Diagnostic criteria for risk factors. Card of clinical examination (preventive medical examination) Risk factors codes according to ICD 10

ICD 10. CLASS XXI. FACTORS AFFECTING THE HEALTH OF THE POPULATION
AND APPLICATIONS TO HEALTH INSTITUTIONS (Z00-Z99)

NoteThis class should not be used to conduct
comparisons internationally or for primary
coding 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, and other circumstances.
This situation can arise mainly in two cases.
a) When an individual, not necessarily sick at the time,
applies to a health care institution with any special
purpose, for example, to receive insignificant assistance
or for maintenance due to a current condition: as
organ or tissue donor, for prophylactic vaccination or
discussing a problem that is not itself caused by the disease
or injury.
b) When there are some circumstances or problems that affect health, but at the moment are not themselves a disease or injury. Such factors can be discovered during population health surveys, during which the individual may be sick or healthy; they also
may be recorded as additional circumstances that should be kept in mind when seeking help for any illness or injury.

This class contains the following blocks:
Z00-Z13 Visits to 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 healthcare institutions in connection with the need to carry out specific procedures and receive medical care
Z55-Z65 Potential health hazards associated with socioeconomic and psychosocial circumstances
Z70-Z76 Appeals to healthcare institutions due to other circumstances
Z80-Z99 Potential health hazards related to personal or family history and certain health conditions

APPEAL TO HEALTH INSTITUTIONS
FOR MEDICAL EXAMINATION AND EXAMINATION (Z00-Z13)

Note Non-specific deviations from the norm found in
during these surveys, should be coded using categories R70-R94.
Excluded: examinations related to pregnancy and reproductive function ( Z30-Z36, Z39. -)

Z00 General examination and examination of persons who have no complaints or established diagnosis

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

Z00.0 General medical examination
Health check NOS
Periodic examination (annual) (physical)
Excluded: general health check:
certain population groups ( Z10. -)
infant and young child ( Z00.1)
Z00.1 Routine examination of the child's health status
Performing tests to assess the development of an infant or young child
Excluded: monitoring the health of foundlings or other
Z76.1-Z76.2)
Z00.2 Screening during rapid growth in childhood
Z00.3 Examination to assess the developmental status of an adolescent. State of pubertal development
Z00.4 General psychiatric examination, not elsewhere classified
Excluded: examination for forensic purposes ( Z04.6)
Z00.5 Examination of a potential organ and tissue donor
Z00.6 Examination for comparison with norm or control during clinical research programs
Z00.8 Other general examinations. Medical examination during mass population surveys

Z01 Other special examinations and examinations of persons who do not have complaints or an established diagnosis

Included: routine examination of certain systems
Excluded: examination:
for administrative purposes ( Z02. -)
if you suspect a disease (condition) (unconfirmed) ( Z03. -)
special screening examinations ( Z11-Z13)

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

Z02 Examination and appeal for administrative purposes

Z02.0 Examination in connection with admission to educational institutions
Examination in connection with admission to a preschool (educational) institution
Z02.1 Pre-employment examination
Excluded: professional examinations ( Z10.0)
Z02.2 Examination in connection with admission to a long-term care facility
Excluded: examination before placement in prison ( Z02.8)
routine general health check of persons living in special institutions ( Z10.1)
Z02.3 Survey of conscripts into the armed forces
Excluded: general health check of armed forces personnel ( Z10.2)
Z02.4 Examination in connection with obtaining a driver's license
Z02.5 Examination in connection with sports activities
Excluded: tests for blood alcohol or drug levels ( Z04.0)
general examination of sports team members ( Z10.3)
Z02.6 Insurance related examination
Z02.7 Application in connection with obtaining medical documents
Obtaining medical certificates about:
cause of death
professional suitability
disability
disability
Excluded: requests for general medical examination ( Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9,Z10. -)
Z02.8 Other surveys for administrative purposes
Examination for:
imprisoned
trip to summer camp
adoption
immigration
naturalization
entry into marriage
Excluded: monitoring the health of foundlings or other
healthy infants or young children ( Z76.1-Z76.2)
Z02.9 Survey for administrative purposes, unspecified

Z03 Medical observation and evaluation of suspected disease or condition

Included: cases characterized by some evaluable symptoms or obvious signs of abnormality that, as shown by subsequent examination and observation, 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 Observation for suspected tuberculosis
Z03.1 Observation for suspected malignancy
Z03.2 Monitoring for suspected mental illness and behavioral disorders
Observation for:
dissocial behavior)
complete arson) without manifestations of mental banditry disorder
shoplifting)
Z03.3 Observation for suspected nervous system disorder
Z03.4 Observation for suspected myocardial infarction
Z03.5 Observation for suspected other cardiovascular disease
Z03.6 Monitoring for suspected toxic effects of ingested substances
Observation for suspected:
adverse effects of drugs
poisoning
Z03.8 Observation for suspected other diseases or conditions
Z03.9 Observation for suspected disease or unspecified condition

Z04 Survey and observation for other purposes

Included: examination for forensic purposes

Z04.0 Blood alcohol and drug test
Excluded: presence in blood:
alcohol ( R78.0)
narcotic substances ( R78. -)
Z04.1 Inspection and observation after a traffic accident
Excluded: after an accident at work ( Z04.2)
Z04.2 Examination and observation after an industrial accident
Z04.3 Examination and observation after another accident
Z04.4 Investigation and observation when reporting rape or seduction
Examination of the victim or alleged perpetrator in an allegation of rape or seduction
Z04.5 Examination and observation after other injury
Examination of the victim or alleged perpetrator after another injury has occurred
Z04.6 General psychiatric examination at the request of the institution
Z04.8 Examination and observation for other specified reasons. Request for a specialist opinion
Z04.9 Examination 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 a malignant neoplasm
Z08.1 Follow-up examination after radiotherapy for malignancy
Z51.0)
Z08.2 Follow-up examination after chemotherapy for malignancy
Z51.1)
Z08.7 Follow-up examination after combined treatment of malignant neoplasm
Z08.8 Follow-up examination after using another method of treating malignancy
Z08.9 Follow-up examination after an unspecified treatment for malignancy

Z09 Follow-up examination after treatment of non-malignant conditions

Included: medical observation and control after treatment
Excluded: follow-up medical care and convalescent status ( Z42-Z51, Z54. -)
medical observation and control after treatment of malignant neoplasm ( Z08. -)
control for:
contraception ( Z30.4-Z30.5)
prostheses and other medical devices ( Z44-Z46)

Z09.0 Follow-up testing after surgery for other conditions
Z09.1 Follow-up testing after radiotherapy for other conditions

Excluded: course of radiotherapy (maintenance) ( Z51.0)
Z09.2 Follow-up testing after chemotherapy for other conditions
Excluded: 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 testing after combination treatment for other conditions
Z09.8 Follow-up testing after another treatment for other conditions
Z09.9 Follow-up examination after unspecified treatment for other conditions

Z10 Routine general health screening of specified population subgroups

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

Z12 malignant neoplasms

Z12.0 Special screening examination to identify
stomach tumors
Z12.1 Special screening examination to identify
neoplasms of the gastrointestinal tract
Z12.2 Special screening examination to identify
neoplasms of the respiratory system
Z12.3 Special screening examination to identify
breast tumors
Excludes: routine mammography ( Z01.6)
Z12.4 Special screening examination to identify
cervical neoplasms
Excluded: when performed as a routine examination or
as part of a general gynecological examination ( Z01.4)
Z12.5 Special screening examination to identify
prostate tumors
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 A special screening examination to identify 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 examination to detect eating disorders
Z13.3 Special screening examination to identify mental disorders and behavioral disorders
Alcoholism. Depression. Mental retardation
Z13.4 Special screening examination to identify deviations from normal development in childhood
Excluded: routine tests to determine developmental level
infant or young child ( Z00.1)
Z13.5 Special screening examination to detect eye and ear diseases
Z13.6 Special screening examination to identify disorders of the cardiovascular system
Z13.7 Special screening examination to identify
congenital anomalies, deformations and chromosomal disorders
Z13.8 A special screening examination to identify other specified diseases and conditions. Dental diseases
Diseases of the endocrine system and metabolic disorders
Excluded: diabetes mellitus ( Z13.1)
Z13.9 Special screening examination, unspecified

POTENTIAL HEALTH HAZARDS
INFECTIOUS DISEASE RELATED (Z20-Z29)

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

Z20.0 Contact with a sick person and the possibility of contracting infectious intestinal diseases
Z20.1 Contact with a sick person and the possibility of contracting tuberculosis
Z20.2 Contact with a sick person and the possibility of contracting an infectious disease
a disease transmitted primarily through sexual contact
Z20.3 Contact with a sick person and the possibility of contracting rabies
Z20.4 Contact with a sick person and the possibility of rubella infection
Z20.5 Contact with a sick person and the possibility of infection with viral hepatitis
Z20.6 Contact with a sick person and the possibility of infection with human immunodeficiency virus [HIV]
Excluded: asymptomatic human immunodeficiency virus [HIV] infection
infection status ( Z21)
Z20.7 Contact with a patient and the possibility of infection with pediculosis, 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 infection with other unspecified infectious diseases

Z21 Asymptomatic human immunodeficiency virus [HIV] infection

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

Z22 Carriage of an infectious disease agent

Included: suspected carriage of a pathogen

Z22.0 Carriage of the causative agent of typhoid fever
Z22.1 Carriage of pathogens of other gastrointestinal diseases
Z22.2 Carriage of the causative agent of diphtheria
Z22.3 Carriage of pathogens of other specified bacterial diseases
Carrier:
meningococci
staphylococci
streptococci
Z22.4 Carriage of pathogens of infectious diseases transmitted primarily through sexual contact
Carriage of the pathogen:
gonorrhea
syphilis
Z22.5 Carriage of the causative agent of viral hepatitis. Carriage of hepatitis B virus surface antigen
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 an unspecified infectious disease agent

Z23 Need for immunization against one bacterial disease

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

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

Z24 Need for immunization against one specific viral disease

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

Z24.0 The need for immunization against polio
Z24.1 The need for immunization against arthropod-borne viral encephalitis
Z24.2 The need for immunization against rabies
Z24.3 The need for immunization against yellow fever
Z24.4 The need for immunization against measles only
Z24.5 The need for immunization against rubella only
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. -)
unconducted ( Z28. -)
Z25.0 The need for immunization against mumps only
Z25.1 The need for influenza immunization
Z25.8 Need for immunization against another specified single viral disease

Z26 Need for immunization against one of the other infectious diseases

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

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

Z27 The need for immunization against combinations of infectious diseases

Z28. -)

Z27.0 The need for immunization against cholera and typhoid-paratyphoid fever
Z27.1 The need for immunization against diphtheria-tetanus-pertussis [DTP]
Z27.2 The need for immunization against diphtheria-tetanus-whooping cough and typhoid-paratyphoid fever
Z27.3 The need for immunization against diphtheria-tetanus-pertussis and polio
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 Immunization not carried out

Z28.0 Immunization was not carried out due to medical contraindications
Z28.1 Immunization was not carried out due to the patient’s refusal due to his beliefs or group pressure
Z28.2 Immunization not performed due to patient refusal for another or unspecified reason
Z28.8 Immunization was not carried out for another reason
Z28.9 Immunization was not carried out for an unspecified reason

Z29 Need for other preventive measures

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

Z29.0 Insulation. Hospitalization intended to protect an individual from his environment or isolate him after contact with infectious patients
Z29.1 Preventive immunotherapy. Administration of immunoglobulin
Z29.2 Another type of preventive chemotherapy. Chemoprophylaxis
Administration of antibiotics for prophylactic purposes
Z29.8 Other specified preventive measures
Z29.9 Unspecified preventive measure

APPEAL TO HEALTH 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 contraceptive prescription
Z30.1 Insertion of (intrauterine) contraceptive device
Z30.2 Sterilization. Hospitalization for tubal or vas deferens ligation
Z30.3 Inducing menstruation. Abortion. Regulation of the menstrual cycle
Z30.4 Monitoring the use of contraceptive drugs
Issuing a repeat prescription for birth control pills or other contraceptives
Routine medical examination in connection with contraception
Z30.5 Monitoring (intrauterine) contraceptive use
Checking, reinserting or removing the (intrauterine) contraceptive device
Z30.8 Another type of monitoring of contraceptive use. Sperm counting after vasectomy
Z30.9 Observation of contraceptive use, unspecified

Z31 Restoration and preservation of reproductive function

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

Z31.0 Tuboplasty or vasoplasty after previous sterilization
Z31.1 Artificial insemination
Z31.2 Fertilization. Hospitalization for the purpose of artificial insemination or
egg implantation
Z31.3 Other methods to promote fertilization
Z31.4 Research and testing to restore reproductive function
Blowing out the fallopian tubes. Sperm counting
Excluded: sperm count after vasectomy ( Z30.8)
Z31.5 Genetic counseling
Z31.6 General consultation and advice on restoring fertility
Z31.8 Other measures to restore fertility
Z31.9 Measure to restore reproductive function, unspecified

Z32 Examination and tests to establish pregnancy

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

Z33 Condition characteristic of pregnancy

Pregnancy status NOS

Z34 Monitoring the course of normal pregnancy

Z34.0 Monitoring the course of a normal first pregnancy
Z34.8 Monitoring the progress of another normal pregnancy
Z34.9 Monitoring the course of normal pregnancy, unspecified

Z35 Monitoring the course of 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
hydatidiform mole
Excluded: cases of recurrent miscarriage:
requiring assistance during pregnancy ( O26.2)
in the absence of current pregnancy ( N96)
Z35.2 Monitoring the course of pregnancy in a woman with another
aggravated medical history related to 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:
camouflaged
hidden
Z35.4 Monitoring the course of pregnancy in a multiparous woman
Excluded: this condition is in the absence of a current pregnancy ( Z64.1)
Z35.5 Observation of an old primigravida
Z35.6 Observation of a very young primigravida
Z35.7 Monitoring pregnancy in a woman at high risk due to social problems
Z35.8 Monitoring pregnancy in a woman susceptible to other
high risk
Z35.9 Monitoring pregnancy in a woman at high unspecified risk

Z36 Prenatal examination to detect pathology in the fetus [antenatal screening]

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

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

Z37 Outcome of childbirth

Note: This category is intended to be used as an additional code for identification purposes.
outcome of childbirth in documents related to the mother.
Z37.0 One live birth
Z37.1 One stillborn
Z37.2 Twins, both live born
Z37.3 Twins, one live born, one stillborn
Z37.4 Twins, both stillborn
Z37.5 Other multiple births, all live births
Z37.6 Other multiple births, there are live births and stillbirths
Z37.7 Other multiple births, all stillborn
Z37.9 Unspecified birth outcome. Multiple births NOS. Singleton birth NOS

Z38 Live births, according to place of birth

Z38.0 One child born in a hospital
Z38.1 One child born outside the hospital
Z38.2 One child born in an unspecified location. 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 newborns from multiple births born in hospital
Z38.7 Other newborns from multiple births born outside the hospital
Z38.8 Other newborns from multiple births born in an unspecified location

Z39 Postnatal care and examination

Z39.0 Care and examination immediately after birth
Assistance and observation in uncomplicated cases
Excludes: care for postpartum complications - see Index
Z39.1 Help and examination of a nursing mother. Monitoring lactation
Excluded: lactation disorder ( O92. -)
Z39.2 Routine postpartum care

APPEAL TO HEALTH INSTITUTIONS DUE TO NEED
CARRYING OUT SPECIFIC PROCEDURES AND RECEIVING MEDICAL CARE (Z40-Z54)

NoteCategories Z40-Z54 are intended to encode reasons,
giving grounds for receiving medical careThey
can be used when patients who have previously been treated for an illness or injury receive follow-up or preventive care or care necessary for recovery or consolidation of treatment results, for the treatment of residual effects, as well as for the elimination or prevention of relapses.
Excluded: follow-up examination during medical supervision after treatment ( Z08-Z09)

Z40 Preventive surgery

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

Z41 Procedures not performed for therapeutic purposes

Z41.0 Hairy skin transplantation
Z41.1 Other types of reconstructive surgery to eliminate defects in appearance
Breast implantation
Excluded: postoperative and post-traumatic reconstructive surgery ( Z42. -)
Z41.2 Conventional or ritual circumcision
Z41.3 Ear piercing
Z41.8 Other procedures that do not have therapeutic purposes
Z41.9 Unspecified procedure with no therapeutic purpose

Z42 Follow-up care using reconstructive surgery

Included: postoperative and post-traumatic reconstructive surgery
scar tissue replacement
Excluded: reconstructive surgery:
as a method of treating a current injury - coded in the corresponding injury (see Index)
as a cosmetic surgery that does not have medicinal purposes ( Z41.1)

Z42.0 Follow-up care with reconstructive surgery in the head and neck area
Z42.1 Follow-up care with breast reconstructive surgery
Z42.2 Follow-up care with reconstructive surgery for other parts of the body
Z42.3 Follow-up care with upper limb reconstructive surgery
Z42.4 Follow-up care with lower extremity reconstructive surgery
Z42.8 Follow-up care with reconstructive surgery on other parts of the body
Z42.9 Follow-up care with reconstructive surgery, unspecified

Z43 Maintenance of artificial holes

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

Z43.0 Tracheostomy care
Z43.1 Gastrostomy tube care
Z43.2 Ileostomy care
Z43.3 Colostomy care
Z43.4 Caring for another artificial digestive tract opening
Z43.5 Caring for a cystostomy
Z43.6 Caring for another artificial urinary tract opening. Nephrostomy. Urethrostomy. Ureterostomy
Z43.7 Caring for an artificial vagina
Z43.8 Care of other specified artificial orifices
Z43.9 Care of unspecified artificial orifice

Z44 Fitting and fitting of external prosthetic device

Excluded: presence of a prosthetic device ( Z97. -)

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

Z45 Installation and adjustment of the implanted device

Excluded: malfunction of the device or other
associated complication - see Alphabetical index for the presence of prostheses and other devices ( Z95-Z97)

Z45.0 Installation and adjustment of artificial heart pacemaker
Monitoring and testing the pulse generator [battery]
Z45.1 Installation and adjustment of the dropper
Z45.2 Installation and adjustment of the vascular condition monitoring device
Z45.3 Installation and adjustment of an implanted hearing device
A device that provides bone conduction. Cochlear device
Z45.8 Installation and adjustment of other implanted devices
Z45.9 Installation and adjustment of unspecified implanted device

Z46 Trying and fitting other devices

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

Z46.0 Trying and fitting glasses and contact lenses
Z46.1 Trying and fitting a hearing aid
Z46.2 Fitting and fitting of other devices related to the nervous system and sensory organs
Z46.3 Fitting and fitting of a dental prosthetic device
Z46.4 Fitting and fitting of an orthodontic device
Z46.5 Fitting and fitting of ileostomy and other intestinal devices
Z46.6 Trying and adjusting the urinary device
Z46.7 Fitting and fitting of an orthopedic device
Orthopedic:
staples
removable denture
corset
shoes
Z46.8 Fitting and fitting of another specified orthopedic device. Chairs on wheels
Z46.9 Trying and fitting other 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 fracture healing, as well as other internal fixation device
Removal:
nails
records
rods
screws
Excluded: removal of external fixation device ( Z47.8)
Z47.8 Other specified type of follow-up orthopedic care
Replacement, verification or removal:
external fixation or traction device
plaster cast
Z47.9 Follow-up orthopedic care, unspecified

Z48 Other types of subsequent surgical care

Excluded: care of artificial orifice ( Z43. -)
fitting and fitting of prosthesis and other devices ( Z44-Z46)
follow-up examination after:
operations ( Z09.0)
fracture treatment ( Z09.4)
subsequent orthopedic care ( Z47. -)

Z48.0 Care of surgical dressings and sutures. Change of bandages. Removing stitches
Z48.8 Other specified types of subsequent surgical care
Z48.9 Subsequent surgical care, unspecified

Z49 Care including dialysis

Included: preparation and implementation of dialysis
Excluded: 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 diseases
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-operative treatment of strabismus
Z50.7 Occupational therapy and vocational rehabilitation not elsewhere classified
Z50.8 Treatment, including other types of rehabilitation procedures
Smoking rehabilitation. NEC self-care training
Z50.9 Treatment including rehabilitation procedure, unspecified. Rehabilitation NOS

Z51 Other types of medical care

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

Z51.0 Radiotherapy course (maintenance)
Z51.1 Chemotherapy for neoplasm
Z51.2 Other types of chemotherapy. Maintenance chemotherapy NOS
Excludes: preventive 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 classified elsewhere
Excluded: preparatory procedures for dialysis ( Z49.0)
Z51.5 Palliative care
Z51.6 Desensitization to allergens
Z51.8 Other specified type of medical care
Excluded: provision of assistance during rest ( Z75.5)
Z51.9 Medical care unspecified

Z52 Organ and tissue donors

Excluded: 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 Cornea donor
Z52.8 Donor of another specified organ or tissue
Z52.9 Donor of unspecified organ or tissue. Donor NOS

Z53 Appeals to health care institutions in connection with unfulfilled specific procedures

Excluded: uncompleted immunization ( Z28. -)

Z53.0 The procedure was not performed due to contraindications
Z53.1 The procedure was not performed due to conscientious objection of the patient 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 completed for other reasons
Z53.9 The procedure was not completed for an unspecified reason

Z54 State of recovery

Z54.0 State of recovery after surgery
Z54.1 State of recovery after radiotherapy
Z54.2 State of recovery after chemotherapy
Z54.3 State of recovery after psychotherapy
Z54.4 State of recovery after treatment of a fracture
Z54.7 State of recovery after combination treatment
State of recovery after any combination of treatments classified in Z54.0-Z54.4
Z54.8 State of recovery after other treatment
Z54.9 State of recovery after unspecified treatment

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

Z55 Learning and literacy problems

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

Z56 Problems related to work and unemployment

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

Z56.0 Absence of work unspecified
Z56.1 Job change
Z56.2 Threat of losing your job
Z56.3 Busy work schedule
Z56.4 Conflict with boss and co-workers
Z56.5 Unsuitable job. Difficult working conditions
Z56.6 Other physical and mental stress at work
Z56.7 Other and unspecified work-related problems

Z57 Impact of occupational risk factors

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 from solid, liquid, gaseous and vapor 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 related to physical environmental factors

Excluded: exposure to industrial risk factors ( Z57. -)

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

Z59 Problems related to housing and economic circumstances

Excluded: inadequate supply of drinking water ( Z58.6)

Z59.0 Lack of housing (homelessness)
Z59.1 Unsatisfactory living conditions
No heating. Limited living space. Technical deficiencies in the home that prevent adequate care. Unsatisfactory environment
Excluded: problems associated with physical environmental factors ( Z58. -)
Z59.2 Conflicts with neighbors, guests, owners
Z59.3 Problems associated with being in a permanent residence facility
Accommodation in a school boarding house
Excluded: educational institutions ( Z62.2)
Z59.4 Lack of adequate food
Excluded: influence of famine ( T73.0)
inappropriate diet or bad eating habits ( Z72.4)
malnutrition ( E40-E46)
Z59.5 Extreme poverty
Z59.6 Low income
Z59.7 Lack of social insurance and lateral support
Z59.8 Other problems relating to economic and housing conditions
Inability to get a loan. Living alone. Problems with creditors
Z59.9 Problem relating to economic and housing conditions, unspecified

Z60 Problems associated with adapting to lifestyle changes

Z60.0 Problems associated with adapting to lifestyle changes
Retirement (retirement). Loneliness syndrome
Z60.1 Atypical situation with parents. Problems associated with raising a child by one parent
or another person cohabiting with one of the biological parents
Z60.2 Living alone
Z60.3 Difficulties associated with accepting another culture. Migration. Changes in social status
Z60.4 Social isolation and ostracism
Social isolation and ostracism based on personal characteristics such as unusual appearance, illness
or behavior.
Excluded: Victim of racially hostile discrimination
or religious grounds ( Z60.5)
Z60.5 Victim of perceived discrimination or persecution
Harassment or discrimination (perceived or actual) based on group membership (skin color, religion, ethnic origin, etc.) rather than personal characteristics.
Excluded: social isolation and ostracism ( Z60.4)
Z60.8 Other problems related to the social environment
Z60.9 Problem related to social environmental factors, unspecified

Z61 Problems associated with adverse life events in childhood

T74. -)

Z61.0 Losing beloved relatives in childhood
Loss of an emotionally close relative, such as a parent, sibling, very close friend, or
a loved one, due to death, prolonged absence or separation.
Z61.1 Separation of a child from home. Placement in a shelter, hospital, or other institution that causes psychological distress, or conscription into the military from home for an extended period.
Z61.2 Changes in family relationships between relatives in childhood
The appearance of another person in the family as a result of unfavorable changes for the child in the relationship of relatives (this could be a new marriage of the parents or the birth of another child).
Z61.3 Events that lead to low self-esteem in childhood
Events that culminate in the child’s self-esteem (for example, failure in any business with high personal responsibility, discovery or disclosure of shameful or dishonest episodes of personal or family life, and others
factors that give rise to self-deprecation).
Z61.4 Concerns related to the possible sexual abuse of a child by a person belonging to the 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 lead to sexual contact regardless of the child's desire (for example, touching or manipulation of the genitals, intentional exposure of the genitals or mammary glands ).
Z61.5 Problems associated with possible rape of a child by a stranger
Problems associated with various genital manipulations
organs and mammary glands, with undressing, caresses and
other actions with the child that incline or have
the purpose of inducing him to sexual intercourse, with his face, significantly
older in age, 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
attitude towards the child
Problems associated with incidents in which a child is
past injuries were caused by any of the adults living in the house that required medical care (fractures,
obvious bruises), or in which the child was exposed
brutal forms of violence (beating with severe or sharp
objects, burns or binding).
Z61.7 Personal turmoil experienced in childhood
Experiences that may have an impact on the child's future, such as abduction, life-threatening natural catastrophes, injury that threatens safety or self-image, or trauma inflicted on a loved one in the child's presence.
Z61.8 Other adverse life events in childhood
Z61.9 Adverse life event in childhood, unspecified

Z62 Other problems related to raising a child

Excludes: abuse syndrome ( T74. -)

Z62.0 Inadequate care and control from parents
Lack of information from 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 care
An upbringing system that results in childishness and a child’s lack of independence and
independence.
Z62.2 Growing up in a closed institution
Group education, in which the responsibility of parents is largely transferred to the staff of various forms of institutions (such as children's homes, shelters
for orphans, boarding schools) or therapeutic care
for a long time in a hospital, institution for
convalescent 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 an individual,
harshness and constant irritability towards
certain moments 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 the parent's conversation with the child is dismissive or
indifferentLack of interest in the child, sensitive
attitude towards his difficulties, praise and support, an 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 associated with deficiencies in upbringing
Lack of learning and play experience for the child
Z62.6 Unacceptable pressure from parents and other negative parenting factors
Parents force the child to do something that goes beyond accepted norms and does not correspond to gender (for example, dressing a boy in a girl’s dress),
age (for example, demanding from a child responsibility for his actions that is not yet available to him), his desire
or opportunities.
Z62.8 Other specified problems related to raising a child
Z62.9 Problem related to raising a child, unspecified

Z63 Other problems related to loved ones, including family circumstances

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

Z63.0 Problems related to relationships between spouses or partners
Disagreements between spouses (partners), leading to a prolonged or pronounced loss of control in the relationship,
hostility, unwillingness to understand each other, or a constant atmosphere of gross interpersonal violence (beatings,
fights).
Z63.1 Relationship problems with parents or in-laws
Z63.2 Insufficient family support
Z63.3 Absence of a family member
Z63.4 Disappearance or death of a family member. Feelings of guilt towards the deceased
Z63.5 Family breakdown due to separation or divorce. Alienation
Z63.6 Dependent family member requiring care at home
Z63.7 Other stressful life events affecting family and economic conditions
Worry (normal) about a sick family member. Health-related problems in the family
Illness or disorder in a family member. Isolated family
Z63.8 Other specified issues related to the primary support group
Disagreements in the BDU family. Excessive emotional level in the family
Inadequate or disrupted family relationships
Z63.9 Problems related to the primary support team, unspecified

Z64 Problems associated with certain psychosocial circumstances

Z64.0 Problems associated with unwanted pregnancy
Excluded: monitoring the course of pregnancy in a woman,
at risk due to social problems ( Z35.7)
Z64.1 Problems associated with having many children
Excluded: monitoring the course of pregnancy in a multiparous woman ( Z35.4)
Z64.2 Search and use of physical, food and chemical substances known to be harmful and dangerous
Excluded: drug addiction - see Alphabetical Index
Z64.3 Seeking out and accepting behavioral and psychological behaviors known to be harmful and dangerous
Z64.4 Conflict with an advisor
Conflict with:
person responsible for the subject
social worker

Z65 Problems associated with other psychosocial circumstances

Excludes: current injury - see Index

Z65.0 Charged with a civil or criminal offense without imprisonment
Z65.1 Imprisonment and other forced deprivation of liberty
Z65.2 Problems associated with release from prison
Z65.3 Problems related to other legal circumstances. Arrest
Child custody or child support concerns. Litigation. Prosecution
Z65.4 Victim of crime and terrorism. Victim of torture
Z65.5 Victim of natural disaster, war or other hostile acts
Excluded: victim of perceived discrimination or persecution ( Z60.5)
Z65.8 Other specified problems associated with psychological circumstances
Z65.9 Problem associated with unspecified psychological circumstances

APPEAL TO HEALTH INSTITUTIONS IN CONNECTION
WITH OTHER CIRCUMSTANCES (Z70-Z76)

Z70 Counseling concerning sexual relations, behavior and orientation

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

Z70.0 Counseling regarding attitudes towards sexual issues
A person who is embarrassed, timid, or otherwise uncomfortable about sexual matters
Z70.1 Counseling regarding sexual behavior or sexual orientation
Patient concerned:
impotence
lack of reaction
promiscuity
sexual orientation
Z70.2 Counseling regarding sexual behavior and orientation of a third party
Advice regarding sexual behavior or orientation:
baby
partner
spouse
Z70.3 Consulting regarding complex issues related to
with sexual relationships, behavior and orientation
Z70.8 Other counseling related to sex. Sex education
Z70.9 Sexual counseling, unspecified

Z71 Contacts to health care institutions for other consultations and medical advice, not classified elsewhere

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

Z71.0 Seeking advice on behalf of another person
Obtaining advice or treatment recommendations for an absent third party
Excluded: concern (normal) about a sick family member ( Z63.7)
Z71.1 Complaints caused by fear of illness, in the absence of a diagnosed illness
The condition that caused the fear was not detected. Treatment of a healthy person caused by fear of illness
"The Imaginary Sick"
Excluded: medical observation and evaluation if suspected
for a disease or pathological condition ( Z03. -)
Z71.2 Seeking clarification of research results
Z71.3 Nutrition counseling
Nutrition counseling and related
observation (in connection with):
NOS
colitis
diabetes mellitus
food allergies or intolerances
gastritis
hypercholesterolemia
hypoglycemia
obese
Z71.4 Alcoholism counseling and monitoring
Excludes: rehabilitation of persons suffering from alcoholism ( Z50.2)
Z71.5 Drug addiction counseling and monitoring
Excluded: rehabilitation of persons suffering from drug addiction ( Z50.3)
Z71.6 Counseling and monitoring regarding smoking
Excludes: smoking rehabilitation ( Z50.8)
Z71.7 Counseling on issues related to human immunodeficiency virus [HIV]
Z71.8 Other specified counseling. Consultation regarding consanguinity
Z71.9 Consulting unspecified. Medical Council NOS

Z72 Lifestyle problems

Excluded: problems related to:
difficulties maintaining a normal lifestyle ( Z73. -)
socio-economic and psychosocial circumstances ( Z55-Z65)

Z72.0 Tobacco use
Excluded: tobacco addiction ( F17.2)
Z72.1 Alcohol consumption
Excluded: alcohol dependence ( F10.2)
Z72.2 Drug use
Excluded: 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 disorders of children
and adolescence ( F98.2-F98.3)
eating disorders ( F50. -)
lack of adequate food ( Z59.4)
malnutrition and other disorders
food ( E40-E64)
Z72.5 High-risk sexual behavior
Z72.6 Addiction to gambling and betting
Excluded: compulsive or pathological gambling ( F63.0)
Z72.8 Other lifestyle problems. Self-harming behavior
Z72.9 Lifestyle problem, unspecified

Z73 Problems associated with difficulties maintaining a normal lifestyle

Excluded: problems related to socio-economic and psychosocial circumstances ( Z55-Z65)

Z73.0 Overwork. State of exhaustion of vitality
Z73.1 Accented personality traits. Type A behavioral structure (characterized by excessive ambition, need for high achievements, intolerance, incompetence and importunity)
Z73.2 Lack of rest and relaxation
Z73.3 Stressful condition not elsewhere classified
Physical and mental stress NOS
Excluded: 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 Restrictions in activity caused by reduction or loss of ability to work
Excluded: dependence on a person providing assistance and care ( Z74. -)
Z73.8 Other problems associated with difficulties in maintaining a lifestyle
Z73.9 Problem associated with difficulty maintaining lifestyle, unspecified

Z74 Problems related to dependence on a person providing help and care

Excluded: dependence on a mechanism or other NEC device ( Z99. -)

Z74.0 Limited ability to move
Bedridden. Confinement to a wheelchair

Z74.1 Need for assistance with self-care
Z74.2 Need for help with housekeeping in the absence of a family member capable of providing assistance
Z74.3 Need for constant monitoring
Z74.8 Other problems associated with dependency on a caregiver
Z74.9 Problem related to dependence on a caregiver, unspecified

Z75 Problems related to medical provision and other medical assistance

Z75.0 Lack of medical care at home
Excluded: absence of another family member capable of providing assistance ( Z74.2)
Z75.1 A person awaiting admission to an appropriate facility to receive care
Z75.2 Another waiting period for examination and treatment appointment
Z75.3 Lack or inaccessibility of health care services
Excluded: lack of hospital space ( Z75.1)
Z75.4 Lack or inaccessibility of other institutions providing assistance
Z75.5 Providing assistance during holidays. Providing care to a sick person, usually cared for at home, with the aim of providing family members with opportunities for recreation. Respite from care
Z75.8 Other problems related to medical care and other types of patient care
Z75.9 Unspecified problem concerning medical and other patient care

Z76 Contacting health care institutions due to other circumstances

Z76.0 Issuing a repeat prescription
Issuing repeat prescriptions for:
device
medicines
glasses
Excluded: issuance of a medical certificate ( Z02.7)
issuing a repeat prescription for contraceptives ( Z30.4)
Z76.1 Monitoring and caring for the foundling's health
Z76.2 Monitoring and caring for another healthy infant or young child
Medical or nursing care or health monitoring
child in the following situations:
unfavorable socio-economic home conditions
waiting for placement in a shelter or adoption
mother's illness
the number of children in the house makes it difficult or impossible
providing normal care
Z76.3 Healthy person accompanying a sick person
Z76.4 Other persons in need of assistance from health care institutions
Excluded: homeless people ( Z59.0)
Z76.5 Feigning illness [conscious simulation]. Person feigning illness (with obvious motivation)
Excluded: fictitious violations ( F68.1) “eternal” patient ( F68.1)
Z76.8 Persons accessing health services in other specified circumstances
Z76.9 Person contacting health services in unspecified circumstances

POTENTIAL HEALTH HAZARDS RELATED TO PERSONAL
AND FAMILY HISTORY AND CERTAIN CONDITIONS,
AFFECTING HEALTH (Z80-Z99)

Excluded: follow-up examination ( Z08-Z09)
follow-up medical care and recovery status ( Z42 -Z51 , Z54 . -)
cases where family or personal history is the reason for special screening or other
examination or examination ( Z00-Z13)
cases where the possibility of fetal harm warrants observation or appropriate
actions during pregnancy ( O35. -)

Z80

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

Z81 Family history of mental and behavioral disorders

Z81.0 Family history of mental retardation
Conditions classified in categories F70-F79
Z81.1 Family history of alcohol dependence
Conditions classified under the rubric F10. Z81.2 Family history of smoking
Conditions classified under the rubric F17. Z81.3 Family history of substance abuse. Conditions classified in categories F11-F16, F18-F19
Z81.4 Family history of abuse of other addictive drugs
Conditions classified under the rubric F55
Z81.8 Family history of other mental and behavioral disorders
Conditions classified in categories F00-F99

Z82 Family history of some diseases that reduce work ability and chronic diseases that lead to disability

Z82.0 Family history of epilepsy and other diseases of the nervous system
Conditions classified in categories G00-G99
Z82.1 There is a family history of blindness and vision loss. Conditions classified under the rubric H54, Z82.2 There is a family history of deafness and hearing loss. Conditions classified in categories H90-H91
Z82.3 Family history of stroke. Conditions classified in categories I60-I64
Z82.4 Family history of coronary heart disease and other diseases of the cardiovascular system. Conditions classified in categories I00-I52, I65-I99
Z82.5 Family history of asthma and other chronic lower respiratory diseases
Conditions classified in categories J40-J47
Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue
Conditions classified in categories M00-M99
Z82.7 Family history of congenital anomalies, deformities and chromosomal abnormalities
Conditions classified in categories Q00-Q99
Z82.8 Family history of other disabling conditions and chronic disabling diseases not elsewhere classified

Z83 Family history of other specific disorders

Excluded: 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 diseases
Conditions classified in categories L00-L99
Z84.1 Family history of renal and ureteral disorders
Conditions classified in categories N00-N29
Z84.2 Family history of other diseases of the genitourinary system
Conditions classified in categories 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 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 in categories C33-C34
Z85.2
respiratory and chest organs. Conditions classified in categories C30-C32, C37-C39
Z85.3 Personal history of malignant neoplasm of breast
glands. Conditions classified under the rubric C50. Z85.4 Personal history of malignant neoplasm of the genitalia
organs. Conditions classified in categories C51-C63
Z85.5 Personal history of malignant neoplasm of the urinary organs
Conditions classified in categories C64-C68
Z85.6 Personal history of leukemia. Conditions classified in categories C91-C95
Z85.7 Personal history of malignant neoplasm of lymphoid, hematopoietic and related tissues
Conditions classified in categories C81-C90, C96. Z85.8 Personal history of malignant neoplasm of others
organs and systems. Conditions classified in categories C00-C14, C40-C49,C69-C79, C97
Z85.9 Personal history of unspecified malignant neoplasm
Conditions classified in categories C80

Z86 Personal history of some other illnesses

Excluded: follow-up medical care and convalescent status ( Z42-Z51, Z54. -)

Excluded: follow-up medical care and convalescent status ( Z42-Z51, Z54. -)

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

Z88 Personal history of allergies to drugs, medications and biological substances

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

Z89 Acquired absence of limb

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

Z89.0 Acquired absence of finger(s), including thumb, unilateral
Z89.1 Acquired absence of the 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 foot and ankle joint
Acquired absence of toe(s)
Z89.5 Acquired absence of a leg up to or below the knee
Z89.6 Acquired absence of a leg above the knee. Legs NOS
Z89.7 Acquired absence of both lower extremities (any level except fingers)
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

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

Z90.0 Acquired absence of part of the head or neck. Eyes. Throat. Nose
Excluded: teeth ( K08.1)
Z90.1 Acquired absence of mammary glands (mammary glands)
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 sexual organ(s)
Z90.8 Acquired absence of another organ

Z91 Personal history of risk factors not classified elsewhere

Excluded: exposure to pollution and other issues affecting
physical environmental factors ( Z58. -)
impact of production risk factors ( Z57. -)
personal history of substance abuse ( Z86.4)

Z91.0 Personal history of allergies to substances other than drugs and biological substances
Excluded: personal history of allergies to medications
agents and biological substances ( Z88. -)
Z91.1 Personal history of non-compliance with treatment procedures and non-compliance with the regime
Z91.2 Personal history of poor compliance with personal hygiene measures
Z91.3 Personal history of sleep-wake disorder
Excluded: sleep disorders ( G47. -)
Z91.4 Personal history of psychological trauma not classified elsewhere
Z91.5 Personal history of self-harm. Parasuicide. Self-poisoning. Suicide attempt
Z91.6 Personal history of other physical trauma
Z91.8 Personal history of other specified risk factors not classified elsewhere
Abuse of NOS. Poor treatment NOS

Z92 Personal history of treatment

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

Z93 Condition associated with the presence of an artificial hole

Excluded: artificial hole requiring attention or maintenance ( Z43. -)
complications of external stoma ( J95.0, K91.4, N99.5)

Z93.0 Presence of tracheostomy
Z93.1 Presence of gastrostomy
Z93.2 Presence of ileostomy
Z93.3 Having a colostomy
Z93.4 Presence of another artificial opening of the gastrointestinal tract
Z93.5 Presence of cystostomy
Z93.6 The presence of artificial openings in the urinary tract. Nephrostomies. Urethrostomies. Ureterostomies
Z93.8 The presence of another artificial hole
Z93.9 Presence of artificial orifice, unspecified

Z94 Presence of transplanted organs and tissues

Includes: organ or tissue replaced by hetero- or homograft
Excluded: complications related to 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
Excluded: condition associated with the presence of an artificial heart valve ( Z95.2-Z95.4)
Z94.2 Having a transplanted lung
Z94.3 Having a transplanted heart and lung
Z94.4 Presence of a liver transplant
Z94.5 Presence of grafted skin. Presence of autogenous skin graft
Z94.6 Presence of transplanted bone
Z94.7 Presence of a transplanted cornea
Z94.8 The presence of other transplanted organs and tissues. Bone marrow. Intestines
Pancreas
Z94.9 Presence of transplanted organ and tissue, unspecified

Z95 Presence of cardiac and vascular implants and grafts

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

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

Z96 Availability of other functional implants

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

Z96.0 Presence of genitourinary implants
Z96.1 Presence of intraocular lenses. Pseudophakia
Z96.2 Availability of otological and audiological implants
Bone conductive hearing aid. Cochlear implant
Eustachian tube implant. Implant in the opening of the eardrum. Stirrup substitute
Z96.3 Presence of an artificial larynx
Z96.4 Presence of endocrine gland implants. Insulin delivery device
Z96.5 Presence of dental and jaw implants
Z96.6 Presence of orthopedic joint implants
Finger joint replacement. Hip replacement (partial) (total)
Z96.7 The presence of implants of other bones and tendons. Cranial plate
Z96.8 Presence of another specified functional implant
Z96.9 Presence of a functional implant, unspecified

Z97 Availability of other devices

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

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

Z98 Other post-surgical conditions

Excluded: follow-up medical care and convalescent status ( Z42-Z51, Z54. -)
postoperative and post-procedural complications - see Alphabetical Index

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

Z99 Dependence on life-sustaining mechanisms and devices, not elsewhere classified

Z99.0 Aspirator dependence
Z99.1 Respirator dependency
Z99.2 Renal dialysis dependence. Presence of arteriovenous shunt for dialysis
Kidney dialysis status
Excluded: preparation for dialysis, its implementation or course ( Z49. -)
Z99.3 Wheelchair addiction
Z99.8 Dependence on other auxiliary mechanisms and devices
Z99.9 Dependence on life-supporting mechanisms and devices, unspecified

12. Risk factors identified during medical examination(for names of risk factors, see Appendix 2)

13. Total cardiovascular risk according to the scaleSCORE:  high  very high

14. Health status group 1 group;  Group 2;  3a group;  3b group

15. Treatment prescribed: Yes 1; no - 2

16. A referral was given for additional research not included in the scope of medical examination (preventive medical examination): yes - 1; no - 2

17. Referral to receive specialized, including high-tech medical care: Yes 1; no - 2

18. Spa treatment recommended: Yes 1; no - 2
19. Full name and signature of the doctor responsible for the medical examination _____________________________________________________________________

20. Completion date of medical examination ______________________________

Appendix No. 2

to the order of the Russian Ministry of Health

dated _______ 2015 No. _____

Additions are marked in red.

On a green background - something that may require clarification after signing the orders.

Order

filling out registration form No. 131/у

“Medical examination card

(preventive medical examination)"

1. Registration form No. 131/у « A medical examination (preventive medical examination) record card (hereinafter referred to as the Card) is filled out for each patient who applied to a medical organization providing medical care on an outpatient basis to undergo a medical examination (preventive medical examination) (hereinafter referred to as the Medical examination) in accordance with the order Ministry of Health of the Russian Federation dated December 3, 2012 No. 1006n(registered by the Ministry of Justice of the Russian Federation on April 1, 2013, registration No. 27930) and in conducting a preventive medical examination in accordance with the order of the Ministry of Health of the Russian Federation dated December 6, 2012 No. 1011n “On approval of the Procedure for conducting a preventive medical examination” (registered by the Ministry of Justice of the Russian Federation on December 29, 2012, registration No. 26511).

2. One Card is filled out for each patient, regardless of whether the Medical Examination is carried out by one or more doctors.

3. All records about the patient’s health status are made in the “Medical record of a patient receiving medical care on an outpatient basis” - registration form No. 025/u, approved by order of the Ministry of Health of Russia dated No. (registered by the Ministry of Justice of the Russian Federation in February 2015, registration number) (hereinafter referred to as the Medical Card): complaints, anamnesis, objective data, diagnoses: main, background, competing and concomitant diseases, injuries, poisonings with their ICD-10 codes, health group, prescribed treatment, examination, establishment of dispensary observation, as well as the results of examination and follow-up.

4. Information about the clinical examination necessary for the preparation of state statistical reporting is also entered into the “Coupon of a patient receiving medical care on an outpatient basis” - registration form No. 025-1/u, approved by order of the Ministry of Health of Russia dated No. (registered by the Ministry of Justice of the Russian Federation in February 2015, registration No.) (hereinafter referred to as the Coupon).

5. In paragraph 5 of the Card, benefit category codes are entered in accordance with the categories of citizens entitled to receive state social assistance in the form of set of social services 1:

“1” - war invalids;

“2” - participants in the Great Patriotic War;

“3” - combat veterans from among the persons specified in subparagraphs 1-4 of paragraph 1 of Article 3 of the Federal Law of January 12, 1995 No. 5-FZ “On Veterans” 2;

“4” - military personnel who served in military units, institutions, military educational institutions that were not part of the active army, in the period from June 22, 1941 to September 3, 1945 for at least six months, military personnel awarded orders or medals USSR for service during the specified period;

“5” - persons awarded the badge “Resident of besieged Leningrad”;

“6” - persons who worked during the Great Patriotic War at air defense facilities, local air defense facilities, in the construction of defensive structures, naval bases, airfields and other military facilities within the rear borders of active fronts, operational zones of active fleets, at front lines sections of railways and highways, as well as crew members of transport fleet ships interned at the beginning of the Great Patriotic War in the ports of other states;

“7” - family members of deceased (deceased) war invalids, participants in the Great Patriotic War and combat veterans, family members of persons killed in the Great Patriotic War from among the personnel of self-defense groups of facility and emergency teams of local air defense, as well as family members of deceased workers hospitals and clinics of the city of Leningrad;

“8” - disabled people;

"9" - disabled children.

1. 
   Paragraph 6 registers the citizen’s membership of the indigenous peoples of the North, Siberia and the Far East of the Russian Federation 3
2. 
   In paragraph 7, membership in a social group is registered (working population; non-working population; full-time students in educational organizations)
3. 
   Paragraph 8 records the conduct of a medical examination or preventive medical examination during field work.
4. 
   In paragraph 9 of the Card, the dates of inspections and examinations for the first stage of Medical Examination are noted according to the age schedule, as well as the identification of deviations based on the results of each type of examination and examination. In the “Notes” column of paragraph 6, the date of the study that was offset from previously conducted or the refusal of the study is noted, which makes it possible for an expert assessment of the completeness of the 1st stage of the Medical Examination.

9.1. D complex scanning brachycephalic arteries:

Based on the results of the questionnaire, there is an indication or suspicion of a previously suffered acute cerebrovascular accident, or

For men aged 45 years and older and women aged over 55 years with a combination of three risk factors: high blood pressure, dyslipidemia, overweight or obesity;

9.2. Esophagogastroduodenoscopy:

Based on the results of the survey, identification of complaints indicating a possible oncological disease of the upper gastrointestinal tract, or

For citizens over the age of 50 with a family history of cancer of the gastrointestinal tract);

9.3. Examination (consultation) with a neurologist: based on the results of a questionnaire in the case of indication or suspicion of a previously suffered acute cerebrovascular accident in citizens who are not under clinical observation in this regard, as well as in cases of primary detection of motor dysfunction, cognitive impairment and suspicion of depression in persons 75 years of age and older;

9.4. Examination (consultation) with a surgeon or urologist: for men aged 42 to 69 years with signs of pathology of the genitourinary system first identified by the results of a questionnaire or with a family history of prostate cancer, as well as for patients with suspicion of prostate cancer identified based on the results of an ultrasound examination);

9.5. Examination (consultation) with a surgeon or coloproctologist for citizens with a positive stool test for occult blood, with a family history of polyposis, colorectal cancer, with other indications identified based on the results of a questionnaire, as prescribed by a general practitioner, urologist, obstetrician-gynecologist in cases of detection of symptoms of a malignant neoplasm of the colorectal regions;

9.6. Colonoscopy or sigmoidoscopy: if there is a suspicion of cancer as prescribed by a surgeon or coloproctologist;

9.7. Determination of blood lipid spectrum(level of total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides): for citizens with a detected increase in the level of total cholesterol in the blood);

9.8.Spirometry: for persons with suspected chronic bronchopulmonary disease based on the results of a questionnaire, smokers and on the referral of a general practitioner;

9.9. Examination (consultation) with an obstetrician-gynecologist: for women with identified pathological changes based on the results of a cytological examination of a cervical smear and (or) mammography, and/or according to the results of an ultrasound scan of the uterus and ovaries;

9.10. Determination of the concentration of glycated hemoglobin in the blood or glucose tolerance test: for citizens with a detected increase in blood glucose levels;

9.11. ABOUTexamination (consultation) with an otorhinolaryngologist: for citizens aged 75 years and older, if there are indications based on the results of a questionnaire or examination by a general practitioner;

9.12. Blood test for prostate-specific antigen levels: as prescribed by a surgeon or urologist for men with suspected prostate cancer based on the results of a survey, examination, digital examination of the prostate and/or ultrasound of the prostate;

9.13. Examination (consultation) with an ophthalmologist: for citizens aged 39 years and older who have increased intraocular pressure and for citizens aged 75 years and older who have decreased visual acuity that cannot be corrected with glasses, identified by the results of a survey (questionnaire);

9.14. Individual in-depth preventive counseling or group preventive counseling (patient school): for citizens with identified risk factors for chronic non-communicable diseases, as well as those with diseases or high and very high total cardiovascular risk.

9.15. Appointment (examination) with a general practitioner, including establishment (clarification) of the diagnosis, determination (clarification) of the health group, determination of the dispensary observation group and the physical activity group (taking into account the opinions of medical specialists), as well as the referral of citizens, if there are medical indications, for an additional examination that is not included in the medical examination program, to receive specialized, including high-tech, medical care, and for sanatorium and resort treatment.

In the “Notes” column of paragraph 10, the date of the study that was offset from previously conducted or the refusal of the study is noted, which makes it possible for an expert assessment of the completeness of the 1st stage of the Medical Examination.

10. In paragraph 11, in the lines with the names of classes and individual diseases, the dates are noted: in column 4 - identification (confirmation) during a clinical examination of diseases, in column 5 - identification of a disease, including one diagnosed for the first time in life based on the results of a clinical examination. The source of information is paragraph 20 “List of updated diagnoses” of the Medical Card.

Column 6 of clause 11 records the admission for dispensary observation regarding the identified disease (including those diagnosed for the first time).

In column 7 of paragraph 11, suspicion of diseases is registered, the list of which is given in column 1.

11. Paragraph 12 records risk factors for chronic non-communicable diseases. In the corresponding column, under the indication of the risk factor code according to ICD-10, the date of identification of the following risk factors is noted. The table shows the names of risk factors for each code as per ICD-10, class XXI “Factors influencing health status and visits to health care institutions” and according to the order of the Ministry of Health of the Russian Federation No. 1006n:

12. In paragraph 13, for citizens under the age of 65, the level of total cardiovascular risk is recorded, determined on the SCORE scale of relative risk for citizens under 40 years of age, absolute risk for citizens 40-65 years of age.

13. In paragraph 14, the health status group is registered, determined based on the results of examinations, laboratory and instrumental studies. The health status group is determined by the general practitioner.

14. In paragraph 15, the prescription of treatment is recorded

15. In paragraph 16 it is registered referral for additional research not included in the scope of medical examination (preventive medical examination)

16. In paragraph 17, a referral for specialized, including high-tech medical care is registered

18. During the medical examination The card can be kept in the department (office) of medical prevention of a medical organization or with the doctor responsible for conducting the Medical Examination, and after its completion it is pasted into the Medical Card.

1 Article 6.1 of the Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance” (Collected Legislation of the Russian Federation, 1999, No. 24, Art. 3699; 2004, No. 35, Art. 3607)

2 Collection of Legislation of the Russian Federation, 1995, No. 3, Art. 168; 2002, No. 48, Art. 4743; 2004, No. 27, art. 2711

3 In accordance with the order of the Government of the Russian Federation of April 17, 2006 No. 536-r (Collection of Legislation of the Russian Federation, 2006, No. 17 (2 parts), Art. 1905).

Class IV. Diseases of the endocrine system, nutritional disorders and metabolic disorders (E00-E90)

Note. All neoplasms (both functionally active and inactive) are included in class II. The corresponding codes in this class (for example, E05.8, E07.0, E16-E31, E34. -) can, if necessary, be used as additional codes to identify functionally active neoplasms and ectopic endocrine tissue, as well as hyperfunction and hypofunction of the endocrine glands, associated with neoplasms and other disorders classified elsewhere.
Excluded: complications of pregnancy, childbirth and the postpartum period (O00-O99), symptoms, signs and abnormalities identified during clinical and laboratory tests, not classified elsewhere (R00-R99), transient endocrine disorders and metabolic disorders, specific for fetus and newborn (P70-P74)

This class contains the following blocks:
E00-E07 Diseases of the thyroid gland
E10-E14 Diabetes mellitus
E15-E16 Other disorders of glucose regulation and pancreatic endocrine
E20-E35 Disorders of other endocrine glands
E40-E46 Malnutrition
E50-E64 Other types of malnutrition
E65-E68 Obesity and other types of excess nutrition
E70-E90 Metabolic disorders

The following categories are indicated by an asterisk:
E35 Disorders of the endocrine glands in diseases classified elsewhere
E90 Eating and metabolic disorders in diseases classified elsewhere

THYROID DISEASES (E00-E07)

E00 Congenital iodine deficiency syndrome

Included: endemic conditions associated with iodine deficiency in the natural environment, both directly and
and due to iodine deficiency in the mother’s body. Some of these conditions cannot be considered true hypothyroidism, but are a consequence of inadequate secretion of thyroid hormones in the developing fetus; there may be a connection with natural goitrogenic factors. If necessary, identify concomitant mental retardation, use an additional code (F70-F79).
Excludes: subclinical hypothyroidism due to iodine deficiency (E02)

E00.0 Congenital iodine deficiency syndrome, neurological form. Endemic cretinism, neurological form
E00.1 Congenital iodine deficiency syndrome, myxedema form.
Endemic cretinism:
. hypothyroid
. myxedema form
E00.2 Congenital iodine deficiency syndrome, mixed form.
Endemic cretinism, mixed form
E00.9 Congenital iodine deficiency syndrome, unspecified.
Congenital hypothyroidism due to iodine deficiency NOS. Endemic cretinism NOS

E01 Thyroid diseases associated with iodine deficiency and related conditions

Excludes: congenital iodine deficiency syndrome (E00. -)
subclinical hypothyroidism due to iodine deficiency (E02)

E01.0 Diffuse (endemic) goiter associated with iodine deficiency
E01.1 Multinodular (endemic) goiter associated with iodine deficiency. Nodular goiter associated with iodine deficiency
E01.2 Goiter (endemic), associated with iodine deficiency, unspecified. Endemic goiter NOS
E01.8 Other thyroid diseases associated with iodine deficiency and similar conditions.
Acquired hypothyroidism due to iodine deficiency NOS

E02 Subclinical hypothyroidism due to iodine deficiency

E03 Other forms of hypothyroidism

Excludes: hypothyroidism associated with iodine deficiency (E00-E02)
hypothyroidism following medical procedures (E89.0)

E03.0 Congenital hypothyroidism with diffuse goiter.
Goiter (non-toxic) congenital:
. NOS
. parenchymal
E03.1 Congenital hypothyroidism without goiter. Aplasia of the thyroid gland (with myxedema).
Congenital:
. thyroid atrophy
. hypothyroidism NOS
E03.2 Hypothyroidism caused by medications and other exogenous substances.
If necessary, identify the cause, use an additional code of external causes (class XX).
E03.3 Post-infectious hypothyroidism
E03.4 Atrophy of the thyroid gland (acquired).
Excludes: congenital atrophy of the thyroid gland (E03.1)
E03.5 Myxedema coma
E03.8 Other specified hypothyroidisms
E03.9 Hypothyroidism, unspecified. Myxedema NOS

E04 Other forms of non-toxic goiter

Excluded: congenital goiter:
. NOS)
. diffuse ) (E03.0)
. parenchymatous)
goiter associated with iodine deficiency (E00-E02)

E04.0 Non-toxic diffuse goiter.
Non-toxic goiter:
. diffuse (colloidal)
. simple
E04.1 Non-toxic single-nodular goiter. Colloid node (cystic) (thyroid).
Non-toxic mononodous goiter. Thyroid (cystic) nodule NOS
E04.2 Non-toxic multinodular goiter. Cystic goiter NOS. Polynodous (cystic) goiter NOS
E04.8 Other specified forms of non-toxic goiter
E04.9 Nontoxic goiter, unspecified. Goiter NOS. Nodular goiter (non-toxic) NOS

E05 Thyrotoxicosis [hyperthyroidism]

Excludes: chronic thyroiditis with transient thyrotoxicosis (E06.2)
neonatal thyrotoxicosis (P72.1)

E05.0 Thyrotoxicosis with diffuse goiter. Exophthalmic or toxic call NOS. Graves' disease. Diffuse toxic goiter
E05.1 Thyrotoxicosis with toxic uninodular goiter. Thyrotoxicosis with toxic mononodous goiter
E05.2 Thyrotoxicosis with toxic multinodular goiter. Toxic nodular goiter NOS
E05.3 Thyrotoxicosis with ectopia of thyroid tissue
E05.4 Artificial thyrotoxicosis
E05.5 Thyroid crisis or coma
E05.8 Other forms of thyrotoxicosis. Hypersecretion of thyroid-stimulating hormone.

E05.9 Thyrotoxicosis, unspecified. Hyperthyroidism NOS. Thyrotoxic heart disease(I43.8)

E06 Thyroiditis

Excludes: postpartum thyroiditis (O90.5)

E06.0 Acute thyroiditis. Abscess of the thyroid gland.
Thyroiditis:
. pyogenic
. purulent
If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.
E06.1 Subacute thyroiditis.
Thyroiditis:
. de Quervain
. giant cell
. granulomatous
. non-purulent
Excludes: autoimmune thyroiditis (E06.3)
E06.2 Chronic thyroiditis with transient thyrotoxicosis.
Excludes: autoimmune thyroiditis (E06.3)
E06.3 Autoimmune thyroiditis. Hashimoto's thyroiditis. Chasitoxicosis (transient). Lymphadenomatous goiter.
Lymphocytic thyroiditis. Lymphomatous struma
E06.4 Drug-induced thyroiditis
E06.5 Thyroiditis:
. chronic:
. NOS
. fibrous
. woody
. Riedel
E06.9 Thyroiditis, unspecified

E07 Other thyroid diseases

E07.0 Hypersecretion of calcitonin. C-cell hyperplasia of the thyroid gland.
Hypersecretion of thyrocalcitonin
E07.1 Dishormonal goiter. Familial dyshormonal goiter. Pendred's syndrome.
Excluded: transient congenital goiter with normal function (P72.0)
E07.8 Other specified diseases of the thyroid gland. Tyrosine-binding globulin defect.
Hemorrhage)
Infarction) (c) of the thyroid gland(s)
Impaired euthyroidism syndrome
E07.9 Thyroid disease, unspecified

DIABETES MELLITUS (E10-E14)

If it is necessary to identify the drug causing diabetes, use an additional external cause code (class XX).

The following fourth characters are used with categories E10-E14:
.0 With coma
Diaberic:
. coma with or without ketoacidosis (ketoacidosis)
. hypersmolar coma
. hypoglycemic coma
Hyperglycemic coma NOS

1 With ketoacidosis
Diabetic:
. acidosis)
. ketoacidosis) without mention of coma

2 With kidney damage
Diabetic nephropathy (N08.3)
Intracapillary glomerulonephrosis (N08.3)
Kimmelstiel-Wilson syndrome (N08.3)

3 With eye lesions
Diabetic:
. cataract (H28.0)
. retinopathy (H36.0)

4 With neurological complications
Diabetic:
. amyotrophy (G73.0)
. autonomic neuropathy (G99.0)
. mononeuropathy (G59.0)
. polyneuropathy (G63.2)
. autonomous (G99.0)

5 With peripheral circulatory disorders
Diabetic:
. gangrene
. peripheral angiopathy (I79.2)
. ulcer

6 With other specified complications
Diabetic arthropathy (M14.2)
. neuropathic (M14.6)

7 With multiple complications

8 With unspecified complications

9 No complications

E10 Insulin-dependent diabetes mellitus

[cm. above headings]
Included: diabetes (mellitus):
. labile
. with onset at a young age
. with a tendency towards ketosis
. type I
Excluded: diabetes mellitus:
. newborns (P70.2)
period (O24. -)
glycosuria:
. NOS (R81)
. renal (E74.8)

E11 Non-insulin-dependent diabetes mellitus

Included: diabetes (mellitus) (non-obese) (obese):
. with onset in adulthood
. without a tendency to ketosis
. stable
. type II
Excluded: diabetes mellitus:
. associated with malnutrition (E12.-)
. in newborns (P70.2)
. during pregnancy, during childbirth and postpartum
period (O24. -)
glycosuria:
. NOS (R81)
. renal (E74.8)
impaired glucose tolerance (R73.0)
postoperative hypoinsulinemia (E89.1)

E12 Diabetes mellitus associated with malnutrition

[cm. the above subheadings]
Includes: diabetes mellitus associated with malnutrition:
. insulin dependent
. non-insulin dependent
Excluded: diabetes mellitus during pregnancy, during childbirth
and in the postpartum period (O24. -)
glycosuria:
. NOS (R81)
. renal (E74.8)
impaired glucose tolerance (R73.0)
diabetes mellitus of newborns (P70.2)
postoperative hypoinsulinemia (E89.1)

E13 Other specified forms of diabetes mellitus

[cm. the above subheadings]
Excluded: diabetes mellitus:
. insulin dependent (E10. -)
. associated with malnutrition (E12.-)
. neonatal (P70.2)
. during pregnancy, during childbirth and postpartum
period (O24. -)
glycosuria:
. NOS (R81)
. renal (E74.8)
impaired glucose tolerance (R73.0)
postoperative hypoinsulinemia (E89.1)

E14 Diabetes mellitus, unspecified

[cm. the above subheadings]
Included: diabetes NOS
Excluded: diabetes mellitus:
. insulin dependent (E10. -)
. associated with malnutrition (E12.-)
. newborns (P70.2)
. non-insulin dependent (E11. -)
. during pregnancy, during childbirth and postpartum
period (O24. -)
glycosuria:
. NOS (R81)
. renal (E74.8)
impaired glucose tolerance (R73.0)
postoperative hypoinsulinemia (E89.1)

OTHER DISORDERS OF GLUCOSE AND INTERNAL SECRETION

PANCREAS (E15-E16)

E15 Non-diabetic hypoglycemic coma. Nondiabetic insulin coma caused by drugs
means. Hyperinsulinism with hypoglycemic coma. Hypoglycemic coma NOS.
If it is necessary to identify the drug causing nondiabetic hypolycemic coma, use an additional external cause code (class XX).

E16 Other disorders of pancreatic endocrine

E16.0 Drug-induced hypoglycemia without coma.
If it is necessary to identify the drug, use an additional code for external causes (class XX).
E16.1 Other forms of hypoglycemia. Functional non-hyperinsulinemic hypoglycemia.
Hyperinsulinism:
. NOS
. functional
Pancreatic islet beta cell hyperplasia NOS. Encephalopathy after hypoglycemic coma
E16.2 Hypoglycemia, unspecified
E16.3 Increased secretion of glucagon.
Pancreatic islet cell hyperplasia with glucagon hypersecretion
E16.8 Other specified disorders of the internal secretion of the pancreas. Hypergastrinemia.
Hypersecretion:
. growth hormone releasing hormone
. pancreatic polypeptide
. somatostatin
. vasoactive intensinal polypeptide
Zollinger-Ellison syndrome
E16.9 Disorder of endocrine pancreas, unspecified. Islet cell hyperplasia NOS.
Pancreatic endocrine cell hyperplasia NOS

DISORDERS OF OTHER ENDOCRINE GLANDS (E20-E35)

Excludes: galactorrhea (N64.3)
gynecomastia (N62)

E20 Hypoparathyroidism

Excludes: DiGeorge syndrome (D82.1)
hypoparathyroidism following medical procedures (E89.2)
tetany NOS (R29.0)
transient hypoparathyroidism of the newborn (P71.4)

E20.0 Idiopathic hypoparathyroidism
E20.1 Pseudohypoparathyroidism
E20.8 Other forms of hypoparathyroidism
E20.9 Hypoparathyroidism, unspecified. Parathyroid thetagy

E21 Hyperparathyroidism and other disorders of the parathyroid [parathyroid] gland

Excludes: osteomalacia:
. in adults (M83. -)
. in childhood and adolescence (E55.0)

E21.0 Primary hyperparathyroidism. Hyperplasia of the parathyroid glands.
Generalized fibrous osteodystrophy [Recklinghausen bone disease]
E21.1 Secondary hyperparathyroidism, not elsewhere classified.
Excludes: secondary hyperparathyroidism of renal origin (N25.8)
E21.2 Other forms of hyperparathyroidism.
Excludes: familial hypocalciuric hypercalcemia (E83.5)
E21.3 Hyperparathyroidism, unspecified
E21.4 Other specified parathyroid disorders
E21.5 Parathyroid disease, unspecified

E22 Hyperfunction of the pituitary gland

Excludes: Itsenko-Cushing syndrome (E24. -)
Nelson's syndrome (E24.1)
hypersecretion:
. adrenocorticotropic hormone [ACTH], not related
with Itsenko-Cushing syndrome (E27.0)
. Pituitary ACTH (E24.0)
. thyroid stimulating hormone (E05.8)

E22.0 Acromegaly and pituitary gigantism.
Arthropathy associated with acromegaly (M14.5).
Hypersecretion of growth hormone.
Excluded: constitutional:
. gigantism (E34.4)
. tall (E34.4)
hypersecretion of growth hormone-releasing hormone (E16.8)
E22.1 Hyperprolactinemia. If it is necessary to identify the drug causing hyperprolactinemia, use an additional external cause code (class XX).
E22.2 Syndrome of inappropriate antidiuretic hormone secretion
E22.8 Other conditions of pituitary hyperfunction. Precocious puberty of central origin
E22.9 Unspecified pituitary hyperfunction

E23 Hypofunction and other pituitary disorders

Includes: listed conditions caused by diseases of the pituitary gland and hypothalamus
Excludes: hypopituitarism following medical procedures (E89.3)

E23.0 Hypopituitarism. Fertile eunuchoid syndrome. Hypogonadotropic hypogonadism.
Idiopathic growth hormone deficiency.
Isolated failure:
. gonadotropin
. growth hormone
. other pituitary hormones
Kallmann syndrome
Short stature [dwarfism] Lorraine-Levy
Necrosis of the pituitary gland (postpartum)
Panhypopituitarism
Pituitary:
. cachexia
. NOS deficiency
. short stature [dwarfism]
Sheehan's syndrome. Simmonds disease
E23.1 Drug-induced hypopituitarism.
E23.2 Diabetes insipidus.
Excludes: nephrogenic diabetes insipidus (N25.1)
E23.3 Hypothalamic dysfunction not elsewhere classified.
Excludes: Prader-Willi syndrome (Q87.1), Russell-Silver syndrome (Q87.1)
E23.6 Other diseases of the pituitary gland. Pituitary abscess. Adiposogenital dystrophy
E23.7 Pituitary disease, unspecified

E24 Itsenko-Cushing syndrome

E24.0 Itsenko-Cushing's disease of pituitary origin. Hypersecretion of ACTH by the pituitary gland.
Hyperadrenocorticism of pituitary origin
E24.1 Nelson's syndrome
E24.2 Drug-induced Itsenko-Cushing syndrome.
If it is necessary to identify the drug, use an additional code for external causes (class XX).
E24.3 Ectopic ACTH syndrome
E24.4 Alcohol-induced Cushingoid syndrome
E24.8 Other conditions characterized by Cushingoid syndrome
E24.9 Itsenko-Cushing syndrome, unspecified

E25 Adrenogenital disorders

Includes: adrenogenital syndromes, virilization or feminization, acquired or due to hyperplasia
adrenal glands, which is a consequence of congenital enzyme defects in the synthesis of hormones
female:
. adrenal false hermaphroditism
. heterosexual premature false puberty
maturity
men's:
. isosexual premature false puberty
maturity
. early macrogenitosomia
. premature puberty with hyperplasia
adrenal glands
. virilization (female)

E25.0 Congenital adrenogenital disorders associated with enzyme deficiency. Congenital adrenal hyperplasia. 21-hydroxylase deficiency. Congenital adrenal hyperplasia causing salt loss
E25.8 Other adrenogenital disorders. Idiopathic adrenogenital disorder.
If necessary, identify the drug that caused the adrenogenital disorder, use the additional external cause code (class XX).
E25.9 Adrenogenital disorder, unspecified. Adrenogenital syndrome NOS

E26 Hyperaldosteronism

E26.0 Primary hyperaldosteronism. Conn's syndrome. Primary aldosteronism caused by hyperplasia of the supra-
renal glands (bilateral)
E26.1 Secondary hyperaldosteronism
E26.8 Other forms of hyperaldosteronism. Barter syndrome
E26.9 Hyperaldosteronism, unspecified

E27 Other adrenal disorders

E27.0 Other types of hypersecretion of the adrenal cortex.
Hypersecretion of adrenocorticotropic hormone [ACTH], not associated with Cushing's disease.
Excludes: Itsenko-Cushing syndrome (E24. -)
E27.1 Primary adrenal insufficiency. Addison's disease. Autoimmune inflammation of the adrenal glands.
Excluded: amyloidosis (E85. -), Addison's disease of tuberculous origin (A18.7), Waterhouse-Friderichsen syndrome (A39.1)
E27.2 Addison's crisis. Adrenal crisis. Adrenocortical crisis
E27.3 Drug-induced adrenal insufficiency. If it is necessary to identify the drug, use an additional code for external causes (class XX).
E27.4 Other and unspecified adrenal insufficiency.
Adrenal:
. bleeding
. heart attack
Adrenal cortex sufficiency NOS. Hypoaldosteronism.
Excluded: adrenoleukodystrophy [Addison-Schilder] (E71.3), Waterhouse-Friderichsen syndrome (A39.1)
E27.5 Hyperfunction of the adrenal medulla. Hyperplasia of the adrenal medulla.
Catecholamine hypersecretion
E27.8 Other specified adrenal disorders. Cortisol binding globulin disorder
E27.9 Adrenal disease, unspecified

E28 Ovarian dysfunction

Excluded: isolated gonadotropic insufficiency (E23.0)
ovarian failure following medical procedures (E89.4)

E28.0 Excess estrogen. If it is necessary to identify the drug causing estrogen excess, use an additional external cause code (Class XX).
E28.1 Excess androgens. Hypersecretion of ovarian androgens. If it is necessary to identify the drug causing androgen excess, use the additional external cause code (Class XX).
E28.2 Polycystic ovary syndrome. Sclerocystic ovarian syndrome. Stein-Leventhal syndrome
E28.3 Primary ovarian failure. Low estrogen content. Premature menopause NOS.
Persistent ovarian syndrome.
Excludes: menopause and female menopausal status (N95.1)
pure gonadal dysgenesis (Q99.1)
Turner syndrome (Q96. -)
E28.8 Other types of ovarian dysfunction. Ovarian hyperfunction NOS
E28.9 Ovarian dysfunction, unspecified

E29 Testicular dysfunction

Azoospermia or oligospermia NOS (N46)
isolated gonadotropic insufficiency (E23.0)
Klinefelter syndrome (Q98.0-Q98.2, Q98.4)
testicular hypofunction following medical procedures (E89.5)
testicular feminization (syndrome) (E34.5)

E29.0 Hyperfunction of the testicles. Hypersecretion of testicular hormones
E29.1 Testicular hypofunction. Testicular androgen biosynthesis disorder NOS
5-alpha reductase deficiency (with male pseudohermaphroditism). Testicular hypogonadism NOS.
If necessary, identify the drug that caused testicular hypofunction, use additional
external cause code (class XX).
E29.8 Other types of testicular dysfunction
E29.9 Testicular dysfunction, unspecified

E30 Disorders of puberty, not elsewhere classified

E30.0 Delayed puberty. Constitutional delay of puberty.
Delayed puberty
E30.1 Premature puberty. Premature menstruation.
Excludes: Albright(-McCune)(-Sternberg) syndrome (Q78.1)
precocious sexual development of central origin (E22.8)
female heterosexual premature false puberty (E25. -)
male isosexual premature false puberty (E25. -)
E30.8 Other disorders of puberty. Premature thelarche
E30.9 Puberty disorder, unspecified

E31 Polyglandular dysfunction

Excludes: telangiectatic ataxia [Louis-Bart] (G11.3)
myotonic dystrophy [Steinert] (G71.1)
pseudohypoparathyroidism (E20.1)

E31.0 Autoimmune polyglandular deficiency. Schmidt syndrome
E31.1 Polyglandular hyperfunction.
Excludes: multiple endocrine adenomatosis (D44.8)
E31.8 Other polyglandular dysfunction
E31.9 Polyglandular dysfunction, unspecified

E32 Diseases of the thymus gland

Excluded: aplasia or hypoplasia with immunodeficiency (D82.1), myasthenia gravis (G70.0)

E32.0 Persistent hyperplasia of the thymus gland. Thymic hypertrophy
E32.1 Thymus abscess
E32.8 Other diseases of the thymus gland
E32.9 Thymus disease, unspecified

E34 Other endocrine disorders

Excludes: pseudohypoparathyroidism (E20.1)

E34.0 Carcinoid syndrome.
Note. If necessary, an additional code can be used to identify functional activity associated with a carcinoid tumor.
E34.1 Other conditions of hypersecretion of intestinal hormones
E34.2 Ectopic hormonal secretion, not elsewhere classified
E34.3 Short stature [dwarfism], not elsewhere classified.
Short stature:
. NOS
. constitutional
. Laron type
. psychosocial
Excluded: progeria (E34.8)
Russell-Silver syndrome (Q87.1)
shortened limbs with immunodeficiency (D82.2)
short stature:
. achondroplastic (Q77.4)
. hypochondroplastic (Q77.4)
. for specific dysmorphic syndromes
(code these syndromes; see Index)
. nutritional (E45)
. pituitary (E23.0)
. renal (N25.0)
E34.4 Constitutional tallness. Constitutional gigantism
E34.5 Androgen resistance syndrome. Male pseudohermaphroditism with androgen resistance.
Violation of peripheral hormonal reception. Reifenstein syndrome. Testicular feminization (syndrome)
E34.8 Other specified endocrine disorders. Dysfunction of the pineal gland. Progeria
E34.9 Endocrine disorder, unspecified.
Violation:
. endocrine NOS
. hormonal NOS

E35 Disorders of the endocrine glands in diseases classified elsewhere

E35.0 Disorders of the thyroid gland in diseases classified elsewhere.
Thyroid tuberculosis (A18.8)
E35.1 Adrenal disorders in diseases classified elsewhere.
Addison's disease of tuberculous etiology (A18.7). Waterhouse-Friderichsen syndrome (meningococcal) (A39.1)
E35.8 Disorders of other endocrine glands in diseases classified elsewhere

NUTRITIONAL MALFUNCTION (E40-E46)

Note. The degree of malnutrition is usually assessed using body weight measures expressed as standard deviations from the mean of a reference population. No weight gain in children or evidence of weight loss
A change in weight in children or adults with one or more previous weight measurements is usually an indicator of malnutrition. If only a single measurement of body weight is available, the diagnosis is based on assumptions and is not considered definitive unless other clinical and laboratory tests are performed. In exceptional cases, when there is no information on body weight, clinical data are taken as a basis. If an individual's body weight is below the reference population mean, severe malnutrition is highly probable when the observed value is 3 or more standard deviations below the reference population mean; moderate malnutrition if the observed value is 2 or more but less than 3 standard deviations below the mean, and mild malnutrition if the observed weight value is 1 or more but less than 2 standard deviations below the mean for the reference group.

Excludes: intestinal malabsorption (K90. -)
nutritional anemia (D50-D53)
consequences of protein-energy malnutrition (E64.0)
wasting disease (B22.2)
fasting (T73.0)

E40 Kwashiorkor

Severe malnutrition, accompanied by nutritional edema and pigmentation disorders of the skin and hair

E41 Nutritional insanity

Severe malnutrition accompanied by marasmus
Excluded: senile kwashiorkor (E42)

E42 Senile kwashiorkor

Severe protein-energy malnutrition [as in E43]:
. intermediate form
. with symptoms of kwashiorkor and marasmus

E43 Severe protein-energy malnutrition, unspecified

Severe weight loss in children or adults, or failure to gain weight in a child, that results in an observed weight that is at least 3 standard deviations below the reference group mean (or similar weight loss as measured by other statistical methods) . If only a single weight measurement is available, severe wasting is likely to occur when the measured weight is 3 or more standard deviations below the reference population mean. Hunger swelling

E44 Moderate and mild protein-energy malnutrition

E44.0 Moderate protein-energy deficiency. Weight loss in children or adults or lack of weight gain in a child that results in an estimated body weight below the average
for the reference population by 2 standard deviations or more but less than 3 standard deviations (or
similar reduction in body weight reflected by other statistical methods). If only a single measurement of body weight is available, then moderate protein-energy malnutrition is highly likely when the detected body weight is 2 or more standard deviations below the mean for the reference population.

E44.1 Mild protein-energy malnutrition. Weight loss in children or adults or lack of weight gain in a child that results in an estimated body weight below the average
for the reference population by 1 or more but less than 2 standard deviations (or a similar reduction in body weight as reflected by other statistical methods). If only a single measurement of body weight is available, then mild protein-energy malnutrition is highly likely when the detected body weight is 1 or more but less than 2 standard deviations below the mean for the reference population.

E45 Developmental delay due to protein-energy malnutrition

Nutritional:
. short stature (dwarfism)
. stunting
Delayed physical development due to malnutrition

E46 Protein-energy malnutrition, unspecified

Malnutrition NOS
Protein-energy imbalance NOS

OTHER TYPES OF MALNUTRITION (E50-E64)

Excluded: nutritional anemia (D50-D53)

E50 Vitamin A deficiency

Excludes: consequences of vitamin A deficiency (E64.1)

E50.0 Vitamin A deficiency with conjunctival xerosis
E50.1 Vitamin A deficiency with Bitot's plaques and conjunctival xerosis. Bito's plaque in a young child
E50.2 Vitamin A deficiency with corneal xerosis
E50.3 Vitamin A deficiency with corneal ulceration and xerosis
E50.4 Vitamin A deficiency with keratomalacia
E50.5 Vitamin A deficiency with night blindness
E50.6 Vitamin A deficiency with xerophthalmic corneal scars
E50.7 Other ocular manifestations of vitamin A deficiency. Xerophthalmia NOS
E50.8 Other manifestations of vitamin A deficiency.
Follicular keratosis) due to insufficiency
Xeoderma) vitamin A (L86)
E50.9 Vitamin A deficiency, unspecified. Hypovitaminosis A NOS

E51 Thiamine deficiency

Excludes: consequences of thiamine deficiency (E64.8)

E51.1 Take it, take it.
Take it:
. dry form
. wet form (I98.8)
E51.2 Wernicke's encephalopathy
E51.8 Other manifestations of thiamine deficiency
E51.9 Thiamine deficiency, unspecified

E52 Nicotinic acid deficiency [pellagra]

Failure:
. niacin (-tryptophan)
. nicotinamide
Pellagra (alcoholic)
Excludes: consequences of niacin deficiency (E64.8)

E53 Deficiency of other B vitamins

Excludes: consequences of vitamin B deficiency (E64.8)
vitamin B12 deficiency anemia (D51. -)

E53.0 Riboflavin deficiency. Ariboflavinosis
E53.1 Pyridoxine deficiency. Vitamin B6 deficiency.
Excludes: pyridoxine-responsive sideroblastic anemia (D64.3)
E53.8 Insufficiency of other specified B vitamins.
Failure:
. biotin
. cyanocobalamin
. folate
. folic acid
. pantothenic acid
. vitamin B12
E53.9 Vitamin B deficiency, unspecified

E54 Ascorbic acid deficiency

Vitamin C deficiency. Scurvy.
Excludes: anemia due to scurvy (D53.2)
consequences of vitamin C deficiency (E64.2)

E55 Vitamin D deficiency

osteoporosis (M80-M81)
consequences of rickets (E64.3)

E55.0 Rickets is active.
Osteomalacia:
. children's
. youthful
Excluded: rickets:
. intestinal (K90.0)
. Crown (K50. -)
. inactive (E64.3)
. renal (N25.0)
. vitamin D-resistant (E83.3)
E55.9 Vitamin D deficiency, unspecified. Vitamin deficiency D

E56 Deficiency of other vitamins

Excludes: consequences of other vitamin deficiencies (E64.8)

E56.0 Vitamin E deficiency
E56.1 Vitamin K deficiency.
Excludes: coagulation factor deficiency due to vitamin K deficiency (D68.4)
Vitamin K deficiency in the newborn (P53)
E56.8 Deficiency of other vitamins
E56.9 Vitamin deficiency, unspecified

E58 Nutritional calcium deficiency

Excludes: calcium metabolism disorders (E83.5)
consequences of calcium deficiency (E64.8)

E59 Nutritional deficiency of selenium

Keshan disease
Excludes: consequences of selenium deficiency (E64.8)

E60 Nutritional zinc deficiency

E61 Insufficient other batteries

If it is necessary to identify the drug causing the deficiency, use an additional external cause code (class XX).
Excludes: disorders of mineral metabolism (E83. -)
thyroid dysfunction associated with iodine deficiency (E00-E02)

E61.0 Copper deficiency
E61.1 Iron deficiency.
Excludes: iron deficiency anemia (D50. -)
E61.2 Magnesium deficiency
E61.3 Manganese deficiency
E61.4 Chromium deficiency
E61.5 Molybdenum deficiency
E61.6 Vanadium deficiency
E61.7 Insufficiency of many nutrients
E61.8 Insufficiency of other specified nutrients
E61.9 Unspecified nutritional deficiency

E63 Other types of malnutrition

Excluded: dehydration (E86)
growth disorders (R62.8)
problems feeding a newborn (P92. -)
consequences of malnutrition and other nutritional deficiencies (E64.-)

E63.0 Deficiency of essential fatty acids
E63.1 Unbalanced intake of nutritional elements
E63.8 Other specified types of malnutrition
E63.9 Malnutrition, unspecified. Cardiomyopathy due to malnutrition NOS+ (I43.2)

E64 Consequences of malnutrition and other nutritional deficiencies

E64.0 Consequences of protein-energy deficiency.
Excludes: developmental delay due to protein-energy malnutrition (E45)
E64.1 Consequences of vitamin A deficiency
E64.2 Consequences of vitamin C deficiency
E64.3 Consequences of rickets
E64.8 Consequences of other vitamin deficiencies
E64.9 Consequences of unspecified nutritional deficiencies

OBESITY AND OTHER TYPES OF OVERNUTRITION (E65-E68)

E65 Localized fat deposition

Fat pads

E66 Obesity

Excludes: adiposogenital dystrophy (E23.6)
lipomatosis:
. NOS (E88.2)
. painful [Dercum's disease] (E88.2)
Prader-Willi syndrome (Q87.1)

E66.0 Obesity due to excess energy intake
E66.1 Drug-induced obesity.
If it is necessary to identify the drug, use an additional code for external causes (class XX).
E66.2 Extreme obesity accompanied by alveolar hypoventilation. Pickwickian syndrome
E66.8 Other forms of obesity. Morbid Obesity
E66.9 Obesity, unspecified. Simple obesity NOS

E67 Other types of power redundancy

Excludes: overeating NOS (R63.2)
consequences of excess nutrition (E68)

E67.0 Hypervitaminosis A
E67.1 Hypercarotenemia
E67.2 Vitamin B6 megadose syndrome
E67.3 Hypervitaminosis D
E67.8 Other specified forms of nutritional excess

E68 Consequences of redundant supply

METABOLISM DISORDERS (E70-E90)

Excludes: androgen resistance syndrome (E34.5)
congenital adrenal hyperplasia (E25.0)
Ehlers-Danlos syndrome (Q79.6)
hemolytic anemia caused by enzyme disorders (D55. -)
Marfan syndrome (Q87.4)
5-alpha reductase deficiency (E29.1)

E70 Disorders of aromatic amino acid metabolism

E70.0 Classic phenylketonuria
E70.1 Other types of hyperphenylalaninemia
E70.2 Tyrosine metabolism disorders. Alkaptonuria. Hypertyrosinemia. Ochronosis. Tyrosinemia. Tyrosinosis
E70.3 Albinism.
Albinism:
. ocular
. cutaneous-ocular
Syndrome:
. Chediak(-Steinbrink)-Higashi
. Cross
. Hermanski-Pudlak
E70.8 Other disorders of aromatic amino acid metabolism.
Violations:
. histidine exchange
. tryptophan metabolism
E70.9 Disorders of aromatic amino acid metabolism, unspecified

E71 Disorders of branched-chain amino acid and fatty acid metabolism

E71.0 Maple syrup disease
E71.1 Other types of branched chain amino acid metabolism disorders. Hyperleucine-isoleucinemia. Hypervalinemia.
Isovaleric acidemia. Methylmalonic acidemia. Propionic acidemia
E71.2 Disorders of branched-chain amino acid metabolism, unspecified
E71.3 Disorders of fatty acid metabolism. Adrenoleukodystrophy [Addison-Schilder].
Muscle carnitine palmityl transferase deficiency.
Excludes: Refsum disease (G60.1)
Schilder's disease (G37.0)
Zellweger syndrome (Q87.8)

E72 Other disorders of amino acid metabolism

Excluded: deviations from the norm without manifestations of disease (R70-R89)
violations:
. aromatic amino acid metabolism (E70. -)
. branched chain amino acid metabolism (E71.0-E71.2)
. fatty acid metabolism (E71.3)
. exchange of purines and pyrimidines (E79. -)
gout (M10. -)

E72.0 Amino acid transport disorders. Cystinosis. Cystinuria.
Fanconi syndrome (-de Toni) (-Debra). Hartnap disease. Lowe's syndrome.
Excludes: disorders of tryptophan metabolism (E70.8)
E72.1 Metabolism disorders of sulfur-containing amino acids. Cystathioninuria.
Homocystinuria. Methioninemia. Sulfite oxidase deficiency.
Excludes: transcobalamin II deficiency (D51.2)
E72.2 Disorders of urea cycle metabolism. Argininemia. Argininosuccinaaciduria. Citrullinemia. Hyperammonemia.
Excludes: disorders of ornithine metabolism (E72.4)
E72.3 Disorders of lysine and hydroxylysine metabolism. Glutaric aciduria. Hydroxylysinemia. Hyperlysinemia
E72.4 Ornithine metabolism disorders. Ornithinemia (types I, II)
E72.5 Glycine metabolism disorders. Hyperhydroxyprolinemia. Hyperprolinemia (types I, II). Non-ketone hyperglycinemia.
Sarcosinemia
E72.8 Other specified disorders of amino acid metabolism.
Violations:
. beta amino acid metabolism
. gamma glutamyl cycle
E72.9 Disorders of amino acid metabolism, unspecified

E73 Lactose intolerance

E73.0 Congenital lactase deficiency
E73.1 Secondary lactase deficiency
E73.8 Other types of lactose intolerance
E73.9 Lactose intolerance, unspecified

E74 Other disorders of carbohydrate metabolism

Excludes: increased glucagon secretion (E16.3)
diabetes mellitus (E10-E14)
hypoglycemia NOS (E16.2)
mucopolysaccharidosis (E76.0-E76.3)

E74.0 Glycogen storage diseases. Cardiac glycogenosis.
Disease:
. Andersen
. Corey
. Forbes
. Gersa
. McArdle
. Pompe
. Tauri
. Gierke
Liver phosphorylase deficiency
E74.1 Fructose metabolism disorders. Essential fructosuria.
Fructose-1,6-biphosphatase deficiency. Hereditary fructose intolerance
E74.2 Disorders of galactose metabolism. Galactokinase deficiency. Galactosemia
E74.3 Other disorders of carbohydrate absorption in the intestine. Impaired absorption of glucose-galactose.
Sucrose deficiency.
Excludes: lactose intolerance (E73. -)
E74.4 Disorders of pyruvate metabolism and glyconeogenesis.
Failure:
. phosphoenolpyruvate carboxykinase
. pyruvate:
. carboxylases
. dehydrogenases
Excluded: with anemia (D55. -)
E74.8 Other specified disorders of carbohydrate metabolism. Essential pentosuria. Oxalosis. Oxaluria.
Renal glycosuria
E74.9 Disorder of carbohydrate metabolism, unspecified

E75 Disorders of sphingolipid metabolism and other lipid storage diseases

Excluded: mucolipidosis, types I-III (E77.0-E77.1)
Refsum's disease (G60.1)

E75.0 Gangliosidosis-GM2.
Disease:
. Sandhoff
. Tay-Sachs
GM2 gangliosidosis:
. NOS
. adults
. juvenile
E75.1 Other gangliosidoses.
Gangliosidosis:
. NOS
. GM1
. GM3
Mucolipidosis IV
E75.2 Other sphingolipidoses.
Disease:
. Fabry(-Anderson)
. Gaucher
. Krabbe
. Nieman-Pick
Faber's syndrome. Metachromatic leukodystrophy. Sulfatase deficiency.
Excludes: adrenoleukodystrophy (Addison-Schilder) (E71.3)
E75.3 Sphingolipidosis, unspecified
E75.4 Lipofuscinosis of neurons.
Disease:
. Batten
. Bilshovsky-Jansky
. Kufsa
. Spielmeier-Vogt
E75.5 Other lipid storage disorders. Cerebrotendinous cholesterosis [Van Bogaert-Scherer-Epstein]. Wolman's disease
E75.6 Lipid storage disease, unspecified

E76 Disorders of glycosaminoglycan metabolism

E76.0 Mucopolysaccharidosis, type I.
Syndromes:
. Gurler
. Gurler-Scheie
. Scheie
E76.1 Mucopolysaccharidosis, type II. Gunther syndrome
E76.2 Other mucopolysaccharidoses. Beta-glucuronidase deficiency. Mucopolysaccharidoses types III, IV, VI, VII
Syndrome:
. Maroto-Lami (light) (heavy)
. Morquio(-like) (classic)
. Sanfilippo (type B) (type C) (type D)
E76.3 Mucopolysaccharidosis, unspecified
E76.8 Other disorders of glycosaminoglycan metabolism
E76.9 Disorder of glycosaminoglycan metabolism, unspecified

E77 Disorders of glycoprotein metabolism

E77.0 Defects in post-translational modification of lysosomal enzymes. Mucolipidosis II.
Mucolipidosis III [Hurler pseudopolydystrophy]
E77.1 Defects in glycoprotein degradation. Aspartylglucosaminuria. Fucosidosis. Mannosidosis. Sialidosis [mucolipidosis I]
E77.8 Other disorders of glycoprotein metabolism
E77.9 Disorders of glycoprotein metabolism, unspecified

E78 Disorders of lipoprotein metabolism and other lipidemias

Excludes: sphingolipidosis (E75.0-E75.3)
E78.0 Pure hypercholesterolemia. Familial hypercholesterolemia. Fredrickson's hyperlipoporteinemia, type Iia.
Hyper-beta lipoproteinemia. Hyperlipidemia, group A. Hyperlipoproteinemia with low-density lipoproteins
E78.1 Pure hyperglyceridemia. Endogenous hyperglyceridemia. Fredrickson's hyperlipoporteinemia, type IV.
Hyperlipidemia, group B. Hyperpre-beta-lipoproteinemia. Hyperlipoproteinemia with very low lipoproteins
density
E78.2 Mixed hyperlipidemia. Extensive or floating beta-lipoproteinemia.
Fredrickson's hyperlipoporteinemia, types IIb or III. Hyperbetalipoproteinemia with pre-beta lipoproteinemia.
Hypercholesterolemia with endogenous hyperglyceridemia. Hyperlipidemia, group C. Tuboeruptive xanthoma.
Xanthoma tuberous.
Excludes: cerebrotendinous cholesterosis [Van Bogaert-Scherer-Epstein] (E75.5)
E78.3 Hyperchylomicronemia. Fredrickson's hyperlipoportainemia, types I or V.
Hyperlipidemia, group D. Mixed hyperglyceridemia
E78.4 Other hyperlipidaemias. Familial combined hyperlipidemia
E78.5 Hyperlipidemia, unspecified
E78.6 Lipoprotein deficiency. A-beta lipoproteinemia. High density lipoprotein deficiency.
Hypo-alpha lipoproteinemia. Hypo-beta-lipoproteinemia (familial). Lecithin cholesterol acyltransferase deficiency. Tangier disease
E78.8 Other disorders of lipoprotein metabolism
E78.9 Disorders of lipoprotein metabolism, unspecified

E79 Disorders of purine and pyrimidine metabolism

Excludes: kidney stone (N20.0)
combined immunodeficiencies (D81. -)
gout (M10. -)
Orotaciduric anemia (D53.0)
xeroderma pigmentosum (Q82.1)

E79.0 Hyperuricemia without signs of inflammatory arthritis and gouty nodes. Asymptomatic hyperuricemia
E79.1 Lesch-Nychen syndrome
E79.8 Other disorders of purine and pyrimidine metabolism. Hereditary xanthinuria
E79.9 Disturbance of purine and pyrimidine metabolism, unspecified

E80 Disorders of porphyrin and bilirubin metabolism

Includes: catalase and peroxidase defects

E80.0 Hereditary erythropoietic porphyria. Congenital erythropoietic porphyria.
Erythropoietic protoporphyria
E80.1 Cutaneous porphyria slow
E80.2 Other porphyrias. Hereditary coproporphyria
Porphyria:
. NOS
. acute intermittent (hepatic)
If it is necessary to identify the cause, use an additional external cause code (class XX).
E80.3 Catalase and peroxidase defects. Acatalasia [Takahara]
E80.4 Gilbert's syndrome
E80.5 Crigler-Najjar syndrome
E80.6 Other disorders of bilirubin metabolism. Dubin-Johnson syndrome. Rotor syndrome
E80.7 Bilirubin metabolism disorder, unspecified

E83 Disorders of mineral metabolism

Excludes: nutritional deficiency of minerals (E58-E61)
parathyroid disorders (E20-E21)
Vitamin D deficiency (E55.-)

E83.0 Copper metabolism disorders. Menkes disease [curly hair disease] [steel hair]. Wilson's disease
E83.1 Iron metabolism disorders. Hemochromatosis.
Excluded: anemia:
. iron deficiency (D50. -)
. sideroblastic (D64.0-D64.3)
E83.2 Zinc metabolism disorders. Acrodermatitis enteropathica
E83.3 Phosphorus metabolism disorders. Acid phosphatase deficiency. Familial hypophosphatemia. Hypophosphatasia.
Vitamin D-resistant:
. osteomalacia
. rickets
Excludes: osteomalacia in adults (M83.-)
osteoporosis (M80-M81)
E83.4 Disorders of magnesium metabolism. Hypermagnesemia. Hypomagnesemia
E83.5 Disorders of calcium metabolism. Familial hypocalciuric hypercalcemia. Idiopathic hypercalciuria.
Excludes: chondrocalcinosis (M11.1-M11.2)
hyperparathyroidism (E21.0-E21.3)
E83.8 Other mineral metabolism disorders
E83.9 Mineral metabolism disorder, unspecified

E84 Cystic fibrosis

Includes: cystic fibrosis

E84.0 Cystic fibrosis with pulmonary manifestations
E84.1 Cystic fibrosis with intestinal manifestations. Meconium ileus(P75)
E84.8 Cystic fibrosis with other manifestations. Cystic fibrosis with combined manifestations
E84.9 Cystic fibrosis, unspecified

E85 Amyloidosis

Excludes: Alzheimer's disease (G30.-)

E85.0 Hereditary familial amyloidosis without neuropathy. Familial Mediterranean fever.
Hereditary amyloid nephropathy
E85.1 Neuropathic hereditary familial amyloidosis. Amyloid polyneuropathy (Portuguese)
E85.2 Hereditary familial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis. Amyloidosis associated with hemodialysis
E85.4 Limited amyloidosis. Localized amyloidosis
E85.8 Other forms of amyloidosis
E85.9 Amyloidosis, unspecified

E86 Reducing liquid volume

Dehydration. Decreased plasma or extracellular fluid volume. Hypovolemia
Excludes: neonatal dehydration (P74.1)
hypovolemic shock:
. NOS (R57.1)
. postoperative (T81.1)
. traumatic (T79.4)

E87 Other disorders of water-salt metabolism or acid-base balance

E87.0 Hyperosmolarity and hypernatremia. Excess sodium. Sodium overload
E87.1 Hypoosmolarity and hyponatremia. Sodium deficiency.
Excludes: syndrome of impaired antidiuretic hormone secretion (E22.2)
E87.2 Acidosis.
Acidosis:
. NOS
. lactic
. metabolic
. respiratory
Excludes: diabetic acidosis (E10-E14 with common fourth digit.1)
E87.3 Alkalosis.
Alkalosis:
. NOS
. metabolic
. respiratory
E87.4 Mixed acid-base imbalance
E87.5 Hyperkalemia. Excess potassium [K]. Potassium overload [K]
E87.6 Hypokalemia. Potassium deficiency [K]
E87.7 Hypervolemia.
Excludes: edema (R60. -)
E87.8 Other disorders of water-salt balance, not classified elsewhere.
Electrolyte imbalance NOS. Hyperchloremia. Hypochloremia

E88 Other metabolic disorders

Excludes: histiocidosis X (chronic) (D76.0)
If it is necessary to identify the drug that caused the metabolic disorder, use an additional external cause code (class XX).

E88.0 Disorders of plasma protein metabolism, not classified elsewhere. Alpha-1 antitrypsin deficiency.
Bis-albuminemia.
Excludes: disorders of lipoprotein metabolism (E78. -)
monoclonal gammopathy (D47.2)
polyclonal hyper-gamma globulinemia (D89.0)
Waldenström's macroglobulinemia (C88.0)
E88.1 Lipodystrophy, not elsewhere classified. Lipodystrophy NOS.
Excludes: Whipple disease (K90.8)
E88.2 Lipomatosis, not elsewhere classified.
Lipomatosis:
. NOS
. painful [Dercum's disease]
E88.8 Other specified metabolic disorders. Adenolipomatosis Lonois-Bansod. Trimethylaminuria
E88.9 Metabolic disorder, unspecified

E89 Endocrine and metabolic disorders following medical procedures, not elsewhere classified

E89.0 Hypothyroidism resulting from medical procedures.
Radiation-induced hypothyroidism. Postoperative hypothyroidism
E89.1 Hypoinsulinemia occurring after medical procedures. Hyperglycemia after removal of the pancreas.
Postoperative hypoinsulinemia
E89.2 Hypoparathyroidism resulting from medical procedures. Parathyroid tetany
E89.3 Hypopituitarism occurring after medical procedures. Radiation-induced hypopituitarism
E89.4 Ovarian dysfunction resulting from medical procedures
E89.5 Testicular hypofunction after medical procedures
E89.6 Hypofunction of the adrenal cortex (medulla) that occurs after medical procedures
E89.8 Other endocrine and metabolic disorders that occur after medical procedures
E89.9 Endocrine and metabolic disorder following medical procedures, unspecified