DELSA/ELSA/WD/HTP(2008)1 FACILITATING CROSS-NATIONAL COMPARISONS OF INDICATORS FOR PATIENT SAFETY AT THE HEALTH-SYSTEM LEVEL IN THE OECD COUNTRIES Saskia Drösler 19 OECD HEALTH TECHNICAL PAPERS Unclassified DELSA/ELSA/WD/HTP(2008)1 Organisation de Coopération et de Développement Économiques Organisation for Economic Co-operation and Development 07-Apr-2008 ___________________________________________________________________________________________ English text only DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS COMMITTEE DELSA/ELSA/WD/HTP(2008)1 Unclassified OECD HEALTH TECHNICAL PAPERS NO. 19 FACILITATING CROSS NATIONAL COMPARISONS OF INDICATORS FOR PATIENT SAFETY AT THE HEALTH SYSTEM LEVEL IN THE OECD COUNTRIES Saskia Drösler English text only JT03243700 Document complet disponible sur OLIS dans son format d'origine Complete document available on OLIS in its original format DELSA/ELSA/WD/HTP(2008)1 DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS OECD HEALTH TECHNICAL PAPERS This series is designed to make available to a wider readership methodological studies and statistical analysis presenting and interpreting new data sources, and empirical results and developments in methodology on measuring and assessing health care and health expenditure. The papers are generally available only in their original language – English or French – with a summary in the other. Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France. The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD Applications for permission to reproduce or translate all or part of this material should be made to: Head of Publications Service OECD 2, rue André-Pascal 75775 Paris, CEDEX 16 France Copyright OECD 2008 Health Technical Papers are available at: www.oecd.org/els/health/technicalpapers. 2 DELSA/ELSA/WD/HTP(2008)1 ACKNOWLEDGEMENTS The OECD Secretariat is grateful to Saskia Drösler for preparing this manual. The author1 would like to thank Edward Kelley (Agency for Healthcare Research and Quality), Soeren Mattke (RAND Corporation), Jürgen Stausberg (University of Duisburg-Essen), members of the International Methodology Consortium for Coded Health Information (IMECCHI) and Greg Webster, Eugene Wen, Lori Moskal and Linda Tournay-Lewis (Canadian Institute for Health Information) for their expert advice in preparing this document. The practical comments provided by Bernard Burnand (Switzerland), Chantal Couris (France), William Ghali (Canada), Patricia Halfon (Switzerland), JeanMarie Januel (France), Jean-Christophe Luthi (Switzerland), Hude Quan (Canada), Patrick Romano (USA) and Vijaya Sundararajan (Australia) during the initial pilot data collection are greatly appreciated. The author would also like to thank Niek Klazinga, Sandra Garcia-Armesto and Lihan Wei (OECD Health Care Quality Indicators Team) for review and comments. This manual is a planned output of the OECD Health Care Quality Indicators (HCQI) Project which received financial support from a grant provided by the European Commission (DG SANCO) during 2007. Please direct enquiries regarding this publication to Dr Niek Klazinga, Coordinator, Health Care Quality Indicator Project – e-mail: [email protected], tel: +33 1 45 24 76 11 or the Project Contacts specified on the website: http://www.oecd.org/health/hcqi. 1. Saskia Drösler of the Niederrhein University of Applied Sciences. 3 DELSA/ELSA/WD/HTP(2008)1 SUMMARY This publication was prepared to support the overall work of the OECD Health Care Quality Indicators Project in developing a set of indicators that can be used to raise questions for investigation concerning the quality of care across countries. It provides a manual to facilitate cross national comparisons of indicators for patient safety through the provision of detailed practical advice on calculating each indicator in a selected set of Patient Safety Indicators (PSI) utilising national hospital administrative databases. The selected indicators are: Area Indicator name Infection due to medical care Hospital-acquired infections Decubitus ulcer Complications of anaesthesia Postoperative hip fracture Postoperative pulmonary embolism (PE) or deep vein thrombosis Operative and post-operative (DVT) complications Postoperative sepsis Technical difficulty with procedure Postoperative respiratory failure Iatrogenic pneumothorax Transfusion reaction Sentinel events Foreign body left in during procedure Birth trauma - injury to neonate Obstetric trauma – vaginal delivery with instrument Obstetrics Obstetric trauma – vaginal delivery without instrument Obstetric trauma - caesarean section For each of these indicators, the manual provides: • Generic coding and calculation instructions related to national hospital administrative databases, • Cross walk from ICD 9 to ICD 10 codes for each indicator, • Detailed definitions for calculation of indicators, and • Flow charts for visualising the calculation process. The manual was originally designed to support the calculation of patient safety indicators in a group of countries volunteering to participate in the validation of the methodology. However it is anticipated that the material presented will also be of interest to a wider audience, including researchers and experts interested in the technical background and construction of the Patient Safety Indicators and other countries looking to develop internationally comparable health care quality indicators. 4 DELSA/ELSA/WD/HTP(2008)1 RÉSUMÉ Cette publication a été préparée pour accompagner les travaux réalisés dans le cadre du Projet de l’OCDE sur les indicateurs de la qualité des soins visant à développer un ensemble d’indicateurs auxquels on puisse se référer pour s’interroger sur la qualité des soins et services de santé dans les différents pays. Cette publication contient un manuel destiné à faciliter les comparaisons entre pays au regard d’indicateurs de la sécurité des patients. On y trouve des indications concrètes précises sur la façon de calculer chacun des indicateurs d’un ensemble d’indicateurs de la sécurité des patients (Patient Safety Indicators ou PSI) établis à partir de bases de données hospitalières nationales. Les indicateurs considérés sont les suivants : Champ Nom de l’indicateur Infections liées aux soins médicaux Infections nosocomiales Escarres de décubitus Complications d’anesthésie Fracture de hanche postopératoire Embolie pulmonaire (EP) ou thrombose veineuse profonde (TVP) Complications opératoires et postopératoire postopératoires Septicémie postopératoire Difficulté technique pendant l’intervention Détresse respiratoire postopératoire Pneumothorax iatrogène Réaction à une transfusion Événements sentinelles Corps étranger laissé au cours d’une intervention Traumatisme à la naissance – traumatisme au nouveau-né Traumatisme obstétrical au cours d’un accouchement par voie basse avec instrument Obstétrique Traumatisme obstétrical au cours d’un accouchement par voie basse sans instrument Traumatisme obstétrical au cours d’une césarienne Pour chacun de ces indicateurs, le manuel fournit : • Les instructions de codification et de calcul à partir des bases de données hospitalières nationales, • Les correspondances entre la CIM--9 et la CIM--10 pour chaque indicateur, • Des définitions détaillées pour le calcul des indicateurs, et • Des graphiques pour visualiser le processus de calcul. Le manuel a initialement été conçu pour étayer le calcul des indicateurs de la sécurité des patients dans un groupe de pays volontaires pour participer à la validation de la méthodologie. Cependant, on s’attend que les éléments présentés intéressent aussi un plus large public, à savoir notamment des chercheurs et des experts intéressés par l’arrière-plan technique et la construction d’indicateurs de la sécurité des patients, ainsi que d’autres pays désireux de développer des indicateurs de la qualité des soins et services de santé comparables au niveau international. 5 DELSA/ELSA/WD/HTP(2008)1 TABLE OF CONTENTS ACKNOWLEDGEMENTS ............................................................................................................................ 3 SUMMARY .................................................................................................................................................... 4 RÉSUMÉ ........................................................................................................................................................ 5 INTRODUCTION .......................................................................................................................................... 7 Background ................................................................................................................................................. 7 METHODOLOGICAL ISSUES................................................................................................................... 10 Introduction ............................................................................................................................................... 10 Cross Walking from ICD-9 to ICD-10 ...................................................................................................... 12 Process of Calculation ............................................................................................................................... 12 Remarks on Calculation of National Rates (Population Rates) and Mean Provider Rates ....................... 15 Quick Step Overview of Essential Tasks for Data Preparation................................................................. 16 DETAILED DEFINITIONS OF INDICATORS.......................................................................................... 19 Complications of Anaesthesia, Secondary Diagnosis Field per 100 Discharges (PSI 1) .......................... 19 Decubitus Ulcer, Secondary Diagnosis Field per 100 Discharges (PSI 3)................................................ 22 Foreign Body Left in during Procedure, Secondary Diagnosis Field per 100 Discharges (PSI 5) ........... 24 Iatrogenic Pneumothorax, Secondary Diagnosis Field per 100 Discharges (PSI 6) ................................. 26 Selected Infections Due to Medical Care, Secondary Diagnosis Field per 100 Discharges (PSI 7) ......... 28 Postoperative Hip Fracture, Secondary Diagnosis Field per 100 Discharges (PSI 8) ............................... 30 Postoperative Respiratory Failure (PSI 11) ............................................................................................... 34 Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT), Secondary Diagnosis Field per 100 Discharges (PSI 12)...................................................................................................................... 37 Postoperative Sepsis, Secondary Diagnosis Field per 100 Discharges (PSI 13) ....................................... 39 Technical Difficulty with Procedure / Accidental Puncture or Laceration, Secondary Diagnosis Field per 100 Discharges (PSI 15) ............................................................................................................................ 42 Transfusion Reaction, Secondary Diagnosis Field per 100 Discharges (PSI 16) ..................................... 44 Birth Trauma – Injury to Neonate, any Diagnosis Field per 100 Live-born Births (PSI 17) .................... 46 Obstetric Trauma – Vaginal Delivery with Instrument, any Diagnosis or Procedure Field per 100 Vaginal Deliveries (PSI 18) .................................................................................................................................... 49 Obstetric Trauma―Vaginal Delivery without Instrument (PSI 19) ......................................................... 52 Obstetric Trauma – Caesarean Section, any Diagnosis or Procedure Field per 100 Caesarean Section Deliveries (PSI 20) .................................................................................................................................... 55 ANNEX 1: DENOMINATOR CALCULATION CODE LISTS ................................................................. 57 ANNEX 2: VIRTUAL MDC-ASSIGNMENT ........................................................................................... 150 ANNEX 3: INDICATORS FOR PATIENT SAFETY QUESTIONNAIRE 2008 ..................................... 223 REFERENCES ........................................................................................................................................... 238 6 DELSA/ELSA/WD/HTP(2008)1 INTRODUCTION Background 1. The release of the report To Err Is Human by the US Institute of Medicine in 2000 brought patient safety issues to the fore by presenting the magnitude and impact of patient safety problems in the US health system in clear detail. Since then a number of other countries have released similar reports with disturbingly similar messages for their health systems. This has put the need for improved patient safety monitoring and accountability under the spotlight. National administrations are now responding to the rising interest in patient safety and quality with efforts to improve measurement and reporting systems in these areas of health care performance. 2. To respond to country needs for internationally comparable information on indicators and data systems for quality, the OECD initiated the OECD Health Care Quality Indicator (HCQI) Project in 2001. The long-term objective of the HCQI Project is to develop a set of indicators that can be used to raise questions for further investigation concerning the quality of health care across countries. In March 2006 the OECD published an initial report with data that was collected between 2003 and 2005 on an initial set of quality indicators (Mattke S et al, 2006). The results of this initial report from the HCQI Project showed clearly that there were only a limited number of indicators available for international comparisons for which there was consensus on the importance and soundness of the indicators and the availability and comparability of the data. Consequently, the OECD embarked on a new phase of work through the HCQI Project to work collaboratively with countries on improving data systems in five priority areas, including patient safety. A second round of data collection conducted in 2006 to support this work confirmed that there is a paucity of available national data to meaningfully track patient safety. 3. In part because of the lack of data and in part because of the very high level of interest across member countries, the OECD formed an Expert Group on Patient Safety, which met for the first time during June 2006 in Dublin, Ireland (OECD, 2007). The meeting was hosted by the Irish Department of Health and Children and was the first multi-country conference organised by the OECD on patient safety data systems. The conference attempted to address three issues: a) getting patient safety data systems on the agenda; b) developing a concrete work plan for improving patient safety data systems and international comparability of patient safety data; and c) addressing how countries should approach linking data to action to improve patient safety. 4. From the presentations made at the conference, it became apparent that the most readily available set of data systems for tracking patient safety are hospital administrative data systems. It is noted that efforts have been made in a growing number of OECD countries to adapt indicators developed in the US which can be derived from hospital administrative data. However, it was recognized that important issues still needed to be resolved before these indicators could be widely applied across OECD countries, including the construction of translations between different national approaches to data coding and the testing of indicators in the context of different country data systems. 7 DELSA/ELSA/WD/HTP(2008)1 5. The conference concluded with a commitment to increase the potential of cross national comparisons of patient safety through two key work initiatives focussing on: • Adaptation of hospital administrative data systems for facilitating cross-national comparative information of Patient Safety Indicators (PSI), and • Reviewing adverse event reporting systems. 6. As part of the overall effort under the first of these initiatives, this manual seeks to facilitate cross national comparisons of indicators for patient safety through the provision of detailed practical advice on calculating each indicator selected from a recommended set of Patient Safety Indicators (PSI)2 utilising national hospital administrative databases. 7. The set of indicators selected for further analysis and specification is summarised in Table 1. Table 1: Selected Patient Safety Indicators Area Hospital-acquired infections Operative and post-operative complications Sentinel events Obstetrics Indicator name Infection due to medical care Decubitus ulcer Complications of anaesthesia Postoperative hip fracture Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) Postoperative sepsis Technical difficulty with procedure Postoperative respiratory failure Iatrogenic pneumothorax Transfusion reaction Foreign body left in during procedure Birth trauma - injury to neonate Obstetric trauma – vaginal delivery with instrument Obstetric trauma – vaginal delivery without instrument Obstetric trauma - caesarean section 8. These indicators are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries, procedures, and childbirth. They were developed after a comprehensive literature review, analysis of ICD-9-CM codes, clinician panel review, implementation of risk adjustment, and empirical analyses. 9. Methods to calculate the values of these indicators from hospital administrative data systems have until now been carried out only on local and national levels. In this manual, several steps are outlined to validate a methodology that could be applied internationally for data comparability. The first is a data2 The OECD HCQI Project convened a panel of experts on indicators for patient safety in 2004. Using a structured interview process the panel came forward with a recommendation that 21 indicators be further considered. See Millar J et al (2004). 8 DELSA/ELSA/WD/HTP(2008)1 based research effort that focuses on examining specific data elements and coding issues that currently impede international comparability of patient safety indicators based on hospital administrative data. Next, an experimental calculation of indicators is to be performed by a group of volunteering countries. 10. This manual was originally designed to support the calculation of patient safety indicators in a group of countries volunteering to participate in the validation of the methodology. However it is anticipated that the material presented will also be of interest to a wider audience, including researchers and experts interested in the technical background and construction of the Patient Safety Indicators and other countries looking to develop internationally comparable health care quality indicators. 11. The manual provides: • Generic coding and calculation instructions related to national hospital administrative databases, • Cross walk from ICD 9 to ICD 10 codes for each indicator, • Detailed definitions for calculation of indicators, • Flow charts for visualising the calculation process, and • Quick-step overview of essential tasks for data preparation. 12. It is anticipated that further revisions to the methodology presented in this manual will be made based on the collective experiences of those using the manual over time. 9 DELSA/ELSA/WD/HTP(2008)1 METHODOLOGICAL ISSUES Introduction 13. The methodology for facilitating internationally comparable Patient Safety Indicators set out in this manual involves two key elements: • • Cross-walk between the key disease classifications Specified process of calculation 14. The Patient Safety Indicators dealt with in this manual are specified according to certain diagnosis and, in some instances, procedure codes. There are currently different medical classifications in use for coding diagnosis; the ICD-9 (International Classification of Diseases) classification which is no longer updated by the World Health Organisation (WHO) is the precursor of the present ICD-10 classification. OECD member countries use ICD-9 (e.g. Spain, USA) as well as ICD-10 (e.g. Australia, Canada, Germany). For that reason this manual contains both versions of the coding system. 15. Usually countries do not use the original version of a classification published by the WHO but modify it according to their needs. Country modifications are still consistent with the WHO version, keeping the structure of the classification tree. In some chapters of the ICD classification the country versions are more extensive than the WHO version while in others they are not. This manual does not cover all the different country versions of the ICD. 16. The technical specifications of diagnosis in this manual are based on the ICD-10-WHO, 2006 and on the ICD-9-CM3. Therefore countries seeking to utilise this manual must ensure that before applying the definitions the defined codes for inclusion or exclusion criteria are currently in use. Otherwise the definitions at hand must be extended to include the subgroups added in the country modifications. 17. For example, Table 2 shows that one three-digit WHO code for decubitus ulcer corresponds to 8 four-digit codes in Canada, 5 four-digit codes in Australia and 50 five-digit German codes. To calculate the numerator for the indicator decubitus ulcer, all country specific subgroups of the listed WHO code L89 must be taken into account. 3. Definitions in ICD-9-CM are adopted from AHRQ (2003). 10 DELSA/ELSA/WD/HTP(2008)1 Table 2: Examples of Country Versions ICD-10 WHO (2006) L89.0 L89.1 L89 Decubitus ulcer L89.2 L89.3 L89.4 L89.5 L89.8 L89.9 ICD-10-CA (Canada, 2006) ICD-10-AM (Australia, 2006) Decubitus ulcer limited to erythema only [redness] without skin breakdown (Stage 1) Decubitus ulcer limited to breakdown of skin (Stage 2) Decubitus ulcer with fat layer exposed (Stage 3) Decubitus ulcer with depth involving muscle (Stage 4) Decubitus ulcer with depth involving bone (Stage 5) Decubitus ulcer with joint space involvement (Stage 5) Decubitus ulcer with necrosis involving muscle or bone (Stage X) Decubitus ulcer without mention of severity Decubitus [pressure] ulcer, stage I Decubitus [pressure] ulcer, stage II Decubitus [pressure] ulcer, stage III Decubitus [pressure] ulcer, stage IV ICD-10-GM (Germany, 2006), a 5th digit has to be used to specify the location (10 subgroups) Decubitus ulcer Stage 1 Decubitus ulcer Stage 2 Decubitus ulcer Stage 3 Decubitus ulcer Stage 4 Decubitus [pressure] ulcer, unspecified Decubitus ulcer, unspecified 18. There are several criteria which are not consistent between countries that may influence the calculated rates of the indicators. These are: • Coding rules • − Definition of principal diagnosis − Definition of secondary diagnosis Use of diagnosis type indicators (e.g. marking of secondary diagnosis as “present at admission”) • Use of DRG for hospital reimbursement • Certain administrative case information − Admission type (elective, from long-term care, transferred from acute care) − Admission weight of neonates. 19. A questionnaire was distributed with this manual to collect more information on the coding specifications within each country participating in the initial experimental calculations of the indicators (Annex 3). Participating countries were asked to fill out the questionnaire and return it to the OECD Secretariat. The information on country specific coding specifications strongly facilitated the interpretation of the results by the OECD Secretariat. 11 DELSA/ELSA/WD/HTP(2008)1 Cross Walking from ICD-9 to ICD-10 20. The quantitative relationship between ICD-9 and ICD-10 is not 1:1. The ICD-10 is much more extensive than the ICD-9 and structures in the classification trees vary between the two. In a preliminary German project (Drösler et al, 2007), mapping of diagnoses and procedures was performed for each definition of the patient safety indicators (AHRQ 2004). Diagnosis mapping was performed using cross walking tables (DIMDI, 2007) between ICD-9-WHO V6.0 and ICD-10-German Modification 2004 in two steps, with updates of the indicator definitions appended to the translated version. 21. ICD-10 codes were manually revised after a preliminary crosswalk. Mapped ICD-10 codes with an unclear relationship to the original ICD-9-WHO code were compared to the ICD-9-CM, which is the origin of the indicator definitions. ICD-10 codes with correspondents in ICD-9-CM were rejected when the matching ICD-9-CM code had not been specified in the definition of the indicator. Transferred ICD-10 codes were accepted when the medical concept matched the intention of the indicator definition. For example, the ICD-10 code T88.4 “Failed or difficult intubation” was included to the numerator specification of indicator “Complications of Anaesthesia” because it was a mapped result to the corresponding ICD-9-CM-code E87.63 “Endotracheal tube wrongly placed during anaesthetic procedure”. 22. Due to the different country versions of the diagnosis classification, for an international project such as the OECD Health Care Quality Indicators Project it is necessary to find a common “classification language”. Thus the country specific ICD-10 translations of the indicator definitions have been transformed to the ICD-10-WHO 2006 (WHO, 2006) to serve as the basis for the crosswalk. The ICD-10 codes listed in this manual underwent an international harmonisation process initiated by the International Methodology Consortium for Coded Health Information (IMECCHI) research collaboration (Quan H et al, 2008). Process of Calculation 23. The numerators pertain to subsets of the denominators. Calculate the denominator quantity first. Then apply the numerator definition to the selected denominator data. Exclusions of Principal Diagnosis 24. Verify the documentation rules for the principal diagnosis (main diagnosis, discharge diagnosis) in use for each country is required to decide how the exclusions of the principal diagnosis should be performed. Definitions of Principal Diagnosis (PDx)4 A. The condition established after evaluation to be chiefly responsible for causing the hospitalisation. B. The diagnosis that is finally established to be the main reason for the hospital stay; that is demanding the most resources/medical effort over the course of the patients stay. 25. The original AHRQ patient safety manual is based on definition A (Department of Health and Human Services, 2005). For that reason most indicator definitions contain an exclusion rule if the principal diagnosis of the case is equal to a numerator defining ICD code. For these cases it is unlikely that the indicator-defining condition had been acquired during the hospital stay but was pre-existing. 4. Adapted from CIHI (2004). 12 DELSA/ELSA/WD/HTP(2008)1 26. In this manual it is assumed that countries using definition B for assignment of principal diagnosis are able to identify the case-related admission diagnosis (ADx) in their data sets. In this case patients with admission diagnosis corresponding to the numerator definition of the indicator should be excluded (see left-sided flow chart “PDx algorithm” on p.14). Furthermore it shall be avoided that countries using definition B for assignment of principal diagnosis miss numerator cases by assigning specific complications as principal diagnosis. If a diagnosis type indicator is in use data can be properly rearranged (see right-sided flow chart at Figure 1: PDx Algorithm). Secondary diagnosis 27. Patient safety indicators are largely constructed from secondary diagnoses. The calculation of the numerator builds on secondary diagnosis for most of the indicators. The indicator definitions refer to conditions aroused post admission. To make sure that all participating countries use the same definition of secondary diagnosis it is presented here: Definition of Secondary Diagnosis (SDx)8 28. Comorbid conditions are those conditions for which the patient received treatment and consumed hospital resources in addition to those conditions considered to be the principal, main or discharge diagnosis. 34. Pre-admission conditions without any necessary treatment during the hospital stay do not meet the definition. Pre-admission comorbidities with in-hospital treatment meet the definition of the secondary diagnosis. Countries using diagnosis type indicators have the possibility to distinguish between pre- and post-admission comorbidities. If they perform additional exclusions of numerator cases their calculated rates might be lower than in countries where additional criteria for secondary diagnosis documentation are not in use. Use of codes for external causes of morbidity and mortality (“E-codes”) 35. Several indicators (e.g. Complications of Anaesthesia) build on diagnoses codes from Chapter XX (20) of the ICD-10 or the corresponding supplement of the ICD-9 respectively. The WHO designates those codes for additional documentation of external causes of morbidity. The availability of these codes in country modifications of the ICD may vary. Furthermore their use is optional in some countries. Depending on the extent of available e-codes in country modifications indicator rates may vary between countries. Exclusions of MDC 36. In countries using DRG for hospital reimbursement each case is assigned to a MDC (Major Diagnostic Category) by the grouper software. The MDC assignment relies exclusively on the principal diagnosis of the case (definition A above).The calculation of several indicators (Table 3) requires the exclusion of certain MDCs to ensure that whole populations with high risk for a condition are not counted. For example, MDC 9 (diseases of skin, subcutaneous tissue, and breast) is excluded from the calculation of indicator Decubitus Ulcer. Lists of ICD-10-WHO codes referring to certain MDCs are provided in the Annex 2 - Code List M5 for countries using ICD-10 without DRG reimbursement or if the MDC assignment of data is impossible. 5. Code lists and neonate identification are adapted from (InEK, 2006 and Commonwealth of Australia, 1998). 13 DELSA/ELSA/WD/HTP(2008)1 37. There are different methods to identify Neonates (MDC 15). If the admission weight of the neonate and the information on age in days is available in the dataset the algorithm below should be used for exclusion. Otherwise a code list will be provided in the Annex. Algorithm for neonate identification (MDC 15)10 1 day <age<28 days or 27 days<age<365 days and 0 grams < weight < 2500 grams Table 3: Indicators with MDC exclusion MDC Condition Indicators MDC 4 Diseases/disorders of respiratory system Postoperative respiratory failure MDC 5 Diseases/disorders of circulatory system Postoperative respiratory failure MDC 8 Diseases and disorders of the musculoskeletal system and connective tissue Postoperative hip fracture MDC 9 Diseases and disorders of the skin, subcutaneous tissue and breast Decubitus ulcer MDC 14 Pregnancy, childbirth and puerperium Postoperative PE or DVT Postoperative sepsis Decubitus ulcer Postoperative hip fracture Complications of anaesthesia Iatrogenic pneumothorax Postoperative respiratory failure Procedure Codes 38. The calculations of eight of the indicators require procedure codes. Those indicators are “Postoperative Iatrogenic Pneumothorax”, ”Postoperative Hip Fracture” “Postoperative Respiratory Failure” “Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT)”, “Obstetric Trauma – Vaginal Delivery with / without instrument” and “Obstetric Trauma - Caesarean Section”. There is no common international medical procedure classification and each country participating in the experimental calculation of the indicators uses a different catalogue for procedure coding. In the project at hand it was not possible to provide a procedure code lists for each participating country. The procedure codes from the US ICD-9-CM are listed in this manual because they are part of the original indicator definitions provided by AHRQ. Furthermore, the procedure list provided in this manual shall support countries in adopting corresponding procedures from their classifications in order to perform a precise PSI calculation. 39. Five indicators refer to denominator cases with operative treatment only. Those are: • • • • • Complications of Anaesthesia Postoperative Hip Fracture Postoperative Respiratory Failure Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) Postoperative Sepsis 14 DELSA/ELSA/WD/HTP(2008)1 40. For selection of these cases a comparison between the coded procedures and a list of all operating room procedures available in a country’s procedure classification is necessary. For the reasons explained above it is not possible to generate lists of operating room procedures for each country. The following interventional procedures are regarded as operative procedures: Pacemaker Implants, PTCA6 or endoscopic vessel repair. D&C7 is regarded as an operating room procedure where as a perineal laceration repair during a regular vaginal delivery is not. Flow Charts 41. For each indicator a flow chart is provided to facilitate the understanding of the indicator definition and the calculation process. For the construction of the flowcharts, definition A of the principal diagnosis (“condition to be chiefly responsible”) had been assumed. Countries using definition B (“condition demanding the most resources”) for assignment of principal diagnosis are advised to rearrange their data in order to gain comparable results. A proposal for rearrangement is given in the flowchart at Figure 1: PDx Algorithm. General Note 42. Data quality is always a concern in health indicator analysis that can also substantially affect patient safety indicators. In addition to the proposed definitions, a comprehensive review of coding practices, distribution of key data elements and country specific coding standards is strongly recommended for data analysis of these PSIs. Given the nature of the PSIs, small sample size may lead to less precise estimates and requires special attention when reporting these indicators. All of these factors can affect comparability of the PSIs, and need to be addressed when making such comparisons. Remarks on Calculation of National Rates (Population Rates) and Mean Provider Rates 43. The questionnaire that was distributed with this manual to each country participating in the initial experimental calculations of the indicators (Annex 3) requested two different presentations of a country’s results: • National rates (population rates) were requested to be reported in section VI of the questionnaire. The national rate / population rate for each indicator is the ratio between events (numerator) and population (denominator). The national rates (population rates) are weighted as it is pretended that all the cases included in the calculation lie in one hospital. • Mean provider rates were requested to be reported in section VII of the questionnaire. The calculation of a mean provider rate requires the possibility of data analysis on an institutional level. The mean provider rate of an indicator is the sum of the individual hospital rates for this indicator divided by the number of hospitals where this indicator was applied. Notes: • • • If for certain indicators, there were institutions without denominator populations (e.g. hospitals without an obstetric department) these were to be excluded from the calculation of the mean provider rate of that indicator. Indicators with rates of zero (institutions where no numerator defining event occurred within a given denominator population) were to be included in the calculation of the mean provider rate. Cases treated in psychiatric institutions were to be excluded from the calculation. 6. Percutaneous Transluminal Coronary Angioplasty, an intervention in cardiology. 7. Dilation and Curettage, a gynaecological or obstetric treatment. 15 DELSA/ELSA/WD/HTP(2008)1 Quick Step Overview of Essential Tasks for Data Preparation The following outlines the key steps in preparing data for the calculation of the Patient Safety Indicators: 1. Convert listed ICD codes to your country’s version of ICD 2. Look up in your ICD classification if there are codes available for SIRS (Systemic Inflammatory Response syndrome). If these codes are available add them to the numerator inclusion list of the indicator Postoperative Sepsis 3. Look up in your ICD classification if there are codes available for Iatrogenic Pneumothorax. If these codes are available add them to the numerator inclusion list of the indicator Iatrogenic Pneumothorax 4. Look up the procedure codes in use in your country procedure classification for the following procedures: a. b. c. d. e. f. g. “Interruption of Vena Cava” Add a) to the denominator calculation of indicator Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT). “Obstetric Trauma” Add b) to the numerator calculation of all Obstetric Trauma indicators. “Caesarean Delivery” Use c) to select the denominator population of indicator Obstetric Trauma –Caesarean Section Deliveries. “Instrument-Assisted Delivery procedure codes” Use d) to select the denominator population of indicator Obstetric Trauma - Vaginal Delivery with Instrument “Hip fracture repair” Cases with e) are excluded from the denominator population of indicator Postoperative Hip Fracture if the hip fracture repair occurs before or on the same day as the first operating room procedure. “Endotracheal (re-)intubation Cases with f) are in the numerator population of indicator Postoperative Respiratory Failure if the reintubation occurs after the main OR procedure “Diaphragmatic surgery repair, thoracic and cardiac surgery, lung or pleural biopsy” (page. 22, Annex 1 - Code List P) Add g) to the denominator exclusion of indicator Iatrogenic Pneumothorax 5. Check the definition of principal diagnosis (PDx) applied in your country 6. If the PDx definition is “the condition to be chiefly responsible” proceed to step 7. If the PDx definition is “the condition demanding the most resources”, rearrange the data as shown in the flowchart at Figure 1: PDx Algorithm. 7. Flag cases with OR (operating room) procedures designated as “surgical”. A comprehensive list of OR procedures must be provided by your country. 8. Apply calculation algorithm to each case as shown in the indicator-related flowcharts. 16 DELSA/ELSA/WD/HTP(2008)1 List of Minimal Case-related Data-fields used for Indicator Calculation Possible Variables - Used for QI Calculation Data fields - Case Mandatory Information x patient ID patient age x years x patient age_neonate days admission weight neonate grams x length of stay days x admission status elective - emergency - birth admission source home - from acute care - from long-term care x principal dx data field should be repeated - number of repetitions secondary dx depends on the country’s definition of the dataset dx type indicator dependant on data field secondary dx data field may repeat - number of repetitions depends procedure on the country’s definition of the dataset date of procedure dependant on data field procedure 17 DELSA/ELSA/WD/HTP(2008)1 Figure 1: PDx Algorithm Algorithms for countries using principal diagnosis definition 2 (“condition demanding the most resources”). Repeat algorithm for each case. Admission Diagnoses Secondary Diagnoses Case in calculation data base Case in calculation data base Marker for ADx available in data base? Marker for post admission Dx available in data base? yes yes Compare PDx to ADx Compare PDx to each post admission Dx ADx = PDx? Post admission diagnosis = PDx? no no no yes yes Keep PDx Set ADx as new PDx Set former PDx as SDx Set Post admission diagnosis as SDx Set Dx related to admission / first procedure as PDx Continue calculation Continue calculation ADx SDx PDx Admission Diagnosis Secondary Diagnosis Principal Diagnosis 18 no DELSA/ELSA/WD/HTP(2008)1 DETAILED DEFINITIONS OF INDICATORS Complications of Anaesthesia, Secondary Diagnosis Field per 100 Discharges (PSI 1) 44. There are validity concerns about this indicator and thus should be used with precaution. It is unclear, whether this indicator is consistently related to adverse outcomes. In US data (Zhan and Miller, 2003) this indicator was associated with excess charges but not with excess mortality or length of stay. Numerator: 45. Discharges with ICD-9-CM diagnosis codes for anaesthesia complications in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator. ICD-9-CM Anaesthesia Complications diagnoses codes: Adverse effects in therapeutic use, other central nervous system depressants and anaesthetics: E8763 E9381 E9382 E9383 E9384 E9385 E9386 E9387 E9389 Endotracheal tube wrongly placed during anaesthetic procedure Halothane Other gaseous anaesthetics Intravenous anaesthetics Other unspecified general anaesthetics Surface and infiltration anaesthetics Peripheral nerve and plexus blocking anaesthetics Spinal anaesthetics Other and unspecified local anaesthetics Poisoning by other central nervous system depressants and anaesthetics: 9681 9682 9683 9684 9687 E8551 Halothane Other gaseous anaesthetics Intravenous anaesthetics Other and unspecified general anaesthetics Spinal anaesthetics Accidental poisoning, other nervous system depressants ICD-10-WHO Anaesthesia Complications diagnosis codes: Adverse effects in therapeutic use, other central nervous system depressants and anaesthetics: Y48.0 Y48.1 Y48.2 Y48.3 Y48.4 Y48.5 Y65.3 Inhaled anaesthetics Parenteral anaesthetics Other and unspecified general anaesthetics Local anaesthetics Anaesthetic, unspecified Therapeutic gases Endotracheal tube wrongly placed during anaesthetic procedure In countries where codes for adverse effects are not commonly used: T88.4 Failed or difficult intubation 19 DELSA/ELSA/WD/HTP(2008)1 Can be used for identification of failed intubations. Higher rates might occur. Poisoning by other central nervous system depressants and anaesthetics: T41.0 T41.1 T41.2 T41.3 T41.4 Poisoning: Inhaled anaesthetics Poisoning: Intravenous anaesthetics Poisoning: Other and unspecified general anaesthetics Poisoning: Local anaesthetics Poisoning: Anaesthetic, unspecified Denominator: 46. All surgical discharges, 18 years and older Exclude cases: • • • • With ICD codes for anaesthesia complications (see numerator) in the principal diagnosis field or in a secondary diagnosis field if present on admission, if known MDC 14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex 2 Code List M-3 With codes for self-inflicted injury, poisoning due to anaesthetics and Any diagnosis code for active drug dependence, or active nondependent abuse of drugs See Annex 1 - Code List C-5 for Self-Inflicted Injury Diagnosis ICD-9-CM Codes See Annex 1 - Code List W-5 for Self-Inflicted Injury Diagnosis ICD-10-WHO Codes See Annex 1 - Code List C-6 for Poisoning due to anaesthetics ICD-9-CM Codes See Annex 1 - Code List W-6 for Poisoning due to anaesthetics ICD-10-WHO Codes See Annex 1 - Code List C-7 for ICD-9-CM Drug Dependence and active nondependent abuse of drugs diagnosis codes See Annex 1 - Code List W-7 for ICD-10-WHO Drug Dependence and active nondependent abuse of drugs diagnosis codes 20 DELSA/ELSA/WD/HTP(2008)1 21 DELSA/ELSA/WD/HTP(2008)1 Decubitus Ulcer, Secondary Diagnosis Field per 100 Discharges (PSI 3) Numerator: 47. Discharges with ICD code of decubitus ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator. ICD-9-CM Decubitus Ulcer diagnosis codes: 70700 70701 70702 70703 70704 70705 70706 70707 70709 Decubitus ulcer site nos Decubitus ulcer, elbow Decubitus ulcer, up back Decubitus ulcer, low back Decubitus ulcer, hip Decubitus ulcer, buttock Decubitus ulcer, ankle Decubitus ulcer, heel Decubitus ulcer, site nec ICD-10-WHO Discharges with ICD-10-WHO code of L89 in any secondary diagnosis field. Denominator: 48. All medical and surgical discharges age 18 years and older Exclude cases: • • • • • • • • With length of stay of less than 5 days With pre-existing condition of decubitus ulcer (see numerator) (primary diagnosis or secondary diagnosis present on admission, if known) MDC 9 (Skin, Subcutaneous Tissue, and Breast) or principal diagnoses in Annex 2 - Code List M2 MDC 14 (Pregnancy, Childbirth, and Puerperium) or principal diagnoses in Annex 2 - Code List M-3 With any diagnosis of hemiplegia, paraplegia, or quadriplegia With any diagnosis of spina bifida or anoxic brain damage Admitted from a long-term care facility Transferred from an acute care facility See Annex 1 - Code List C-3 for ICD-9-CM hemiplegia codes See Annex 1 - Code List W-3 for ICD-10-WHO hemiplegia codes See Annex 1 - Code List C-4 for ICD-9-CM spina bifida or anoxic brain damage codes See Annex 1 - Code List W-4 for ICD-10-WHO spina bifida or anoxic brain damage codes 22 DELSA/ELSA/WD/HTP(2008)1 Case is a surgical or a medical discharge Age =18 y or >18 y? Decubitus Ulcer no Exclude yes Exclude yes Length of stay is < 5 days? no Case is assigned to MDC 9 or the PDx is listed in table M2? yes Exclude yes Exclude yes Exclude no Case is assigned to MDC 14 or the PDx is listed in table M3? no PDx is a plegic condition, spina bifida or anoxic brain damage? no SDx is a plegic condition, spina bifida or anoxic brain damage? yes Exclude no PDx is identical to the numerator definition? yes Exclude no Admission / transferral from long term care / acute care? yes Exclude no Add case to denominator population Count denominator population and report to OECD secretariat SDx is identical to the numerator definition? yes Add case to numerator population Count numerator population and report to OECD secretariat 23 DELSA/ELSA/WD/HTP(2008)1 Foreign Body Left in during Procedure, Secondary Diagnosis Field per 100 Discharges (PSI 5) Numerator: 49. Discharges with ICD codes for foreign body left in during procedure in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator. ICD-9-CM Foreign Body Left in During Procedure diagnosis codes: 9984 9987 Foreign body accidentally left during a procedure Acute reactions to foreign substance accidentally left during a procedure Foreign body left in during: E8710 E8711 E8712 E8713 E8714 E8715 E8716 E8717 E8718 E8719 Surgical operation Infusion or transfusion Kidney dialysis or other perfusion Injection or vaccination Endoscopic examination Aspiration of fluid or tissue, puncture, and catheterization Heart catheterization Removal of catheter or packing Other specified procedures Unspecified procedure ICD-10-WHO Foreign Body Left in During Procedure diagnosis codes: T81.5 T81.6 Y61.0 Y61.1 Y61.2 Y61.3 Y61.4 Y61.5 Y61.6 Y61.7 Y61.8 Y61.9 Foreign body accidentally left in body cavity or operation wound following a procedure Acute reaction to foreign substance accidentally left during a procedure Foreign object accidentally left in body during surgical and medical care: During surgical operation Foreign object accidentally left in body during surgical and medical care: During infusion or transfusion Foreign object accidentally left in body during surgical and medical care: During kidney dialysis or other perfusion Foreign object accidentally left in body during surgical and medical care: During injection or immunization Foreign object accidentally left in body during surgical and medical care: During endoscopic examination Foreign object accidentally left in body during surgical and medical care: During heart catheterization Foreign object accidentally left in body during surgical and medical care: During aspiration, puncture and other catheterization Foreign object accidentally left in body during surgical and medical care: During removal of catheter or packing Foreign object accidentally left in body during surgical and medical care: During other surgical and medical care Foreign object accidentally left in body during surgical and medical care: During unspecified surgical and medical care 24 DELSA/ELSA/WD/HTP(2008)1 Denominator: 50. All surgical and medical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium). Assign a principal diagnosis from Annex 2 - Code List M-3 if criteria “MDC 14” is not available. Exclude cases: • With ICD-9-CM codes for foreign body left in during procedure in the principal diagnosis field or secondary diagnosis present on admission, if known. Foreign body left in during procedure Case is a surgical or a medical discharge Age =18 y or >18 y? Case is assigned to MDC 14 or the PDx is listed in table M3? no no Exclude yes yes PDx is identical to the numerator definition? yes no Add case to denominator population Count denominator population and report to OECD secretariat SDx is identical to the numerator definition? yes Count numerator population and report to OECD secretariat Add case to numerator population 25 Exclude DELSA/ELSA/WD/HTP(2008)1 Iatrogenic Pneumothorax, Secondary Diagnosis Field per 100 Discharges (PSI 6) Numerator: 51. Discharges with ICD-code for iatrogenic pneumothorax in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator. ICD-9-CM Iatrogenic Pneumothorax diagnosis codes 512.1 Iatrogenic pneumothorax ICD-10 Iatrogenic Pneumothorax diagnosis codes 52. The WHO version of the ICD-10 does not contain a specific ICD-code for iatrogenic pneumothorax. Several countries assigned a code for this condition in their country version of the ICD-10. Before starting the calculation, check whether your country version contains the specified code (e.g. a five digit code in J95.-). If your country-specific ICD-10 version does not contain a defined code related to iatrogenic pneumothorax abandon this indicator. Denominator: 53. All surgical and medical discharges age 18 years and older Exclude cases: • • • • • With ICD-9-CM code of 512.1 in the principal diagnosis field or secondary diagnosis present on admission, if known. MDC 14 (pregnancy, childbirth, and puerperium) With diagnosis code of chest trauma or pleural effusion With an ICD-9-CM procedure code of diaphragmatic surgery repair With any procedure code indicating thoracic surgery, lung or pleural biopsy, or cases assigned to cardiac surgery See Annex 1 - Code List W-17 for ICD-10-WHO chest trauma or pleural effusion codes See Annex 1 - Code List C-17 for ICD-9-CM chest trauma or pleural effusion codes See Annex 1 - Code List P for ICD-9-CM Thoracic and Cardiac Surgery procedure codes. 26 DELSA/ELSA/WD/HTP(2008)1 Iatrogenic Pneumothorax Case is a surgical or a medical discharge yes Age =18 y or >18 y? no Exclude yes Case is assigned to MDC 14 or the PDx is listed in table M3? yes Exclude no PDx is chest trauma or pleural effusion (list C-17 / W-17)? yes Exclude yes Exclude no SDx is chest trauma or pleural effusion (list C-17 / W-17)? no Procedure Code is diaphragmatic surgery repair, thoracic or cardiac surgery or pleural biopsy (list P)? yes Exclude no PDx is identical to the numerator definition? yes Exclude no Add case to denominator population Count denominator population and report to OECD secretariat SDx is identical to the numerator definition? yes Add case to numerator population Count numerator population and report to OECD secretariat 27 DELSA/ELSA/WD/HTP(2008)1 Selected Infections Due to Medical Care, Secondary Diagnosis Field per 100 Discharges (PSI 7)8 Numerator: 54. Discharges with selected ICD-codes in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator. ICD-9-CM Discharges with ICD-9-CM code of 999.3 or 996.62 in any secondary diagnosis field. 999.3 996.62 Complications of medical care, not elsewhere classified: Other infection Infection and inflammatory reaction due to internal prosthetic device, implant, and graft: Due to vascular device, implant and graft ICD-10-WHO Discharges with ICD-10-WHO code of T80.2 or T82.7 or T88.0 in any secondary diagnosis field. T80.2 T82.7 Infections following infusion, transfusion and therapeutic injection Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts Infection following immunization T88.0 Denominator: 55. All surgical and medical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium). Assign a principal diagnosis from Annex 2 - Code List M-3 if criteria “MDC 14” is not available. Exclude cases: • • • • With ICD-9-CM code of 999.3 or 996.62 in the principal diagnosis field or secondary diagnosis present on admission, if known With ICD-10-WHO code of T80.2 or T82.7 or T88.0 in the principal diagnosis field With length of stay less than 2 days With any code for immunocompromised state or cancer (principal diagnosis or secondary diagnosis) See Annex 1 - Code List C-1 for ICD-9-CM immunocompromised state codes See Annex 1 - Code List W-1 for ICD-10-WHO immunocompromised state codes See Annex 1 - Code List C-2 for ICD-9-CM cancer codes See Annex 1 - Code List W-2 for ICD-10-WHO cancer codes 8. It is noted that the definition of this indicator was modified subsequent to an initial pilot calculation of the indicator set by several participating countries carried out in 2007. 28 DELSA/ELSA/WD/HTP(2008)1 Infection Due to Medical Care Case is a surgical or a medical discharge Age =18 y or >18 y? Case is assigned to MDC 14 or the PDx is listed in table M3? no no Exclude yes yes Length of stay is < 2 days? yes Exclude no PDx is immunocompromised state (list C-1 / W-1), or cancer (list C-2/W-2)? yes Exclude yes Exclude yes Exclude no SDx is immunocompromised state (list C-1 / W-1), or cancer (list C-2/W-2)? no PDx is identical to the numerator definition? no Add case to denominator population Count denominator population and report to OECD secretariat SDx is identical to the numerator definition? yes Count numerator population and report to OECD secretariat Add case to numerator population 29 DELSA/ELSA/WD/HTP(2008)1 Postoperative Hip Fracture, Secondary Diagnosis Field per 100 Discharges (PSI 8) 56. There are validity concerns about this indicator and thus should be used with precaution. Previous unpublished studies showed that this indicator might capture pre-admission hip fractures as well as the in-patient complication. Numerator: 57. Discharges with ICD code for hip fracture in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator. ICD-9-CM Hip Fracture diagnosis codes (includes all 5th digits) 8200 8201 8202 8203 8208 8209 Fracture of neck of femur - transcervical fracture, closed Fracture of neck of femur - transcervical fracture, open Fracture of neck of femur – pertrochanteric fracture, closed Fracture of neck of femur – pertrochanteric fracture, open Unspecified part of neck of femur, closed Unspecified part of neck of femur, open ICD-10-WHO Hip Fracture diagnosis codes S72.0 S72.1 S72.2 Fracture of neck of femur Pertrochanteric fracture Subtrochanteric fracture Note: ICD-10-WHO optionally offers additional subdivisions for S72.-. Include all 5th digit codes when in use. Note: If it is possible to distinguish between a pre-admission condition and a post-admission condition by using a diagnosis type indicator, only conditions that occurred post-admission should be counted. The rate will be lower when this criterion is used. Denominator 58. All surgical discharges age 18 and older with a code for an operating room procedure. Exclude cases: • • • With ICD code for hip fracture (see numerator) in the principal diagnosis field or secondary diagnosis present on admission, if known Where the only operating room procedure is hip fracture repair Where a procedure for hip fracture repair occurs before or on the same day as the first operating room procedure o Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available 30 DELSA/ELSA/WD/HTP(2008)1 • • • • With diseases and disorders of the musculoskeletal system and connective tissue (MDC 8) or principal diagnosis in Annex 2 - Code List M-1 With principal diagnosis (or secondary diagnosis present on admission, if known) of seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury With any diagnosis of metastatic cancer, lymphoid malignancy or bone malignancy, or selfinflicted injury MDC14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex 2 - Code List M3 See Annex 1 - Code List C-5 for self-inflicted injury diagnosis ICD-9-CM codes See Annex 1 - Code List W-5 for self-inflicted injury diagnosis ICD-10-WHO codes See Annex 1 - Code List C-8 for ICD-9-CM codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury See Annex 1 - Code List W-8 for ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury See Annex 1 - Code List C-9 for ICD-9-CM codes for metastatic cancer, lymphoid malignancy or bone malignancy See Annex 1 - Code List W-9 for ICD-10-WHO codes for metastatic cancer, lymphoid malignancy or bone malignancy ICD-9-CM Hip Fracture Repair procedure codes 7855 7915 7925 7935 8151 8152 Internal fixation-femur Closed red-int fix femur Open reduction-femur fx Open reduc-int fix femur Total hip replacement Partial hip replacement 31 DELSA/ELSA/WD/HTP(2008)1 Postoperative Hip Fracture (1) Case is a surgical discharge with an OR procedure Age =18 y or >18 y? no Exclude yes Case is assigned to MDC 8 or the PDx is listed in table M1? yes Exclude yes Exclude no Case is assigned to MDC 14 or the PDx is listed in table M3? no PDx is seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury (list C-8 / W-8) yes Exclude no PDx is metastatic cancer, lymphoid malignancy or bone malignancy (list C-9 / W-9) or selfinflicted injury (list C-5 / W-5) yes Exclude yes Exclude no SDx is metastatic cancer, lymphoid malignancy or bone malignancy (list C-9 / W-9) or selfinflicted injury (list C-5 / W-5)? no Page 2 32 DELSA/ELSA/WD/HTP(2008)1 Postoperative Hip Fracture (2) Contd from page 1 Only one OR procedure coded? no Hip fracture repair coded? Coded procedure is hip fracture repair? yes yes Exclude no Date of hip fracture repair is before the date of the first OR procedure? yes yes Exclude yes Exclude no no Date of hip fracture repair is equal to the date of the first OR procedure? no PDx is identical to the numerator definition? yes no Add case to denominator population SDx is identical to the numerator definition? yes Count denominator population and report to OECD secretariat Count numerator population and report to OECD secretariat Add case to numerator population 33 Exclude DELSA/ELSA/WD/HTP(2008)1 Postoperative Respiratory Failure (PSI 11) Numerator: 59. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD codes for acute respiratory failure in any secondary diagnosis field. or Discharges with procedure codes for reintubation one or more days after the major operating room procedure code ICD-9-CM Respiratory Failure codes 518.81 518.84 Acute respiratory failure Acute and chronic respiratory failure ICD-10-WHO Respiratory Failure codes J96.0 Acute respiratory failure ICD-9-CM Reintubation Procedure Codes 96.04 Insertion of endotracheal tube Denominator: 60. All elective* surgical discharges age 18 and older with a code for an operating room procedure *Elective - Admission type is recorded as elective Exclude cases: • • • • • • • With pre-existing (principal diagnosis or secondary diagnosis present on admission, if known) acute respiratory failure With ICD-9-CM diagnosis code of neuromuscular disorder Where a procedure for tracheostomy is the only operating room procedure. Where a procedure for tracheostomy occurs before the first operating room procedure. Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available. MDC 14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex 2 - Code List M3 MDC 4 (diseases/disorders of respiratory system) or principal diagnosis in Annex 2 - Code List M5 MDC 5 (diseases/disorders of circulatory system) or principal diagnosis in Annex 2 - Code List M6 See Annex 1 - Code List C-18 for ICD-9-CM diagnosis code of neuromuscular disorder See Annex 1 - Code List W-18 for ICD-10-WHO diagnosis code of neuromuscular disorder ICD-9-CM Tracheostomy procedure codes: 3121 Mediastinal tracheostomy 3129 Other perm tracheostomy 3174 Revision of tracheostomy 34 DELSA/ELSA/WD/HTP(2008)1 Case is a surgical discharge Postoperative Respiratory Failure (1) Admission type is elective? no Exclude yes Age =18 y or >18 y? no Exclude yes Case is assigned to MDC 14 or the PDx is listed in table M3? yes Exclude yes Exclude yes Exclude no Case is assigned to MDC 4 or the PDx is listed in table M5? no Case is assigned to MDC 5 or the PDx is listed in table M6? no PDx is neuromuscular disorder (list C-18 / W-18)? yes Exclude yes Exclude no SDx is neuromuscular disorder (list C-18 / W-18)? no Tracheostomy coded? yes yes Exclude no no Page 2 Tracheostomy is the only OR procedure? no Tracheostomy coded before first OR procedure? 35 yes Exclude DELSA/ELSA/WD/HTP(2008)1 Postoperative Respiratory Failure (2) Contd. from page 1 PDx is identical to the numerator definition? yes Exclude no no Count denominator population and report to OECD secretariat Add case to denominator population Intubation procedure coded? yes no SDx is identical to the numerator definition? Date of intubation procedure occurs one or more days after the main OR procedure? yes Count numerator population and report to OECD secretariat Add case to numerator population yes 36 DELSA/ELSA/WD/HTP(2008)1 Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT), Secondary Diagnosis Field per 100 Discharges (PSI 12) Numerator: 61. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD codes for deep vein thrombosis or pulmonary embolism in any secondary diagnosis field. ICD-9-CM Pulmonary Embolism and Deep Vein Thrombosis diagnosis codes: ICD-9-CM Pulmonary Embolism diagnosis codes: 41511 Iatrogenic pulmonary embolism and infarction 41519 Pulmonary embolism and infarction, other ICD-9-CM Deep Vein Thrombosis diagnosis codes: 45111 Phlebitis and thrombosis of femoral vein (deep) (superficial) 45119 Phlebitis and thrombophlebitis of deep vessel of lower extremities – other 4512 Phlebitis and thrombophlebitis of lower extremities 45181 Phlebitis and thrombophlebitis of iliac vein 4519 Phlebitis and thrombophlebitis of other sites – of unspecified site 45340 DVT-emblsm lower ext nos (Oct 04) 45341 DVT-emb prox lower ext 45342 DVT-emb distal lower ext 4538 Other venous embolism and thrombosis of other specified veins 4539 Other venous embolism and thrombosis of unspecified site ICD-10-WHO Pulmonary Embolism and Deep Vein Thrombosis diagnosis codes: I26.0 I26.9 I80.1 I80.2 I80.3 I80.8 I80.9 I82.8 I82.9 Pulmonary embolism with mention of acute cor pulmonale Pulmonary embolism without mention of acute cor pulmonale Phlebitis and thrombophlebitis of femoral vein Phlebitis and thrombophlebitis of other deep vessels of lower extremities Phlebitis and thrombophlebitis of lower extremities, unspecified Phlebitis and thrombophlebitis of other sites Phlebitis and thrombophlebitis of unspecified site Embolism and thrombosis of other specified veins Embolism and thrombosis of unspecified vein Denominator: 62. All surgical discharges age 18 and older with a code for an operating room procedure Exclude cases: • • • • With pre-existing (principal diagnosis or secondary diagnosis present on admission, if known) deep vein thrombosis or pulmonary embolism Where a procedure for interruption of vena cava is the only operating room procedure Where a procedure for interruption of vena cava occurs before or on the same day as the first operating room procedure o Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available. MDC 14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex M-3 ICD-9-CM Interruption of Vena Cava procedure code: 387 Interruption of vena cava 37 DELSA/ELSA/WD/HTP(2008)1 Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) Case is a surgical discharge with an OR procedure Age =18 y or >18 y? no Exclude yes Case is assigned to MDC 14 or the PDx is listed in table M3? yes Exclude no Only one OR procedure coded? yes no Interruption of vena cava coded? Coded procedure is interruption of vena cava? no yes Date of vena cava interruption is before the date of the first OR procedure? yes yes Exclude yes Exclude no no Date of vena cava interruption is equal to the date of the first OR procedure? yes Exclude Add case to denominator population SDx is identical to the numerator definition? Exclude no no PDx is identical to the numerator definition? yes Count denominator population and report to OECD secretariat Count numerator population and report to OECD secretariat Add case to numerator population 38 DELSA/ELSA/WD/HTP(2008)1 Postoperative Sepsis, Secondary Diagnosis Field per 100 Discharges (PSI 13) Numerator: 63. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD code for sepsis in any secondary diagnosis field. ICD-9-CM Sepsis diagnosis codes: 0380 03810 03811 03819 0382 0383 78552 78559 9980 Streptococcal septicaemia Staphylococcal ependence, unspecified Staphylococcus aureus septicaemia Other staphylococcal septicaemia Pneumococcal ependence (streptococcus pneumoniale ependence ) Septicaemia due to anaerobes Septic shock Other shock w/o mention of trauma Postoperative shock Septicaemia due to: 03840 03841 03842 03843 03844 03849 0388 0389 99591 99592 Gram-negative organism, unspecified Hemophilus influenzae Escherichia coli Pseudomonas Serratia Septicaemia due to other gram-negative organisms Other specified septicaemias Unspecified septicaemia Systemic inflammatory response syndrome due to infectious process w/o organ dysfunction Systematic inflammatory response syndrome due to infectious process w/organ dysfunction ICD-10-WHO Sepsis diagnosis codes: A40.0 A40.1 A40.2 A40.3 A40.8 A40.9 A41.0 A41.1 A41.2 A41.3 A41.4 A41.5 A41.8 A41.9 R57.8 T81.1 Septicaemia due to streptococcus, group a Septicaemia due to streptococcus, group b Septicaemia due to streptococcus, group d Septicaemia due to streptococcus pneumoniae Other streptococcal septicaemia Streptococcal septicaemia, unspecified Septicaemia due to staphylococcus aureus Septicaemia due to other specified staphylococcus Septicaemia due to unspecified staphylococcus Septicaemia due to haemophilus influenzae Septicaemia due to anaerobes Septicaemia due to other gram-negative organisms Other specified septicaemia Septicaemia, unspecified Other shock Shock during or resulting from a procedure, not elsewhere classified Note: If country version of ICD contains a certain ICD-code for SIRS (Systemic Inflammatory Response syndrome, ICD-10: R65.-) add to numerator inclusion list. 39 DELSA/ELSA/WD/HTP(2008)1 Denominator: 64. All elective (defined by the admission type) surgical discharges age 18 and older with a code for an operating room procedure. Exclude cases: • • • • With pre-existing (principal diagnosis or secondary diagnosis present on admission, if known) sepsis or infection With a principal diagnosis of infection, or any code for immunocompromised state, or cancer MDC 14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex 2 - Code List M3 With length of stay of less than 4 days See Annex 1 - Code List C-1 for ICD-9-CM immunocompromised state codes See Annex 1 - Code List W-1 for ICD-10-WHO immunocompromised state codes See Annex 1 - Code List C-2 for ICD-9-CM cancer codes See Annex 1 - Code List W-2 for ICD-10-WHO cancer codes See Annex 1 - Code List C-10 for ICD-9-CM infection codes See Annex 1 - Code List W-10 for ICD-10-WHO infection codes 40 DELSA/ELSA/WD/HTP(2008)1 Case is a surgical discharge Admission type is elective? Postoperative Sepsis no Exclude yes Age =18 y or >18 y? no Exclude yes Length of stay is < 4 days? yes Exclude no Case is assigned to MDC 14 or the PDx is listed in table M3? yes Exclude no PDx is an infection (list C-10/W-10)? yes Exclude no PDx is immunocompromised state (list C-1 / W-1), or cancer (list C-2/W-2)? yes Exclude yes Exclude yes Exclude no SDx is immunocompromised state (list C-1 / W-1), or cancer (list C-2/W-2)? no PDx is identical to the numerator definition? no Add case to denominator population Count denominator population and report to OECD secretariat SDx is identical to the numerator definition? yes Add case to numerator population Count numerator population and report to OECD secretariat 41 DELSA/ELSA/WD/HTP(2008)1 Technical Difficulty with Procedure / Accidental Puncture or Laceration, Secondary Diagnosis Field per 100 Discharges (PSI 15) Numerator: 65. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD code denoting accidental cut, puncture, perforation or laceration during a procedure in any secondary diagnosis field. ICD-9-CM Accidental Puncture or Laceration diagnosis codes: Accidental cut, puncture, perforation, or haemorrhage during medical care. E8700 E8701 E8702 E8703 E8704 E8705 E8706 E8707 E8708 E8709 9982 Surgical operation Infusion or transfusion Kidney dialysis or other perfusion Injection or vaccination Endoscopic examination Aspiration of fluid or tissue, puncture, and catheterization Heart catheterization Administration of enema Other specified medical care Unspecified medical care Accidental puncture or laceration during a procedure ICD-10-WHO Accidental Puncture or Laceration diagnosis codes: T81.2 Y60.0 Y60.1 Y60.2 Y60.3 Y60.4 Y60.5 Y60.6 Y60.7 Y60.8 Y60.9 Accidental puncture and laceration during a procedure, not elsewhere classified Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during surgical operation Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during infusion or transfusion Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during kidney dialysis or other perfusion Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during injection or immunization Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during endoscopic examination Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during heart catheterization Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during aspiration, puncture and other catheterization Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during administration of enema Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during other surgical and medical care Unintentional cut, puncture, perforation or haemorrhage during surgical and care: during unspecified surgical and medical care 42 medical medical medical medical medical medical medical medical medical medical DELSA/ELSA/WD/HTP(2008)1 Denominator: 66. All surgical and medical discharges age 18 years and older. Exclude cases: • • With ICD-9-CM code denoting technical difficulty (e.g., accidental cut, puncture, perforation, or laceration) in the principal diagnosis field or secondary diagnosis present on admission, if known MDC 14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex 2 - Code List M-3 Technical Difficulty with Procedure Case is a surgical or a medical discharge Age =18 y or >18 y? no Exclude yes Case is assigned to MDC 14 or the PDx is listed in table M3? yes Exclude no PDx is identical to the numerator definition? yes no Add case to denominator population Count denominator population and report to OECD secretariat SDx is identical to the numerator definition? yes Count numerator population and report to OECD secretariat Add case to numerator population 43 Exclude DELSA/ELSA/WD/HTP(2008)1 Transfusion Reaction, Secondary Diagnosis Field per 100 Discharges (PSI 16) Numerator: 67. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD codes for transfusion reaction in any secondary diagnosis field. ICD-9-CM Transfusion Reaction diagnosis codes: 9996 9997 E8760 ABO incompatibility reaction Rh incompatibility reaction Mismatched blood in transfusion ICD-10-WHO Transfusion Reaction diagnosis codes: T80.3 T80.4 Y65.0 ABO incompatibility reaction Rh incompatibility reaction Mismatched blood used in transfusion Denominator: 68. All surgical and medical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium). Assign a principal diagnosis from Annex 2 - Code List M-3 if criteria “MDC 14” is not available. Exclude cases • With pre-existing (principal diagnosis or secondary diagnosis present on admission, if known) transfusion reaction 44 DELSA/ELSA/WD/HTP(2008)1 Transfusion Reaction Case is a surgical or a medical discharge Age =18 y or >18 y? no Case is assigned to MDC 14 or the PDx is listed in table M3? no Exclude yes yes PDx is identical to the numerator definition? yes Exclude no Add case to denominator population SDx is identical to the numerator definition? yes Count denominator population and report to OECD secretariat Count numerator population and report to OECD secretariat Add case to numerator population 45 DELSA/ELSA/WD/HTP(2008)1 Birth Trauma – Injury to Neonate, any Diagnosis Field per 100 Live-born Births (PSI 17) Numerator: 69. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD codes for birth trauma in any diagnosis field. ICD-9-CM Birth Trauma diagnosis codes: 7670 76711 7673 7674 7677 7678 7679 Subdural and cerebral haemorrhage (due to trauma or to intrapartum anoxia or hypoxia) Epicranial subaponeurotic haemorrhage (massive) (Oct 03) Injuries to skeleton (excludes clavicle) Injury to spine and spinal cord Other cranial and peripheral nerve injuries Other specified birth trauma Birth trauma, unspecified ICD-10-WHO Birth Trauma diagnosis codes: P10.0 P10.1 P10.2 P10.3 P10.4 P10.8 P10.9 P11.0 P11.1 P11.2 P11.4 P11.5 P11.9 P12.2 P13.0 P13.1 P13.2 P13.3 P13.8 P13.9 P14.2 P14.8 P14.9 P15.0 P15.1 P15.2 P15.3 P15.4 P15.5 P15.6 P15.8 P15.9 Subdural haemorrhage due to birth injury Cerebral haemorrhage due to birth injury Intraventricular haemorrhage due to birth injury Subarachnoid haemorrhage due to birth injury Tentorial tear due to birth injury Other intracranial lacerations and haemorrhages due to birth injury Unspecified intracranial laceration and haemorrhage due to birth injury Cerebral oedema due to birth injury Other specified brain damage due to birth injury Unspecified brain damage due to birth injury Birth injury to other cranial nerves Birth injury to spine and spinal cord Birth injury to central nervous system, unspecified Epicranial subaponeurotic haemorrhage due to birth injury Fracture of skull due to birth injury Other birth injuries to skull Birth injury to femur Birth injury to other long bones Birth injuries to other parts of skeleton Birth injury to skeleton, unspecified Phrenic nerve paralysis due to birth injury Birth injuries to other parts of peripheral nervous system Birth injury to peripheral nervous system, unspecified Birth injury to liver Birth injury to spleen Sternomastoid injury due to birth injury Birth injury to eye Birth injury to face Birth injury to external genitalia Subcutaneous fat necrosis due to birth injury Other specified birth injuries Birth injury, unspecified 46 DELSA/ELSA/WD/HTP(2008)1 Exclude infants: • • With a subdural or cerebral haemorrhage (subgroup of birth trauma coding) and any diagnosis code of pre-term infant (denoting birth weight of less than 2,500 grams and less than 37 weeks gestation or 34 weeks gestation or less). With injury to skeleton and any diagnosis code of osteogenesis imperfecta. Denominator: 70. All liveborn births (newborns). 71. The definition of newborn is any neonate with either: 1) A diagnosis code for an in-hospital liveborn birth or 2) An admission type of newborn, age in days at admission equal to zero, and not an ICD-9-CM diagnosis code for an out-of-hospital birth. 72. A neonate is defined as any discharge with age in days at admission between zero and 28 days (inclusive). If age in days is missing, then a neonate is defined as any DRG in MDC 15 (ICD-10-WHO code list in Annex 2 - Code List M-4) and an admission type of newborn, or a diagnosis code for an inhospital liveborn birth. Another option for identification of an in hospital birth may be the age in days at admission is 0 and the admission type is not transferred from another acute care facility. See Annex 1 - Code List C-11 for ICD-9-CM subdural or cerebral haemorrhage diagnosis codes See Annex 1 - Code List W-11 for ICD-10-WHO subdural or cerebral haemorrhage diagnosis codes See Annex 1 - Code List C-12 for ICD-9-CM preterm infant diagnosis codes See Annex 1 - Code List W-12 for ICD-10-WHO preterm infant diagnosis codes See Annex 1 - Code List C-13 for ICD-9-CM injury to skeleton diagnosis codes See Annex 1 - Code List W-13 for ICD-10-WHO injury to skeleton diagnosis codes See Annex 1 - Code List C-14 for ICD-9-CM osteogenesis imperfecta diagnosis codes See Annex 1 - Code List W-14 for ICD-10-WHO osteogenesis imperfecta diagnosis codes See Annex 1 - Code List C-15 for ICD-9-CM newborn in hospital live birth codes See Annex 1 - Code List W-15 for ICD-10-WHO newborn in hospital live birth codes See Annex 1 - Code List C-16 for ICD-9-CM newborn out of hospital codes See Annex 1 - Code List W-16 for ICD-10-WHO newborn out of hospital codes 47 DELSA/ELSA/WD/HTP(2008)1 Birth trauma - Injury to Neonate Count denominator population and report to OECD secretariat Liveborn neonate (PDx or SDx on list C-15 / W-15 and not on list C-16 / W-16) PDx is intracranial hemorrhage (list C-11 / W-11)? no PDx is preterm infant (list C-12 / W-12)? no SDx is preterm infant (list C-12 / W-12)? yes yes Exclude no yes SDx is intracranial hemorrhage (list C-11 / W-11)? yes Exclude SDx is osteogenesis imperfecta (list C-14 / W-14)? yes Exclude SDx is injury to skeleton (list C-13 / W-13)? yes Exclude no PDx is injury to skeleton (list C-13 / W-13)? yes no no PDx is osteogenesis imperfecta (list C-14 / W-14)? yes no no PDx is identical to the numerator definition? Add case to numerator population yes Count numerator population and report to OECD secretariat no SDx is identical to the numerator definition? Add case to numerator population yes 48 DELSA/ELSA/WD/HTP(2008)1 Obstetric Trauma – Vaginal Delivery with Instrument, any Diagnosis or Procedure Field per 100 Vaginal Deliveries (PSI 18)9 Numerator10: 73. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD9-CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field. ICD-9-CM Obstetric Trauma diagnosis codes: 66420.1,4 66430.1,4 Trauma to perineum and vulva during delivery, third degree perineal laceration Trauma to perineum and vulva during delivery, fourth degree perineal laceration ICD-9-CM Obstetric Trauma procedure codes: 7550 7551 7552 7561 7562 Repair of current obstetric lacerations of uterus Repair of current obstetric lacerations of cervix Repair of current obstetric lacerations of corpus uteri Repair of current obstetric lacerations of bladder and urethra Repair of current obstetric lacerations of rectum and sphincter ICD-10-WHO Obstetric Trauma diagnosis codes: O70.2 O70.3 Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Denominator: 74. All vaginal delivery discharges with any procedure code for instrument-assisted delivery. ICD-9-CM Instrument-Assisted Delivery procedure codes: 720 721 7221 7229 7231 7239 724 7251 7253 726 7271 7279 728 729 Low forceps operation Low forceps operation w/ episiotomy Mid forceps operation w/ episiotomy Other mid forceps operation High forceps operation w/ episiotomy Other high forceps operation Forceps rotation of fetal head Partial breech extraction w/ forceps to aftercoming head Total breech extraction w/ forceps to aftercoming head Forceps application to aftercoming head Vacuum extraction w/ episiotomy Vacuum extraction delivery nec Other specified instrumental delivery Unspecified instrumental delivery 9. It is noted that the Obstetric Trauma – Vaginal Delivery with instrument indicator and the Obstetric Trauma – Vaginal Delivery without instrument indicator were initially combined and specified as a single indicator for the purposes of an initial pilot calculation of the indicator set by several participating countries in 2007. 10. In contrast to OECD Health Technical Paper No.18 (OECD, 2004) the definition of this numerator had been harmonised to the AHRQ definition. 49 DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Outcome of delivery codes: “Note: This category is intended for the coding of the outcome of delivery on the mother’s record.” (Department of Health and Human Services, 2007) V27.0 V27.1 V27.2 V27.3 V27.4 V27.5 V27.6 V27.7 V27.9 Single liveborn Single stillborn Twins, both liveborn Twins, one liveborn and one stillborn Twins, both stillborn Other multiple birth, all liveborn Other multiple birth, some liveborn Other multiple birth, all stillborm Unspecified outcome of delivery ICD-10-WHO Outcome of delivery codes: “Note: This category is intended for use as an additional code to identify the outcome of delivery on the mother’s record.”(WHO, 2006) Z37.0 Z37.1 Z37.2 Z37.3 Z37.4 Z37.5 Z37.6 Z37.7 Z37.9 Single live birth Single stillbirth Twins, both liveborn Twins, one liveborn and one stillborn Twins, both stillborn Other multiple births, all liveborn Other multiple births, some liveborn Other multiple births, all stillborn Outcome of delivery, unspecified 50 DELSA/ELSA/WD/HTP(2008)1 Obstetric trauma - Vaginal Delivery with Instrument Case is a vaginal delivery discharge Procedure code for instrument-assisted vaginal delivery in data? no Exclude yes Count denominator population and report to OECD secretariat Add case to denominator population PDx is identical to the numerator definition? yes Add case to numerator population yes Add case to numerator population yes Add case to numerator population no SDx is identical to the numerator definition? no Procedure is identical to the numerator definition? 51 Count numerator population and report to OECD secretariat DELSA/ELSA/WD/HTP(2008)1 Obstetric Trauma―Vaginal Delivery without Instrument (PSI 19)11 Numerator: 75. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD9-CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field. ICD-9-CM Obstetric Trauma diagnosis codes: 66420.1,4 66430.1,4 Trauma to perineum and vulva during delivery, third degree perineal laceration Trauma to perineum and vulva during delivery, fourth degree perineal laceration ICD-9-CM Obstetric Trauma procedure codes: 7550 7551 7552 7561 7562 Repair of current obstetric lacerations of uterus Repair of current obstetric lacerations of cervix Repair of current obstetric lacerations of corpus uteri Repair of current obstetric lacerations of bladder and urethra Repair of current obstetric lacerations of rectum and sphincter ICD-10-WHO Obstetric Trauma diagnosis codes: O70.2 O70.3 Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Denominator: 76. All vaginal delivery discharge patients. ICD-9-CM Outcome of delivery codes: “Note: This category is intended for the coding of the outcome of delivery on the mother’s record.” (Department of Health and Human Services, 2007) V27.0 V27.1 V27.2 V27.3 V27.4 V27.5 V27.6 V27.7 V27.9 11. Single liveborn Single stillborn Twins, both liveborn Twins, one liveborn and one stillborn Twins, both stillborn Other multiple birth, all liveborn Other multiple birth, some liveborn Other multiple birth, all stillborm Unspecified outcome of delivery It is noted that the Obstetric Trauma – Vaginal Delivery with instrument indicator and the Obstetric Trauma – Vaginal Delivery without instrument indicator were initially combined and specified as a single indicator for the purposes of an initial pilot calculation of the indicator set by several participating countries in 2007. 52 DELSA/ELSA/WD/HTP(2008)1 ICD-10-WHO Outcome of delivery codes: “Note: This category is intended for use as an additional code to identify the outcome of delivery on the mother’s record.”(WHO, 2006) Z37.0 Z37.1 Z37.2 Z37.3 Z37.4 Z37.5 Z37.6 Z37.7 Z37.9 Single live birth Single stillbirth Twins, both liveborn Twins, one liveborn and one stillborn Twins, both stillborn Other multiple births, all liveborn Other multiple births, some liveborn Other multiple births, all stillborn Outcome of delivery, unspecified Exclude cases: • With instrument-assisted delivery. ICD-9-CM Instrument-Assisted Delivery procedure codes 720 721 7221 7229 7231 7239 724 7251 7253 726 7271 7279 728 729 Low forceps operation Low forceps operation w/ episiotomy Mid forceps operation w/ episiotomy Other mid forceps operation High forceps operation w/ episiotomy Other high forceps operation Forceps rotation of fetal head Partial breech extraction w/ forceps to aftercoming head Total breech extraction w/ forceps to aftercoming head Forceps application to aftercoming head Vacuum extraction w/ episiotomy Vacuum extraction delivery nec Other specified instrumental delivery Unspecified instrumental delivery 53 DELSA/ELSA/WD/HTP(2008)1 Obstetric trauma - Vaginal Delivery without Instrument Case is a vaginal delivery discharge Procedure code for instrument-assisted vaginal delivery in data? yes Exclude no Count denominator population and report to OECD secretariat Add case to denominator population PDx is identical to the numerator definition? yes Add case to numerator population yes Add case to numerator population yes Add case to numerator population no SDx is identical to the numerator definition? Count numerator population and report to OECD secretariat no Procedure is identical to the numerator definition? 54 DELSA/ELSA/WD/HTP(2008)1 Obstetric Trauma – Caesarean Section, any Diagnosis or Procedure Field per 100 Caesarean Section Deliveries (PSI 20) Numerator12: 77. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD9-CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field. ICD-9-CM Obstetric Trauma diagnosis codes: 66420.1,4 66430.1,4 Trauma to perineum and vulva during delivery, third degree perineal laceration Trauma to perineum and vulva during delivery, fourth degree perineal laceration ICD-9-CM Obstetric Trauma procedure codes: 7550 7551 7552 7561 7562 Repair of current obstetric lacerations of uterus Repair of current obstetric lacerations of cervix Repair of current obstetric lacerations of corpus uteri Repair of current obstetric lacerations of bladder and urethra Repair of current obstetric lacerations of rectum and sphincter ani ICD-10-WHO Obstetric Trauma diagnosis codes: O70.2 O70.3 Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Denominator: 78. All caesarean delivery discharges. ICD-9-CM Caesarean Delivery procedure codes: 74.0 74.1 74.2 74.4 74.99 12. Classical caesarean Low cervical caesarean Extraperitoneal caesarean section Caesarean section of other specified type Other caesarean section of unspecified type In contrast to OECD Health Technical Paper No. 18 (OECD, 2004) the definition of this numerator had been harmonised to the AHRQ definition. 55 DELSA/ELSA/WD/HTP(2008)1 Obstetric Trauma - Cesarean Section Count denominator population and report to OECD secretariat Case is a delivery by c-section discharge PDx is identical to the numerator definition? yes Add case to numerator population yes Add case to numerator population no SDx is identical to the numerator definition? Count numerator population and report to OECD secretariat no Procedure is identical to the numerator definition? yes Add case to numerator population 56 DELSA/ELSA/WD/HTP(2008)1 ANNEX 1: DENOMINATOR CALCULATION CODE LISTS Code List C: ICD-9-CM codes for denominator calculation (refer to codes below) App No. C-1 C-2 C-3 C-4 C-5 C-6 C-7 C-8 C-9 C-10 Code List ICD-9-CM immunocompromised state codes ICD-9-CM cancer codes ICD-9-CM hemiplegia codes ICD-9-CM spina bifida or anoxic brain damage codes Self-Inflicted Injury Diagnosis ICD-9-CM Codes Poisoning due to anaesthetics ICD-9-CM Codes ICD-9-CM codes for Drug dependence and active nondependent abuse of drugs ICD-9-CM codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury ICD-9-CM codes for metastatic cancer, lymphoid malignancy or bone malignancy ICD-9-CM codes for infections Indicator Function Infection due to medical care postoperative sepsis Infection due to medical care Postoperative sepsis Decubitus ulcer Decubitus ulcer Complications of anaesthesia, postoperative hip fracture Complications of anaesthesia Complications of anaesthesia Postoperative hip fracture Denominator exclusion, if principal diagnosis or secondary diagnosis Denominator exclusion, if principal diagnosis or secondary diagnosis Denominator exclusion, if principal diagnosis or secondary diagnosis Denominator exclusion, if principal diagnosis or secondary diagnosis Complications of anaesthesia: denominator exclusion, if coded together with drug dependence and active nondependent abuse of drugs (c-7) Hip fracture: denominator exclusion, if principal diagnosis or secondary diagnosis Denominator exclusion, if coded together with drug dependence and active nondependent abuse of drugs (c-7) Denominator exclusion, if coded together with self-inflicted injury diagnosis (c-5) or poisoning due to anaesthetics icd-9-cm codes (c-6) Denominator exclusion, if principal diagnosis Postoperative hip fracture Denominator exclusion, if principal diagnosis or secondary diagnosis Postoperative sepsis Denominator exclusion, if principal diagnosis 57 DELSA/ELSA/WD/HTP(2008)1 App No. C-11 C-12 C-13 C-14 C-15 C-16 C-17 C-18 Code List Indicator Function ICD-9-CM subdural or cerebral haemorrhage diagnosis codes ICD-9-CM Preterm Infant diagnosis codes Injury to neonate Denominator exclusion, if coded together with preterm infant diagnosis codes (c-12) Injury to neonate ICD-9-CM injury to skeleton diagnosis codes ICD-9-CM osteogenesis imperfecta diagnosis codes ICD-9-CM Newborn in Hospital Live Birth Codes ICD-9-CM Newborn out of Hospital Codes ICD-9-CM chest trauma or pleural effusion codes ICD-9-CM neuromuscular disorder codes Injury to neonate Denominator exclusion, if coded together with subdural or cerebral haemorrhage diagnosis codes (c-11) Denominator exclusion, if coded together with osteogenesis imperfecta diagnosis codes (c-14) Denominator exclusion, if coded together with injury to skeleton diagnosis codes (c-13) Injury to neonate Injury to neonate Denominator inclusion Injury to neonate Denominator exclusion Iatrogenic pneumothorax Postoperative respiratory failure Denominator exclusion Denominator exclusion 58 DELSA/ELSA/WD/HTP(2008)1 C-1: ICD-9-CM Immunocompromised States diagnosis codes: 042 363 260 261 262 23873 23876 27900 27901 27902 27903 27904 27905 27906 27909 27910 27911 27912 27913 27919 2792 2793 2794 2798 2799 28409 2841 2880 28800 28801 28802 28803 28809 2881 2882 2884 28850 28851 28859 28953 28983 40301 40311 40391 40402 40403 40412 Human immunodeficiency virus disease Pneumocystosis Kwashiorkor (Oct 05) Nutritional marasmus (Oct 05) Oth severe malnutrition (Oct 05) Hi grde myelodys syn les (Oct 06) Myelofi w myelo metaplas(Oct 06) Hypogammaglobulinem nos Selective iga immunodef Selective igm immunodef Selective ig defic nec Cong hypogammaglobulinem Immunodefic w hyper-igm Common variabl immunodef Humoral immunity def nec Immundef t-cell def nos Digeorges syndrome Wiskott-aldrich syndrome Nezelofs syndrome Defic cell immunity nos Combined immunity deficiency Unspecified immunity deficiency Autoimmune disease, not elsewhere classified Other specified disorders involving the immune mechanism Unspecified disorder of immune mechanism Const aplastc anemia nec (Oct 06) Pancytopenia (Oct 06) Agranulocytosis (Oct 05) Neutropenia nos (Oct 06) Congenital neutropenia (Oct 06) Cyclic neutropenia (Oct 06) Drug induced neutropenia (Oct 06) Neutropenia nec (Oct 06) Function dis neutrophils (Oct 05) Genetic anomaly leukocyt (Oct 05) Hemophagocytic syndromes (Oct 06) Leukocytopenia nos (Oct 06) Lymphocytopenia (Oct 06) Decreased wbc count nec (Oct 06) Neutropenic splenomegaly (Oct 06) Myelofibrosis (Oct 06) Mal hyp kidney w chr kid (Oct 05) Ben hyp kidney w chr kid (Oct 05) Hyp kidney nos w chr kid (Oct 05) Mal hy hrt/kid w chr kid (Oct 05) Mal hyp hrt/kid w hf/kid (Oct 05) Ben hyp ht/kid w chr kid (Oct 05) 59 DELSA/ELSA/WD/HTP(2008)1 C-1: ICD-9-CM Immunocompromised States diagnosis codes (continued): 40413 40492 40493 5793 585 5855 5856 9968 99680 99681 99682 99683 99684 99685 99686 99687 99689 V420 V421 V426 V427 V428 V4281 V4282 V4283 V4284 V4289 V451 V560 V561 V562 Ben hyp ht/kid w hf/kid (Oct 05) Hyp ht/kid nos w chr kid (Oct 05) Hyp hrt/kid nos w hf/kid (Oct 05) Intest postop nonabsorb (Oct 05) Chronic kidney disease (Oct 05) Chron kidney dis stage v (Oct 05) End stage renal disease (Oct 05) Complications of transplanted organ Comp organ transplnt nos Compl kidney transplant Compl liver transplant Compl heart transplant Compl lung transplant Compl marrow transplant Compl pancreas transplnt Comp intestine transplnt Comp oth organ transplnt Kidney replaced by transplant Heart replaced by transplant Lung replaced by transplant Liver replaced by transplant Other specified organ or tissue Bone marrow specified by transplant Peripheral stem cells replaced by transplant Pancreas replaced by transplant Intestines replace by transplant Other replaced by transplant Renal dialysis status (Oct 05) Renal dialysis encounter (Oct 05) Ft/adj xtrcorp dial cath (Oct 05) Fit/adj perit dial cath (Oct 05) 60 DELSA/ELSA/WD/HTP(2008)1 C-2: ICD-9-CM cancer codes (includes 4th and 5th digits) 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 Malignant neoplasm of lip Malignant neoplasm of tongue Malignant neoplasm of major salivary glands Malignant neoplasm of gum Malignant neoplasm of floor of mouth 179 180 181 Malignant neoplasm of uterus, part unspecified Malignant neoplasm of cervix uteri Malignant neoplasm of placenta 182 183 Malignant neoplasm of body of uterus Malignant neoplasm of ovary and other uterine adnexa Malignant neoplasm of other and unspecified female genital organs Malignant neoplasm of prostate Malignant neoplasm of testes Malignant neoplasm of penis and other male genital organs Malignant neoplasm of bladder Malignant neoplasm of other and unspecified parts of mouth Malignant neoplasm of oropharynx Malignant neoplasm of nasopharynx Malignant neoplasm of hypopharynx 184 Malignant neoplasm of other and illdefined sites within the lip, oral cavity, and pharynx Malignant neoplasm of esophagus 188 Malignant neoplasm of stomach Malignant neoplasm of small intestine, including duodenum Malignant neoplasm of colon 185 186 187 189 Malignant neoplasm of kidney and other and unspecified urinary organs Malignant neoplasm of eye Malignant neoplasm of brain 190 191 Malignant neoplasm of rectum, rectosigmoid junction, and anus Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of gallbladder and extrahepatic bile ducts Malignant neoplasm of pancreas 193 Malignant neoplasm of other and unspecified parts of nervous system Malignant neoplasm of thyroid gland 194 Endocrine glands and related structures 195 Malignant neoplasm of other, and ill-defined sites 196 Malignant neoplasm of retroperitoneum and peritoneum Malignant neoplasm of other and illdefined sites within the digestive organs and peritoneum Malignant neoplasm of nasal cavities, middle ear, andaccessory sinuses Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus, and lung Malignant neoplasm of pleura 197 198 Secondary and unspecified malignant neoplasm of lymph nodes Secondary malignant neoplasm of respiratory and digestive systems Secondary malignant neoplasm of other specified sites 199 Malignant neoplasm w/o specification of site 200 201 Lymphosarcoma and reticulosarcoma Hodgkin’s Disease 202 Other malignant neoplasms of lymphoid and histiocytic tissues Multiple myeloma and immunoproliferative neoplasms Lymphoid leukemia Malignant neoplasm of thymus, heart, and mediastinum Malignant neoplasm of other and illdefined sites within the respiratory system and intrathoracic organs 192 203 204 61 DELSA/ELSA/WD/HTP(2008)1 C-2: ICD-9-CM cancer codes (includes 4th and 5th digits)(continued) 170 172 174 175 Malignant neoplasm of bone and205 articular cartilage Malignant neoplasm of connective and206 other soft tissue Malignant melanoma of skin 207 Malignant neoplasm of female breast 208 Malignant neoplasm of male breast 2386 176 Karposi’s Sarcoma 171 Myeloid leukemia Monocytic leukemia Other specified leukemia Leukemia of unspecified cell type Neoplasm of uncertain behavior of other and unspecified sites and tissues, plasma cells Macroglobulinemia 2733 Personal history of malignant neoplasm: V1000 V1001 V1002 V1003 V1004 V1005 V1006 V1007 V1009 V1011 V1012 V1020 V1021 V1022 V1029 V103 V1040 V1041 V1042 V1043 V1044 V1045 V1046 V1047 V1048 Gastrointestinal tract, unspecified V1049 Tongue V1050 Other and unspecified oral cavity and V1051 pharynx Esophagus V1052 Stomach V1053 Large intestine V1059 Rectum, rectosigmoid junction, and V1060 anus Liver V1061 Other V1062 Bronchus and lung V1063 Trachea V1069 Respiratory organ, unspecified V1071 Larynx V1072 Nasal cavities, middle ear, and V1079 accessory sinuses Other respiratory and intrathoracic V1081 organs, other Breast V1082 Female genital organ, unspecified V1083 Cervix uteri V1084 Other parts of uterus V1085 Ovary V1086 Other female genital organs V1087 Male genital organ, unspecified V1088 Prostate V1089 Testes V109 Epididymis 62 Other male genital organs Urinary organ, unspecified Bladder Kidney Renal pelvis Urinary organs, other Leukemia, unspecified Lymphoid leukemia Myeloid leukemia Monocytic leukemia Leukemia, other Lymphosarcoma and reticulosarcoma Hodgkin’s Disease Other lymphatic and hematopoietic neoplasms, other Bone Malignant melanoma of skin Other malignant neoplasm of skin Eye Brain Other parts of nervous system Thyroid Other endocrine glands and related structures Other Unspecified personal history of malignant neoplasm DELSA/ELSA/WD/HTP(2008)1 C-3: ICD-9-CM hemiplegia codes 33371 3420 3421 3428 3429 3430 3431 3432 3433 3434 3438 3439 3440 3441 3442 3443 3444 3445 3446 3448 3449 4382 4383 4384 4385 7687 Athetoid cerebral palsy (Oct 06) Flaccid hemiplegia Spastic hemiplegia Other specified hemiplegia Hemiplegia, unspecified Infantile cerebral palsy, diplegic Infantile cerebral palsy, hemiplegic Infantile cerebral palsy, quadriplegic Infantile cerebral palsy, monoplegic Infantile cerebral palsy infantile hemiplegia Infantile cerebral palsy other specified infantile cerebral palsy Infantile cerebral palsy, infantile cerebral palsy, unspecified Quadriplegia and quadriparesis Paraplegia Diplegia of upper limbs Monoplegia of lower limb Monoplegia of upper limb Unspecified monoplegia Cauda equina syndrome Other specified paralytic syndromes Paralysis, unspecified Hemiplegia/hemiparesis Monoplegia of upper limb Monoplegia of lower limb Other paralytic syndrome Hypoxic-ischemic enceph (Oct 06) C-4: ICD-9-CM spina bifida or anoxic brain damage codes 3481 74100 74101 74102 74103 74190 74191 74192 74193 7685 Anoxic brain damage Spina bifida, w hydrocephalus unspecified region Spina bifida, w hydrocephalus cervical region Spina bifida, w hydrocephalus dorsal region Spina bifida, w hydrocephalus lumbar region Spina bifida, w/o hydrocephalus unspecified region Spina bifida, w/o hydrocephalus cervical region Spina bifida, w/o hydrocephalus dorsal region Spina bifida, w/o hydrocephalus lumbar region Severe birth asphyxia 63 DELSA/ELSA/WD/HTP(2008)1 C-5: ICD-9-CM Self-Inflicted Injury diagnosis codes: Suicide and self-inflicted poisoning by solid or liquid substance: E9500 E9501 E9502 E9503 E9504 E9505 E9506 E9507 E9508 E9509 Analgesics, antipyretics, and antirheumatics Barbiturates Other sedative and hypnotics Tranquilizers and other psychotropic agents Other specified drugs and medicinal substances Unspecified drug or medicinal substance Agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers Corrosive and caustic substances Arsenic and its compounds Other and unspecified solid and liquid substances Suicide and self-inflicted poisoning by gases in domestic use: E9510 E9511 E9518 Gas distributed by pipeline Liquefied petroleum gas distributed in mobile containers Other utility gases Suicide and self-inflicted poisoning by other gases and vapors: E9520 E9521 E9528 E9529 Motor vehicle exhaust gas Other carbon monoxide Other specified gases and vapors Unspecified gases and vapors Suicide and self-inflicted injury by hanging, strangulation, and suffocation: E9530 E9531 E9538 E954 Hanging Suffocation by plastic bag Other specified means Suicide and self-inflicted injury by submersion [drowning] Suicide and self-inflicted injury by firearms and explosives: E9550 E9551 E9552 E9553 E9554 E9555 E9559 E956 Handgun Shotgun Hunting rifle Military firearms Other and unspecified firearms Explosives Unspecified Suicide and self inflicted injury by cutting and piercing instrument Suicide and self-inflicted injury by jumping from a high place: E9570 E9571 E9572 E9579 Residential premises Other man-made structures Natural sites Unspecified 64 DELSA/ELSA/WD/HTP(2008)1 Suicide and self-inflicted injury by other and unspecified means: E9580 E9581 E9582 E9583 E9584 E9585 E9586 E9587 E9588 E9589 Jumping or lying before moving object Burns, fire Scald Extremes of cold Electrocution Crashing of motor vehicle Crashing of aircraft Caustic substances except poisoning Other specified means Unspecified means C-6: ICD-9-CM codes for Poisoning by other central nervous system depressants and anaesthetics: 9681 9682 9683 9684 9687 E8551 Halothane Other gaseous anesthetics Intravenous anesthetics Other and unspecified general anesthetics Spinal anesthetics Accidental poisoning, other nervous system depressants C-7: ICD-9-CM Drug dependence diagnosis codes 30400 30401 30402 30410 30411 30412 30420 30421 30422 30430 30431 30432 30440 30441 30442 30450 30451 30452 30460 30461 Opioid type dependence - unspecified Opioid type dependence - continuous Opioid type dependence - episodic Barbiturate and similarly acting sedative or hypnotic dependence - unspecified Barbiturate and similarly acting sedative or hypnotic dependence - continuous Barbiturate and similarly acting sedative or hypnotic dependence - episodic Cocaine dependence - unspecified Cocaine dependence - continuous Cocaine dependence - episodic Cannabis dependence - unspecified Cannabis dependence - continuous Cannabis dependence - episodic Amphetamine and other psycho stimulant dependence - unspecified Amphetamine and other psycho stimulant dependence - continuous Amphetamine and other psycho stimulant dependence - episodic Hallucinogen dependence - unspecified Hallucinogen dependence - continuous Hallucinogen dependence - episodic Other specified drug dependence - unspecified Other specified drug dependence - continuous 65 DELSA/ELSA/WD/HTP(2008)1 C-7: ICD-9-CM Drug dependence diagnosis codes (continued) 30462 30470 30471 30472 30480 30481 30482 30490 30491 30492 Other specified drug dependence - episodic Combinations of opioid type drug w/ any other - unspecified Combinations of opioid type drug w/ any other - continuous Combinations of opioid type drug w/ any other - episodic Combinations of drug excluding opioid type drug - unspecified Combinations of drug excluding opioid type drug - continuous Combinations of drug excluding opioid type drug - episodic Unspecified drug dependence - unspecified Unspecified drug dependence - continuous Unspecified drug dependence - episodic ICD-9-CM Active Nondependent Abuse of Drugs diagnosis codes: 30520 30521 30522 30530 30531 30532 30540 30541 30542 30550 30551 30552 30560 30561 30562 30570 30571 30572 30580 30581 30582 30590 30591 30592 Cannabis abuse - unspecified Cannabis abuse - continuous Cannabis abuse - episodic Hallucinogen abuse - unspecified Hallucinogen abuse - continuous Hallucinogen abuse - episodic Barbiturate and similarly acting sedative or hypnotic abuse - unspecified Barbiturate and similarly acting sedative or hypnotic abuse - continuous Barbiturate and similarly acting sedative or hypnotic abuse - episodic Opioid abuse - unspecified Opioid abuse - continuous Opioid abuse - episodic Cocaine abuse - unspecified Cocaine abuse - continuous Cocaine abuse - episodic Amphetamine or related acting sympathomimetic abuse - unspecified Amphetamine or related acting sympathomimetic abuse - continuous Amphetamine or related acting sympathomimetic abuse - episodic Antidepressant type abuse - unspecified Antidepressant type abuse - continuous Antidepressant type abuse - episodic Other, mixed, or unspecified drug abuse - unspecified Other, mixed, or unspecified drug abuse - continuous Other, mixed, or unspecified drug abuse - episodic 66 DELSA/ELSA/WD/HTP(2008)1 C-8: ICD-9-CM codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury ICD-9-CM Seizure diagnosis codes: 34500 34501 34510 34511 3452 3453 34540 34541 34550 34551 34560 34561 34570 34571 34580 34581 34590 34591 7803 78031 78032 78039 7803 Generalized nonconvulsive epilepsy – w/o mention of intractable epilepsy Generalized nonconvulsive epilepsy – w/ intractable epilepsy Generalized convulsive epilepsy – w/o mention of intractable epilepsy Generalized convulsive epilepsy – w/ intractable epilepsy Epilepsy – petit mal status Epilepsy – grand mal status Partial epilepsy, w/ impairment of consciousness – w/o intractable epilepsy Partial epilepsy, w/ impairment of consciousness – w/ mention of intractable epilepsy Partial epilepsy, w/o mention of impairment of consciousness – w/o mention of intractable epilepsy Partial epilepsy, w/o mention of impairment of consciousness – w/ intractable epilepsy Infantile spasms – w/o mention of intractable epilepsy Infantile spasms – w/ intractable epilepsy Epilepsia partialis continua – w/o mention of intractable epilepsy Epilepsia partialis continua – w/ intractable epilepsy Other forms of epilepsy – w/o mention of intractable epilepsy Other forms of epilepsy – w/ intractable epilepsy Epilepsy, unspecified – w/o mention of intractable epilepsy Epilepsy, unspecified – w/ intractable epilepsy Convulsions Febrile convulsions Complx febrile convulsns (Oct 06) Other convulsions Convulsions (old code no longer valid) 67 DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Trauma diagnosis codes (includes 4thand 5thdigits), New codes are listed through 5thdigit: 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 817 818 819 820 821 822 823 824 825 827 828 829 830 831 832 833 835 836 837 838 839 850 85011 85012 851 852 853 854 860 861 862 863 864 865 866 867 868 869 Fracture of vault of skull Fracture of base of skull Fracture of face bones Other and unqualified skull fractures Multiple fractures involving skull or face w/ other bones Fracture of vertebral column w/o mention of spinal cord injury Fracture of vertebral column w/ spinal cord injury Fracture of rib[s] sternum, larynx, and trachea Fracture of pelvis Ill-defined fractures of bones of trunk Fracture of clavicle Fracture of scapula Fracture of humerus Fracture of radius and ulna Fracture of carpal bone[s] Fracture of metacarpal bone[s] Multiple fracture of hand bones Ill-defined fractures of upper limb Multiple fractures involving both upper limbs, and upper limb w/ rib and sternum Fracture of neck of femur Fracture of other and unspecified parts of femur Fracture of patella Fracture of tibia and fibula Fracture of ankle Fracture of one or more tarsal and metatarsal bones Other, multiple, and ill-defined fractures of lower limb Multiple fractures involving both lower limbs, lower w/ upper limb, and lower limb w/ rib and sternum Fracture of unspecified bones Dislocation of jaw Dislocation of shoulder Dislocation of elbow Dislocation of wrist Dislocation of hip Dislocation of knee Dislocation of ankle Dislocation of foot Other, multiple, and ill-defined dislocations Concussion Concussion w/ brief coma <31 minutes (Oct 03) Concussion w/ brief coma 31-59 minutes (Oct 03) Cerebral laceration and contusion Subarachnoid, subdural, and extradural hemorrhage, following injury Other and unspecified intracranial hemorrhage following injury Intracranial injury of other and unspecified nature Traumatic pneumothorax Injury to heart and lung Injury to other and unspecified intrathoracic organs Injury to gastrointestinal tract Injury to liver Injury to spleen Injury to kidney Injury to pelvic organs Injury to other intra-abdominal organs Internal injury to unspecified or ill-defined organs 68 DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Trauma diagnosis codes (includes 4thand 5thdigits), New codes are listed through 5thdigit (continued): 870 871 872 873 874 875 876 877 878 879 880 881 882 884 887 890 891 892 894 896 897 900 901 902 903 904 925 926 927 928 929 940 941 942 943 944 945 946 947 948 949 952 953 958 Open wound of ocular adnexa Open wound of eyeball Open wound of ear Other open wound of head Open wound of neck Open wound of chest [wall] Open wound of back Open wound of buttock Open wound of genital organs [external] including traumatic amputation Open wound of other and unspecified sites, except limbs Open wound of shoulder and upper arm Open wound of elbow, forearm, and wrist Open wound of hand except finger alone Multiple and unspecified open wound of upper limb Traumatic amputation of arm and hand (complete) (partial) Open wound of hip and thigh Open wound of knee, leg (except thigh) and ankle Open wound of foot except toe alone Multiple and unspecified open wound of lower limb Traumatic amputation of foot (complete) (partial) Traumatic amputation of leg[s] (complete) (partial) Injury to blood vessels of head and neck Injury to blood vessels of thorax Injury to blood vessels of abdomen and pelvis Injury to blood vessels of upper extremity Injury to blood vessels of lower extremity and unspecified sites Crushing injury of face, scalp, and neck Crushing injury of trunk Crushing injury of upper limb Crushing injury of lower limb Crushing injury of multiple and unspecified sites Burn confined to eye and adnexa Burn of face, head, and neck Burn of trunk Burn of upper limb, except wrist and hand Burn of wrist[s] and hand[s] Burn of lower limb[s] Burns of multiple specified sites Burn of internal organs Burns classified according to extent of body surface involved Burn, unspecified Spinal chord injury w/o evidence of spinal bone injury Injury to nerve roots and spinal plexus Certain early complications of trauma ICD-9-CM Syncope diagnosis codes: 7802 Syncope and collapse 69 DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Stroke diagnosis codes: 430 431 4320 4321 4329 436 99702 Subarachnoid hemorrhage Intracerebral hemorrhage Nontraumatic extradural hemorrhage Subdural hemorrhage Unspecified intracranial hemorrhage Acute, but ill-defined cerebrovascular disease Postoperative cerebrovascular accident Occlusion and stenosis of precerebral arteries: 43301 43311 43321 43331 43381 43391 Basilar artery, w/ cerebral infarction Carotid artery, w/ cerebral infarction Vertebral artery - w/ cerebral infarction Multiple and bilateral w/ cerebral infarction Other specified precerebral artery w/ cerebral infarction Occlusion and stenosis of precerebral arteries, unspecified precerebral artery w/ cerebral infarction Occlusion of cerebral arteries: 43401 43411 43491 Cerebral thrombosis – w/ cerebral infarction Cerebral embolism – w/ cerebral infarction Cerebral artery occlusion, unspecified - w/ cerebral infarction ICD-9-CM Coma diagnosis codes: 25020 25021 25022 25023 25030 25031 25032 25033 2510 5722 78001 78003 Diabetes w/ hyperosmolarity, type 2 [noninsulin dependent type][niddm type][adult- onset] or unspecified type, not stated as uncontrolled Diabetes w/ hyperosmolarity, type 1 [insulin dependent type][iddm-type] [juvenile type], not stated as uncontrolled Diabetes w/ hyperosmolarity, type 2 Diabetes mellitus, diabetes w/ hyperosmolarity, type 1 [insulin dependent type] [iddm-type] [juvenile type] uncontrolled Diabetes w/ other coma, type 2 not stated as uncontrolled Diabetes w/ other coma, type 1 not stated as uncontrolled Diabetes mellitus, diabetes w/ other coma, type 2 uncontrolled Diabetes mellitus, diabetes w/ other coma, type 1 uncontrolled Other disorders of pancreatic internal secretion, hypoglycemic coma Liver abscess and sequelae of chronic liver disease, hepatic coma General symptoms, alteration of consciousness, coma General symptoms, alteration of consciousness persistent vegetative state ICD-9-CM Cardiac Arrest diagnosis code: 4275 Cardiac arrest 70 DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Poisoning diagnosis codes (includes 4th and 5th digits): 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 E850 E851 E852 E853 E854 E855 E856 E857 E858 E860 E861 E862 E863 E864 E865 E866 E867 E868 E869 E951 E952 E962 E980 E981 E982 Poisoning by antibiotics Poisoning by other anti-infectives Poisoning by hormones and synthetic substitutes Poisoning by primarily systemic agents Poisoning by agents primarily affecting blood constituents Poisoning by analgesics, antipyretics, and antirheumatics Poisoning by anticonvulsants and anti-Parkinsonism drugs Poisoning by sedatives and hypnotics Poisoning by other central nervous system depressants and anesthetics Poisoning by psychotropic agents Poisoning by central nervous system stimulants Poisoning by drugs primarily affecting the autonomic nervous system Poisoning by agents primarily affecting the cardiovascular system Poisoning by agents primarily affecting the gastrointestinal system Poisoning by water, mineral, and uric acid metabolism drugs Poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system Poisoning by agents primarily affecting skin and mucous membrane, opthamological, otorhinolaryncological and dental drugs Poisoning by other and unspecified drugs and medicinal substances Poisoning by bacterial vaccines Poisoning by other vaccines and biological substances Accidental poisoning by analgesics, antipyretics, and antirheumatics Accidental poisoning by barbiturates Accidental poisoning by other sedatives and hypnotics Accidental poisoning by tranquilizers Accidental poisoning by other psychotropic agents Accidental poisoning by other drugs acting on central and autonomic nervous system Accidental poisoning by antibiotics Accidental poisoning by other anti-infectives Accidental poisoning by other drugs Accidental poisoning by alcohol, nec Accidental poisoning by cleaning and polishing agents, disinfectants, paints, and varnishes Accidental poisoning by petroleum products, other solvents and their vapors, nec Accidental poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers Accidental poisoning by corrosives and caustics, nec Accidental poisoning from poisonous foodstuffs and poisonous plants Accidental poisoning by other and unspecified solid and liquid substances Accidental poisoning by gas distributed by pipeline Accidental poisoning by other utility gas and other carbon monoxide Accidental poisoning by other gases and vapors Suicide and self-inflicted poisoning by gases in domestic use Suicide and self-inflicted poisoning by other gases and vapors Assault by poisoning Poisoning by solid or liquid substances, undetermined whether accidentally or purposely inflicted Poisoning by gases in domestic use, undetermined whether accidentally or purposely inflicted Poisoning by other gases, undetermined whether accidentally or purposely inflicted 71 DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Delirium and Other Psychoses diagnosis codes (includes 4th and 5th digits): 290 291 292 29285 293 294 295 296 297 298 299 Senile and presenile organic psychotic conditions Alcoholic psychoses Drug psychoses Drug induced sleep disorders (Oct 05) Transient organic psychotic conditions Other organic psychotic conditions Schizophrenic disorders Affective psychoses Paranoid states Other nonorganic psychoses Psychoses w/ origin specific to childhood ICD-9-CM Anoxic Brain Injury diagnosis code: 3481 Anoxic brain damage C-9: ICD-9-CM codes for metastatic cancer, lymphoid malignancy or bone malignancy ICD-9-CM Metastatic Cancer diagnosis codes (includes 4th and 5th digits): 196 197 198 1990 Secondary and unspecified malignant neoplasm of lymph nodes Secondary malignant neoplasm of respiratory and digestive systems Secondary malignant neoplasm of other specified sites Malignant neoplasm w/o specification of site, disseminated ICD-9-CM Lymphoid Malignancy diagnosis codes (includes 4th and 5th digits): 200 201 202 203 204 205 206 207 208 Lymphosarcoma and reticulosarcoma Hodgkin’s disease Other malignant neoplasms of lymphoid and histiocytic tissue Multiple myeloma and immunoproliferative neoplasms Lymphoid leukemia Myeloid leukemia Monocytic leukemia Other specified leukemia Leukemia of unspecified cell type th th ICD-9-CM Bone Malignancy diagnosis code (includes 4 and 5 digits): 170 Malignant neoplasm of bone and articular cartilage 72 DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections 0010 0011 0019 0020 0021 0022 0023 0029 0030 0031 00320 00321 00322 00323 00324 00329 0038 0039 0040 0041 0042 0043 0048 0049 0050 0051 0052 0053 0054 00581 00589 0059 00800 00801 00802 00803 00804 00809 0081 0082 0083 00841 00842 00843 00844 00845 00846 00847 Cholera d/t vib cholerae (Oct 05) Cholera d/t vib el tor (Oct 05) Cholera nos (Oct 05) Typhoid fever (Oct 05) Paratyphoid fever a (Oct 05) Paratyphoid fever b (Oct 05) Paratyphoid fever c (Oct 05) Paratyphoid fever nos (Oct 05) Salmonella enteritis (Oct 05) Salmonella septicemia (Oct 05) Local salmonella inf nos (Oct 05) Salmonella meningitis (Oct 05) Salmonella pneumonia (Oct 05) Salmonella arthritis (Oct 05) Salmonella osteomyelitis (Oct 05) Local salmonella inf nec (Oct 05) Salmonella infection nec (Oct 05) Salmonella infection nos (Oct 05) Shigella dysenteriae (Oct 05) Shigella flexneri (Oct 05) Shigella boydii (Oct 05) Shigella sonnei (Oct 05) Shigella infection nec (Oct 05) Shigellosis nos (Oct 05) Staph food poisoning (Oct 05) Botulism (Oct 05) Food pois d/t c. Perfrin (Oct 05) Food pois: clostrid nec (Oct 05) Food pois: v. Parahaem (Oct 05) Food poisn d/t v. Vulnif (Oct 05) Bact food poisoning nec (Oct 05) Food poisoning nos (Oct 05) Intest infec e coli nos (Oct 05) Int inf e coli entrpath (Oct 05) Int inf e coli entrtoxgn (Oct 05) Int inf e coli entrnvsv (Oct 05) Int inf e coli entrhmrg (Oct 05) Int inf e coli spcf nec (Oct 05) Arizona enteritis (Oct 05) Aerobacter enteritis (Oct 05) Proteus enteritis (Oct 05) Staphylococc enteritis (Oct 05) Pseudomonas enteritis (Oct 05) Int infec campylobacter (Oct 05) Int inf yrsnia entrcltca (Oct 05) Int inf clstrdium dfcile (Oct 05) Intes infec oth anerobes (Oct 05) Int inf oth grm neg bctr (Oct 05) 56213 566 5670 5671 5672 56721 56722 56723 56729 56731 56738 56739 56781 56782 56789 5679 5695 56961 5720 5721 57400 57401 57430 57431 57460 57461 57480 57481 5750 57510 57512 5754 5761 5763 5770 59010 59011 5902 5903 59080 59081 5909 5950 5954 59581 59589 5959 5970 73 Dvrtcli colon w hmrhg Anal & rectal abscess Peritonitis in infec dis Pneumococcal peritonitis Suppurat peritonitis nec Peritonitis (acute) gen (Oct 05) Peritoneal abscess (Oct 05) Spontan bact peritonitis (Oct 05) Suppurat peritonitis nec (Oct 05) Psoas muscle abscess (Oct 05) Retroperiton abscess nec (Oct 05) Retroperiton infect nec (Oct 05) Choleperitonitis (Oct 05) Sclerosing mesenteritis (Oct 05) Peritonitis nec (Oct 05) Peritonitis nos Intestinal abscess Colosty/enterost infectn Abscess of liver Portal pyemia Cholelith w ac cholecyst Cholelith/ac gb inf-obst Choledocholith/ac gb inf Choledochlith/ac gb-obst Gall&bil cal w/ac w/o ob Gall&bil cal w/ac w obs Gal&bil cal w/ac&chr w/o Gal&bil cal w/ac&ch w ob Acute cholecystitis Cholecystitis unspec (Oct 05) Ac&chron cholecystitis (Oct 05) Perforation gallbladder Cholangitis Perforation of bile duct Acute pancreatitis (Oct 05) Ac pyelonephritis nos (Oct 05) Ac pyelonephr w med necr (Oct 05) Renal/perirenal abscess (Oct 05) Pyeloureteritis cystica (Oct 05) Pyelonephritis nos (Oct 05) Pyelonephrit in oth dis (Oct 05) Infection of kidney nos (Oct 05) Acute cystitis (Oct 05) Cystitis in oth dis (Oct 05) Cystitis cystica (Oct 05) Cystitis nec (Oct 05) Cystitis nos (Oct 05) Urethral abscess (Oct 05) DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 00849 0085 0200 0201 0202 0203 0204 0205 0208 0209 0210 0211 0212 0213 0218 0219 0220 0221 0222 0223 0228 0229 0230 0231 0232 0233 0238 0239 024 025 0260 0261 0269 0270 0271 0272 0278 0279 0320 0321 0322 0323 03281 03282 03283 03284 Bacterial enteritis nec (Oct 05) Bacterial enteritis nos (Oct 05) Bubonic plague (Oct 05) Cellulocutaneous plague (Oct 05) Septicemic plague (Oct 05) Primary pneumonic plague (Oct 05) Secondary pneumon plague (Oct 05) Pneumonic plague nos (Oct 05) Other types of plague (Oct 05) Plague nos (Oct 05) Ulceroglandul tularemia (Oct 05) Enteric tularemia (Oct 05) Pulmonary tularemia (Oct 05) Oculoglandular tularemia (Oct 05) Tularemia nec (Oct 05) Tularemia nos (Oct 05) Cutaneous anthrax (Oct 05) Pulmonary anthrax (Oct 05) Gastrointestinal anthrax (Oct 05) Anthrax septicemia (Oct 05) Other anthrax manifest (Oct 05) Anthrax nos (Oct 05) Brucella melitensis (Oct 05) Brucella abortus (Oct 05) Brucella suis (Oct 05) Brucella canis (Oct 05) Brucellosis nec (Oct 05) Brucellosis nos (Oct 05) Glanders (Oct 05) Melioidosis (Oct 05) Spirillary fever (Oct 05) Streptobacillary fever (Oct 05) Rat-bite fever nos (Oct 05) Listeriosis (Oct 05) Erysipelothrix infection (Oct 05) Pasteurellosis (Oct 05) Zoonotic bact dis nec (Oct 05) Zoonotic bact dis nos (Oct 05) Faucial diphtheria (Oct 05) Nasopharynx diphtheria (Oct 05) Ant nasal diphtheria (Oct 05) Laryngeal diphtheria (Oct 05) Conjunctival diphtheria (Oct 05) Diphtheritic myocarditis (Oct 05) Diphtheritic peritonitis (Oct 05) Diphtheritic cystitis (Oct 05) 59800 59801 5990 6010 6012 6013 6014 6018 6019 6031 6040 60490 60491 6071 6072 6080 6084 6110 6140 6141 6142 6143 6144 6145 6149 6150 6159 6160 61610 6163 6164 63400 63401 63402 63500 63501 63502 63600 63601 63602 63700 63701 63702 6380 6390 64650 74 Urethr strict:infect nos (Oct 05) Ureth strict:oth infect (Oct 05) Urin tract infection nos (Oct 05) Acute prostatitis (Oct 05) Abscess of prostate (Oct 05) Prostatocystitis (Oct 05) Prostatitis in oth dis (Oct 05) Prostatitis (Oct 05) Prostatitis nos (Oct 05) Infected hydrocele (Oct 05) Orchitis with abscess (Oct 05) Orchitis/epididymit nos (Oct 05) Orchitis in oth disease (Oct 05) Balanoposthitis (Oct 05) Inflam dis, penis nec (Oct 05) Seminal vesiculitis (Oct 05) Male gen inflam dis nec (Oct 05) Inflam disease of breast (Oct 05) Ac salpingo-oophoritis (Oct 05) Chron salpingitis oophoritis (Oct Salpingo-oophoritis nos (Oct 05) Acute parametritis (Oct 05) Chron or unsp cellulitis (Oct 05) Ac pelv peritonitis-fem (Oct 05) Pid nos (Oct 05) Ac uterine inflammation (Oct 05) Uterine inflam dis nos (Oct 05) Cervicitis (Oct 05) Vaginitis nos (Oct 05) Bartholin's glnd abscess (Oct 05) Abscess of vulva nec (Oct 05) Spon abor w pel inf-unsp (Oct 05) Spon abor w pelv inf-inc (Oct 05) Spon abor w pel inf-comp (Oct 05) Leg abor w pelv inf-unsp (Oct 05) Leg abor w pelv inf-inc (Oct 05) Leg abor w pelv inf-comp (Oct 05) Illeg ab w pelv inf-unsp (Oct 05) Illeg ab w pelv inf-inc (Oct 05) Illeg ab w pelv inf-comp (Oct 05) Abort nos w pel inf-unsp (Oct 05) Abort nos w pel inf-inc (Oct 05) Abort nos w pel inf-comp (Oct 05) Attem abort w pelvic inf (Oct 05) Postabortion gu infect (Oct 05) Bacteriuria preg-unspec (Oct 05) DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 03285 03289 0329 0330 0331 0338 0339 0340 0341 035 0360 0361 0362 0363 03640 03641 03642 03643 03681 03682 03689 0369 037 0380 03810 03811 03819 0382 0383 03840 03841 03842 03843 03844 03849 0388 0389 0390 0391 0392 0393 0394 0398 0399 0400 0401 0402 Cutaneous diphtheria (Oct 05) Diphtheria nec (Oct 05) Diphtheria nos (Oct 05) Bordetella pertussis (Oct 05) Bordetella parapertussis (Oct 05) Whooping cough nec (Oct 05) Whooping cough nos (Oct 05) Strep sore throat (Oct 05) Scarlet fever (Oct 05) Erysipelas (Oct 05) Meningococcal meningitis (Oct 05) Meningococc encephalitis (Oct 05) Meningococcemia (Oct 05) Meningococc adrenal synd (Oct 05) Meningococc carditis nos (Oct 05) Meningococc pericarditis (Oct 05) Meningococc endocarditis (Oct 05) Meningococc myocarditis (Oct 05) Meningococc optic neurit (Oct 05) Meningococc arthropathy (Oct 05) Meningococcal infect nec (Oct 05) Meningococcal infect nos (Oct 05) Tetanus (Oct 05) Streptococcal septicemia (Oct 05) Staphylcocc septicem nos (Oct 05) Staph aureus septicemia (Oct 05) Staphylcocc septicem nec (Oct 05) Pneumococcal septicemia (Oct 05) Anaerobic septicemia (Oct 05) Gram-neg septicemia nos (Oct 05) H. Influenae septicemia (Oct 05) E coli septicemia (Oct 05) Pseudomonas septicemia (Oct 05) Serratia septicemia (Oct 05) Gram-neg septicemia nec (Oct 05) Septicemia nec (Oct 05) Septicemia nos (Oct 05) Cutaneous actinomycosis (Oct 05) Pulmonary actinomycosis (Oct 05) Abdominal actinomycosis (Oct 05) Cervicofac actinomycosis (Oct 05) Madura foot (Oct 05) Actinomycosis nec (Oct 05) Actinomycosis nos (Oct 05) Gas gangrene (Oct 05) Rhinoscleroma (Oct 05) Whipple's disease (Oct 05) 64651 64652 64653 64654 64660 64661 64662 64663 64664 64710 64711 64712 64713 64714 64780 64781 64782 64783 64784 64790 64791 64792 64793 64794 65840 65841 65843 67000 67002 67004 67500 67501 67502 67503 67504 67510 67511 67512 67513 67514 67580 67581 67582 67583 67584 67590 67591 75 Asym bacteriuria-deliver (Oct 05) Asy bacteruria-del w p/p (Oct 05) Asy bacteriuria-antepart (Oct 05) Asy bacteriuria-postpart (Oct 05) Gu infect in preg-unspec (Oct 05) Gu infection-delivered (Oct 05) Gu infection-deliv w p/p (Oct 05) Gu infection-antepartum (Oct 05) Gu infection-postpartum (Oct 05) Gonorrhea in preg-unspec (Oct 05) Gonorrhea-delivered (Oct 05) Gonorrhea-deliver w p/p (Oct 05) Gonorrhea-antepartum (Oct 05) Gonorrhea-postpartum (Oct 05) Inf dis in preg nec-unsp (Oct 05) Infect dis nec-delivered (Oct 05) Infect dis nec-del w p/p (Oct 05) Infect dis nec-antepart (Oct 05) Infect dis nec-postpart (Oct 05) Infect in preg nos-unsp (Oct 05) Infect nos-delivered (Oct 05) Infect nos-deliver w p/p (Oct 05) Infect nos-antepartum (Oct 05) Infect nos-postpartum (Oct 05) Amniotic infection-unsp (Oct 05) Amniotic infection-deliv (Oct 05) Amniotic infect-antepart (Oct 05) Major puerp infect-unsp (Oct 05) Major puerp inf-del p/p (Oct 05) Major puerp inf-postpart (Oct 05) Infect nipple preg-unsp (Oct 05) Infect nipple-delivered (Oct 05) Infect nipple-del w p/p (Oct 05) Infect nipple-antepartum (Oct 05) Infect nipple-postpartum (Oct 05) Breast abscess preg-unsp (Oct 05) Breast abscess-delivered (Oct 05) Breast abscess-del w p/p (Oct 05) Breast abscess-antepart (Oct 05) Breast abscess-postpart (Oct 05) Breast inf preg nec-unsp (Oct 05) Breast infect nec-deliv (Oct 05) Breast inf nec-del w p/p (Oct 05) Breast inf nec-antepart (Oct 05) Breast inf nec-postpart (Oct 05) Breast inf preg nos-unsp (Oct 05) Breast infect nos-deliv (Oct 05) DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 0403 04081 04082 04089 04100 04101 04102 04103 04104 04105 04109 04110 04111 04119 0412 0413 0414 0415 0416 0417 04182 04183 04184 04185 04186 04189 0419 0980 09810 09811 09812 09813 09814 09815 09816 09817 09819 0982 09830 09831 09832 09833 09834 09835 09836 09837 Necrobacillosis (Oct 05) Tropical pyomyositis (Oct 05) Toxic shock syndrome (Oct 05) Bacterial diseases nec (Oct 05) Streptococcus unspecf (Oct 05) Streptococcus group a (Oct 05) Streptoco ccus group b (Oct 05) Streptococcus group c (Oct 05) Enterococcus group d (Oct 05) Streptococcus group g (Oct 05) Other streptococcus (Oct 05) Staphylococcus unspcfied (Oct 05) Staphylococcus aureus (Oct 05) Other staphylococcus (Oct 05) Pneumococcus infect nos (Oct 05) Klebsiella infect nos (Oct 05) E. Coli infect nos (Oct 05) H. Influenzae infect nos (Oct 05) Proteus infection nos (Oct 05) Pseudomonas infect nos (Oct 05) Bacteroides fragilis (Oct 05) Clostridium perfringens (Oct 05) Other anaerobes (Oct 05) Oth gram negatv bacteria (Oct 05) Helicobacter pylori (Oct 05) Oth specf bacteria (Oct 05) Bacterial infection nos (Oct 05) Acute gc infect lower gu (Oct 05) Gc (acute) upper gu nos (Oct 05) Gc cystitis (acute) (Oct 05) Gc prostatitis (acute) (Oct 05) Gc orchitis (acute) (Oct 05) Gc sem vesiculit (acute) (Oct 05) Gc cervicitis (acute) (Oct 05) Gc endometritis (acute) (Oct 05) Acute gc salpingitis (Oct 05) Gc (acute) upper gu nec (Oct 05) Chr gc infect lower gu (Oct 05) Chr gc upper gu nos (Oct 05) Gc cystitis, chronic (Oct 05) Gc prostatitis, chronic (Oct 05) Gc orchitis, chronic (Oct 05) Gc sem vesiculitis, chr (Oct 05) Gc cervicitis, chronic (Oct 05) Gc endometritis, chronic (Oct 05) Gc salpingitis (chronic) (Oct 05) 67592 67593 67594 6800 6801 6802 6803 Breast inf nos-del w p/p (Oct 05) Breast inf nos-antepart (Oct 05) Breast inf nos-postpart (Oct 05) Carbuncle of face (Oct 05) Carbuncle of neck (Oct 05) Carbuncle of trunk (Oct 05) Carbuncle of arm (Oct 05) 6804 6805 6806 6807 6808 6809 68100 68101 68102 68110 68111 6819 6820 6821 6822 6823 6824 6825 6826 6827 6828 6829 683 684 68600 68601 68609 6868 6869 69581 70700 70701 70702 70703 70704 70705 70706 70707 70709 Carbuncle of hand (Oct 05) Carbuncle of buttock (Oct 05) Carbuncle of leg (Oct 05) Carbuncle of foot (Oct 05) Carbuncle, site nec (Oct 05) Carbuncle nos (Oct 05) Cellulitis, finger nos (Oct 05) Felon (Oct 05) Onychia of finger (Oct 05) Cellulitis, toe nos (Oct 05) Onychia of toe (Oct 05) Cellulitis of digit nos (Oct 05) Cellulitis of face (Oct 05) Cellulitis of neck (Oct 05) Cellulitis of trunk (Oct 05) Cellulitis of arm (Oct 05) Cellulitis of hand (Oct 05) Cellulitis of buttock (Oct 05) Cellulitis of leg (Oct 05) Cellulitis of foot (Oct 05) Cellulitis, site nec (Oct 05) Crllulitis, site nos (Oct 05) Acute lymphadenitis (Oct 05) Impetigo (Oct 05) Pyoderma nos (Oct 05) Pyoderma gangrenosum (Oct 05) Pyoderma other (Oct 05) Local skin infection nec (Oct 05) Local skin infection nos (Oct 05) Ritter's disease (Oct 05) Decubitus ulcer site nos (Oct 05) Decubitus ulcer,elbow (Oct 05) Decubitus ulcer,up back (Oct 05) Decubitus ulcer,low back (Oct 05) Decubitus ulcer,hip (Oct 05) Decubitus ulcer,buttock (Oct 05) Decubitus ulcer,ankle (Oct 05) Decubitus ulcer,heel (Oct 05) Decubitus ulcer,site nec (Oct 05) 76 DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 09839 09840 09841 09842 09843 09849 09850 09851 09852 09853 09859 0986 0987 09881 09882 09883 09884 09885 09886 09889 3200 3201 3202 3203 3207 32081 32082 32089 3209 3229 3240 3241 3249 36000 36001 36002 36004 37055 37200 37203 37204 37220 37221 37230 37300 37301 37311 Chr gc upper gu nec (Oct 05) Gonococcal conjunctivit (Oct 05) Gonococcal iridocyclitis (Oct 05) Gonococcal endophthalmia (Oct 05) Gonococcal keratitis (Oct 05) Gonococcal eye nec (Oct 05) Gonococcal arthritis (Oct 05) Gonococcal synovitis (Oct 05) Gonococcal bursitis (Oct 05) Gonococcal spondylitis (Oct 05) Gc infect joint nec (Oct 05) Gonococcal infec pharynx (Oct 05) Gc infect anus & rectum (Oct 05) Gonococcal keratosis (Oct 05) Gonococcal meningitis (Oct 05) Gonococcal pericarditis (Oct 05) Gonococcal endocarditis (Oct 05) Gonococcal heart dis nec (Oct 05) Gonococcal peritonitis (Oct 05) Gonococcal inf site nec (Oct 05) Hemophilus meningitis (Oct 05) Pneumococcal meningitis (Oct 05) Streptococcal meningitis (Oct 05) Staphylococc meningitis (Oct 05) Mening in oth bact dis (Oct 05) Anaerobic meningitis (Oct 05) Mningts gram-neg bct nec (Oct 05) Meningitis oth spcf bact (Oct 05) Bacterial meningitis nos (Oct 05) Meningitis nos (Oct 05) Intracranial abscess (Oct 05) Intraspinal abscess (Oct 05) Cns abscess nos (Oct 05) Purulent endophthalm nos (Oct 05) Acute endophthalmitis (Oct 05) Panophthalmitis (Oct 05) Vitreous abscess (Oct 05) Corneal abscess (Oct 05) Acute conjunctivitis nos (Oct 05) Mucopur conjunctivit nec (Oct 05) Pseudomemb conjunctivit (Oct 05) Blepharoconjunctivit nos (Oct 05) Angular blepharoconjunct (Oct 05) Conjunctivitis nos (Oct 05) Blepharitis nos (Oct 05) Ulcerative blepharitis (Oct 05) Hordeolum externum (Oct 05) 71100 71101 71102 71103 71104 71105 71106 71107 71108 71109 71190 71191 71192 71193 71194 71195 71196 71197 71198 71199 7280 72886 73000 73001 73002 73003 73004 73005 73006 73007 73008 73009 73010 73011 73012 73013 73014 73015 73016 73017 73018 73019 73020 73021 73022 73023 73024 77 Pyogen arthritis-unspec (Oct 05) Pyogen arthritis-shlder (Oct 05) Pyogen arthritis-up/arm (Oct 05) Pyogen arthritis-forearm (Oct 05) Pyogen arthritis-hand (Oct 05) Pyogen arthritis-pelvis (Oct 05) Pyogen arthritis-l/leg (Oct 05) Pyogen arthritis-ankle (Oct 05) Pyogen arthritis nec (Oct 05) Pyogen arthritis-mult (Oct 05) Inf arthritis nos-unspec (Oct 05) Inf arthritis nos-shlder (Oct 05) Inf arthritis nos-up/arm (Oct 05) Inf arthrit nos-forearm (Oct 05) Inf arthrit nos-hand (Oct 05) Inf arthrit nos-pelvis (Oct 05) Inf arthrit nos-l/leg (Oct 05) Inf arthrit nos-ankle (Oct 05) Inf arthrit nos-oth site (Oct 05) Inf arthritis nos-mult (Oct 05) Infective myositis (Oct 05) Necrotizing fasciitis (Oct 05) Ac osteomyelitis-unspec (Oct 05) Ac osteomyelitis-shlder (Oct 05) Ac osteomyelitis-up/arm (Oct 05) Ac osteomyelitis-forearm (Oct 05) Ac osteomyelitis-hand (Oct 05) Ac osteomyelitis-pelvis (Oct 05) Ac osteomyelitis-l/leg (Oct 05) Ac osteomyelitis-ankle (Oct 05) Ac osteomyelitis nec (Oct 05) Ac osteomyelitis-mult (Oct 05) Chr osteomyelitis-unsp (Oct 05) Chr osteomyelit-shlder (Oct 05) Chr osteomyelit-up/arm (Oct 05) Chr osteomyelit-forearm (Oct 05) Chr osteomyelit-hand (Oct 05) Chr osteomyelit-pelvis (Oct 05) Chr osteomyelit-l/leg (Oct 05) Chr osteomyelit-ankle (Oct 05) Chr osteomyelit nec (Oct 05) Chr osteomyelit-mult (Oct 05) Osteomyelitis nos-unspec (Oct 05) Osteomyelitis nos-shlder (Oct 05) Osteomyelitis nos-up/arm (Oct 05) Osteomyelit nos-forearm (Oct 05) Osteomyelitis nos-hand (Oct 05) DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 37312 37313 37500 37501 37530 37531 37532 37600 37601 37602 37603 37604 38010 38011 38012 38013 38014 38150 38151 38200 38201 38202 3821 3822 3823 3824 3829 38300 38301 38302 38320 38321 38400 38630 38631 38632 38633 4200 42090 42099 4210 4211 4219 42292 4610 4611 4612 Hordeolum internum (Oct 05) 73025 Abscess of eyelid (Oct 05) 73026 Dacryoadenitis nos (Oct 05) 73027 Acute dacryoadenitis (Oct 05) 73028 Dacryocystitis nos (Oct 05) 73029 Acute canaliculitis (Oct 05) 73030 Acute dacryocystitis (Oct 05) 73031 Acute inflam nos, orbit (Oct 05) 73032 Orbital cellulitis (Oct 05) 73033 Orbital periostitis (Oct 05) 73034 Orbital osteomyelitis (Oct 05) 73035 Tenonitis (Oct 05) 73036 Infec otitis externa nos (Oct 05) 73037 Acute infection of pinna (Oct 05) 73038 Acute swimmers' ear (Oct 05) 73039 Ac infect extern ear nec (Oct 05) 73080 Malignant otitis externa (Oct 05) 73081 Eustachian salping nos (Oct 05) 73082 Ac eustachian salping (Oct 05) 73083 Ac supp otitis media nos (Oct 05) 73084 Ac supp om w drum rupt (Oct 05) 73085 Ac supp om in oth dis (Oct 05) 73086 Chr tubotymp supp otitis media (Oct 05) 73087 Chr atticoantral supp otitis media(Oct 05)73088 Chr supp otitis media nos (Oct 05) 73089 Suppur otitis media nos (Oct 05) 73090 Otitis media nos (Oct 05) 73091 Ac mastoiditis w/o compl (Oct 05) 73092 Subperi mastoid abscess (Oct 05) 73093 Ac mastoiditis-compl nec (Oct 05) 73094 Petrositis nos (Oct 05) 73095 Acute petrositis (Oct 05) 73096 Acute myringitis nos (Oct 05) 73097 Labyrinthitis nos (Oct 05) 73098 Serous labyrinthitis (Oct 05) 73099 Circumscri labyrinthitis (Oct 05) 7713 Suppurativ labyrinthitis (Oct 05) 7714 Ac pericardit in oth dis (Oct 05) 7715 Acute pericarditis nos (Oct 05) 77181 Acute pericarditis nec (Oct 05) 77182 Ac/subac bact endocard (Oct 05) 77183 Ac/subac infect endocard (Oct 05) 77189 Ac/subac endocardit nos (Oct 05) 7775 Septic myocarditis (Oct 05) 7854 Ac maxillary sinusitis (Oct 05) 78552 Ac frontal sinusitis (Oct 05) 7907 Ac ethmoidal sinusitis (Oct 05) 9101 78 Osteomyelitis nos-pelvis (Oct 05) Osteomyelitis nos-l/leg (Oct 05) Osteomyelitis nos-ankle (Oct 05) Osteomyelit nos-oth site (Oct 05) Osteomyelitis nos-mult (Oct 05) Periostitis-unspec (Oct 05) Periostitis-shlder (Oct 05) Periostitis-up/arm (Oct 05) Periostitis-forearm (Oct 05) Periostitis-hand (Oct 05) Periostitis-pelvis (Oct 05) Periostitis-l/leg (Oct 05) Periostitis-ankle (Oct 05) Periostitis nec (Oct 05) Periostitis-mult (Oct 05) Bone infect nec-unspec (Oct 05) Bone infect nec-shlder (Oct 05) Bone infect nec-up/arm (Oct 05) Bone infect nec-forearm (Oct 05) Bone infect nec-hand (Oct 05) Bone infect nec-pelvis (Oct 05) Bone infect nec-l/leg (Oct 05) Bone infect nec-ankle (Oct 05) Bone infect nec-oth site (Oct 05) Bone infect nec-mult (Oct 05) Bone infec nos-unsp site (Oct 05) Bone infect nos-shlder (Oct 05) Bone infect nos-up/arm (Oct 05) Bone infect nos-forearm (Oct 05) Bone infect nos-hand (Oct 05) Bone infect nos-pelvis (Oct 05) Bone infect nos-l/leg (Oct 05) Bone infect nos-ankle (Oct 05) Bone infect nos-oth site (Oct 05) Bone infect nos-mult (Oct 05) Tetanus neonatorum (Oct 05) Omphalitis of newborn (Oct 05) Neonatal infec mastitis (Oct 05) Nb septicemia sepsis (Oct 05) Nb urinary tract infectn (Oct 05) Bacteremia of newborn (Oct 05) Perinatal infection nec (Oct 05) Necrot enterocolitis nb (Oct 05) Gangrene (Oct 05) Septic shock (Oct 05) Bacteremia (Oct 05) Abrasion head-infected (Oct 05) DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 4613 4618 4619 462 463 46430 46431 4660 475 47822 47824 481 4820 4821 4822 48230 48231 48232 48239 48240 48241 48249 48281 48282 48283 48284 48289 4829 4843 4845 4848 485 486 490 49122 4941 5100 5109 5111 5130 5131 51901 5192 5220 5225 5227 5230 Ac sphenoidal sinusitis (Oct 05) Other acute sinusitis (Oct 05) Acute sinusitis nos (Oct 05) Acute pharyngitis (Oct 05) Acute tonsillitis (Oct 05) Ac epiglottitis no obstr (Oct 05) Ac epiglottitis w obstr (Oct 05) Acute bronchitis (Oct 05) Peritonsillar abscess (Oct 05) Parapharyngeal abscess (Oct 05) Retropharyngeal abscess (Oct 05) Pneumococcal pneumonia (Oct 05) K. Pneumoniae pneumonia (Oct 05) Pseudomonal pneumonia (Oct 05) H.influenzae pneumonia (Oct 05) Streptococcal pneumn nos (Oct 05) Pneumonia strptococcus a (Oct 05) Pneumonia strptococcus b (Oct 05) Pneumonia oth strep (Oct 05) Staphylococcal pneu nos (Oct 05) Staph aureus pneumonia (Oct 05) Staph pneumonia nec (Oct 05) Pneumonia anaerobes (Oct 05) Pneumonia e coli (Oct 05) Pneumo oth grm-neg bact (Oct 05) Legionnaires' disease (Oct 05) Pneumonia oth spcf bact (Oct 05) Bacterial pneumonia nos (Oct 05) Pneumonia in whooping cough (Oct Pneumonia in anthrax (Oct 05) Pneumonia in other inf dis (Oct 05) Bronchopneumonia org nos (Oct Pneumonia, organism nos (Oct 05) Bronchitis nos (Oct 05) Obs chr bronc w ac bronc (Oct 05) Bronchiectasis w ac exac (Oct 05) Empyema with fistula (Oct 05) Empyema w/o fistula (Oct 05) Bact pleur/effus not tb (Oct 05) Abscess of lung (Oct 05) Abscess of mediastinum (Oct 05) Tracheostomy infection (Oct 05) Mediastinitis (Oct 05) Pulpitis (Oct 05) Periapical abscess (Oct 05) Periapical absc w sinus (Oct 05) Acute gingivitis (Oct 05) 9103 9105 9107 9109 9111 9113 9115 9117 9119 9121 9123 9125 9127 9129 9131 9133 9135 9137 9139 9141 9143 9145 9147 9149 9151 9153 9155 9157 9159 9161 9163 9165 9167 9169 9171 9173 9175 9177 9179 9191 9193 9195 9197 9199 99590 99591 99592 79 Blister head-infected (Oct 05) Insect bite head-infect (Oct 05) Foreign body head-infect (Oct 05) Superf inj head nec-inf (Oct 05) Abrasion trunk-infected (Oct 05) Blister trunk-infected (Oct 05) Insect bite trunk-infec (Oct 05) Foreign body trunk-infec (Oct 05) Superf inj trnk nec-inf (Oct 05) Abrasion shldr/arm-infec (Oct 05) Blister shoulder/arm-inf (Oct 05) Insect bite shld/arm-inf (Oct 05) Fb shoulder/arm-infect (Oct 05) Superf inj shldr nec-inf (Oct 05) Abrasion forearm-infect (Oct 05) Blister forearm-infected (Oct 05) Insect bite forearm-inf (Oct 05) Foreign body forearm-inf (Oct 05) Suprf inj forarm nec-inf (Oct 05) Abrasion hand-infected (Oct 05) Blister hand-infected (Oct 05) Insect bite hand-infect (Oct 05) Foreign body hand-infect (Oct 05) Superf inj hand nec-inf (Oct 05) Abrasion finger-infected (Oct 05) Blister finger-infected (Oct 05) Insect bite finger-infec (Oct 05) Foreign body finger-inf (Oct 05) Suprf inj finger nec-inf (Oct 05) Abrasion hip/leg-infect (Oct 05) Blister hip & leg-infect (Oct 05) Insect bite hip/leg-inf (Oct 05) Foreign bdy hip/leg-inf (Oct 05) Superf inj leg nec-infec (Oct 05) Abrasion foot/toe-infec (Oct 05) Blister foot & toe-infec (Oct 05) Insect bite foot/toe-inf (Oct 05) Foreign bdy foot/toe-inf (Oct 05) Superf inj foot nec-inf (Oct 05) Abrasion nec-infected (Oct 05) Blister nec-infected (Oct 05) Insect bite nec-infected (Oct 05) Superficial fb nec-infec (Oct 05) Superfic inj nec-infect (Oct 05) Sirs, nos (Oct 05) Sirs-infect w/o org dysf (Oct 05) Sirs-infect w organ dysf (Oct 05) DELSA/ELSA/WD/HTP(2008)1 C-10: ICD-9-CM codes for infections (continued) 5233 Acute periodontitis (Oct 05) 99660 5264 Inflammation of jaw (Oct 05) 99661 5273 Salivary gland abscess (Oct 05) 99662 5283 Cellulitis/abscess mouth (Oct 05) 99663 53641 5400 Gastrostomy infection (Oct 05) Ac append w peritonitis 99664 99665 5401 5409 Abscess of appendix Acute appendicitis nos 99666 99667 541 Appendicitis nos 99669 542 56201 56203 56211 Other appendicitis Dvrtcli sml int w/o hmrg Dvrtcli sml int w hmrhg Dvrtcli colon w/o hmrhg 99762 99851 99859 9993 Infect inflamm device implant graft nos (Oct 05) Infect inflamm cardiac device implant graft (Oct 05) Infect inflamm vascular device implant graft (Oct 05) Infect inflamm nerv device implant graft (Oct 05) Infect inflamm urinary cath (Oct 05) Infect inflamm gu device implant graft (Oct 05) Infect inflamm joint prosth (Oct 05) Infect inflamm oth orthop device implant graft nos (Oct 05) Infect inflamm oth device implant graft (Oct 05) Infection amputat stump (Oct 05) Infected postop seroma (Oct 05) Other postop infection (Oct 05) Infec compl med care nec (Oct 05) C-11: ICD-9-CM subdural or cerebral haemorrhage diagnosis codes 7670 Subdural and cerebral hemorrhage (due to trauma or to intrapartum anoxia or hypoxia) C-12: ICD-9-CM Preterm Infant diagnosis codes 76501 76502 76503 76504 76505 76506 76507 76508 76511 76512 76513 76514 76515 76516 76517 76518 76521 76522 76523 76524 76525 76526 76527 Extreme immaturity, less than 500 grams Extreme immaturity, 500 – 749 grams Extreme immaturity, 750 – 999 grams Extreme immaturity, 1000 – 1249 grams Extreme immaturity, 1250 – 1499 grams Extreme immaturity, 1500 – 1749 grams Extreme immaturity, 1750 – 1999 grams Extreme immaturity, 2000 – 2499 grams Other preterm infants, less than 500 grams Other preterm infants, 500 – 749 grams Other preterm infants, 750 – 999 grams Other preterm infants, 1000 – 1249 grams Other preterm infants, 1250 – 1499 grams Other preterm infants, 1500 – 1749 grams Other preterm infants, 1750 – 1999 grams Other preterm infants, 2000 – 2499 grams Less than 24 completed weeks of gestation 24 completed weeks of gestation 25-26 completed weeks of gestation 27-28 completed weeks of gestation 29-30 completed weeks of gestation 31-32 completed weeks of gestation 33-34 completed weeks of gestation 80 DELSA/ELSA/WD/HTP(2008)1 C-13: ICD-9-CM injury to skeleton diagnosis codes 7673 7674 Injuries to skeleton (excludes clavicle) Injury to spine and spinal cord C-14: ICD-9-CM osteogenesis imperfecta diagnosis codes 75651 Osteogenesis imperfecta C-15: ICD-9-CM Newborn in Hospital Live Birth Codes V3000 V3401 V3001 V3500 V3100 V3501 V3101 V3600 V3200 V3601 V3201 V3700 V3300 V3701 V3301 V3900 V3400 V3901 Single lb in-hosp w/o cs (Oct 05) Oth mult lb-in hosp w cs Single lb in-hosp w cs (Oct 05) Oth mult sb-hosp w/o cs Twin-mate lb-hosp w/o cs (Oct 05) Oth mult sb-in hosp w cs Twin-mate lb-in hos w cs (Oct 05) Mult lb/sb-in hos w/o cs Twin-mate sb-hosp w/o cs (Oct 05) Mult lb/sb-in hosp w cs Twin-mate sb-hosp w cs (Oct 05) Mult brth nos-hos w/o cs Twin-nos-in hosp w/o cs (Oct 05) Mult birth nos-hospwcs Twin-nos-in hosp w cs (Oct 05) Liveborn nos-hosp w/o cs Oth mult lb-hosp w/o cs (Oct 05) Liveborn nos-hosp w cs C-16: Newborn out of Hospital codes: V301 V342 V302 V351 V311 V352 V312 V361 V321 V362 V322 V371 V331 V372 V332 V391 V341 V392 Singl livebrn-before adm (Oct 05) Oth multiple nb-nonhosp Single liveborn-nonhosp (Oct 05) Oth mult sb-before adm Twin, mate lb-before adm (Oct 05) Oth multiple sb-nonhosp Twin, mate lb-nonhosp (Oct 05) Mult nb/sb-before adm Twin, mate sb-before adm (Oct 05) Multiple nb/sb-nonhosp Twin, mate sb-nonhosp (Oct 05) Mult brth nos-before adm Twin nos-before admissn (Oct 05) Mult birth nos-nonhosp Twin nos-nonhosp (Oct 05) Liveborn nos-before adm Oth mult nb-before adm (Oct 05) Liveborn nos-nonhosp 81 DELSA/ELSA/WD/HTP(2008)1 C-17: ICD-10-WHO chest trauma or pleural effusion codes 80700 80701 80702 80703 80704 80705 80706 80707 80708 80709 80710 80711 80712 80713 80714 80715 80716 80717 80718 80719 8072 8073 8074 8075 8076 8090 8091 8600 8601 8602 8603 8604 8605 86100 86101 Fracture rib nos-closed Fracture one rib-closed Fracture two ribs-closed Fracture three ribs-clos Fracture four ribs-close Fracture five ribs-close Fracture six ribs-closed Fracture seven ribs-clos Fx eight/more rib-closed Fx mult ribs nos-closed Fracture rib nos-open Fracture one rib-open Fracture two ribs-open Fracture three ribs-open Fracture four ribs-open Fracture five ribs-open Fracture six ribs-open Fracture seven ribs-open Fx eight/more ribs-open Fx mult ribs nos-open Fracture of sternum-clos Fracture of sternum-open Flail chest Fx larynx/trachea-closed Fx larynx/trachea-open Fracture trunk bone-clos Fracture trunk bone-open Traum pneumothorax-close Traum pneumothorax-open Traum hemothorax-closed Traum hemothorax-open Traum pneumohemothor-cl Traum pneumohemothor-opn Heart injury nos-closed Heart contusion-closed 9011 9012 9013 90140 90141 90142 90181 90182 90183 90189 9019 9110 9111 9118 9119 9220 9221 9223 92231 92233 9228 9229 92611 92619 9268 9269 9290 9299 9541 9548 9549 95911 95919 9599 0101 86102 Heart laceration-closed 01010 86103 86110 Heart chamber lacerat-cl Heart injury nos-open 01011 01012 86111 86112 Heart contusion-open Heart laceration-open 01013 01014 86113 Heart chamber lacer-opn 01015 82 Inj innomin/subclav art Inj superior vena cava Inj innomin/subclav vein Inj pulmonary vessel nos Injury pulmonary artery Injury pulmonary vein Inj intercostal art/vein Inj int mammary art/vein Inj mult thoracic vessel Inj thoracic vessel nec Inj thoracic vessel nos Abrasion trunk Abrasion trunk-infected Superfic inju trunk nec Superfic inju trunk nec-inf Contusion of breast Contusion of chest wall Back contusion Back contusion Interscplr reg contusion Muliple contusion trunk Contusion of trunk Crushing injury back Crushing inj trunk nec Mult crushing inj trunk Crushing inj trunk nos Crush inj mult site nec Crushing injury nos Inj sympa nerve nec Injury trunk nerve nec Injury trunk nerve nos Injury of chest wall nec Trunk injury-sites nec Injury-site nos Tuberculous pleurisy in primary progressive tuberculosis Tuberculous pleurisy in primary progressive tuberculosis, unspecified Tpippt, bacterial or histological exam not done Tpippt, bacterial or histological exam unknown Tpippt, tubercle bacili found by microscopy Tpippt, tubercle bacili not found by microscopy but by bacterial culture Tpippt, tubercle bacili not found by bacteriological but confirmed histologically DELSA/ELSA/WD/HTP(2008)1 C-17: ICD-10-WHO chest trauma or pleural effusion codes (continued) 86120 Lung injury nos-closed 01016 86121 86122 86130 86131 86132 8620 Lung contusion-closed Lung laceration-closed Lung injury nos-open Lung contusion-open Lung laceration-open Diaphragm injury-closed 0117 01170 01171 01172 01173 01174 8621 Diaphragm injury-open 01175 86221 Bronchus injury-closed 01176 86222 86229 86231 86232 86239 8628 Esophagus injury-closed Intrathoracic inj nec-cl Bronchus injury-open Esophagus injury-open Intrathorac inj nec-open Intrathoracic inj nos-cl 0120 01200 01201 01202 01203 01204 8629 Intrathorac inj nos-open 01205 8750 Open wound of chest 01206 8751 8760 Open wound chest-compl Open wound of back 1972 5111 8761 Open wound back-compl 5118 9010 Injury thoracic aorta 5119 83 Tpippt, tubercle bacili not found by bacterilogical or histological but confirmed other methods Tuberculous pneumothorax Tuberculous pneumothorax, unspecified Tpneu, bacterial or histological exam not done Tpneu, bacterial or histological exam unknown Tpneu, tubercle bacili found by microscopy Tpneu, tubercle bacili not found by microscopy but by bacterial culture Tpneu, tubercle bacili not found by bacteriological but confirmed histologically Tpenu, tubercle bacili not found by bacterilogical or histological but confirmed other methods Tuberculous pleurisy Tuberculous pleurisy, unspecified Tp, bacterial or histological exam not done Tp, bacterial or histological exam unknown Tp, tubercle bacili found by microscopy Tp, tubercle bacili not found by microscopy but by bacterial culture Tp, tubercle bacili not found by bacteriological but confirmed histologically Tp, tubercle bacili not found by bacterilogical or histological but confirmed other methods Second malig neo pleura With efusion, with mention of a bacterial cause other than tuberculosis Other specified form of effusion, except tuberculous Unspecified pleural effusion DELSA/ELSA/WD/HTP(2008)1 C-18: ICD-9-CM Neuromuscular Disorder codes: 3570 35800 35801 3581 3582 3588 3589 3590 3591 3592 3593 3594 3595 3596 35981 35989 3599 Ac infect polyneuritis Mysthna grvs w/o ac exac Myasthna gravs w ac exac Myasthenia in oth dis Toxic myoneural disorder Myoneural disorders nec Myoneural disorders nos Cong hered musc dystrphy Hered prog musc dystrphy Myotonic disorders Famil periodic paralysis Toxic myopathy Myopathy in endocrin dis Infl myopathy in oth dis Critical illness myopthy Myopathies nec Myopathy nos Code List W: ICD-10-WHO codes for denominator calculation (refer to codes below) App No. Code List W-1 ICD-10-WHO immunocompromised state codes W-2 ICD-10-WHO cancer codes W-3 ICD-10-WHO hemiplegia codes W-4 ICD-10-WHO spina bifida or anoxic brain damage codes Self-Inflicted Injury Diagnosis ICD-10WHO Codes W-5 W-6 Poisoning due to anaesthetics ICD-10WHO Codes Indicator Function Infection due to medical care Denominator exclusion, if postoperative sepsis principal diagnosis or secondary diagnosis Infection due to medical care Denominator exclusion, if Postoperative sepsis principal diagnosis or secondary diagnosis Decubitus ulcer Denominator exclusion, if principal diagnosis or secondary diagnosis Decubitus ulcer Denominator exclusion, if principal diagnosis or secondary diagnosis Complications of anaesthesia Complications of Anaesthesia: denominator exclusion, if coded Postoperative hip fracture together with drug dependence and active nondependent abuse of drugs (w-7) Hip fracture: denominator exclusion, if principal diagnosis or secondary diagnosis Complications of anaesthesia Denominator exclusion, if coded together with drug dependence and active nondependent abuse of drugs (w-7) 84 DELSA/ELSA/WD/HTP(2008)1 Code List W: ICD-10-WHO codes for denominator calculation (refer to codes below) (continued) App No. Code List Indicator W-7 ICD-10-WHO codes for Complications of anaesthesia Drug 85ependence and active nondependent abuse of drugs Function Denominator exclusion, if coded together with self-inflicted injury diagnosis (w-5) or poisoning due to anaesthetics ICD-10-who codes (w-6) W-8 Postoperative hip fracture Denominator exclusion, principal diagnosis Postoperative hip fracture Denominator exclusion, if principal diagnosis or secondary diagnosis Postoperative sepsis Denominator exclusion, if principal diagnosis Denominator exclusion, if coded together with preterm infant diagnosis codes (w-12) Denominator exclusion, if coded together with subdural or cerebral haemorrhage diagnosis codes (w-11) Denominator exclusion, if coded together with osteogenesis imperfecta diagnosis codes (w14) Denominator exclusion, if coded together with injury to skeleton diagnosis codes (w-13) Denominator inclusion W-9 W-10 W-11 W-12 ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury ICD-10-WHO codes for metastatic cancer, lymphoid malignancy or bone malignancy ICD-10-WHO codes for infections ICD-10-WHO subdural or cerebral haemorrhage diagnosis codes ICD-10-WHO Preterm Infant diagnosis codes Injury to neonate Injury to neonate W-13 ICD-10-WHO injury to Injury to neonate skeleton diagnosis codes W-14 ICD-10-WHO Injury to neonate osteogenesis imperfecta diagnosis codes ICD-10-WHO Newborn Injury to neonate in Hospital Live Birth Codes ICD-10-WHO Newborn Injury to neonate out of Hospital Codes W-15 W-16 W-17 W-18 ICD-10-WHO chest Iatrogenic pneumothorax trauma or pleural effusion codes ICD-10-WHO Postoperative respiratory failure neuromuscular disorder codes 85 Denominator exclusion Denominator exclusion Denominator exclusion if DELSA/ELSA/WD/HTP(2008)1 W-1: ICD-10-WHO immunocompromised state codes: Infection Due to Medical Care Postoperative Sepsis - Denominator exclusion, if principal diagnosis or secondary diagnosis B20.0 B20.1 B20.2 B20.3 B20.4 B20.5 B20.6 B20.7 B20.8 B20.9 B21.0 B21.1 B21.2 B21.3 B21.7 B21.8 B21.9 B22.0 B22.1 B22.2 B22.7 B23.1 B23.2 B23.8 B24 B59 D47.1 D70 D71 D72.0 D80.0 D80.1 D80.2 D80.3 D80.4 D80.5 D80.6 D80.7 D80.8 D80.9 HIV disease resulting in mycobacterial infection HIV disease resulting in other bacterial infections HIV disease resulting in cytomegaloviral disease HIV disease resulting in other viral infections HIV disease resulting in candidiasis HIV disease resulting in other mycoses HIV disease resulting in Pneumocystis carinii pneumonia HIV disease resulting in multiple infections HIV disease resulting in other infectious and parasitic diseases HIV disease resulting in unspecified infectious or parasitic disease HIV disease resulting in Kaposi's sarcoma HIV disease resulting in Burkitt's lymphoma HIV disease resulting in other types of non-Hodgkin's lymphoma HIV disease resulting in other malignant neoplasms of lymphoid, haematopoietic and related tissue HIV disease resulting in multiple malignant neoplasms HIV disease resulting in other malignant neoplasms HIV disease resulting in unspecified malignant neoplasm HIV disease resulting in encephalopathy HIV disease resulting in lymphoid interstitial pneumonitis HIV disease resulting in wasting syndrome HIV disease resulting in multiple diseases classified elsewhere HIV disease resulting in (persistent) generalized lymphadenopathy HIV disease resulting in haematological and immunological abnormalities, not elsewhere classified HIV disease resulting in other specified conditions Unspecified human immunodeficiency virus [HIV] disease Pneumocystosis Chronic myeloproliferative disease Agranulocytosis Functional disorders of polymorphonuclear neutrophils Genetic anomalies of leukocytes Hereditary hypogammaglobulinaemia Nonfamilial hypogammaglobulinaemia Selective deficiency of immunoglobulin A [IgA] Selective deficiency of immunoglobulin G [IgG] subclasses Selective deficiency of immunoglobulin M [IgM] Immunodeficiency with increased immunoglobulin M [IgM] Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinaemia Transient hypogammaglobulinaemia of infancy Other immunodeficiencies with predominantly antibody defects Immunodeficiency with predominantly antibody defects, unspecified 86 DELSA/ELSA/WD/HTP(2008)1 W-1: ICD-10-WHO immunocompromised state codes: Infection Due to Medical Care Postoperative Sepsis - Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) D81.0 D81.1 D81.2 D81.3 D81.4 D81.5 D81.6 D81.7 D81.8 D81.9 D82.0 D82.1 D82.2 D82.3 D82.4 D82.8 D82.9 D83.0 D83.1 D83.2 D83.8 D83.9 D84.0 D84.1 D84.8 D84.9 D89.8 D89.9 E40 E41 E42 E43 I12.0 I13.1 I13.2 K91.2 N18.0 N18.8 T86.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis Severe combined immunodeficiency [SCID] with low T- and B-cell numbers Severe combined immunodeficiency [SCID] with low or normal B-cell numbers Adenosine deaminase [ADA] deficiency Nezelof's syndrome Purine nucleoside phosphorylase [PNP] deficiency Major histocompatibility complex class I deficiency Major histocompatibility complex class II deficiency Other combined immunodeficiencies Combined immunodeficiency, unspecified Wiskott-Aldrich syndrome Di George's syndrome Immunodeficiency with short-limbed stature Immunodeficiency following hereditary defective response to Epstein-Barr virus Hyperimmunoglobulin E [IgE] syndrome Immunodeficiency associated with other specified major defects Immunodeficiency associated with major defect, unspecified Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function Common variable immunodeficiency with predominant immunoregulatory T-cell disorders Common variable immunodeficiency with autoantibodies to B- or T-cells Other common variable immunodeficiencies Common variable immunodeficiency, unspecified Lymphocyte function antigen-1 [LFA-1] defect Defects in the complement system Other specified immunodeficiencies Immunodeficiency, unspecified Other specified disorders involving the immune mechanism, not elsewhere classified Disorder involving the immune mechanism, unspecified Kwashiorkor Nutritional marasmus Marasmic kwashiorkor Unspecified severe protein-energy malnutrition Hypertensive renal disease with renal failure Hypertensive heart and renal disease with renal failure Hypertensive heart and renal disease with both (congestive) heart failure and renal failure Postsurgical malabsorption, not elsewhere classified End-stage renal disease Other chronic renal failure Bone-marrow transplant rejection 87 DELSA/ELSA/WD/HTP(2008)1 W-1: ICD-10-WHO immunocompromised state codes: Infection Due to Medical Care Postoperative Sepsis - Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) T86.1 T86.2 T86.3 T86.4 T86.8 T86.9 Y83.0 Z49.0 Z49.1 Z49.2 Z94.0 Z94.1 Z94.2 Z94.3 Z94.4 Z94.8 Z94.9 Kidney transplant failure and rejection Heart transplant failure and rejection Heart-lung transplant failure and rejection Liver transplant failure and rejection Failure and rejection of other transplanted organs and tissues Failure and rejection of unspecified transplanted organ and tissue Surgical Operation with transplant of whole organ or tissue Preparatory care for dialysis Extracorporeal dialysis Other dialysis Kidney transplant status Heart transplant status Lung transplant status Heart and lungs transplant status Liver transplant status Other transplanted organ and tissue status Transplanted organ and tissue status, unspecified W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis C00.0 C00.1 C00.2 C00.3 C00.4 C00.5 C00.6 C00.8 C00.9 C01 C02.0 C02.1 C02.2 C02.3 C02.4 C02.8 C02.9 C03.0 C03.1 C03.9 C04.0 C04.1 Malignant neoplasm: External upper lip Malignant neoplasm: External lower lip Malignant neoplasm: External lip, unspecified Malignant neoplasm: Upper lip, inner aspect Malignant neoplasm: Lower lip, inner aspect Malignant neoplasm: Lip, unspecified, inner aspect Malignant neoplasm: Commissure of lip Malignant neoplasm: Overlapping lesion of lip Malignant neoplasm: Lip, unspecified Malignant neoplasm of base of tongue Malignant neoplasm: Dorsal surface of tongue Malignant neoplasm: Border of tongue Malignant neoplasm: Ventral surface of tongue Malignant neoplasm: Anterior two-thirds of tongue, part unspecified Malignant neoplasm: Lingual tonsil Malignant neoplasm: Overlapping lesion of tongue Malignant neoplasm: Tongue, unspecified Malignant neoplasm: Upper gum Malignant neoplasm: Lower gum Malignant neoplasm: Gum, unspecified Malignant neoplasm: Anterior floor of mouth Malignant neoplasm: Lateral floor of mouth 88 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C04.8 C04.9 C05.0 C05.1 C05.2 C05.8 C05.9 C06.0 C06.1 C06.2 C06.8 C06.9 C07 C08.0 C08.1 C08.8 C08.9 C09.0 C09.1 C09.8 C09.9 C10.0 C10.1 C10.2 C10.3 C10.4 C10.8 C10.9 C11.0 C11.1 C11.2 C11.3 C11.8 C11.9 C12 C13.0 C13.1 C13.2 C13.8 C13.9 C14.0 C14.2 C14.8 C15.0 Malignant neoplasm: Overlapping lesion of floor of mouth Malignant neoplasm: Floor of mouth, unspecified Malignant neoplasm: Hard palate Malignant neoplasm: Soft palate Malignant neoplasm: Uvula Malignant neoplasm: Overlapping lesion of palate Malignant neoplasm: Palate, unspecified Malignant neoplasm: Cheek mucosa Malignant neoplasm: Vestibule of mouth Malignant neoplasm: Retromolar area Malignant neoplasm: Overlapping lesion of other and unspecified parts of mouth Malignant neoplasm: Mouth, unspecified Malignant neoplasm of parotid gland Malignant neoplasm: Submandibular gland Malignant neoplasm: Sublingual gland Malignant neoplasm: Overlapping lesion of major salivary glands Malignant neoplasm: Major salivary gland, unspecified Malignant neoplasm: Tonsillar fossa Malignant neoplasm: Tonsillar pillar (anterior)(posterior) Malignant neoplasm: Overlapping lesion of tonsil Malignant neoplasm: Tonsil, unspecified Malignant neoplasm: Vallecula Malignant neoplasm: Anterior surface of epiglottis Malignant neoplasm: Lateral wall of oropharynx Malignant neoplasm: Posterior wall of oropharynx Malignant neoplasm: Branchial cleft Malignant neoplasm: Overlapping lesion of oropharynx Malignant neoplasm: Oropharynx, unspecified Malignant neoplasm: Superior wall of nasopharynx Malignant neoplasm: Posterior wall of nasopharynx Malignant neoplasm: Lateral wall of nasopharynx Malignant neoplasm: Anterior wall of nasopharynx Malignant neoplasm: Overlapping lesion of nasopharynx Malignant neoplasm: Nasopharynx, unspecified Malignant neoplasm of piriform sinus Malignant neoplasm: Postcricoid region Malignant neoplasm: Aryepiglottic fold, hypopharyngeal aspect Malignant neoplasm: Posterior wall of hypopharynx Malignant neoplasm: Overlapping lesion of hypopharynx Malignant neoplasm: Hypopharynx, unspecified Malignant neoplasm: Pharynx, unspecified Malignant neoplasm: Waldeyer's ring Malignant neoplasm: Overlapping lesion of lip, oral cavity and pharynx Malignant neoplasm: Cervical part of oesophagus 89 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C15.1 C15.2 C15.3 C15.4 C15.5 C15.8 C15.9 C16.0 C16.1 C16.2 C16.3 C16.4 C16.5 C16.6 C16.8 C16.9 C17.0 C17.1 C17.2 C17.3 C17.8 C17.9 C18.0 C18.1 C18.2 C18.3 C18.4 C18.5 C18.6 C18.7 C18.8 C18.9 C19 C20 C21.0 C21.1 C21.2 C21.8 C22.0 C22.1 C22.2 C22.3 C22.4 C22.7 C22.9 Malignant neoplasm: Thoracic part of oesophagus Malignant neoplasm: Abdominal part of oesophagus Malignant neoplasm: Upper third of oesophagus Malignant neoplasm: Middle third of oesophagus Malignant neoplasm: Lower third of oesophagus Malignant neoplasm: Overlapping lesion of oesophagus Malignant neoplasm: Oesophagus, unspecified Malignant neoplasm: Cardia Malignant neoplasm: Fundus of stomach Malignant neoplasm: Body of stomach Malignant neoplasm: Pyloric antrum Malignant neoplasm: Pylorus Malignant neoplasm: Lesser curvature of stomach, unspecified Malignant neoplasm: Greater curvature of stomach, unspecified Malignant neoplasm: Overlapping lesion of stomach Malignant neoplasm: Stomach, unspecified Malignant neoplasm: Duodenum Malignant neoplasm: Jejunum Malignant neoplasm: Ileum Malignant neoplasm: Meckel's diverticulum Malignant neoplasm: Overlapping lesion of small intestine Malignant neoplasm: Small intestine, unspecified Malignant neoplasm: Caecum Malignant neoplasm: Appendix Malignant neoplasm: Ascending colon Malignant neoplasm: Hepatic flexure Malignant neoplasm: Transverse colon Malignant neoplasm: Splenic flexure Malignant neoplasm: Descending colon Malignant neoplasm: Sigmoid colon Malignant neoplasm: Overlapping lesion of colon Malignant neoplasm: Colon, unspecified Malignant neoplasm of rectosigmoid junction Malignant neoplasm of rectum Malignant neoplasm: Anus, unspecified Malignant neoplasm: Anal canal Malignant neoplasm: Cloacogenic zone Malignant neoplasm: Overlapping lesion of rectum, anus and anal canal Malignant neoplasm: Liver cell carcinoma Malignant neoplasm: Intrahepatic bile duct carcinoma Malignant neoplasm: Hepatoblastoma Malignant neoplasm: Angiosarcoma of liver Malignant neoplasm: Other sarcomas of liver Malignant neoplasm: Other specified carcinomas of liver Malignant neoplasm: Liver, unspecified 90 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C23 C24.0 C24.1 C24.8 C24.9 C25.0 C25.1 C25.2 C25.3 C25.4 C25.7 C25.8 C25.9 C26.0 C26.1 C26.8 C26.9 C30.0 C30.1 C31.0 C31.1 C31.2 C31.3 C31.8 C31.9 C32.0 C32.1 C32.2 C32.3 C32.8 C32.9 C33 C34.0 C34.1 C34.2 C34.3 C34.8 C34.9 C37 C38.0 C38.1 C38.2 C38.3 C38.4 C38.8 Malignant neoplasm of gallbladder Malignant neoplasm: Extrahepatic bile duct Malignant neoplasm: Ampulla of Vater Malignant neoplasm: Overlapping lesion of biliary tract Malignant neoplasm: Biliary tract, unspecified Malignant neoplasm: Head of pancreas Malignant neoplasm: Body of pancreas Malignant neoplasm: Tail of pancreas Malignant neoplasm: Pancreatic duct Malignant neoplasm: Endocrine pancreas Malignant neoplasm: Other parts of pancreas Malignant neoplasm: Overlapping lesion of pancreas Malignant neoplasm: Pancreas, unspecified Malignant neoplasm: Intestinal tract, part unspecified Malignant neoplasm: Spleen Malignant neoplasm: Overlapping lesion of digestive system Malignant neoplasm: Ill-defined sites within the digestive system Malignant neoplasm: Nasal cavity Malignant neoplasm: Middle ear Malignant neoplasm: Maxillary sinus Malignant neoplasm: Ethmoidal sinus Malignant neoplasm: Frontal sinus Malignant neoplasm: Sphenoidal sinus Malignant neoplasm: Overlapping lesion of accessory sinuses Malignant neoplasm: Accessory sinus, unspecified Malignant neoplasm: Glottis Malignant neoplasm: Supraglottis Malignant neoplasm: Subglottis Malignant neoplasm: Laryngeal cartilage Malignant neoplasm: Overlapping lesion of larynx Malignant neoplasm: Larynx, unspecified Malignant neoplasm of trachea Malignant neoplasm: Main bronchus Malignant neoplasm: Upper lobe, bronchus or lung Malignant neoplasm: Middle lobe, bronchus or lung Malignant neoplasm: Lower lobe, bronchus or lung Malignant neoplasm: Overlapping lesion of bronchus and lung Malignant neoplasm: Bronchus or lung, unspecified Malignant neoplasm of thymus Malignant neoplasm: Heart Malignant neoplasm: Anterior mediastinum Malignant neoplasm: Posterior mediastinum Malignant neoplasm: Mediastinum, part unspecified Malignant neoplasm: Pleura Malignant neoplasm: Overlapping lesion of heart, mediastinum and pleura 91 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C39.0 C39.8 C39.9 C40.0 C40.1 C40.2 C40.3 C40.8 C40.9 C41.0 C41.1 C41.2 C41.3 C41.4 C41.8 C41.9 C43.0 C43.1 C43.2 C43.3 C43.4 C43.5 C43.6 C43.7 C43.8 C43.9 C45.0 C45.1 C45.2 C45.7 C45.9 C46.0 C46.1 C46.2 C46.3 C46.7 C46.8 C46.9 C47.0 C47.1 C47.2 C47.3 C47.4 C47.5 C47.6 Malignant neoplasm: Upper respiratory tract, part unspecified Malignant neoplasm: Overlapping lesion of respiratory and intrathoracic organs Malignant neoplasm: Ill-defined sites within the respiratory system Malignant neoplasm: Scapula and long bones of upper limb Malignant neoplasm: Short bones of upper limb Malignant neoplasm: Long bones of lower limb Malignant neoplasm: Short bones of lower limb Malignant neoplasm: Overlapping lesion of bone and articular cartilage of limbs Malignant neoplasm: Bone and articular cartilage of limb, unspecified Malignant neoplasm: Bones of skull and face Malignant neoplasm: Mandible Malignant neoplasm: Vertebral column Malignant neoplasm: Ribs, sternum and clavicle Malignant neoplasm: Pelvic bones, sacrum and coccyx Malignant neoplasm: Overlapping lesion of bone and articular cartilage Malignant neoplasm: Bone and articular cartilage, unspecified Malignant neoplasm: Malignant melanoma of lip Malignant neoplasm: Malignant melanoma of eyelid, including canthus Malignant neoplasm: Malignant melanoma of ear and external auricular canal Malignant neoplasm: Malignant melanoma of other and unspecified parts of face Malignant neoplasm: Malignant melanoma of scalp and neck Malignant neoplasm: Malignant melanoma of trunk Malignant neoplasm: Malignant melanoma of upper limb, including shoulder Malignant neoplasm: Malignant melanoma of lower limb, including hip Malignant neoplasm: Overlapping malignant melanoma of skin Malignant neoplasm: Malignant melanoma of skin, unspecified Mesothelioma of pleura Mesothelioma of peritoneum Mesothelioma of pericardium Mesothelioma of other sites Mesothelioma, unspecified Kaposi's sarcoma of skin Kaposi's sarcoma of soft tissue Kaposi's sarcoma of palate Kaposi's sarcoma of lymph nodes Kaposi's sarcoma of other sites Kaposi's sarcoma of multiple organs Kaposi's sarcoma, unspecified Malignant neoplasm: Peripheral nerves of head, face and neck Malignant neoplasm: Peripheral nerves of upper limb, including shoulder Malignant neoplasm: Peripheral nerves of lower limb, including hip Malignant neoplasm: Peripheral nerves of thorax Malignant neoplasm: Peripheral nerves of abdomen Malignant neoplasm: Peripheral nerves of pelvis Malignant neoplasm: Peripheral nerves of trunk, unspecified 92 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C47.8 C47.9 C48.0 C48.1 C48.2 C48.8 C49.0 C49.1 C49.2 C49.3 C49.4 C49.5 C49.6 C49.8 C49.9 C50.0 C50.1 C50.2 C50.3 C50.4 C50.5 C50.6 C50.8 C50.9 C51.0 C51.1 C51.2 C51.8 C51.9 C52 C53.0 C53.1 C53.8 C53.9 C54.0 C54.1 C54.2 C54.3 C54.8 C54.9 C55 C56 C57.0 C57.1 Malignant neoplasm: Overlapping lesion of peripheral nerves and autonomic nervous system Malignant neoplasm: Peripheral nerves and autonomic nervous system, unspecified Malignant neoplasm: Retroperitoneum Malignant neoplasm: Specified parts of peritoneum Malignant neoplasm: Peritoneum, unspecified Malignant neoplasm: Overlapping lesion of retroperitoneum and peritoneum Malignant neoplasm: Connective and soft tissue of head, face and neck Malignant neoplasm: Connective and soft tissue of upper limb, including shoulder Malignant neoplasm: Connective and soft tissue of lower limb, including hip Malignant neoplasm: Connective and soft tissue of thorax Malignant neoplasm: Connective and soft tissue of abdomen Malignant neoplasm: Connective and soft tissue of pelvis Malignant neoplasm: Connective and soft tissue of trunk, unspecified Malignant neoplasm: Overlapping lesion of connective and soft tissue Malignant neoplasm: Connective and soft tissue, unspecified Malignant neoplasm: Nipple and areola Malignant neoplasm: Central portion of breast Malignant neoplasm: Upper-inner quadrant of breast Malignant neoplasm: Lower-inner quadrant of breast Malignant neoplasm: Upper-outer quadrant of breast Malignant neoplasm: Lower-outer quadrant of breast Malignant neoplasm: Axillary tail of breast Malignant neoplasm: Overlapping lesion of breast Malignant neoplasm: Breast, unspecified Malignant neoplasm: Labium majus Malignant neoplasm: Labium minus Malignant neoplasm: Clitoris Malignant neoplasm: Overlapping lesion of vulva Malignant neoplasm: Vulva, unspecified Malignant neoplasm of vagina Malignant neoplasm: Endocervix Malignant neoplasm: Exocervix Malignant neoplasm: Overlapping lesion of cervix uteri Malignant neoplasm: Cervix uteri, unspecified Malignant neoplasm: Isthmus uteri Malignant neoplasm: Endometrium Malignant neoplasm: Myometrium Malignant neoplasm: Fundus uteri Malignant neoplasm: Overlapping lesion of corpus uteri Malignant neoplasm: Corpus uteri, unspecified Malignant neoplasm of uterus, part unspecified Malignant neoplasm of ovary Malignant neoplasm: Fallopian tube Malignant neoplasm: Broad ligament 93 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C57.2 C57.3 C57.4 C57.7 C57.8 C57.9 C58 C60.0 C60.1 C60.2 C60.8 C60.9 C61 C62.0 C62.1 C62.9 C63.0 C63.1 C63.2 C63.7 C63.8 C63.9 C64 C65 C66 C67.0 C67.1 C67.2 C67.3 C67.4 C67.5 C67.6 C67.7 C67.8 C67.9 C68.0 C68.1 C68.8 C68.9 C69.0 C69.1 C69.2 C69.3 C69.4 C69.5 Malignant neoplasm: Round ligament Malignant neoplasm: Parametrium Malignant neoplasm: Uterine adnexa, unspecified Malignant neoplasm: Other specified female genital organs Malignant neoplasm: Overlapping lesion of female genital organs Malignant neoplasm: Female genital organ, unspecified Malignant neoplasm of placenta Malignant neoplasm: Prepuce Malignant neoplasm: Glans penis Malignant neoplasm: Body of penis Malignant neoplasm: Overlapping lesion of penis Malignant neoplasm: Penis, unspecified Malignant neoplasm of prostate Malignant neoplasm: Undescended testis Malignant neoplasm: Descended testis Malignant neoplasm: Testis, unspecified Malignant neoplasm: Epididymis Malignant neoplasm: Spermatic cord Malignant neoplasm: Scrotum Malignant neoplasm: Other specified male genital organs Malignant neoplasm: Overlapping lesion of male genital organs Malignant neoplasm: Male genital organ, unspecified Malignant neoplasm of kidney, except renal pelvis Malignant neoplasm of renal pelvis Malignant neoplasm of ureter Malignant neoplasm: Trigone of bladder Malignant neoplasm: Dome of bladder Malignant neoplasm: Lateral wall of bladder Malignant neoplasm: Anterior wall of bladder Malignant neoplasm: Posterior wall of bladder Malignant neoplasm: Bladder neck Malignant neoplasm: Ureteric orifice Malignant neoplasm: Urachus Malignant neoplasm: Overlapping lesion of bladder Malignant neoplasm: Bladder, unspecified Malignant neoplasm: Urethra Malignant neoplasm: Paraurethral gland Malignant neoplasm: Overlapping lesion of urinary organs Malignant neoplasm: Urinary organ, unspecified Malignant neoplasm: Conjunctiva Malignant neoplasm: Cornea Malignant neoplasm: Retina Malignant neoplasm: Choroid Malignant neoplasm: Ciliary body Malignant neoplasm: Lacrimal gland and duct 94 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C69.6 C69.8 C69.9 C70.0 C70.1 C70.9 C71.0 C71.1 C71.2 C71.3 C71.4 C71.5 C71.6 C71.7 C71.8 C71.9 C72.0 C72.1 C72.2 C72.3 C72.4 C72.5 C72.8 C72.9 C73 C74.0 C74.1 C74.9 C75.0 C75.1 C75.2 C75.3 C75.4 C75.5 C75.8 C75.9 C76.0 C76.1 C76.2 C76.3 C76.4 C76.5 C76.7 Malignant neoplasm: Orbit Malignant neoplasm: Overlapping lesion of eye and adnexa Malignant neoplasm: Eye, unspecified Malignant neoplasm: Cerebral meninges Malignant neoplasm: Spinal meninges Malignant neoplasm: Meninges, unspecified Malignant neoplasm: Cerebrum, except lobes and ventricles Malignant neoplasm: Frontal lobe Malignant neoplasm: Temporal lobe Malignant neoplasm: Parietal lobe Malignant neoplasm: Occipital lobe Malignant neoplasm: Cerebral ventricle Malignant neoplasm: Cerebellum Malignant neoplasm: Brain stem Malignant neoplasm: Overlapping lesion of brain Malignant neoplasm: Brain, unspecified Malignant neoplasm: Spinal cord Malignant neoplasm: Cauda equina Malignant neoplasm: Olfactory nerve Malignant neoplasm: Optic nerve Malignant neoplasm: Acoustic nerve Malignant neoplasm: Other and unspecified cranial nerves Malignant neoplasm: Overlapping lesion of brain and other parts of central nervous system Malignant neoplasm: Central nervous system, unspecified Malignant neoplasm of thyroid gland Malignant neoplasm: Cortex of adrenal gland Malignant neoplasm: Medulla of adrenal gland Malignant neoplasm: Adrenal gland, unspecified Malignant neoplasm: Parathyroid gland Malignant neoplasm: Pituitary gland Malignant neoplasm: Craniopharyngeal duct Malignant neoplasm: Pineal gland Malignant neoplasm: Carotid body Malignant neoplasm: Aortic body and other paraganglia Malignant neoplasm: Pluriglandular involvement, unspecified Malignant neoplasm: Endocrine gland, unspecified Malignant neoplasm of other and ill-defined sites: Head, face and neck Malignant neoplasm of other and ill-defined sites: Thorax Malignant neoplasm of other and ill-defined sites: Abdomen Malignant neoplasm of other and ill-defined sites: Pelvis Malignant neoplasm of other and ill-defined sites: Upper limb Malignant neoplasm of other and ill-defined sites: Lower limb Malignant neoplasm of other and ill-defined sites: Other ill-defined sites 95 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C76.8 C77.0 C77.1 C77.2 C77.3 C77.4 C77.5 C77.8 C77.9 C78.0 C78.1 C78.2 C78.3 C78.4 C78.5 C78.6 C78.7 C78.8 C79.0 C79.1 C79.2 C79.3 C79.4 C79.5 C79.6 C79.7 C79.8 C80 C81.0 C81.1 C81.2 C81.3 C81.7 C81.9 C82.0 C82.1 C82.2 C82.7 C82.9 C83.0 C83.1 C83.2 C83.3 C83.4 Malignant neoplasm of other and ill-defined sites: Overlapping lesion of other and illdefined sites Secondary and unspecified malignant neoplasm: Lymph nodes of head, face and neck Secondary and unspecified malignant neoplasm: Intrathoracic lymph nodes Secondary and unspecified malignant neoplasm: Intra-abdominal lymph nodes Secondary and unspecified malignant neoplasm: Axillary and upper limb lymph nodes Secondary and unspecified malignant neoplasm: Inguinal and lower limb lymph nodes Secondary and unspecified malignant neoplasm: Intrapelvic lymph nodes Secondary and unspecified malignant neoplasm: Lymph nodes of multiple regions Secondary and unspecified malignant neoplasm: Lymph node, unspecified Secondary malignant neoplasm of lung Secondary malignant neoplasm of mediastinum Secondary malignant neoplasm of pleura Secondary malignant neoplasm of other and unspecified respiratory organs Secondary malignant neoplasm of small intestine Secondary malignant neoplasm of large intestine and rectum Secondary malignant neoplasm of retroperitoneum and peritoneum Secondary malignant neoplasm of liver Secondary malignant neoplasm of other and unspecified digestive organs Secondary malignant neoplasm of kidney and renal pelvis Secondary malignant neoplasm of bladder and other and unspecified urinary organs Secondary malignant neoplasm of skin Secondary malignant neoplasm of brain and cerebral meninges Secondary malignant neoplasm of other and unspecified parts of nervous system Secondary malignant neoplasm of bone and bone marrow Secondary malignant neoplasm of ovary Secondary malignant neoplasm of adrenal gland Secondary malignant neoplasm of other specified sites Malignant neoplasm without specification of site Hodgkin's disease: Lymphocytic predominance Hodgkin's disease: Nodular sclerosis Hodgkin's disease: Mixed cellularity Hodgkin's disease: Lymphocytic depletion Hodgkin's disease: Other Hodgkin's disease Hodgkin's disease: Hodgkin's disease, unspecified Non-Hodgkin's lymphoma: Small cleaved cell, follicular Non-Hodgkin's lymphoma: Mixed small cleaved and large cell, follicular Non-Hodgkin's lymphoma: Large cell, follicular Other types of follicular non-Hodgkin's lymphoma Follicular non-Hodgkin's lymphoma, unspecified Non-Hodgkin's lymphoma: Small cell (diffuse) Non-Hodgkin's lymphoma: Small cleaved cell (diffuse) Non-Hodgkin's lymphoma: Mixed small and large cell (diffuse) Non-Hodgkin's lymphoma: Large cell (diffuse) Non-Hodgkin's lymphoma: Immunoblastic (diffuse) 96 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C83.5 C83.6 C83.7 C83.8 C83.9 C84.0 C84.3 C84.4 C84.5 C85.0 C85.1 C85.7 C85.9 C88.0 C90.0 C90.1 C90.2 C91.0 C91.1 C91.2 C91.3 C91.4 C91.5 C91.7 C91.9 C92.0 C92.1 C92.2 C92.3 C92.4 C92.5 C92.7 C92.9 C93.0 C93.1 C93.2 C93.7 C93.9 C94.0 C94.1 C94.2 C94.3 C94.4 C94.5 C94.7 Non-Hodgkin's lymphoma: Lymphoblastic (diffuse) Non-Hodgkin's lymphoma: Undifferentiated (diffuse) Burkitt's tumour Other types of diffuse non-Hodgkin's lymphoma Diffuse non-Hodgkin's lymphoma, unspecified Mycosis fungoides Lymphoepithelioid lymphoma Peripheral T-cell lymphoma Other and unspecified T-cell lymphomas Lymphosarcoma B-cell lymphoma, unspecified Other specified types of non-Hodgkin's lymphoma Non-Hodgkin's lymphoma, unspecified type Waldenstr¸m's macroglobulinaemia Multiple myeloma Plasma cell leukaemia Plasmacytoma, extramedullary Acute lymphoblastic leukaemia Chronic lymphocytic leukaemia Subacute lymphocytic leukaemia Prolymphocytic leukaemia Hairy-cell leukaemia Adult T-cell leukaemia Other lymphoid leukaemia Lymphoid leukaemia, unspecified Acute myeloid leukaemia Chronic myeloid leukaemia Subacute myeloid leukaemia Myeloid sarcoma Acute promyelocytic leukaemia Acute myelomonocytic leukaemia Other myeloid leukaemia Myeloid leukaemia, unspecified Acute monocytic leukaemia Chronic monocytic leukaemia Subacute monocytic leukaemia Other monocytic leukaemia Monocytic leukaemia, unspecified Acute erythraemia and erythroleukaemia Chronic erythraemia Acute megakaryoblastic leukaemia Mast cell leukaemia Acute panmyelosis Acute myelofibrosis Other specified leukaemias 97 DELSA/ELSA/WD/HTP(2008)1 W-2 ICD-10-WHO cancer codes: Infection Due to Medical Care Postoperative Sepsis Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) C95.0 C95.1 C95.2 C95.7 C95.9 C96.0 C96.1 C96.2 C96.3 C96.7 C96.9 C97 Z85.0 Z85.1 Z85.2 Z85.3 Z85.4 Z85.5 Z85.6 Z85.7 Z85.8 Z85.9 Acute leukaemia of unspecified cell type Chronic leukaemia of unspecified cell type Subacute leukaemia of unspecified cell type Other leukaemia of unspecified cell type Leukaemia, unspecified Letterer-Siwe disease Malignant histiocytosis Malignant mast cell tumour True histiocytic lymphoma Other specified malignant neoplasms of lymphoid, haematopoietic and related tissue Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified Malignant neoplasms of independent (primary) multiple sites Personal history of malignant neoplasm of digestive organs Personal history of malignant neoplasm of trachea, bronchus and lung Personal history of malignant neoplasm of other respiratory and intrathoracic organs Personal history of malignant neoplasm of breast Personal history of malignant neoplasm of genital organs Personal history of malignant neoplasm of urinary tract Personal history of leukaemia Personal history of other malignant neoplasms of lymphoid, haematopoietic and related tissues Personal history of malignant neoplasms of other organs and systems Personal history of malignant neoplasm, unspecified W-3 ICD-10-WHO hemiplegia codes: Decubitus Ulcer Denominator exclusion, if principal diagnosis or secondary diagnosis G04.1 G11.4 G80.0 G80.1 G80.2 G80.3 G80.4 G80.8 G80.9 Tropical spastic paraplegia Hereditary spastic paraplegia Spastic quadriplegic cerebral palsy Spastic diplegic cerebral palsy Spastic hemiplegic cerebral palsy Dyskinetic cerebral palsy Ataxic cerebral palsy Other cerebral palsy Cerebral palsy, unspecified 98 DELSA/ELSA/WD/HTP(2008)1 W-3 ICD-10-WHO hemiplegia codes: Decubitus Ulcer Denominator exclusion, if principal diagnosis or secondary diagnosis (continued) G81.0 G81.1 G81.9 G82.0 G82.1 G82.2 G82.3 G82.4 G82.5 G83.0 G83.1 G83.2 G83.3 G83.4 G83.8 G83.9 Flaccid hemiplegia Spastic hemiplegia Hemiplegia, unspecified Flaccid paraplegia Spastic paraplegia Paraplegia, unspecified Flaccid tetraplegia Spastic tetraplegia Tetraplegia, unspecified Diplegia of upper limbs Monoplegia of lower limb Monoplegia of upper limb Monoplegia, unspecified Cauda equina syndrome Other specified paralytic syndromes Paralytic syndrome, unspecified W-4: ICD-10-WHO spina bifida or anoxic brain damage codes: Decubitus Ulcer Denominator exclusion, if principal diagnosis or secondary diagnosis G93.1 P21.0 Q05.0 Q05.1 Q05.2 Q05.3 Q05.4 Q05.5 Q05.6 Q05.7 Q05.8 Q05.9 Anoxic brain damage, not elsewhere classified Severe birth asphyxia Cervical spina bifida with hydrocephalus Thoracic spina bifida with hydrocephalus Lumbar spina bifida with hydrocephalus Sacral spina bifida with hydrocephalus Unspecified spina bifida with hydrocephalus Cervical spina bifida without hydrocephalus Thoracic spina bifida without hydrocephalus Lumbar spina bifida without hydrocephalus Sacral spina bifida without hydrocephalus Spina bifida, unspecified 99 DELSA/ELSA/WD/HTP(2008)1 W-5 Self-Inflicted Injury Diagnosis ICD-10-WHO Codes Complications of anaesthesia Compl. Anaesthesia: Denominator exclusion, if coded together with drug dependence and active nondependent abuse of drugs (W-7) Postoperative Hip Fracture Hip fracture: Denominator exclusion, if principal diagnosis or secondary diagnosis X60 X61 X62 X63 X64 X65 X66 X67 X68 X69 X70 X71 X72 X73 X74 X75 X76 X77 X78 X79 X80 X81 X82 X83 X84 Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances Intentional self-poisoning by and exposure to alcohol Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours Intentional self-poisoning by and exposure to other gases and vapours Intentional self-poisoning by and exposure to pesticides Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances Intentional self-harm by hanging, strangulation and suffocation Intentional self-harm by drowning and submersion Intentional self-harm by handgun discharge Intentional self-harm by rifle, shotgun and larger firearm discharge Intentional self-harm by other and unspecified firearm discharge Intentional self-harm by explosive material Intentional self-harm by smoke, fire and flames Intentional self-harm by steam, hot vapours and hot objects Intentional self-harm by sharp object Intentional self-harm by blunt object Intentional self-harm by jumping from a high place Intentional self-harm by jumping or lying before moving object Intentional self-harm by crashing of motor vehicle Intentional self-harm by other specified means Intentional self-harm by unspecified means 100 DELSA/ELSA/WD/HTP(2008)1 W-6: Poisoning due to anaesthetics ICD-10-WHO Codes: Complications of anaesthesia Denominator exclusion, if coded together with drug dependence and active nondependent abuse of drugs (W-7) T41.0 T41.1 T41.2 T41.3 T41.4 Poisoning: Inhaled anaesthetics Poisoning: Intravenous anaesthetics Poisoning: Other and unspecified general anaesthetics Poisoning: Local anaesthetics Poisoning: Anaesthetic, unspecified W-7: ICD-10-WHO codes for Drug dependance and active nondependent abuse of drugs: Complications of anaesthesia Denominator exclusion, if coded together with Self-Inflicted Injury Diagnosis (W-5) or Poisoning due to anaesthetics ICD-10-WHO Codes (W-6) F11.0 F11.1 F11.2 F11.3 F11.4 F11.5 F11.6 F11.7 F11.8 F11.9 F12.0 F12.1 F12.2 F12.3 F12.4 F12.5 F12.6 F12.7 F12.8 Mental and behavioural disorders due to use of opioids, acute intoxication Mental and behavioural disorders due to use of opioids, harmful use Mental and behavioural disorders due to use of opioids, dependence syndrome Mental and behavioural disorders due to use of opioids, withdrawal state Mental and behavioural disorders due to use of opioids, withdrawal state with delirium Mental and behavioural disorders due to use of opioids, psychotic disorder Mental and behavioural disorders due to use of opioids, amnesic syndrome Mental and behavioural disorders due to use of opioids, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of opioids, other mental and behavioural disorders Mental and behavioural disorders due to use of opioids, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of cannabinoids, acute intoxication Mental and behavioural disorders due to use of cannabinoids, harmful use Mental and behavioural disorders due to use of cannabinoids, dependence syndrome Mental and behavioural disorders due to use of cannabinoids, withdrawal state Mental and behavioural disorders due to use of cannabinoids, withdrawal state with delirium Mental and behavioural disorders due to use of cannabinoids, psychotic disorder Mental and behavioural disorders due to use of cannabionoids, amnesic syndrome Mental and behavioural disorders due to use of cannabinoids, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of cannabinoids, other mental and behavioural disorders 101 DELSA/ELSA/WD/HTP(2008)1 W-7: ICD-10-WHO codes for Drug dependance and active nondependent abuse of drugs: Complications of anaesthesia Denominator exclusion, if coded together with Self-Inflicted Injury Diagnosis (W-5) or Poisoning due to anaesthetics ICD-10-WHO Codes (W-6) (continued) F12.9 F13.0 F13.1 F13.2 F13.3 F13.4 F13.5 F13.6 F13.7 F13.8 F13.9 F14.0 F14.1 F14.2 F14.3 F14.4 F14.5 F14.6 F14.7 F14.8 F14.9 F15.0 F15.1 F15.2 F15.3 F15.4 Mental and behavioural disorders due to use of cannabinoids, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of sedatives or hypnotics, acute intoxication Mental and behavioural disorders due to use of sedatives or hypnotics, harmful use Mental and behavioural disorders due to use of sedatives or hypnotics, dependence syndrome Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state with delirium Mental and behavioural disorders due to use of sedatives or hypnotics, psychotic disorder Mental and behavioural disorders due to use of sedatives or hypnotics, amnesic syndrome Mental and behavioural disorders due to use of sedatives or hypnotics, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of sedatives or hypnotics, other mental and behavioural disorders Mental and behavioural disorders due to use of sedatives or hypnotics, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of cocaine, acute intoxication Mental and behavioural disorders due to use of cocaine, harmful use Mental and behavioural disorders due to use of cocaine, dependence syndrome Mental and behavioural disorders due to use of cocaine, withdrawal state Mental and behavioural disorders due to use of cocaine, withdrawal state with delirium Mental and behavioural disorders due to use of cocaine, psychotic disorder Mental and behavioural disorders due to use of cocaine, amnesic syndrome Mental and behavioural disorders due to use of cocaine, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of cocaine, other mental and behavioural disorders Mental and behavioural disorders due to use of cocaine, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of other stimulants including caffeine, acute intoxication Mental and behavioural disorders due to use of other stimulants including caffeine, harmful use Mental and behavioural disorders due to use of other stimulants including caffeine, dependence syndrome Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state with delirium 102 DELSA/ELSA/WD/HTP(2008)1 W-7: ICD-10-WHO codes for Drug dependance and active nondependent abuse of drugs: Complications of anaesthesia Denominator exclusion, if coded together with Self-Inflicted Injury Diagnosis (W-5) or Poisoning due to anaesthetics ICD-10-WHO Codes (W-6) (continued) F15.5 F15.6 F15.7 F15.8 F15.9 F16.0 F16.1 F16.2 F16.3 F16.4 F16.5 F16.6 F16.7 F16.8 F16.9 F18.0 F18.1 F18.2 F18.3 F18.4 F18.5 F18.6 F18.7 F18.8 F18.9 F19.0 F19.1 Mental and behavioural disorders due to use of other stimulants including caffeine, psychotic disorder Mental and behavioural disorders due to use of other stimulants inclduing caffeine, amnesic syndrome Mental and behavioural disorders due to use of other stimulants inclduing caffeine, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of other stimulants including caffeine, other mental and behavioural disorders Mental and behavioural disorders due to use of other stimulants including caffeine, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of hallucinogens, acute intoxication Mental and behavioural disorders due to use of hallucinogens, harmful use Mental and behavioural disorders due to use of hallucinogens, dependence syndrome Mental and behavioural disorders due to use of hallucinogens, withdrawal state Mental and behavioural disorders due to use of hallucinogens, withdrawal state with delirium Mental and behavioural disorders due to use of hallucinogens, psychotic disorder Mental and behavioural disorders due to use of hallucinogens, amnesic syndrome Mental and behavioural disorders due to use of hallucinogens, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of hallucinogens, other mental and behavioural disorders Mental and behavioural disorders due to use of hallucinogens, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of volatile solvents, acute intoxication Mental and behavioural disorders due to use of volatile solvents, harmful use Mental and behavioural disorders due to use of volatile solvents, dependence syndrome Mental and behavioural disorders due to use of volatile solvents, withdrawal state Mental and behavioural disorders due to use of volatile solvents, withdrawal state with delirium Mental and behavioural disorders due to use of volatile solvents, psychotic disorder Mental and behavioural disorders due to use of volatile solvents, amnesic syndrome Mental and behavioural disorders due to use of volatile solvents, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of volatile solvents, other mental and behavioural disorders Mental and behavioural disorders due to use of volatile solvents, unspecified mental and behavioural disorder Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, acute intoxication Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, harmful use 103 DELSA/ELSA/WD/HTP(2008)1 W-7: ICD-10-WHO codes for Drug dependance and active nondependent abuse of drugs: Complications of anaesthesia Denominator exclusion, if coded together with Self-Inflicted Injury Diagnosis (W-5) or Poisoning due to anaesthetics ICD-10-WHO Codes (W-6) (continued) F19.2 F19.3 F19.4 F19.5 F19.6 F19.7 F19.8 F19.9 F55 Mental and behavioural disorders due to multiple drug substances, dependence syndrome Mental and behavioural disorders due to multiple drug substances, withdrawal state Mental and behavioural disorders due to multiple drug substances, withdrawal state with delirium Mental and behavioural disorders due to multiple drug substances, psychotic disorder Mental and behavioural disorders due to multiple drug substances, amnesic syndrome Mental and behavioural disorders due to multiple drug substances, residual and late-onset psychotic disorder Mental and behavioural disorders due to multiple drug substances, other mental and behavioural disorders Mental and behavioural disorders due to multiple drug substances, unspecified mental and behavioural disorder Abuse of non-dependence-producing substances use and use of psychoactive use and use of psychoactive sue and use of psychoactive use and use of psychoactive use and use of psychoactive use and use of psychoactive use and use of psychoactive use and use of psychoactive W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis B15.0 B16.0 B16.2 B19.0 E10.0 E11.0 E12.0 E13.0 E14.0 E15. F00.0 Hepatitis A with hepatic coma Acute hepatitis B with delta-agent (coinfection) with hepatic coma Acute hepatitis B without delta-agent with hepatic coma Unspecified viral hepatitis hepatic with coma Insulin-dependent diabetes mellitus with coma Non-insulin-dependent diabetes mellitus with coma Malnutrition-related diabetes mellitus with coma Other specified diabetes mellitus with coma Unspecified diabetes mellitus with coma Nondiabetic hypoglycaemic coma Dementia in Alzheimer's disease with early onset 104 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) F00.1 F00.2 F00.9 F01.0 F01.1 F01.2 F01.3 F01.8 F01.9 F02.0 F02.1 F02.2 F02.3 F02.4 F02.8 F03 F04 F05.0 F05.1 F05.8 F05.9 F06.0 F06.1 F06.2 F06.3 F06.4 F06.5 F06.6 F06.8 F06.9 F09 F10.0 F10.3 F10.4 F10.5 F10.6 F10.7 F10.8 F10.9 F11.0 F11.3 Dementia in Alzheimer's disease with late onset Dementia in Alzheimer's disease, atypical or mixed type Dementia in Alzheimer's disease, unspecified Vascular dementia of acute onset Multi-infarct dementia Subcortical vascular dementia Mixed cortical and subcortical vascular dementia Other vascular dementia Vascular dementia, unspecified Dementia in Pick's disease Dementia in Creutzfeldt-Jakob disease Dementia in Huntington's disease Dementia in Parkinson's disease Dementia in human immunodeficiency virus [HIV] disease Dementia in other specified diseases classified elsewhere Unspecified dementia Organic amnesic syndrome, not induced by alcohol and other psychoactive substances Delirium not superimposed on dementia, so described Delirium superimposed on dementia Other delirium Delirium, unspecified Organic hallucinosis Organic catatonic disorder Organic delusional [schizophrenia-like] disorder Organic mood [affective] disorders Organic anxiety disorder Organic dissociative disorder Organic emotionally labile [asthenic] disorder Other specified mental disorders due to brain damage and dysfunction and to physical disease Unspecified mental disorder due to brain damage and dysfunction and to physical disease Unspecified organic or symptomatic mental disorder Mental and behavioural disorders due to use of alcohol, acute intoxication Mental and behavioural disorders due to use of alcohol, withdrawal state Mental and behavioural disorders due to use of alcohol, withdrawal state with delirium Mental and behavioural disorders due to use of alcohol, psychotic disorder Mental and behavioural disorders due to use of alcohol, amnesic syndrome Mental and behavioural disorders due to use of alcohol, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of alcohol, other mental and behavioural disorders Mental and behavioural disorders due to use of alcohol, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of opioids, acute intoxication Mental and behavioural disorders due to use of opioids, withdrawal state 105 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) F11.4 F11.5 F11.6 F11.7 F11.8 F11.9 F12.0 F12.3 F12.4 F12.5 F12.6 F12.7 F12.8 F12.9 F13.0 F13.3 F13.4 F13.5 F13.6 F13.7 F13.8 F13.9 F14.0 F14.3 F14.4 F14.5 F14.6 F14.7 F14.8 F14.9 F15.0 Mental and behavioural disorders due to use of opioids, withdrawal state with delirium Mental and behavioural disorders due to use of opioids, psychotic disorder Mental and behavioural disorders due to use of opioids, amnesic syndrome Mental and behavioural disorders due to use of opioids, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of opioids, other mental and behavioural disorders Mental and behavioural disorders due to use of opioids, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of cannabinoids, acute intoxication Mental and behavioural disorders due to use of cannabinoids, withdrawal state Mental and behavioural disorders due to use of cannabinoids, withdrawal state with delirium Mental and behavioural disorders due to use of cannabinoids, psychotic disorder Mental and behavioural disorders due to use of cannabionoids, amnesic syndrome Mental and behavioural disorders due to use of cannabinoids, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of cannabinoids, other mental and behavioural disorders Mental and behavioural disorders due to use of cannabinoids, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of sedatives or hypnotics, acute intoxication Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state with delirium Mental and behavioural disorders due to use of sedatives or hypnotics, psychotic disorder Mental and behavioural disorders due to use of sedatives or hypnotics, amnesic syndrome Mental and behavioural disorders due to use of sedatives or hypnotics, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of sedatives or hypnotics, other mental and behavioural disorders Mental and behavioural disorders due to use of sedatives or hypnotics, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of cocaine, acute intoxication Mental and behavioural disorders due to use of cocaine, withdrawal state Mental and behavioural disorders due to use of cocaine, withdrawal state with delirium Mental and behavioural disorders due to use of cocaine, psychotic disorder Mental and behavioural disorders due to use of cocaine, amnesic syndrome Mental and behavioural disorders due to use of cocaine, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of cocaine, other mental and behavioural disorders Mental and behavioural disorders due to use of cocaine, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of other stimulants including caffeine, acute intoxication 106 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) F15.3 F15.4 F15.5 F15.6 F15.7 F15.8 F15.9 F16.0 F16.3 F16.4 F16.5 F16.6 F16.7 F16.8 F16.9 F18.0 F18.3 F18.4 F18.5 F18.6 F18.7 F18.8 F18.9 F19.0 F19.3 F19.4 Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state with delirium Mental and behavioural disorders due to use of other stimulants including caffeine, psychotic disorder Mental and behavioural disorders due to use of other stimulants inclduing caffeine, amnesic syndrome Mental and behavioural disorders due to use of other stimulants inclduing caffeine, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of other stimulants including caffeine, other mental and behavioural disorders Mental and behavioural disorders due to use of other stimulants including caffeine, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of hallucinogens, acute intoxication Mental and behavioural disorders due to use of hallucinogens, withdrawal state Mental and behavioural disorders due to use of hallucinogens, withdrawal state with delirium Mental and behavioural disorders due to use of hallucinogens, psychotic disorder Mental and behavioural disorders due to use of hallucinogens, amnesic syndrome Mental and behavioural disorders due to use of hallucinogens, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of hallucinogens, other mental and behavioural disorders Mental and behavioural disorders due to use of hallucinogens, unspecified mental and behavioural disorder Mental and behavioural disorders due to use of volatile solvents, acute intoxication Mental and behavioural disorders due to use of volatile solvents, withdrawal state Mental and behavioural disorders due to use of volatile solvents, withdrawal state with delirium Mental and behavioural disorders due to use of volatile solvents, psychotic disorder Mental and behavioural disorders due to use of volatile solvents, amnesic syndrome Mental and behavioural disorders due to use of volatile solvents, residual and late-onset psychotic disorder Mental and behavioural disorders due to use of volatile solvents, other mental and behavioural disorders Mental and behavioural disorders due to use of volatile solvents, unspecified mental and behavioural disorder Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, acute intoxication Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, withdrawal state Mental and behavioural disorders due to multiple drug sue and use of psychoactive substances, withdrawal state with delirium 107 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) F19.5 F19.6 F19.7 F19.8 F19.9 F20.0 F20.1 F20.2 F20.3 F20.4 F20.5 F20.6 F20.8 F20.9 F21. F22.0 F22.8 F22.9 F23.0 F23.1 F23.2 F23.3 F23.8 F23.9 F24 F25.0 F25.1 F25.2 F25.8 F25.9 F28 F29 F30.0 F30.1 F30.2 F30.8 F30.9 F31.0 F31.1 Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, psychotic disorder Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, amnesic syndrome Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, residual and late-onset psychotic disorder Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, other mental and behavioural disorders Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, unspecified mental and behavioural disorder Paranoid schizophrenia Hebephrenic schizophrenia Catatonic schizophrenia Undifferentiated schizophrenia Post-schizophrenic depression Residual schizophrenia Simple schizophrenia Other schizophrenia Schizophrenia, unspecified Schizotypal disorder Delusional disorder Other persistent delusional disorders Persistent delusional disorder, unspecified Acute polymorphic psychotic disorder without symptoms of schizophrenia Acute polymorphic psychotic disorder with symptoms of schizophrenia Acute schizophrenia-like psychotic disorder Other acute predominantly delusional psychotic disorders Other acute and transient psychotic disorders Acute and transient psychotic disorder, unspecified Induced delusional disorder Schizoaffective disorder, manic type Schizoaffective disorder, depressive type Schizoaffective disorder, mixed type Other schizoaffective disorders Schizoaffective disorder, unspecified Other nonorganic psychotic disorders Unspecified nonorganic psychosis Hypomania Mania without psychotic symptoms Mania with psychotic symptoms Other manic episodes Manic episode, unspecified Bipolar affective disorder, current episode hypomanic Bipolar affective disorder, current episode manic without psychotic symptoms 108 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) F31.2 F31.3 F31.4 F31.5 F31.6 F31.7 F31.8 F31.9 F32.2 F32.3 F32.8 F32.9 F33.2 F33.3 F33.4 F33.8 F34.8 F34.9 F38.0 F38.1 F38.8 F39 F53.1 F84.0 F84.1 F84.2 F84.3 F84.4 F84.5 F84.8 F84.9 G40.0 G40.1 G40.2 G40.3 G40.4 G40.5 G40.6 G40.7 G40.8 Bipolar affective disorder, current episode manic with psychotic symptoms Bipolar affective disorder, current episode mild or moderate depression Bipolar affective disorder, current episode severe depression without psychotic symptoms Bipolar affective disorder, current episode severe depression with psychotic symptoms Bipolar affective disorder, current episode mixed Bipolar affective disorder, currently in remission Other bipolar affective disorders Bipolar affective disorder, unspecified Severe depressive episode without psychotic symptoms Severe depressive episode with psychotic symptoms Other depressive episodes Depressive episode, unspecified Recurrent depressive disorder, current episode severe without psychotic symptoms Recurrent depressive disorder, current episode severe with psychotic symptoms Recurrent depressive disorder, currently in remission Other recurrent depressive disorders Other persistent mood [affective] disorders Persistent mood [affective] disorder, unspecified Other single mood [affective] disorders Other recurrent mood [affective] disorders Other specified mood [affective] disorders Unspecified mood [affective] disorder Severe mental and behavioural disorders associated with the puerperium, not elsewhere classified Childhood autism Atypical autism Rett's syndrome Other childhood disintegrative disorder Overactive disorder associated with mental retardation and stereotyped movements Asperger's syndrome Other pervasive developmental disorders Pervasive developmental disorder, unspecified Localization-related (focal)(partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures Generalized idiopathic epilepsy and epileptic syndromes Other generalized epilepsy and epileptic syndromes Special epileptic syndromes Grand mal seizures, unspecified (with or without petit mal) Petit mal, unspecified, without grand mal seizures Other epilepsy 109 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) G40.9 G41.0 G41.1 G41.2 G41.8 G41.9 G93.1 I46.0 I46.9 I60.0 I60.1 I60.2 I60.3 I60.4 I60.5 I60.6 I60.7 I60.8 I60.9 I61.0 I61.1 I61.2 I61.3 I61.4 I61.5 I61.6 I61.8 I61.9 I62.0 I62.1 I62.9 I63.0 I63.1 I63.2 I63.3 I63.4 I63.5 I63.6 I63.8 I63.9 I64 R40.1 R40.2 Epilepsy, unspecified Grand mal status epilepticus Petit mal status epilepticus Complex partial status epilepticus Other status epilepticus Status epilepticus, unspecified Anoxic brain damage, not elsewhere classified Cardiac arrest with successful resuscitation Cardiac arrest, unspecified Subarachnoid haemorrhage from carotid siphon and bifurcation Subarachnoid haemorrhage from middle cerebral artery Subarachnoid haemorrhage from anterior communicating artery Subarachnoid haemorrhage from posterior communicating artery Subarachnoid haemorrhage from basilar artery Subarachnoid haemorrhage from vertebral artery Subarachnoid haemorrhage from other intracranial arteries Subarachnoid haemorrhage from intracranial artery, unspecified Other subarachnoid haemorrhage Subarachnoid haemorrhage, unspecified Intracerebral haemorrhage in hemisphere, subcortical Intracerebral haemorrhage in hemisphere, cortical Intracerebral haemorrhage in hemisphere, unspecified Intracerebral haemorrhage in brain stem Intracerebral haemorrhage in cerebellum Intracerebral haemorrhage, intraventricular Intracerebral haemorrhage, multiple localized Other intracerebral haemorrhage Intracerebral haemorrhage, unspecified Subdural haemorrhage (acute)(nontraumatic) Nontraumatic extradural haemorrhage Intracranial haemorrhage (nontraumatic), unspecified Cerebral infarction due to thrombosis of precerebral arteries Cerebral infarction due to embolism of precerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries Cerebral infarction due to thrombosis of cerebral arteries Cerebral infarction due to embolism of cerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries Cerebral infarction due to cerebral venous thrombosis, nonpyogenic Other cerebral infarction Cerebral infarction, unspecified Stroke, not specified as haemorrhage or infarction Stupor Coma, unspecified 110 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) R41.0 R55 R56.0 R56.8 S01.0 S01.1 S01.2 S01.3 S01.4 S01.5 S01.7 S01.8 S01.9 S02.0 S02.1 S02.2 S02.3 S02.4 S02.5 S02.6 S02.7 S02.8 S02.9 S03.0 S03.1 S03.2 S03.3 S05.0 S05.2 S05.3 S05.4 S05.5 S05.6 S05.7 S05.8 S05.9 S06.0 S06.1 S06.2 S06.3 S06.4 S06.5 S06.6 Disorientation, unspecified Syncope and collapse Febrile convulsions Other and unspecified convulsions Open wound of scalp Open wound of eyelid and periocular area Open wound of nose Open wound of ear Open wound of cheek and temporomandibular area Open wound of lip and oral cavity Multiple open wounds of head Open wound of other parts of head Open wound of head, part unspecified Fracture of vault of skull Fracture of base of skull Fracture of nasal bones Fracture of orbital floor Fracture of malar and maxillary bones Fracture of tooth Fracture of mandible Multiple fractures involving skull and facial bones Fractures of other skull and facial bones Fracture of skull and facial bones, part unspecified Dislocation of jaw Dislocation of septal cartilage of nose Dislocation of tooth Dislocation of other and unspecified parts of head Injury of conjunctiva and corneal abrasion without mention of foreign body Ocular laceration and rupture with prolapse or loss of intraocular tissue Ocular laceration without prolapse or loss of intraocular tissue Penetrating wound of orbit with or without foreign body Penetrating wound of eyeball with foreign body Penetrating wound of eyeball without foreign body Avulsion of eye Other injuries of eye and orbit Injury of eye and orbit, unspecified Concussion Traumatic cerebral oedema Diffuse brain injury Focal brain injury Epidural haemorrhage Traumatic subdural haemorrhage Traumatic subarachnoid haemorrhage 111 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S06.7 S06.8 S06.9 S07.0 S07.1 S07.8 S07.9 S08.0 S08.1 S08.8 S08.9 S09.0 S09.2 S09.7 S09.9 S11.0 S11.1 S11.2 S11.7 S11.8 S11.9 S12.0 S12.1 S12.2 S12.7 S12.8 S12.9 S13.0 S13.1 S13.2 S13.3 S14.0 S14.1 S14.2 S14.3 S15.0 S15.1 S15.2 S15.3 S15.7 S15.8 S15.9 S17.0 Intracranial injury with prolonged coma Other intracranial injuries Intracranial injury, unspecified Crushing injury of face Crushing injury of skull Crushing injury of other parts of head Crushing injury of head, part unspecified Avulsion of scalp Traumatic amputation of ear Traumatic amputation of other parts of head Traumatic amputation of unspecified part of head Injury of blood vessels of head, not elsewhere classified Traumatic rupture of ear drum Multiple injuries of head Unspecified injury of head Open wound involving larynx and trachea Open wound involving thyroid gland Open wound involving pharynx and cervical oesophagus Multiple open wounds of neck Open wound of other parts of neck Open wound of neck, part unspecified Fracture of first cervical vertebra Fracture of second cervical vertebra Fracture of other specified cervical vertebra Multiple fractures of cervical spine Fracture of other parts of neck Fracture of neck, part unspecified Traumatic rupture of cervical intervertebral disc Dislocation of cervical vertebra Dislocation of other and unspecified parts of neck Multiple dislocations of neck Concussion and oedema of cervical spinal cord Other and unspecified injuries of cervical spinal cord Injury of nerve root of cervical spine Injury of brachial plexus Injury of carotid artery Injury of vertebral artery Injury of external jugular vein Injury of internal jugular vein Injury of multiple blood vessels at neck level Injury of other blood vessels at neck level Injury of unspecified blood vessel at neck level Crushing injury of larynx and trachea 112 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S17.8 S17.9 S18 S19.7 S19.8 S19.9 S21.0 S21.1 S21.2 S21.7 S21.8 S21.9 S22.0 S22.1 S22.2 S22.3 S22.4 S22.5 S22.8 S22.9 S23.0 S23.1 S23.2 S24.0 S24.1 S24.2 S25.0 S25.1 S25.2 S25.3 S25.4 S25.5 S25.7 S25.8 S25.9 S26.0 S26.8 S26.9 S27.0 S27.1 S27.2 S27.3 S27.4 Crushing injury of other parts of neck Crushing injury of neck, part unspecified Traumatic amputation at neck level Multiple injuries of neck Other specified injuries of neck Unspecified injury of neck Open wound of breast Open wound of front wall of thorax Open wound of back wall of thorax Multiple open wounds of thoracic wall Open wound of other parts of thorax Open wound of thorax, part unspecified Fracture of thoracic vertebra Multiple fractures of thoracic spine Fracture of sternum Fracture of rib Multiple fractures of ribs Flail chest Fracture of other parts of bony thorax Fracture of bony thorax, part unspecified Traumatic rupture of thoracic intervertebral disc Dislocation of thoracic vertebra Dislocation of other and unspecified parts of thorax Concussion and oedema of thoracic spinal cord Other and unspecified injuries of thoracic spinal cord Injury of nerve root of thoracic spine Injury of thoracic aorta Injury of innominate or subclavian artery Injury of superior vena cava Injury of innominate or subclavian vein Injury of pulmonary blood vessels Injury of intercostal blood vessels Injury of multiple blood vessels of thorax Injury of other blood vessels of thorax Injury of unspecified blood vessel of thorax Injury of heart with haemopericardium Other injuries of heart Injury of heart, unspecified Traumatic pneumothorax Traumatic haemothorax Traumatic haemopneumothorax Other injuries of lung Injury of bronchus 113 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S27.5 S27.6 S27.7 S27.8 S27.9 S28.0 S28.1 S29.0 S29.7 S29.8 S29.9 S31.0 S31.1 S31.2 S31.3 S31.4 S31.5 S31.7 S31.8 S32.0 S32.1 S32.2 S32.3 S32.4 S32.5 S32.7 S32.8 S33.0 S33.1 S33.2 S33.3 S34.0 S34.1 S34.2 S34.3 S34.4 S35.0 S35.1 S35.2 S35.3 S35.4 S35.5 S35.7 Injury of thoracic trachea Injury of pleura Multiple injuries of intrathoracic organs Injury of other specified intrathoracic organs Injury of unspecified intrathoracic organ Crushed chest Traumatic amputation of part of thorax Injury of muscle and tendon at thorax level Multiple injuries of thorax Other specified injuries of thorax Unspecified injury of thorax Open wound of lower back and pelvis Open wound of abdominal wall Open wound of penis Open wound of scrotum and testes Open wound of vagina and vulva Open wound of other and unspecified external genital organs Multiple open wounds of abdomen, lower back and pelvis Open wound of other and unspecified parts of abdomen Fracture of lumbar vertebra Fracture of sacrum Fracture of coccyx Fracture of ilium Fracture of acetabulum Fracture of pubis Multiple fractures of lumbar spine and pelvis Fracture of other and unspecified parts of lumbar spine and pelvis Traumatic rupture of lumbar intervertebral disc Dislocation of lumbar vertebra Dislocation of sacroiliac and sacrococcygeal joint Dislocation of other and unspecified parts of lumbar spine and pelvis Concussion and oedema of lumbar spinal cord Other injury of lumbar spinal cord Injury of nerve root of lumbar and sacral spine Injury of cauda equina Injury of lumbosacral plexus Injury of abdominal aorta Injury of inferior vena cava Injury of coeliac or mesenteric artery Injury of portal or splenic vein Injury of renal blood vessels Injury of iliac blood vessels Injury of multiple blood vessels at abdomen, lower back and pelvis level 114 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S35.8 S35.9 S36.0 S36.1 S36.2 S36.3 S36.4 S36.5 S36.6 S36.7 S36.8 S36.9 S37.0 S37.1 S37.2 S37.3 S37.4 S37.5 S37.6 S37.7 S37.8 S37.9 S38.0 S38.1 S38.2 S38.3 S39.6 S39.7 S39.8 S39.9 S41.0 S41.1 S41.7 S41.8 S42.0 S42.1 S42.2 S42.3 S42.4 S42.7 S42.8 S42.9 S43.0 Injury of other blood vessels at abdomen, lower back and pelvis level Injury of unspecified blood vessel at abdomen, lower back and pelvis level Injury of spleen Injury of liver or gallbladder Injury of pancreas Injury of stomach Injury of small intestine Injury of colon Injury of rectum Injury of multiple intra-abdominal organs Injury of other intra-abdominal organs Injury of unspecified intra-abdominal organ Injury of kidney Injury of ureter Injury of bladder Injury of urethra Injury of ovary Injury of fallopian tube Injury of uterus Injury of multiple pelvic organs Injury of other pelvic organs Injury of unspecified pelvic organ Crushing injury of external genital organs Crushing injury of other and unspecified parts of abdomen, lower back and pelvis Traumatic amputation of external genital organs Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis Injury of intra-abdominal organ(s) with pelvic organ(s) Other multiple injuries of abdomen, lower back and pelvis Other specified injuries of abdomen, lower back and pelvis Unspecified injury of abdomen, lower back and pelvis Open wound of shoulder Open wound of upper arm Multiple open wounds of shoulder and upper arm Open wound of other and unspecified parts of shoulder girdle Fracture of clavicle Fracture of scapula Fracture of upper end of humerus Fracture of shaft of humerus Fracture of lower end of humerus Multiple fractures of clavicle, scapula and humerus Fracture of other parts of shoulder and upper arm Fracture of shoulder girdle, part unspecified Dislocation of shoulder joint 115 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S43.1 S43.2 S43.3 S45.0 S45.1 S45.2 S45.3 S45.7 S45.8 S45.9 S47 S48.0 S48.1 S48.9 S51.0 S51.7 S51.8 S51.9 S52.0 S52.1 S52.2 S52.3 S52.4 S52.5 S52.6 S52.7 S52.8 S52.9 S53.0 S53.1 S55.0 S55.1 S55.2 S55.7 S55.8 S55.9 S57.0 S57.8 S57.9 S58.0 S58.1 S58.9 S61.7 Dislocation of acromioclavicular joint Dislocation of sternoclavicular joint Dislocation of other and unspecified parts of shoulder girdle Injury of axillary artery Injury of brachial artery Injury of axillary or brachial vein Injury of superficial vein at shoulder and upper arm level Injury of multiple blood vessels at shoulder and upper arm level Injury of other blood vessels at shoulder and upper arm level Injury of unspecified blood vessel at shoulder and upper arm level Crushing injury of shoulder and upper arm Traumatic amputation at shoulder joint Traumatic amputation at level between shoulder and elbow Traumatic amputation of shoulder and upper arm, level unspecified Open wound of elbow Multiple open wounds of forearm Open wound of other parts of forearm Open wound of forearm, part unspecified Fracture of upper end of ulna Fracture of upper end of radius Fracture of shaft of ulna Fracture of shaft of radius Fracture of shafts of both ulna and radius Fracture of lower end of radius Fracture of lower end of both ulna and radius Multiple fractures of forearm Fracture of other parts of forearm Fracture of forearm, part unspecified Dislocation of radial head Dislocation of elbow, unspecified Injury of ulnar artery at forearm level Injury of radial artery at forearm level Injury of vein at forearm level Injury of multiple blood vessels at forearm level Injury of other blood vessels at forearm level Injury of unspecified blood vessel at forearm level Crushing injury of elbow Crushing injury of other parts of forearm Crushing injury of forearm, part unspecified Traumatic amputation at elbow level Traumatic amputation at level between elbow and wrist Traumatic amputation of forearm, level unspecified Multiple open wounds of wrist and hand 116 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S61.8 S61.9 S62.0 S62.1 S62.2 S62.3 S62.4 S62.8 S63.0 S65.0 S65.1 S65.2 S65.3 S65.4 S65.5 S65.7 S65.8 S65.9 S67.0 S67.8 S68.3 S68.4 S68.8 S68.9 S71.0 S71.1 S71.7 S71.8 S72.0 S72.1 S72.2 S72.3 S72.4 S72.7 S72.8 S72.9 S73.0 S75.0 S75.1 S75.2 S75.7 S75.8 S75.9 Open wound of other parts of wrist and hand Open wound of wrist and hand part, part unspecified Fracture of navicular [scaphoid] bone of hand Fracture of other carpal bone(s) Fracture of first metacarpal bone Fracture of other metacarpal bone Multiple fractures of metacarpal bones Fracture of other and unspecified parts of wrist and hand Dislocation of wrist Injury of ulnar artery at wrist and hand level Injury of radial artery at wrist and hand level Injury of superficial palmar arch Injury of deep palmar arch Injury of blood vessel(s) of thumb Injury of blood vessel(s) of other finger Injury of multiple blood vessels at wrist and hand level Injury of other blood vessels at wrist and hand level Injury of unspecified blood vessel at wrist and hand level Crushing injury of thumb and other finger(s) Crushing injury of other and unspecified parts of wrist and hand Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand Traumatic amputation of hand at wrist level Traumatic amputation of other parts of wrist and hand Traumatic amputation of wrist and hand, level unspecified Open wound of hip Open wound of thigh Multiple open wounds of hip and thigh Open wound of other and unspecified parts of pelvic girdle Fracture of neck of femur Pertrochanteric fracture Subtrochanteric fracture Fracture of shaft of femur Fracture of lower end of femur Multiple fractures of femur Fractures of other parts of femur Fracture of femur, part unspecified Dislocation of hip Injury of femoral artery Injury of femoral vein at hip and thigh level Injury of greater saphenous vein at hip and thigh level Injury of multiple blood vessels at hip and thigh level Injury of other blood vessels at hip and thigh level Injury of unspecified blood vessel at hip and thigh level 117 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S77.0 S77.1 S77.2 S78.0 S78.1 S78.9 S81.0 S81.7 S81.8 S81.9 S82.0 S82.1 S82.2 S82.3 S82.4 S82.5 S82.6 S82.7 S82.8 S82.9 S83.0 S83.1 S83.2 S83.3 S85.0 S85.1 S85.2 S85.3 S85.4 S85.5 S85.7 S85.8 S85.9 S87.0 S87.8 S88.0 S88.1 S88.9 S91.0 S91.3 S91.7 S92.0 S92.1 Crushing injury of hip Crushing injury of thigh Crushing injury of hip with thigh Traumatic amputation at hip joint Traumatic amputation at level between hip and knee Traumatic amputation of hip and thigh, level unspecified Open wound of knee Multiple open wounds of lower leg Open wound of other parts of lower leg Open wound of lower leg, part unspecified Fracture of patella Fracture of upper end of tibia Fracture of shaft of tibia Fracture of lower end of tibia Fracture of fibula alone Fracture of medial malleolus Fracture of lateral malleolus Multiple fractures of lower leg Fractures of other parts of lower leg Fracture of lower leg, part unspecified Dislocation of patella Dislocation of knee Tear of meniscus, current Tear of articular cartilage of knee, current Injury of popliteal artery Injury of (anterior)(posterior) tibial artery Injury of peroneal artery Injury of greater saphenous vein at lower leg level Injury of lesser saphenous vein at lower leg level Injury of popliteal vein Injury of multiple blood vessels at lower leg level Injury of other blood vessels at lower leg level Injury of unspecified blood vessel at lower leg level Crushing injury of knee Crushing injury of other and unspecified parts of lower leg Traumatic amputation at knee level Traumatic amputation at level between knee and ankle Traumatic amputation of lower leg, level unspecified Open wound of ankle Open wound of other parts of foot Multiple open wounds of ankle and foot Fracture of calcaneus Fracture of talus 118 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) S92.2 S92.3 S92.4 S92.7 S92.9 S93.0 S93.1 S93.3 S95.0 S95.1 S95.2 S95.7 S95.8 S95.9 S97.0 S97.1 S97.8 S98.0 S98.3 S98.4 T01.0 T01.1 T01.2 T01.3 T01.6 T01.8 T01.9 T02.0 T02.1 T02.2 T02.3 T02.4 T02.5 T02.6 T02.7 T02.8 T02.9 T03.1 T03.2 T03.3 T03.4 T03.8 T03.9 Fracture of other tarsal bone(s) Fracture of metatarsal bone Fracture of great toe Multiple fractures of foot Fracture of foot, unspecified Dislocation of ankle joint Dislocation of toe(s) Dislocation of other and unspecified parts of foot Injury of dorsal artery of foot Injury of plantar artery of foot Injury of dorsal vein of foot Injury of multiple blood vessels at ankle and foot level Injury of other blood vessels at ankle and foot level Injury of unspecified blood vessel at ankle and foot level Crushing injury of ankle Crushing injury of toe(s) Crushing injury of other parts of ankle and foot Traumatic amputation of foot at ankle level Traumatic amputation of other parts of foot Traumatic amputation of foot, level unspecified Open wounds involving head with neck Open wounds involving thorax with abdomen, lower back and pelvis Open wounds involving multiple regions of upper limb(s) Open wounds involving multiple regions of lower limb(s) Open wounds involving multiple regions of upper limb(s) with lower limb(s) Open wounds involving other combinations of body regions Multiple open wounds, unspecified Fractures involving head with neck Fractures involving thorax with lower back and pelvis Fractures involving multiple regions of one upper limb Fractures involving multiple regions of one lower limb Fractures involving multiple regions of both upper limbs Fractures involving multiple regions of both lower limbs Fractures involving multiple regions of upper limb(s) with lower limb(s) Fractures involving thorax with lower back and pelvis with limb(s) Fractures involving other combinations of body regions Multiple fractures, unspecified Dislocations, sprains and strains involving thorax with lower back and pelvis Dislocations, sprains and strains involving multiple regions of upper limb(s) Dislocations, sprains and strains involving multiple regions of lower limb(s) Dislocations, sprains and strains involving multiple regions of upper limb(s) with lower limb(s) Dislocations, sprains and strains involving other combinations of body regions Multiple dislocations, sprains and strains, unspecified 119 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T04.0 T04.1 T04.2 T04.3 T04.4 T04.7 T04.8 T04.9 T05.0 T05.1 T05.2 T05.3 T05.4 T05.5 T05.6 T05.8 T05.9 T06.1 T06.3 T06.5 T08.0 T08.1 T09.1 T09.2 T09.3 T09.4 T09.6 T10.0 T10.1 T11.1 T11.2 T11.4 T11.6 T12.0 T12.1 T13.1 T13.2 T13.4 T13.6 T14.1 T14.2 T14.3 T14.5 Crushing injuries involving head with neck Crushing injuries involving thorax with abdomen, lower back and pelvis Crushing injuries involving multiple regions of upper limb(s) Crushing injuries involving multiple regions of lower limb(s) Crushing injuries involving multiple regions of upper limb(s) with lower limb(s) Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s) Crushing injuries involving other combinations of body regions Multiple crushing injuries, unspecified Traumatic amputation of both hands Traumatic amputation of one hand and other arm [any level, except hand] Traumatic amputation of both arms [any level] Traumatic amputation of both feet Traumatic amputation of one foot and other leg [any level, except foot] Traumatic amputation of both legs [any level] Traumatic amputation of upper and lower limbs, any combination [any level] Traumatic amputations involving other combinations of body regions Multiple traumatic amputations, unspecified Injuries of nerves and spinal cord involving other multiple body regions Injuries of blood vessels involving multiple body regions Injuries of intrathoracic organs with intra-abdominal and pelvic organs Fracture of spine, level unspecified, closed Fracture of spine, level unspecified, open Open wound of trunk, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of trunk Injury of spinal cord, level unspecified Injury of unspecified nerve, spinal nerve root and plexus of trunk Traumatic amputation of trunk, level unspecified Fracture of upper limb, level unspecified, closed Fracture of upper limb, level unspecified, open Open wound of upper limb, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of upper limb, level unspecified Injury of unspecified blood vessel of upper limb, level unspecified Traumatic amputation of upper limb, level unspecified Fracture of lower limb, level unspecified, closed Fracture of lower limb, level unspecified, open Open wound of lower limb, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of lower limb, level unspecified Injury of unspecified blood vessel of lower limb, level unspecified Traumatic amputation of lower limb, level unspecified Open wound of unspecified body region Fracture of unspecified body region Dislocation, sprain and strain of unspecified body region Injury of blood vessel(s) of unspecified body region 120 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T14.7 T14.8 T14.9 T20.0 T20.1 T20.2 T20.3 T20.4 T20.5 T20.6 T20.7 T21.0 T21.1 T21.2 T21.3 T21.4 T21.5 T21.6 T21.7 T22.0 T22.1 T22.2 T22.3 T22.4 T22.5 T22.6 T22.7 T23.0 T23.1 T23.2 T23.3 T23.4 T23.5 T23.6 T23.7 T24.0 T24.1 T24.2 T24.3 T24.4 T24.5 T24.6 T24.7 Crushing injury and traumatic amputation of unspecified body region Other injuries of unspecified body region Injury, unspecified Burn of unspecified degree of head and neck Burn of first degree of head and neck Burn of second degree of head and neck Burn of third degree of head and neck Corrosion of unspecified degree of head and neck Corrosion of first degree of head and neck Corrosion of second degree of head and neck Corrosion of third degree of head and neck Burn of unspecified degree of trunk Burn of first degree of trunk Burn of second degree of trunk Burn of third degree of trunk Corrosion of unspecified degree of trunk Corrosion of first degree of trunk Corrosion of second degree of trunk Corrosion of third degree of trunk Burn of unspecified degree of shoulder and upper limb, except wrist and hand Burn of first degree of shoulder and upper limb, except wrist and hand Burn of second degree of shoulder and upper limb, except wrist and hand Burn of third degree of shoulder and upper limb, except wrist and hand Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand Corrosion of first degree of shoulder and upper limb, except wrist and hand Corrosion of second degree of shoulder and upper limb, except wrist and hand Corrosion of third degree of shoulder and upper limb, except wrist and hand Burn of unspecified degree of wrist and hand Burn of first degree of wrist and hand Burn of second degree of wrist and hand Burn of third degree of wrist and hand Corrosion of unspecified degree of wrist and hand Corrosion of first degree of wrist and hand Corrosion of second degree of wrist and hand Corrosion of third degree of wrist and hand Burn of unspecified degree of hip and lower limb, except ankle and foot Burn of first degree of hip and lower limb, except ankle and foot Burn of second degree of hip and lower limb, except ankle and foot Burn of third degree of hip and lower limb, except ankle and foot Corrosion of unspecified degree of hip and lower limb, except ankle and foot Corrosion of first degree of hip and lower limb, except ankle and foot Corrosion of second degree of hip and lower limb, except ankle and foot Corrosion of third degree of hip and lower limb, except ankle and foot 121 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T25.0 T25.1 T25.2 T25.3 T25.4 T25.5 T25.6 T25.7 T26.0 T26.1 T26.2 T26.3 T26.4 T26.5 T26.6 T26.7 T26.8 T26.9 T27.0 T27.1 T27.2 T27.3 T27.4 T27.5 T27.6 T27.7 T28.0 T28.1 T28.2 T28.3 T28.4 T28.5 T28.6 T28.7 T28.8 T28.9 T29.0 T29.1 T29.2 T29.3 T29.4 T29.5 T29.6 Burn of unspecified degree of ankle and foot Burn of first degree of ankle and foot Burn of second degree of ankle and foot Burn of third degree of ankle and foot Corrosion of unspecified degree of ankle and foot Corrosion of first degree of ankle and foot Corrosion of second degree of ankle and foot Corrosion of third degree of ankle and foot Burn of eyelid and periocular area Burn of cornea and conjunctival sac Burn with resulting rupture and destruction of eyeball Burn of other parts of eye and adnexa Burn of eye and adnexa, part unspecified Corrosion of eyelid and periocular area Corrosion of cornea and conjunctival sac Corrosion with resulting rupture and destruction of eyeball Corrosion of other parts of eye and adnexa Corrosion of eye and adnexa, part unspecified Burn of larynx and trachea Burn involving larynx and trachea with lung Burn of other parts of respiratory tract Burn of respiratory tract, part unspecified Corrosion of larynx and trachea Corrosion involving larynx and trachea with lung Corrosion of other parts of respiratory tract Corrosion of respiratory tract, part unspecified Burn of mouth and pharynx Burn of oesophagus Burn of other parts of alimentary tract Burn of internal genitourinary organs Burn of other and unspecified internal organs Corrosion of mouth and pharynx Corrosion of oesophagus Corrosion of other parts of alimentary tract Corrosion of internal genitourinary organs Corrosion of other and unspecified internal organs Burns of multiple regions, unspecified degree Burns of multiple regions, no more than first-degree burns mentioned Burns of multiple regions, no more than second-degree burns mentioned Burns of multiple regions, at least one burn of third degree mentioned Corrosions of multiple regions, unspecified degree Corrosions of multiple regions, no more than first-degree corrosions mentioned Corrosions of multiple regions, no more than second-degree corrosions mentioned 122 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T29.7 T30.0 T30.1 T30.2 T30.3 T30.4 T30.5 T30.6 T30.7 T36.0 T36.1 T36.2 T36.3 T36.4 T36.5 T36.6 T36.7 T36.8 T36.9 T37.0 T37.1 T37.2 T37.3 T37.4 T37.5 T37.8 T37.9 T38.0 T38.1 T38.2 T38.3 T38.4 T38.5 T38.6 T38.7 T38.8 T38.9 T39.0 T39.1 T39.2 T39.3 T39.4 T39.8 Corrosions of multiple regions, at least one corrosion of third degree mentioned Burn of unspecified body region, unspecified degree Burn of first degree, body region unspecified Burn of second degree, body region unspecified Burn of third degree, body region unspecified Corrosion of unspecified body region, unspecified degree Corrosion of first degree, body region unspecified Corrosion of second degree, body region unspecified Corrosion of third degree, body region unspecified Poisoning: Penicillins Poisoning: Cefalosporins and other beta-lactam antibiotics Poisoning: Chloramphenicol group Poisoning: Macrolides Poisoning: Tetracyclines Poisoning: Aminoglycosides Poisoning: Rifamycins Poisoning: Antifungal antibiotics, systemically used Poisoning: Other systemic antibiotics Poisoning: Systemic antibiotic, unspecified Poisoning: Sulfonamides Poisoning: Antimycobacterial drugs Poisoning: Antimalarials and drugs acting on other blood protozoa Poisoning: Other antiprotozoal drugs Poisoning: Anthelminthics Poisoning: Antiviral drugs Poisoning: Other specified systemic anti-infectives and antiparasitics Poisoning: Systemic anti-infective and antiparasitic, unspecified Poisoning: Glucocorticoids and synthetic analogues Poisoning: Thyroid hormones and substitutes Poisoning: Antithyroid drugs Poisoning: Insulin and oral hypoglycaemic [antidiabetic] drugs Poisoning: Oral contraceptives Poisoning: Other estrogens and progestogens Poisoning: Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified Poisoning: Androgens and anabolic congeners Poisoning: Other and unspecified hormones and their synthetic substitutes Poisoning: Other and unspecified hormone antagonists Poisoning: Salicylates Poisoning: 4-Aminophenol derivatives Poisoning: Pyrazolone derivatives Poisoning: Other nonsteroidal anti-inflammatory drugs [NSAID] Poisoning: Antirheumatics, not elsewhere classified Poisoning: Other nonopioid analgesics and antipyretics, not elsewhere classified 123 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T39.9 T40.0 T40.1 T40.2 T40.3 T40.4 T40.5 T40.6 T40.7 T40.8 T40.9 T41.0 T41.1 T41.2 T41.3 T41.4 T41.5 T42.0 T42.1 T42.2 T42.3 T42.4 T42.5 T42.6 T42.7 T42.8 T43.0 T43.1 T43.2 T43.3 T43.4 T43.5 T43.6 T43.8 T43.9 T44.0 T44.1 T44.2 T44.3 T44.4 T44.5 T44.6 Poisoning: Nonopioid analgesic, antipyretic and antirheumatic, unspecified Poisoning: Opium Poisoning: Heroin Poisoning: Other opioids Poisoning: Methadone Poisoning: Other synthetic narcotics Poisoning: Cocaine Poisoning: Other and unspecified narcotics Poisoning: Cannabis (derivatives) Poisoning: Lysergide [LSD] Poisoning: Other and unspecified psychodysleptics [hallucinogens] Poisoning: Inhaled anaesthetics Poisoning: Intravenous anaesthetics Poisoning: Other and unspecified general anaesthetics Poisoning: Local anaesthetics Poisoning: Anaesthetic, unspecified Poisoning: Therapeutic gases Poisoning: Hydantoin derivatives Poisoning: Iminostilbenes Poisoning: Succinimides and oxazolidinediones Poisoning: Barbiturates Poisoning: Benzodiazepines Poisoning: Mixed antiepileptics, not elsewhere classified Poisoning: Other antiepileptic and sedative-hypnotic drugs Poisoning: Antiepileptic and sedative-hypnotic drugs, unspecified Poisoning: Antiparkinsonism drugs and other central muscle-tone depressants Poisoning: Tricyclic and tetracyclic antidepressants Poisoning: Monoamine-oxidase-inhibitor antidepressants Poisoning: Other and unspecified antidepressants Poisoning: Phenothiazine antipsychotics and neuroleptics Poisoning: Butyrophenone and thioxanthene neuroleptics Poisoning: Other and unspecified antipsychotics and neuroleptics Poisoning: Psychostimulants with abuse potential Poisoning: Other psychotropic drugs, not elsewhere classified Poisoning: Psychotropic drug, unspecified Poisoning: Anticholinesterase agents Poisoning: Other parasympathomimetics [cholinergics] Poisoning: Ganglionic blocking drugs, not elsewhere classified Poisoning: Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified Poisoning: Predominantly alpha-adrenoreceptor agonists, not elsewhere classified Poisoning: Predominantly beta-adrenoreceptor agonists, not elsewhere classified Poisoning: Alpha-adrenoreceptor antagonists, not elsewhere classified 124 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T44.7 T44.8 T44.9 T45.0 T45.1 T45.2 T45.3 T45.4 T45.5 T45.6 T45.7 T45.8 T45.9 T46.0 T46.1 T46.2 T46.3 T46.4 T46.5 T46.6 T46.7 T46.8 T46.9 T47.0 T47.1 T47.2 T47.3 T47.4 T47.5 T47.6 T47.7 T47.8 T47.9 T48.0 T48.1 T48.2 T48.3 T48.4 T48.5 T48.6 T48.7 T49.0 Poisoning: Beta-adrenoreceptor antagonists, not elsewhere classified Poisoning: Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified Poisoning: Other and unspecified drugs primarily affecting the autonomic nervous system Poisoning: Antiallergic and antiemetic drugs Poisoning: Antineoplastic and immunosuppressive drugs Poisoning: Vitamins, not elsewhere classified Poisoning: Enzymes, not elsewhere classified Poisoning: Iron and its compounds Poisoning: Anticoagulants Poisoning: Fibrinolysis-affecting drugs Poisoning: Anticoagulant antagonists, vitamin K and other coagulants Poisoning: Other primarily systemic and haematological agents Poisoning: Primarily systemic and haematological agent, unspecified Poisoning: Cardiac-stimulant glycosides and drugs of similar action Poisoning: Calcium-channel blockers Poisoning: Other antidysrhythmic drugs, not elsewhere classified Poisoning: Coronary vasodilators, not elsewhere classified Poisoning: Angiotensin-converting-enzyme inhibitors Poisoning: Other antihypertensive drugs, not elsewhere classified Poisoning: Antihyperlipidaemic and antiarteriosclerotic drugs Poisoning: Peripheral vasodilators Poisoning: Antivaricose drugs, including sclerosing agents Poisoning: Other and unspecified agents primarily affecting the cardiovascular system Poisoning: Histamine H2-receptor antagonists Poisoning: Other antacids and anti-gastric-secretion drugs Poisoning: Stimulant laxatives Poisoning: Saline and osmotic laxatives Poisoning: Other laxatives Poisoning: Digestants Poisoning: Antidiarrhoeal drugs Poisoning: Emetics Poisoning: Other agents primarily affecting the gastrointestinal system Poisoning: Agent primarily affecting the gastrointestinal system, unspecified Poisoning: Oxytocic drugs Poisoning: Skeletal muscle relaxants [neuromuscular blocking agents] Poisoning: Other and unspecified agents primarily acting on muscles Poisoning: Antitussives Poisoning: Expectorants Poisoning: Anti-common-cold drugs Poisoning: Antiasthmatics, not elsewhere classified Poisoning: Other and unspecified agents primarily acting on the respiratory system Poisoning: Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified 125 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) T49.1 T49.2 T49.3 T49.4 T49.5 T49.6 T49.7 T49.8 T49.9 T50.0 T50.1 T50.2 T50.3 T50.4 T50.5 T50.6 T50.7 T50.8 T50.9 T79.0 T79.1 T79.2 T79.3 T79.4 T79.5 T79.6 T79.7 T79.8 T79.9 X40 X41 X42 X43 X44 X45 X46 X47 X48 X49 Poisoning: Antipruritics Poisoning: Local astringents and local detergents Poisoning: Emollients, demulcents and protectants Poisoning: Keratolytics, keratoplastics and other hair treatment drugs and preparations Poisoning: Ophthalmological drugs and preparations Poisoning: Otorhinolaryngological drugs and preparations Poisoning: Dental drugs, topically applied Poisoning: Other topical agents Poisoning: Topical agent, unspecified Poisoning: Mineralocorticoids and their antagonists Poisoning: Loop [high-ceiling] diuretics Poisoning: Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics Poisoning: Electrolytic, caloric and water-balance agents Poisoning: Drugs affecting uric acid metabolism Poisoning: Appetite depressants Poisoning: Antidotes and chelating agents, not elsewhere classified Poisoning: Analeptics and opioid receptor antagonists Poisoning: Diagnostic agents Poisoning: Other and unspecified drugs, medicaments and biological substances Air embolism (traumatic) Fat embolism (traumatic) Traumatic secondary and recurrent haemorrhage Post-traumatic wound infection, not elsewhere classified Traumatic shock Traumatic anuria Traumatic ischaemia of muscle Traumatic subcutaneous emphysema Other early complications of trauma Unspecified early complication of trauma Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances Accidental poisoning by and exposure to alcohol Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours Accidental poisoning by and exposure to other gases and vapours Accidental poisoning by and exposure to pesticides Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances 126 DELSA/ELSA/WD/HTP(2008)1 W-8: ICD-10-WHO codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury Denominator exclusion, if principal diagnosis (continued) X66 Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours W-9:ICD-10-WHO codes for metastatic cancer, lymphoid malignancy or bone malignancy: Denominator exclusion, if principal diagnosis or secondary diagnosis X67 Y10 Y11 Y12 Y13 Y14 Y15 Y16 Y17 C40.0 C40.1 C40.2 C40.3 C40.8 C40.9 C41.0 C41.1 C41.2 C41.3 C41.4 C41.8 C41.9 C46.8 C77.0 C77.1 C77.2 C77.3 C77.4 C77.5 C77.8 C77.9 Intentional self-poisoning by and exposure to other gases and vapours Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent Poisoning by and exposure to alcohol, undetermined intent Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent Poisoning by and exposure to other gases and vapours, undetermined intent Malignant neoplasm: Scapula and long bones of upper limb Malignant neoplasm: Short bones of upper limb Malignant neoplasm: Long bones of lower limb Malignant neoplasm: Short bones of lower limb Malignant neoplasm: Overlapping lesion of bone and articular cartilage of limbs Malignant neoplasm: Bone and articular cartilage of limb, unspecified Malignant neoplasm: Bones of skull and face Malignant neoplasm: Mandible Malignant neoplasm: Vertebral column Malignant neoplasm: Ribs, sternum and clavicle Malignant neoplasm: Pelvic bones, sacrum and coccyx Malignant neoplasm: Overlapping lesion of bone and articular cartilage Malignant neoplasm: Bone and articular cartilage, unspecified Kaposi's sarcoma of multiple organs Secondary and unspecified malignant neoplasm: Lymph nodes of head, face and neck Secondary and unspecified malignant neoplasm: Intrathoracic lymph nodes Secondary and unspecified malignant neoplasm: Intra-abdominal lymph nodes Secondary and unspecified malignant neoplasm: Axillary and upper limb lymph nodes Secondary and unspecified malignant neoplasm: Inguinal and lower limb lymph nodes Secondary and unspecified malignant neoplasm: Intrapelvic lymph nodes Secondary and unspecified malignant neoplasm: Lymph nodes of multiple regions Secondary and unspecified malignant neoplasm: Lymph node, unspecified 127 DELSA/ELSA/WD/HTP(2008)1 W-9:ICD-10-WHO codes for metastatic cancer, lymphoid malignancy or bone malignancy: Denominator exclusion, if principal diagnosis or secondary diagnosis (continued). C78.0 Secondary malignant neoplasm of lung C78.1 Secondary malignant neoplasm of mediastinum C78.2 Secondary malignant neoplasm of pleura C78.3 Secondary malignant neoplasm of other and unspecified respiratory organs C78.4 Secondary malignant neoplasm of small intestine C78.5 Secondary malignant neoplasm of large intestine and rectum C78.6 Secondary malignant neoplasm of retroperitoneum and peritoneum C78.7 Secondary malignant neoplasm of liver C78.8 Secondary malignant neoplasm of other and unspecified digestive organs C79.0 Secondary malignant neoplasm of kidney and renal pelvis C79.1 Secondary malignant neoplasm of bladder and other and unspecified urinary organs C79.2 Secondary malignant neoplasm of skin C79.3 Secondary malignant neoplasm of brain and cerebral meninges C79.4 Secondary malignant neoplasm of other and unspecified parts of nervous system C79.5 Secondary malignant neoplasm of bone and bone marrow C79.6 Secondary malignant neoplasm of ovary C79.7 Secondary malignant neoplasm of adrenal gland C79.8 Secondary malignant neoplasm of other specified sites C80 Malignant neoplasm without specification of site C81.0 Hodgkin's disease: Lymphocytic predominance C81.1 Hodgkin's disease: Nodular sclerosis C81.2 Hodgkin's disease: Mixed cellularity C81.3 Hodgkin's disease: Lymphocytic depletion C81.7 Hodgkin's disease: Other Hodgkin's disease C81.9 Hodgkin's disease: Hodgkin's disease, unspecified C82.0 Non-Hodgkin's lymphoma: Small cleaved cell, follicular C82.1 Non-Hodgkin's lymphoma: Mixed small cleaved and large cell, follicular C82.2 Non-Hodgkin's lymphoma: Large cell, follicular C82.7 Other types of follicular non-Hodgkin's lymphoma C82.9 Follicular non-Hodgkin's lymphoma, unspecified C83.0 Non-Hodgkin's lymphoma: Small cell (diffuse) C83.1 Non-Hodgkin's lymphoma: Small cleaved cell (diffuse) C83.2 Non-Hodgkin's lymphoma: Mixed small and large cell (diffuse) C83.3 Non-Hodgkin's lymphoma: Large cell (diffuse) C83.4 Non-Hodgkin's lymphoma: Immunoblastic (diffuse) C83.5 Non-Hodgkin's lymphoma: Lymphoblastic (diffuse) C83.6 Non-Hodgkin's lymphoma: Undifferentiated (diffuse) C83.7 Burkitt's tumour C83.8 Other types of diffuse non-Hodgkin's lymphoma C83.9 Diffuse non-Hodgkin's lymphoma, unspecified C84.0 Mycosis fungoides C84.1 Sezary's disease C84.2 T-zone lymphoma 128 DELSA/ELSA/WD/HTP(2008)1 W-9:ICD-10-WHO codes for metastatic cancer, lymphoid malignancy or bone malignancy: Denominator exclusion, if principal diagnosis or secondary diagnosis (continued). C84.3 Lymphoepithelioid lymphoma C84.4 Peripheral T-cell lymphoma C84.5 Other and unspecified T-cell lymphomas C85.0 Lymphosarcoma C85.1 B-cell lymphoma, unspecified C85.7 Other specified types of non-Hodgkin's lymphoma C85.9 Non-Hodgkin's lymphoma, unspecified type C88.3 Immunoproliferative small intestinal disease C88.7 Other malignant immunoproliferative diseases C88.9 Malignant immunoproliferative disease, unspecified C90.0 Multiple myeloma C90.1 Plasma cell leukaemia C90.2 Plasmacytoma, extramedullary C91.0 Acute lymphoblastic leukaemia C91.1 Chronic lymphocytic leukaemia C91.2 Subacute lymphocytic leukaemia C91.3 Prolymphocytic leukaemia C91.4 Hairy-cell leukaemia C91.5 Adult T-cell leukaemia C91.7 Other lymphoid leukaemia C91.9 Lymphoid leukaemia, unspecified C92.0 Acute myeloid leukaemia C92.1 Chronic myeloid leukaemia C92.2 Subacute myeloid leukaemia C92.3 Myeloid sarcoma C92.4 Acute promyelocytic leukaemia C92.5 Acute myelomonocytic leukaemia C92.7 Other myeloid leukaemia C92.9 Myeloid leukaemia, unspecified C93.0 Acute monocytic leukaemia C93.1 Chronic monocytic leukaemia C93.2 Subacute monocytic leukaemia C93.7 Other monocytic leukaemia C93.9 Monocytic leukaemia, unspecified C94.0 Acute erythraemia and erythroleukaemia C94.1 Chronic erythraemia C94.2 Acute megakaryoblastic leukaemia C94.3 Mast cell leukaemia C94.7 Other specified leukaemias C95.0 Acute leukaemia of unspecified cell type C95.1 Chronic leukaemia of unspecified cell type C95.2 Subacute leukaemia of unspecified cell type C95.7 Other leukaemia of unspecified cell type C95.9 Leukaemia, unspecified C96.0 Letterer-Siwe disease 129 DELSA/ELSA/WD/HTP(2008)1 W-9:ICD-10-WHO codes for metastatic cancer, lymphoid malignancy or bone malignancy: Denominator exclusion, if principal diagnosis or secondary diagnosis (continued). C96.1 Malignant histiocytosis C96.2 Malignant mast cell tumour C96.3 True histiocytic lymphoma C96.7 Other specified malignant neoplasms of lymphoid, haematopoietic and related tissue C96.9 Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified C97 Malignant neoplasms of independent (primary) multiple sites W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis A00.0 A00.1 A00.9 A01.0 A01.1 A01.2 A01.3 A01.4 A02.0 A02.1 A02.2 A02.8 A02.9 A03.0 A03.1 A03.2 A03.3 A03.8 A03.9 A04.0 A04.1 A04.2 A04.3 A04.4 A04.5 A04.6 A04.7 A04.8 A04.9 A05.0 A05.1 A05.2 A05.3 A05.4 A05.8 Cholera due to Vibrio cholerae 01, biovar cholerae Cholera due to Vibrio cholerae 01, biovar eltor Cholera, unspecified Typhoid fever Paratyphoid fever A Paratyphoid fever B Paratyphoid fever C Paratyphoid fever, unspecified Salmonella enteritis Salmonella septicaemia Localized salmonella infections Other specified salmonella infections Salmonella infection, unspecified Shigellosis due to Shigella dysenteriae Shigellosis due to Shigella flexneri Shigellosis due to Shigella boydii Shigellosis due to Shigella sonnei Other shigellosis Shigellosis, unspecified Enteropathogenic Escherichia coli infection Enterotoxigenic Escherichia coli infection Enteroinvasive Escherichia coli infection Enterohaemorrhagic Escherichia coli infection Other intestinal Escherichia coli infections Campylobacter enteritis Enteritis due to Yersinia enterocolitica Enterocolitis due to Clostridium difficile Other specified bacterial intestinal infections Bacterial intestinal infection, unspecified Foodborne staphylococcal intoxication Botulism Foodborne Clostridium perfringens [Clostridium welchii] intoxication Foodborne Vibrio parahaemolyticus intoxication Foodborne Bacillus cereus intoxication Other specified bacterial foodborne intoxications 130 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). A05.9 A20.0 A20.1 A20.2 A20.3 A20.7 A20.8 A20.9 A21.0 A21.1 A21.2 A21.3 A21.7 A21.8 A21.9 A22.0 A22.1 A22.2 A22.7 A22.8 A22.9 A23.0 A23.1 A23.2 A23.3 A23.8 A23.9 A24.0 A24.1 A24.2 A24.3 A24.4 A25.0 A25.1 A25.9 A26.0 A26.7 A26.8 A26.9 A28.0 A28.1 A28.2 A28.8 Bacterial foodborne intoxication, unspecified Bubonic plague Cellulocutaneous plague Pneumonic plague Plague meningitis Septicaemic plague Other forms of plague Plague, unspecified Ulceroglandular tularaemia Oculoglandular tularaemia Pulmonary tularaemia Gastrointestinal tularaemia Generalized tularaemia Other forms of tularaemia Tularaemia, unspecified Cutaneous anthrax Pulmonary anthrax Gastrointestinal anthrax Anthrax septicaemia Other forms of anthrax Anthrax, unspecified Brucellosis due to Brucella melitensis Brucellosis due to Brucella abortus Brucellosis due to Brucella suis Brucellosis due to Brucella canis Other brucellosis Brucellosis, unspecified Glanders Acute and fulminating melioidosis Subacute and chronic melioidosis Other melioidosis Melioidosis, unspecified Spirillosis Streptobacillosis Rat-bite fever, unspecified Cutaneous erysipeloid Erysipelothrix septicaemia Other forms of erysipeloid Erysipeloid, unspecified Pasteurellosis Cat-scratch disease Extraintestinal yersiniosis Other specified zoonotic bacterial diseases, not elsewhere classified 131 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). A28.9 A32.0 A32.1 A32.7 A32.8 A32.9 A33 A34 A35 A36.0 A36.1 A36.2 A36.3 A36.8 A36.9 A37.0 A37.1 A37.8 A37.9 A38 A39.0 A39.1 A39.2 A39.3 A39.4 A39.5 A39.8 A39.9 A40.0 A40.1 A40.2 A40.3 A40.8 A40.9 A41.0 A41.1 A41.2 A41.3 A41.4 A41.5 A41.8 A41.9 A42.0 A42.1 A42.2 Zoonotic bacterial disease, unspecified Cutaneous listeriosis Listerial meningitis and meningoencephalitis Listerial septicaemia Other forms of listeriosis Listeriosis, unspecified Tetanus neonatorum Obstetrical tetanus Other tetanus Pharyngeal diphtheria Nasopharyngeal diphtheria Laryngeal diphtheria Cutaneous diphtheria Other diphtheria Diphtheria, unspecified Whooping cough due to Bordetella pertussis Whooping cough due to Bordetella parapertussis Whooping cough due to other Bordetella species Whooping cough, unspecified Scarlet fever Meningococcal meningitis Waterhouse-Friderichsen syndrome Acute meningococcaemia Chronic meningococcaemia Meningococcaemia, unspecified Meningococcal heart disease Other meningococcal infections Meningococcal infection, unspecified Septicaemia due to streptococcus, group A Septicaemia due to streptococcus, group B Septicaemia due to streptococcus, group D Septicaemia due to Streptococcus pneumoniae Other streptococcal septicaemia Streptococcal septicaemia, unspecified Septicaemia due to Staphylococcus aureus Septicaemia due to other specified staphylococcus Septicaemia due to unspecified staphylococcus Septicaemia due to Haemophilus influenzae Septicaemia due to anaerobes Septicaemia due to other Gram-negative organisms Other specified septicaemia Septicaemia, unspecified Pulmonary actinomycosis Abdominal actinomycosis Cervicofacial actinomycosis 132 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). A42.7 A42.8 A42.9 A43.0 A43.1 A43.8 A43.9 A46 A48.0 A48.1 A48.2 A48.3 A48.4 A48.8 A49.0 A49.1 A49.2 A49.3 A49.8 A49.9 A54.0 A54.1 A54.2 A54.3 A54.4 A54.5 A54.6 A54.8 A54.9 B95.0 B95.1 B95.2 B95.3 B95.4 B95.5 B95.6 B95.7 B95.8 B96.0 B96.1 B96.2 B96.3 B96.4 Actinomycotic septicaemia Other forms of actinomycosis Actinomycosis, unspecified Pulmonary nocardiosis Cutaneous nocardiosis Other forms of nocardiosis Nocardiosis, unspecified Erysipelas Gas gangrene Legionnaires' disease Nonpneumonic Legionnaires' disease [Pontiac fever] Toxic shock syndrome Brazilian purpuric fever Other specified bacterial diseases Staphylococcal infection, unspecified Streptococcal infection, unspecified Haemophilus influenzae infection, unspecified Mycoplasma infection, unspecified Other bacterial infections of unspecified site Bacterial infection, unspecified Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess Gonococcal pelviperitonitis and other gonococcal genitourinary infections Gonococcal infection of eye Gonococcal infection of musculoskeletal system Gonococcal pharyngitis Gonococcal infection of anus and rectum Other gonococcal infections Gonococcal infection, unspecified Streptococcus, group A, as the cause of diseases classified to other chapters Streptococcus, group B, as the cause of diseases classified to other chapters Streptococcus, group D, as the cause of diseases classified to other chapters Streptococcus pneumoniae as the cause of diseases classified to other chapters Other streptococcus as the cause of diseases classified to other chapters Unspecified streptococcus as the cause of diseases classified to other chapters Staphylococcus aureus as the cause of diseases classified to other chapters Other staphylococcus as the cause of diseases classified to other chapters Unspecified staphylococcus as the cause of diseases classified to other chapters Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified to other chapters Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified to other chapters Escherichia coli [E. coli] as the cause of diseases classified to other chapters Haemophilus influenzae [H. influenzae] as the cause of diseases classified to other chapters Proteus (mirabilis)(morganii) as the cause of diseases classified to other chapters 133 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). B96.5 B96.6 B96.7 B96.8 D73.3 E32.1 G00.0 G00.1 G00.2 G00.3 G00.8 G00.9 G03.8 G03.9 G04.2 G06.0 G06.1 G06.2 G07 H00.0 H01.0 H01.8 H04.0 H04.3 H04.4 H05.0 H10.0 H10.2 H10.3 H10.5 H10.8 H10.9 H13.1 H44.0 H60.0 H60.1 H60.2 H60.3 H60.9 H66.0 H66.1 H66.2 H66.3 H66.4 Pseudomonas (aeruginosa)(mallei)(pseudomallei) as the cause of diseases classified to other chapters Bacillus fragilis [B. fragilis] as the cause of diseases classified to other chapters Clostridium perfringens [C. perfringens] as the cause of diseases classified to other chapters Other specified bacterial agents as the cause of diseases classified to other chapters Abscess of spleen Abscess of thymus Haemophilus meningitis Pneumococcal meningitis Streptococcal meningitis Staphylococcal meningitis Other bacterial meningitis Bacterial meningitis, unspecified Meningitis due to other specified causes Meningitis, unspecified Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified Intracranial abscess and granuloma Intraspinal abscess and granuloma Extradural and subdural abscess, unspecified Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere Hordeolum and other deep inflammation of eyelid Blepharitis Other specified inflammation of eyelid Dacryoadenitis Acute and unspecified inflammation of lacrimal passages Chronic inflammation of lacrimal passages Acute inflammation of orbit Mucopurulent conjunctivitis Other acute conjunctivitis Acute conjunctivitis, unspecified Blepharoconjunctivitis Other conjunctivitis Conjunctivitis, unspecified Conjunctivitis in infectious and parasitic diseases classified elsewhere Purulent endophthalmitis Abscess of external ear Cellulitis of external ear Malignant otitis externa Other infective otitis externa Otitis externa, unspecified Acute suppurative otitis media Chronic tubotympanic suppurative otitis media Chronic atticoantral suppurative otitis media Other chronic suppurative otitis media Suppurative otitis media, unspecified 134 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). H66.9 H68.0 H70.0 H70.2 H73.0 H83.0 I30.1 I30.8 I30.9 I32.0 I33.0 I33.9 I40.0 J01.0 J01.1 J01.2 J01.3 J01.4 J01.8 J01.9 J02.0 J02.8 J02.9 J03.0 J03.8 J03.9 J05.1 J13 J14 J15.0 J15.1 J15.2 J15.3 J15.4 J15.5 J15.6 J15.7 J15.8 J15.9 J17.0 J18.0 J18.1 J18.8 J20.0 J20.1 Otitis media, unspecified Eustachian salpingitis Acute mastoiditis Petrositis Acute myringitis Labyrinthitis Infective pericarditis Other forms of acute pericarditis Acute pericarditis, unspecified Pericarditis in bacterial diseases classified elsewhere Acute and subacute infective endocarditis Acute endocarditis, unspecified Infective myocarditis Acute maxillary sinusitis Acute frontal sinusitis Acute ethmoidal sinusitis Acute sphenoidal sinusitis Acute pansinusitis Other acute sinusitis Acute sinusitis, unspecified Streptococcal pharyngitis Acute pharyngitis due to other specified organisms Acute pharyngitis, unspecified Streptococcal tonsillitis Acute tonsillitis due to other specified organisms Acute tonsillitis, unspecified Acute epiglottitis Pneumonia due to Streptococcus pneumoniae Pneumonia due to Haemophilus influenzae Pneumonia due to Klebsiella pneumoniae Pneumonia due to Pseudomonas Pneumonia due to staphylococcus Pneumonia due to streptococcus, group B Pneumonia due to other streptococci Pneumonia due to Escherichia coli Pneumonia due to other aerobic Gram-negative bacteria Pneumonia due to Mycoplasma pneumoniae Other bacterial pneumonia Bacterial pneumonia, unspecified Pneumonia in bacterial diseases classified elsewhere Bronchopneumonia, unspecified Lobar pneumonia, unspecified Other pneumonia, organism unspecified Acute bronchitis due to Mycoplasma pneumoniae Acute bronchitis due to Haemophilus influenzae 135 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). J20.2 J34.0 J36 J39.0 J39.1 J40 J44.0 J85.0 J85.1 J85.2 J85.3 J86.0 J86.9 J90 J98.5 K04.0 K04.6 K04.7 K05.0 K05.2 K10.2 K11.3 K12.2 K35.0 K35.1 K35.9 K36 K37 K57.0 K57.1 K57.2 K57.3 K57.4 K57.5 K57.8 K57.9 K61.0 K61.1 K61.2 K61.3 K61.4 K63.0 K65.0 K65.8 K65.9 Acute bronchitis due to streptococcus Abscess, furuncle and carbuncle of nose Peritonsillar abscess Retropharyngeal and parapharyngeal abscess Other abscess of pharynx Bronchitis, not specified as acute or chronic Chronic obstructive pulmonary disease with acute lower respiratory infection Gangrene and necrosis of lung Abscess of lung with pneumonia Abscess of lung without pneumonia Abscess of mediastinum Pyothorax with fistula Pyothorax without fistula Pleural effusion, not elsewhere classified Diseases of mediastinum, not elsewhere classified Pulpitis Periapical abscess with sinus Periapical abscess without sinus Acute gingivitis Acute periodontitis Inflammatory conditions of jaws Abscess of salivary gland Cellulitis and abscess of mouth Acute appendicitis with generalized peritonitis Acute appendicitis with peritoneal abscess Acute appendicitis, unspecified Other appendicitis Unspecified appendicitis Diverticular disease of small intestine with perforation and abscess Diverticular disease of small intestine without perforation or abscess Diverticular disease of large intestine with perforation and abscess Diverticular disease of large intestine without perforation or abscess Diverticular disease of both small and large intestine with perforation and abscess Diverticular disease of both small and large intestine without perforation or abscess Diverticular disease of intestine, part unspecified, with perforation and abscess Diverticular disease of intestine, part unspecified, without perforation or abscess Anal abscess Rectal abscess Anorectal abscess Ischiorectal abscess Intrasphincteric abscess Abscess of intestine Acute peritonitis Other peritonitis Peritonitis, unspecified 136 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). K67.1 K75.0 K75.1 K80.0 K80.3 K80.4 K81.0 K81.8 K81.9 K82.2 K83.0 K83.2 K85.0 K85.1 K85.2 K85.3 K85.8 K85.9 L00 L01.0 L01.1 L02.0 L02.1 L02.2 L02.3 L02.4 L02.8 L02.9 L03.0 L03.1 L03.2 L03.3 L03.8 L03.9 L04.0 L04.1 L04.2 L04.3 L04.8 L04.9 L05.0 L08.0 L08.8 L08.9 L30.3 Gonococcal peritonitis Abscess of liver Phlebitis of portal vein Calculus of gallbladder with acute cholecystitis Calculus of bile duct with cholangitis Calculus of bile duct with cholecystitis Acute cholecystitis Other cholecystitis Cholecystitis, unspecified Perforation of gallbladder Cholangitis Perforation of bile duct Idiopathic acute pancreatitis Biliary acute pancreatitis Alcohol-induced acute pancreatitis Drug-induced acute pancreatitis Other acute pancreatitis Acute pancreatitis, unspecified Staphylococcal scalded skin syndrome Impetigo [any organism] [any site] Impetiginization of other dermatoses Cutaneous abscess, furuncle and carbuncle of face Cutaneous abscess, furuncle and carbuncle of neck Cutaneous abscess, furuncle and carbuncle of trunk Cutaneous abscess, furuncle and carbuncle of buttock Cutaneous abscess, furuncle and carbuncle of limb Cutaneous abscess, furuncle and carbuncle of other sites Cutaneous abscess, furuncle and carbuncle, unspecified Cellulitis of finger and toe Cellulitis of other parts of limb Cellulitis of face Cellulitis of trunk Cellulitis of other sites Cellulitis, unspecified Acute lymphadenitis of face, head and neck Acute lymphadenitis of trunk Acute lymphadenitis of upper limb Acute lymphadenitis of lower limb Acute lymphadenitis of other sites Acute lymphadenitis, unspecified Pilonidal cyst with abscess Pyoderma Other specified local infections of skin and subcutaneous tissue Local infection of skin and subcutaneous tissue, unspecified Infective dermatitis 137 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). M00.0 M00.1 M00.2 M00.8 M00.9 M03.0 M03.1 M03.2 M03.6 M46.2 M60.0 M63.0 M72..6 M73.0 M86.0 M86.1 M86.2 M86.3 M86.4 M86.5 M86.6 M86.8 M86.9 M90.1 N10 N12 N13.6 N15.1 N30.0 N30.8 N30.9 N34.0 N39.0 N41.0 N41.2 N41.3 N41.8 N41.9 N43.1 N45.0 N45.9 N48.1 N48.2 N49.0 N49.1 Staphylococcal arthritis and polyarthritis Pneumococcal arthritis and polyarthritis Other streptococcal arthritis and polyarthritis Arthritis and polyarthritis due to other specified bacterial agents Pyogenic arthritis, unspecified Postmeningococcal arthritis Postinfective arthropathy in syphilis Other postinfectious arthropathies in diseases classified elsewhere Reactive arthropathy in other diseases classified elsewhere Osteomyelitis of vertebra Infective myositis Myositis in bacterial diseases classified elsewhere Necrotizing fasciitis Gonococcal bursitis Acute haematogenous osteomyelitis Other acute osteomyelitis Subacute osteomyelitis Chronic multifocal osteomyelitis Chronic osteomyelitis with draining sinus Other chronic haematogenous osteomyelitis Other chronic osteomyelitis Other osteomyelitis Osteomyelitis, unspecified Periostitis in other infectious diseases classified elsewhere Acute tubulo-interstitial nephritis Tubulo-interstitial nephritis, not specified as acute or chronic Pyonephrosis Renal and perinephric abscess Acute cystitis Other cystitis Cystitis, unspecified Urethral abscess Urinary tract infection, site not specified Acute prostatitis Abscess of prostate Prostatocystitis Other inflammatory diseases of prostate Inflammatory disease of prostate, unspecified Infected hydrocele Orchitis, epididymitis and epididymo-orchitis with abscess Orchitis, epididymitis and epididymo-orchitis without abscess Balanoposthitis Other inflammatory disorders of penis Inflammatory disorders of seminal vesicle Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens 138 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). N49.2 N49.8 N49.9 N51.0 N51.1 N61 N70.0 N70.1 N70.9 N71.0 N71.9 N72 N73.0 N73.1 N73.2 N73.3 N73.5 N73.9 N75.1 N76.0 N76.1 N76.2 N76.3 N76.4 N76.8 O03.0 O03.5 O04.0 O04.5 O05.0 O05.5 O06.0 O06.5 O07.0 O07.5 O08.0 O23.0 O23.1 O23.2 O23.3 O23.4 O23.5 Inflammatory disorders of scrotum Inflammatory disorders of other specified male genital organs Inflammatory disorder of unspecified male genital organ Disorders of prostate in diseases classified elsewhere Disorders of testis and epididymis in diseases classified elsewhere Inflammatory disorders of breast Acute salpingitis and oophoritis Chronic salpingitis and oophoritis Salpingitis and oophoritis, unspecified Acute inflammatory disease of uterus Inflammatory disease of uterus, unspecified Inflammatory disease of cervix uteri Acute parametritis and pelvic cellulitis Chronic parametritis and pelvic cellulitis Unspecified parametritis and pelvic cellulitis Female acute pelvic peritonitis Female pelvic peritonitis, unspecified Female pelvic inflammatory disease, unspecified Abscess of Bartholin's gland Acute vaginitis Subacute and chronic vaginitis Acute vulvitis Subacute and chronic vulvitis Abscess of vulva Other specified inflammation of vagina and vulva Spontaneous abortion, incomplete, complicated by genital tract and pelvic infection Spontaneous abortion, complete or unspecified, complicated by genital tract and pelvic infection Medical abortion, incomplete, complicated by genital tract and pelvic infection Medical abortion, complete or unspecified, complicated by genital tract and pelvic infection Other abortion, incomplete, complicated by genital tract and pelvic infection Other abortion, complete or unspecified, complicated by genital tract and pelvic infection Unspecified abortion, incomplete, complicated by genital tract and pelvic infection Unspecified abortion, complete or unspecified, complicated by genital tract and pelvic infection Failed medical abortion, complicated by genital tract and pelvic infection Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection Genital tract and pelvic infection following abortion and ectopic and molar pregnancy Infections of kidney in pregnancy Infections of bladder in pregnancy Infections of urethra in pregnancy Infections of other parts of urinary tract in pregnancy Unspecified infection of urinary tract in pregnancy Infections of the genital tract in pregnancy 139 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). O23.9 O41.1 O86.1 O86.2 O86.3 O86.4 O91.0 O91.1 O91.2 O98.2 O98.8 O98.9 P36.0 P36.1 P36.2 P36.3 P36.4 P36.5 P36.8 P36.9 P38 P39.0 P39.2 P39.3 P39.4 P39.8 P39.9 P77 R02 R57.8 T80.2 T81.4 T82.6 T82.7 T83.5 T83.6 T84.5 T84.6 T84.7 T84.9 Other and unspecified genitourinary tract infection in pregnancy Infection of amniotic sac and membranes Other infection of genital tract following delivery Urinary tract infection following delivery Other genitourinary tract infections following delivery Pyrexia of unknown origin following delivery Infection of nipple associated with childbirth Abscess of breast associated with childbirth Nonpurulent mastitis associated with childbirth Gonorrhoea complicating pregnancy, childbirth and the puerperium Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium Sepsis of newborn due to streptococcus, group B Sepsis of newborn due to other and unspecified streptococci Sepsis of newborn due to Staphylococcus aureus Sepsis of newborn due to other and unspecified staphylococci Sepsis of newborn due to Escherichia coli Sepsis of newborn due to anaerobes Other bacterial sepsis of newborn Bacterial sepsis of newborn, unspecified Omphalitis of newborn with or without mild haemorrhage Neonatal infective mastitis Intra-amniotic infection of fetus, not elsewhere classified Neonatal urinary tract infection Neonatal skin infection Other specified infections specific to the perinatal period Infection specific to the perinatal period, unspecified Necrotizing enterocolitis of fetus and newborn Gangrene, not elsewhere classified Other shock Infections following infusion, transfusion and therapeutic injection Infection following a procedure, not elsewhere classified Infection and inflammatory reaction due to cardiac valve prosthesis Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract Infection and inflammatory reaction due to internal joint prosthesis Infection and inflammatory reaction due to internal fixation device [any site] Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts Unspecified complication of internal orthopaedic prosthetic device, implant and graft 140 DELSA/ELSA/WD/HTP(2008)1 W-10: ICD-10-WHO codes for infections: Postoperative sepsis Denominator exclusion, if principal diagnosis (continued). T85.7 T87.4 T88.0 W-11 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts Infection of amputation stump Infection following immunization ICD-10-WHO subdural or cerebral haemorrhage diagnosis codes: Injury to neonate Denominator exclusion, if coded together with Preterm Infant diagnosis codes (W-12) P10.0 P10.1 P10.2 P10.3 P10.4 P10.8 P10.9 W-12 Subdural haemorrhage due to birth injury Cerebral haemorrhage due to birth injury Intraventricular haemorrhage due to birth injury Subarachnoid haemorrhage due to birth injury Tentorial tear due to birth injury Other intracranial lacerations and haemorrhages due to birth injury Unspecified intracranial laceration and haemorrhage due to birth injury ICD-10-WHO Preterm Infant diagnosis codes: Injury to neonate Denominator exclusion, if coded together with subdural or cerebral haemorrhage diagnosis codes (W-11) P07.0 P07.1 P07.2 P07.3 W-13 Extremely low birth weight Other low birth weight Extreme immaturity Other preterm infants ICD-10-WHO injury to skeleton diagnosis codes Injury to neonate Denominator exclusion, if coded together with osteogenesis imperfecta diagnosis codes (W-14) P11.5 P13.0 P13.1 P13.2 P13.3 P13.8 P13.9 W-14 Birth injury to spine and spinal cord Fracture of skull due to birth injury Other birth injuries to skull Birth injury to femur Birth injury to other long bones Birth injuries to other parts of skeleton Birth injury to skeleton, unspecified ICD-10-WHO osteogenesis imperfecta diagnosis codes : Injury to neonate Denominator exclusion, if coded together with injury to skeleton diagnosis codes (W-13) Q78.0 Osteogenesis imperfecta 141 DELSA/ELSA/WD/HTP(2008)1 W-15 ICD-10-WHO Newborn in Hospital Live Birth Codes: Injury to neonate Denominator inclusion Z38.0 Z38.3 Z38.6 W-16 Singleton, born in hospital Twin, born in hospital Other multiple, born in hospital ICD-10-WHO Newborn out of Hospital Codes: Injury to neonate Denominator exclusion Z38.1 Z38.2 Z38.4 Z38.5 Z38.7 Z38.8 W-17 Singleton, born outside hospital Singleton, unspecified as to place of birth Twin, born outside hospital Twin, unspecified as to place of birth Other multiple, born outside hospital Other multiple, unspecified as to place of birth ICD-10-WHO chest trauma or pleural effusion codes: Iatrogenic Pneumothorax Denominator exclusion A15.6 A16.5 C78.2 J90 J91 J94.0 J94.2 J94.8 S12.8 S20.0 S20.1 S20.2 S20.3 S20.4 S20.7 S20.8 S20.0 S20.2 S21.1 S21.2 S21.7 S21.8 S21.9 S22.2 S22.3 S22.4 Tuberculous pleurisy, confirmed bacteriologically and histologically Tuberculous pleurisy, without mention of bacteriological or histological confirmation Secondary malignant neoplasm of pleura Pleural effusion, not elsewhere classified Pleural effusion in conditions classified elsewhere Chylous effusion Haemothorax Other specified pleural conditions Fracture of other parts of neck Contusion of breast Other and unspecified superficial injuries of breast Contusion of thorax Other superficial injuries of front wall of thorax Other superficial injuries of back wall of thorax Multiple superficial injuries of thorax Superficial injury of other and unspecified parts of thorax Contusion of breast Contusion of thorax Open wound of front wall of thorax Open wound of back wall of thorax Multiple open wounds of thoracic wall Open wound of other parts of thorax Open wound of thorax, part unspecified Fracture of sternum Fracture of rib Multiple fractures of ribs 142 DELSA/ELSA/WD/HTP(2008)1 W-17 ICD-10-WHO chest trauma or pleural effusion codes: Iatrogenic Pneumothorax Denominator exclusion (continued) S22.5 S22.8 S22.9 S24.3 S24.4 S24.5 S24.6 S25.0 S25.1 S25.2 S25.3 S25.4 S25.5 S25.7 S25.8 S25.9 S26.0 S26.8 S26.9 S27.0 S27.1 S27.2 S27.3 S27.4 S27.5 S27.6 S27.7 S27.8 S27.9 S28.0 S28.1 S29.7 S29.8 S29.9 T02.1 T02.7 T03.1 T04.1 T04.7 T04.8 T04.9 T06.5 T09.0 Flail chest Fracture of other parts of bony thorax Fracture of bony thorax, part unspecified Injury of peripheral nerves of thorax Injury of thoracic sympathetic nerves Injury of other nerves of thorax Injury of unspecified nerve of thorax Injury of thoracic aorta Injury of innominate or subclavian artery Injury of superior vena cava Injury of innominate or subclavian vein Injury of pulmonary blood vessels Injury of intercostal blood vessels Injury of multiple blood vessels of thorax Injury of other blood vessels of thorax Injury of unspecified blood vessel of thorax Injury of heart with haemopericardium Other injuries of heart Injury of heart, unspecified Traumatic pneumothorax Traumatic haemothorax Traumatic haemopneumothorax Other injuries of lung Injury of bronchus Injury of thoracic trachea Injury of pleura Multiple injuries of intrathoracic organs Injury of other specified intrathoracic organs Injury of unspecified intrathoracic organ Crushed chest Traumatic amputation of part of thorax Multiple injuries of thorax Other specified injuries of thorax Unspecified injury of thorax Fractures involving thorax with lower back and pelvis Fractures involving thorax with lower back and pelvis with limb(s) Dislocations, sprains and strains involving thorax with lower back and pelvis Crushing injuries involving thorax with abdomen, lower back and pelvis Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s) Crushing injuries involving other combinations of body regions Multiple crushing injuries, unspecified Injuries of intrathoracic organs with intra-abdominal and pelvic organs Superficial injury of trunk, level unspecified 143 DELSA/ELSA/WD/HTP(2008)1 W-17 ICD-10-WHO chest trauma or pleural effusion codes: Iatrogenic Pneumothorax Denominator exclusion (continued) T09.1 T09.2 T09.5 T09.6 T09.8 T09.9 Open wound of trunk, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of trunk Injury of unspecified muscle and tendon of trunk Traumatic amputation of trunk, level unspecified Other specified injuries of trunk, level unspecified Unspecified injury of trunk, level unspecified W-18: ICD-10-WHO Neuromuscular Disorder codes: Postoperative Respiratory Failure Denominator exclusion G61.0 G63.0 Guillain-Barre-syndrome Polyneuropathy in infectious and parasitic diseases classified elsewhere G70.0 G70.1 G70.2 G70.8 G70.9 G71.0 G71.1 G71.2 G71.3 G71.8 G71.9 G72.0 G72.1 G72.2 G72.3 G72.4 G72.8 G72.9 G73.0 G73.1 G73.2 G73.3 G73.4 G73.5 G73.6 G73.7 Myasthenia gravis Toxic myoneural disorders Congenital and developmental myasthenia Other specified myoneural disorders Myoneural disorder, unspecified Muscular dystrophy Myotonic disorders Congenital myopathies Mitochondrial myopathy, not elsewhere classified Other primary disorders of muscles Primary disorder of muscle, unspecified Drug-induced myopathy Alcoholic myopathy Myopathy due to other toxic agents Periodic paralysis Inflammatory myopathy, not elsewhere classified Other specified myopathies Myopathy, unspecified Myasthenic syndromes in endocrine diseases Eaton-Lambert syndrome Other myasthenic syndromes in neoplastic disease Myasthenic syndromes in other diseases classified elsewhere Myopathy in infectious and parasitic diseases classified elsewhere Myopathy in endocrine diseases Myopathy in metabolic diseases Myopathy in other diseases classified elsewhere 144 DELSA/ELSA/WD/HTP(2008)1 Code List P: ICD-9-CM Procedure codes for calculating PSI “Iatrogenic Pneumothorax”. Codes are used for denominator exclusion. ICD-9-CM Thoracic and Cardiac Surgery procedure codes: ICD-9-CM Thoracic Surgery procedure codes 3121 3223 3224 3225 3226 3145 3173 3179 3199 3209 321 Mediastinal tracheostomy Open abltn lung les/tiss (Oct 06) Perc abltn lung les/tiss (Oct 06) Thor abltn lung les/tiss (Oct 06) Abltn lung tiss nec/nos (Oct 06) Open biopsy of larynx or trachea Closure of other fistula of trachea Other repair and plastic operations on trachea Other operations on trachea Other local excision or destruction of lesion or tissue of bronchus Other excision of bronchus Local excision or destruction of lesion or tissue of lung: 3221 3222 3228 3229 323 324 325 326 329 330 331 3325 3326 3327 3328 3331 3332 3334 3339 Plication of emphysematious bleb Lung volume reduction surgery Endoscopic excision or destruction of lesion or tissue of lung Other local excision or destruction of lesion or tissue of lung Segmental resection of lung Lobectomy of lung Complete pneumonectomy Radical dissection of thoracic structures Other excision of lung Incision of bronchus Incision of lung Open biopsy of bronchus Close [percutaneous][needle] biopsy of lung Closed endoscopic biopsy of lung Open biopsy of lung Destruction of phrenic nerve for collapse of lung (no longer performed) Artificial pneumothorax for collapse of lung Thoracoplasty Other surgical collapse of lung Repair and plastic operation on lung and bronchus: 3341 3342 3343 3348 3349 Suture of laceration of bronchus Closure of bronchial fistula Closure of laceration of lung Other repair and plastic operations on bronchus Other repair and plastic operations on lung 145 DELSA/ELSA/WD/HTP(2008)1 Lung transplant: 335 3350 3351 3352 336 3392 3393 3398 3399 3329 3333 3401 3402 3403 3405 3409 341 Lung transplantation Lung transplantation, nos Unilateral lung transplantation Bilateral lung transplantation Combined heart-lung transplantation Ligation of bronchus Puncture of lung Other operations on bronchus Other operations on lung Other diagnostic procedure on lung and bronchus Pneumoperitoneum for collapse of lung Incision of chest wall Exploratory thoracotomy Reopening of recent thoracotomy site Creation of pleuroperitoneal shunt Other incision of pleura Incision of mediastinum Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm: 3421 3422 3423 3424 3425 3426 3427 3428 3429 343 Transpleural thoracosocopy Mediastinoscopy Biopsy of chest wall Pleural biopsy Closed [percutaneous][needle] biopsy of mediastinum Open biopsy of mediastinum Biopsy of diaphragm Other diagnostic procedures on chest wall, pleura, and diaphragm Other diagnostic procedures on mediastinum Excision or destruction of lesion or tissue of mediastinum Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm (continued): 344 3451 3459 Excision or destruction of lesion of chest wall Decortication of lung Other excision of pleura Repair of chest wall: 3471 3472 3473 3474 3479 Suture of laceration of chest wall Closure of thoracostomy Closure of other fistula of thorax Repair of pectus deformity Other repair of chest wall 146 DELSA/ELSA/WD/HTP(2008)1 Operations on diaphragm: 3481 3482 3483 3484 3485 3489 3493 3499 Excision of lesion or tissue of diaphragm Suture of laceration of diaphragm Closure of fistula of diaphragm Other repair of diaphragm Implantation of diaphragmatic pacemaker Other operations on diaphragm Repair of pleura Other operations on thorax, other Operations on thoracic duct: 4061 4062 4063 4064 4069 Cannulation of thoracic duct Fistulization of thoracic duct Closure of fistula of thoracic duct Ligation of thoracic duct Other operations on thoracic duct Esophagotomy: 4201 4209 4210 4211 4212 4219 4221 4225 4231 4232 4239 Incision of esophageal web Other incision of esophagus Esophagostomy, nos Cervical esophagostomy Exteriorization of esophageal pouch Other external fistulization of esophagus Operative esophagoscopy by incision Open biopsy of esophagus Local excision of esophageal diverticulum Local excision of other lesion or tissue of esophagus Other destruction of lesion or tissue of esophagus Excision of esophagus: 4240 4241 4242 Esophagectomy, nos Partial esophagectomy Total esophagectomy Intrathoracic anastomosis of esophagus 4251 4252 4253 4254 4255 4256 4258 4259 Intrathoracic esophagoesophagostomy Intrathoracic esophagogastrostomy Intrathoracic esophageal anastomosis w/ interposition of small bowel Other intrathoracic esophagoenterostomy Intrathoracic esophageal anastomosis w/ interposition of colon Other intrathoracic esophagocolostomy Intrathoracic esophageal anastomosis w/ other interposition Other intrathoracic anastomosis of esophagus 147 DELSA/ELSA/WD/HTP(2008)1 Antesternal anastomosis 4261 4262 4263 4264 4265 4266 4268 4269 427 Antesternal esophagoesophagostomy Antesternal esophagogastrostomy Antesternal esophageal anastomosis w/ interposition of small bowel Other antesternal esophagoenterostomy Antesternal esophageal anastomosis w/ interposition of colon Other antesternal esophagocolostomy Other antesternal esophageal anastomosis w/ interposition Other antesternal anastomosis of esophagus Esophagomyotomy Other repair of esophagus 4281 4282 4283 4284 4285 4286 4287 4289 4465 4466 8104 8134 Insertion of permanent tube into esophagus Suture of laceration of esophagus Closure of esophagostomy Repair of esophageal fistula, nec Repair of esophageal stricture Production of subcutaneous tunnel w/o esophageal anastomosis Other graft of esophagus Other repair of esophagus Esophagogastroplasty Other procedures for creation of esophagogastric sphincteric competence Dorsal and dorso-lumbar fusion, anterior technique Refusion of dorsal and dorsolumbar spine, anterior technique ICD-9-CM Lung or Pleural Biopsy procedure codes: 3326 3328 3424 Closed [percutaneous] [needle] biopsy of lung Open biopsy of lung Pleural biopsy ICD-9-CM Cardiosurgery procedure codes: 3510 3511 3512 3513 3514 3520 3521 3522 3523 3524 3525 3526 Open valvuloplasty nos Opn aortic valvuloplasty Opn mitral valvuloplasty Opn pulmon valvuloplasty Opn tricus valvuloplasty Replace heart valve nos Replace aort valv-tissue Replace aortic valve nec Replace mitr valv-tissue Replace mitral valve nec Replace pulm valv-tissue Replace pulmon valve nec 3616 3617 3619 362 3631 3632 3639 3691 3699 370 3710 3711 148 2 int mam-cor art bypass Abd-coron artery bypass Hrt revas byps anas nec Arterial implant revasc Open chest trans revasc Oth transmyo revascular Oth heart revascular Coron vess aneurysm rep Heart vessel op nec Pericardiocentesis Incision of heart nos Cardiotomy DELSA/ELSA/WD/HTP(2008)1 ICD-9-CM Cardiosurgery procedure codes (continued): 3527 3528 3531 3532 3533 3534 3535 3539 3542 3550 3551 3553 3554 3560 3561 3562 3563 3570 3571 3572 3573 3581 3582 3583 3584 3591 3592 3593 3594 3595 3598 3599 3603 3610 3611 3612 3613 3614 3615 Replace tric valv-tissue Replace tricusp valv nec Papillary muscle ops Chordae tendineae ops Annuloplasty Infundibulectomy Trabecul carneae cord op Tiss adj to valv ops nec Create septal defect Prosth rep hrt septa nos Pros rep atrial def-opn Prost repair ventric def Pros rep endocar cushion Grft repair hrt sept nos Graft repair atrial def Graft repair ventric def Grft rep endocar cushion Heart septa repair nos Atria septa def rep nec Ventr septa def rep nec Endocar cushion rep nec Tot repair tetral fallot Total repair of tapvc Tot rep truncus arterios Tot cor transpos grt ves Interat ven retrn transp Conduit rt vent-pul art Conduit left ventr-aorta Conduit artium-pulm art Heart repair revision Other heart septa ops Other heart valve ops Open coronry angioplasty Aortocoronary bypass nos Aortocor bypas-1 cor art Aortocor bypas-2 cor art Aortocor bypas-3 cor art Aortcor bypas-4+ cor art 1 int mam-cor art bypass 3712 3724 3725 3729 3731 3732 3733 3735 3741 3749 3751 3752 3753 3754 3761 3762 3763 3764 3765 3766 3767 3799 3791 3804 3805 3814 3815 3834 3835 3845 3855 3864 3865 3884 3885 390 3921 3922 3923 149 Pericardiotomy Pericardial biopsy Cardiac biopsy Hrt/pericar dx proc nec Pericardiectomy Heart aneurysm excision Exc/dest hrt lesion open Partial ventriculectomy Impl cardiac support dev Heart/pericard repr nec Heart transplantation Implant tot rep hrt sys Repl/rep thorac unit hrt Repl/rep oth tot hrt sys Pulsation balloon implan Implant hrt asst sys nec Replace hrt assist syst Remove heart assist sys Imp ext pul hrt asst sys Imp imp pul hrt asst sys Imp cardiomyostimul sys Other heart/pericard ops Open chest cardiac massage Incision aorta Incision oth thorac vessels Endarterectomy aorta Endart oth thorac vessels Resect aorta w anastomosis Resect aorta w replacement Resect thorac vessel w replace Ligation strip thorac vein thorac Oth exc aorta Oth exc oth thorac vessels Oth surg occlus aorta Oth surg occlus oth thorac vessels Systemic pulm art shunt Caval pulm art anastomosis Aorta subclav carotid bypass Oth intrathorac vasc shunt bypass DELSA/ELSA/WD/HTP(2008)1 ANNEX 2: VIRTUAL MDC-ASSIGNMENT Code lists in ICD-10-WHO for simulation of MDC assignment. • • • • • • M-1 Code list for MDC-8 (Postoperative hip fracture) M-2 Code list for MDC-9 (Decubitus ulcer) M-3 Code list for MDC-14 (Postoperative PE or DVT, Postoperative sepsis, Decubitus ulcer, Postop hip fracture, Complications of anaesthesia) M-4 Code list for MDC-15 (Optional use for identification of neonates) M-5 Code list for MDC-4 (Postoperative respiratory failure) M-6 Code list for MDC-5 (Postoperative respiratory failure) MDC-Algorithm Algorithm for virtual MDC-Assignment for ICD-10-countries without DRG reimbursement Case, PDx algorithm had been applied before PDx = DX in Appendix M? yes Exclude case as required in the calculation flowcharts no Continue Calculation Code lists are adapted from: • • German Diagnosis Related Groups, Version 2006. Definitionshandbuch. Institut für das Entgeltsystem im Krankenhaus gGmbH (InEK), Siegburg, Germany, and Australian Refined Diagnosis Related Groups V 4.1. Definitions Manual, Vol. 1-3. Commonwealth of Australia 1998App. 150 DELSA/ELSA/WD/HTP(2008)1 M-1 Code list for MDC-8 (Postoperative hip fracture) ICD-10 WHO A18.0 A54.4 A66.6 B90.2 C40.0 C40.1 C40.2 C40.3 C40.8 C40.9 C41.0 C41.1 C41.2 C41.3 C41.4 C41.8 C41.9 C45.7 C45.9 C47.0 C47.1 C47.2 C47.3 C47.4 C47.5 C47.6 C47.8 C47.9 C49.0 C49.1 C49.2 C49.3 C49.4 C49.5 C49.6 C49.8 C49.9 C79.5 D16.0 D16.1 D16.2 D16.3 D16.4 Title Tuberculosis of bones and joints Gonococcal infection of musculoskeletal system Bone and joint lesions of yaws Sequelae of tuberculosis of bones and joints Malignant neoplasm: Scapula and long bones of upper limb Malignant neoplasm: Short bones of upper limb Malignant neoplasm: Long bones of lower limb Malignant neoplasm: Short bones of lower limb Malignant neoplasm: Overlapping lesion of bone and articular cartilage of limbs Malignant neoplasm: Bone and articular cartilage of limb, unspecified Malignant neoplasm: Bones of skull and face Malignant neoplasm: Mandible Malignant neoplasm: Vertebral column Malignant neoplasm: Ribs, sternum and clavicle Malignant neoplasm: Pelvic bones, sacrum and coccyx Malignant neoplasm: Overlapping lesion of bone and articular cartilage Malignant neoplasm: Bone and articular cartilage, unspecified Mesothelioma of other sites Mesothelioma, unspecified Malignant neoplasm: Peripheral nerves of head, face and neck Malignant neoplasm: Peripheral nerves of upper limb, including shoulder Malignant neoplasm: Peripheral nerves of lower limb, including hip Malignant neoplasm: Peripheral nerves of thorax Malignant neoplasm: Peripheral nerves of abdomen Malignant neoplasm: Peripheral nerves of pelvis Malignant neoplasm: Peripheral nerves of trunk, unspecified Malignant neoplasm: Overlapping lesion of peripheral nerves and autonomic nervous system Malignant neoplasm: Peripheral nerves and autonomic nervous system, unspecified Malignant neoplasm: Connective and soft tissue of head, face and neck Malignant neoplasm: Connective and soft tissue of upper limb, including shoulder Malignant neoplasm: Connective and soft tissue of lower limb, including hip Malignant neoplasm: Connective and soft tissue of thorax Malignant neoplasm: Connective and soft tissue of abdomen Malignant neoplasm: Connective and soft tissue of pelvis Malignant neoplasm: Connective and soft tissue of trunk, unspecified Malignant neoplasm: Overlapping lesion of connective and soft tissue Malignant neoplasm: Connective and soft tissue, unspecified Secondary malignant neoplasm of bone and bone marrow Benign neoplasm: Scapula and long bones of upper limb Benign neoplasm: Short bones of upper limb Benign neoplasm: Long bones of lower limb Benign neoplasm: Short bones of lower limb Benign neoplasm: Bones of skull and face 151 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO D16.6 D16.8 D16.9 D21.0 D21.1 D21.2 D21.3 D21.4 D21.5 D21.6 D21.9 D48.0 D48.1 D48.2 E55.0 E64.3 E85.0 E85.1 E85.2 E85.3 E85.4 E85.8 E85.9 H19.3 H42.0 I00 I68.0 I73.0 I77.6 L40.5 L87.1 L94.4 M00.0 M00.1 M00.2 M00.8 M00.9 M01.0 M01.1 M01.2 M01.3 M01.4 M01.5 M01.6 M01.8 Title Benign neoplasm: Vertebral column Benign neoplasm: Pelvic bones, sacrum and coccyx Benign neoplasm: Bone and articular cartilage, unspecified Benign neoplasm: Connective and other soft tissue of head, face and neck Benign neoplasm: Connective and other soft tissue of upper limb, including shoulder Benign neoplasm: Connective and other soft tissue of lower limb, including hip Benign neoplasm: Connective and other soft tissue of thorax Benign neoplasm: Connective and other soft tissue of abdomen Benign neoplasm: Connective and other soft tissue of pelvis Benign neoplasm: Connective and other soft tissue of trunk, unspecified Benign neoplasm: Connective and other soft tissue, unspecified Neoplasm of uncertain or unknown behaviour: Bone and articular cartilage Neoplasm of uncertain or unknown behaviour: Connective and other soft tissue Neoplasm of uncertain or unknown behaviour: Peripheral nerves and autonomic nervous system Rickets, active Sequelae of rickets Non-neuropathic heredofamilial amyloidosis Neuropathic heredofamilial amyloidosis Heredofamilial amyloidosis, unspecified Secondary systemic amyloidosis Organ-limited amyloidosis Other amyloidosis Amyloidosis, unspecified Keratitis and keratoconjunctivitis in other diseases classified elsewhere Glaucoma in endocrine, nutritional and metabolic diseases Rheumatic fever without mention of heart involvement Cerebral amyloid angiopathy Raynaud's syndrome Arteritis, unspecified Arthropathic psoriasis Reactive perforating collagenosis Gottron's papules Staphylococcal arthritis and polyarthritis Pneumococcal arthritis and polyarthritis Other streptococcal arthritis and polyarthritis Arthritis and polyarthritis due to other specified bacterial agents Pyogenic arthritis, unspecified Meningococcal arthritis Tuberculous arthritis Arthritis in Lyme disease Arthritis in other bacterial diseases classified elsewhere Rubella arthritis Arthritis in other viral diseases classified elsewhere Arthritis in mycoses Arthritis in other infectious and parasitic diseases classified elsewhere 152 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M02.0 M02.1 M02.2 M02.3 M02.8 M02.9 M03.2 M03.6 M05.0 M05.2 M05.3 M05.8 M05.9 M06.0 M06.1 M06.2 M06.3 M06.4 M06.8 M06.9 M07.0 M07.1 M07.2 M07.3 M07.4 M07.5 M07.6 M08 M08.0 M08.1 M08.2 M08.3 M08.4 M08.8 M08.9 M09.0 M09.1 M09.2 M09.8 M10.0 M10.2 M10.4 M10.9 M11.0 M11.1 M11.2 Title Arthropathy following intestinal bypass Postdysenteric arthropathy Postimmunization arthropathy Reiter's disease Other reactive arthropathies Reactive arthropathy, unspecified Other postinfectious arthropathies in diseases classified elsewhere Reactive arthropathy in other diseases classified elsewhere Felty's syndrome Rheumatoid vasculitis Rheumatoid arthritis with involvement of other organs and systems Other seropositive rheumatoid arthritis Seropositive rheumatoid arthritis, unspecified Seronegative rheumatoid arthritis Adult-onset Still's disease Rheumatoid bursitis Rheumatoid nodule Inflammatory polyarthropathy Other specified rheumatoid arthritis Rheumatoid arthritis, unspecified Distal interphalangeal psoriatic arthropathy Arthritis mutilans Psoriatic spondylitis Other psoriatic arthropathies Arthropathy in Crohn's disease [regional enteritis] Arthropathy in ulcerative colitis Other enteropathic arthropathies Juvenile arthritis Juvenile rheumatoid arthritis Juvenile ankylosing spondylitis Juvenile arthritis with systemic onset Juvenile polyarthritis (seronegative) Pauciarticular juvenile arthritis Other juvenile arthritis Juvenile arthritis, unspecified Juvenile arthritis in psoriasis Juvenile arthritis in Crohn's disease [regional enteritis] Juvenile arthritis in ulcerative colitis Juvenile arthritis in other diseases classified elsewhere Idiopathic gout Drug-induced gout Other secondary gout Gout, unspecified Hydroxyapatite deposition disease Familial chondrocalcinosis Other chondrocalcinosis 153 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M11.8 M11.9 M12.0 M12.1 M12.2 M12.3 M12.4 M12.5 M12.8 M13.0 M13.1 M13.8 M13.9 M14.0 M14.1 M14.2 M14.3 M14.4 M14.5 M14.6 M14.8 M15.0 M15.1 M15.2 M15.3 M15.4 M15.8 M15.9 M16.0 M16.1 M16.2 M16.3 M16.4 M16.5 M16.6 M16.7 M16.9 M17.0 M17.1 M17.2 M17.3 M17.4 M17.5 M17.9 M18.0 M18.1 Title Other specified crystal arthropathies Crystal arthropathy, unspecified Chronic postrheumatic arthropathy [Jaccoud] Kaschin-Beck disease Villonodular synovitis (pigmented) Palindromic rheumatism Intermittent hydrarthrosis Traumatic arthropathy Other specific arthropathies, not elsewhere classified Polyarthritis, unspecified Monoarthritis, not elsewhere classified Other specified arthritis Arthritis, unspecified Gouty arthropathy due to enzyme defects and other inherited disorders Crystal arthropathy in other metabolic disorders Diabetic arthropathy Lipoid dermatoarthritis Arthropathy in amyloidosis Arthropathies in other endocrine, nutritional and metabolic disorders Neuropathic arthropathy Arthropathies in other specified diseases classified elsewhere Primary generalized (osteo)arthrosis Heberden's nodes (with arthropathy) Bouchard's nodes (with arthropathy) Secondary multiple arthrosis Erosive (osteo)arthrosis Other polyarthrosis Polyarthrosis, unspecified Primary coxarthrosis, bilateral Other primary coxarthrosis Coxarthrosis resulting from dysplasia, bilateral Other dysplastic coxarthrosis Post-traumatic coxarthrosis, bilateral Other post-traumatic coxarthrosis Other secondary coxarthrosis, bilateral Other secondary coxarthrosis Coxarthrosis, unspecified Primary gonarthrosis, bilateral Other primary gonarthrosis Post-traumatic gonarthrosis, bilateral Other post-traumatic gonarthrosis Other secondary gonarthrosis, bilateral Other secondary gonarthrosis Gonarthrosis, unspecified Primary arthrosis of first carpometacarpal joints, bilateral Other primary arthrosis of first carpometacarpal joint 154 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M18.2 M18.3 M18.4 M18.5 M18.9 M19.0 M19.1 M19.2 M19.8 M19.9 M20.0 M20.1 M20.2 M20.3 M20.4 M20.5 M20.6 M21.0 M21.1 M21.2 M21.3 M21.4 M21.5 M21.6 M21.7 M21.8 M21.9 M22.0 M22.1 M22.2 M22.3 M22.4 M22.8 M22.9 M23.0 M23.1 M23.2 M23.3 M23.4 M23.5 M23.6 M23.8 M23.9 M24.0 M24.1 M24.2 Title Post-traumatic arthrosis of first carpometacarpal joints, bilateral Other post-traumatic arthrosis of first carpometacarpal joint Other secondary arthrosis of first carpometacarpal joints, bilateral Other secondary arthrosis of first carpometacarpal joint Arthrosis of first carpometacarpal joint, unspecified Primary arthrosis of other joints Post-traumatic arthrosis of other joints Other secondary arthrosis Other specified arthrosis Arthrosis, unspecified Deformity of finger(s) Hallux valgus (acquired) Hallux rigidus Other deformity of hallux (acquired) Other hammer toe(s) (acquired) Other deformities of toe(s) (acquired) Acquired deformity of toe(s), unspecified Valgus deformity, not elsewhere classified Varus deformity, not elsewhere classified Flexion deformity Wrist or foot drop (acquired) Flat foot [pes planus] (acquired) Acquired clawhand, clubhand, clawfoot and clubfoot Other acquired deformities of ankle and foot Unequal limb length (acquired) Other specified acquired deformities of limbs Acquired deformity of limb, unspecified Recurrent dislocation of patella Recurrent subluxation of patella Patellofemoral disorders Other derangements of patella Chondromalacia patellae Other disorders of patella Disorder of patella, unspecified Cystic meniscus Discoid meniscus (congenital) Derangement of meniscus due to old tear or injury Other meniscus derangements Loose body in knee Chronic instability of knee Other spontaneous disruption of ligament(s) of knee Other internal derangements of knee Internal derangement of knee, unspecified Loose body in joint Other articular cartilage disorders Disorder of ligament 155 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M24.3 M24.4 M24.5 M24.6 M24.7 M24.8 M24.9 M25.0 M25.1 M25.2 M25.3 M25.4 M25.5 M25.6 M25.7 M25.8 M25.9 M30.0 M30.1 M30.2 M30.3 M30.8 M31.0 M31.2 M31.3 M31.4 M31.5 M31.6 M31.7 M31.8 M31.9 M32.0 M32.1 M32.8 M32.9 M33.0 M33.1 M33.2 M33.9 M34.0 M34.1 M34.2 M34.8 M34.9 M35.0 M35.1 Title Pathological dislocation and subluxation of joint, not elsewhere classified Recurrent dislocation and subluxation of joint Contracture of joint Ankylosis of joint Protrusio acetabuli Other specific joint derangements, not elsewhere classified Joint derangement, unspecified Haemarthrosis Fistula of joint Flail joint Other instability of joint Effusion of joint Pain in joint Stiffness of joint, not elsewhere classified Osteophyte Other specified joint disorders Joint disorder, unspecified Polyarteritis nodosa Polyarteritis with lung involvement [Churg-Strauss] Juvenile polyarteritis Mucocutaneous lymph node syndrome [Kawasaki] Other conditions related to polyarteritis nodosa Hypersensitivity angiitis Lethal midline granuloma Wegener's granulomatosis Aortic arch syndrome [Takayasu] Giant cell arteritis with polymyalgia rheumatica Other giant cell arteritis Microscopic polyangiitis Other specified necrotizing vasculopathies Necrotizing vasculopathy, unspecified Drug-induced systemic lupus erythematosus Systemic lupus erythematosus with organ or system involvement Other forms of systemic lupus erythematosus Systemic lupus erythematosus, unspecified Juvenile dermatomyositis Other dermatomyositis Polymyositis Dermatopolymyositis, unspecified Progressive systemic sclerosis CR(E)ST syndrome Systemic sclerosis induced by drugs and chemicals Other forms of systemic sclerosis Systemic sclerosis, unspecified Sicca syndrome [Sj¸gren] Other overlap syndromes 156 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M35.2 M35.3 M35.4 M35.5 M35.7 M35.8 M35.9 M36.0 M36.1 M36.2 M36.3 M36.4 M36.8 M40.0 M40.1 M40.2 M40.3 M40.4 M40.5 M41.0 M41.1 M41.2 M41.3 M41.4 M41.5 M41.8 M41.9 M42.0 M42.1 M42.9 M43.0 M43.1 M43.2 M43.3 M43.4 M43.5 M43.6 M43.8 M43.9 M45 M46.0 M46.1 M46.2 M46.3 M46.4 M46.5 Title Beh■et's disease Polymyalgia rheumatica Diffuse (eosinophilic) fasciitis Multifocal fibrosclerosis Hypermobility syndrome Other specified systemic involvement of connective tissue Systemic involvement of connective tissue, unspecified Dermato(poly)myositis in neoplastic disease Arthropathy in neoplastic disease Haemophilic arthropathy Arthropathy in other blood disorders Arthropathy in hypersensitivity reactions classified elsewhere Systemic disorders of connective tissue in other diseases classified elsewhere Postural kyphosis Other secondary kyphosis Other and unspecified kyphosis Flatback syndrome Other lordosis Lordosis, unspecified Infantile idiopathic scoliosis Juvenile idiopathic scoliosis Other idiopathic scoliosis Thoracogenic scoliosis Neuromuscular scoliosis Other secondary scoliosis Other forms of scoliosis Scoliosis, unspecified Juvenile osteochondrosis of spine Adult osteochondrosis of spine Spinal osteochondrosis, unspecified Spondylolysis Spondylolisthesis Other fusion of spine Recurrent atlantoaxial subluxation with myelopathy Other recurrent atlantoaxial subluxation Other recurrent vertebral subluxation Torticollis Other specified deforming dorsopathies Deforming dorsopathy, unspecified Ankylosing spondylitis Spinal enthesopathy Sacroiliitis, not elsewhere classified Osteomyelitis of vertebra Infection of intervertebral disc (pyogenic) Discitis, unspecified Other infective spondylopathies 157 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M46.8 M46.9 M47.0 M47.1 M47.2 M47.8 M47.9 M48.0 M48.1 M48.2 M48.3 M48.4 M48.5 M48.8 M48.9 M49.0 M49.1 M49.2 M49.3 M49.4 M49.5 M49.8 M50.0 M50.1 M50.2 M50.3 M50.8 M50.9 M51.0 M51.1 M51.2 M51.3 M51.4 M51.8 M51.9 M53.2 M53.3 M53.8 M53.9 M54.0 M54.1 M54.2 M54.3 M54.4 M54.5 M54.6 Title Other specified inflammatory spondylopathies Inflammatory spondylopathy, unspecified Anterior spinal and vertebral artery compression syndromes Other spondylosis with myelopathy Other spondylosis with radiculopathy Other spondylosis Spondylosis, unspecified Spinal stenosis Ankylosing hyperostosis [Forestier] Kissing spine Traumatic spondylopathy Fatigue fracture of vertebra Collapsed vertebra, not elsewhere classified Other specified spondylopathies Spondylopathy, unspecified Tuberculosis of spine Brucella spondylitis Enterobacterial spondylitis Spondylopathy in other infectious and parasitic diseases classified elsewhere Neuropathic spondylopathy Collapsed vertebra in diseases classified elsewhere Spondylopathy in other diseases classified elsewhere Cervical disc disorder with myelopathy Cervical disc disorder with radiculopathy Other cervical disc displacement Other cervical disc degeneration Other cervical disc disorders Cervical disc disorder, unspecified Lumbar and other intervertebral disc disorders with myelopathy Lumbar and other intervertebral disc disorders with radiculopathy Other specified intervertebral disc displacement Other specified intervertebral disc degeneration Schmorl's nodes Other specified intervertebral disc disorders Intervertebral disc disorder, unspecified Spinal instabilities Sacrococcygeal disorders, not elsewhere classified Other specified dorsopathies Dorsopathy, unspecified Panniculitis affecting regions of neck and back Radiculopathy Cervicalgia Sciatica Lumbago with sciatica Low back pain Pain in thoracic spine 158 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M54.8 M54.9 M60.0 M60.1 M60.2 M60.8 M60.9 M61.0 M61.1 M61.2 M61.3 M61.4 M61.5 M61.9 M62.0 M62.1 M62.2 M62.3 M62.4 M62.5 M62.6 M62.8 M62.9 M63.0 M63.1 M63.2 M63.3 M63.8 M65.0 M65.1 M65.2 M65.3 M65.4 M65.8 M65.9 M66.0 M66.1 M66.2 M66.3 M66.4 M66.5 M67.0 M67.1 M67.2 M67.3 M67.4 Title Other dorsalgia Dorsalgia, unspecified Infective myositis Interstitial myositis Foreign body granuloma of soft tissue, not elsewhere classified Other myositis Myositis, unspecified Myositis ossificans traumatica Myositis ossificans progressiva Paralytic calcification and ossification of muscle Calcification and ossification of muscles associated with burns Other calcification of muscle Other ossification of muscle Calcification and ossification of muscle, unspecified Diastasis of muscle Other rupture of muscle (nontraumatic) Ischaemic infarction of muscle Immobility syndrome (paraplegic) Contracture of muscle Muscle wasting and atrophy, not elsewhere classified Muscle strain Other specified disorders of muscle Disorder of muscle, unspecified Myositis in bacterial diseases classified elsewhere Myositis in protozoal and parasitic infections classified elsewhere Myositis in other infectious diseases classified elsewhere Myositis in sarcoidosis Other disorders of muscle in diseases classified elsewhere Abscess of tendon sheath Other infective (teno)synovitis Calcific tendinitis Trigger finger Radial styloid tenosynovitis [de Quervain] Other synovitis and tenosynovitis Synovitis and tenosynovitis, unspecified Rupture of popliteal cyst Rupture of synovium Spontaneous rupture of extensor tendons Spontaneous rupture of flexor tendons Spontaneous rupture of other tendons Spontaneous rupture of unspecified tendon Short Achilles tendon (acquired) Other contracture of tendon (sheath) Synovial hypertrophy, not elsewhere classified Transient synovitis Ganglion 159 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M67.8 M67.9 M68.0 M68.8 M70.0 M70.1 M70.2 M70.3 M70.4 M70.5 M70.6 M70.7 M70.8 M70.9 M71.0 M71.1 M71.2 M71.3 M71.4 M71.5 M71.8 M71.9 M72.0 M72.1 M72.2 M72.4 M72.6 M72.8 M72.9 M73.0 M73.1 M73.8 M75.0 M75.1 M75.2 M75.3 M75.4 M75.5 M75.8 M75.9 M76.0 M76.1 M76.2 M76.3 M76.4 M76.5 Title Other specified disorders of synovium and tendon Disorder of synovium and tendon, unspecified Synovitis and tenosynovitis in bacterial diseases classified elsewhere Other disorders of synovium and tendon in diseases classified elsewhere Chronic crepitant synovitis of hand and wrist Bursitis of hand Olecranon bursitis Other bursitis of elbow Prepatellar bursitis Other bursitis of knee Trochanteric bursitis Other bursitis of hip Other soft tissue disorders related to use, overuse and pressure Unspecified soft tissue disorder related to use, overuse and pressure Abscess of bursa Other infective bursitis Synovial cyst of popliteal space [Baker] Other bursal cyst Calcium deposit in bursa Other bursitis, not elsewhere classified Other specified bursopathies Bursopathy, unspecified Palmar fascial fibromatosis [Dupuytren] Knuckle pads Plantar fascial fibromatosis Pseudosarcomatous fibromatosis Necrotizing fasciitis Other fibroblastic disorders Fibroblastic disorder, unspecified Gonococcal bursitis Syphilitic bursitis Other soft tissue disorders in diseases classified elsewhere Adhesive capsulitis of shoulder Rotator cuff syndrome Bicipital tendinitis Calcific tendinitis of shoulder Impingement syndrome of shoulder Bursitis of shoulder Other shoulder lesions Shoulder lesion, unspecified Gluteal tendinitis Psoas tendinitis Iliac crest spur Iliotibial band syndrome Tibial collateral bursitis [Pellegrini-Stieda] Patellar tendinitis 160 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M76.6 M76.7 M76.8 M76.9 M77.0 M77.1 M77.2 M77.3 M77.4 M77.5 M77.8 M77.9 M79.0 M79.1 M79.4 M79.5 M79.6 M79.7 M79.8 M79.9 M80.0 M80.1 M80.2 M80.3 M80.4 M80.5 M80.8 M80.9 M81.0 M81.1 M81.2 M81.3 M81.4 M81.5 M81.6 M81.8 M81.9 M82.0 M82.1 M82.8 M83.0 M83.1 M83.2 M83.3 M83.4 M83.5 Title Achilles tendinitis Peroneal tendinitis Other enthesopathies of lower limb, excluding foot Enthesopathy of lower limb, unspecified Medial epicondylitis Lateral epicondylitis Periarthritis of wrist Calcaneal spur Metatarsalgia Other enthesopathy of foot Other enthesopathies, not elsewhere classified Enthesopathy, unspecified Rheumatism, unspecified Myalgia Hypertrophy of (infrapatellar) fat pad Residual foreign body in soft tissue Pain in limb Fibromyalgia Other specified soft tissue disorders Soft tissue disorder, unspecified Postmenopausal osteoporosis with pathological fracture Postoophorectomy osteoporosis with pathological fracture Osteoporosis of disuse with pathological fracture Postsurgical malabsorption osteoporosis with pathological fracture Drug-induced osteoporosis with pathological fracture Idiopathic osteoporosis with pathological fracture Other osteoporosis with pathological fracture Unspecified osteoporosis with pathological fracture Postmenopausal osteoporosis Postoophorectomy osteoporosis Osteoporosis of disuse Postsurgical malabsorption osteoporosis Drug-induced osteoporosis Idiopathic osteoporosis Localized osteoporosis [Lequesne] Other osteoporosis Osteoporosis, unspecified Osteoporosis in multiple myelomatosis Osteoporosis in endocrine disorders Osteoporosis in other diseases classified elsewhere Puerperal osteomalacia Senile osteomalacia Adult osteomalacia due to malabsorption Adult osteomalacia due to malnutrition Aluminium bone disease Other drug-induced osteomalacia in adults 161 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M83.8 M83.9 M84.0 M84.1 M84.2 M84.3 M84.4 M84.8 M84.9 M85.0 M85.1 M85.2 M85.3 M85.4 M85.5 M85.6 M85.8 M85.9 M86.0 M86.1 M86.2 M86.3 M86.4 M86.5 M86.6 M86.8 M86.9 M87.0 M87.1 M87.2 M87.3 M87.8 M87.9 M88.0 M88.8 M88.9 M89.1 M89.2 M89.3 M89.4 M89.5 M89.6 M89.8 M89.9 M90.0 M90.1 Title Other adult osteomalacia Adult osteomalacia, unspecified Malunion of fracture Nonunion of fracture [pseudarthrosis] Delayed union of fracture Stress fracture, not elsewhere classified Pathological fracture, not elsewhere classified Other disorders of continuity of bone Disorder of continuity of bone, unspecified Fibrous dysplasia (monostotic) Skeletal fluorosis Hyperostosis of skull Osteitis condensans Solitary bone cyst Aneurysmal bone cyst Other cyst of bone Other specified disorders of bone density and structure Disorder of bone density and structure, unspecified Acute haematogenous osteomyelitis Other acute osteomyelitis Subacute osteomyelitis Chronic multifocal osteomyelitis Chronic osteomyelitis with draining sinus Other chronic haematogenous osteomyelitis Other chronic osteomyelitis Other osteomyelitis Osteomyelitis, unspecified Idiopathic aseptic necrosis of bone Osteonecrosis due to drugs Osteonecrosis due to previous trauma Other secondary osteonecrosis Other osteonecrosis Osteonecrosis, unspecified Paget's disease of skull Paget's disease of other bones Paget's disease of bone, unspecified Epiphyseal arrest Other disorders of bone development and growth Hypertrophy of bone Other hypertrophic osteoarthropathy Osteolysis Osteopathy after poliomyelitis Other specified disorders of bone Disorder of bone, unspecified Tuberculosis of bone Periostitis in other infectious diseases classified elsewhere 162 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M90.2 M90.3 M90.4 M90.5 M90.6 M90.7 M90.8 M91.0 M91.1 M91.2 M91.3 M91.8 M91.9 M92.0 M92.1 M92.2 M92.3 M92.4 M92.5 M92.6 M92.7 M92.8 M92.9 M93.0 M93.1 M93.2 M93.8 M93.9 M94.1 M94.2 M94.3 M94.8 M94.9 M95.2 M95.3 M95.4 M95.5 M95.8 M95.9 M96.0 M96.1 M96.2 M96.3 M96.4 M96.5 M96.6 Title Osteopathy in other infectious diseases classified elsewhere Osteonecrosis in caisson disease Osteonecrosis due to haemoglobinopathy Osteonecrosis in other diseases classified elsewhere Osteitis deformans in neoplastic disease Fracture of bone in neoplastic disease Osteopathy in other diseases classified elsewhere Juvenile osteochondrosis of pelvis Juvenile osteochondrosis of head of femur [Legg-Calv┌-Perthes] Coxa plana Pseudocoxalgia Other juvenile osteochondrosis of hip and pelvis Juvenile osteochondrosis of hip and pelvis, unspecified Juvenile osteochondrosis of humerus Juvenile osteochondrosis of radius and ulna Juvenile osteochondrosis of hand Other juvenile osteochondrosis of upper limb Juvenile osteochondrosis of patella Juvenile osteochondrosis of tibia and fibula Juvenile osteochondrosis of tarsus Juvenile osteochondrosis of metatarsus Other specified juvenile osteochondrosis Juvenile osteochondrosis, unspecified Slipped upper femoral epiphysis (nontraumatic) Kienb¸ck's disease of adults Osteochondritis dissecans Other specified osteochondropathies Osteochondropathy, unspecified Relapsing polychondritis Chondromalacia Chondrolysis Other specified disorders of cartilage Disorder of cartilage, unspecified Other acquired deformity of head Acquired deformity of neck Acquired deformity of chest and rib Acquired deformity of pelvis Other specified acquired deformities of musculoskeletal system Acquired deformity of musculoskeletal system, unspecified Pseudarthrosis after fusion or arthrodesis Postlaminectomy syndrome, not elsewhere classified Postradiation kyphosis Postlaminectomy kyphosis Postsurgical lordosis Postradiation scoliosis Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone 163 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO M96.8 M96.9 M99.0 M99.1 M99.2 M99.3 M99.4 M99.5 M99.6 M99.7 M99.8 M99.9 Q65.0 Q65.1 Q65.2 Q65.3 Q65.4 Q65.5 Q65.6 Q65.8 Q65.9 Q66.0 Q66.1 Q66.2 Q66.3 Q66.4 Q66.5 Q66.6 Q66.7 Q66.8 Q66.9 Q67.0 Q67.1 Q67.2 Q67.3 Q67.4 Q67.5 Q67.8 Q68.0 Q68.1 Q68.2 Q68.3 Q68.4 Q68.5 Q68.8 Title plate Other postprocedural musculoskeletal disorders Postprocedural musculoskeletal disorder, unspecified Segmental and somatic dysfunction Subluxation complex (vertebral) Subluxation stenosis of neural canal Osseous stenosis of neural canal Connective tissue stenosis of neural canal Intervertebral disc stenosis of neural canal Osseous and subluxation stenosis of intervertebral foramina Connective tissue and disc stenosis of intervertebral foramina Other biomechanical lesions Biomechanical lesion, unspecified Congenital dislocation of hip, unilateral Congenital dislocation of hip, bilateral Congenital dislocation of hip, unspecified Congenital subluxation of hip, unilateral Congenital subluxation of hip, bilateral Congenital subluxation of hip, unspecified Unstable hip Other congenital deformities of hip Congenital deformity of hip, unspecified Talipes equinovarus Talipes calcaneovarus Metatarsus varus Other congenital varus deformities of feet Talipes calcaneovalgus Congenital pes planus Other congenital valgus deformities of feet Pes cavus Other congenital deformities of feet Congenital deformity of feet, unspecified Facial asymmetry Compression facies Dolichocephaly Plagiocephaly Other congenital deformities of skull, face and jaw Congenital deformity of spine Other congenital deformities of chest Congenital deformity of sternocleidomastoid muscle Congenital deformity of hand Congenital deformity of knee Congenital bowing of femur Congenital bowing of tibia and fibula Congenital bowing of long bones of leg, unspecified Other specified congenital musculoskeletal deformities 164 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Q69.0 Q69.1 Q69.2 Q69.9 Q70.1 Q70.2 Q70.3 Q70.4 Q70.9 Q71.0 Q71.1 Q71.2 Q71.3 Q71.4 Q71.5 Q71.6 Q71.8 Q71.9 Q72.0 Q72.1 Q72.2 Q72.3 Q72.4 Q72.5 Q72.6 Q72.7 Q72.8 Q72.9 Q73.0 Q73.1 Q73.8 Q74.0 Q74.1 Q74.2 Q74.3 Q74.8 Q74.9 Q75.0 Q75.1 Q75.2 Q75.3 Q75.4 Q75.5 Q75.8 Q75.9 Q76.1 Title Accessory finger(s) Accessory thumb(s) Accessory toe(s) Polydactyly, unspecified Webbed fingers Fused toes Webbed toes Polysyndactyly Syndactyly, unspecified Congenital complete absence of upper limb(s) Congenital absence of upper arm and forearm with hand present Congenital absence of both forearm and hand Congenital absence of hand and finger(s) Longitudinal reduction defect of radius Longitudinal reduction defect of ulna Lobster-claw hand Other reduction defects of upper limb(s) Reduction defect of upper limb, unspecified Congenital complete absence of lower limb(s) Congenital absence of thigh and lower leg with foot present Congenital absence of both lower leg and foot Congenital absence of foot and toe(s) Longitudinal reduction defect of femur Longitudinal reduction defect of tibia Longitudinal reduction defect of fibula Split foot Other reduction defects of lower limb(s) Reduction defect of lower limb, unspecified Congenital absence of unspecified limb(s) Phocomelia, unspecified limb(s) Other reduction defects of unspecified limb(s) Other congenital malformations of upper limb(s), including shoulder girdle Congenital malformation of knee Other congenital malformations of lower limb(s), including pelvic girdle Arthrogryposis multiplex congenita Other specified congenital malformations of limb(s) Unspecified congenital malformation of limb(s) Craniosynostosis Craniofacial dysostosis Hypertelorism Macrocephaly Mandibulofacial dysostosis Oculomandibular dysostosis Other specified congenital malformations of skull and face bones Congenital malformation of skull and face bones, unspecified Klippel-Feil syndrome 165 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Q76.2 Q76.3 Q76.4 Q76.5 Q76.8 Q76.9 Q77.0 Q77.1 Q77.2 Q77.3 Q77.4 Q77.5 Q77.6 Q77.7 Q77.8 Q77.9 Q78.0 Q78.1 Q78.2 Q78.3 Q78.4 Q78.5 Q78.6 Q78.8 Q78.9 Q79.6 Q79.8 Q79.9 Q87.0 R25.2 R26.2 R29.4 R76.2 R93.6 R93.7 S03.1 S03.3 S03.5 S09.1 S12.0 S12.1 S12.2 S12.7 S12.9 S13.0 Title Congenital spondylolisthesis Congenital scoliosis due to congenital bony malformation Other congenital malformations of spine, not associated with scoliosis Cervical rib Other congenital malformations of bony thorax Congenital malformation of bony thorax, unspecified Achondrogenesis Thanatophoric short stature Short rib syndrome Chondrodysplasia punctata Achondroplasia Dystrophic dysplasia Chondroectodermal dysplasia Spondyloepiphyseal dysplasia Other osteochondrodysplasia with defects of growth of tubular bones and spine Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified Osteogenesis imperfecta Polyostotic fibrous dysplasia Osteopetrosis Progressive diaphyseal dysplasia Enchondromatosis Metaphyseal dysplasia Multiple congenital exostoses Other specified osteochondrodysplasias Osteochondrodysplasia, unspecified Ehlers-Danlos syndrome Other congenital malformations of musculoskeletal system Congenital malformation of musculoskeletal system, unspecified Congenital malformation syndromes predominantly affecting facial appearance Cramp and spasm Difficulty in walking, not elsewhere classified Clicking hip False-positive serological test for syphilis Abnormal findings on diagnostic imaging of limbs Abnormal findings on diagnostic imaging of other parts of musculoskeletal system Dislocation of septal cartilage of nose Dislocation of other and unspecified parts of head Sprain and strain of joints and ligaments of other and unspecified parts of head Injury of muscle and tendon of head Fracture of first cervical vertebra Fracture of second cervical vertebra Fracture of other specified cervical vertebra Multiple fractures of cervical spine Fracture of neck, part unspecified Traumatic rupture of cervical intervertebral disc 166 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO S13.1 S13.2 S13.3 S13.4 S13.5 S13.6 S16 S22.0 S22.1 S22.8 S22.9 S23.0 S23.1 S23.3 S23.5 S29.0 S32.0 S32.1 S32.2 S32.3 S32.4 S32.5 S32.7 S32.8 S33.0 S33.1 S33.2 S33.3 S33.4 S33.5 S33.6 S33.7 S39.0 S42.0 S42.1 S42.2 S42.3 S42.4 S42.7 S42.8 S42.9 S43.0 S43.1 S43.2 S43.3 S43.4 Title Dislocation of cervical vertebra Dislocation of other and unspecified parts of neck Multiple dislocations of neck Sprain and strain of cervical spine Sprain and strain of thyroid region Sprain and strain of joints and ligaments of other and unspecified parts of neck Injury of muscle and tendon at neck level Fracture of thoracic vertebra Multiple fractures of thoracic spine Fracture of other parts of bony thorax Fracture of bony thorax, part unspecified Traumatic rupture of thoracic intervertebral disc Dislocation of thoracic vertebra Sprain and strain of thoracic spine Sprain and strain of other and unspecified parts of thorax Injury of muscle and tendon at thorax level Fracture of lumbar vertebra Fracture of sacrum Fracture of coccyx Fracture of ilium Fracture of acetabulum Fracture of pubis Multiple fractures of lumbar spine and pelvis Fracture of other and unspecified parts of lumbar spine and pelvis Traumatic rupture of lumbar intervertebral disc Dislocation of lumbar vertebra Dislocation of sacroiliac and sacrococcygeal joint Dislocation of other and unspecified parts of lumbar spine and pelvis Traumatic rupture of symphysis pubis Sprain and strain of lumbar spine Sprain and strain of sacroiliac joint Sprain and strain of other and unspecified parts of lumbar spine and pelvis Injury of muscle and tendon of abdomen, lower back and pelvis Fracture of clavicle Fracture of scapula Fracture of upper end of humerus Fracture of shaft of humerus Fracture of lower end of humerus Multiple fractures of clavicle, scapula and humerus Fracture of other parts of shoulder and upper arm Fracture of shoulder girdle, part unspecified Dislocation of shoulder joint Dislocation of acromioclavicular joint Dislocation of sternoclavicular joint Dislocation of other and unspecified parts of shoulder girdle Sprain and strain of shoulder joint 167 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO S43.5 S43.7 S46.0 S46.1 S46.2 S46.3 S46.7 S46.8 S46.9 S52.0 S52.1 S52.2 S52.3 S52.4 S52.5 S52.6 S52.7 S52.8 S52.9 S53.0 S53.1 S53.2 S53.3 S53.4 S56.0 S56.1 S56.2 S56.3 S56.4 S56.5 S56.7 S56.8 S62.0 S62.1 S62.2 S62.3 S62.4 S62.5 S62.6 S62.7 S62.8 S63.0 S63.1 S63.2 S63.3 S63.4 Title Sprain and strain of acromioclavicular joint Sprain and strain of other and unspecified parts of shoulder girdle Injury of tendon of the rotator cuff of shoulder Injury of muscle and tendon of long head of biceps Injury of muscle and tendon of other parts of biceps Injury of muscle and tendon of triceps Injury of multiple muscles and tendons at shoulder and upper arm level Injury of other muscles and tendons at shoulder and upper arm level Injury of unspecified muscle and tendon at shoulder and upper arm level Fracture of upper end of ulna Fracture of upper end of radius Fracture of shaft of ulna Fracture of shaft of radius Fracture of shafts of both ulna and radius Fracture of lower end of radius Fracture of lower end of both ulna and radius Multiple fractures of forearm Fracture of other parts of forearm Fracture of forearm, part unspecified Dislocation of radial head Dislocation of elbow, unspecified Traumatic rupture of radial collateral ligament Traumatic rupture of ulnar collateral ligament Sprain and strain of elbow Injury of flexor muscle and tendon of thumb at forearm level Injury of long flexor muscle and tendon of other finger(s) at forearm level Injury of other flexor muscle and tendon at forearm level Injury of extensor or abductor muscles and tendons of thumb at forearm level Injury of extensor muscle and tendon of other finger(s) at forearm level Injury of other extensor muscle and tendon at forearm level Injury of multiple muscles and tendons at forearm level Injury of other and unspecified muscles and tendons at forearm level Fracture of navicular [scaphoid] bone of hand Fracture of other carpal bone(s) Fracture of first metacarpal bone Fracture of other metacarpal bone Multiple fractures of metacarpal bones Fracture of thumb Fracture of other finger Multiple fractures of fingers Fracture of other and unspecified parts of wrist and hand Dislocation of wrist Dislocation of finger Multiple dislocations of fingers Traumatic rupture of ligament of wrist and carpus Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal 168 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO S63.5 S63.6 S63.7 S66.0 S66.1 S66.2 S66.3 S66.4 S66.5 S66.6 S66.7 S66.8 S66.9 S72.0 S72.1 S72.2 S72.3 S72.4 S72.7 S72.8 S72.9 S73.0 S73.1 S76.0 S76.1 S76.2 S76.3 S76.4 S76.7 S82.0 S82.1 S82.2 S82.3 S82.4 S82.5 S82.6 S82.7 S82.8 S82.9 S83.0 S83.1 S83.2 S83.3 S83.4 S83.5 Title joint(s) Sprain and strain of wrist Sprain and strain of finger(s) Sprain and strain of other and unspecified parts of hand Injury of long flexor muscle and tendon of thumb at wrist and hand level Injury of flexor muscle and tendon of other finger at wrist and hand level Injury of extensor muscle and tendon of thumb at wrist and hand level Injury of extensor muscle and tendon of other finger at wrist and hand level Injury of intrinsic muscle and tendon of thumb at wrist and hand level Injury of intrinsic muscle and tendon of other finger at wrist and hand level Injury of multiple flexor muscles and tendons at wrist and hand level Injury of multiple extensor muscles and tendons at wrist and hand level Injury of other muscles and tendons at wrist and hand level Injury of unspecified muscle and tendon at wrist and hand level Fracture of neck of femur Pertrochanteric fracture Subtrochanteric fracture Fracture of shaft of femur Fracture of lower end of femur Multiple fractures of femur Fractures of other parts of femur Fracture of femur, part unspecified Dislocation of hip Sprain and strain of hip Injury of muscle and tendon of hip Injury of quadriceps muscle and tendon Injury of adductor muscle and tendon of thigh Injury of muscle and tendon of the posterior muscle group at thigh level Injury of other and unspecified muscles and tendons at thigh level Injury of multiple muscles and tendons at hip and thigh level Fracture of patella Fracture of upper end of tibia Fracture of shaft of tibia Fracture of lower end of tibia Fracture of fibula alone Fracture of medial malleolus Fracture of lateral malleolus Multiple fractures of lower leg Fractures of other parts of lower leg Fracture of lower leg, part unspecified Dislocation of patella Dislocation of knee Tear of meniscus, current Tear of articular cartilage of knee, current Sprain and strain involving (fibular)(tibial) collateral ligament of knee Sprain and strain involving (anterior)(posterior) cruciate ligament of knee 169 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO S83.6 S83.7 S86.0 S86.1 S86.2 S86.3 S86.7 S86.8 S86.9 S92.0 S92.1 S92.2 S92.3 S92.4 S92.5 S92.7 S92.9 S93.0 S93.1 S93.2 S93.3 S93.4 S93.5 S93.6 S96.0 S96.1 S96.2 S96.7 S96.8 S96.9 T02.1 T02.2 T02.3 T02.8 T02.9 T03.0 T03.1 T03.2 T03.3 T03.4 T03.8 T03.9 T06.4 T08 T09.2 Title Sprain and strain of other and unspecified parts of knee Injury to multiple structures of knee Injury of Achilles tendon Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level Injury of multiple muscles and tendons at lower leg level Injury of other muscles and tendons at lower leg level Injury of unspecified muscle and tendon at lower leg level Fracture of calcaneus Fracture of talus Fracture of other tarsal bone(s) Fracture of metatarsal bone Fracture of great toe Fracture of other toe Multiple fractures of foot Fracture of foot, unspecified Dislocation of ankle joint Dislocation of toe(s) Rupture of ligaments at ankle and foot level Dislocation of other and unspecified parts of foot Sprain and strain of ankle Sprain and strain of toe(s) Sprain and strain of other and unspecified parts of foot Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level Injury of muscle and tendon of long extensor muscle of toe at ankle and foot level Injury of intrinsic muscle and tendon at ankle and foot level Injury of multiple muscles and tendons at ankle and foot level Injury of other muscles and tendons at ankle and foot level Injury of unspecified muscle and tendon at ankle and foot level Fractures involving thorax with lower back and pelvis Fractures involving multiple regions of one upper limb Fractures involving multiple regions of one lower limb Fractures involving other combinations of body regions Multiple fractures, unspecified Dislocations, sprains and strains involving head with neck Dislocations, sprains and strains involving thorax with lower back and pelvis Dislocations, sprains and strains involving multiple regions of upper limb(s) Dislocations, sprains and strains involving multiple regions of lower limb(s) Dislocations, sprains and strains involving multiple regions of upper limb(s) with lower limb(s) Dislocations, sprains and strains involving other combinations of body regions Multiple dislocations, sprains and strains, unspecified Injuries of muscles and tendons involving multiple body regions Fracture of spine, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of trunk 170 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO T09.5 T10 T11.2 T11.5 T12 T13.2 T13.5 T14.2 T14.3 T14.6 T79.6 T84.0 T84.1 T84.2 T84.3 T84.4 T84.5 T84.6 T84.7 T84.8 T84.9 T87.0 T87.1 T87.2 T87.3 T87.4 T87.5 T87.6 T91.1 T91.2 T92.1 T92.2 T92.3 T92.5 T92.6 T93.1 T93.2 T93.3 T93.5 T93.6 T94.0 Z44.0 Z44.1 Title Injury of unspecified muscle and tendon of trunk Fracture of upper limb, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of upper limb, level unspecified Injury of unspecified muscle and tendon of upper limb, level unspecified Fracture of lower limb, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of lower limb, level unspecified Injury of unspecified muscle and tendon of lower limb, level unspecified Fracture of unspecified body region Dislocation, sprain and strain of unspecified body region Injury of muscles and tendons of unspecified body region Traumatic ischaemia of muscle Mechanical complication of internal joint prosthesis Mechanical complication of internal fixation device of bones of limb Mechanical complication of internal fixation device of other bones Mechanical complication of other bone devices, implants and grafts Mechanical complication of other internal orthopaedic devices, implants and grafts Infection and inflammatory reaction due to internal joint prosthesis Infection and inflammatory reaction due to internal fixation device [any site] Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts Other complications of internal orthopaedic prosthetic devices, implants and grafts Unspecified complication of internal orthopaedic prosthetic device, implant and graft Complications of reattached (part of) upper extremity Complications of reattached (part of) lower extremity Complications of other reattached body part Neuroma of amputation stump Infection of amputation stump Necrosis of amputation stump Other and unspecified complications of amputation stump Sequelae of fracture of spine Sequelae of other fracture of thorax and pelvis Sequelae of fracture of arm Sequelae of fracture at wrist and hand level Sequelae of dislocation, sprain and strain of upper limb Sequelae of injury of muscle and tendon of upper limb Sequelae of crushing injury and traumatic amputation of upper limb Sequelae of fracture of femur Sequelae of other fractures of lower limb Sequelae of dislocation, sprain and strain of lower limb Sequelae of injury of muscle and tendon of lower limb Sequelae of crushing injury and traumatic amputation of lower limb Sequelae of injuries involving multiple body regions Fitting and adjustment of artificial arm (complete)(partial) Fitting and adjustment of artificial leg (complete)(partial) 171 MDC 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Z46.7 Z47.0 Z47.8 Z47.9 Z52.2 Z94.6 Z96.6 Z96.9 Z97.1 Title Fitting and adjustment of orthopaedic device Follow-up care involving removal of fracture plate and other internal fixation device Other specified orthopaedic follow-up care Orthopaedic follow-up care, unspecified Bone donor Bone transplant status Presence of orthopaedic joint implants Presence of functional implant, unspecified Presence of artificial limb (complete)(partial) 172 MDC 08 08 08 08 08 08 08 08 08 DELSA/ELSA/WD/HTP(2008)1 M-2 Code list for MDC-9 (Decubitus ulcer) ICD-10 WHO A06.7 A18.4 A22.0 A31.1 A36.3 A42.2 A43.1 A46 A51.3 A63.0 A66.0 A66.1 A66.2 A66.3 A66.4 A67.0 A67.1 A67.3 B00.0 B00.9 B02.9 B07 B08.1 B35.0 B35.1 B35.2 B35.3 B35.4 B35.5 B35.6 B35.8 B35.9 B36.0 B36.1 B36.2 B36.3 B36.8 B36.9 B37.2 B38.3 B55.1 B55.2 B65.3 B85.0 Title Cutaneous amoebiasis Tuberculosis of skin and subcutaneous tissue Cutaneous anthrax Cutaneous mycobacterial infection Cutaneous diphtheria Cervicofacial actinomycosis Cutaneous nocardiosis Erysipelas Secondary syphilis of skin and mucous membranes Anogenital (venereal) warts Initial lesions of yaws Multiple papillomata and wet crab yaws Other early skin lesions of yaws Hyperkeratosis of yaws Gummata and ulcers of yaws Primary lesions of pinta Intermediate lesions of pinta Mixed lesions of pinta Eczema herpeticum Herpesviral infection, unspecified Zoster without complication Viral warts Molluscum contagiosum Tinea barbae and tinea capitis Tinea unguium Tinea manuum Tinea pedis Tinea corporis Tinea imbricata Tinea cruris Other dermatophytoses Dermatophytosis, unspecified Pityriasis versicolor Tinea nigra White piedra Black piedra Other specified superficial mycoses Superficial mycosis, unspecified Candidiasis of skin and nail Cutaneous coccidioidomycosis Cutaneous leishmaniasis Mucocutaneous leishmaniasis Cercarial dermatitis Pediculosis due to Pediculus humanus capitis 173 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO B85.1 B85.2 B85.3 B85.4 B86 B87.0 B87.1 B87.2 B87.3 B87.4 B87.8 B87.9 B88.0 B88.1 B88.2 B88.3 B88.9 C43.0 C43.2 C43.3 C43.4 C43.5 C43.6 C43.7 C43.8 C43.9 C44.0 C44.2 C44.3 C44.4 C44.5 C44.6 C44.7 C44.8 C44.9 C46.0 C46.1 C46.7 C46.8 C46.9 C50.0 C50.1 C50.2 C50.3 C50.4 C50.5 Title Pediculosis due to Pediculus humanus corporis Pediculosis, unspecified Phthiriasis Mixed pediculosis and phthiriasis Scabies Cutaneous myiasis Wound myiasis Ocular myiasis Nasopharyngeal myiasis Aural myiasis Myiasis of other sites Myiasis, unspecified Other acariasis Tungiasis [sandflea infestation] Other arthropod infestations External hirudiniasis Infestation, unspecified Malignant neoplasm: Malignant melanoma of lip Malignant neoplasm: Malignant melanoma of ear and external auricular canal Malignant neoplasm: Malignant melanoma of other and unspecified parts of face Malignant neoplasm: Malignant melanoma of scalp and neck Malignant neoplasm: Malignant melanoma of trunk Malignant neoplasm: Malignant melanoma of upper limb, including shoulder Malignant neoplasm: Malignant melanoma of lower limb, including hip Malignant neoplasm: Overlapping malignant melanoma of skin Malignant neoplasm: Malignant melanoma of skin, unspecified Malignant neoplasm: Skin of lip Malignant neoplasm: Skin of ear and external auricular canal Malignant neoplasm: Skin of other and unspecified parts of face Malignant neoplasm: Skin of scalp and neck Malignant neoplasm: Skin of trunk Malignant neoplasm: Skin of upper limb, including shoulder Malignant neoplasm: Skin of lower limb, including hip Malignant neoplasm: Overlapping lesion of skin Malignant neoplasm: Malignant neoplasm of skin, unspecified Kaposi's sarcoma of skin Kaposi's sarcoma of soft tissue Kaposi's sarcoma of other sites Kaposi's sarcoma of multiple organs Kaposi's sarcoma, unspecified Malignant neoplasm: Nipple and areola Malignant neoplasm: Central portion of breast Malignant neoplasm: Upper-inner quadrant of breast Malignant neoplasm: Lower-inner quadrant of breast Malignant neoplasm: Upper-outer quadrant of breast Malignant neoplasm: Lower-outer quadrant of breast 174 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO C50.6 C50.8 C50.9 C79.2 C79.8 D03.0 D03.2 D03.3 D03.4 D03.5 D03.6 D03.7 D03.8 D03.9 D04.0 D04.2 D04.3 D04.4 D04.5 D04.6 D04.7 D04.8 D04.9 D05.0 D05.1 D05.7 D05.9 D17.0 D17.1 D17.2 D17.3 D17.7 D17.9 D18.0 D22.0 D22.2 D22.3 D22.4 D22.5 D22.6 D22.7 D22.9 D23.0 D23.2 D23.3 Title Malignant neoplasm: Axillary tail of breast Malignant neoplasm: Overlapping lesion of breast Malignant neoplasm: Breast, unspecified Secondary malignant neoplasm of skin Secondary malignant neoplasm of other specified sites Melanoma in situ of lip Melanoma in situ of ear and external auricular canal Melanoma in situ of other and unspecified parts of face Melanoma in situ of scalp and neck Melanoma in situ of trunk Melanoma in situ of upper limb, including shoulder Melanoma in situ of lower limb, including hip Melanoma in situ of other sites Melanoma in situ, unspecified Carcinoma in situ: Skin of lip Carcinoma in situ: Skin of ear and external auricular canal Carcinoma in situ: Skin of other and unspecified parts of face Carcinoma in situ: Skin of scalp and neck Carcinoma in situ: Skin of trunk Carcinoma in situ: Skin of upper limb, including shoulder Carcinoma in situ: Skin of lower limb, including hip Carcinoma in situ: Skin of other sites Carcinoma in situ: Skin, unspecified Lobular carcinoma in situ Intraductal carcinoma in situ Other carcinoma in situ of breast Carcinoma in situ of breast, unspecified Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk Benign lipomatous neoplasm of skin and subcutaneous tissue of limbs Benign lipomatous neoplasm of skin and subcutaneous tissue of other and unspecified sites Benign lipomatous neoplasm of other sites Benign lipomatous neoplasm, unspecified Haemangioma, any site Melanocytic naevi of lip Melanocytic naevi of ear and external auricular canal Melanocytic naevi of other and unspecified parts of face Melanocytic naevi of scalp and neck Melanocytic naevi of trunk Melanocytic naevi of upper limb, including shoulder Melanocytic naevi of lower limb, including hip Melanocytic naevi, unspecified Benign neoplasm: Skin of lip Benign neoplasm: Skin of ear and external auricular canal Benign neoplasm: Skin of other and unspecified parts of face 175 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO D23.4 D23.5 D23.6 D23.7 D23.9 D24 D48.5 D48.6 H02.6 I78.1 I89.0 I89.1 I97.2 L00 L01.0 L01.1 L02.0 L02.1 L02.2 L02.3 L02.4 L02.8 L02.9 L03.0 L03.1 L03.2 L03.3 L03.8 L03.9 L05.0 L05.9 L08.0 L08.1 L08.8 L08.9 L10.0 L10.1 L10.2 L10.3 L10.4 L10.5 L10.8 L10.9 L11.0 L11.1 L11.8 Title Benign neoplasm: Skin of scalp and neck Benign neoplasm: Skin of trunk Benign neoplasm: Skin of upper limb, including shoulder Benign neoplasm: Skin of lower limb, including hip Benign neoplasm: Skin, unspecified Benign neoplasm of breast Neoplasm of uncertain or unknown behaviour: Skin Neoplasm of uncertain or unknown behaviour: Breast Xanthelasma of eyelid Naevus, non-neoplastic Lymphoedema, not elsewhere classified Lymphangitis Postmastectomy lymphoedema syndrome Staphylococcal scalded skin syndrome Impetigo [any organism] [any site] Impetiginization of other dermatoses Cutaneous abscess, furuncle and carbuncle of face Cutaneous abscess, furuncle and carbuncle of neck Cutaneous abscess, furuncle and carbuncle of trunk Cutaneous abscess, furuncle and carbuncle of buttock Cutaneous abscess, furuncle and carbuncle of limb Cutaneous abscess, furuncle and carbuncle of other sites Cutaneous abscess, furuncle and carbuncle, unspecified Cellulitis of finger and toe Cellulitis of other parts of limb Cellulitis of face Cellulitis of trunk Cellulitis of other sites Cellulitis, unspecified Pilonidal cyst with abscess Pilonidal cyst without abscess Pyoderma Erythrasma Other specified local infections of skin and subcutaneous tissue Local infection of skin and subcutaneous tissue, unspecified Pemphigus vulgaris Pemphigus vegetans Pemphigus foliaceus Brazilian pemphigus [fogo selvagem] Pemphigus erythematosus Drug-induced pemphigus Other pemphigus Pemphigus, unspecified Acquired keratosis follicularis Transient acantholytic dermatosis [Grover] Other specified acantholytic disorders 176 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L11.9 L12.0 L12.1 L12.2 L12.3 L12.8 L12.9 L13.0 L13.1 L13.8 L13.9 L14 L20.0 L20.8 L20.9 L21.0 L21.1 L21.8 L21.9 L22 L23.0 L23.1 L23.2 L23.3 L23.4 L23.5 L23.6 L23.7 L23.8 L23.9 L24.0 L24.1 L24.2 L24.3 L24.4 L24.5 L24.6 L24.7 L24.8 L24.9 L25.0 L25.1 L25.2 L25.3 L25.4 L25.5 Title Acantholytic disorder, unspecified Bullous pemphigoid Cicatricial pemphigoid Chronic bullous disease of childhood Acquired epidermolysis bullosa Other pemphigoid Pemphigoid, unspecified Dermatitis herpetiformis Subcorneal pustular dermatitis Other specified bullous disorders Bullous disorder, unspecified Bullous disorders in diseases classified elsewhere Besnier's prurigo Other atopic dermatitis Atopic dermatitis, unspecified Seborrhoea capitis Seborrhoeic infantile dermatitis Other seborrhoeic dermatitis Seborrhoeic dermatitis, unspecified Diaper [napkin] dermatitis Allergic contact dermatitis due to metals Allergic contact dermatitis due to adhesives Allergic contact dermatitis due to cosmetics Allergic contact dermatitis due to drugs in contact with skin Allergic contact dermatitis due to dyes Allergic contact dermatitis due to other chemical products Allergic contact dermatitis due to food in contact with skin Allergic contact dermatitis due to plants, except food Allergic contact dermatitis due to other agents Allergic contact dermatitis, unspecified cause Irritant contact dermatitis due to detergents Irritant contact dermatitis due to oils and greases Irritant contact dermatitis due to solvents Irritant contact dermatitis due to cosmetics Irritant contact dermatitis due to drugs in contact with skin Irritant contact dermatitis due to other chemical products Irritant contact dermatitis due to food in contact with skin Irritant contact dermatitis due to plants, except food Irritant contact dermatitis due to other agents Irritant contact dermatitis, unspecified cause Unspecified contact dermatitis due to cosmetics Unspecified contact dermatitis due to drugs in contact with skin Unspecified contact dermatitis due to dyes Unspecified contact dermatitis due to other chemical products Unspecified contact dermatitis due to food in contact with skin Unspecified contact dermatitis due to plants, except food 177 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L25.8 L25.9 L26 L27.0 L27.1 L27.2 L27.8 L27.9 L28.0 L28.1 L28.2 L29.0 L29.8 L29.9 L30.0 L30.1 L30.2 L30.3 L30.4 L30.5 L30.8 L30.9 L40.0 L40.1 L40.2 L40.3 L40.4 L40.8 L40.9 L41.0 L41.1 L41.2 L41.3 L41.4 L41.5 L41.8 L41.9 L42 L43.0 L43.1 L43.2 L43.3 L43.8 L43.9 L44.0 L44.1 Title Unspecified contact dermatitis due to other agents Unspecified contact dermatitis, unspecified cause Exfoliative dermatitis Generalized skin eruption due to drugs and medicaments Localized skin eruption due to drugs and medicaments Dermatitis due to ingested food Dermatitis due to other substances taken internally Dermatitis due to unspecified substance taken internally Lichen simplex chronicus Prurigo nodularis Other prurigo Pruritus ani Other pruritus Pruritus, unspecified Nummular dermatitis Dyshidrosis [pompholyx] Cutaneous autosensitization Infective dermatitis Erythema intertrigo Pityriasis alba Other specified dermatitis Dermatitis, unspecified Psoriasis vulgaris Generalized pustular psoriasis Acrodermatitis continua Pustulosis palmaris et plantaris Guttate psoriasis Other psoriasis Psoriasis, unspecified Pityriasis lichenoides et varioliformis acuta Pityriasis lichenoides chronica Lymphomatoid papulosis Small plaque parapsoriasis Large plaque parapsoriasis Retiform parapsoriasis Other parapsoriasis Parapsoriasis, unspecified Pityriasis rosea Hypertrophic lichen planus Bullous lichen planus Lichenoid drug reaction Subacute (active) lichen planus Other lichen planus Lichen planus, unspecified Pityriasis rubra pilaris Lichen nitidus 178 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L44.2 L44.3 L44.4 L44.8 L44.9 L45 L50.0 L50.1 L50.2 L50.3 L50.4 L50.5 L50.6 L50.8 L50.9 L51.0 L51.1 L51.2 L51.8 L51.9 L52 L53.0 L53.1 L53.2 L53.3 L53.8 L53.9 L54.0 L54.8 L55.0 L55.1 L55.2 L55.8 L55.9 L56.0 L56.1 L56.2 L56.3 L56.4 L56.8 L56.9 L57.0 L57.1 L57.2 L57.3 L57.4 Title Lichen striatus Lichen ruber moniliformis Infantile papular acrodermatitis [Giannotti-Crosti] Other specified papulosquamous disorders Papulosquamous disorder, unspecified Papulosquamous disorders in diseases classified elsewhere Allergic urticaria Idiopathic urticaria Urticaria due to cold and heat Dermatographic urticaria Vibratory urticaria Cholinergic urticaria Contact urticaria Other urticaria Urticaria, unspecified Nonbullous erythema multiforme Bullous erythema multiforme Toxic epidermal necrolysis [Lyell] Other erythema multiforme Erythema multiforme, unspecified Erythema nodosum Toxic erythema Erythema annulare centrifugum Erythema marginatum Other chronic figurate erythema Other specified erythematous conditions Erythematous condition, unspecified Erythema marginatum in acute rheumatic fever Erythema in other diseases classified elsewhere Sunburn of first degree Sunburn of second degree Sunburn of third degree Other sunburn Sunburn, unspecified Drug phototoxic response Drug photoallergic response Photocontact dermatitis [berloque dermatitis] Solar urticaria Polymorphous light eruption Other specified acute skin changes due to ultraviolet radiation Acute skin change due to ultraviolet radiation, unspecified Actinic keratosis Actinic reticuloid Cutis rhomboidalis nuchae Poikiloderma of Civatte Cutis laxa senilis 179 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L57.5 L57.8 L57.9 L58.0 L58.1 L58.9 L59.0 L59.8 L59.9 L60.0 L60.1 L60.2 L60.3 L60.4 L60.5 L60.8 L60.9 L62.0 L62.8 L63.0 L63.1 L63.2 L63.8 L63.9 L64.0 L64.8 L64.9 L65.0 L65.1 L65.2 L65.8 L65.9 L66.0 L66.1 L66.2 L66.3 L66.4 L66.8 L66.9 L67.0 L67.1 L67.8 L67.9 L68.0 L68.1 L68.2 Title Actinic granuloma Other skin changes due to chronic exposure to nonionizing radiation Skin changes due to chronic exposure to nonionizing radiation, unspecified Acute radiodermatitis Chronic radiodermatitis Radiodermatitis, unspecified Erythema ab igne [dermatitis ab igne] Other specified disorders of skin and subcutaneous tissue related to radiation Disorder of skin and subcutaneous tissue related to radiation, unspecified Ingrowing nail Onycholysis Onychogryphosis Nail dystrophy Beau's lines Yellow nail syndrome Other nail disorders Nail disorder, unspecified Clubbed nail pachydermoperiostosis Nail disorders in other diseases classified elsewhere Alopecia (capitis) totalis Alopecia universalis Ophiasis Other alopecia areata Alopecia areata, unspecified Drug-induced androgenic alopecia Other androgenic alopecia Androgenic alopecia, unspecified Telogen effluvium Anagen effluvium Alopecia mucinosa Other specified nonscarring hair loss Nonscarring hair loss, unspecified Pseudopelade Lichen planopilaris Folliculitis decalvans Perifolliculitis capitis abscedens Folliculitis ulerythematosa reticulata Other cicatricial alopecia Cicatricial alopecia, unspecified Trichorrhexis nodosa Variations in hair colour Other hair colour and hair shaft abnormalities Hair colour and hair shaft abnormality, unspecified Hirsutism Acquired hypertrichosis lanuginosa Localized hypertrichosis 180 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L68.3 L68.8 L68.9 L70.0 L70.1 L70.2 L70.3 L70.4 L70.5 L70.8 L70.9 L71.0 L71.1 L71.8 L71.9 L72.0 L72.1 L72.2 L72.8 L72.9 L73.0 L73.1 L73.2 L73.8 L73.9 L74.0 L74.1 L74.2 L74.3 L74.4 L74.8 L74.9 L75.0 L75.1 L75.2 L75.8 L75.9 L80 L81.0 L81.1 L81.2 L81.3 L81.4 L81.5 L81.6 L81.7 Title Polytrichia Other hypertrichosis Hypertrichosis, unspecified Acne vulgaris Acne conglobata Acne varioliformis Acne tropica Infantile acne Acné excoriée des jeunes filles Other acne Acne, unspecified Perioral dermatitis Rhinophyma Other rosacea Rosacea, unspecified Epidermal cyst Trichilemmal cyst Steatocystoma multiplex Other follicular cysts of skin and subcutaneous tissue Follicular cyst of skin and subcutaneous tissue, unspecified Acne keloid Pseudofolliculitis barbae Hidradenitis suppurativa Other specified follicular disorders Follicular disorder, unspecified Miliaria rubra Miliaria crystallina Miliaria profunda Miliaria, unspecified Anhidrosis Other eccrine sweat disorders Eccrine sweat disorder, unspecified Bromhidrosis Chromhidrosis Apocrine miliaria Other apocrine sweat disorders Apocrine sweat disorder, unspecified Vitiligo Postinflammatory hyperpigmentation Chloasma Freckles Café au lait spots Other melanin hyperpigmentation Leukoderma, not elsewhere classified Other disorders of diminished melanin formation Pigmented purpuric dermatosis 181 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L81.8 L81.9 L82 L83 L84 L85.0 L85.1 L85.2 L85.3 L85.8 L85.9 L86 L87.0 L87.2 L87.8 L87.9 L88 L89 L90.0 L90.1 L90.2 L90.3 L90.4 L90.5 L90.6 L90.8 L90.9 L91.0 L91.8 L91.9 L92.0 L92.1 L92.2 L92.3 L92.8 L92.9 L93.0 L93.1 L93.2 L94.0 L94.1 L94.2 L94.3 L94.5 L94.8 L94.9 Title Other specified disorders of pigmentation Disorder of pigmentation, unspecified Seborrhoeic keratosis Acanthosis nigricans Corns and callosities Acquired ichthyosis Acquired keratosis [keratoderma] palmaris et plantaris Keratosis punctata (palmaris et plantaris) Xerosis cutis Other specified epidermal thickening Epidermal thickening, unspecified Keratoderma in diseases classified elsewhere Keratosis follicularis et parafollicularis in cutem penetrans [Kyrle] Elastosis perforans serpiginosa Other transepidermal elimination disorders Transepidermal elimination disorder, unspecified Pyoderma gangrenosum Decubitus ulcer Lichen sclerosus et atrophicus Anetoderma of Schweninger-Buzzi Anetoderma of Jadassohn-Pellizzari Atrophoderma of Pasini and Pierini Acrodermatitis chronica atrophicans Scar conditions and fibrosis of skin Striae atrophicae Other atrophic disorders of skin Atrophic disorder of skin, unspecified Keloid scar Other hypertrophic disorders of skin Hypertrophic disorder of skin, unspecified Granuloma annulare Necrobiosis lipoidica, not elsewhere classified Granuloma faciale [eosinophilic granuloma of skin] Foreign body granuloma of skin and subcutaneous tissue Other granulomatous disorders of skin and subcutaneous tissue Granulomatous disorder of skin and subcutaneous tissue, unspecified Discoid lupus erythematosus Subacute cutaneous lupus erythematosus Other local lupus erythematosus Localized scleroderma [morphea] Linear scleroderma Calcinosis cutis Sclerodactyly Poikiloderma vasculare atrophicans Other specified localized connective tissue disorders Localized connective tissue disorder, unspecified 182 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO L95.0 L95.1 L95.8 L95.9 L97 L98.0 L98.1 L98.2 L98.3 L98.4 L98.5 L98.6 L98.8 L98.9 L99.0 L99.8 M35.6 M54.0 M79.3 M79.4 N60.0 N60.1 N60.2 N60.3 N60.4 N60.8 N60.9 N61 N62 N63 N64.0 N64.1 N64.2 N64.3 N64.4 N64.5 N64.8 N64.9 N80.6 P83.1 P83.4 P83.6 P83.8 P83.9 Q18.3 Title MDC Livedoid vasculitis 09 Erythema elevatum diutinum 09 Other vasculitis limited to skin 09 Vasculitis limited to skin, unspecified 09 Ulcer of lower limb, not elsewhere classified 09 Pyogenic granuloma 09 Factitial dermatitis 09 Febrile neutrophilic dermatosis [Sweet] 09 Eosinophilic cellulitis [Wells] 09 Chronic ulcer of skin, not elsewhere classified 09 Mucinosis of skin 09 Other infiltrative disorders of skin and subcutaneous tissue 09 Other specified disorders of skin and subcutaneous tissue 09 Disorder of skin and subcutaneous tissue, unspecified 09 Amyloidosis of skin 09 Other specified disorders of skin and subcutaneous tissue in diseases classified 09 elsewhere Relapsing panniculitis [Weber-Christian] 09 Panniculitis affecting regions of neck and back 09 Panniculitis, unspecified 09 Hypertrophy of (infrapatellar) fat pad 09 Solitary cyst of breast 09 Diffuse cystic mastopathy 09 Fibroadenosis of breast 09 Fibrosclerosis of breast 09 Mammary duct ectasia 09 Other benign mammary dysplasias 09 Benign mammary dysplasia, unspecified 09 Inflammatory disorders of breast 09 Hypertrophy of breast 09 Unspecified lump in breast 09 Fissure and fistula of nipple 09 Fat necrosis of breast 09 Atrophy of breast 09 Galactorrhoea not associated with childbirth 09 Mastodynia 09 Other signs and symptoms in breast 09 Other specified disorders of breast 09 Disorder of breast, unspecified 09 Endometriosis in cutaneous scar 09 Neonatal erythema toxicum 09 Breast engorgement of newborn 09 Umbilical polyp of newborn 09 Other specified conditions of integument specific to fetus and newborn 09 Condition of integument specific to fetus and newborn, unspecified 09 Webbing of neck 09 183 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Q18.9 Q80.0 Q80.1 Q80.2 Q80.3 Q80.4 Q80.8 Q80.9 Q81.0 Q81.1 Q81.2 Q81.8 Q81.9 Q82.0 Q82.1 Q82.2 Q82.3 Q82.4 Q82.5 Q82.8 Q82.9 Q83.0 Q83.1 Q83.2 Q83.3 Q83.8 Q83.9 Q84.0 Q84.1 Q84.2 Q84.3 Q84.4 Q84.5 Q84.6 Q84.8 Q84.9 R21 R22.0 R22.1 R22.2 R22.3 R22.4 R22.7 R22.9 R23.4 R23.8 Title Congenital malformation of face and neck, unspecified Ichthyosis vulgaris X-linked ichthyosis Lamellar ichthyosis Congenital bullous ichthyosiform erythroderma Harlequin fetus Other congenital ichthyosis Congenital ichthyosis, unspecified Epidermolysis bullosa simplex Epidermolysis bullosa letalis Epidermolysis bullosa dystrophica Other epidermolysis bullosa Epidermolysis bullosa, unspecified Hereditary lymphoedema Xeroderma pigmentosum Mastocytosis Incontinentia pigmenti Ectodermal dysplasia (anhidrotic) Congenital non-neoplastic naevus Other specified congenital malformations of skin Congenital malformation of skin, unspecified Congenital absence of breast with absent nipple Accessory breast Absent nipple Accessory nipple Other congenital malformations of breast Congenital malformation of breast, unspecified Congenital alopecia Congenital morphological disturbances of hair, not elsewhere classified Other congenital malformations of hair Anonychia Congenital leukonychia Enlarged and hypertrophic nails Other congenital malformations of nails Other specified congenital malformations of integument Congenital malformation of integument, unspecified Rash and other nonspecific skin eruption Localized swelling, mass and lump, head Localized swelling, mass and lump, neck Localized swelling, mass and lump, trunk Localized swelling, mass and lump, upper limb Localized swelling, mass and lump, lower limb Localized swelling, mass and lump, multiple sites Localized swelling, mass and lump, unspecified Changes in skin texture Other and unspecified skin changes 184 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO R61.0 R61.1 R61.9 R92 S00.0 S00.3 S00.4 S00.5 S00.7 S00.8 S00.9 S10.0 S10.1 S10.7 S10.8 S10.9 S20.0 S20.1 S20.2 S20.3 S20.4 S20.7 S20.8 S30.0 S30.1 S30.7 S30.8 S30.9 S40.0 S40.7 S40.8 S40.9 S50.0 S50.1 S50.7 S50.8 S50.9 S60.0 S60.1 S60.2 S60.7 S60.8 S60.9 S70.0 S70.1 S70.7 Title Localized hyperhidrosis Generalized hyperhidrosis Hyperhidrosis, unspecified Abnormal findings on diagnostic imaging of breast Superficial injury of scalp Superficial injury of nose Superficial injury of ear Superficial injury of lip and oral cavity Multiple superficial injuries of head Superficial injury of other parts of head Superficial injury of head, part unspecified Contusion of throat Other and unspecified superficial injuries of throat Multiple superficial injuries of neck Superficial injury of other parts of neck Superficial injury of neck, part unspecified Contusion of breast Other and unspecified superficial injuries of breast Contusion of thorax Other superficial injuries of front wall of thorax Other superficial injuries of back wall of thorax Multiple superficial injuries of thorax Superficial injury of other and unspecified parts of thorax Contusion of lower back and pelvis Contusion of abdominal wall Multiple superficial injuries of abdomen, lower back and pelvis Other superficial injuries of abdomen, lower back and pelvis Superficial injury of abdomen, lower back and pelvis, part unspecified Contusion of shoulder and upper arm Multiple superficial injuries of shoulder and upper arm Other superficial injuries of shoulder and upper arm Superficial injury of shoulder and upper arm, unspecified Contusion of elbow Contusion of other and unspecified parts of forearm Multiple superficial injuries of forearm Other superficial injuries of forearm Superficial injury of forearm, unspecified Contusion of finger(s) without damage to nail Contusion of finger(s) with damage to nail Contusion of other parts of wrist and hand Multiple superficial injuries of wrist and hand Other superficial injuries of wrist and hand Superficial injury of wrist and hand, unspecified Contusion of hip Contusion of thigh Multiple superficial injuries of hip and thigh 185 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO S70.8 S70.9 S80.0 S80.1 S80.7 S80.8 S80.9 S90.0 S90.1 S90.2 S90.3 S90.7 S90.8 S90.9 T00.0 T00.1 T00.2 T00.3 T00.6 T00.8 T00.9 T09.0 T11.0 T13.0 T14.0 T85.4 T90.0 T90.1 T91.0 T92.0 T92.8 T93.0 T93.8 T95.0 T95.1 T95.2 T95.3 T95.4 T95.8 T95.9 Z40.0 Z41.0 Z41.1 Z42.0 Z42.1 Title Other superficial injuries of hip and thigh Superficial injury of hip and thigh, unspecified Contusion of knee Contusion of other and unspecified parts of lower leg Multiple superficial injuries of lower leg Other superficial injuries of lower leg Superficial injury of lower leg, unspecified Contusion of ankle Contusion of toe(s) without damage to nail Contusion of toe(s) with damage to nail Contusion of other and unspecified parts of foot Multiple superficial injuries of ankle and foot Other superficial injuries of ankle and foot Superficial injury of ankle and foot, unspecified Superficial injuries involving head with neck Superficial injuries involving thorax with abdomen, lower back and pelvis Superficial injuries involving multiple regions of upper limb(s) Superficial injuries involving multiple regions of lower limb(s) Superficial injuries involving multiple regions of upper limb(s) with lower limb(s) Superficial injuries involving other combinations of body regions Multiple superficial injuries, unspecified Superficial injury of trunk, level unspecified Superficial injury of upper limb, level unspecified Superficial injury of lower limb, level unspecified Superficial injury of unspecified body region Mechanical complication of breast prosthesis and implant Sequelae of superficial injury of head Sequelae of open wound of head Sequelae of superficial injury and open wound of neck and trunk Sequelae of open wound of upper limb Sequelae of other specified injuries of upper limb Sequelae of open wound of lower limb Sequelae of other specified injuries of lower limb Sequelae of burn, corrosion and frostbite of head and neck Sequelae of burn, corrosion and frostbite of trunk Sequelae of burn, corrosion and frostbite of upper limb Sequelae of burn, corrosion and frostbite of lower limb Sequelae of burn and corrosion classifiable only according to extent of body surface involved Sequelae of other specified burn, corrosion and frostbite Sequelae of unspecified burn, corrosion and frostbite Prophylactic surgery for risk-factors related to malignant neoplasms Hair transplant Other plastic surgery for unacceptable cosmetic appearance Follow-up care involving plastic surgery of head and neck Follow-up care involving plastic surgery of breast 186 MDC 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Z42.2 Z42.3 Z42.4 Z42.8 Z42.9 Z44.3 Z52.1 Z90.1 Z94.5 Title Follow-up care involving plastic surgery of other parts of trunk Follow-up care involving plastic surgery of upper extremity Follow-up care involving plastic surgery of lower extremity Follow-up care involving plastic surgery of other body part Follow-up care involving plastic surgery, unspecified Fitting and adjustment of external breast prosthesis Skin donor Acquired absence of breast(s) Skin transplant status 187 MDC 09 09 09 09 09 09 09 09 09 DELSA/ELSA/WD/HTP(2008)1 M-3 Code list for MDC-14 (Postop PE or DVT, Postop sepsis, Decubitus ulcer, Postop hip fracture, Complications of anaesthesia) ICD-10 WHO A34 F53.0 F53.1 F53.8 F53.9 O00.0 O00.1 O00.2 O00.8 O00.9 O01.0 O01.1 O01.9 O02.0 O02.1 O02.8 O02.9 O03.0 O03.1 O03.2 O03.3 O03.4 O03.5 O03.6 O03.7 O03.8 O03.9 O04.0 O04.1 O04.2 O04.3 O04.4 O04.5 O04.6 O04.7 O04.8 Title Obstetrical tetanus Mild mental and behavioural disorders associated with the puerperium, not elsewhere classified Severe mental and behavioural disorders associated with the puerperium, not elsewhere classified Other mental and behavioural disorders associated with the puerperium, not elsewhere classified Puerperal mental disorder, unspecified Abdominal pregnancy Tubal pregnancy Ovarian pregnancy Other ectopic pregnancy Ectopic pregnancy, unspecified Classical hydatidiform mole Incomplete and partial hydatidiform mole Hydatidiform mole, unspecified Blighted ovum and nonhydatidiform mole Missed abortion Other specified abnormal products of conception Abnormal product of conception, unspecified Spontaneous abortion, incomplete, complicated by genital tract and pelvic infection Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage Spontaneous abortion, incomplete, complicated by embolism Spontaenous abortion, incomplete, with other and unspecified complications Spontaneous abortion, incomplete, without complication Spontaneous abortion, complete or unspecified, complicated by genital tract and pelvic infection Spontaneous abortion, complete or unspecified, complicated by delayed or excessive haemorrhage Spontaneous abortion, complete or unspecified, complicated by embolism Spontaneous abortion, complete or unspecified, with other and unspecified complications Spontaneous abortion, complete or unspecified, without complication Medical abortion, incomplete, complicated by genital tract and pelvic infection Medical abortion, incomplete, complicated by delayed or excessive haemorrhage Medical abortion, incomplete, complicated by embolism Medical abortion, incomplete, with other and unspecified complications Medical abortion, incomplete, without complication Medical abortion, complete or unspecified, complicated by genital tract and pelvic infection Medical abortion, complete or unspecified, complicated by delayed or excessive haemorrhage Medical abortion, complete or unspecified, complicated by embolism Medical abortion, complete or unspecified, with other and unspecified complications 188 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O04.9 O05.0 O05.1 O05.2 O05.3 O05.4 O05.5 O05.6 O05.7 O05.8 O05.9 O06.0 O06.1 O06.2 O06.3 O06.4 O06.5 O06.6 O06.7 O06.8 O06.9 O07.0 O07.1 O07.2 O07.3 O07.4 O07.5 O07.6 O07.7 O07.8 O07.9 O08.0 O08.1 O08.2 O08.3 O08.4 O08.5 O08.6 Title Medical abortion, complete or unspecified, without complication Other abortion, incomplete, complicated by genital tract and pelvic infection Other abortion, incomplete, complicated by delayed or excessive haemorrhage Other abortion, incomplete, complicated by embolism Other abortion, incomplete, with other and unspecified complications Other abortion, incomplete, without complication Other abortion, complete or unspecified, complicated by genital tract and pelvic infection Other abortion, complete or unspecified, complicated by delayed or excessive haemorrhage Other abortion, complete or unspecified, complicated by embolism Other abortion, complete or unspecified, with other and unspecified complications Other abortion, complete or unspecified, without complication Unspecified abortion, incomplete, complicated by genital tract and pelvic infection Unspecified abortion, incomplete, complicated by delayed or excessive haemorrhage Unspecified abortion, incomplete, complicated by embolism Unspecified abortion, incomplete, with other and unspecified complications Unspecified abortion, incomplete, without complication Unspecified abortion, complete or unspecified, complicated by genital tract and pelvic infection Unspecified abortion, complete or unspecified, complicated by delayed or excessive haemorrhage Unspecified abortion, complete or unspecified, complicated by embolism Unspecified abortion, complete or unspecified, with other and unspecified complications Unspecified abortion, complete or unspecified, without complication Failed medical abortion, complicated by genital tract and pelvic infection Failed medical abortion, complicated by delayed or excessive haemorrhage Failed medical abortion, complicated by embolism Failed medical abortion, with other and unspecified complications Failed medical abortion, without complication Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection Other and unspecified failed attempted abortion, complicated by delayed or excessive haemorrhage Other and unspecified failed attempted abortion, complicated by embolism Other and unspecified failed attempted abortion, with other and unspecified complications Other and unspecified failed attempted abortion, without complication Genital tract and pelvic infection following abortion and ectopic and molar pregnancy Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy Embolism following abortion and ectopic and molar pregnancy Shock following abortion and ectopic and molar pregnancy Renal failure following abortion and ectopic and molar pregnancy Metabolic disorders following abortion and ectopic and molar pregnancy Damage to pelvic organs and tissues following abortion and ectopic and molar 189 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O08.7 O08.8 O08.9 O10.0 O10.1 O10.2 O10.3 O10.4 O10.9 O11 O12.0 O12.1 O12.2 O13 O14.0 O14.1 O14.9 O15.0 O15.1 O15.2 O15.9 O16 O20.0 O20.8 O20.9 O21.0 O21.1 O21.2 O21.8 O21.9 O22.0 O22.1 O22.2 O22.3 O22.4 O22.5 O22.8 O22.9 O23.0 Title pregnancy Other venous complications following abortion and ectopic and molar pregnancy Other complications following abortion and ectopic and molar pregnancy Complication following abortion and ectopic and molar pregnancy, unspecified Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive disorder with superimposed proteinuria Gestational oedema Gestational proteinuria Gestational oedema with proteinuria Gestational [pregnancy-induced] hypertension without significant proteinuria Moderate pre-eclampsia Severe pre-eclampsia Pre-eclampsia, unspecified Eclampsia in pregnancy Eclampsia in labour Eclampsia in the puerperium Eclampsia, unspecified as to time period Unspecified maternal hypertension Threatened abortion Other haemorrhage in early pregnancy Haemorrhage in early pregnancy, unspecified Mild hyperemesis gravidarum Hyperemesis gravidarum with metabolic disturbance Late vomiting of pregnancy Other vomiting complicating pregnancy Vomiting of pregnancy, unspecified Varicose veins of lower extremity in pregnancy Genital varices in pregnancy Superficial thrombophlebitis in pregnancy Deep phlebothrombosis in pregnancy Haemorrhoids in pregnancy Cerebral venous thrombosis in pregnancy Other venous complications in pregnancy Venous complication in pregnancy, unspecified Infections of kidney in pregnancy 190 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O23.1 O23.2 O23.3 O23.4 O23.5 O23.9 O24.0 O24.1 O24.2 O24.3 O24.4 O24.9 O25 O26.0 O26.1 O26.2 O26.3 O26.4 O26.5 O26.6 O26.7 O26.8 O26.9 O28.0 O28.1 O28.2 O28.3 O28.4 O28.5 O28.8 O28.9 O29.0 O29.1 O29.2 O29.3 O29.4 O29.5 O29.6 O29.8 O29.9 O30.0 O30.1 O30.2 O30.8 O30.9 O31.0 Title Infections of bladder in pregnancy Infections of urethra in pregnancy Infections of other parts of urinary tract in pregnancy Unspecified infection of urinary tract in pregnancy Infections of the genital tract in pregnancy Other and unspecified genitourinary tract infection in pregnancy Diabetes mellitus in pregnancy: Pre-existing diabetes mellitus, insulin-dependent Diabetes mellitus in pregnancy: Pre-existing diabetes mellitus, non-insulin-dependent Diabetes mellitus in pregnancy: Pre-existing malnutrition-related diabetes mellitus Diabetes mellitus in pregnancy: Pre-existing diabetes mellitus, unspecified Diabetes mellitus arising in pregnancy Diabetes mellitus in pregnancy, unspecified Malnutrition in pregnancy Excessive weight gain in pregnancy Low weight gain in pregnancy Pregnancy care of habitual aborter Retained intrauterine contraceptive device in pregnancy Herpes gestationis Maternal hypotension syndrome Liver disorders in pregnancy, childbirth and the puerperium Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium Other specified pregnancy-related conditions Pregnancy-related condition, unspecified Abnormal haematological finding on antenatal screening of mother Abnormal biochemical finding on antenatal screening of mother Abnormal cytological finding on antenatal screening of mother Abnormal ultrasonic finding on antenatal screening of mother Abnormal radiological finding on antenatal screening of mother Abnormal chromosomal and genetic finding on antenatal screening of mother Other abnormal findings on antenatal screening of mother Abnormal finding on antenatal screening of mother, unspecified Pulmonary complications of anaesthesia during pregnancy Cardiac complications of anaesthesia during pregnancy Central nervous system complications of anaesthesia during pregnancy Toxic reaction to local anaesthesia during pregnancy Spinal and epidural anaesthesia-induced headache during pregnancy Other complications of spinal and epidural anaesthesia during pregnancy Failed or difficult intubation during pregnancy Other complications of anaesthesia during pregnancy Complication of anaesthesia during pregnancy, unspecified Twin pregnancy Triplet pregnancy Quadruplet pregnancy Other multiple gestation Multiple gestation, unspecified Papyraceous fetus 191 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O31.1 O31.2 O31.8 O32.0 O32.1 O32.2 O32.3 O32.4 O32.5 O32.6 O32.8 O32.9 O33.0 O33.1 O33.2 O33.3 O33.4 O33.5 O33.6 O33.7 O33.8 O33.9 O34.0 O34.1 O34.2 O34.3 O34.4 O34.5 O34.6 O34.7 O34.8 O34.9 O35.0 O35.1 O35.2 O35.3 O35.4 O35.5 O35.6 O35.7 O35.8 O35.9 O36.0 O36.1 O36.2 O36.3 Title Continuing pregnancy after abortion of one fetus or more Continuing pregnancy after intrauterine death of one fetus or more Other complications specific to multiple gestation Maternal care for unstable lie Maternal care for breech presentation Maternal care for transverse and oblique lie Maternal care for face, brow and chin presentation Maternal care for high head at term Maternal care for multiple gestation with malpresentation of one fetus or more Maternal care for compound presentation Maternal care for other malpresentation of fetus Maternal care for malpresentation of fetus, unspecified Maternal care for disproportion due to deformity of maternal pelvic bones Maternal care for disproportion due to generally contracted pelvis Maternal care for disproportion due to inlet contraction of pelvis Maternal care for disproportion due to outlet contraction of pelvis Maternal care for disproportion of mixed maternal and fetal origin Maternal care for disproportion due to unusually large fetus Maternal care for disproportion due to hydrocephalic fetus Maternal care for disproportion due to other fetal deformities Maternal care for disproportion of other origin Maternal care for disproportion, unspecified Maternal care for congenital malformation of uterus Maternal care for tumour of corpus uteri Maternal care due to uterine scar from previous surgery Maternal care for cervical incompetence Maternal care for other abnormalities of cervix Maternal care for other abnormalities of gravid uterus Maternal care for abnormality of vagina Maternal care for abnormality of vulva and perineum Maternal care for other abnormalities of pelvic organs Maternal care for abnormality of pelvic organ, unspecified Maternal care for (suspected) central nervous system malformation in fetus Maternal care for (suspected) chromosomal abnormality in fetus Maternal care for (suspected) hereditary disease in fetus Maternal care for (suspected) damage to fetus from viral disease in mother Maternal care for (suspected) damage to fetus from alcohol Maternal care for (suspected) damage to fetus by drugs Maternal care for (suspected) damage to fetus by radiation Maternal care for (suspected) damage to fetus by other medical procedures Maternal care for other (suspected) fetal abnormality and damage Maternal care for (suspected) fetal abnormality and damage, unspecified Maternal care for rhesus isoimmunization Maternal care for other isoimmunization Maternal care for hydrops fetalis Maternal care for signs of fetal hypoxia 192 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O36.4 O36.5 O36.6 O36.7 O36.8 O36.9 O40 O41.0 O41.1 O41.8 O41.9 O42.0 O42.1 O42.2 O42.9 O43.0 O43.1 O43.8 O43.9 O44.0 O44.1 O45.0 O45.8 O45.9 O46.0 O46.8 O46.9 O47.0 O47.1 O47.9 O48 O60.0 O60.1 O60.2 O61.0 O61.1 O61.8 O61.9 O62.0 O62.1 O62.2 O62.3 O62.4 O62.8 O62.9 O63.0 Title Maternal care for intrauterine death Maternal care for poor fetal growth Maternal care for excessive fetal growth Maternal care for viable fetus in abdominal pregnancy Maternal care for other specified fetal problems Maternal care for fetal problem, unspecified Polyhydramnios Oligohydramnios Infection of amniotic sac and membranes Other specified disorders of amniotic fluid and membranes Disorder of amniotic fluid and membranes, unspecified Premature rupture of membranes, onset of labour within 24 hours Premature rupture of membranes, onset of labour after 24 hours Premature rupture of membranes, labour delayed by therapy Premature rupture of membranes, unspecified Placental transfusion syndromes Malformation of placenta Other placental disorders Placental disorder, unspecified Placenta praevia specified as without haemorrhage Placenta praevia with haemorrhage Premature separation of placenta with coagulation defect Other premature separation of placenta Premature separation of placenta, unspecified Antepartum haemorrhage with coagulation defect Other antepartum haemorrhage Antepartum haemorrhage, unspecified False labour before 37 completed weeks of gestation False labour at or after 37 completed weeks of gestation False labour, unspecified Prolonged pregnancy Preterm labour without delivery Preterm labour with preterm delivery Preterm labour with term delivery Failed medical induction of labour Failed instrumental induction of labour Other failed induction of labour Failed induction of labour, unspecified Primary inadequate contractions Secondary uterine inertia Other uterine inertia Precipitate labour Hypertonic, incoordinate, and prolonged uterine contractions Other abnormalities of forces of labour Abnormality of forces of labour, unspecified Prolonged first stage (of labour) 193 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O63.1 O63.2 O63.9 O64.0 O64.1 O64.2 O64.3 O64.4 O64.5 O64.8 O64.9 O65.0 O65.1 O65.2 O65.3 O65.4 O65.5 O65.8 O65.9 O66.0 O66.1 O66.2 O66.3 O66.4 O66.5 O66.8 O66.9 O67.0 O67.8 O67.9 O68.0 O68.1 O68.2 O68.3 O68.8 O68.9 O69.0 O69.1 O69.2 O69.3 O69.4 O69.5 O69.8 O69.9 O70.0 Title MDC Prolonged second stage (of labour) 14 Delayed delivery of second twin, triplet, etc. 14 Long labour, unspecified 14 Obstructed labour due to incomplete rotation of fetal head 14 Obstructed labour due to breech presentation 14 Obstructed labour due to face presentation 14 Obstructed labour due to brow presentation 14 Obstructed labour due to shoulder presentation 14 Obstructed labour due to compound presentation 14 Obstructed labour due to other malposition and malpresentation 14 Obstructed labour due to malposition and malpresentation, unspecified 14 Obstructed labour due to deformed pelvis 14 Obstructed labour due to generally contracted pelvis 14 Obstructed labour due to pelvic inlet contraction 14 Obstructed labour due to pelvic outlet and mid-cavity contraction 14 Obstructed labour due to fetopelvic disproportion, unspecified 14 Obstructed labour due to abnormality of maternal pelvic organs 14 Obstructed labour due to other maternal pelvic abnormalities 14 Obstructed labour due to maternal pelvic abnormality, unspecified 14 Obstructed labour due to shoulder dystocia 14 Obstructed labour due to locked twins 14 Obstructed labour due to unusually large fetus 14 Obstructed labour due to other abnormalities of fetus 14 Failed trial of labour, unspecified 14 Failed application of vacuum extractor and forceps, unspecified 14 Other specified obstructed labour 14 Obstructed labour, unspecified 14 Intrapartum haemorrhage with coagulation defect 14 Other intrapartum haemorrhage 14 Intrapartum haemorrhage, unspecified 14 Labour and delivery complicated by fetal heart rate anomaly 14 Labour and delivery complicated by meconium in amniotic fluid 14 Labour and delivery complicated by fetal heart rate anomaly with meconium in 14 amniotic fluid Labour and delivery complicated by biochemical evidence of fetal stress 14 Labour and delivery complicated by other evidence of fetal stress 14 Labour and delivery complicated by fetal stress, unspecified 14 Labour and delivery complicated by prolapse of cord 14 Labour and delivery complicated by cord around neck, with compression 14 Labour and delivery complicated by other cord entanglement 14 Labour and delivery complicated by short cord 14 Labour and delivery complicated by vasa praevia 14 Labour and delivery complicated by vascular lesion of cord 14 Labour and delivery complicated by other cord complications 14 Labour and delivery complicated by cord complication, unspecified 14 First degree perineal laceration during delivery 14 194 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O70.1 O70.2 O70.3 O70.9 O71.0 O71.1 O71.2 O71.3 O71.4 O71.5 O71.6 O71.7 O71.8 O71.9 O72.0 O72.1 O72.2 O72.3 O73.0 O73.1 O74.0 O74.1 O74.2 O74.3 O74.4 O74.5 O74.6 O74.7 O74.8 O74.9 O75.0 O75.1 O75.2 O75.3 O75.4 O75.5 O75.6 O75.7 O75.8 O75.9 O80.0 O80.1 O80.8 O80.9 O81.0 O81.1 Title Second degree perineal laceration during delivery Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Perineal laceration during delivery, unspecified Rupture of uterus before onset of labour Rupture of uterus during labour Postpartum inversion of uterus Obstetric laceration of cervix Obstetric high vaginal laceration alone Other obstetric injury to pelvic organs Obstetric damage to pelvic joints and ligaments Obstetric haematoma of pelvis Other specified obstetric trauma Obstetric trauma, unspecified Third-stage haemorrhage Other immediate postpartum haemorrhage Delayed and secondary postpartum haemorrhage Postpartum coagulation defects Retained placenta without haemorrhage Retained portions of placenta and membranes, without haemorrhage Aspiration pneumonitis due to anaesthesia during labour and delivery Other pulmonary complications of anaesthesia during labour and delivery Cardiac complications of anaesthesia during labour and delivery Central nervous system complications of anaesthesia during labour and delivery Toxic reaction to local anaesthesia during labour and delivery Spinal and epidural anaesthesia-induced headache during labour and delivery Other complications of spinal and epidural anaesthesia during labour and delivery Failed or difficult intubation during labour and delivery Other complications of anaesthesia during labour and delivery Complication of anaesthesia during labour and delivery, unspecified Maternal distress during labour and delivery Shock during or following labour and delivery Pyrexia during labour, not elsewhere classified Other infection during labour Other complications of obstetric surgery and procedures Delayed delivery after artificial rupture of membranes Delayed delivery after spontaneous or unspecified rupture of membranes Vaginal delivery following previous caesarean section Other specified complications of labour and delivery Complication of labour and delivery, unspecified Spontaneous vertex delivery Spontaneous breech delivery Other single spontaneous delivery Single spontaneous delivery, unspecified Low forceps delivery Mid-cavity forceps delivery 195 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O81.2 O81.3 O81.4 O81.5 O82.0 O82.1 O82.2 O82.8 O82.9 O85 O86.0 O86.1 O86.2 O86.3 O86.4 O86.8 O87.0 O87.1 O87.2 O87.3 O87.8 O87.9 O88.0 O88.1 O88.2 O88.3 O88.8 O89.0 O89.1 O89.2 O89.3 O89.4 O89.5 O89.6 O89.8 O89.9 O90.0 O90.1 O90.2 O90.3 O90.4 O90.5 O90.8 O90.9 O91.0 O91.1 Title Mid-cavity forceps with rotation Other and unspecified forceps delivery Vacuum extractor delivery Delivery by combination of forceps and vacuum extractor Delivery by elective caesarean section Delivery by emergency caesarean section Delivery by caesarean hysterectomy Other single delivery by caesarean section Delivery by caesarean section, unspecified Puerperal sepsis Infection of obstetric surgical wound Other infection of genital tract following delivery Urinary tract infection following delivery Other genitourinary tract infections following delivery Pyrexia of unknown origin following delivery Other specified puerperal infections Superficial thrombophlebitis in the puerperium Deep phlebothrombosis in the puerperium Haemorrhoids in the puerperium Cerebral venous thrombosis in the puerperium Other venous complications in the puerperium Venous complication in the puerperium, unspecified Obstetric air embolism Amniotic fluid embolism Obstetric blood-clot embolism Obstetric pyaemic and septic embolism Other obstetric embolism Pulmonary complications of anaesthesia during the puerperium Cardiac complications of anaesthesia during the puerperium Central nervous system complications of anaesthesia during the puerperium Toxic reaction to local anaesthesia during the puerperium Spinal and epidural anaesthesia-induced headache during the puerperium Other complications of spinal and epidural anaesthesia during the puerperium Failed or difficult intubation during the puerperium Other complications of anaesthesia during the puerperium Complication of anaesthesia during the puerperium, unspecified Disruption of caesarean section wound Disruption of perineal obstetric wound Haematoma of obstetric wound Cardiomyopathy in the puerperium Postpartum acute renal failure Postpartum thyroiditis Other complications of the puerperium, not elsewhere classified Complication of the puerperium, unspecified Infection of nipple associated with childbirth Abscess of breast associated with childbirth 196 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO O91.2 O92.0 O92.1 O92.2 O92.3 O92.4 O92.5 O92.6 O92.7 O94 O95 O96 O97 O98.0 O98.1 O98.2 O98.3 O98.4 O98.5 O98.6 O98.8 O98.9 O99.0 O99.1 O99.2 O99.3 O99.4 O99.5 O99.6 O99.7 O99.8 Z32.0 Z32.1 Z33 Z34.0 Title Nonpurulent mastitis associated with childbirth Retracted nipple associated with childbirth Cracked nipple associated with childbirth Other and unspecified disorders of breast associated with childbirth Agalactia Hypogalactia Suppressed lactation Galactorrhoea Other and unspecified disorders of lactation Sequelae of complication of pregnancy, childbirth and the puerperium Obstetric death of unspecified cause Death from any obstetric cause occurring more than 42 days but less than one year after delivery Death from sequelae of direct obstetric causes Tuberculosis complicating pregnancy, childbirth and the puerperium Syphilis complicating pregnancy, childbirth and the puerperium Gonorrhoea complicating pregnancy, childbirth and the puerperium Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium Viral hepatitis complicating pregnancy, childbirth and the puerperium Other viral diseases complicating pregnancy, childbirth and the puerperium Protozoal diseases complicating pregnancy, childbirth and the puerperium Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium Anaemia complicating pregnancy, childbirth and the puerperium Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium Diseases of the digestive system complicating pregnancy, childbirth and the puerperium Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium Pregnancy, not (yet) confirmed Pregnancy confirmed Pregnant state, incidental Supervision of normal first pregnancy 197 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Z34.8 Z34.9 Z35.0 Z35.1 Z35.2 Z35.3 Z35.4 Z35.5 Z35.6 Z35.8 Z35.9 Z36.0 Z36.1 Z36.2 Z36.3 Z36.4 Z36.5 Z36.8 Z36.9 Z37.0 Z37.1 Z37.2 Z37.3 Z37.4 Z37.5 Z37.6 Z37.7 Z37.9 Z39.0 Z39.1 Z39.2 Z64.0 Title Supervision of other normal pregnancy Supervision of normal pregnancy, unspecified Supervision of pregnancy with history of infertility Supervision of pregnancy with history of abortive outcome Supervision of pregnancy with other poor reproductive or obstetric history Supervision of pregnancy with history of insufficient antenatal care Supervision of pregnancy with grand multiparity Supervision of elderly primigravida Supervision of very young primigravida Supervision of other high-risk pregnancies Supervision of high-risk pregnancy, unspecified Antenatal screening for chromosomal anomalies Antenatal screening for raised alphafetoprotein level Other antenatal screening based on amniocentesis Antenatal screening for malformations using ultrasound and other physical methods Antenatal screening for fetal growth retardation using ultrasound and other physical methods Antenatal screening for isoimmunization Other antenatal screening Antenatal screening, unspecified Single live birth Single stillbirth Twins, both liveborn Twins, one liveborn and one stillborn Twins, both stillborn Other multiple births, all liveborn Other multiple births, some liveborn Other multiple births, all stillborn Outcome of delivery, unspecified Care and examination immediately after delivery Care and examination of lactating mother Routine postpartum follow-up Problems related to unwanted pregnancy 198 MDC 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 DELSA/ELSA/WD/HTP(2008)1 M-4 Code list for MDC-15 (Optional use for identification of neonates) ICD-10 WHO A33 P00.0 P00.1 P00.2 P00.3 P00.4 P00.5 P00.6 P00.7 P00.8 P00.9 P01.0 P01.1 P01.2 P01.3 P01.4 P01.5 P01.6 P01.7 P01.8 P01.9 P02.0 P02.1 P02.2 P02.3 P02.4 P02.5 P02.6 P02.7 P02.8 P02.9 P03.0 P03.1 P03.2 P03.3 P03.4 P03.5 P03.6 P03.8 P03.9 P04.0 Title Tetanus neonatorum Fetus and newborn affected by maternal hypertensive disorders Fetus and newborn affected by maternal renal and urinary tract diseases Fetus and newborn affected by maternal infectious and parasitic diseases Fetus and newborn affected by other maternal circulatory and respiratory diseases Fetus and newborn affected by maternal nutritional disorders Fetus and newborn affected by maternal injury Fetus and newborn affected by surgical procedure on mother Fetus and newborn affected by other medical procedures on mother, not elsewhere classified Fetus and newborn affected by other maternal conditions Fetus and newborn affected by unspecified maternal condition Fetus and newborn affected by incompetent cervix Fetus and newborn affected by premature rupture of membranes Fetus and newborn affected by oligohydramnios Fetus and newborn affected by polyhydramnios Fetus and newborn affected by ectopic pregnancy Fetus and newborn affected by multiple pregnancy Fetus and newborn affected by maternal death Fetus and newborn affected by malpresentation before labour Fetus and newborn affected by other maternal complications of pregnancy Fetus and newborn affected by maternal complication of pregnancy, unspecified Fetus and newborn affected by placenta praevia Fetus and newborn affected by other forms of placental separation and haemorrhage Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta Fetus and newborn affected by placental transfusion syndromes Fetus and newborn affected by prolapsed cord Fetus and newborn affected by other compression of umbilical cord Fetus and newborn affected by other and unspecified conditions of umbilical cord Fetus and newborn affected by chorioamnionitis Fetus and newborn affected by other abnormalities of membranes Fetus and newborn affected by abnormality of membranes, unspecified Fetus and newborn affected by breech delivery and extraction Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery Fetus and newborn affected by forceps delivery Fetus and newborn affected by delivery by vacuum extractor [ventouse] Fetus and newborn affected by caesarean delivery Fetus and newborn affected by precipitate delivery Fetus and newborn affected by abnormal uterine contractions Fetus and newborn affected by other specified complications of labour and delivery Fetus and newborn affected by complication of labour and delivery, unspecified Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, 199 MDC 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Title MDC labour and delivery P04.1 P04.2 P04.3 P04.4 P04.5 P04.6 P04.8 P04.9 P05.0 P05.1 P05.2 P05.9 P07.0 P07.1 P07.2 P07.3 P08.0 P08.1 P08.2 P10.0 P10.1 P10.2 P10.3 P10.4 P10.8 P10.9 P11.0 P11.1 P11.2 P11.9 P12.0 P12.1 P12.2 P12.3 P12.4 P12.8 P12.9 P13.0 P13.1 P13.2 P13.3 P13.4 P13.8 P13.9 Fetus and newborn affected by other maternal medication Fetus and newborn affected by maternal use of tobacco Fetus and newborn affected by maternal use of alcohol Fetus and newborn affected by maternal use of drugs of addiction Fetus and newborn affected by maternal use of nutritional chemical substances Fetus and newborn affected by maternal exposure to environmental chemical substances Fetus and newborn affected by other maternal noxious influences Fetus and newborn affected by maternal noxious influence, unspecified Light for gestational age Small for gestational age Fetal malnutrition without mention of light or small for gestational age Slow fetal growth, unspecified Extremely low birth weight Other low birth weight Extreme immaturity Other preterm infants Exceptionally large baby Other heavy for gestational age infants Post-term infant, not heavy for gestational age Subdural haemorrhage due to birth injury Cerebral haemorrhage due to birth injury Intraventricular haemorrhage due to birth injury Subarachnoid haemorrhage due to birth injury Tentorial tear due to birth injury Other intracranial lacerations and haemorrhages due to birth injury Unspecified intracranial laceration and haemorrhage due to birth injury Cerebral oedema due to birth injury Other specified brain damage due to birth injury Unspecified brain damage due to birth injury Birth injury to central nervous system, unspecified Cephalhaematoma due to birth injury Chignon due to birth injury Epicranial subaponeurotic haemorrhage due to birth injury Bruising of scalp due to birth injury Monitoring injury of scalp of newborn Other birth injuries to scalp Birth injury to scalp, unspecified Fracture of skull due to birth injury Other birth injuries to skull Birth injury to femur Birth injury to other long bones Fracture of clavicle due to birth injury Birth injuries to other parts of skeleton Birth injury to skeleton, unspecified 200 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO P15.0 P15.1 P15.2 P15.3 P15.4 P15.5 P15.6 P15.8 P15.9 P20.0 P20.1 P20.9 P22.0 P22.1 P23.0 P23.1 P23.2 P23.3 P23.4 P23.5 P23.6 P23.8 P23.9 P24.0 P24.1 P24.2 P24.3 P24.8 P24.9 P25.0 P25.1 P25.2 P25.3 P25.8 P26.0 P26.1 P54.9 P56.0 P56.9 P57.0 P57.8 P57.9 P58.0 P58.1 P58.2 P58.3 Title Birth injury to liver Birth injury to spleen Sternomastoid injury due to birth injury Birth injury to eye Birth injury to face Birth injury to external genitalia Subcutaneous fat necrosis due to birth injury Other specified birth injuries Birth injury, unspecified Intrauterine hypoxia first noted before onset of labour Intrauterine hypoxia first noted during labour and delivery Intrauterine hypoxia, unspecified Respiratory distress syndrome of newborn Transient tachypnoea of newborn Congenital pneumonia due to viral agent Congenital pneumonia due to Chlamydia Congenital pneumonia due to staphylococcus Congenital pneumonia due to streptococcus, group B Congenital pneumonia due to Escherichia coli Congenital pneumonia due to Pseudomonas Congenital pneumonia due to other bacterial agents Congenital pneumonia due to other organisms Congenital pneumonia, unspecified Neonatal aspiration of meconium Neonatal aspiration of amniotic fluid and mucus Neonatal aspiration of blood Neonatal aspiration of milk and regurgitated food Other neonatal aspiration syndromes Neonatal aspiration syndrome, unspecified Interstitial emphysema originating in the perinatal period Pneumothorax originating in the perinatal period Pneumomediastinum originating in the perinatal period Pneumopericardium originating in the perinatal period Other conditions related to interstitial emphysema originating in the perinatal period Tracheobronchial haemorrhage originating in the perinatal period Massive pulmonary haemorrhage originating in the perinatal period Neonatal haemorrhage, unspecified Hydrops fetalis due to isoimmunization Hydrops fetalis due to other and unspecified haemolytic disease Kernicterus due to isoimmunization Other specified kernicterus Kernicterus, unspecified Neonatal jaundice due to bruising Neonatal jaundice due to bleeding Neonatal jaundice due to infection Neonatal jaundice due to polycythaemia 201 MDC 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO P58.4 P58.5 P58.8 P58.9 P59.0 P59.3 P59.8 P59.9 P61.1 P61.8 P61.9 P70.0 P70.1 P75 P76.0 P78.0 P78.1 P78.2 P80.0 P80.8 P80.9 P81.0 P81.8 P81.9 P83.0 P83.2 P93 P94.1 P94.8 P94.9 P95 P96.0 P96.1 P96.2 P96.3 P96.4 P96.5 P96.8 P96.9 Q86.0 Z38.0 Z38.1 Z38.2 Z38.3 Z38.4 Title MDC Neonatal jaundice due to drugs or toxins transmitted from mother or given to 15 newborn Neonatal jaundice due to swallowed maternal blood 15 Neonatal jaundice due to other specified excessive haemolysis 15 Neonatal jaundice due to excessive haemolysis, unspecified 15 Neonatal jaundice associated with preterm delivery 15 Neonatal jaundice from breast milk inhibitor 15 Neonatal jaundice from other specified causes 15 Neonatal jaundice, unspecified 15 Polycythaemia neonatorum 15 Other specified perinatal haematological disorders 15 Perinatal haematological disorder, unspecified 15 Syndrome of infant of mother with gestational diabetes 15 Syndrome of infant of a diabetic mother 15 Meconium ileus 15 Meconium plug syndrome 15 Perinatal intestinal perforation 15 Other neonatal peritonitis 15 Neonatal haematemesis and melaena due to swallowed maternal blood 15 Cold injury syndrome 15 Other hypothermia of newborn 15 Hypothermia of newborn, unspecified 15 Environmental hyperthermia of newborn 15 Other specified disturbances of temperature regulation of newborn 15 Disturbance of temperature regulation of newborn, unspecified 15 Sclerema neonatorum 15 Hydrops fetalis not due to haemolytic disease 15 Reactions and intoxications due to drugs administered to fetus and newborn 15 Congenital hypertonia 15 Other disorders of muscle tone of newborn 15 Disorder of muscle tone of newborn, unspecified 15 Fetal death of unspecified cause 15 Congenital renal failure 15 Neonatal withdrawal symptoms from maternal use of drugs of addiction 15 Withdrawal symptoms from therapeutic use of drugs in newborn 15 Wide cranial sutures of newborn 15 Termination of pregnancy, fetus and newborn 15 Complications of intrauterine procedures, not elsewhere classified 15 Other specified conditions originating in the perinatal period 15 Condition originating in the perinatal period, unspecified 15 Fetal alcohol syndrome (dysmorphic) 15 Singleton, born in hospital 15 Singleton, born outside hospital 15 Singleton, unspecified as to place of birth 15 Twin, born in hospital 15 Twin, born outside hospital 15 202 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Z38.5 Z38.6 Z38.7 Z38.8 Title Twin, unspecified as to place of birth Other multiple, born in hospital Other multiple, born outside hospital Other multiple, unspecified as to place of birth 203 MDC 15 15 15 15 DELSA/ELSA/WD/HTP(2008)1 M-5 Code list for MDC-4 (Diseases/disorders of respiratory system) ICD-10 WHO A06.5 A15.0 A15.1 A15.2 A15.3 A15.4 A15.5 A15.6 A15.7 A15.8 A15.9 A16.0 A16.1 A16.2 A16.3 A16.4 A16.5 A16.7 A16.8 A16.9 A17.0 A17.1 A17.8 A17.9 A18.2 A18.8 A19.0 A19.1 A19.2 A19.8 A19.9 A20.2 A21.2 A22.1 A31.0 A37.0 A37.1 A37.8 Title MDC Amoebic lung abscess Tuberculosis of lung, confirmed by sputum microscopy with or without culture Tuberculosis of lung, confirmed by culture only Tuberculosis of lung, confirmed histologically Tuberculosis of lung, confirmed by unspecified means Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically and histologically Tuberculosis of larynx, trachea and bronchus, confirmed bacteriologically and histologically Tuberculous pleurisy, confirmed bacteriologically and histologically Primary respiratory tuberculosis, confirmed bacteriologically and histologically Other respiratory tuberculosis, confirmed bacteriologically and histologically Respiratory tuberculosis unspecified, confirmed bacteriologically and histologically Tuberculosis of lung, bacteriologically and histologically negative Tuberculosis of lung, bacteriological and histological examination not done Tuberculosis of lung, without mention of bacteriological or histological confirmation Tuberculosis of intrathoracic lymph nodes, without mention of bacteriological or histological confirmation Tuberculosis of larynx, trachea and bronchus, without mention of bacteriological or histological confirmation Tuberculous pleurisy, without mention of bacteriological or histological confirmation Primary respiratory tuberculosis without mention of bacteriological or histological confirmation Other respiratory tuberculosis, without mention of bacteriological or histological confirmation Respiratory tuberculosis unspecified, without mention of bacteriological or histological confirmation Tuberculous meningitis Meningeal tuberculoma Other tuberculosis of nervous system Tuberculosis of nervous system, unspecified Tuberculous peripheral lymphadenopathy Tuberculosis of other specified organs Acute miliary tuberculosis of a single specified site Acute miliary tuberculosis of multiple sites Acute miliary tuberculosis, unspecified Other miliary tuberculosis Miliary tuberculosis, unspecified Pneumonic plague Pulmonary tularaemia Pulmonary anthrax Pulmonary mycobacterial infection Whooping cough due to Bordetella pertussis Whooping cough due to Bordetella parapertussis Whooping cough due to other Bordetella species 4 4 4 4 4 4 204 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO A37.9 A42.0 A43.0 A48.1 A48.2 A70 B01.2 B05.2 B25.0 B33.0 B37.1 B38.0 B38.1 B38.2 B39.0 B39.1 B39.2 B40.0 B40.1 B40.2 B42.0 B44.0 B44.1 B45.0 B46.0 B58.3 B59 B66.4 B67.1 B90.9 C33 C34.0 C34.1 C34.2 C34.3 C34.8 C34.9 C38.1 C38.2 C38.3 C38.4 C38.8 C39.8 C39.9 C45.0 C76.1 Title Whooping cough, unspecified Pulmonary actinomycosis Pulmonary nocardiosis Legionnaires' disease Nonpneumonic Legionnaires' disease [Pontiac fever] Chlamydia psittaci infection Varicella pneumonia Measles complicated by pneumonia Cytomegaloviral pneumonitis Epidemic myalgia Pulmonary candidiasis Acute pulmonary coccidioidomycosis Chronic pulmonary coccidioidomycosis Pulmonary coccidioidomycosis, unspecified Acute pulmonary histoplasmosis capsulati Chronic pulmonary histoplasmosis capsulati Pulmonary histoplasmosis capsulati, unspecified Acute pulmonary blastomycosis Chronic pulmonary blastomycosis Pulmonary blastomycosis, unspecified Pulmonary sporotrichosis Invasive pulmonary aspergillosis Other pulmonary aspergillosis Pulmonary cryptococcosis Pulmonary mucormycosis Pulmonary toxoplasmosis Pneumocystosis Paragonimiasis Echinococcus granulosus infection of lung Sequelae of respiratory and unspecified tuberculosis Malignant neoplasm of trachea Malignant neoplasm: Main bronchus Malignant neoplasm: Upper lobe, bronchus or lung Malignant neoplasm: Middle lobe, bronchus or lung Malignant neoplasm: Lower lobe, bronchus or lung Malignant neoplasm: Overlapping lesion of bronchus and lung Malignant neoplasm: Bronchus or lung, unspecified Malignant neoplasm: Anterior mediastinum Malignant neoplasm: Posterior mediastinum Malignant neoplasm: Mediastinum, part unspecified Malignant neoplasm: Pleura Malignant neoplasm: Overlapping lesion of heart, mediastinum and pleura Malignant neoplasm: Overlapping lesion of respiratory and intrathoracic organs Malignant neoplasm: Ill-defined sites within the respiratory system Mesothelioma of pleura Malignant neoplasm of other and ill-defined sites: Thorax 205 MDC 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO C78.0 C78.1 C78.2 C78.3 D02.1 D02.2 D02.3 D02.4 D14.2 D14.3 D14.4 D15.2 D15.7 D15.9 D16.7 D17.4 D19.0 D38.1 D38.2 D38.3 D38.4 D38.5 D38.6 D86.0 D86.1 D86.2 D86.3 D86.8 D86.9 E66.2 E84.0 E84.8 E84.9 F45.3 G47.3 I26.0 I26.9 J04.1 J09 J10.0 J11.0 J12.0 J12.1 J12.2 J12.8 J12.9 Title Secondary malignant neoplasm of lung Secondary malignant neoplasm of mediastinum Secondary malignant neoplasm of pleura Secondary malignant neoplasm of other and unspecified respiratory organs Carcinoma in situ: Trachea Carcinoma in situ: Bronchus and lung Carcinoma in situ: Other parts of respiratory system Carcinoma in situ: Respiratory system, unspecified Benign neoplasm: Trachea Benign neoplasm: Bronchus and lung Benign neoplasm: Respiratory system, unspecified Benign neoplasm: Mediastinum Benign neoplasm: Other specified intrathoracic organs Benign neoplasm: Intrathoracic organ, unspecified Benign neoplasm: Ribs, sternum and clavicle Benign lipomatous neoplasm of intrathoracic organs Benign neoplasm: Mesothelial tissue of pleura Neoplasm of uncertain or unknown behaviour: Trachea, bronchus and lung Neoplasm of uncertain or unknown behaviour: Pleura Neoplasm of uncertain or unknown behaviour: Mediastinum Neoplasm of uncertain or unknown behaviour: Thymus Neoplasm of uncertain or unknown behaviour: Other respiratory organs Neoplasm of uncertain or unknown behaviour: Respiratory organ, unspecified Sarcoidosis of lung Sarcoidosis of lymph nodes Sarcoidosis of lung with sarcoidosis of lymph nodes Sarcoidosis of skin Sarcoidosis of other and combined sites Sarcoidosis, unspecified Extreme obesity with alveolar hypoventilation Cystic fibrosis with pulmonary manifestations Cystic fibrosis with other manifestations Cystic fibrosis, unspecified Somatoform autonomic dysfunction Sleep apnoea Pulmonary embolism with mention of acute cor pulmonale Pulmonary embolism without mention of acute cor pulmonale Acute tracheitis Influenza due to identified avian influenza virus Influenza with pneumonia, other influenza virus identified Influenza with pneumonia, virus not identified Adenoviral pneumonia Respiratory syncytial virus pneumonia Parainfluenza virus pneumonia Other viral pneumonia Viral pneumonia, unspecified 206 MDC 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO J13 J14 J15.0 J15.1 J15.2 J15.3 J15.4 J15.5 J15.6 J15.7 J15.8 J15.9 J16.0 J16.8 J17.0 J17.1 J17.2 J17.3 J17.8 J18.0 J18.1 J18.2 J18.8 J18.9 J20.0 J20.1 J20.2 J20.3 J20.4 J20.5 J20.6 J20.7 J20.8 J20.9 J21.0 J21.8 J21.9 J22 J40 J41.0 J41.1 J41.8 J42 J43.0 J43.1 J43.2 Title Pneumonia due to Streptococcus pneumoniae Pneumonia due to Haemophilus influenzae Pneumonia due to Klebsiella pneumoniae Pneumonia due to Pseudomonas Pneumonia due to staphylococcus Pneumonia due to streptococcus, group B Pneumonia due to other streptococci Pneumonia due to Escherichia coli Pneumonia due to other aerobic Gram-negative bacteria Pneumonia due to Mycoplasma pneumoniae Other bacterial pneumonia Bacterial pneumonia, unspecified Chlamydial pneumonia Pneumonia due to other specified infectious organisms Pneumonia in bacterial diseases classified elsewhere Pneumonia in viral diseases classified elsewhere Pneumonia in mycoses Pneumonia in parasitic diseases Pneumonia in other diseases classified elsewhere Bronchopneumonia, unspecified Lobar pneumonia, unspecified Hypostatic pneumonia, unspecified Other pneumonia, organism unspecified Pneumonia, unspecified Acute bronchitis due to Mycoplasma pneumoniae Acute bronchitis due to Haemophilus influenzae Acute bronchitis due to streptococcus Acute bronchitis due to coxsackievirus Acute bronchitis due to parainfluenza virus Acute bronchitis due to respiratory syncytial virus Acute bronchitis due to rhinovirus Acute bronchitis due to echovirus Acute bronchitis due to other specified organisms Acute bronchitis, unspecified Acute bronchiolitis due to respiratory syncytial virus Acute bronchiolitis due to other specified organisms Acute bronchiolitis, unspecified Unspecified acute lower respiratory infection Bronchitis, not specified as acute or chronic Simple chronic bronchitis Mucopurulent chronic bronchitis Mixed simple and mucopurulent chronic bronchitis Unspecified chronic bronchitis MacLeod's syndrome Panlobular emphysema Centrilobular emphysema 207 MDC 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO J43.8 J43.9 J44.0 J44.1 J44.8 J44.9 J45.0 J45.1 J45.8 J45.9 J46 J47 J60 J61 J62.0 J62.8 J63.0 J63.1 J63.2 J63.3 J63.4 J63.5 J63.8 J64 J65 J66.0 J66.1 J66.2 J66.8 J67.0 J67.1 J67.2 J67.3 J67.4 J67.5 J67.6 J67.7 J67.8 J67.9 J68.0 J68.1 J68.2 J68.3 J68.4 Title MDC Other emphysema Emphysema, unspecified Chronic obstructive pulmonary disease with acute lower respiratory infection Chronic obstructive pulmonary disease with acute exacerbation, unspecified Other specified chronic obstructive pulmonary disease Chronic obstructive pulmonary disease, unspecified Predominantly allergic asthma Nonallergic asthma Mixed asthma Asthma, unspecified Status asthmaticus Bronchiectasis Coalworker's pneumoconiosis Pneumoconiosis due to asbestos and other mineral fibres Pneumoconiosis due to talc dust Pneumoconiosis due to other dust containing silica Aluminosis (of lung) Bauxite fibrosis (of lung) Berylliosis Graphite fibrosis (of lung) Siderosis Stannosis Pneumoconiosis due to other specified inorganic dusts Unspecified pneumoconiosis Pneumoconiosis associated with tuberculosis Byssinosis Flax-dresser's disease Cannabinosis Airway disease due to other specific organic dusts Farmer's lung Bagassosis Bird fancier's lung Suberosis Maltworker's lung Mushroom-worker's lung Maple-bark-stripper's lung Air-conditioner and humidifier lung Hypersensitivity pneumonitis due to other organic dusts Hypersensitivity pneumonitis due to unspecified organic dust Bronchitis and pneumonitis due to chemicals, gases, fumes and vapours Acute pulmonary oedema due to chemicals, gases, fumes and vapours Upper respiratory inflammation due to chemicals, gases, fumes and vapours, not elsewhere classified Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapours Chronic respiratory conditions due to chemicals, gases, fumes and vapours 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 208 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO J68.8 J68.9 J69.0 J69.1 J69.8 J70.0 J70.1 J70.2 J70.3 J70.4 J70.8 J70.9 J80 J82 J84.0 J84.1 J84.8 J84.9 J85.0 J85.1 J85.2 J85.3 J86.0 J86.9 J90 J91 J92.0 J92.9 J93.0 J93.1 J93.8 J93.9 J94.0 J94.1 J94.2 J94.8 J94.9 J95.0 J95.1 J95.2 J95.3 J95.4 J95.5 J95.8 J95.9 J96.0 Title Other respiratory conditions due to chemicals, gases, fumes and vapours Unspecified respiratory condition due to chemicals, gases, fumes and vapours Pneumonitis due to food and vomit Pneumonitis due to oils and essences Pneumonitis due to other solids and liquids Acute pulmonary manifestations due to radiation Chronic and other pulmonary manifestations due to radiation Acute drug-induced interstitial lung disorders Chronic drug-induced interstitial lung disorders Drug-induced interstitial lung disorders, unspecified Respiratory conditions due to other specified external agents Respiratory conditions due to unspecified external agent Adult respiratory distress syndrome Pulmonary eosinophilia, not elsewhere classified Alveolar and parietoalveolar conditions Other interstitial pulmonary diseases with fibrosis Other specified interstitial pulmonary diseases Interstitial pulmonary disease, unspecified Gangrene and necrosis of lung Abscess of lung with pneumonia Abscess of lung without pneumonia Abscess of mediastinum Pyothorax with fistula Pyothorax without fistula Pleural effusion, not elsewhere classified Pleural effusion in conditions classified elsewhere Pleural plaque with presence of asbestos Pleural plaque without asbestos Spontaneous tension pneumothorax Other spontaneous pneumothorax Other pneumothorax Pneumothorax, unspecified Chylous effusion Fibrothorax Haemothorax Other specified pleural conditions Pleural condition, unspecified Tracheostomy malfunction Acute pulmonary insufficiency following thoracic surgery Acute pulmonary insufficiency following nonthoracic surgery Chronic pulmonary insufficiency following surgery Mendelson's syndrome Postprocedural subglottic stenosis Other postprocedural respiratory disorders Postprocedural respiratory disorder, unspecified Acute respiratory failure 209 MDC 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO J96.1 J96.9 J98.0 J98.1 J98.2 J98.3 J98.4 J98.5 J98.6 J98.8 J98.9 J99.0 J99.1 J99.8 M05.1 M94.0 P22.8 P22.9 P27.0 P27.1 P27.8 P27.9 P28.2 P28.3 P28.4 P28.5 P28.8 Q33.0 Q33.1 Q33.2 Q33.3 Q33.4 Q33.5 Q33.6 Q33.8 Q33.9 Q34.0 Q34.1 Q34.8 Q34.9 Q67.6 Q67.7 Q76.6 Q76.7 Q79.0 Q79.1 Title Chronic respiratory failure Respiratory failure, unspecified Diseases of bronchus, not elsewhere classified Pulmonary collapse Interstitial emphysema Compensatory emphysema Other disorders of lung Diseases of mediastinum, not elsewhere classified Disorders of diaphragm Other specified respiratory disorders Respiratory disorder, unspecified Rheumatoid lung disease Respiratory disorders in other diffuse connective tissue disorders Respiratory disorders in other diseases classified elsewhere Rheumatoid lung disease Chondrocostal junction syndrome [Tietze] Other respiratory distress of newborn Respiratory distress of newborn, unspecified Wilson-Mikity syndrome Bronchopulmonary dysplasia originating in the perinatal period Other chronic respiratory diseases originating in the perinatal period Unspecified chronic respiratory disease originating in the perinatal period Cyanotic attacks of newborn Primary sleep apnoea of newborn Other apnoea of newborn Respiratory failure of newborn Other specified respiratory conditions of newborn Congenital cystic lung Accessory lobe of lung Sequestration of lung Agenesis of lung Congenital bronchiectasis Ectopic tissue in lung Hypoplasia and dysplasia of lung Other congenital malformations of lung Congenital malformation of lung, unspecified Anomaly of pleura Congenital cyst of mediastinum Other specified congenital malformations of respiratory system Congenital malformation of respiratory system, unspecified Pectus excavatum Pectus carinatum Other congenital malformations of ribs Congenital malformation of sternum Congenital diaphragmatic hernia Other congenital malformations of diaphragm 210 MDC 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO R04.2 R04.8 R04.9 R05 R06.0 R06.1 R06.2 R06.3 R06.4 R06.6 R06.8 R07.1 R09.0 R09.1 R09.2 R09.3 R09.8 R68.3 R76.1 R91 R94.2 S11.0 S22.2 S22.3 S22.4 S22.5 S23.2 S23.4 S27.0 S27.1 S27.2 S27.3 S27.4 S27.5 S27.6 S27.8 S43.6 T17.4 T17.5 T17.8 T17.9 T27.0 T27.1 T27.4 T27.5 T79.0 Title MDC Haemoptysis Haemorrhage from other sites in respiratory passages Haemorrhage from respiratory passages, unspecified Cough Dyspnoea Stridor Wheezing Periodic breathing Hyperventilation Hiccough Other and unspecified abnormalities of breathing Chest pain on breathing Asphyxia Pleurisy Respiratory arrest Abnormal sputum Other specified symptoms and signs involving the circulatory and respiratory systems Clubbing of fingers Abnormal reaction to tuberculin test Abnormal findings on diagnostic imaging of lung Abnormal results of pulmonary function studies Open wound involving larynx and trachea Fracture of sternum Fracture of rib Multiple fractures of ribs Flail chest Dislocation of other and unspecified parts of thorax Sprain and strain of ribs and sternum Traumatic pneumothorax Traumatic haemothorax Traumatic haemopneumothorax Other injuries of lung Injury of bronchus Injury of thoracic trachea Injury of pleura Injury of other specified intrathoracic organs Sprain and strain of sternoclavicular joint Foreign body in trachea Foreign body in bronchus Foreign body in other and multiple parts of respiratory tract Foreign body in respiratory tract, part unspecified Burn of larynx and trachea Burn involving larynx and trachea with lung Corrosion of larynx and trachea Corrosion involving larynx and trachea with lung Air embolism (traumatic) 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 211 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO T79.1 T79.7 T80.0 T86.8 Z03.0 Z43.0 Z90.2 Z94.2 Z94.3 Title Fat embolism (traumatic) Traumatic subcutaneous emphysema Air embolism following infusion, transfusion and therapeutic injection Failure and rejection of other transplanted organs and tissues Observation for suspected tuberculosis Attention to tracheostomy Acquired absence of lung [part of] Lung transplant status Heart and lungs transplant status 212 MDC 4 4 4 4 4 4 4 4 4 DELSA/ELSA/WD/HTP(2008)1 M-6 Code list for MDC-5 (Postoperative respiratory failure) ICD-10 WHO A39.5 A52.0 B33.2 B37.6 B57.0 B57.2 C38.0 C45.2 D15.1 E10.5 E11.5 E12.5 E13.5 E14.5 F45.3 G90.0 I01.0 I01.1 I01.2 I01.8 I01.9 I02.0 I02.9 I05.0 I05.1 I05.2 I05.8 I05.9 I06.0 I06.1 I06.2 I06.8 I06.9 I07.0 I07.1 I07.2 I07.8 I07.9 I08.0 I08.1 I08.2 I08.3 I08.8 I08.9 Title Meningococcal heart disease Cardiovascular syphilis Viral carditis Candidal endocarditis Acute Chagas' disease with heart involvement Chagas' disease (chronic) with heart involvement Malignant neoplasm: Heart Mesothelioma of pericardium Benign neoplasm: Heart Insulin-dependent diabetes mellitus with peripheral circulatory complications Non-insulin-dependent diabetes mellitus with peripheral circulatory complications Malnutrition-related diabetes mellitus with peripheral circulatory complications Other specified diabetes mellitus with peripheral circulatory complications Unspecified diabetes mellitus with peripheral circulatory complications Somatoform autonomic dysfunction Idiopathic peripheral autonomic neuropathy Acute rheumatic pericarditis Acute rheumatic endocarditis Acute rheumatic myocarditis Other acute rheumatic heart disease Acute rheumatic heart disease, unspecified Rheumatic chorea with heart involvement Rheumatic chorea without heart involvement Mitral stenosis Rheumatic mitral insufficiency Mitral stenosis with insufficiency Other mitral valve diseases Mitral valve disease, unspecified Rheumatic aortic stenosis Rheumatic aortic insufficiency Rheumatic aortic stenosis with insufficiency Other rheumatic aortic valve diseases Rheumatic aortic valve disease, unspecified Tricuspid stenosis Tricuspid insufficiency Tricuspid stenosis with insufficiency Other tricuspid valve diseases Tricuspid valve disease, unspecified Disorders of both mitral and aortic valves Disorders of both mitral and tricuspid valves Disorders of both aortic and tricuspid valves Combined disorders of mitral, aortic and tricuspid valves Other multiple valve diseases Multiple valve disease, unspecified 213 MDC 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO I09.0 I09.1 I09.2 I09.8 I09.9 I10 I11.0 I11.9 I13.0 I13.2 I13.9 I15.0 I15.1 I15.2 I15.8 I15.9 I20.0 I20.1 I20.8 I20.9 I21.0 I21.1 I21.2 I21.3 I21.4 I21.9 I22.0 I22.1 I22.8 I22.9 I23.0 I23.1 I23.2 I23.3 I23.4 I23.5 I23.6 I23.8 I24.0 I24.1 Title MDC Rheumatic myocarditis Rheumatic diseases of endocardium, valve unspecified Chronic rheumatic pericarditis Other specified rheumatic heart diseases Rheumatic heart disease, unspecified Essential (primary) hypertension Hypertensive heart disease with (congestive) heart failure Hypertensive heart disease without (congestive) heart failure Hypertensive heart and renal disease with (congestive) heart failure Hypertensive heart and renal disease with both (congestive) heart failure and renal failure Hypertensive heart and renal disease, unspecified Renovascular hypertension Hypertension secondary to other renal disorders Hypertension secondary to endocrine disorders Other secondary hypertension Secondary hypertension, unspecified Unstable angina Angina pectoris with documented spasm Other forms of angina pectoris Angina pectoris, unspecified Acute transmural myocardial infarction of anterior wall Acute transmural myocardial infarction of inferior wall Acute transmural myocardial infarction of other sites Acute transmural myocardial infarction of unspecified site Acute subendocardial myocardial infarction Acute myocardial infarction, unspecified Subsequent myocardial infarction of anterior wall Subsequent myocardial infarction of inferior wall Subsequent myocardial infarction of other sites Subsequent myocardial infarction of unspecified site Haemopericardium as current complication following acute myocardial infarction Atrial septal defect as current complication following acute myocardial infarction Ventricular septal defect as current complication following acute myocardial infarction Rupture of cardiac wall without haemopericardium as current complication following acute myocardial infarction Rupture of chordae tendineae as current complication following acute myocardial infarction Rupture of papillary muscle as current complication following acute myocardial infarction Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction Other current complications following acute myocardial infarction Coronary thrombosis not resulting in myocardial infarction Dressler's syndrome 5 5 5 5 5 5 5 5 5 5 214 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO I24.8 I24.9 I25.0 I25.1 I25.2 I25.3 I25.4 I25.5 I25.6 I25.8 I25.9 I27.0 I27.1 I27.2 I27.8 I27.9 I28.0 I28.1 I28.8 I28.9 I30.0 I30.1 I30.8 I30.9 I31.0 I31.1 I31.2 I31.3 I31.8 I31.9 I32.0 I32.1 I32.8 I33.0 I33.9 I34.0 I34.1 I34.2 I34.8 I34.9 I35.0 I35.1 I35.2 I35.8 I35.9 I36.0 Title Other forms of acute ischaemic heart disease Acute ischaemic heart disease, unspecified Atherosclerotic cardiovascular disease, so described Atherosclerotic heart disease Old myocardial infarction Aneurysm of heart Coronary artery aneurysm Ischaemic cardiomyopathy Silent myocardial ischaemia Other forms of chronic ischaemic heart disease Chronic ischaemic heart disease, unspecified Primary pulmonary hypertension Kyphoscoliotic heart disease Other secondary pulmonary hypertension Other specified pulmonary heart diseases Pulmonary heart disease, unspecified Arteriovenous fistula of pulmonary vessels Aneurysm of pulmonary artery Other specified diseases of pulmonary vessels Disease of pulmonary vessels, unspecified Acute nonspecific idiopathic pericarditis Infective pericarditis Other forms of acute pericarditis Acute pericarditis, unspecified Chronic adhesive pericarditis Chronic constrictive pericarditis Haemopericardium, not elsewhere classified Pericardial effusion (noninflammatory) Other specified diseases of pericardium Disease of pericardium, unspecified Pericarditis in bacterial diseases classified elsewhere Pericarditis in other infectious and parasitic diseases classified elsewhere Pericarditis in other diseases classified elsewhere Acute and subacute infective endocarditis Acute endocarditis, unspecified Mitral (valve) insufficiency Mitral (valve) prolapse Nonrheumatic mitral (valve) stenosis Other nonrheumatic mitral valve disorders Nonrheumatic mitral valve disorder, unspecified Aortic (valve) stenosis Aortic (valve) insufficiency Aortic (valve) stenosis with insufficiency Other aortic valve disorders Aortic valve disorder, unspecified Nonrheumatic tricuspid (valve) stenosis 215 MDC 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO I36.1 I36.2 I36.8 I36.9 I37.0 I37.1 I37.2 I37.8 I37.9 I38 I39.0 I39.1 I39.2 I39.3 I39.4 I39.8 I40.0 I40.1 I40.8 I40.9 I41.0 I41.1 I41.2 I41.8 I42.0 I42.1 I42.2 I42.3 I42.4 I42.5 I42.6 I42.7 I42.8 I42.9 I43.0 I43.1 I43.2 I43.8 I44.0 I44.1 I44.2 I44.3 I44.4 I44.5 I44.6 I44.7 Title Nonrheumatic tricuspid (valve) insufficiency Nonrheumatic tricuspid (valve) stenosis with insufficiency Other nonrheumatic tricuspid valve disorders Nonrheumatic tricuspid valve disorder, unspecified Pulmonary valve stenosis Pulmonary valve insufficiency Pulmonary valve stenosis with insufficiency Other pulmonary valve disorders Pulmonary valve disorder, unspecified Endocarditis, valve unspecified Mitral valve disorders in diseases classified elsewhere Aortic valve disorders in diseases classified elsewhere Tricuspid valve disorders in diseases classified elsewhere Pulmonary valve disorders in diseases classified elsewhere Multiple valve disorders in diseases classified elsewhere Endocarditis, valve unspecified, in diseases classified elsewhere Infective myocarditis Isolated myocarditis Other acute myocarditis Acute myocarditis, unspecified Myocarditis in bacterial diseases classified elsewhere Myocarditis in viral diseases classified elsewhere Myocarditis in other infectious and parasitic diseases classified elsewhere Myocarditis in other diseases classified elsewhere Dilated cardiomyopathy Obstructive hypertrophic cardiomyopathy Other hypertrophic cardiomyopathy Endomyocardial (eosinophilic) disease Endocardial fibroelastosis Other restrictive cardiomyopathy Alcoholic cardiomyopathy Cardiomyopathy due to drugs and other external agents Other cardiomyopathies Cardiomyopathy, unspecified Cardiomyopathy in infectious and parasitic diseases classified elsewhere Cardiomyopathy in metabolic diseases Cardiomyopathy in nutritional diseases Cardiomyopathy in other diseases classified elsewhere Atrioventricular block, first degree Atrioventricular block, second degree Atrioventricular block, complete Other and unspecified atrioventricular block Left anterior fascicular block Left posterior fascicular block Other and unspecified fascicular block Left bundle-branch block, unspecified 216 MDC 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO I45.0 I45.1 I45.2 I45.3 I45.4 I45.5 I45.6 I45.8 I45.9 I46.0 I46.1 I46.9 I47.0 I47.1 I47.2 I47.9 I48 I49.0 I49.1 I49.2 I49.3 I49.4 I49.5 I49.8 I49.9 I50.0 I50.1 I50.9 I51.0 I51.1 I51.2 I51.3 I51.4 I51.5 I51.6 I51.7 I51.8 I51.9 I52.0 I52.1 I52.8 I67.4 I70.0 I70.1 I70.2 I70.8 Title Right fascicular block Other and unspecified right bundle-branch block Bifascicular block Trifascicular block Nonspecific intraventricular block Other specified heart block Pre-excitation syndrome Other specified conduction disorders Conduction disorder, unspecified Cardiac arrest with successful resuscitation Sudden cardiac death, so described Cardiac arrest, unspecified Re-entry ventricular arrhythmia Supraventricular tachycardia Ventricular tachycardia Paroxysmal tachycardia, unspecified Atrial fibrillation and flutter Ventricular fibrillation and flutter Atrial premature depolarization Junctional premature depolarization Ventricular premature depolarization Other and unspecified premature depolarization Sick sinus syndrome Other specified cardiac arrhythmias Cardiac arrhythmia, unspecified Congestive heart failure Left ventricular failure Heart failure, unspecified Cardiac septal defect, acquired Rupture of chordae tendineae, not elsewhere classified Rupture of papillary muscle, not elsewhere classified Intracardiac thrombosis, not elsewhere classified Myocarditis, unspecified Myocardial degeneration Cardiovascular disease, unspecified Cardiomegaly Other ill-defined heart diseases Heart disease, unspecified Other heart disorders in bacterial diseases classified elsewhere Other heart disorders in other infectious and parasitic diseases classified elsewhere Other heart disorders in other diseases classified elsewhere Hypertensive encephalopathy Atherosclerosis of aorta Atherosclerosis of renal artery Atherosclerosis of arteries of extremities Atherosclerosis of other arteries 217 MDC 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO I70.9 I71.0 I71.1 I71.2 I71.3 I71.4 I71.5 I71.6 I71.8 I71.9 I72.0 I72.1 I72.3 I72.4 I72.8 I72.9 I73.1 I73.8 I73.9 I74.0 I74.1 I74.2 I74.3 I74.4 I74.5 I74.8 I74.9 I77.0 I77.1 I77.2 I77.3 I77.5 I77.8 I77.9 I78.0 I78.8 I78.9 I79.0 I79.1 I79.2 I79.8 I80.0 I80.1 I80.2 I80.3 I80.8 Title Generalized and unspecified atherosclerosis Dissection of aorta [any part] Thoracic aortic aneurysm, ruptured Thoracic aortic aneurysm, without mention of rupture Abdominal aortic aneurysm, ruptured Abdominal aortic aneurysm, without mention of rupture Thoracoabdominal aortic aneurysm, ruptured Thoracoabdominal aortic aneurysm, without mention of rupture Aortic aneurysm of unspecified site, ruptured Aortic aneurysm of unspecified site, without mention of rupture Aneurysm of carotid artery Aneurysm of artery of upper extremity Aneurysm of iliac artery Aneurysm of artery of lower extremity Aneurysm of other specified arteries Aneurysm of unspecified site Thromboangiitis obliterans [Buerger] Other specified peripheral vascular diseases Peripheral vascular disease, unspecified Embolism and thrombosis of abdominal aorta Embolism and thrombosis of other and unspecified parts of aorta Embolism and thrombosis of arteries of upper extremities Embolism and thrombosis of arteries of lower extremities Embolism and thrombosis of arteries of extremities, unspecified Embolism and thrombosis of iliac artery Embolism and thrombosis of other arteries Embolism and thrombosis of unspecified artery Arteriovenous fistula, acquired Stricture of artery Rupture of artery Arterial fibromuscular dysplasia Necrosis of artery Other specified disorders of arteries and arterioles Disorder of arteries and arterioles, unspecified Hereditary haemorrhagic telangiectasia Other diseases of capillaries Disease of capillaries, unspecified Aneurysm of aorta in diseases classified elsewhere Aortitis in diseases classified elsewhere Peripheral angiopathy in diseases classified elsewhere Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere Phlebitis and thrombophlebitis of superficial vessels of lower extremities Phlebitis and thrombophlebitis of femoral vein Phlebitis and thrombophlebitis of other deep vessels of lower extremities Phlebitis and thrombophlebitis of lower extremities, unspecified Phlebitis and thrombophlebitis of other sites 218 MDC 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO I80.9 I82.1 I82.2 I82.8 I82.9 I83.0 I83.1 I83.2 I83.9 I86.0 I86.4 I86.8 I87.0 I87.1 I87.2 I87.8 I87.9 I95.0 I95.1 I95.2 I95.8 I95.9 I97.0 I97.1 I97.8 I97.9 I98.0 I98.1 I98.8 I99 J81 Q20.0 Q20.1 Q20.2 Q20.3 Q20.4 Q20.5 Q20.6 Q20.8 Q20.9 Q21.0 Q21.1 Q21.2 Q21.3 Q21.4 Title MDC Phlebitis and thrombophlebitis of unspecified site Thrombophlebitis migrans Embolism and thrombosis of vena cava Embolism and thrombosis of other specified veins Embolism and thrombosis of unspecified vein Varicose veins of lower extremities with ulcer Varicose veins of lower extremities with inflammation Varicose veins of lower extremities with both ulcer and inflammation Varicose veins of lower extremities without ulcer or inflammation Sublingual varices Gastric varices Varicose veins of other specified sites Postphlebitic syndrome Compression of vein Venous insufficiency (chronic)(peripheral) Other specified disorders of veins Disorder of vein, unspecified Idiopathic hypotension Orthostatic hypotension Hypotension due to drugs Other hypotension Hypotension, unspecified Postcardiotomy syndrome Other functional disturbances following cardiac surgery Other postprocedural disorders of circulatory system, not elsewhere classified Postprocedural disorder of circulatory system, unspecified Cardiovascular syphilis Cardiovascular disorders in other infectious and parasitic diseases classified elsewhere Other specified disorders of circulatory system in diseases classified elsewhere Other and unspecified disorders of circulatory system Pulmonary oedema Common arterial trunk Double outlet right ventricle Double outlet left ventricle Discordant ventriculoarterial connection Double inlet ventricle Discordant atrioventricular connection Isomerism of atrial appendages Other congenital malformations of cardiac chambers and connections Congenital malformation of cardiac chambers and connections, unspecified Ventricular septal defect Atrial septal defect Atrioventricular septal defect Tetralogy of Fallot Aortopulmonary septal defect 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 219 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Q21.8 Q21.9 Q22.0 Q22.1 Q22.2 Q22.3 Q22.4 Q22.5 Q22.6 Q22.8 Q22.9 Q23.0 Q23.1 Q23.2 Q23.3 Q23.4 Q23.8 Q23.9 Q24.0 Q24.1 Q24.2 Q24.3 Q24.4 Q24.5 Q24.6 Q24.8 Q24.9 Q25.0 Q25.1 Q25.2 Q25.3 Q25.4 Q25.5 Q25.6 Q25.7 Q25.8 Q25.9 Q26.0 Q26.1 Q26.2 Q26.3 Q26.4 Q26.5 Q26.6 Q26.8 Q26.9 Title Other congenital malformations of cardiac septa Congenital malformation of cardiac septum, unspecified Pulmonary valve atresia Congenital pulmonary valve stenosis Congenital pulmonary valve insufficiency Other congenital malformations of pulmonary valve Congenital tricuspid stenosis Ebstein's anomaly Hypoplastic right heart syndrome Other congenital malformations of tricuspid valve Congenital malformation of tricuspid valve, unspecified Congenital stenosis of aortic valve Congenital insufficiency of aortic valve Congenital mitral stenosis Congenital mitral insufficiency Hypoplastic left heart syndrome Other congenital malformations of aortic and mitral valves Congenital malformation of aortic and mitral valves, unspecified Dextrocardia Laevocardia Cor triatriatum Pulmonary infundibular stenosis Congenital subaortic stenosis Malformation of coronary vessels Congenital heart block Other specified congenital malformations of heart Congenital malformation of heart, unspecified Patent ductus arteriosus Coarctation of aorta Atresia of aorta Stenosis of aorta Other congenital malformations of aorta Atresia of pulmonary artery Stenosis of pulmonary artery Other congenital malformations of pulmonary artery Other congenital malformations of great arteries Congenital malformation of great arteries, unspecified Congenital stenosis of vena cava Persistent left superior vena cava Total anomalous pulmonary venous connection Partial anomalous pulmonary venous connection Anomalous pulmonary venous connection, unspecified Anomalous portal venous connection Portal vein-hepatic artery fistula Other congenital malformations of great veins Congenital malformation of great vein, unspecified 220 MDC 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO Q27.0 Q27.1 Q27.2 Q27.3 Q27.4 Q27.8 Q27.9 Q28.8 Q28.9 R00.0 R00.1 R00.2 R00.8 R01.0 R01.1 R01.2 R02 R03.0 R03.1 R07.2 R07.3 R07.4 R55 R57.0 R57.9 R58 R93.1 R94.3 R96.0 S26.0 S26.8 S26.9 T80.1 T81.7 T82.0 T82.1 T82.2 T82.3 T82.4 T82.5 T82.6 T82.7 T82.8 T82.9 T86.2 Title MDC Congenital absence and hypoplasia of umbilical artery Congenital renal artery stenosis Other congenital malformations of renal artery Peripheral arteriovenous malformation Congenital phlebectasia Other specified congenital malformations of peripheral vascular system Congenital malformation of peripheral vascular system, unspecified Other specified congenital malformations of circulatory system Congenital malformation of circulatory system, unspecified Tachycardia, unspecified Bradycardia, unspecified Palpitations Other and unspecified abnormalities of heart beat Benign and innocent cardiac murmurs Cardiac murmur, unspecified Other cardiac sounds Gangrene, not elsewhere classified Elevated blood-pressure reading, without diagnosis of hypertension Nonspecific low blood-pressure reading Precordial pain Other chest pain Chest pain, unspecified Syncope and collapse Cardiogenic shock Shock, unspecified Haemorrhage, not elsewhere classified Abnormal findings on diagnostic imaging of heart and coronary circulation Abnormal results of cardiovascular function studies Instantaneous death Injury of heart with haemopericardium Other injuries of heart Injury of heart, unspecified Vascular complications following infusion, transfusion and therapeutic injection Vascular complications following a procedure, not elsewhere classified Mechanical complication of heart valve prosthesis Mechanical complication of cardiac electronic device Mechanical complication of coronary artery bypass and valve grafts Mechanical complication of other vascular grafts Mechanical complication of vascular dialysis catheter Mechanical complication of other cardiac and vascular devices and implants Infection and inflammatory reaction due to cardiac valve prosthesis Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts Other complications of cardiac and vascular prosthetic devices, implants and grafts Unspecified complication of cardiac and vascular prosthetic device, implant and graft Heart transplant failure and rejection 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 221 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ICD-10 WHO T86.3 Z01.8 Z03.4 Z03.5 Z45.0 Z94.1 Z95.0 Z95.2 Z95.3 Z95.4 Z95.8 Z95.9 Title Heart-lung transplant failure and rejection Other specified special examinations Observation for suspected myocardial infarction Observation for other suspected cardiovascular diseases Adjustment and management of cardiac pacemaker Heart transplant status Presence of cardiac pacemaker Presence of prosthetic heart valve Presence of xenogenic heart valve Presence of other heart-valve replacement Presence of other cardiac and vascular implants and grafts Presence of cardiac and vascular implant and graft, unspecified 222 MDC 5 5 5 5 5 5 5 5 5 5 5 5 DELSA/ELSA/WD/HTP(2008)1 ANNEX 3: INDICATORS FOR PATIENT SAFETY QUESTIONNAIRE 2008 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 This questionnaire was sent to all countries that volunteered to participate in the pilot to calculate Patient Safety Indicators (PSI) based on ICD 9/10 codes as part of the OECD HCQI Project in 2008. Country: Please provide us with the contact information of the person primarily responsible for completing this Name: Title: Organization: Address (postal): Email: Telephone: 223 DELSA/ELSA/WD/HTP(2008)1 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 II. Information on hospital data used for the pilot 1. Types of information and data sources 1 If data is from one year of data collection, please indicate the year. 2 If data is pooled from several years of data collection, please indicate the years. 3 Which ICD version is being used? version used ICD version Name of country modification x ICD - 9 ICD - 10 4 Which procedure classification is being used? 5 DRG reimbursement Yes No x x Does your country use a DRG reimbursement system? If yes: Name of DRG reimbursement system Version of DRG reimbursement system 6 Average length of hospital stay (ALOS) What is the average length of hospital stay (ALOS)? for which year of data collection? # of days year of data collection 224 DELSA/ELSA/WD/HTP(2008)1 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 III. Details on medical documentation 7 Coding rules Yes No Unclear x x x Are there any coding rules applied in your country to ensure that hospital discharge cases are abstracted in a uniform way? 8 Principal Diagnosis Which definition of Principal Diagnosis (PDx) is used in your country b The PDx is the condition established after review to be chiefly responsible for causing the hospitalisation. The PDx is related to that condition demanding the most resources during the hospital stay. c Unclear, there is no uniform definition in use. d Other (please describe) a x 9 Secondary Diagnosis Which definition of Secondary Diagnosis (SDx) is used in your country c A diagnosis qualifies for SDx documentation when additional resources (e.g. diagnostic means, therapeutic treatment, nursing, etc.) have been necessary. Diagnosis that related to an earlier episode which have no bearing on the current hospital stay are to be excluded. Any diagnosis (e.g. information on medical history without actual treatment, comorbidity, complcations, etc.) related to that patient's condition qualifies as SDx. Unclear, there is no uniform definition in use. d Other (please describe) a b x 10 External causes of morbidity and mortality a b c d The use of ICD codes for external causes of morbidity and mortality is: optional mandatory of no use unclear 11 How many data fields for secondary diagnosis documentation were available in the data used for the calculation of indicators? 12 What is the mean number of secondary diagnoses per case in the data used for indicator calculation? 13 How many data fields for procedure documentation were available in the data used for indicator calculation? 225 x DELSA/ELSA/WD/HTP(2008)1 14 Pre-admission and post-admission criteria Are there any additional criteria (e.g. diagnosis type indicator) in use in your country to qualify a diagnosis or to distinguish between pre-admission conditions and post-admission condition? x No Yes if yes please explain the criteria 15 Additional criteria Are there any additional criteria (e.g. procedure type indicator) in use in your country to qualify a procedure? No Yes if yes please explain the criteria 226 x DELSA/ELSA/WD/HTP(2008)1 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 IV. Details on administrative information 16 Routine hospital data for neonates a b c The following information can be derived from routine hospital data: Neonates admission weight of neonates birth weight of in-hospital born newborns age in days Yes No Unclear x x x Yes No Unclear x x x Yes No Unclear x x x 17 Routine hospital data for operating room procedures a The following information can be derived from routine hospital data: Operating room procedures date of operating room procedure 18 Routine hospital data on admission types and sources a b c d e f The following information can be derived from routine hospital data: Admission types and sources emergency elective newborn delivery admitted from a long-term facility transferred from an acute care facility 19 Data Collection - Who performs the data collection (coding of diagnoses and procedures) in hosptials? x a b c d Professional Clinical Coders, not involved in the treatment Medical Doctors who are involved in the treatement Nursing Staff who is involved in the treatment Other, please describe 227 DELSA/ELSA/WD/HTP(2008)1 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 V. Details on calculation of indicators 20 Which software has been used for indicator calculation? x a b c d SAS SPSS STATA Other, please describe 21 OECD manual Is the OECD Technical Manual for Patient Safety Indicators being used to calculate the indicators? a Yes, without any modification. b Yes, with modifications. (Please note modifications.) c No, the AHRQ definitions are being used. (Please note which version of the AHRQ-PSI.) No, another method is being used. (Please explain.) d x 22 Principal diagnosis - demanding the most resources If principal diagnosis (PDx) is defined by diagnosis demanding the most resources, Yes No Unclear x x x Yes No Unclear x x x # Unclear was data rearranged as proposed in the manual? 23 Institutional level Data used for the calculation of the indicators could be analysed on an institutional level? 24 Number of reporting institutions The indicator calculations are based on data from how many institutions? 228 DELSA/ELSA/WD/HTP(2008)1 25 Psychatric institutions Psychatric Institutions could be eliminated from the calculation? a 26 Yes No x x If psychatric institutions could not be eliminated from the calculation, can you estimate how many cases treated in psychiatric institutions are in the calculation? approximate number of cases treated at psychiatric institutions Small denominator populations Indicators with small denominator populations on institutional level were excluded from calculation? If yes, what was the lower bound? Yes No Unclear Yes No Unclear 27 Small numerator populations Indicators with small numerator populations on institutional level were excluded from calculation? If yes, what was the lower bound? 28 Please include any further remarks on calculating the Patient Safety Indicators using the OECD Manual. 229 DELSA/ELSA/WD/HTP(2008)1 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 VI. Population Rates 29 The Population Rate is the sum of all numerator cases divided by the sum of all denominator cases per indicator. Indicator Complications of anaesthesia (PSI 1) Decubitis ulcer (PSI 3) Foreign body left in during procedure (PSI 5) Iatrogenic Pneumothorax (PSI 6) Infection due to Medical Care (PSI 7) Postoperative hip fracture (PSI 8) Postoperative respiratory failure (PSI 11) Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) (PSI 12) Postoperative sepsis (PSI 13) Technical difficulty with procedure (PSI 15) Transfusion reaction (PSI 16) Birth trauma - injury to neonate (PSI 17) Obstetric trauma - vaginal delivery with instrument (PSI 18) Obstetric trauma - vaginal delivery without instrument (PSI 19) Obstetric trauma - caesarean section (PSI 20) Number of Numerator Cases Number of Denominator Cases * If no, please specify each modification or variation at Question 21 in Section V 230 Rate (per 100) Data Year(s) Data Source (e.g. name of database(s)) OECD manual used without modification to calculate the indicator (Yes/No*) DELSA/ELSA/WD/HTP(2008)1 OECD Patient Safety Experts Subgroup HCQI Project Indicators for Patient Safety Questionnaire 2008 VII. Mean Provider Rates 30 The Mean Provider Rate is the sum of individual hospital rates divided by the number of hospitals where indicator was applied. Indicator Complications of anaesthesia (PSI 1) Decubitis ulcer (PSI 3) Foreign body left in during procedure (PSI 5) Iatrogenic Pneumothorax (PSI 6) Infection due to Medical Care (PSI 7) Postoperative hip fracture (PSI 8) Postoperative respiratory failure (PSI 11) Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) (PSI 12) Postoperative sepsis (PSI 13) Technical difficulty with procedure (PSI 15) Transfusion reaction (PSI 16) Birth trauma - injury to neonate (PSI 17) Obstetric trauma - vaginal delivery with instrument (PSI 18) Obstetric trauma - vaginal delivery without instrument (PSI 19) Obstetric trauma - caesarean section (PSI 20) Mean Provider Standard Rate (rate per Deviation of 100) Provider Rate * If no, please specify each modification or variation at Question 21 in Section V 231 Data Year(s) Data Source (e.g. name of database(s)) OECD manual used without modification to calculate the indicator (Yes/No*) DELSA/ELSA/WD/HTP(2008)1 Section VIII LOS strata Indicators for Patient Safety Questionnaire 2008 Complications of Anesthesia (PSI 1) Length of stay (days) Cases Numerator Cases Denominator Iatrogenic Pneumothorax (PSI 6) Decubitus Ulcer (PSI 3) Cases Numerator Cases Denominator Cases Numerator Cases Denominator Infection Due to Medical Care (PSI 7) Cases Numerator Cases Denominator 0 1 2-3 4-7 8-14 15-21 22-28 >28 Postoperative Respiratory Failure (PSI 11) Length of stay (days) Cases Numerator Cases Denominator Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) (PSI 12) Cases Numerator Cases Denominator 0 1 2-3 4-7 8-14 15-21 22-28 >28 232 Postoperative Sepsis (PSI 13) Cases Numerator Cases Denominator Technical Difficulty with Procedure / Accidental Puncture or Laceration (PSI Cases Numerator Cases Denominator Postoperative Hip Fracture (PSI 8) Cases Numerator Cases Denominator DELSA/ELSA/WD/HTP(2008)1 Section IX gender age strata PSI Age Groups Gender Cases Numerator Cases Denominator PSI Age Groups Gender Cases Numerator Cases Denominator PSI Age Groups Gender Cases Numerator Cases Denominator PSI Age Groups Gender Cases Numerator Cases Denominator female 18 - 39 male female Postoperative Hip Fracture (PSI 8) 40 - 64 65 - 74 male female male female female 18 - 39 male female Postoperative Respiratory Failure (PSI 11) 40 - 64 65 - 74 male female male female <18 male <18 male <18 male female <18 male female 75 - 84 male female male 85+ 75 - 84 male female male 85+ Postoperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) (PSI 12) 18 - 39 40 - 64 65 - 74 75 - 84 male female male female male female male female male Postoperative Sepsis (PSI 13) 40 - 64 65 - 74 male female male female male 18 - 39 male female 233 75 - 84 male female female female 85+ female 85+ female DELSA/ELSA/WD/HTP(2008)1 Section X Decubitus Ulcer Indicators for Patient Safety Questionnaire 2008 Treatment type Age Groups Gender Cases Numerator Cases Denominator Treatment type Age Groups Gender Cases Numerator Cases Denominator female 18 - 39 male female Surgical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male female 18 - 39 male female Medical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male <18 male <18 male 234 85+ female 85+ female DELSA/ELSA/WD/HTP(2008)1 Section XI Iatr Pneumothorax Indicators for Patient Safety Questionnaire 2008 Treatment type Age Groups Gender Cases Numerator Cases Denominator Treatment type Age Groups Gender Cases Numerator Cases Denominator female 18 - 39 male female Surgical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male female 18 - 39 male female Medical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male <18 male <18 male 235 85+ female 85+ female DELSA/ELSA/WD/HTP(2008)1 Section XII Infec Med Care Indicators for Patient Safety Questionnaire 2008 Treatment type Age Groups Gender Cases Numerator Cases Denominator Treatment type Age Groups Gender Cases Numerator Cases Denominator female 18 - 39 male female Surgical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male female 18 - 39 male female Medical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male <18 male <18 male 236 85+ female 85+ female DELSA/ELSA/WD/HTP(2008)1 Section XIII Techn Difficl Indicators for Patient Safety Questionnaire 2008 Treatment type Age Groups Gender Cases Numerator Cases Denominator Treatment type Age Groups Gender Cases Numerator Cases Denominator <18 male female <18 male female 18 - 39 male female Surgical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male 18 - 39 male female Medical treatment 40 - 64 65 - 74 male female male female 75 - 84 male female male 237 85+ female 85+ female DELSA/ELSA/WD/HTP(2008)1 REFERENCES AHRQ (2003) “Quality Indicators Patient Safety Indicators: Technical Specifications - March 2003 Version 3.1” Agency for Healthcare Research and Quality, Rockville, MD, AHRQ website http://www.qualityindicators.ahrq.gov/downloads/psi/psi_technical_specs_v31.pdf (accessed 01/11/2008) AHRQ (2006) “Patient Safety Indicators Overview: AHRQ Quality Indicators - February 2006” Agency for Healthcare Research and Quality, Rockville, MD, AHRQ website http://www.qualityindicators.ahrq.gov/psi_overview.htm (accessed 03/21/2007). 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ZHAN C, M R MILLER (2003) “Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization” JAMA 2003; 290:1868-74. 239 DELSA/ELSA/WD/HTP(2008)1 Available OECD Health Technical Papers No. 1. No. 2. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, AUSTRALIA Lindy Ingham, Rebecca Bennetts and Tony Hynes SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, CANADA Gilles Fortin No. 3. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, DENMARK Iben Kamp Nielsen No. 4. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, GERMANY Natalie Zifonun No. 5. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, HUNGARY Maria Manno and Mihalyne Hajdu No. 6. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, JAPAN Hiroyuki Sakamaki, Sumie Ikezaki, Manabu Yamazaki and Koki Hayamizu No. 7. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, KOREA Hyoung-Sun Jeong No. 8. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, MEXICO María-Fernanda Merino-Juárez, Maluin-Gabriela Alarcón-Gómez and Rafael Lozano-Ascencio No. 9. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, THE NETHERLANDS Cor van Mosseveld No. 10. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, POLAND Dorota Kawiorska No. 11. SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, SPAIN, Jorge Relaño Toledano and María Luisa García Calatayud No. 12. SHA-BASED HEALTH ACCOUNTS IN OECD COUNTRIES: COUNTRY STUDIES, THIRTEEN SWITZERLAND Raymond Rossel and Yves-Alain Gerber SHA-BASED HEALTH ACCOUNTS IN THIRTEEN OECD COUNTRIES: COUNTRY STUDIES, TURKEY Mehtap Kartal, Huseyin Ozbay and Halil Erkan Eristi SELECTING INDICATORS FOR THE QUALITY OF CARDIAC CARE AT THE HEALTH SYSTEMS LEVEL IN OECD COUNTRIES Laura Lambie, Soeren Mattke and the Members of the OECD Cardiac Care Panel SELECTING INDICATORS FOR THE QUALITY OF DIABETES CARE AT THE HEALTH SYSTEMS LEVEL IN OECD COUNTRIES Sheldon Greenfield, Antonio Nicolucci and Soeren Mattke SELECTING INDICATORS FOR THE QUALITY OF HEALTH PROMOTION, PREVENTION AND PRIMARY CARE AT THE HEALTH SYSTEMS LEVEL IN OECD COUNTRIES Martin Marshall, Sheila Leatherman, Soeren Mattke and the Members of the OECD Health Promotion, Prevention and Primary Care Panel No. 13. No. 14. No. 15. No. 16. No. 17. No. 18. SELECTING INDICATORS FOR THE QUALITY OF MENTAL HEALTH CARE AT THE HEALTH SYSTEMS LEVEL IN OECD COUNTRIES Richard Hermann, Soeren Mattke and the Members of the OECDMental Health Care Panel SELECTING INDICATORS FOR PATIENT SAFETY AT THE HEALTH SYSTEMS LEVEL IN OECD COUNTRIES John Millar, Soeren Mattke and the Members of the OECD Patient Safety Panel www.oecd.org/els/health/technicalpapers 240