DOKUMEN NASIONAL DAN INTERNASIONAL TENTANG

PENGGOLONGAN DAN DIAGNOSIS GANGGUAN JIWA

Oleh : Tim Litbang Swaranusa.net

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SEKILAS TENTANG PPDGJ III | ICD-10 | DSM-IV TR

Pedoman Penggolongan Penyakit dan Diagnosis Gangguan Jiwa (PPDGJ-III) merujuk pada

standard dan system pengkodean dari International Classification of Disease (ICD-10) dan

system multiaksis dari Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

Berikut sedikit dijelaskan sekilas tentang DSM yang dikeluarkan oleh American Psychiatric

Association (APA) dan ICD yang dikeluarkan oleh WHO.

DSM-I telah selesai disusun pada tahun 1952 oleh APA(American Psychiatric

Association). Edisi kedua keluar pada tahun 1968, kemudaian disusul setelahnya

edisi ke-13 pada tahun 1980, yang akhirnya dilakukan revisi kembali pada

tahun1987(DSM-III R), dan pada tahun 1994 APA mengeluarkan lagi DSM-IV, yang

akhirnya di revisi kembali manjadi DSM-IV TR(text revision) pada tahun 2000.

DSM-IV dan DSM-IV TR dikeluarkan setelah melalui persetujuan dengan ICD-9 CM

(clinical modification).

ICD sudah digunakan lebih lama, dan pada saat ini infrastruktur ICD telah

menginvestasikan dalam pengembangan sistem pengkodean komputer, “case-

mix”, dan sistem diagnosis. Dari sumber lain berbahasa Indonesia dikatakan “DSM-

IV didesain untuk mendampingi ICD-10, disusun pada tahun 1992. Pada waktu itu

terdapat konsensus yang kuat bahwa sistem diagnosis di USA harus sesuai dgn

klasifikasi penyakit internasional (ICD-10) sedangkan ICD-10 merupakan sistem

klasifikasi tertinggi yg digunakan di Eropa & negara-negara lain dii dunia.

PEDOMAN PENGGOLONGAN DAN DIAGNOSIS GANGGUAN JIWA [PPDGJJ – I] :

Basis Keilmuan yang Menjadi Dasar bagi Munculnya Stigma dan

Diskriminasi Terhadap Komunitas LGBT

Berikut adalah dokumen Pedoman Penggolongan dan Diagnosis Gangguan Jiwa [PPDGJ] ke-1 yang dikeluarkan pada tahun 1973 yang di dalamnya masih memasukkan homoseksualitas sebagai salah satu penyakit dan gangguang kejiwaan.

PENGGOLONGAN DIAGNOSA GANGGUAN JIWA ke-I, 1973 I. PSIKOSA (290-299)

I.A. Psikosa berhubungan dengan sindroma otak organic 290. Dementia senilis dan Dementia presenilis. 290.0. Dementia senilis 290.1. Dementia presenilis 291. Psikosa alkoholik 291.0. delirium tremens 291.1. psikosa Korsakov 291.2. halusinosa alkoholik lain 291.3. paranoia alkoholik 291.4. psikosa alkoholik lain 292. Psikosa berhubungan dengan infeksi intracranial 292.0. dementia paralytica 292.1. syphilis lain dari susunan saraf pusat 292.2. encephalitis lain, infeksi intracranial lain 293. Psikosa berhubungan dengan kondisi serebral lain 293.0. arteriosclerosis cerebri 293.1. gangguan serebrovaskular lain 293.2. epilepsy 293.3. penyakit degenerasi SSP 293.4. rudapaksa otak 293.9. kondisi serebral lain 294. Psikosa berhubungan dengan kondisi fisik lain 294.0. gangguan endokrin 294.1. gangguan metabolisme dan gizi 294.2. infeksi tubuh 294.3. intoksikasi obat atau racun selain alcohol 294.4. kelahiran anak 294.8. Kondisi fisik lain 294.9. kondisi fisik yang tidak tergolongkan I.B. Psikosa fungsional (295-299) (Psikosa yang tak dihubungkan dengan kondisi fisik seperi tercantum sebelum ini). 295. Skizofrenia 295.0. skizofrenia simplex 295.1. skizofrenia hebefrenik 295.2. skizofrenia katatonik

295.3. skizofrenia paranoid 295.4. episode skizofrenia akut 295.5. skizofrenia latent 295.6. skizofrenia residual 295.7. skizofrenia schizo-afektif 295.8. skizofrenia lain 295.9. skizofrenia tak tergolongkan 296. Psikosa afektif 296.0. melankhois involusi 296.1.psikosa manic-depresifàjenis mania 296.2.psikosa manic-depresif à jenis depresi 296.3.psikosa manic-depresif àjenis sirkular 296.8.psikosa afektif lain 296.9.psikosa afektif tak tergolongkan 297. Keadaan paranoid 297.0.Paranoia 297.1.parafrenia involusi 297.2.keadaan paranoid lain 298. Psikosa lain 298.0.psikosa depresi reaktif 298.1.gaduh-gelisah reaktif 298.2.kebingungan reaktif 298.3.reaksi paranoid akut 298.9.psikosa reaktif tak tergolongkan 299. Psikosa tak tergolongkan II. NEUROSA, GANGGUAN KEPRIBADIAN DAN GANGGUAN JIWA NON –PSIKOSA LAIN 300. Neurosa 300.0.neurosa cemas 300.1.neurosa histerik 300.2.neurosa fobik 300.3.neurosa obsesif-kompulsif 300.4.neurosa depresif, neurasthenia 300.5.nerasthenia 300.6.sindroma depersonalisasi 300.7.neurosa hipokhondrik 300.8.neurosa lain 300.9.neurosa tak tergolongkan 301. Gangguan kepribadian 301.0.kepribadian paranoid 301.1.kepribadian afekif 301.2.kepribadian schizoid 301.3.kepribadian explosive 301.4.kepribadian nankastik 301.5.kepribadian histerik 301.6.kepribadian asthenik 301.7.kepribadian antisocial 301.8.kepribadian pasif-agresif

301.9.gangguan kepribadian tak tergolongkan 302. Deviasi seksual 302.0.Homoseksualitas 302.1.Fetihisme 302.2.Pedofilia 302.3.Transvestitisme 302.4.Exhibisionisme 302.5.Voyeurism 303.6.Sadism 303.7.Masokhisme 303.8.deviasi seksual lain 303.9.devisi seksual tak tergolongkan 303. Alkoholisme tidak termasuk psikosa alkoholik (291), intoxikasi alcohol akut atau kbetulan (E860, N980 dan berhubungan dengan kondisi fisik (309)). 303.0.Minum belebihan episodic 303.1.Kebiasaan minum berlebihan 303.2.Ketagihan alkohol 303.9.Alkoholisme lain 304. Ketergantungan obat 304.0.Opium, alkaloid opium dan derivatnya 304.1.Analgetika sintetik dengan efek seperti morfin 304.2.Barbiturate 304.3.Hipnotika dan sedative lain atau “obat penenang” 304.4.Kokaine 304.5.Cannabis sativa (hashish, marihuana, ganja) 304.6.obat perangsang lain 304.7.halusinogenika 304.8.ketergantungan obat lain 304.9.ketergantungan obat tak tergolongkan 305. Gangguan fisik dengan perkiraan sebab psikogenik 305.0.Kulit 305.1.Otot dan tulang 305.2.Alat pernapasan 305.3.Jantung dan pembuluh darah 305.4.Darah dan getah bening 305.5.Alat pencernaan 305.6.Alat kemih dan kelamin 305.7.Endokrin 305.8.Pancaindera 305.9.Gangguan fisik lain 306. Golongan khusus tak tergolongkan di tempat lain 306.0.Gangguan bicara (gagap, dan sebagainya) 306.1.Gangguan kemampuan belajar khusus 306.2.Tic 306.3.Gangguan psikomotorik lain 306.4.Gangguan tidur 306.5.Gangguan makan 306.6.Enuresis

306.7.Encopresis 306.8.Chepalalgia 306.9.Gejala khusus lain 307. Gangguan situasioal sementara 307.0.Reaksi penyesuaian masa bayi 307.1.Reaksi penyesuaian masa Anak 307.2.Reaksi penyesuaian masa Remaja 307.3.Reaksi penyesuaian masa Dewasa 307.4.Reaksi penyesuaian masa tua 308. Gangguan tingkah laku masa anak dan remaja 308.0.Reaksi hiperkinetik 308.1.Reaksi menarik diri 308.2.Reaksi cemas berlebihan 308.3.Reaksi melarikan diri 308.4.Reaksi agresif individual 308.5.Reaksi delinkwen kelompok 308.9.Gangguan tingkah laku lain 309. Sindroma otak organic yang on-psikotik 309.0.Infeksi intracranial 309.1.Obat, racun dan intoxikasi tubuh 309.2.Rudpaksa oak 309.3.Gangguan peredaran darah 309.4.Epilepsy 309.5.Gangguan metabolism, pertumbuhan atau gizi 309.6.Senilitas atau presenilitas 309.7.Sneoplasma intracranial 309.8.Penyakit degenerasi SSP 309.9.Kondisi fisik lain III. RETARDASI MENTAL (310-315) 310.Retardasi mental taraf perbatasan (IQ: 68-85) 311.Retardasi mental ringan (IQ: 52-67) 312.Retardasi mental sedang (IQ: 36-51) 313.Retardasi mental berat (IQ: 20-35) 314.Retardasi mental sangat berat (IQ: <20) 315.Retardasi mental tak tergolongkan Kode tambahan angka ke-4 dapat digunakan untuk kategori 310-315 315.0.Akibat infeksi dan/atau intoxikasi 315.1.Akibat rudapaksa dan/atau sebab fisik lain 315.2.Akibat gangguan metabolisme, pertumbuhan atau gizi (nutrition) 315.3.Akibat penyakit otak yang nyata (postnatal) 315.4.Akibat penyakit/pengaruh prenatal yang tak jelas 315.5.Akibat kelainan kromosoma 315.6.Akibat prematuris 315.7.Akibat gangguan jiwa berat 315.8.Akibat deprivasi psikososial (lingkungan) 315.9.Akibat keadaan lain dan tak tergolongkan IV. KEADAAN TANPA GANGGUAN PSIKIATRIK YANG NYATA DAN KONDISI (KEADAAN) NON-SPESIFIK (316-318)

316. Kegagalan penyesuaiansosial tanpa gangguan psikiatrik yang nyata 316.0.Kegagalan penyesuaiaan dalam perkawinan 316.1.Kegagalan penyesuaian sosial 316.2.Kegagalan penyesuaian dalam pekerjaan 316.3.Tingkah-laku dis-sosial (Dyssocial behavior) 316.9.Kegagalan penyesuaian sosial lain 317.Kondisi (keadaan) yang terikat pada kebudayaan setempat (culture bound phenomena) 317.0. – 317.1.Amok 317.2.Koro 317.3.Latah 317.4.Kesurupan 317.9.Kondisi atau keadaan lain 318. Tidak terdapat gangguan jiwa V. ISTILAH BUKAN-DIAGNOSAUNTK PENGGUNAAN ADMINISTRASI (319) 319.Istilah bukan-diagnosa untuk penggunaan administrasi 319.1.Diagnosa ditangguhkan 319.1.Pasien titipan 319.2.Hanya untuk penelitian 319.3.Keluarga pasien 319.9.Lain-lain.

Berikut adalah daftar bab yang memuat klasifikasi penyakit yang

dikeluarkan oleh WHO dan di dalamnya tidak lagi memuat

homoseksualitas sebagai penyakit jiwa. ==================================================================

International Statistical Classification of Diseases and Related Health

Problems

10th Revision

Version for 2007

Tabular List of inclusions and four-character subcategories

Chapter List

Chapter Blocks Title

I A00-B99 Certain infectious and parasitic diseases

II C00-D48 Neoplasms

III D50-D89 Diseases of the blood and blood-forming organs and certain disorders

involving the immune mechanism

IV E00-E90 Endocrine, nutritional and metabolic diseases

V F00-F99 Mental and behavioural disorders

VI G00-G99 Diseases of the nervous system

VII H00-H59 Diseases of the eye and adnexa

VIII H60-H95 Diseases of the ear and mastoid process

IX I00-I99 Diseases of the circulatory system

X J00-J99 Diseases of the respiratory system

XI K00-K93 Diseases of the digestive system

XII L00-L99 Diseases of the skin and subcutaneous tissue

XIII M00-M99 Diseases of the musculoskeletal system and connective tissue

XIV N00-N99 Diseases of the genitourinary system

XV O00-O99 Pregnancy, childbirth and the puerperium

XVI P00-P96 Certain conditions originating in the perinatal period

XVII Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities

XVIII R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not

elsewhere classified

XIX S00-T98 Injury, poisoning and certain other consequences of external causes

XX V01-Y98 External causes of morbidity and mortality

XXI Z00-Z99 Factors influencing health status and contact with health services

XXII U00-U99 Codes for special purposes

Chapter I:

Certain infectious and parasitic diseases

(A00-B99)

A00-A09 Intestinal infectious diseases

A15-A19 Tuberculosis

A20-A28 Certain zoonotic bacterial diseases

A30-A49 Other bacterial diseases

A50-A64 Infections with a predominantly sexual mode of transmission

A65-A69 Other spirochaetal diseases

A70-A74 Other diseases caused by chlamydiae

A75-A79 Rickettsioses

A80-A89 Viral infections of the central nervous system

A90-A99 Arthropod-borne viral fevers and viral haemorrhagic fevers

B00-B09 Viral infections characterized by skin and mucous membrane lesions

B15-B19 Viral hepatitis

B20-B24 Human immunodeficiency virus [HIV] disease

B25-B34 Other viral diseases

B35-B49 Mycoses

B50-B64 Protozoal diseases

B65-B83 Helminthiases

B85-B89 Pediculosis, acariasis and other infestations

B90-B94 Sequelae of infectious and parasitic diseases

B95-B97 Bacterial, viral and other infectious agents

B99 Other infectious diseases

Chapter II:

Neoplasms

(C00-D48)

C00-C97 Malignant neoplasms

C00-C75 Malignant neoplasms, stated or presumed to be primary, of specified sites,

except of lymphoid, haematopoietic and related tissue

C00-C14 Lip, oral cavity and pharynx

C15-C26 Digestive organs

C30-C39 Respiratory and intrathoracic organs

C40-C41 Bone and articular cartilage

C43-C44 Skin

C45-C49 Mesothelial and soft tissue

C50 Breast

C51-C58 Female genital organs

C60-C63 Male genital organs

C64-C68 Urinary tract

C69-C72 Eye, brain and other parts of central nervous system

C73-C75 Thyroid and other endocrine glands

C76-C80 Malignant neoplasms of ill-defined, secondary and unspecified sites

C81-C96 Malignant neoplasms, stated or presumed to be primary, of lymphoid,

haematopoietic and related tissue

C97 Malignant neoplasms of independent (primary) multiple sites

D00-D09 In situ neoplasms

D10-D36 Benign neoplasms

D37-D48 Neoplasms of uncertain or unknown behaviour [see note before D37]

Chapter III:

Diseases of the blood and blood-forming organs and certain disorders

involving the immune mechanism

(D50-D89)

D50-D53 Nutritional anaemias

D55-D59 Haemolytic anaemias

D60-D64 Aplastic and other anaemias

D65-D69 Coagulation defects, purpura and other haemorrhagic conditions

D70-D77 Other diseases of blood and blood-forming organs

D80-D89 Certain disorders involving the immune mechanism

Chapter IV:

Endocrine, nutritional and metabolic diseases

(E00-E90)

E00-E07 Disorders of thyroid gland

E10-E14 Diabetes mellitus

E15-E16 Other disorders of glucose regulation and pancreatic internal secretion

E20-E35 Disorders of other endocrine glands

E40-E46 Malnutrition

E50-E64 Other nutritional deficiencies

E65-E68 Obesity and other hyperalimentation

E70-E90 Metabolic disorders

Chapter V:

Mental and behavioural disorders

(F00-F99)

F00-F09 Organic, including symptomatic, mental disorders

F10-F19 Mental and behavioural disorders due to psychoactive substance use

F20-F29 Schizophrenia, schizotypal and delusional disorders

F30-F39 Mood [affective] disorders

F40-F48 Neurotic, stress-related and somatoform disorders

F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors

F60-F69 Disorders of adult personality and behaviour

F70-F79 Mental retardation

F80-F89 Disorders of psychological development

F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and

adolescence

F99 Unspecified mental disorder

Chapter VI:

Diseases of the nervous system

(G00-G99)

G00-G09 Inflammatory diseases of the central nervous system

G10-G13 Systemic atrophies primarily affecting the central nervous system

G20-G26 Extrapyramidal and movement disorders

G30-G32 Other degenerative diseases of the nervous system

G35-G37 Demyelinating diseases of the central nervous system

G40-G47 Episodic and paroxysmal disorders

G50-G59 Nerve, nerve root and plexus disorders

G60-G64 Polyneuropathies and other disorders of the peripheral nervous system

G70-G73 Diseases of myoneural junction and muscle

G80-G83 Cerebral palsy and other paralytic syndromes

G90-G99 Other disorders of the nervous system

Chapter VII:

Diseases of the eye and adnexa

(H00-H59)

H00-H06 Disorders of eyelid, lacrimal system and orbit

H10-H13 Disorders of conjunctiva

H15-H22 Disorders of sclera, cornea, iris and ciliary body

H25-H28 Disorders of lens

H30-H36 Disorders of choroid and retina

H40-H42 Glaucoma

H43-H45 Disorders of vitreous body and globe

H46-H48 Disorders of optic nerve and visual pathways

H49-H52 Disorders of ocular muscles, binocular movement, accommodation and refraction

H53-H54 Visual disturbances and blindness

H55-H59 Other disorders of eye and adnexa

Chapter VIII:

Diseases of the ear and mastoid process

(H60-H95)

H60-H62 Diseases of external ear

H65-H75 Diseases of middle ear and mastoid

H80-H83 Diseases of inner ear

H90-H95 Other disorders of ear

Chapter IX:

Diseases of the circulatory system

(I00-I99)

I00-I02 Acute rheumatic fever

I05-I09 Chronic rheumatic heart diseases

I10-I15 Hypertensive diseases

I20-I25 Ischaemic heart diseases

I26-I28 Pulmonary heart disease and diseases of pulmonary circulation

I30-I52 Other forms of heart disease

I60-I69 Cerebrovascular diseases

I70-I79 Diseases of arteries, arterioles and capillaries

I80-I89 Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified

I95-I99 Other and unspecified disorders of the circulatory system

Chapter X:

Diseases of the respiratory system

(J00-J99)

J00-J06 Acute upper respiratory infections

J09-J18 Influenza and pneumonia

J20-J22 Other acute lower respiratory infections

J30-J39 Other diseases of upper respiratory tract

J40-J47 Chronic lower respiratory diseases

J60-J70 Lung diseases due to external agents

J80-J84 Other respiratory diseases principally affecting the interstitium

J85-J86 Suppurative and necrotic conditions of lower respiratory tract

J90-J94 Other diseases of pleura

J95-J99 Other diseases of the respiratory system

Chapter XI:

Diseases of the digestive system

(K00-K93)

K00-K14 Diseases of oral cavity, salivary glands and jaws

K20-K31 Diseases of oesophagus, stomach and duodenum

K35-K38 Diseases of appendix

K40-K46 Hernia

K50-K52 Noninfective enteritis and colitis

K55-K63 Other diseases of intestines

K65-K67 Diseases of peritoneum

K70-K77 Diseases of liver

K80-K87 Disorders of gallbladder, biliary tract and pancreas

K90-K93 Other diseases of the digestive system

Chapter XII:

Diseases of the skin and subcutaneous tissue

(L00-L99)

L00-L08 Infections of the skin and subcutaneous tissue

L10-L14 Bullous disorders

L20-L30 Dermatitis and eczema

L40-L45 Papulosquamous disorders

L50-L54 Urticaria and erythema

L55-L59 Radiation-related disorders of the skin and subcutaneous tissue

L60-L75 Disorders of skin appendages

L80-L99 Other disorders of the skin and subcutaneous tissue

Chapter XIII:

Diseases of the musculoskeletal system and connective tissue

(M00-M99)

M00-

M25

Arthropathies

M00-

M03

Infectious arthropathies

M05-

M14

Inflammatory polyarthropathies

M15-

M19

Arthrosis

M20-

M25

Other joint disorders

M30-

M36

Systemic connective tissue disorders

M40-

M54

Dorsopathies

M40-

M43

Deforming dorsopathies

M45-

M49

Spondylopathies

M50-

M54

Other dorsopathies

M60-

M79

Soft tissue disorders

M60-

M63

Disorders of muscles

M65-

M68

Disorders of synovium and tendon

M70-

M79

Other soft tissue disorders

M80-

M94

Osteopathies and chondropathies

M80-

M85

Disorders of bone density and structure

M86-

M90

Other osteopathies

M91-

M94

Chondropathies

M95-

M99

Other disorders of the musculoskeletal system and connective tissue

Chapter XIV:

Diseases of the genitourinary system

(N00-N99)

N00-N08 Glomerular diseases

N10-N16 Renal tubulo-interstitial diseases

N17-N19 Renal failure

N20-N23 Urolithiasis

N25-N29 Other disorders of kidney and ureter

N30-N39 Other diseases of urinary system

N40-N51 Diseases of male genital organs

N60-N64 Disorders of breast

N70-N77 Inflammatory diseases of female pelvic organs

N80-N98 Noninflammatory disorders of female genital tract

N99 Other disorders of genitourinary tract

Chapter XV:

Pregnancy, childbirth and the puerperium

(O00-O99)

O00-O08 Pregnancy with abortive outcome

O10-O16 Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the

puerperium

O20-O29 Other maternal disorders predominantly related to pregnancy

O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems

O60-O75 Complications of labour and delivery

O80-O84 Delivery

O85-O92 Complications predominantly related to the puerperium

O94-O99 Other obstetric conditions, not elsewhere classified

Chapter XVI:

Certain conditions originating in the perinatal period

(P00-P96)

P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy,

labour and delivery

P05-P08 Disorders related to length of gestation and fetal growth

P10-P15 Birth trauma

P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period

P35-P39 Infections specific to the perinatal period

P50-P61 Haemorrhagic and haematological disorders of fetus and newborn

P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn

P75-P78 Digestive system disorders of fetus and newborn

P80-P83 Conditions involving the integument and temperature regulation of fetus and newborn

P90-P96 Other disorders originating in the perinatal period

Chapter XVII:

Congenital malformations, deformations and chromosomal abnormalities

(Q00-Q99)

Q00-Q07 Congenital malformations of the nervous system

Q10-Q18 Congenital malformations of eye, ear, face and neck

Q20-Q28 Congenital malformations of the circulatory system

Q30-Q34 Congenital malformations of the respiratory system

Q35-Q37 Cleft lip and cleft palate

Q38-Q45 Other congenital malformations of the digestive system

Q50-Q56 Congenital malformations of genital organs

Q60-Q64 Congenital malformations of the urinary system

Q65-Q79 Congenital malformations and deformations of the musculoskeletal system

Q80-Q89 Other congenital malformations

Q90-Q99 Chromosomal abnormalities, not elsewhere classified

Chapter XVIII:

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

classified

(R00-R99)

R00-R09 Symptoms and signs involving the circulatory and respiratory systems

R10-R19 Symptoms and signs involving the digestive system and abdomen

R20-R23 Symptoms and signs involving the skin and subcutaneous tissue

R25-R29 Symptoms and signs involving the nervous and musculoskeletal systems

R30-R39 Symptoms and signs involving the urinary system

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

R47-R49 Symptoms and signs involving speech and voice

R50-R69 General symptoms and signs

R70-R79 Abnormal findings on examination of blood, without diagnosis

R80-R82 Abnormal findings on examination of urine, without diagnosis

R83-R89 Abnormal findings on examination of other body fluids, substances and tissues, without

diagnosis

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

R95-R99 Ill-defined and unknown causes of mortality

Chapter XIX:

Injury, poisoning and certain other consequences of external causes

(S00-T98)

S00-S09 Injuries to the head

S10-S19 Injuries to the neck

S20-S29 Injuries to the thorax

S30-S39 Injuries to the abdomen, lower back, lumbar spine and pelvis

S40-S49 Injuries to the shoulder and upper arm

S50-S59 Injuries to the elbow and forearm

S60-S69 Injuries to the wrist and hand

S70-S79 Injuries to the hip and thigh

S80-S89 Injuries to the knee and lower leg

S90-S99 Injuries to the ankle and foot

T00-T07 Injuries involving multiple body regions

T08-T14 Injuries to unspecified part of trunk, limb or body region

T15-T19 Effects of foreign body entering through natural orifice

T20-T32 Burns and corrosions

T20-T25 Burns and corrosions of external body surface, specified by site

T26-T28 Burns and corrosions confined to eye and internal organs

T29-T32 Burns and corrosions of multiple and unspecified body regions

T33-T35 Frostbite

T36-T50 Poisoning by drugs, medicaments and biological substances

T51-T65 Toxic effects of substances chiefly nonmedicinal as to source

T66-T78 Other and unspecified effects of external causes

T79 Certain early complications of trauma

T80-T88 Complications of surgical and medical care, not elsewhere classified

T90-T98 Sequelae of injuries, of poisoning and of other consequences of external causes

Chapter XX:

External causes of morbidity and mortality

(V01-Y98)

V01-X59 Accidents

V01-V99 Transport accidents

V01-V09 Pedestrian injured in transport accident

V10-V19 Pedal cyclist injured in transport accident

V20-V29 Motorcycle rider injured in transport accident

V30-V39 Occupant of three-wheeled motor vehicle injured in transport

accident

V40-V49 Car occupant injured in transport accident

V50-V59 Occupant of pick-up truck or van injured in transport accident

V60-V69 Occupant of heavy transport vehicle injured in transport accident

V70-V79 Bus occupant injured in transport accident

V80-V89 Other land transport accidents

V90-V94 Water transport accidents

V95-V97 Air and space transport accidents

V98-V99 Other and unspecified transport accidents

W00-X59 Other external causes of accidental injury

W00-

W19

Falls

W20-

W49

Exposure to inanimate mechanical forces

W50-

W64

Exposure to animate mechanical forces

W65-

W74

Accidental drowning and submersion

W75-

W84

Other accidental threats to breathing

W85- Exposure to electric current, radiation and extreme ambient air

W99 temperature and pressure

X00-X09 Exposure to smoke, fire and flames

X10-X19 Contact with heat and hot substances

X20-X29 Contact with venomous animals and plants

X30-X39 Exposure to forces of nature

X40-X49 Accidental poisoning by and exposure to noxious substances

X50-X57 Overexertion, travel and privation

X58-X59 Accidental exposure to other and unspecified factors

X60-X84 Intentional self-harm

X85-Y09 Assault

Y10-Y34 Event of undetermined intent

Y35-Y36 Legal intervention and operations of war

Y40-Y84 Complications of medical and surgical care

Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in

therapeutic use

Y60-Y69 Misadventures to patients during surgical and medical care

Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic

use

Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the

patient, or of later complication, without mention of misadventure at the time

of the procedure

Y85-Y89 Sequelae of external causes of morbidity and mortality

Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere

Chapter XXI:

Factors influencing health status and contact with health services

(Z00-Z99)

Z00-Z13 Persons encountering health services for examination and investigation

Z20-Z29 Persons with potential health hazards related to communicable diseases

Z30-Z39 Persons encountering health services in circumstances related to reproduction

Z40-Z54 Persons encountering health services for specific procedures and health care

Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial

circumstances

Z70-Z76 Persons encountering health services in other circumstances

Z80-Z99 Persons with potential health hazards related to family and personal history and certain

conditions influencing health status

Chapter XXII:

Codes for special purposes

(U00-U99)

U00-U49 Provisional assignment of new diseases of uncertain etiology

U80-U89 Bacterial agents resistant to antibiotics