Certain infectious and parasitic diseases

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T79.3 Post-traumatic wound infection, not elsewhere classified Use additional code (B95-B97), if desired, to identify infectious agent. T79.4 Traumatic shock Shock (immediate)(delayed) following injury Excludes: shock: · anaesthetic ( T88.2 ) · anaphylactic: · NOS ( T78.2 ) · due to: · adverse food reaction ( T78.0 ) · correct medicinal substance properly administered ( T88.6 ) · serum ( T80.5 ) · complicating abortion or ectopic or molar pregnancy ( O00-O07 , O08.3 ) · electric ( T75.4 ) · lightning ( T75.0 ) · nontraumatic NEC ( R57.- ) · obstetric ( O75.1 ) · postoperative ( T81.1 ) T79.5 Traumatic anuria Crush syndrome Renal failure following crushing T79.6 Traumatic ischaemia of muscle Compartment syndrome Volkmann's ischaemic contracture Excludes: anterior tibial syndrome ( M76.8 ) T79.7 Traumatic subcutaneous emphysema Excludes: emphysema (subcutaneous) resulting from a procedure ( T81.8 ) T79.8 Other early complications of trauma T79.9 Unspecified early complication of trauma 694 WHO’s ICD-10
Complications of surgical and medical care, not elsewhere classified (T80-T88) Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances. Use additional code (B95-B97), if desired, to identify infectious agent. Excludes: adverse effects of drugs and medicaments ( A00-R99 , T78.- ) any encounters with medical care for postoperative conditions in which no complications are present, such as: · artificial opening status ( Z93.- ) · closure of external stoma ( Z43.- ) · fitting and adjustment of external prosthetic device ( Z44.- ) burns and corrosions from local applications and irradiation ( T20-T32 ) complications of surgical procedures during pregnancy, childbirth and the puerperium ( O00-O99 ) poisoning and toxic effects of drugs and chemicals ( T36-T65 ) specified complications classified elsewhere, such as: · cerebrospinal fluid leak from spinal puncture ( G97.0 ) · colostomy malfunction ( K91.4 ) · disorders of fluid and electrolyte balance ( E86-E87 ) · functional disturbances following cardiac surgery ( I97.0-I97.1 ) · postgastric surgery syndromes ( K91.1 ) · postlaminectomy syndrome NEC ( M96.1 ) · postmastectomy lymphoedema syndrome ( I97.2 ) · postsurgical blind-loop syndrome ( K91.2 ) T80 Complications following infusion, transfusion and therapeutic injection Includes: perfusion Excludes: bone-marrow transplant rejection ( T86.0 ) T80.0 Air embolism following infusion, transfusion and therapeutic injection T80.1 Vascular complications following infusion, transfusion and therapeutic injection Phlebitis Thromboembolism Thrombophlebitis } following infusion, transfusion and therapeutic injection Excludes: the listed conditions when specified as: · due to prosthetic devices, implants and grafts ( T82.8 , T83.8 , T84.8 , T85.8 ) · postprocedural ( T81.7 ) T80.2 Infections following infusion, transfusion and therapeutic injection Infection Sepsis following infusion, transfusion and therapeutic injection Septicaemia Septic shock Version for 2007 695
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International Statistical Classific
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C69-C72 Eye, brain and other parts
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Chapter VIII: Diseases of the ear a
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M60-M79 Soft tissue disorders M60-M
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R25-R29 R30-R39 R40-R46 R47-R49 R50
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X85-Y09 Y10-Y34 Y35-Y36 Y40-Y84 Y85
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Intestinal infectious diseases (A00
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A05.3 Foodborne Vibrio parahaemolyt
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Tuberculosis (A15-A19) Includes: in
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A16.5 Tuberculous pleurisy, without
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A18.4 Tuberculosis of skin and subc
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A22.2 Gastrointestinal anthrax A22.
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A30.5 Lepromatous leprosy LL lepros
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A39.4 Meningococcaemia, unspecified
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A42.1 Abdominal actinomycosis A42.2
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A50.3 Late congenital syphilitic oc
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A52.3 Neurosyphilis, unspecified Gu
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A55 A56 Chlamydial lymphogranuloma
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A66.1 Multiple papillomata and wet
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Other diseases caused by chlamydiae
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A79.8 Other specified rickettsioses
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A85.1† Adenoviral encephalitis (
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A95 Yellow fever A95.0 Sylvatic yel
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B01 Varicella [chickenpox] B01.0†
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B08 Other viral infections characte
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Human immunodeficiency virus [HIV]
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B26.8 Mumps with other complication
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Mycoses (B35-B49) Excludes: hyperse
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B37.8 Candidiasis of other sites Ca
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B44.7 Disseminated aspergillosis Ge
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B51 Plasmodium vivax malaria Includ
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B58.1† Toxoplasma hepatitis ( K77
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B67.2 Echinococcus granulosus infec
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B75 Trichinellosis Infection due to
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B83.8 Other specified helminthiases
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Sequelae of infectious and parasiti
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B97 Viral agents as the cause of di
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tumours including mesotheliomas; ly
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Malignant neoplasms (C00-C97) Malig
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C05.2 Uvula C05.8 Overlapping lesio
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C13 Malignant neoplasm of hypophary
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C18.7 Sigmoid colon Sigmoid (flexur
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Malignant neoplasms of respiratory
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C39 Malignant neoplasm of other and
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C44 Other malignant neoplasms of sk
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C49 Malignant neoplasm of other con
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C53.8 Overlapping lesion of cervix
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Malignant neoplasms of urinary trac
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C71.6 Cerebellum C71.7 Brain stem F
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C77 Secondary and unspecified malig
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C83 Diffuse non-Hodgkin's lymphoma
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C92.0 Acute myeloid leukaemia Exclu
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In situ neoplasms (D00-D09) Note: M
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D04 Carcinoma in situ of skin Exclu
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D10.4 Tonsil Tonsil (faucial)(palat
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D14 Benign neoplasm of middle ear a
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D19.7 Mesothelial tissue of other s
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D23.0 Skin of lip Excludes: vermili
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D30.7 Other urinary organs Parauret
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Neoplasms of uncertain or unknown b
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D40 Neoplasm of uncertain or unknow
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D47.2 Monoclonal gammopathy D47.3 E
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Chapter III Diseases of the blood a
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D53.9 Nutritional anaemia, unspecif
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D59 Acquired haemolytic anaemia D59
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D64.0 Hereditary sideroblastic anae
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Use additional external cause code
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D72.1 Eosinophilia Eosinophilia: ·
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D76.0 Langerhans' cell histiocytosi
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D84 Other immunodeficiencies D84.0
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E00.1 Congenital iodine-deficiency
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E06 Thyroiditis Excludes: postpartu
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E10 E11 E12 Insulin-dependent diabe
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E16.2 Hypoglycaemia, unspecified E1
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E23.2 Diabetes insipidus Excludes:
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E28.1 Androgen excess Hypersecretio
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· nutritional ( E45 ) · pituitary
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Other nutritional deficiencies (E50
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E59 E60 Dietary selenium deficiency
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E70.1 Other hyperphenylalaninaemias
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E74 Other disorders of carbohydrate
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E76 Disorders of glycosaminoglycan
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E80 Disorders of porphyrin and bili
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E86 Volume depletion Dehydration De
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Chapter V Mental and behavioural di
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F02* Dementia in other diseases cla
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F05.8 Other delirium Delirium of mi
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F07 Personality and behavioural dis
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Psychoactive substance abuse .2 Dep
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F15 F16 F17 F18 F19 Mental and beha
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F20.4 Post-schizophrenic depression
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F23 Acute and transient psychotic d
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F25.2 Schizoaffective disorder, mix
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F31.3 Bipolar affective disorder, c
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Includes: recurrent episodes of: ·
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mad. Contemplating entry to the pho
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ecognized as his or her own thought
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epresented a major developmental tr
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limb or limbs. There may be close r
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Cardiac neurosis Da Costa's syndrom
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Behavioural syndromes associated wi
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Excludes: hypersomnia (organic) ( G
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F53 Mental and behavioural disorder
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Personality (disorder): · expansiv
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F60.8 Other specific personality di
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F63.1 Pathological fire-setting [py
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F65.3 Voyeurism A recurrent or pers
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.0 With the statement of no, or min
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F80.2 Receptive language disorder A
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F81.8 Other developmental disorders
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F84.4 Overactive disorder associate
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F91.1 Unsocialized conduct disorder
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F93.8 Other childhood emotional dis
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F98 Other behavioural and emotional
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F98.8 Other specified behavioural a
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Inflammatory diseases of the centra
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Excludes: benign myalgic encephalom
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Excludes: intracranial phlebitis an
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Extrapyramidal and movement disorde
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Other degenerative diseases of the
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G40.0 Localization-related (focal)(
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G44 Other headache syndromes Exclud
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G51 Facial nerve disorders Includes
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G56.3 Lesion of radial nerve G56.4
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· Lyme disease ( A69.2† ) · mum
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G72.1 Alcoholic myopathy G72.2 Myop
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G83 Other paralytic syndromes Note:
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G94* Other disorders of brain in di
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Chapter VII Diseases of the eye and
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H03* Disorders of eyelid in disease
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H10.1 Acute atopic conjunctivitis H
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H16.4 Corneal neovascularization Gh
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H21.2 Degeneration of iris and cili
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H28* Cataract and other disorders o
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H34 Retinal vascular occlusions Exc
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H40.1 Primary open-angle glaucoma G
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Disorders of optic nerve and visual
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H50.8 Other specified strabismus Du
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H54.5 Low vision, one eye Visual im
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Chapter VIII Diseases of the ear an
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H62.4* H62.8* Otitis externa in oth
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H70 Mastoiditis and related conditi
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H81.3 Other peripheral vertigo Lerm
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H93 Other disorders of ear, not els
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Acute rheumatic fever (I00-I02) I00
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I08.0 Disorders of both mitral and
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Ischaemic heart diseases (I20-I25)
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· posteroseptal · septal NOS I22.
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I27 Other pulmonary heart diseases
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I34 Nonrheumatic mitral valve disor
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I40 Acute myocarditis I40.0 Infecti
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I45.3 Trifascicular block I45.4 Non
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I50 Heart failure Excludes: complic
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Cerebrovascular diseases (I60-I69)
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I66 Occlusion and stenosis of cereb
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I70.1 Atherosclerosis of renal arte
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I74.0 Embolism and thrombosis of ab
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Diseases of veins, lymphatic vessel
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I84.4 External haemorrhoids with ot
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I95.0 Idiopathic hypotension I95.1
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Acute upper respiratory infections
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J04 Acute laryngitis and tracheitis
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J11.8 Influenza with other manifest
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J17.3* Pneumonia in parasitic disea
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J21 Acute bronchiolitis Includes: w
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J34 Other disorders of nose and nas
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J38.4 Oedema of larynx Oedema (of):
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J43.0 MacLeod's syndrome Unilateral
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J61 Pneumoconiosis due to asbestos
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J68.1 Pulmonary oedema due to chemi
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Suppurative and necrotic conditions
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J96 Respiratory failure, not elsewh
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Chapter XI Diseases of the digestiv
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K00.5 Hereditary disturbances in to
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K03.7 Posteruptive colour changes o
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K06.8 Other specified disorders of
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K09.1 Developmental (nonodontogenic
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K12 Stomatitis and related lesions
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K14.5 Plicated tongue Fissured Furr
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The following fourth-character subd
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K31.3 Pylorospasm, not elsewhere cl
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K40.4 Unilateral or unspecified ing
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K46.0 Unspecified abdominal hernia
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Other diseases of intestines (K55-K
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K57.2 Diverticular disease of large
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K62.3 Rectal prolapse Prolapse of r
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K66 Other disorders of peritoneum E
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K71.8 Toxic liver disease with othe
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K75.4 Autoimmune hepatitis K75.8 Ot
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K82 Other diseases of gallbladder E
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K86.1 Other chronic pancreatitis Ch
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K92 Other diseases of digestive sys
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Infections of the skin and subcutan
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eosinophilic cellulitis [Wells] ( L
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L12 Pemphigoid Excludes: herpes ges
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L23.6 Allergic contact dermatitis d
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L27.1 Localized skin eruption due t
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L44 Other papulosquamous disorders
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L56.3 Solar urticaria L56.4 Polymor
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L67 Hair colour and hair shaft abno
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L75.8 Other apocrine sweat disorder
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L90.8 Other atrophic disorders of s
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Excludes: decubitus ulcer ( L89 ) g
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Asterisk categories for this chapte
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M01* Direct infections of joint in
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M07* Psoriatic and enteropathic art
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M14* Arthropathies in other disease
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M17.5 Other secondary gonarthrosis
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M21.7 Unequal limb length (acquired
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M25 Other joint disorders, not else
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M34.1 CR(E)ST syndrome Combination
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M40.4 Other lordosis Lordosis: · a
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M46.8 Other specified inflammatory
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M53.2 Spinal instabilities M53.3 Sa
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M62 Other disorders of muscle [See
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M67.2 Synovial hypertrophy, not els
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M73* Soft tissue disorders in disea
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M79.5 Residual foreign body in soft
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M84.8 Other disorders of continuity
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M89.8 Other specified disorders of
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M93 Other osteochondropathies Exclu
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M99.1 Subluxation complex (vertebra
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Glomerular diseases (N00-N08) Use a
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N06 Isolated proteinuria with speci
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Excludes: calculous pyelonephritis
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N16.3* Renal tubulo-interstitial di
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N21.1 Calculus in urethra N21.8 Oth
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Other diseases of urinary system (N
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N34.2 Other urethritis Meatitis, ur
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Diseases of male genital organs (N4
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N48.2 Other inflammatory disorders
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Disorders of breast (N60-N64) Exclu
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N71.0 Acute inflammatory disease of
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N77.1* N77.8* Vaginitis, vulvitis a
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N83 Noninflammatory disorders of ov
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N86 Erosion and ectropion of cervix
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N90.1 Moderate vulvar dysplasia Vul
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N94 Pain and other conditions assoc
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Other disorders of the genitourinar
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Pregnancy with abortive outcome (O0
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O03 Spontaneous abortion [See befor
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O08.4 Renal failure following abort
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O15.0 Eclampsia in pregnancy O15.1
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O24.1 Pre-existing diabetes mellitu
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Maternal care related to the fetus
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O34.0 Maternal care for congenital
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O35.8 Maternal care for other (susp
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O44 Placenta praevia O44.0 Placenta
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O62.4 Hypertonic, incoordinate, and
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O67 Labour and delivery complicated
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O70.2 Third degree perineal lacerat
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O74.5 Spinal and epidural anaesthes
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O83.1 Other assisted breech deliver
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O88 Obstetric embolism Includes: pu
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O92.4 Hypogalactia O92.5 Suppressed
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O99 Other maternal diseases classif
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Chapter XVI Certain conditions orig
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P00.7 Fetus and newborn affected by
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P03 Fetus and newborn affected by o
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P07 Disorders related to short gest
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P13 Birth injury to skeleton Exclud
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P22.1 Transient tachypnoea of newbo
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P28.4 Other apnoea of newborn P28.5
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P39 Other infections specific to th
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P54.2 Neonatal rectal haemorrhage P
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P61.5 Transient neonatal neutropeni
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P77 P78 Necrotizing enterocolitis o
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P92 Feeding problems of newborn P92
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Chapter XVII Congenital malformatio
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Agyria Hydranencephaly Lissencephal
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Congenital malformations of eye, ea
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Q14 Congenital malformations of pos
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Q18.1 Preauricular sinus and cyst F
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Q22.2 Congenital pulmonary valve in
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Double aortic arch [vascular ring o
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Q28.1 Other malformations of precer
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Q33.2 Sequestration of lung Q33.3 A
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Q38.1 Ankyloglossia Tongue tie Q38.
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Q41.1 Congenital absence, atresia a
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Q44.7 Other congenital malformation
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Q51.6 Embryonic cyst of cervix Q51.
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Q56 Indeterminate sex and pseudoher
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Q63 Other congenital malformations
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Q66.2 Metatarsus varus Q66.3 Other
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Q69.2 Accessory toe(s) Accessory ha
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Q74.1 Congenital malformation of kn
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Q83 Congenital malformations of bre
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Q87 Other specified congenital malf
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Chromosomal abnormalities, not else
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Q96.8 Other variants of Turner's sy
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R70-R79 Abnormal findings on examin
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R06.0 Dyspnoea Orthopnoea Shortness
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Symptoms and signs involving the di
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. R19.2 Visible peristalsis Hyperpe
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Symptoms and signs involving the ne
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R31 R32 R33 R34 R35 R36 Unspecified
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R42 Dizziness and giddiness Light-h
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R49.1 Aphonia Loss of voice R49.2 H
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R55 Syncope and collapse Blackout F
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R61 Hyperhidrosis R61.0 Localized h
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Abnormal findings on examination of
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R78.0 Finding of alcohol in blood U
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R82.7 Abnormal findings on microbio
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Abnormal findings on diagnostic ima
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R94.8 Abnormal results of function
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The chapter uses the S-section for
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Injury to muscle, fascia and tendon
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S02 Fracture of skull and facial bo
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S04.7 Injury of accessory nerve 11t
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S08 Traumatic amputation of part of
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S12.1 Fracture of second cervical v
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Injuries to the thorax (S20-S29) In
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S24 Injury of nerves and spinal cor
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Injuries to the abdomen, lower back
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S33 Dislocation, sprain and strain
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S37 Injury of urinary and pelvic or
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S42.0 Fracture of clavicle Clavicle
Page 639 and 640:
S46 Injury of muscle and tendon at
Page 641 and 642:
S52.7 Multiple fractures of forearm
Page 643 and 644: Injuries to the wrist and hand (S60
Page 645 and 646: S63.4 Traumatic rupture of ligament
Page 647 and 648: Injuries to the hip and thigh (S70-
Page 649 and 650: S78 Traumatic amputation of hip and
Page 651 and 652: S83 Dislocation, sprain and strain
Page 653 and 654: S89.7 Multiple injuries of lower le
Page 655 and 656: S93.5 Sprain and strain of toe(s) I
Page 657 and 658: Injuries involving multiple body re
Page 659 and 660: T02.1 Fractures involving thorax wi
Page 661 and 662: T04.4 Crushing injuries involving m
Page 663 and 664: The following subdivisions are prov
Page 665 and 666: 0 closed 1 open Fracture: · NOS ·
Page 667 and 668: T17.2 Foreign body in pharynx Nasop
Page 669 and 670: T21 Burn and corrosion of trunk Inc
Page 671 and 672: T25.5 Corrosion of first degree of
Page 673 and 674: T30.5 Corrosion of first degree, bo
Page 675 and 676: T34.9 Frostbite with tissue necrosi
Page 677 and 678: T38 Poisoning by hormones and their
Page 679 and 680: T42.4 Benzodiazepines T42.5 Mixed a
Page 681 and 682: T46 Poisoning by agents primarily a
Page 683 and 684: T50 Poisoning by diuretics and othe
Page 685 and 686: T53.4 Dichloromethane Methylene chl
Page 687 and 688: T60.8 Other pesticides T60.9 Pestic
Page 689 and 690: Other and unspecified effects of ex
Page 691 and 692: T71 Asphyxiation Suffocation (by st
Page 693: Excludes: anaphylactic shock due to
Page 697 and 698: T81.1 Shock during or resulting fro
Page 699 and 700: T82.1 Mechanical complication of ca
Page 701 and 702: T84.4 Mechanical complication of ot
Page 703 and 704: T87.4 Infection of amputation stump
Page 705 and 706: T90.4 Sequelae of injury of eye and
Page 707 and 708: T95 Sequelae of burns, corrosions a
Page 709 and 710: X60-X84 X85-Y09 Y10-Y34 Y35-Y36 Y40
Page 711 and 712: Excludes: building under constructi
Page 713 and 714: Water reservoir Zoo .9 Unspecified
Page 715 and 716: · perambulator · push-cart · pus
Page 717 and 718: u. A special vehicle mainly used on
Page 719 and 720: 4. Where transport accident descrip
Page 721 and 722: Pedestrian injured in transport acc
Page 723 and 724: V19.9 Pedal cyclist [any] injured i
Page 725 and 726: V30 V31 V32 V33 V34 V35 V36 V37 Occ
Page 727 and 728: V46 V47 Car occupant injured in col
Page 729 and 730: V59.2 Unspecified occupant of pick-
Page 731 and 732: V69.8 Occupant [any] of heavy trans
Page 733 and 734: V80.4 Rider or occupant injured in
Page 735 and 736: V83 Occupant of special vehicle mai
Page 737 and 738: V87.0 Person injured in collision b
Page 739 and 740: V90 Accident to watercraft causing
Page 741 and 742: V96.0 Balloon accident injuring occ
Page 743 and 744: W10 W11 Fall on and from stairs and
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W23 W24 Caught, crushed, jammed or
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W34 Discharge from other and unspec
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W58 W59 W60 W64 Bitten or struck by
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W80 W81 W83 W84 Inhalation and inge
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Exposure to smoke, fire and flames
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Contact with venomous animals and p
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X36 X37 X38 X39 Victim of avalanche
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X44 X45 X46 X47 Accidental poisonin
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X54 X57 Lack of water Includes: lac
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X64 X65 X66 X67 Intentional self-po
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X82 X83 X84 Intentional self-harm b
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X98 X99 Y00 Y01 Y02 Y03 Y04 Y05 Ass
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Y36.2 War operations involving othe
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Y41 Other systemic anti-infectives
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Y45.3 Other nonsteroidal anti-infla
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Y59.1 Rickettsial vaccines Y59.2 Pr
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Y65.1 Wrong fluid used in infusion
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Y84 Other medical procedures as the
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Y91 Evidence of alcohol involvement
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Persons encountering health service
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Z02.7 Issue of medical certificate
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Z09 Follow-up examination after tre
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Z13.4 Special screening examination
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Z24.0 Need for immunization against
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Z30.5 Surveillance of (intrauterine
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Z37 Outcome of delivery Note: This
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Z42.8 Follow-up care involving plas
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· plates · rods · screws Exclude
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Z52.9 Donor of unspecified organ or
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Z58.4 Exposure to radiation Z58.5 E
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Z61.4 Problems related to alleged s
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Z63.7 Other stressful life events a
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Z71.3 Dietary counselling and surve
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Z75 Problems related to medical fac
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Z85.2 Personal history of malignant
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Z88 Personal history of allergy to
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Z92 Personal history of medical tre
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Z96 Presence of other functional im
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Chapter XXII Codes for special purp
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Only the first-listed term of the f
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M8070/6 Squamous cell carcinoma, me
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M8250/1 Pulmonary adenomatosis (D38
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M8470/3 Mucinous cystadenocarcinoma
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M8720/0 Pigmented naevus NOS (D22.-
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M8893/0 Bizarre leiomyoma M8894/0 A
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M910 Trophoblastic neoplasms M9100/
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M9300/0 Adenomatoid odontogenic tum
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M9561/3 Triton tumour, malignant M9
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M976 Immunoproliferative diseases M
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Special tabulation lists for mortal
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1-025 Remainder of certain infectio
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1-077 Remainder of diseases of the
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2-027 Malignant neoplasm of stomach
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2-077 Accidental poisoning by and e
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3-026 Diseases of the nervous syste
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Mortality tabulation list 4 INFANT
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TABULATION LIST FOR MORBIDITY 001 C
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062 Malignant neoplasm of rectosigm
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121 Parkinson's disease G20 122 Alz
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183 Gastric and duodenal ulcer K25-
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243 Single spontaneous delivery O80
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282 Effects of foreign body enterin
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3.7 Gestational age The duration of
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Regulations regarding nomenclature
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Version for 2007 883
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ICD-10 International Statistical Cl
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Introduction 4
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Introduction Structure To avoid unn
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Introduction when it is reported wi
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Introduction 10
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WHO’s ICD-10 version for 2007 A A
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WHO’s ICD-10 version for 2007 Abn
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WHO’s ICD-10 version for 2007 B B
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WHO’s ICD-10 version for 2007 Ben
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WHO’s ICD-10 version for 2007 Con
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WHO’s ICD-10 version for 2007 E E
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WHO’s ICD-10 version for 2007 Eff
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WHO’s ICD-10 version for 2007 Emb
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WHO’s ICD-10 version for 2007 Enc
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WHO’s ICD-10 version for 2007 End
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WHO’s ICD-10 version for 2007 Exa
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WHO’s ICD-10 version for 2007 Exh
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WHO’s ICD-10 version for 2007 F F
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WHO’s ICD-10 version for 2007 Fib
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WHO’s ICD-10 version for 2007 Fra
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WHO’s ICD-10 version for 2007 G G
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WHO’s ICD-10 version for 2007 Gas
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WHO’s ICD-10 version for 2007 Gra
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WHO’s ICD-10 version for 2007 H H
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WHO’s ICD-10 version for 2007 Imm
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WHO’s ICD-10 version for 2007 Ker
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WHO’s ICD-10 version for 2007 L L
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WHO’s ICD-10 version for 2007 Lax
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WHO’s ICD-10 version for 2007 Les
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WHO’s ICD-10 version for 2007 Leu
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WHO’s ICD-10 version for 2007 N N
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WHO’s ICD-10 version for 2007 Ret
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WHO’s ICD-10 version for 2007 Sch
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WHO’s ICD-10 version for 2007 Scl
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WHO’s ICD-10 version for 2007 Sep
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WHO’s ICD-10 version for 2007 Seq
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WHO’s ICD-10 version for 2007 She
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WHO’s ICD-10 version for 2007 Sie
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WHO’s ICD-10 version for 2007 Sof
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WHO’s ICD-10 version for 2007 Ste
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WHO’s ICD-10 version for 2007 Str
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WHO’s ICD-10 version for 2007 Sul
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Section II External Causes Of Injur
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WHO’s ICD-10 version for 2007 V V
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WHO’s ICD-10 version for 2007 War
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Section III Table Of Drugs And Chem
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