elsewhere classified

Excl.: ascites (R18)

hydrops fetalis NOS (P83.2) hydrothorax (J94.8)

oedema (of):

   angioneurotic (T78.3)

   cerebral (G93.6)

   cerebral:

– due to birth injury (P11.0)

   gestational (O12.0)

   hereditary (Q82.0)

   larynx (J38.4)

   malnutrition (E40-E46)

   nasopharynx (J39.2)

   newborn (P83.3)

   pharynx (J39.2)

   pulmonary (J81) R60.0       Localized oedema R60.1       Generalized oedema

R60.9         Oedema, unspecified

Fluid retention NOS

 

  R61        Hyperhidrosis

R61.0         Localized hyperhidrosis R61.1  Generalized hyperhidrosis


R61.9         Hyperhidrosis, unspecified

Excessive sweating Night sweats

 

  R62        Lack of expected normal physiological development

Excl.: delayed puberty (E30.0)

R62.0         Delayed milestone

Delayed attainment of expected physiological developmental stage Late:

   talker

   walker

R62.8         Other lack of expected normal physiological development

Failure to:

   gain weight

   thrive Infantilism NOS Lack of growth

Physical retardation

Excl.: HIV disease resulting in failure to thrive (B22.2) physical retardation due to malnutrition (E45)

R62.9         Lack of expected normal physiological development, unspecified

 

  R63        Symptoms and signs concerning food and fluid intake

Excl.: bulimia NOS (F50.2)

eating disorders of nonorganic origin (F50.-) malnutrition (E40–E46)

R63.0         Anorexia

Loss of appetite

Excl.: anorexia nervosa (F50.0)

loss of appetite of nonorganic origin (F50.8)

R63.1         Polydipsia

Excessive thirst

R63.2         Polyphagia

Excessive eating Hyperalimentation NOS

R63.3         Feeding difficulties and mismanagement

Feeding problem NOS

Excl.: feeding problems of newborn (P92.-)

infant feeding disorder of nonorganic origin (F98.2)

R63.4         Abnormal weight loss


 

R63.5         Abnormal weight gain

Excl.: excessive weight gain in pregnancy (O26.0) obesity (E66.-)

R63.6         Insufficient intake of food and water due to self neglect

Excl.: starvation due to anorexia (R63.0) starvation due to privation of food (X53) thirst due to privation of water (X54) self neglect NOS (R46.8)

R63.8         Other symptoms and signs concerning food and fluid intake

 

  R64        Cachexia

Excl.: HIV disease resulting in wasting syndrome (B22.2) malignant cachexia (C80.-)

nutritional marasmus (E41)

 

  R65        Systemic inflammatory response syndrome [SIRS]

Note: This category should never be used in primary coding. The category is for use in multiple coding, to identify this condition resulting  from any cause. A code from another chapter should be assigned first, to indicate the cause or underlying disease.

R65.0         Systemic inflammatory response syndrome of infectious origin without organ failure

R65.1         Systemic inflammatory response syndrome of infectious origin with organ failure

Severe sepsis

R65.2         Systemic inflammatory response syndrome of non-infectious origin without organ failure

R65.3         Systemic inflammatory response syndrome of non-infectious origin with organ failure

R65.9         Systemic inflammatory response syndrome, unspecified

 

  R68        Other general symptoms and signs

R68.0         Hypothermia, not associated with low environmental temperature

Excl.: hypothermia (due to)(of):

   NOS (accidental) (T68)

   anaesthesia (T88.5)

   low environmental temperature (T68)

   newborn (P80.-)


R68.1         Nonspecific symptoms peculiar to infancy

Excessive crying of infant Irritable infant

Excl.: neonatal cerebral irritability (P91.3) teething syndrome (K00.7)

R68.2         Dry mouth, unspecified

Excl.: dry mouth due to:

  dehydration (E86)

  sicca syndrome [Sjögren] (M35.0) salivary gland hyposecretion (K11.7)

R68.3         Clubbing of fingers

Clubbing of nails

Excl.: congenital clubfinger (Q68.1) congenital clubnail (Q84.6)

R68.8         Other specified general symptoms and signs

 

  R69        Unknown and unspecified causes of morbidity

Incl.: illness NOS

undiagnosed disease, not specified as to the site or system involved

 

Abnormal findings on examination of blood, without diagnosis

(R70–R79)

Excl.:           abnormalities (of)(on):

       antenatal screening of mother (O28.-)

       coagulation (D65–D68)

       lipids (E78.-)

       platelets and thrombocytes (D69.-)

       white blood cells classified elsewhere (D70–D72)

diagnostic abnormal findings classified elsewhere - see Alphabetical Index haemorrhagic and haematological disorders of fetus and newborn (P50–P61)

 

  R70        Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity

R70.0         Elevated erythrocyte sedimentation rate R70.1            Abnormal plasma viscosity


 

  R71        Abnormality of red blood cells

Incl.: abnormal red-cell:

   morphology NOS

   volume NOS anisocytosis poikilocytosis

Excl.: anaemias (D50–D64) polycythaemia:

   NOS (D75.1)

   benign (familial) (D75.0)

   neonatorum (P61.1)

   secondary (D75.1)

   vera (D45)

 

  R72        Abnormality of white blood cells, not elsewhere classified

Incl.: abnormal leukocyte differential NOS

Excl.: leukocytosis (D72.8)

 

  R73        Elevated blood glucose level

Excl.: diabetes mellitus (E10–E14) diabetes mellitus:

   in pregnancy, childbirth and the puerperium (O24.-) neonatal disorders (P70.0–P70.2)

postsurgical hypoinsulinaemia (E89.1)

R73.0         Abnormal glucose tolerance test

Diabetes:

     chemical

     latent

Impaired glucose tolerance Prediabetes

R73.9         Hyperglycaemia, unspecified

 

  R74        Abnormal serum enzyme levels

R74.0         Elevation of levels of transaminase and lactic acid dehydrogenase [LDH]

R74.8         Abnormal levels of other serum enzymes

Abnormal level of:

     acid phosphatase

     alkaline phosphatase

     amylase

     lipase [triacylglycerol lipase]

R74.9         Abnormal level of unspecified serum enzyme


  R75        Laboratory evidence of human immunodeficiency virus [HIV]

Incl.: nonconclusive HIV-test finding in infants

Excl.: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)

human immunodeficiency virus [HIV] disease (B20–B24) human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7)

 

  R76        Other abnormal immunological findings in serum

R76.0         Raised antibody titre

Excl.: isoimmunization, in pregnancy (O36.0–O36.1) isoimmunization, in pregnancy:

  affecting fetus or newborn (P55.-)

R76.1         Abnormal reaction to tuberculin test

Abnormal result of Mantoux test

R76.2         False-positive serological test for syphilis

False-positive Wassermann reaction

R76.8         Other specified abnormal immunological findings in serum

Raised level of immunoglobulins NOS

R76.9         Abnormal immunological finding in serum, unspecified

 

  R77        Other abnormalities of plasma proteins

Excl.: disorders of plasma-protein metabolism (E88.0)

R77.0         Abnormality of albumin R77.1 Abnormality of globulin

Hyperglobulinaemia NOS

R77.2         Abnormality of alphafetoprotein

R77.8         Other specified abnormalities of plasma proteins R77.9         Abnormality of plasma protein, unspecified

  R78        Findings of drugs and other substances, not normally found in blood

Excl.: mental and behavioural disorders due to psychoactive substance use (F10–F19)

R78.0         Finding of alcohol in blood

Use additional external cause code (Y90), if desired, for detail regarding alcohol level.

R78.1         Finding of opiate drug in blood


 

R78.2         Finding of cocaine in blood R78.3         Finding of hallucinogen in blood

R78.4         Finding of other drugs of addictive potential in blood R78.5     Finding of psychotropic drug in blood

R78.6         Finding of steroid agent in blood

R78.7         Finding of abnormal level of heavy metals in blood R78.8        Finding of other specified substances, not normally

found in blood

Finding of abnormal level of lithium in blood

R78.9         Finding of unspecified substance, not normally found in blood

 

  R79        Other abnormal findings of blood chemistry

Excl.: abnormality of fluid, electrolyte or acid–base balance (E86–E87) asymptomatic hyperuricaemia (E79.0)

hyperglycaemia NOS (R73.9) hypoglycaemia NOS (E16.2) hypoglycaemia NOS:

   neonatal (P70.3–P70.4)

specific findings indicating disorder of:

   amino-acid metabolism (E70–E72)

   carbohydrate metabolism (E73–E74)

   lipid metabolism (E75.-)

R79.0         Abnormal level of blood mineral

Abnormal blood level of:

     cobalt

     copper

     iron

     magnesium

     mineral NEC

     zinc

Excl.: abnormal level of lithium (R78.8) disorders of mineral metabolism (E83.-) neonatal hypomagnesaemia (P71.2) nutritional mineral deficiency (E58–E61)

R79.8         Other specified abnormal findings of blood chemistry

Abnormal blood-gas level

R79.9         Abnormal finding of blood chemistry, unspecified


Abnormal findings on examination of urine, without diagnosis

(R80–R82)

Excl.:           abnormal findings on antenatal screening of mother (O28.-)

diagnostic abnormal findings classified elsewhere – see Alphabetical index specific findings indicating disorder of:

• amino-acid metabolism (E70–E72)

• carbohydrate metabolism (E73–E74)

 

  R80        Isolated proteinuria

Incl.: albuminuria NOS Bence–Jones proteinuria proteinuria NOS

Excl.: proteinuria:

• gestational (O12.1)

• isolated, with specified morphological lesion (N06.-)

• orthostatic (N39.2)

• persistent (N39.1)

 

  R81        Glycosuria

Excl.: renal glycosuria (E74.8)

 

  R82        Other abnormal findings in urine

Excl.: haematuria (R31)

R82.0         Chyluria

Excl.: filarial chyluria (B74.-)

R82.1         Myoglobinuria

R82.2         Biliuria

R82.3         Haemoglobinuria

Excl.: haemoglobinuria:

• due to haemolysis from external causes NEC (D59.6)

• paroxysmal nocturnal [Marchiafava–Micheli] (D59.5)

R82.4         Acetonuria

Ketonuria

R82.5         Elevated urine levels of drugs, medicaments and biological substances

Elevated urine levels of:

• catecholamines

• indoleacetic acid

• 17-ketosteroids

• steroids


 

R82.6         Abnormal urine levels of substances chiefly nonmedicinal as to source

Abnormal urine level of heavy metals

R82.7         Abnormal findings on microbiological examination of urine

Positive culture findings

R82.8         Abnormal findings on cytological and histological examination of urine

R82.9         Other and unspecified abnormal findings in urine

Cells and casts in urine Crystalluria

Melanuria

 

Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis

(R83–R89)

Excl.:           abnormal findings on:

       antenatal screening of mother (O28.-)

       examination of:

  blood, without diagnosis (R70–R79)

  urine, without diagnosis (R80–R82)

diagnostic abnormal findings classified elsewhere – see Alphabetical index The following fourth-character subdivisions are for use with categories R83–R89:

.0       Abnormal level of enzymes

.1       Abnormal level of hormones

.2       Abnormal level of other drugs, medicaments and biological substances

.3       Abnormal level of substances chiefly nonmedicinal as to source

.4       Abnormal immunological findings

.5       Abnormal microbiological findings

Positive culture findings

.6       Abnormal cytological findings

Abnormal Papanicolaou smear

.7       Abnormal histological findings

.8       Other abnormal findings

Abnormal chromosomal findings

.9       Unspecified abnormal finding


  R83        Abnormal findings in cerebrospinal fluid

[See before R83 for subdivisions]

 

  R84        Abnormal findings in specimens from respiratory organs and thorax

[See before R83 for subdivisions]

Incl.: abnormal findings in:

  bronchial washings

  nasal secretions

  pleural fluid

  sputum

  throat scrapings

Excl.: blood-stained sputum (R04.2)

 

  R85        Abnormal findings in specimens from digestive organs and abdominal cavity

[See before R83 for subdivisions]

Incl.: abnormal findings in:

  peritoneal fluid

  saliva

Excl.: faecal abnormalities (R19.5)

  R86        Abnormal findings in specimens from male genital organs

[See before R83 for subdivisions]

Incl.: abnormal findings in:

  prostatic secretions

  semen, seminal fluid abnormal spermatozoa

Excl.: azoospermia (N46) oligospermia (N46)

 

  R87        Abnormal findings in specimens from female genital organs

[See before R83 for subdivisions]

Incl.: abnormal findings in secretions and smears from:

  cervix uteri

  vagina

  vulva

Excl.: carcinoma in situ (D05–D07.3) dysplasia of:

  cervix uteri (N87.-)

  vagina (N89.0–N89.3)

  vulva (N90.0–N90.3)


 

  R89        Abnormal findings in specimens from other organs, systems and tissues

[See before R83 for subdivisions]

Incl.: abnormal findings in:

   nipple discharge

   synovial fluid

   wound secretions

 

Abnormal findings on diagnostic imaging and in function studies, without diagnosis

(R90–R94)

Incl.:            nonspecific abnormal findings on diagnostic imaging by:

computerized axial tomography [CAT scan]

magnetic resonance imaging [MRI][NMR]

positron emission tomography [PET scan]

thermography

ultrasound [echogram]

X-ray examination

Excl.:           abnormal findings on antenatal screening of mother (O28.-)

diagnostic abnormal findings classified elsewhere – see Alphabetical index

 

  R90        Abnormal findings on diagnostic imaging of central nervous system

R90.0         Intracranial space-occupying lesion

R90.8         Other abnormal findings on diagnostic imaging of central nervous system

Abnormal echoencephalogram White matter disease NOS

 

  R91        Abnormal findings on diagnostic imaging of lung

Incl.: coin lesion NOS

lung mass NOS

 

  R92        Abnormal findings on diagnostic imaging of breast


  R93        Abnormal findings on diagnostic imaging of other body structures

R93.0         Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified

Excl.: intracranial space-occupying lesion (R90.0)

R93.1         Abnormal findings on diagnostic imaging of heart and coronary circulation

Abnormal:

   echocardiogram NOS

   heart shadow

R93.2         Abnormal findings on diagnostic imaging of liver and biliary tract

Nonvisualization of gallbladder

R93.3         Abnormal findings on diagnostic imaging of other parts of digestive tract

R93.4         Abnormal findings on diagnostic imaging of urinary organs

Filling defect of:

   bladder

   kidney

   ureter

Excl.: hypertrophy of kidney (N28.8)

R93.5         Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum

R93.6         Abnormal findings on diagnostic imaging of limbs

Excl.: abnormal finding in skin and subcutaneous tissue (R93.8)

R93.7         Abnormal findings on diagnostic imaging of other parts of musculoskeletal system

Excl.: abnormal findings on diagnostic imaging of skull (R93.0)

R93.8         Abnormal findings on diagnostic imaging of other specified body structures

Abnormal radiological finding in skin and subcutaneous tissue Mediastinal shift


 

  R94        Abnormal results of function studies

Incl.: abnormal results of:

   radionuclide [radioisotope] uptake studies

   scintigraphy

R94.0         Abnormal results of function studies of central nervous system

Abnormal electroencephalogram [EEG]

R94.1         Abnormal results of function studies of peripheral nervous system and special senses

Abnormal:

electromyogram [EMG]

electro-oculogram [EOG]

electroretinogram [ERG]

response to nerve stimulation

visually evoked potential [VEP]

R94.2         Abnormal results of pulmonary function studies

Reduced:

ventilatory capacity

vital capacity

R94.3         Abnormal results of cardiovascular function studies

Abnormal:

electrocardiogram [ECG][EKG]

electrophysiological intracardiac studies

phonocardiogram

vectorcardiogram

R94.4         Abnormal results of kidney function studies

Abnormal renal function test

R94.5         Abnormal results of liver function studies R94.6          Abnormal results of thyroid function studies

R94.7         Abnormal results of other endocrine function studies

Excl.: abnormal glucose tolerance test (R73.0)

R94.8         Abnormal results of function studies of other organs and systems

Abnormal:

basal metabolic rate [BMR]

bladder function test

splenic function test


Ill-defined and unknown causes of mortality (R95–R99)

Excl.:           fetal death of unspecified cause (P95) obstetric death NOS (O95)

 

  R95        Sudden infant death syndrome

R95.0         Sudden infant death syndrome with mention of autopsy R95.9           Sudden infant death syndrome without mention of autopsy

Sudden infant death syndrome, unspecified

 

  R96        Other sudden death, cause unknown

Excl.: sudden:

  cardiac death, so described (I46.1)

  infant death syndrome (R95.-)

R96.0         Instantaneous death

Sudden unexplained death in adult

Excl.: sudden death of known aetiology (A00.0–Q99.9, U04.9, V01.0–Y89.9)

R96.1         Death occurring less than 24 hours from onset of symptoms, not otherwise explained

Death known not to be violent or instantaneous for which no cause can be discovered

Death without sign of disease

 

  R98        Unattended death

Incl.: death in circumstances where the body of the deceased was found and no cause could be discovered

found dead

 

  R99        Other ill-defined and unspecified causes of mortality

Incl.: death NOS

unknown cause of mortality








Hajriah Fajar Hajriah Fajar (lahir pada bulan Desember 1987) adalah seorang seniman, penulis, dan kreator konten asal Indonesia. Ia lahir dan dibesarkan di sebuah kampung di Kabupaten Bogor. Sebelum terjun ke dunia seni dan tulis-menulis, Fajar pernah bekerja sebagai tukang parkir profesional di beberapa tempat, antara lain Gedung Hijau Arkadia, Plaza Senayan, dan Kafe Lacodefin Kemang. Setelah lulus dari Sekolah Menengah Atas, Fajar melanjutkan pendidikannya di Universitas Nusamandiri, di mana ia memperoleh gelar S1 Komputer Program Dual Degree pada tahun 2019. Setelah lulus, ia bekerja di berbagai perusahaan teknologi dan IT, dan saat ini bekerja di salah satu rumah sakit swasta di Jakarta sebagai IT. Selain bekerja di dunia IT, Fajar juga aktif di media sosial seperti Instagram, Twitter, dan Facebook, di mana ia sering membagikan pemikiran, karya seni, serta konten-konten menarik lainnya. Ia juga menulis di blog pribadinya di hajriahfajar.com dan membuat konten video di kanal YouTube bernama Hajriah Fajar.Fajar diakui sebagai salah satu sosok yang inspiratif dan memotivasi banyak orang untuk berkreasi dan berinovasi dalam bidang seni dan teknologi.

Posting Komentar untuk "ICD 10 || Tabular list of inclusions and four-character subcategories || CHAPTER XV Pregnancy, childbirth and the puerperium (O00–O99) - CHAPTER XVIII Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)"