Question number 26. International classification diseases and health problems (mkb-10): structure, principles of construction, application in medical institutions.

International Statistical Classification of Diseases and Related Health Problems - Leading Document statistical and classification basis in health care... Revised periodically (every ten years) under the guidance of WHO... ICD is regulatory document ensuring the unity of methodological approaches and international comparability materials.

Currently, the International Classification of Diseases of the Tenth Revision (ICD-10, ICD-10) is in force. In Russia, health authorities and institutions made the transition of statistical accounting to ICD-10 in 1999

Goals, objectives and scope of the ICD.

The aim of the ICD is to create conditions for the systematic registration, analysis, interpretation and comparison of morbidity and mortality data obtained in different countries or regions and at different times. The ICD is used to convert the verbal wording of diagnoses of diseases and other health problems into alphanumeric codes for easy storage, retrieval and analysis of data.

The ICD has become the international standard diagnostic classification for all general epidemiological purposes and for many health management purposes. They include an analysis of the general health situation of population groups, as well as calculation of the incidence and prevalence of diseases and other health problems in relation to various factors.

The International Conference on the Tenth Revision of the International Classification of Diseases was held by the World Health Organization in Geneva on September 25 - October 2, 1989. The main innovation in the Tenth Revision is the use of an alphanumeric coding system, which assumes the presence of one letter in a four-digit heading, followed by three digits, which made it possible to more than double the size of the coding structure. The introduction of letters or groups of letters into headings allows up to 100 three-digit categories to be encoded in each class.

An important innovation was the inclusion at the end of some classes of a list of headings for disorders arising after medical procedures. These rubrics pointed to serious conditions arising after various interventions, such as endocrine and metabolic disorders after removal of an organ, or other pathological conditions such as post-gastric dumping syndrome.

Structure, principles of construction

Unlike the international nomenclature of diseases, the statistical classification (ICD-10) is based on the hierarchical principle of grouping diseases with the assignment of each nosology (or violation) of a statistical code with a letter of the English alphabet as the first character and numbers in the second, third and fourth characters of the code.

The first three characters of the code constitute a category that basically identifies a disease of particular public health importance or high prevalence. Headings constitute the "heart" of the classification and at their level data are presented to WHO on the causes of death and the prevalence of a number of diseases for major international comparisons. The fourth digit of the statistical code follows the decimal point, detailing the content of the rubric. The four-digit code is defined as a sub-heading. Four-digit subheadings constitute an integral part of the ICD, and at their level, the causes of death and morbidity are encoded for submission to state statistics bodies, for conducting interregional comparisons and in-depth statistical developments in specific areas of medicine.

ICD-10 consists of three volumes.

Volume 1 of the classification includes a complete list of headings and subheadings, code numbers of which range from A00.0 to Z99.9. The diseases included in it are subdivided into 21 classes, each of which, in turn, is subdivided into "blocks" of homogeneous three-digit headings related to each other by common characteristics. The highlighted blocks of rubrics give an idea of ​​the priorities of certain groups of diseases in assessing the health of the population and health care activities. The hierarchical principle of constructing a classification (class, blocks, headings, subheadings) makes it possible to carry out statistical development at various levels of detail of the collected data:

Class II - Neoplasms

Class III - Diseases of the blood, blood-forming organs and certain disorders involving the immune mechanism

Class IV - Diseases endocrine system, eating disorders and metabolic disorders

Class V - Mental and Conduct Disorders

Class VI - Diseases nervous system

Class VII - Diseases of the eye and its adnexa

Class VIII - Diseases of the ear and mastoid

Class IX - Diseases of the circulatory system

Class X - Diseases of the Respiratory System

Class XI - Diseases of the digestive system

Class XII - Diseases of the skin and subcutaneous tissue

Class XIII - Diseases musculoskeletal system and connective tissue

Class XIV - Diseases of the genitourinary system

Class XV - Pregnancy, childbirth and the puerperium

Class XVI - Certain Conditions Arising in the Perinatal Period

Class XVII - Congenital anomalies [blood defects], deformities and chromosomal abnormalities

Class XVIII - Symptoms, signs and abnormalities detected in clinical and laboratory tests, not elsewhere classified

Class XIX - Injury, poisoning and certain other consequences of exposure to external causes

Class XX - External causes of morbidity and mortality

Class XXI - Factors affecting the state of health of the population and referrals to health care institutions

Volume 2 of the classification provides guidance on the use of ICD-10.

Volume 3 includes the Alphabetical Index to the full list of headings (Volume 1) and is an essential addition to it, since it contains a large number of diagnoses and less specified conditions presented in Volume 1. Thus, the Alphabetical Index includes almost all diagnostic terms currently used in medical practice.

As mentioned above, the core of the classification is 1 volume, which included 21 classes in the tenth revision. The first seventeen of them (A00-Q99) refer to diseases and other pathological conditions. Class 18 (R00-R99) covers symptoms, signs and abnormalities identified in clinical and laboratory studies, as well as ill-defined conditions for which a diagnosis has not been formulated that could be attributed to any of the first seventeen classes. This class also includes a block of headings (R95-R99) intended for coding inaccurately designated and unknown causes of death.

Class 19 (S00-T98) includes headings identifying various types of injuries, poisoning and other consequences of external causes, including headings designed to identify a number of complications of surgical and therapeutic interventions.

Grades 20 and 21, which were previously considered an addition to the main classification, have now received an equivalent status with the introduction of the tenth revision.

Class 20 "External causes of morbidity and mortality" (V01-Y98) is mainly used to classify incidents (conditions and places of their occurrence, circumstances) that caused injuries, poisoning and other adverse effects, classified in the nineteenth class, and in deaths from these conditions in statistical development, preference should be given to headings of the twentieth class.

The 21st class (Z00-Z99) makes it possible to take into account and classify factors that affect health and induce a person who is not necessarily sick to contact a health care institution (for example, for preventive vaccination or examination, receive advice on an existing problem affecting health, etc.).

Question number 27.

Morbidity of the population: definition, objectives and methods of study. Primary incidence and prevalence of diseases:

definition, methodology for calculating indicators, their levels in Russia.

Definition, tasks of study, methods of morbidity

Morbidity- one of the indicators of public health. Key indicators of population health:

Medicodemographic.

Morbidity.

Disability.

Physical development.

Morbidity is one of the most important criteria characterizing the health of the population. Under morbidity refers to data on the prevalence, structure and dynamics of various diseases registered in the population as a whole or in its individual groups. Types of morbidity:

The morbidity according to the data of the primary appealability, which includes the general morbidity, infectious morbidity, hospital morbidity with temporary disability, the most important non-epidemic diseases (tuberculosis, syphilis).

Morbidity according to medical examinations and dispensary observation.

Morbidity according to the causes of death (data are taken from the registry office documents - death certificates).

If you need to study the incidence of temporary disability, you need to take a certificate of incapacity for work which is kept in the accounting department).

To study the overall incidence, a medical record and a stat is taken. ticket.

To study the incidence of tuberculosis, syphilis, gonorrhea, a document is taken on the most important non-epidemic disease.

Each type of morbidity has a registration and reporting form. Infectious hospital the most important non-epidemic morbidity morbidity with temporary disability are components of the overall morbidity. The study of only one of the listed species is only part of the information on the overall incidence. The requirements for the separate study of these types of morbidity are explained by certain reasons:

infectious morbidity - requires rapid implementation of anti-epidemic measures;

hospital morbidity - information about it is used to plan the bed capacity;

morbidity with temporary disability - determines the economic costs;

the most important non-epidemic morbidity - provides information on the prevalence of socially caused diseases.

Tasks

When studying morbidity and obtaining information about the health of the population, it is possible to determine:

risk factors

justify wellness measures

evaluate the effectiveness of the implemented measures

for the operational management of the activities of health care institutions

for current and long-term personnel planning

to improve the structure of the health service in general and individual institutions

Methods for studying morbidity:

The study of morbidity is carried out according to the generally accepted scheme of statistical studies and a strict sequence of stages. Stages:

1.collection of information

2.grouping and summary of materials and their encryption

3.counting processing

4. analysis of materials and their design (conclusions of the recommendation).

When studying morbidity in connection with the state of the environment, a directed study of environmental factors and an in-depth analysis of morbidity are necessary.

Sources of information on morbidity:

1.Medical information about the request for medical care

2. data honey. inspections

3.materials on data on causes of death

Applicability for honey. help - this is the absolute number of patients for the first time in a calendar year who applied to medical institutions for a disease. All initial and repeated calls are characterized by attendance.

To assess the incidence of the population, coefficients are used that are calculated as the ratio of the number of diseases to the number of population groups and recalculated to the standard (per 100 1000 10000 people). These coefficients allow us to estimate the likelihood of the risk of occurrence of any disease in the population. To obtain a rough idea of ​​the incidence of the population, it is envisaged to calculate the general coefficients (extensive intensive). To identify causal relationships, special coefficients are needed, that is, taking into account the gender, age of the profession, etc.

Primary morbidity and prevalence of diseases: definition, methodology for calculating indicators, their levels in Russia.

Incidence rates. Distinguish:

Primary or actual morbidity;

Prevalence or soreness;

The frequency of diseases detected during medical examinations or pathological affection.

Definitions of primary incidence and prevalence:

Primary morbidity- this is the number of diagnosed diseases for the first time in life within 1 year. All acute diseases are taken into account and for the first time in life established chronic diseases on the first visit to a medical institution (relapses of chronic pathology occurring during the year are not taken into account).

Soreness or prevalence of disease is the aggregate of all acute and all chronic diseases registered in a given calendar year. Soreness is always higher than the level of actual morbidity. The indicator of morbidity, in contrast to morbidity, indicates dynamic processes occurring in the health of the population and is more preferable for identifying causal relationships. The morbidity indicator gives an idea of ​​both new cases of the disease and previously diagnosed cases, but with an exacerbation of which the population applied in a given calendar year.

Pathological affection- a set of all diseases and pathological conditions identified during complex medical examinations. This indicator gives an idea of ​​the contingent of patients registered on a specific date. Mainly stands out chronic pathology and in most cases of this disease with which the population did not apply to medical and preventive institutions.

Methods for studying morbidity.Methods for calculating indicators, their levels in Russia.

Solid;

Selective

Solid is acceptable for operational purposes. Selective - used to identify the relationship between incidence and environmental factors. The sampling method was used during the census years. An example of this is the study of morbidity in separate territories. The choice of a method for studying the incidence of the population in a particular territory or its individual groups is determined by the purpose and objectives of the study. Indicative information about the levels, structure and dynamics of morbidity can be obtained from the reports of health care facilities and reports from the central office, using the continuous method.

Identification of patterns, morbidity, relationships is possible only with the selective method by copying passport and medical data from the primary accounting documents to the statistical card.

When assessing the level, structure and dynamics of the incidence of the population and its individual groups, it is recommended to compare with the indicators for the Russian Federation, city, district, region. The unit of observation in the study of the general morbidity is the initial treatment of the patient in the current calendar year about the disease. The main accounting documents for the study of general morbidity are: a medical card and a statistic coupon of an updated diagnosis. The total incidence is calculated per 1000, 10000 population. In the structure of the overall morbidity in Russia, the first place is taken by diseases of the respiratory system, in second place are diseases of the nervous system and sensory organs, in third place - of the circulatory system. Among children (0-14) years in the structure of the general morbidity, infectious diseases occupy the second place, the share of which is 9.7%.

The incidence of infectious diseases is studied by recording each case of an infectious disease or suspicion of an infectious disease, for which an accounting document is issued - an emergency notification of an infectious disease. An urgent notification is sent within 12 hours to the State Sanitary and Epidemiological Surveillance Center and is registered in the journal of infectious diseases. Based on the entries in this journal, a report is drawn up on the movement of infectious diseases for each month, quarter, half year, year. The unit of observation in the study of infectious morbidity is the case of infectious morbidity. It is calculated for 10,000, 100,000 people. The study of infectious diseases includes identification of the source of infection, analysis of seasonality, analysis of the effectiveness of anti-epidemic measures. In the Russian Federation, the highest morbidity is in the ARVI group, which in the structure of the general infectious morbidity is 87%. The incidence of influenza per 100,000 population is 3721, acute infection of the upper respiratory tract 20. In recent years, the vaccination recommended by WHO for mass prevention has been used. High level OKI. In recent years, more than 1 million 100 thousand have had dysentery, typhoid fever, salmonellosis. About 60% are children under 14 years old. Unfavorable areas for dysentery: Korelia, Komi, Arkhangelsk, Kostroma, Penza regions. Calculation of the incidence of hepatitis, including hepatitis B and C. There is a normalization of the situation with cholera, including imported. The incidence of measles increased by 4 times, whooping cough by 63%. Diphtheria is epidemic in a number of regions. In general, the incidence of diphtheria has increased by 4 times. The highest incidence rate is in St. Petersburg (more than 5 times more than in Russia).

The most important non-epidemic diseases: tuberculosis, sexually transmitted diseases, mental illness, mycoses, malignant neoplasms, cardiovascular diseases. Accounting document - notification of the most important non-epidemic diseases. The unit of observation is a sick person in these diseases. The incidence rate is recorded in dispensaries. The incidence of tuberculosis in Russia increased by 25%, among children by 18%. The highest incidence rate is observed in Komi, Dagestan, Volgograd region, Moscow. This situation is associated with a large emigration of the population, with a decrease in the quality of nutrition, with a decrease in the number of patients with open form of tuberculosis. The incidence of syphilis in Russia increased 2.6 times, and gonorrhea by 37.4%. The incidence of sexually transmitted diseases in children and adolescents has increased. This is due to negative social phenomena in society, lack of work on the moral education of children and adolescents.

Morbidity with temporary disability. Each case of temporary incapacity for work is a unit of observation. Accounting document - a certificate of incapacity for work (has not only medical and statistical, but also legal financial significance). Recalculation for 100 employees.

Basic indicators:

1. The structure of the incidence in the case.

2. The structure of morbidity in calendar days.

3. The number of cases per 100 workers.

4. The number of calendar days per 100 employees.

5. Average duration of one case of the disease.

Average level in Russia:

80-120 cases per 100 employees

800-1200 calendar days per 100 employees.

Decrease in morbidity at the present time. Reporting document - form 16 VN. Recently, for an in-depth methodology, the method of in-depth analysis has been used (not all, but those who have worked in the institution for at least 1 year). They study all 5 indicators, but taking into account the length of service, gender, professional experience, and determine the risk groups.

With an in-depth study of risk groups:

1. Frequently ill: 4 times or more with etiologically related diseases and 6 times or more with etiologically unrelated diseases.

2. Long-term ill: in a calendar year 40 days or more etiologically related and 60 days or more etiologically unrelated diseases.

3. People who are often ill for a long time: 4 times or more in a calendar year and 40 days or more with etiologically related diseases, 6 times or more and 60 days or more with etiologically unrelated diseases.

With an in-depth study, the health index is calculated - this is the percentage of people who have never been ill this year (normally 50-60%).

International Classification of Diseases - common system coding for medical diagnoses developed by WHO. The classification includes 21 sections, each of which presents disease codes and. At the moment, the ICD 10 system is used in the health care system, and performs the function of a regulatory document.

Most of the document is devoted to the description of disease diagnoses. Through the use of a general classification in the medical field different countries a general statistical calculation is carried out, the mortality rate and the incidence rate of certain diseases are noted.

Diseases according to ICD 10:

Thus, ICD 10 diagnosis codes are an element of the general classification used in the medical field.

Other diseases in the ICD

The international classification describes a number of diseases associated with disorders of the excretory system, lesions of the skin, bone and muscle tissues. The presented groups of pathologies have their own coding in the ICD.

Low bottom pressure: what to do and how to treat the disease

These include the following:

The international classification of diagnoses contains code designations for all types of pathological phenomena and processes that can occur in the human body.

Pathology of pregnancy and childbirth in the ICD

The ICD 10 classification, in addition to diseases of certain groups of organs and systems, includes conditions associated with pregnancy and childbirth. A pathological or non-pathological process during the period of bearing a child is a medical diagnosis, which is appropriately noted in the classification.

Codes in ICD:

• Pathology during pregnancy. In the classification, they are designated by code values ​​O00-O99. The group includes pathologies that provoke miscarriage, diseases of the mother during pregnancy, and birth complications.
• Perinatal pathologies. Includes disorders associated with impaired gestation. The group includes the consequences of injuries during childbirth, damage to the respiratory organs, heart, endocrine system associated with childbirth, and digestive disorders of the newborn. In the ICD, they are designated by the values ​​P00-P96.
• Congenital defects. They are included in the classification under the code Q00-Q99. The group describes genetic abnormalities and diseases of organ systems, deformities of the limbs, chromosomal abnormalities.

The International Classification of Diseases (ICD) is the standard diagnostic method for epidemiology, healthcare organization and disease diagnosis. The ICD makes it possible to analyze the state of health of the population, organize monitoring of the incidence and spread of diseases, develop classifications of diseases and health disorders recorded in medical and civil documentary sources (medical records, death certificates).

The ability to store and retrieve diagnostic information within the ICD for medical and epidemiological purposes, as well as to ensure the quality of medical services, serves as the basis for compiling mortality and morbidity statistics for the WHO Member States. Keeping statistics is critical to making decisions about the financing and allocation of resources in the health system.

The ICD 10th revision was approved at the 43rd session of the World Health Assembly in May 1990 and has been used in WHO Member States since 1994. The 11th revision procedure will be completed in 2015.

MKB-10 On-line resource

Downloading materials

The International Classification of Diseases and related materials are available for download in various formats (including ClaML) in a special section of our website. To access the files, you must register and accept the terms of the license agreement.

Organization of training on ICD

Electronic tutorial according to ICD-10 can be used both for independent study and for work in a study group. The modular structure of the manual allows, if necessary, to build the educational process depending on the needs of the students.

The tutorial is available in two versions.

ICD 10. CLASS XXI. FACTORS INFLUENCING THE HEALTH OF THE POPULATION
AND APPEALS TO HEALTHCARE INSTITUTIONS (Z00-Z99)

Note This class should not be used to conduct
comparisons internationally or for primary
coding of causes of death.

Categories Z00-Z99 are intended for those cases when as
"Diagnosis" or "problem" does not indicate illness, injury, or external
reason related to sections A00-Y89, but other circumstances.
This situation can arise mainly in two cases.
a) When an individual who is not necessarily sick at a given time,
applies to a health care institution with any special
purpose, for example, to receive minor assistance
or for maintenance due to the current state: as
an organ or tissue donor for prophylactic vaccination or
discussing a problem that is not itself caused by an illness
or injury.
b) When there are any circumstances or problems affecting health, but at the moment are not in themselves a disease or injury Such factors can be detected during surveys of the state of health of the population, during which the individual may be sick or healthy; they also
may be recorded as additional circumstances that should be borne in mind when seeking help for any illness or injury.

This class contains the following blocks:
Z00-Z13 Contacting healthcare institutions for medical examination and examination
Z20-Z29 Potential health hazards associated with infectious diseases
Z30-Z39 with circumstances related to reproductive function
Z40-Z54 Appeals to health care institutions in connection with the need for specific procedures and medical care
Z55-Z65 Potential health hazards associated with socioeconomic and psychosocial circumstances
Z70-Z76 Contacting healthcare institutions due to other circumstances
Z80-Z99 Potential health hazard associated with a personal or family history and certain health circumstances

APPEALS TO HEALTHCARE INSTITUTIONS
FOR MEDICAL EXAMINATIONS AND EXAMINATIONS (Z00-Z13)

Note Non-specific abnormalities found in
the course of these surveys should be coded as headings R70-R94.
Excluded: examinations in connection with pregnancy and reproductive function ( Z30-Z36, Z39. -)

Z00 General examination and examination of persons with no complaints or established diagnosis

Excluded: medical examination for administrative purposes ( Z02. -)
Z11-Z13)

Z00.0 General medical examination
Health check NOS
Periodic check-up (annual) (physical)
Excluded: general health check:
certain groups of the population ( Z10. -)
breastfeeding and early age (Z00.1)
Z00.1 Routine examination of the child's health
Tests to evaluate the development of an infant or young child
Excludes: health observations of foundlings or others
Z76.1-Z76.2)
Z00.2 Childhood Growth Examination
Z00.3 A survey to assess the developmental state of an adolescent. The state of puberty
Z00.4 General psychiatric examination, not elsewhere classified
Excludes: examination for forensic purposes ( Z04.6)
Z00.5 Examination of a potential organ and tissue donor
Z00.6 Assessment for comparison with the norm or control in clinical research programs
Z00.8 Other general examinations. Medical examination during mass screenings of the population

Z01 Other special examinations and examinations of persons without complaints or established diagnosis

Includes: routine examination of specific systems
Excluded: examination:
for administrative purposes ( Z02. -)
in case of suspicion of diseases (conditions) (unconfirmed) ( Z03. -)
special screening examinations ( Z11-Z13)

Z01.0 Examination of the eyes and vision
Excludes: examination in connection with obtaining a driver's license ( Z02.4)
Z01.1 Ear and hearing examination
Z01.2 Dental examination
Z01.3 Determination of blood pressure
Z01.4 Gynecological examination (general) (routine)
Pap smear examination
Pelvic examination (annual) (periodic)
Excluded: tests or examinations to establish pregnancy ( Z32. -)
routine screening for contraception ( Z30.4-Z30.5)
Z01.5 Diagnostic skin and sensitization tests
Allergic tests
Skin tests to determine:
bacterial disease
hypersensitivity
Z01.6 Radiological examination, not elsewhere classified
Routine:
radiography chest
mammography
Z01.7 Laboratory examination
Z01.8 Other specified special examination
Z01.9 Special examination, unspecified

Z02 Examination and treatment for administrative purposes

Z02.0 Survey in connection with admission to educational institutions
Examination in connection with admission to a preschool institution (educational)
Z02.1 Pre-employment examination
Excluded: professional examinations ( Z10.0)
Z02.2 Examination in connection with admission to a long-term institution
Excluded: pre-imprisonment examination ( Z02.8)
routine general health examination of persons living in special institutions ( Z10.1)
Z02.3 Survey of military conscripts
Excluded: general health examination of personnel of the armed forces ( Z10.2)
Z02.4 Inspection in connection with obtaining a driver's license
Z02.5 Sports examination
Excluded: tests for the content of alcohol or drugs in the blood ( Z04.0)
general examination of members of sports teams ( Z10.3)
Z02.6 Insurance survey
Z02.7 Application in connection with obtaining medical documents
Obtaining medical certificates about:
cause of death
professional suitability
incapacity for work
disabilities
Excluded: appeals for a general medical examination ( Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9,Z10. -)
Z02.8 Other surveys for administrative purposes
Inspection at:
imprisonment
a trip to summer camp
adoption
immigration
naturalization
marriage
Excludes: monitoring the health of foundlings or others
healthy infants or young children ( Z76.1-Z76.2)
Z02.9 Administrative examination, unspecified

Z03 Medical follow-up and evaluation for suspected disease or condition

Included: Cases with some symptom warranting or obvious signs of abnormalities that follow-up and follow-up shows do not require further treatment or medical attention
Excluded: cases of complaints caused by fear of illness in a person with an unknown diagnosis ( Z71.1)

Z03.0 Monitoring for suspected tuberculosis
Z03.1 Monitoring for suspected malignant tumor
Z03.2 Follow-up for suspected mental illness and behavioral disorder
Observation at:
dissocial behavior)
committed arson) without manifestations of psycho-banditry) mental disorder
theft in shops)
Z03.3 Follow-up for suspected nervous system disorder
Z03.4 Follow-up for suspected myocardial infarction
Z03.5 Follow-up for suspected other disease of cardio-vascular system
Z03.6 Observation for suspected toxic effect swallowed substances
Observation for suspected:
adverse drug action
poisoning
Z03.8 Follow-up for suspected other diseases or conditions
Z03.9 Follow-up for suspected disease or condition, unspecified

Z04 Examination and observation for other purposes

Includes: forensic examination

Z04.0 Test for the content of alcohol and drugs in the blood
Excludes: presence in blood:
alcohol ( R78.0)
narcotic substances ( R78. -)
Z04.1 Inspection and observation after a traffic accident
Excludes: after an accident at work ( Z04.2)
Z04.2 Inspection and observation after an industrial accident
Z04.3 Examination and observation after another accident
Z04.4 Examination and observation when reporting rape or seduction
Evaluation of the victim or alleged perpetrator when reporting rape or seduction
Z04.5 Examination and follow-up after another injury caused
Evaluation of the victim or alleged perpetrator following another injury caused
Z04.6 General psychiatric examination at the request of the institution
Z04.8 Examination and observation for other specified reasons. Request for the issuance of a specialist opinion
Z04.9 Inspection and observation for unspecified reasons. NOS examination

Z08 Follow-up examination after treatment of malignant neoplasm

Z42-Z51, Z54. -)

Z08.0 Follow-up examination after surgical removal of the malignant neoplasm
Z08.1 Follow-up evaluation after radiation therapy for a malignant neoplasm
Z51.0)
Z08.2 Follow-up evaluation after cancer chemotherapy
Z51.1)
Z08.7 Follow-up examination after combined treatment for malignant neoplasm
Z08.8 Follow-up evaluation after using another cancer treatment
Z08.9 Follow-up evaluation after treatment with unspecified cancer treatment

Z09 Follow-up evaluation after treatment for conditions other than malignant neoplasms

Includes: medical supervision and follow-up after treatment
Excluded: subsequent health care and the state of recovery ( Z42-Z51, Z54. -)
medical supervision and control after treatment of the evil of a high-quality neoplasm ( Z08. -)
control of:
contraception ( Z30.4-Z30.5)
prostheses and other medical devices ( Z44-Z46)

Z09.0 Follow-up evaluation after surgery for other conditions
Z09.1 Follow-up evaluation after radiation therapy for other conditions

Excluded: course of radiation therapy (maintenance) ( Z51.0)
Z09.2 Follow-up evaluation after chemotherapy for other conditions
Excludes: maintenance chemotherapy ( Z51.1-Z51.2)
Z09.3 Follow-up examination after psychotherapy
Z09.4 Follow-up examination after fracture treatment
Z09.7 Follow-up evaluation after combination treatment for other conditions
Z09.8 Follow-up evaluation after another type of treatment for other conditions
Z09.9 Follow-up evaluation after treatment unspecified for other conditions

Z10 Routine general health screening for specific subpopulations

Excludes: medical examination for administrative purposes ( Z02. -)

Z12 malignant neoplasms

Z12.0 Special screening examination to identify
stomach neoplasms
Z12.1 Special screening examination to identify
neoplasms gastrointestinal tract
Z12.2 Special screening examination to identify
respiratory neoplasms
Z12.3 Special screening examination to identify
breast neoplasms
Excludes: routine mammography ( Z01.6)
Z12.4 Special screening examination to identify
neoplasms of the cervix
Excludes: when performed as a routine examination or
as part of a general gynecological examination ( Z01.4)
Z12.5 Special screening examination to identify
neoplasms of the prostate
Z12.6 Special screening examination to identify
bladder neoplasms
Z12.8 Special screening examination to identify
neoplasms of other organs
Z12.9 Special screening examination to identify
neoplasm, unspecified

Z13 Special screening examination to detect other diseases and disorders

Z13.0 Special screening examination to detect diseases of the blood and hematopoietic organs, as well as some disorders involving the immune mechanism
Z13.1 Special screening examination to detect diabetes mellitus
Z13.2 Special screening tests for eating disorders
Z13.3 Special screening tests to identify mental and behavioral disorders
Alcoholism. Depression. Mental retardation
Z13.4 Special screening examination to identify deviations from normal development in childhood
Excludes: routine developmental tests
an infant or young child ( Z00.1)
Z13.5 Special screening examination to identify diseases of the eye and ear
Z13.6 Special screening examination to detect disorders of the cardiovascular system
Z13.7 Special screening examination to identify
congenital anomalies, deformities and chromosomal abnormalities
Z13.8 Special screening examination to identify other specified diseases and conditions. Diseases of the teeth
Diseases of the endocrine system and metabolic disorders
Excluded: diabetes (Z13.1)
Z13.9 Special screening examination, unspecified

POTENTIAL HEALTH HAZARD
RELATED TO INFECTIOUS DISEASES (Z20-Z29)

Z20 Contact with the sick and the possibility of contracting infectious diseases

Z20.0 Contact with the sick and the possibility of contracting infectious intestinal diseases
Z20.1 Contact with the sick and the possibility of contracting tuberculosis
Z20.2 Contact with the patient and the possibility of contracting an infectious
a predominantly sexually transmitted disease
Z20.3 Patient contact and the possibility of contracting rabies
Z20.4 Contact with a sick person and the possibility of contracting rubella
Z20.5 Contact with the patient and the possibility of contracting viral hepatitis
Z20.6 Patient contact and the possibility of contracting the human immunodeficiency virus [HIV]
Excludes: asymptomatic human immunodeficiency virus [HIV] infection
infectious status ( Z21)
Z20.7 Contact with the patient and the possibility of infection with head lice, acariasis and other invasions
Z20.8 Contact with a sick person and the possibility of contracting other infectious diseases
Z20.9 Contact with a sick person and the possibility of contracting other unspecified infectious diseases

Z21 Asymptomatic infection status caused by human immunodeficiency virus [HIV]

HIV positive NOS
Excluded: contact with a sick person and the possibility of contracting a virus
human immunodeficiency [HIV] ( Z20.6)
human immunodeficiency virus [HIV] disease ( B20-B24)
laboratory confirmation of the presence of human immunodeficiency virus [HIV] ( R75)

Z22 Carriage of the causative agent of an infectious disease

Included: suspicion of carriage of the causative agent of the disease

Z22.0 Carriage of the causative agent of typhoid fever
Z22.1 Carriage of causative agents of other gastrointestinal diseases
Z22.2 Carriage of the causative agent of diphtheria
Z22.3 Carriage of causative agents of other specified bacterial diseases
Carrier:
meningococci
staphylococci
streptococci
Z22.4 Carriage of pathogens of infectious diseases, predominantly sexually transmitted
Carriage of the pathogen:
gonorrhea
syphilis
Z22.5 Carriage of the pathogen viral hepatitis... Carriage of the surface antigen of the hepatitis B virus
Z22.6 Carriage of human T-lymphotropic virus type I
Z22.8 Carriage of the causative agent of another infectious disease
Z22.9 Carriage of the causative agent of an unspecified infectious disease

Z23 Necessity of immunization against one bacterial disease

Excluded: immunization:
against combinations of diseases ( Z27. -)
unchecked ( Z28. -)

Z23.0 The need to immunize against cholera only
Z23.1 The need to immunize only against typhoid and paratyphoid fever
Z23.2 Need for immunization against tuberculosis [BCG]
Z23.3 The need for immunization against plague
Z23.4 Need for immunization against tularemia
Z23.5 Need to immunize against tetanus alone
Z23.6 Need to immunize against diphtheria only
Z23.7 Need to immunize against whooping cough alone
Z23.8 The need for immunization against another one bacterial disease

Z24 Need for immunization against one specific viral disease

Excluded: immunization:
against a combination of diseases ( Z27. -)
unchecked ( Z28. -)

Z24.0 The need for immunization against poliomyelitis
Z24.1 Need for immunization against arthropod-borne viral encephalitis
Z24.2 Need for immunization against rabies
Z24.3 Need for immunization against yellow fever
Z24.4 Need to immunize against measles only
Z24.5 The need to immunize against rubella alone
Z24.6 The need for immunization against viral hepatitis

Z25 Need for immunization against one of the other viral diseases

Excluded: immunization:
against combinations of diseases ( Z27. -)
unchecked ( Z28. -)
Z25.0 The need to immunize against mumps only
Z25.1 Need for influenza immunization
Z25.8 Need for immunization against another specified one viral disease

Z26 Need for immunization against one of the other infectious diseases

Excluded: immunization:
against combinations of diseases ( Z27. -)
unchecked ( Z28. -)

Z26.0 Need for immunization against leishmaniasis
Z26.8 Need for immunization against another specified one infectious disease
Z26.9 Need for immunization against unspecified infectious disease
Need for immunization NOS

Z27 Need for immunization against combinations of infectious diseases

Z28. -)

Z27.0 The need for immunization against cholera and typhoid-paratyphoid fever
Z27.1 Need for immunization against diphtheria-tetanus-pertussis [DPT]
Z27.2 The need for immunization against diphtheria-tetanus-pertussis and typhoid-paratyphoid fever
Z27.3 Need for immunization against diphtheria-tetanus-pertussis and poliomyelitis
Z27.4 The need for immunization against measles-mumps-rubella
Z27.8 The need for immunization against other combinations of infectious diseases
Z27.9 Need for immunization against unspecified combinations of infectious diseases

Z28 Missing immunization

Z28.0 Immunization not carried out due to medical contraindications
Z28.1 Immunization was not carried out due to patient refusal due to his beliefs or group pressure
Z28.2 Immunization failed due to patient refusal for other or unspecified reason
Z28.8 Immunization was not carried out for another reason
Z28.9 Immunization not carried out for unspecified reason

Z29 Need for other preventive measures

Excluded: desensitization to allergens ( Z51.6)
preventive surgery ( Z40. -)

Z29.0 Insulation. Hospitalization with the aim of protecting the individual from his environment or isolating him after contact with infectious patients
Z29.1 Prophylactic immunotherapy. Immunoglobulin administration
Z29.2 Another type of preventive chemotherapy. Chemoprophylaxis
Administration of prophylactic antibiotics
Z29.8 Other specified preventive measures
Z29.9 Unspecified preventive measure

APPEALS TO HEALTHCARE INSTITUTIONS IN CONNECTION
WITH CIRCUMSTANCES RELATING TO REPRODUCTIVE FUNCTION (Z30-Z39)

Z30 Monitoring contraceptive use

Z30.0 General advice and advice on contraception
Family Planning Council NOS. Initial prescription of contraceptives
Z30.1 Inserting a (intrauterine) contraceptive
Z30.2 Sterilization. Hospitalization for tubal or vas ligation
Z30.3 Inducing menses. Abortion. Regulation of the menstrual cycle
Z30.4 Monitoring contraceptive use
Issuance of a second prescription for birth control pills or other contraceptives
Contraception-related routine medical examinations
Z30.5 Monitoring the use of a contraceptive (intrauterine device)
Examination, re-introduction or removal of the (intrauterine) contraceptive
Z30.8 Another type of monitoring of the use of contraception. Sperm count after vasectomy
Z30.9 Surveillance of contraceptive use, unspecified

Z31 Restoration and preservation of fertility

Excludes: complications associated with artificial insemination ( N98. -)

Z31.0 Tuboplasty or vasoplasty after previous sterilization
Z31.1 Artificial insemination
Z31.2 Fertilization. Hospitalization for artificial insemination or
egg implantation
Z31.3 Other methods to assist fertilization
Z31.4 Studies and tests to restore fertility
Blowing out the fallopian tubes. Sperm count
Excludes: sperm count after vasectomy ( Z30.8)
Z31.5 Genetic counseling
Z31.6 General counseling and advice on fertility recovery
Z31.8 Other fertility recovery measures
Z31.9 Fertility recovery measure, unspecified

Z32 Examination and tests to establish pregnancy

Z32.0 Pregnancy not (yet) confirmed
Z32.1 Pregnancy confirmed

Z33 Condition peculiar to pregnancy

Pregnancy status NOS

Z34 Monitoring of normal pregnancy

Z34.0 Monitoring the Progress of a Normal First Pregnancy
Z34.8 Monitoring the progress of another normal pregnancy
Z34.9 Monitoring of normal pregnancy, unspecified

Z35 Monitoring pregnancy in a woman at high risk

Z35.0 Monitoring the course of pregnancy in a woman with a history of infertility
Z35.1 Monitoring the course of pregnancy in a woman with a history of abortive miscarriages
Monitoring pregnancy in a woman with a history of:
hydatiform drift
cystic drift
Excluded: cases of habitual miscarriage:
needing help during pregnancy ( O26.2)
in the absence of a current pregnancy ( N96)
Z35.2 Monitoring the course of pregnancy in a woman with another
a history of childbirth or obstetric problems
Monitoring pregnancy in a woman with a history of:
conditions classified under headings O10-O92
neonatal death
stillbirth
Z35.3 Monitoring the course of pregnancy in a woman with a history of insufficient prenatal care
Pregnancy:
disguised
hidden
Z35.4 Monitoring the course of pregnancy in a multiparous woman
Excludes: this condition in the absence of a current pregnancy ( Z64.1)
Z35.5 Observation of an old primiparous
Z35.6 Monitoring a very young primiparous
Z35.7 Monitoring pregnancy in a woman at high risk due to social problems
Z35.8 Monitoring pregnancy in a woman exposed to another
high risk
Z35.9 Monitoring pregnancy in a woman at high risk, unspecified

Z36 Antenatal examination for fetal abnormalities [antenatal screening]

Excludes: violations during antenatal screening of the mother ( O28. -)
routine prenatal care ( Z34-Z35)

Z36.0 Antenatal screening for chromosomal abnormalities
Amniocentesis. Placenta samples (taken vaginally)
Z36.1 Antenatal screening to identify increased level alpha-fetoprotein in amniotic fluid
Z36.2 Another type of antenatal screening based on amniocentesis
Z36.3
physical methods for identifying developmental anomalies
Z36.4 Antenatal screening with ultrasound or others
physical methods to detect fetal growth retardation
Z36.5 Antenatal screening for isoimmunization
Z36.8 Another type of antenatal screening. Screening for hemoglobinopathy
Z36.9 Unspecified antenatal screening

Z37 Labor outcome

Note This heading is intended to be used as an additional code for identification purposes.
the outcome of childbirth in documents relating to the mother.
Z37.0 One live birth
Z37.1 One stillborn
Z37.2 Twins, both live birth
Z37.3 Twins, one live birth, the other stillborn
Z37.4 Twins, both stillborn
Z37.5 Other multiple births, all live births
Z37.6 Other multiple births, live births and stillbirths
Z37.7 Other multiple births, all stillborn
Z37.9 Unspecified outcome of labor. Multiple births NOS. Single fetus delivery NOS

Z38 Live births, according to place of birth

Z38.0 One child born in a hospital
Z38.1 One child born out of hospital
Z38.2 One child, born in unspecified place. Live-born child NOS
Z38.3 Twins born in hospital
Z38.4 Twins born out of hospital
Z38.5 Twins born in unspecified place
Z38.6 Other multiple births in hospital
Z38.7 Other out-of-hospital multiple births
Z38.8 Other multiple births born in an unspecified location

Z39 Postpartum care and examination

Z39.0 Help and examination immediately after childbirth
Help and supervision in uncomplicated cases
Excludes: aid for postpartum complications - see the Alphabetical Index
Z39.1 Help and examination of a nursing mother. Monitoring lactation
Excludes: violation of lactation ( O92. -)
Z39.2 Routine postpartum care

APPEALS TO HEALTHCARE INSTITUTIONS IN CONNECTION WITH THE NECESSITY
PERFORMING SPECIFIC PROCEDURES AND RECEIVING HEALTH CARE (Z40-Z54)

NoteCategories Z40-Z54 are designed to encode reasons,
providing a basis for receiving medical care
can be used for those cases when patients who were previously treated for any disease or injury receive subsequent or preventive care or assistance necessary to recover or consolidate the results of treatment, to treat residual effects, and to eliminate or prevent relapses.
Excludes: follow-up examination under medical supervision after treatment ( Z08-Z09)

Z40 Prophylactic surgery

Z40.0 Prophylactic surgery in the presence of risk factors, with malignant tumor
Hospitalization for prophylactic organ removal
Z40.8 Another type of preventive surgery
Z40.9 Prophylactic surgery, unspecified

Z41 Non-therapeutic procedures

Z41.0 Hair transplant
Z41.1 Other types of reconstructive surgery to correct imperfections in appearance
Breast implantation
Excludes: postoperative and posttraumatic reconstructive surgery ( Z42. -)
Z41.2 Accepted or ritual circumcision
Z41.3 Ear piercing
Z41.8 Other non-therapeutic procedures
Z41.9 Unspecified procedure with no curative purpose

Z42 Follow-up care with restorative surgery

Includes: postoperative and post-traumatic reconstructive surgery
scar tissue replacement
Excludes: reconstructive surgery:
as a treatment for a current trauma - coded in the corresponding trauma (see the Alphabetical Index)
as a non-curative cosmetic operation ( Z41.1)

Z42.0 Follow-up care with head and neck reconstructive surgery
Z42.1 Follow-up care with breast reconstructive surgery
Z42.2 Follow-up care with reconstructive surgery on other parts of the trunk
Z42.3 Follow-up care with upper limb reconstructive surgery
Z42.4 Follow-up care with reconstructive surgery lower limbs
Z42.8 Follow-up care with reconstructive surgery on other parts of the body
Z42.9 Unspecified reconstructive surgery follow-up

Z43 Maintenance of artificial holes

Included: closure
sounding or bougie
correction
catheter removal
processing or rinsing
Excluded: condition associated with the presence of an artificial hole that does not require care ( Z93. -)
complications associated with an external stoma ( J95.0,K91.4, N99.5)
Z44-Z46)

Z43.0 Tracheostomy care
Z43.1 Gastrostomy care
Z43.2 Ileostomy care
Z43.3 Colostomy care
Z43.4 Caring for another artificial digestive tract opening
Z43.5 Cystostomy care
Z43.6 Caring for another artificial urinary tract opening. Nephrostomy. Urethrostomy. Ureterostomy
Z43.7 Artificial Vagina Care
Z43.8 Maintenance of other refined artificial holes
Z43.9 Care of an unspecified artificial opening

Z44 Trying on and fitting an external prosthetic device

Excludes: the presence of a prosthetic device ( Z97. -)

Z44.0 Fitting and fitting artificial hand(all) (parts)
Z44.1 Fitting and fitting of artificial leg (whole) (part)
Z44.2 Fitting and fitting an artificial eye
Excludes: mechanical complication of ocular prosthesis ( T85.3)
Z44.3 Fitting and fitting an external breast prosthesis
Z44.8 Fitting and fitting of other external prosthetic devices
Z44.9 Fitting and fitting of unspecified external prosthetic device

Z45 Placing and adjusting an implanted device

Excluded: malfunction of the device or other
associated complication - see the Alphabetical Index for Prostheses and Other Devices ( Z95-Z97)

Z45.0 Installation and adjustment of an artificial heart rate driver
Monitoring and testing the pulse generator [battery]
Z45.1 Installing and adjusting the dropper
Z45.2 Installation and adjustment of the means for monitoring the state of blood vessels
Z45.3 Installing and adjusting an implanted hearing device
Bone conduction device. Cochlear device
Z45.8 Installing and adjusting other implanted devices
Z45.9 Placement and adjustment of unspecified implanted device

Z46 Fitting and fitting other devices

Excluded: only issuance of repeated prescriptions ( Z76.0)
device malfunction or other related complication - see the Index
the presence of prostheses and other devices ( Z95-Z97)

Z46.0 Fitting and fitting glasses and contact lenses
Z46.1 Fitting and fitting the hearing aid
Z46.2 Fitting and fitting other devices related to the nervous system and the senses
Z46.3 Fitting and fitting a dental prosthetic device
Z46.4 Fitting and fitting an orthodontic device
Z46.5 Fitting and fitting ileostomy and other intestinal appliances
Z46.6 Fitting and fitting the urinary device
Z46.7 Fitting and fitting the orthopedic device
Orthopedic (th):
staples
removable denture
corset
shoe
Z46.8 Trying on and fitting another specified prosthetic device. Armchairs on wheels
Z46.9 Trying on and fitting another unspecified product

Z47 Other orthopedic follow-up care

Excluded: assistance, including rehabilitation procedures ( Z50. -)
complications associated with internal orthopedic devices, implants or grafts
(T84. -)
follow-up examination after fracture treatment ( Z09.4)

Z47.0 Removal of the plate after healing the fracture, as well as other internal fixation device
Removal:
nails
records
rods
screws
Excludes: removal of external fixation device ( Z47.8)
Z47.8 Other specified orthopedic follow-up care
Replacement, verification or removal:
external fixing or pulling device
plaster cast
Z47.9 Prosthetic follow-up, unspecified

Z48 Other surgical follow-up

Excludes: maintenance of artificial hole ( Z43. -)
fitting and fitting a prosthesis and other device ( Z44-Z46)
follow-up examination after:
operations ( Z09.0)
fracture treatment ( Z09.4)
follow-up orthopedic care ( Z47. -)

Z48.0 Surgical dressing and suture care. Change of dressings. Removing stitches
Z48.8 Other specified follow-up surgical care
Z48.9 Surgical follow-up, unspecified

Z49 Assistance including dialysis

Includes: preparation and conduct of dialysis
Excludes: condition associated with renal dialysis ( Z99.2)

Z49.0 Preparatory procedures for dialysis
Z49.1 Extracorporeal dialysis. Dialysis (renal) NOS
Z49.2 Another type of dialysis. Peritoneal dialysis

Z50 Assistance including the use of rehabilitation procedures

Excluded: consultations ( Z70-Z71)

Z50.0 Rehabilitation for heart disease
Z50.1 Another type of physical therapy. Therapeutic and corrective gymnastics
Z50.2 Rehabilitation of persons suffering from alcoholism
Z50.3 Rehabilitation of persons suffering from drug addiction
Z50.4 Psychotherapy, not elsewhere classified
Z50.5 Speech therapy
Z50.6 Non-surgical treatment of strabismus
Z50.7 Occupational therapy and vocational rehabilitation, not elsewhere classified
Z50.8 Treatment that includes other types of rehabilitation procedures
Smoking rehabilitation. NEC Self-Service Training
Z50.9 Treatment including rehabilitative procedure, unspecified. Rehabilitation NOS

Z51 Other medical care

Excludes: follow-up examination after treatment ( Z08-Z09)

Z51.0 Radiotherapy course (supportive)
Z51.1 Chemotherapy for the neoplasm
Z51.2 Other types of chemotherapy. Supportive chemotherapy NOS
Excludes: prophylactic chemotherapy for the purpose of immunization ( Z23-Z27, Z29. -)
Z51.3 Blood transfusion without a specified diagnosis
Z51.4 Preparatory procedures for subsequent treatment, not elsewhere classified
Excluded: preparatory procedures for dialysis ( Z49.0)
Z51.5 Palliative care
Z51.6 Desensitization to allergens
Z51.8 Other specified type of medical care
Excludes: provision of assistance during rest ( Z75.5)
Z51.9 Medical assistance, unspecified

Z52 Organ and tissue donors

Excludes: examination of a potential donor ( Z00.5)

Z52.0 Blood donor
Z52.1 Skin donor
Z52.2 Bone donor
Z52.3 Bone marrow donor
Z52.4 Kidney donor
Z52.5 Corneal donor
Z52.8 Donor of another specified organ or tissue
Z52.9 Donor of an unspecified organ or tissue. Donor NOS

Z53 Appeals to health care facilities due to non-performed specific procedures

Excludes: missed immunization ( Z28. -)

Z53.0 The procedure was not performed due to the presence of contraindications
Z53.1 The procedure was not performed due to refusal of the patient out of conviction or due to group pressure
Z53.2 The procedure was not performed due to the patient's refusal for other and unspecified reasons
Z53.8 The procedure was not performed for other reasons
Z53.9 Procedure failed for unspecified reason

Z54 Convalescence

Z54.0 Convalescence after surgery
Z54.1 Convalescence after radiotherapy
Z54.2 Convalescence after chemotherapy
Z54.3 Convalescence after psychotherapy
Z54.4 Convalescence after fracture treatment
Z54.7 Convalescence after combined treatment
Convalescence after any combination of treatments classified in Z54.0-Z54.4
Z54.8 Convalescence after another treatment
Z54.9 Convalescence after treatment unspecified

POTENTIAL HEALTH HAZARDS RELATED TO
WITH SOCIO-ECONOMIC AND PSYCHOSOCIAL CIRCUMSTANCES (Z55-Z65)

Z55 Learning and Literacy Issues

Excluded: disorders of psychological development ( F80-F89)
Z55.0 Illiteracy or low literacy rate
Z55.1 Lack of learning ability
Z55.2 Failure in exams
Z55.3 Learning gap
Z55.4 Poor adaptation to the educational process, conflicts with teachers and fellow practitioners
Z55.8 Other problems related to education and literacy. Inadequate training
Z55.9 Unspecified learning and literacy problem

Z56 Problems related to work and unemployment

Excluded: impact production factors risk ( Z57. -)
problems related to the circumstances of housing and
economic nature ( Z59. -)

Z56.0 Out of work, unspecified
Z56.1 Job change
Z56.2 The threat of losing your job
Z56.3 Busy work schedule
Z56.4 Conflict with the boss and colleagues
Z56.5 Unsuitable job. Harsh working conditions
Z56.6 Other physical and mental stress at work
Z56.7 Other and unspecified work-related problems

Z57 Exposure to occupational hazards

Z57.0 Adverse effects of industrial noise
Z57.1 Adverse Effects of Occupational Radiation
Z57.2 Adverse effects of industrial dust
Z57.3 Adverse Effects of Other Occupational Air Pollutants
Z57.4 Adverse effects of toxic substances used in agriculture
Z57.5 Adverse effects of toxic substances in other industries
Adverse effects of solid, liquid, gaseous and vaporous substances
Z57.6 Adverse Effects of Industrial Temperature Extremes
Z57.7 Adverse Effects of Industrial Vibration
Z57.8 Adverse Effects of Other Risk Factors
Z57.9 Adverse effects of unspecified risk factors

Z58 Problems associated with physical environmental factors

Excludes: exposure to occupational risk factors ( Z57. -)

Z58.0 Exposure to noise
Z58.1 Exposure to air pollution
Z58.2 Impact of water pollution
Z58.3 Impact of soil pollution
Z58.4 Exposure to radiation pollution
Z58.5 Exposure to other pollution
Z58.6 Inadequate drinking water supply
Excludes: influence of thirst ( T73.1)
Z58.8 Other problems associated with physical environmental factors
Z58.9 Unspecified physical environmental problems

Z59 Problems related to housing and economic circumstances

Excludes: inadequate drinking water supply ( Z58.6)

Z59.0 Homelessness (homelessness)
Z59.1 Unsatisfactory living conditions
Lack of heating. Limited living space. Technical deficiencies in the home that prevent proper care. Unsatisfactory surroundings
Excludes: problems associated with physical environmental factors ( Z58. -)
Z59.2 Conflicts with neighbors, guests, hosts
Z59.3 Problems associated with being in a permanent residence
Accommodation in a school boarding house
Excluded: educational institutions ( Z62.2)
Z59.4 Lack of adequate food
Excluded: effects of hunger ( T73.0)
unacceptable diet or bad eating habits ( Z72.4)
malnutrition ( E40-E46)
Z59.5 Extreme poverty
Z59.6 Low level income
Z59.7 Lack of social insurance and lateral support
Z59.8 Other problems related to economic and housing conditions
Inability to get a loan. Living alone. Problems with creditors
Z59.9 Unspecified economic and housing problem

Z60 Problems related to adaptation to lifestyle changes

Z60.0 Challenges related to adapting to lifestyle changes
Retirement (retirement). Loneliness syndrome
Z60.1 Atypical situation with parents. Problems associated with raising a child with one parent
or another person cohabiting with one of the biological parents
Z60.2 Living alone
Z60.3 Difficulties associated with adopting a different culture. Migration. Changes in social status
Z60.4 Social isolation and ostracism
Social isolation and ostracism based on personality characteristics such as unusual appearance, illness
or behavior.
Excluded: victim of hostile racial discrimination
or religion ( Z60.5)
Z60.5 Victim of perceived discrimination or harassment
Harassment or discrimination (perceived or real) based on belonging to certain groups (skin color, religion, ethnicity, etc.) rather than personality characteristics.
Excluded: social isolation and ostracism ( Z60.4)
Z60.8 Other problems related to the social environment
Z60.9 Environmental problem, unspecified

Z61 Problems associated with adverse life events in childhood

T74. -)

Z61.0 Loss of loved ones in childhood
Loss of emotionally close relatives, such as a parent, sibling, very close friend, or
a loved one, due to death, prolonged absence or suspension.
Z61.1 Weaning a child from home. Placement in a shelter, hospital or other institution that causes psychological stress, or conscription from home for an extended period.
Z61.2 Changes in family relationships of relatives in childhood
The appearance of another person in the family as a result of changes in the relationship of relatives that are unfavorable for the child (this may be a new marriage of parents or the birth of another child).
Z61.3 Events leading to low self-esteem during childhood
Events ending in the child's self-esteem (for example, failure to succeed in any business with high personal responsibility, discovery or disclosure of shameful or dishonest episodes of personal or family life, etc.
factors giving rise to self-deprecation).
Z61.4 Problems associated with possible sexual rape of a child by a person belonging to a primary support group. Problems associated with any form of physical contact between an adult family member and a child, or other means that cause sexual arousal and, regardless of the child's desire, leading to sexual intercourse (for example, touching or manipulating the genitals, deliberate exposure of the genitals or mammary glands ).
Z61.5 Problems associated with possible rape of a child by an unauthorized person
Problems associated with various manipulations with genitals
organs and mammary glands, with undressing, caressing and
other actions with the child, persuading or having
the purpose of persuading him to have sexual intercourse, a person significantly
an older person who is not a family member and
using their status or position, or acting
against the child's wishes.
Z61.6 Problems associated with possible physical violence by
relation to the child
Problems associated with incidents in which a child is
have been injured in the past by an adult in the home requiring medical attention (fractures,
obvious bruising), or in which the child has undergone
severe forms of violence (beating with severe or sharp
objects, burns, or tying).
Z61.7 Personal shocks suffered in childhood
Experiences that may affect the future of the child, caused for example by abduction, natural kata enemas with a threat to life, injury that threaten safety or their own perception, or trauma inflicted on a person dear to the child in his presence.
Z61.8 Other adverse life events in childhood
Z61.9 Adverse childhood life event, unspecified

Z62 Other parenting problems

Excludes: abuse syndrome ( T74. -)

Z62.0 Inadequate parental care and control
Lack of awareness of parents about what the child is doing and
where he is, poor control over him, lack of constant care for him and attempts to prevent risky
situations in which he may find himself.
Z62.1 Excessive parental guardianship
The upbringing system, the result of which is infantilism and the child's lack of independence and
independence.
Z62.2 Upbringing in a closed institution
Group parenting, in which the responsibility of the parents is largely shifted to the staff of various types of institutions (such as children's homes, orphanages
for orphans, boarding schools) or therapeutic care
for a long time in a hospital, an institution for
convalescents or sanatoriums when the child is
without at least one parent.
Z62.3 Hostility and unfair claims against the child
Negative attitude of parents towards the child as a person,
harshness and constant irritability in relation to
some points in the child's behavior (for example, constant insults for any actions in the house or unnecessary accusations of the child).
Z62.4 Emotional abandonment of children
The tone of a parent-child conversation is dismissive or
indifferent Lack of interest in the child, empathetic
attitude to his difficulties, praise and support, irritable reaction to a violation in the child's behavior and the absence of an affectionate and warm attitude towards the child.
Z62.5 Other problems related to lack of parenting
Child's lack of learning and play experience
Z62.6 Unacceptable parental pressure and other negative parenting factors
Parents force the child to do something that goes beyond the accepted norms, does not correspond to gender (for example, dressing a boy in a girl's dress),
age (for example, demanding responsibility from a child for his actions that is not yet available to him), his desire
or opportunities.
Z62.8 Other clarified parenting issues
Z62.9 Unspecified parenting problem

Z63 Other problems with loved ones, including family circumstances

Excludes: abuse syndrome ( T74. -)
problems associated with:
adverse life events in childhood ( Z61. -)
education ( Z62. -)

Z63.0 Relationship problems between spouses or partners
Disagreements between spouses (partners) leading to a long-term or pronounced loss of control of the relationship,
hostility, unwillingness to understand each other, or a constant atmosphere of gross interpersonal violence (beating,
fights).
Z63.1 Relationship problems with parents or relatives of a wife or husband
Z63.2 Lack of family support
Z63.3 The absence of a family member
Z63.4 Disappearance or death of a family member. Feelings of guilt towards the deceased
Z63.5 Family breakdown as a result of separation or divorce. Aloofness
Z63.6 A dependent family member in need of home care
Z63.7 Other stressful life events affecting family and economic conditions
Anxiety (normal) about an ill family member. Health-related problems in the family
An illness or disorder in a family member. Isolated family
Z63.8 Other Clarified Primary Support Team Issues
Disagreements in the NOS family. Excessive emotional level in the family
Inadequate or upset family relationships
Z63.9 Unspecified problems with primary care team

Z64 Problems associated with certain psychosocial circumstances

Z64.0 Problems associated with unwanted pregnancy
Excludes: observation of the course of pregnancy in a woman,
at risk due to social problems ( Z35.7)
Z64.1 Problems associated with large families
Excludes: monitoring the course of pregnancy in a multiparous woman ( Z35.4)
Z64.2 Finding and using physical, food and chemical substances known to be harmful and hazardous
Excludes: drug addiction - see Alphabetical Index
Z64.3 Seeking and taking behavioral and psychological actions known to be harmful and dangerous
Z64.4 Conflict with an advisor
Conflict with:
the person in charge of the test subject
social worker

Z65 Problems related to other psychosocial circumstances

Excludes: current injury - see Alphabetical Index

Z65.0 Non-imprisonment civil or felony charge
Z65.1 Imprisonment and other involuntary deprivation of liberty
Z65.2 Problems with getting out of prison
Z65.3 Problems related to other legal circumstances. Arrest
Guardianship of a child or worries about alimony. Litigation. Prosecution
Z65.4 Victim of crime and terrorism. Victim of torture
Z65.5 Victim of natural disaster, military and other hostile activities
Excludes: victim of perceived discrimination or persecution ( Z60.5)
Z65.8 Other specified psychological issues
Z65.9 Problem related to unspecified psychological circumstances

APPEALS TO HEALTHCARE INSTITUTIONS IN CONNECTION
WITH OTHER CIRCUMSTANCES (Z70-Z76)

Z70 Counseling on Sexual Relationships, Behavior and Orientation

Excludes: counseling on contraception or fertility ( Z30-Z31)

Z70.0 Sexual attitudes counseling
A person experiencing embarrassment, shyness, or other difficulty in relation to sexual matters
Z70.1 Counseling regarding sexual behavior or sexual orientation
A patient concerned about:
impotence
lack of reaction
promiscuity
sexual orientation
Z70.2 Counseling on Third Party Sexual Behavior and Orientation
Advice regarding sexual behavior or orientation:
baby
partner
spouse
Z70.3 Counseling on complex issues related to
with sexual relationships, behavior and orientation
Z70.8 Another sex consultation. Sex education
Z70.9 Sexual counseling, unspecified

Z71 Contacting health care facilities for other advice and medical advice, not elsewhere classified

Excluded: counseling on contraception or fertility ( Z30-Z31)
counseling regarding attitudes towards sexual matters ( Z70. -)

Z71.0 Seeking advice on behalf of another person
Obtaining advice or treatment advice for an absent third party
Excludes: concern (normal) about an ill family member ( Z63.7)
Z71.1 Complaints caused by fear of illness in the absence of a diagnosed illness
The fear-inducing condition was not found. Conversion from a Healthy Person Caused by Fear of Illness
"The Imaginary Sick"
Excludes: medical observation and assessment on suspicion
for a disease or pathological condition ( Z03. -)
Z71.2 Asking for clarification of research results
Z71.3 Nutritional counseling
Nutritional counseling and related
observation (in connection with):
NOS
colitis
diabetes mellitus
food allergies or food intolerances
gastritis
hypercholesterolemia
hypoglycemia
obese
Z71.4 Counseling and monitoring for alcoholism
Excludes: rehabilitation of persons suffering from alcoholism ( Z50.2)
Z71.5 Addiction Counseling and Monitoring
Excludes: rehabilitation of persons suffering from drug addiction ( Z50.3)
Z71.6 Smoking counseling and supervision
Excludes: smoking rehabilitation ( Z50.8)
Z71.7 Counseling on issues related to the human immunodeficiency virus [HIV]
Z71.8 Other specified counseling. Consulting
Z71.9 Counseling, unspecified. Medical Council NOS

Z72 Lifestyle problems

Excludes: problems associated with:
difficulties in maintaining a normal lifestyle ( Z73. -)
socio-economic and psychosocial circumstances ( Z55-Z65)

Z72.0 Tobacco use
Excludes: tobacco dependence ( F17.2)
Z72.1 Alcohol consumption
Excludes: alcohol dependence ( F10.2)
Z72.2 Drug use
Excludes: abuse of non-addictive substances ( F55)
drug addiction ( F11-F16, F19 with a common fourth character 2)
Z72.3 Lack of physical activity
Z72.4 Unacceptable diet and bad eating habits
Excludes: behavioral eating disorder of children
and adolescence ( F98.2-F98.3)
eating disorders ( F50. -)
lack of adequate food ( Z59.4)
malnutrition and other disorders
power supply ( E40-E64)
Z72.5 Sexual behavior with high degree risk
Z72.6 Addiction to gambling and betting
Excludes: compulsive or pathological gambling ( F63.0)
Z72.8 Other lifestyle problems. Self-Injuring Behavior
Z72.9 Lifestyle problem, unspecified

Z73 Problems associated with difficulty maintaining a normal life

Excluded: problems associated with socio-economic and psychosocial circumstances ( Z55-Z65)

Z73.0 Overwork. A state of depletion of vitality
Z73.1 Accentuated personality traits. Type A behavioral structure (characterized by immoderate ambition, need for high achievement, intolerance, incompetence and intrusiveness)
Z73.2 Lack of rest and relaxation
Z73.3 Stress, not elsewhere classified
Physical and mental stress NOS
Excludes: relating to employment or unemployment ( Z56. -)
Z73.4 Inadequate social skills, not elsewhere classified
Z73.5 Conflict related to social role, not elsewhere classified
Z73.6 Activity restrictions caused by decrease or disability
Excludes: dependence on caregiver ( Z74. -)
Z73.8 Other problems associated with difficulties in maintaining a lifestyle
Z73.9 Problem associated with difficulty maintaining a lifestyle, unspecified

Z74 Problems associated with dependence on caregiver

Excludes: dependence on a mechanism or other device of the NCR ( Z99. -)

Z74.0 Restricted ability to walk
Bedridden. Wheelchair confinement

Z74.1 Need for help with self-care
Z74.2 The need for help with housekeeping when there is no family member available to help
Z74.3 The need for constant monitoring
Z74.8 Other problems associated with dependence on a caregiver
Z74.9 Problem with reliance on caregiver, unspecified

Z75 Problems related to medical provision and other medical assistance

Z75.0 Lack of home health care
Excludes: absence of another family member who is able to provide assistance ( Z74.2)
Z75.1 Person awaiting admission to an appropriate facility for assistance
Z75.2 Another waiting period for examination and treatment
Z75.3 Lack or inaccessibility of medical services
Excludes: lack of hospital space ( Z75.1)
Z75.4 Absence or inaccessibility of other aid agencies
Z75.5 Providing assistance during the holiday. Providing care for a patient who is usually cared for at home to provide family members with recreational opportunities. Nursing respite
Z75.8 Other problems associated with medical care and other types of patient care
Z75.9 Unspecified problem with medical care and other patient care

Z76 Contacting healthcare facilities due to other circumstances

Z76.0 Issuance of a repeated prescription
Issuance of a repeated prescription for:
adaptation
medicines
glasses
Excluded: issuance of a medical certificate ( Z02.7)
issuance of a repeated prescription for contraceptives ( Z30.4)
Z76.1 Monitoring and caring for a foundling
Z76.2 Observing another healthy child infants and young children and their care
Medical or nursing care or health supervision
a child in the following situations:
unfavorable socio-economic home conditions
awaiting placement in an orphanage or adoption
mother's illness
the number of children in the house, which makes it difficult or impossible
providing normal care
Z76.3 Healthy person accompanying the patient
Z76.4 Other people in need of health care assistance
Excluded: homeless ( Z59.0)
Z76.5 Simulation of the disease [conscious simulation]. The person feigning illness (with obvious motivation)
Excluded: fictitious violations ( F68.1) "Eternal" patient ( F68.1)
Z76.8 Persons contacting health services in other specified circumstances
Z76.9 Unspecified health service contact

POTENTIAL PERSONAL HEALTH HAZARD
AND FAMILY ANAMNESIS AND CERTAIN CONDITIONS,
IMPACT ON HEALTH (Z80-Z99)

Excluded: follow-up examination ( Z08-Z09)
follow-up care and convalescence ( Z42 -Z51 , Z54 . -)
cases where a family or personal history is a reason for special screening or other
examination or examination ( Z00-Z13)
cases where the possibility of damage to the fetus is the basis for monitoring or conducting appropriate
actions during pregnancy ( O35. -)

Z80

Z80.0 Family history of malignant neoplasm
gastrointestinal tract. C15-C26
Z80.1 Family history of malignant neoplasm
trachea, bronchi and lung. Conditions classified into rubrics C33-C34
Z80.2 Family history of malignant neoplasm
C30-C32, C37-C39
Z80.3 Family history of malignant neoplasm
breast. C50. Z80.4 Family history of malignant neoplasm of the genital organs. Conditions classified into rubrics C51-C63
Z80.5 Family history of malignant neoplasm
urinary organs. Conditions classified into rubrics C64-C68
Z80.6 Family history of leukemia. Conditions classified into rubrics C91-C95
Z80.7 Family history of other lymphoid neoplasms
hematopoietic and related tissues. Conditions classified into rubrics C81-C90, C96. Z80.8 Family history of malignant neoplasms of other organs or systems
Conditions classified into rubrics C00-C14, C40-C49,C69-C79, C97
Z80.9 Family history of malignant neoplasm, unspecified
Conditions classified in the heading C80

Z81 Family history of mental and behavioral disorders

Z81.0 Family history of mental retardation
Conditions classified into rubrics F70-F79
Z81.1 Family history of alcohol dependence
Conditions classified in the heading F10. Z81.2 Family history of smoking
Conditions classified in the heading F17. Z81.3 Family history of psychoactive drug abuse. Conditions classified into rubrics F11-F16, F18-F19
Z81.4 Family history of abuse of other addictive drugs
Conditions classified in the heading F55
Z81.8 Family history of others mental disorders and conduct disorders
Conditions classified into rubrics F00-F99

Z82 Family history of certain disabling diseases and chronic diseases leading to disability

Z82.0 Family history of epilepsy and other diseases of the nervous system
Conditions classified into rubrics G00-G99
Z82.1 Family history of blindness and loss of vision. Conditions classified in the heading H54, Z82.2 Family history of deafness and hearing loss. Conditions classified into rubrics H90-H91
Z82.3 Family history of stroke. Conditions classified into rubrics I60-I64
Z82.4 Family history ischemic disease heart and other diseases of the cardiovascular system. Conditions classified into rubrics I00-I52, I65-I99
Z82.5 Family history of asthma and others chronic diseases lower respiratory tract
Conditions classified into rubrics J40-J47
Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue
Conditions classified into rubrics M00-M99
Z82.7 Family history of congenital anomalies, deformities and chromosomal abnormalities
Conditions classified into rubrics Q00-Q99
Z82.8 Family history of other disability-impairing conditions and chronic diseases leading to disability, not elsewhere classified

Z83 Family history of other specific disorders

Excludes: contact with a sick person or the possibility of contracting an infectious disease in the family ( Z20. -)

Z84.0 Family history of skin and subcutaneous tissue disorders
Conditions classified into rubrics L00-L99
Z84.1 Family history of kidney and ureteral disorders
Conditions classified into rubrics N00-N29
Z84.2 Family history of other diseases of the genitourinary system
Conditions classified into rubrics N30-N99
Z84.3 Family history of consanguinity
Z84.8 Family history of other specified conditions

Z85 Personal history of malignant neoplasm

Z42-Z51, Z54. -)
follow-up examination after treatment of the malignant neoplasm ( Z08. -)

Z85.0 Personal history of malignant neoplasm
C15-C26
Z85.1 Personal history of malignant neoplasm of the trachea,
bronchi and lung. Conditions classified into rubrics C33-C34
Z85.2
respiratory and chest organs. Conditions classified into rubrics C30-C32, C37-C39
Z85.3 Personal history of malignant neoplasm of the mammary
glands. Conditions classified in the heading C50. Z85.4 Personal history of malignant neoplasm of the genital
organs. Conditions classified into rubrics C51-C63
Z85.5 Personal history of malignant neoplasm of the urinary organs
Conditions classified into rubrics C64-C68
Z85.6 Personal history of leukemia. Conditions classified into rubrics C91-C95
Z85.7 Personal history of malignant neoplasm of lymphoid, hematopoietic and related tissues
Conditions classified into rubrics C81-C90, C96. Z85.8 Personal history of malignant neoplasm of others
organs and systems. Conditions classified into rubrics C00-C14, C40-C49,C69-C79, C97
Z85.9 Personal history of malignant neoplasm, unspecified
Conditions classified into rubrics C80

Z86 Personal history of certain other diseases

Excluded: follow-up care and convalescence ( Z42-Z51, Z54. -)

Excluded: follow-up care and convalescence ( Z42-Z51, Z54. -)

Z87.0 Personal history of respiratory disease
Conditions classified into rubrics J00-J99
Z87.1 Personal history of diseases of the digestive system
Conditions classified into rubrics K00-K93
Z87.2 Personal history of diseases of the skin and subcutaneous tissue
Conditions classified into rubrics L00-L99
Z87.3 Personal history of diseases of the musculoskeletal system and connective tissue
Conditions classified into rubrics M00-M99
Z87.4 Personal history of diseases of the genitourinary system
Conditions classified into rubrics N00-N99
Z87.5 Personal history of complications of pregnancy, childbirth and after the birth period
Conditions classified into rubrics O00-O99
Personal history of trophoblastic disease
Excluded: habitual miscarriage ( N96)
monitoring the course of pregnancy in a woman with
unfavorable obstetric history ( Z35. -)
Z87.6 Personal history of some conditions that occur during the perinatal period
Conditions classified into rubrics P00-P96
Z87.7 Personal history of congenital anomalies, deformities and chromosomal abnormalities
Conditions classified into rubrics Q00-Q99
Z87.8 Personal history of other specified conditions
Conditions classified into rubrics S00-T98

Z88 Personal history of allergy to drugs, medicaments and biological substances

Z88.0 Personal history of allergy to penicillin
Z88.1 Personal history of allergy to other antibiotics
Z88.2 Personal history of allergy to sulfa drugs
Z88.3 Personal history of allergy to other anti-infective drugs
Z88.4 Personal history of allergy to anesthetic
Z88.5 Personal history of drug allergy
Z88.6 Personal history of allergy to analgesic
Z88.7 Personal history of serum or vaccine allergy
Z88.8 Personal history of allergy to other drugs, medicines and biological substances
Z88.9 Personal history of allergy to unspecified medicinal products
means, medicines and biological substances

Z89 Acquired absence of limb

Included: loss of limb:
postoperative
post-traumatic
Excluded: acquired deformity of the limbs ( M20-M21)
congenital absence of limbs ( Q71-Q73)

Z89.0 Acquired absence of finger (s), including thumb, one-sided
Z89.1 Acquired absence of hand and wrist
Z89.2 Acquired absence of the upper limb above the wrist. Hands NOS
Z89.3 Acquired absence of both upper limbs (at any level)
Acquired absence of finger (s), bilateral
Z89.4 Acquired absence of the foot and ankle
Acquired absence of toe (s)
Z89.5 Acquired absence of a leg to or below the knee
Z89.6 Acquired absence of a leg above the knee. Legs NOS
Z89.7 Acquired absence of both lower limbs (any level except toes only)
Z89.8 Acquired absence of upper and lower limbs (at any level)
Z89.9 Acquired absence of limb, unspecified

Z90 Acquired absence of organs, not elsewhere classified

Includes: postoperative or post-traumatic loss of a NEC body part
Excludes: congenital absence of organs - see Alphabetical Index
postoperative absence:
endocrine glands ( E89. -)
spleen ( D73.0)

Z90.0 Acquired absence of a part of the head or neck. Eyes. Throats. Nose
Excludes: teeth ( K08.1)
Z90.1 Acquired absence of the breast (s)
Z90.2 Acquired absence of a lung (or part of it)
Z90.3 Acquired absence of part of the stomach
Z90.4 Acquired absence of other parts of the digestive tract
Z90.5 Acquired absence of a kidney
Z90.6 Acquired absence of other parts of the urinary tract
Z90.7 Acquired absence of the genital organ (s)
Z90.8 Acquired absence of another organ

Z91 Personal history of risk factors not elsewhere classified

Excludes: exposure to pollution and other issues related to
physical factors environment ( Z58. -)
exposure to occupational risk factors ( Z57. -)
personal history of substance abuse ( Z86.4)

Z91.0 Personal history of allergy to substances other than drugs and biological substances
Excludes: personal history of allergy to medicinal
means and biological substances ( Z88. -)
Z91.1 Personal history of non-compliance with treatment procedures and non-compliance with the regimen
Z91.2 Personal history of poor personal hygiene
Z91.3 Personal history of sleep-wake disorder
Excludes: sleep disorders ( G47. -)
Z91.4 Personal history of psychological trauma not elsewhere classified
Z91.5 Personal history of self-harm. Parasuicide. Self-poisoning. Attempted suicide
Z91.6 Personal history of other physical trauma
Z91.8 Personal history of other specified risk factors, not elsewhere classified
Abuse of NOS. Poor treatment NOS

Z92 Personal history of treatment

Z92.0 Personal history of contraceptive use
Excludes: counseling or current contraceptive practice ( Z30. -)
the presence of an (intrauterine) contraceptive ( Z97.5)
Z92.1 Personal history of long-term (current) use of anticoagulants
Z92.2 Personal history of long-term (current) use of others medications... Aspirin
Z92.3 Personal history of radiation exposure. Radiation for medicinal purposes
Excludes: exposure to radiation from the surrounding physical
Wednesday ( Z58.4)
exposure to radiation at work ( Z57.1)
Z92.4 Personal history of major surgery, not elsewhere classified
Excluded: presence of an artificial hole ( Z93. -)
postoperative conditions ( Z98. -)
the presence of functional implants and transplants ( Z95-Z96)
the presence of transplanted organs or tissues ( Z94. -)
Z92.5 Personal history of rehabilitation procedures
Z92.8 Personal history of other treatments
Z92.9 Personal history medical treatment unspecified

Z93 Condition associated with the presence of an artificial hole

Excludes: artificial opening requiring attention or care ( Z43. -)
complications of an external stoma ( J95.0, K91.4, N99.5)

Z93.0 The presence of a tracheostomy
Z93.1 Having a gastrostomy
Z93.2 The presence of an ileostomy
Z93.3 Having a colostomy
Z93.4 The presence of another artificial opening of the gastrointestinal tract
Z93.5 The presence of a cystostomy
Z93.6 The presence of artificial openings of the urinary tract. Nephrostomy Urethrostomy Ureterostomy
Z93.8 The presence of another artificial hole
Z93.9 Artificial opening, unspecified

Z94 Presence of transplanted organs and tissues

Includes: organ or tissue replaced by hetero- or homotransplant
Excludes: complications associated with the transplanted organ
or cloth - see Index
Availability:
vascular graft ( Z95. -)
artificial heart valve ( Z95.3)

Z94.0 Having a transplanted kidney
Z94.1 Having a transplanted heart
Excludes: condition associated with the presence of an artificial heart valve ( Z95.2-Z95.4)
Z94.2 Having a transplanted lung
Z94.3 Having a heart and lung transplant
Z94.4 Having a transplanted liver
Z94.5 The presence of transplanted skin. The presence of an autogenous skin graft
Z94.6 The presence of a transplanted bone
Z94.7 The presence of a transplanted cornea
Z94.8 The presence of other transplanted organs and tissues. Bone marrow... Intestine
Pancreas
Z94.9 Unspecified organ and tissue transplanted

Z95 Presence of cardiac and vascular implants and grafts

Excludes: complications due to cardiac and vascular devices, implants and grafts ( T82. -)

Z95.0 The presence of an artificial driver heart rate
Excluded: installation and adjustment of an artificial pacemaker ( Z45.0)
Z95.1 Presence of coronary artery bypass graft
Z95.2 Having a prosthetic heart valve
Z95.3 Presence of a xenogenic heart valve
Z95.4 Having another heart valve replacement
Z95.5 Coronary angioplastic implant and transplant
The presence of a prosthesis coronary artery... Condition after coronary angioplasty NOS
Z95.8 Presence of other cardiac and vascular implants and transplants
The presence of an intravascular NEC prosthesis. Condition after peripheral angioplasty NOS
Z95.9 Presence of cardiac and vascular implant and graft, unspecified

Z96 Presence of other functional implants

Excludes: complications due to internal prosthetic devices, implants and flaps ( T82-T85)
fitting and fitting a prosthesis and other device ( Z44-Z46)

Z96.0 The presence of urogenital implants
Z96.1 The presence of intraocular lenses. Pseudophakia
Z96.2 Otological and audiological implants
A bone-conducting hearing aid. Cochlear implant
Eustachian tube implant. Implant in hole eardrum... Replacement stapes
Z96.3 Having an artificial larynx
Z96.4 The presence of endocrine gland implants. Insulin delivery device
Z96.5 The presence of dental and jaw implants
Z96.6 Availability of orthopedic joint implants
Finger joint replacement. Hip replacement (partial) (complete)
Z96.7 The presence of implants of other bones and tendons. Skull plate
Z96.8 Presence of another specified functional implant
Z96.9 Functional implant, unspecified

Z97 Availability of other devices

Excluded: complications due to internal prosthetic devices, implants and grafts ( T82-T85)
fitting and fitting a prosthesis and other device ( Z44-Z46)
the presence of a device for drainage of cerebrospinal fluid ( Z98.2)

Z97.0 Having an artificial eye
Z97.1 The presence of an artificial limb (full) (partial)
Z97.2 Presence of a dental prosthetic device
Z97.3 Presence of glasses and contact lenses
Z97.4 Having an external hearing aid
Z97.5 The presence of an (intrauterine) contraceptive
Excluded: control, re-introduction or removal
contraceptive device ( Z30.5)
the introduction of a contraceptive ( Z30.1)
Z97.8 The presence of another specified device

Z98 Other post-surgical conditions

Excluded: follow-up care and convalescence ( Z42-Z51, Z54. -)
postoperative and postprocedural complications - see the Alphabetical Index

Z98.0 A condition associated with the imposition of an intestinal anastomosis
Z98.1 A condition associated with arthrodesis
Z98.2 A condition associated with a cerebrospinal fluid drainage device. Cerebrospinal fluid shunt
Z98.8 Other specified post-surgical conditions

Z99 Dependence on life support machinery, not elsewhere classified

Z99.0 Aspirator dependence
Z99.1 Respirator addiction
Z99.2 Renal dialysis addiction. Having an arteriovenous dialysis shunt
Renal dialysis status
Excluded: preparation for dialysis, its conduct or course ( Z49. -)
Z99.3 Wheelchair addiction
Z99.8 Dependence on other auxiliary mechanisms and devices
Z99.9 Dependence on life support mechanisms and devices, unspecified

ICD-10 is the abbreviation for the list of the international classification of diseases, which passed the next, tenth revision in 2010. This classification contains codes that denote all diseases known to medicine.

Very often, the diagnosis given to the patient is quite cumbersome, since it contains a whole set of concomitant ailments. For the convenience of its description, ICD-10 is used. Instead of the name of the disease, the corresponding code is entered in the patient's card, the history of the disease, and most importantly, the documents of the Health Insurance Fund.

What else is the ICD 10 (international classification of diseases), which basic disease codes are provided? Let's talk on this page www.site about this in more detail:

What is ICD - 10 for?

To provide a modern, normal level health care, actively develop medical science, it is necessary to regularly update data on the state of health of the population, to have information about the activities of hospitals, clinics, and other health care institutions. For this it is necessary to develop information systems, to increase their reliability and efficiency. The creation of such systems is impossible without the use of the code classification of diseases.

This classification is provided by one of the main statistical classification bases - the International Classification of Diseases (ICD). It also contains a list of injuries and causes of death. Medical science does not stand still, it is actively developing. Therefore, under the leadership of WHO this system revised once every 10 years.

Thus, the ICD is a single normative document, with the help of which the uniformity, comparability of international methodological approaches and materials for a specific disease is ensured.

During the last, tenth revision of this regulatory document, in addition to the usual, traditional structure of the ICD, an alphanumeric system of certain codes was drawn up, which replaced the outdated digital one. The introduction of a new encoding seriously expands the possibilities modern classification... In addition, alphanumeric encoding does not violate the digital system during the next revision, which has often happened before.

ICD-10 is compiled more optimally than previous classifications. In particular, it expands the groupings of diseases of the eye, ear, as well as the accessory apparatus, the mastoid process. Some diseases of the blood ICD-10 includes in the classification "Diseases of the blood and hematopoietic organs". In addition, external factors influencing the state of human health are included in the main part of the main classification. Previously, they were included in additional parts.

This tenth classification was fully approved by the International Conference on the next revision of the ICD and adopted at the forty-third World Health Assembly.

The document contains all regulatory definitions and an alphabetical listing of known diseases. Includes: three-digit headings, four-digit subheadings containing the necessary notes, lists of exceptions for the underlying disease, as well as statistics, rules for determining the main causes of death of patients. There is also a list of reasons for the necessary hospitalization of patients.

A detailed list of headings has been compiled, including short lists that help in the development of data on morbidity, attendance at health care facilities, and mortality. There are guidelines for filling out certificates of perinatal mortality.

Before the practical use of ICD-10, it is necessary to carefully study the structure of the classification, carefully familiarize yourself with the presented groupings of painful conditions, study the notes, inclusions, exclusions, selection rules, coding of the main diagnosis.

Classes ICD-10

The document consists of 21 sections. Each section includes subsections with codes of known diseases, pathological conditions. The classification is presented as follows:

As an example, how state codes are encrypted in ICD 10, we give a transcript of class 15.

O00-O08. Carrying with abortion
O10-O16. Proteinuria, edema and pressure disorders during pregnancy, during and after childbirth
O20-O29. Other maternal diseases associated with gestation
O30-O48. Help of physicians to the mother in connection with indicators of the state of the fetus, possible difficulties in delivery
O60-O75. Difficulty with childbirth
O80-O84. Singleton birth, spontaneous labor
O85-O92. Difficulties, mainly with the postpartum period
O95-O99. Other obstetric conditions not meeting other criteria

In turn, the intervals of states have a more specific interpretation. I will give example for codes O00-O08:

O00. Pregnancy outside the uterus (ectopic)
O01. Gallbladder skid
O02. Other abnormal defects of conception
O03. Spontaneous abortion
O04. Medical abortion
O05. Other methods of abortion
O06. Unspecified abortion
O07. Abortion attempt unsuccessful
O08. Difficulty due to abortion, molar or ectopic pregnancy

There are also further clarifications in the ICD-10. I will give example for code O01 Bubble drift classic:

O01.0 Classic gallbladder skid
O01.1 Molecular skid, partial and incomplete
O01.9 Skid, unspecified, gallbladder

Important!

If you study the official list of ICD-10, you can see that the alphabetical index of diseases at the beginning of the diagnostic nests also contains unspecified conditions, indicated by signs. 9, NDU, NKD. Here is at least an example above "O01.9 Skid, unspecified cystic". It is recommended to use such encodings in extreme cases, and generally not desirable, since they are not informative for statistics. The doctor should seek to clarify the diagnosis, which corresponds to a certain classification.

For more accurate information on disease codes, use the official document ICD-10! The codes provided here are accurate enough to convey the spirit of the document, but not quite as precise in the wording as our popular format allows.