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Instructions for Classification of Underlying and Multiple Causes of Death – Appendix – 2019
Appendix A – Infrequent and Rare Cause-of-Death Edits for Underlying and Multiple Cause-of-Death Classification
A00 Cholera
A01 Typhoid and paratyphoid fevers
A05.1 Botulism (botulism, infant botulism, wound botulism)
A07.0-.2, .8-.9 Other protozoal intestinal diseases, excluding coccidiosis
A08.0 Rotaviral enteritis-less than 5 years of age
A20 Plague
A21 Tularemia
A22 Anthrax
A23 Brucellosis
A24.0 Glanders
A24.1-.4 Melioidosis
A25 Rat-bite fever
A27 Leptospirosis
A30 Leprosy
A33 Tetanus neonatorum
A34 Obstetrical tetanus
A35 Other tetanus (tetanus)
A36 Diphtheria
A37 Whooping cough
A44 Bartonellosis
A49.1 Streptococcus pneumoniae – less than 5 years of age
A65 Nonvenereal syphilis
A66 Yaws
A67 Pinta
A68 Relapsing fever
A69 Other spirochetal infection
A70 Chlamydia psittaci infection (ornithosis)
A75 Typhus fever
A77.1 Spotted fever due to Rickettsia conorii (Boutonneuse fever)
A77.2 Spotted fever due to Rickettsia siberica (North Asian tick fever)
A77.3 Spotted fever due to Rickettsia australis (Queensland tick typhus)
A77.8 Other spotted fevers (other tick-borne rickettsioses)
A77.9 Unspecified spotted fevers (unspecified tick-borne rickettsioses)
A78 Q fever
A79 Other rickettsioses
A80 Acute poliomyelitis
A81 Atypical virus infections of central nervous system
A82 Rabies
A84 Tick-borne viral encephalitis
A85.2 Arthropod-borne viral encephalitis, unspecified (viral encephalitis transmitted by other and unspecified arthropods)
A90 Dengue fever
A91 Dengue hemorrhagic fever
A92 Other mosquito-borne viral fevers
A93 Other arthropod-borne viral fevers including Oropouche fever, sandfly fever, Colorado tick fever and other specified
A94 Unspecified arthropod-borne viral fever
A95 Yellow fever
A96 Arenaviral hemorrhagic fever
A98-A99 Other viral hemorrhagic fevers including Crimean-Congo, Omsk, Kyasanur Forest, Ebola virus, Hanta virus
B01 Varicella (chickenpox)
B03 Smallpox
B04 Monkeypox
B05 Measles
B06 Rubella
B08.0 Other orthopoxvirus (cowpox and paravaccinia)
B15 Acute hepatitis A – less than 20 years of age
B16 Acute hepatitis B – less than 20 years of age
B26 Mumps
B33.0 Epidemic myalgia (epidemic pleurodynia)
B33.4 Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]
B50-B54 Malaria
B55 Leishmaniasis
B56 African trypanosomiasis (trypanosomiasis)
B57 Chagas disease (trypanosomiasis)
B60.2 Naegleriasis
B65 Schistosomiasis
B66 Other fluke infections (other trematode infection)
B67 Echinococcosis
B68 Taeniasis
B69 Cysticercosis
B70 Diphyllobothriasis and sparganosis
B71 Other cestode infections
B72 Dracunculiasis (dracontiasis)
B73 Onchocerciasis
B74 Filariasis (filarial infection)
J09 Influenza due to certain identified influenza virus
P35.0 Congenital rubella syndrome
U04.9 Severe acute respiratory syndrome (SARS), unspecified
W88-W91 Exposure to radiation
Y36.5 War operation involving nuclear weapons
Causing adverse effects in therapeutic use:
Y58 Bacterial vaccines
Y59.0 Viral vaccines
Y59.1 Rickettsial vaccines
Y59.2 Protozoal vaccines
Y59.3 Immunoglobulin
Appendix B – Created Codes and Their Complimentary Valid ICD-10 Codes
Created Code Valid ICD-10 Code
A1690 A169
E0390 E039
G1220 G122
G2000 G20
I2190 I219
I4200 I420
I4210 I421
I4220 I422
I4250 I425
I4280 I428
I4290 I429
I5000 I500
I5140 I514
I5150 I515
I6000 I600
I6060 I606
I6070 I607
I6080 I608
I6090 I609
I6100 I610
I6110 I611
I6120 I612
I6130 I613
I6140 I614
I6150 I615
I6180 I618
I6190 I619
I6300 I630
I6310 I631
I6320 I632
I6330 I633
I6340 I634
I6350 I635
I6360 I636
I6380 I638
I6390 I639
I6400 I64
I6910 I691
I6930 I693
I6940 I694
J1010 J101
J1110 J111
J8490 J849
J9840 J984
K3190 K319
K5500 K550
K6310 K631
K7200 K720
K7210 K721
K7290 K729
M1990 M199
Q2780 Q278
Q2820 Q282
Q2830 Q283
R5800 R58
R97 R99
Appendix C – Geographic Codes
Alabama AL
Alaska AK
Arizona AZ
Arkansas AR
California CA
Colorado CO
Connecticut CT
Delaware DE
District of Columbia DC
Florida FL
Georgia GA
Hawaii HI
Idaho ID
Illinois IL
Indiana IN
Iowa IA
Kansas KS
Kentucky KY
Louisiana LA
Maine ME
Maryland MD
Massachusetts MA
Michigan MI
Minnesota MN
Mississippi MS
Missouri MO
Montana MT
Nebraska NE
Nevada NV
New Hampshire NH
New Jersey NJ
New Mexico NM
New York NY
North Carolina NC
North Dakota ND
Ohio OH
Oklahoma OK
Oregon OR
Pennsylvania PA
Puerto Rico PR
Rhode Island RI
South Carolina SC
South Dakota SD
Tennessee TN
Texas TX
Utah UT
Vermont VT
Virginia VA
Virgin Islands VI
Washington WA
West Virginia WV
Wisconsin WI
Wyoming WY
Territories and Outlying Areas
American Samoa AS
Federated States of Micronesia FM
Guam GU
Marshall Islands MH
Northern Mariana Islands MP
Palau PW
Puerto Rico PR
Virgin Islands (US) VI
US Minor Outlying Islands UM*
Baker Island
Howland Island
Jarvis Island
Johnston Atoll
Kingman Reef
Midway Islands
Navassa Island
Palmyra Atoll
Wake Island
*Not recognized as a valid USPS State abbreviation
Appendix D – Standard Abbreviations and Symbols
When an abbreviation is reported on the certificate, refer to this list to determine what the abbreviation represents. If an abbreviation represents more than one term, determine the correct abbreviation by using other information on the certificate. If no determination can be made, use abbreviation for first term listed.
A2GDM class A2 gestational diabetes mellitus
AAA abdominal aortic aneurysm
AAS aortic arch syndrome
AAT alpha-antitrypsin
AAV AIDS-associated virus
AB abdomen; abortion; asthmatic bronchitis
ABD abdomen
ABE acute bacterial endocarditis
ABS acute brain syndrome
ACA adenocarcinoma
ACD arteriosclerotic coronary disease
ACH adrenal cortical hormone
ACT acute coronary thrombosis
ACTH adrenocorticotrophic hormone
ACVD arteriosclerotic cardiovascular disease
ADEM acute disseminated encephalomyelitis
ADH antidiuretic hormone
ADS antibody deficiency syndrome
AEG air encephalogram
AF auricular or atrial fibrillation; acid fast
AFB acid-fast bacillus
AGG agammaglobulinemia
AGL acute granulocytic leukemia
AGN acute glomerulonephritis
AGS adrenogenital syndrome
AHA acquired hemolytic anemia; autoimmune hemolytic anemia
AHD arteriosclerotic heart disease
AHHD arteriosclerotic hypertensive heart disease
AHG anti-hemophilic globulin deficiency
AHLE acute hemorrhagic leukoencephalitis
AI aortic insufficiency; additional information
AIDS acquired immunodeficiency syndrome
AKA above knee amputation
AKI acute kidney injury
ALC alcoholism
ALL acute lymphocytic leukemia
ALS amyotrophic lateral sclerosis
AMA advanced maternal age; against medical advice; antimitochondrial antibody(ies)
AMI acute myocardial infarction
AML acute myelocytic leukemia
ANS arteriolonephrosclerosis
AOD arterial occlusive disease
AODM adult onset diabetes mellitus
AOM acute otitis media
AP angina pectoris; anterior and posterior repair; artificial pneumothorax; anterior pituitary
A&P anterior and posterior repair
APC auricular premature contraction; acetylsalicylic acid, acetophenetidin, and caffeine
APE acute pulmonary edema; anterior pituitary extract
APH antepartum hemorrhage
AR aortic regurgitation
ARC AIDS-related complex
ARDS adult respiratory distress syndrome
ARF acute respiratory failure; acute renal failure
ARM artificial rupture of membranes
ARV AIDS-related virus
ARVD arrhythmogenic right ventricular dysplasia
AS arteriosclerotic; arteriosclerosis; aortic stenosis
ASA acetylsalicylic acid (aspirin)
ASAD arteriosclerotic artery disease
ASCAD arteriosclerotic coronary artery disease
ASCD arteriosclerotic coronary disease
ASCHD arteriosclerotic coronary heart disease
ASCRD arteriosclerotic cardiorenal disease
ASCVA arteriosclerotic cerebrovascular accident
ASCVD arteriosclerotic cardiovascular disease
ASCVR arteriosclerotic cardiovascular renal disease
ASCVRD arteriosclerotic cardiovascular renal disease
ASD atrial septal defect
ASDHD arteriosclerotic decompensated heart disease
ASHCVD arteriosclerotic hypertensive cardiovascular disease
ASHD arteriosclerotic heart disease; atrioseptal heart defect
ASHHD arteriosclerotic hypertensive heart disease
ASHVD arteriosclerotic hypertensive vascular disease
ASO arteriosclerosis obliterans
ASPVD arteriosclerotic peripheral vascular disease
ASVD arteriosclerotic vascular disease
ASVH(D) arteriosclerotic vascular heart disease
AT atherosclerosis; atherosclerotic; atrial tachycardia; antithrombin
ATC all-terrain cycle
ATN acute tubular necrosis
ATS arteriosclerosis
ATSHD arteriosclerotic heart disease
ATV all-terrain vehicle
AUL acute undifferentiated leukemia
AV arteriovenous; atrioventricular; aortic valve
AVF arterio-ventricular fibrillation; arteriovenous fistula
AVH acute viral hepatitis
AVNRT atrioventricular nodal re-entrant tachycardia
AVP aortic valve prosthesis
AVR aortic valve replacement
AVRT atrioventricular nodal re-entrant tachycardia
AWMI anterior wall myocardial infarction
AZT azidothymidine
BA basilar artery; basilar arteriogram; bronchial asthma
B&B bronchoscopy and biopsy
BBB bundle branch block
B&C biopsy and cauterization
BCE basal cell epithelioma
BE barium enema
BEH benign essential hypertension
BGL Bartholin gland
BKA below knee amputation
BL bladder; bucolingual; blood loss; Burkitt lymphoma
BMR basal metabolism rate
BNA bladder neck adhesions
BNO bladder neck obstruction
BOMSA bilateral otitis media serous acute
BOMSC bilateral otitis media serous chronic
BOW ‘bag of water’ (membrane)
B/P, BP blood pressure
BPH benign prostate hypertrophy
BSA body surface area
BSO bilateral salpingo-oophorectomy
BSP Bromosulfaphthalein (test)
BTL bilateral tubal ligation
BUN blood, urea, and nitrogen test
BVL bilateral vas ligation
B&W Baldy-Webster suspension (uterine)
BX biopsy
BX CX biopsy cervix
Ca cancer
CA cancer; cardiac arrest; carotid arteriogram
CABG coronary artery bypass graft
CABS coronary artery bypass surgery
CAD coronary artery disease
CAG chronic atrophic gastritis
CAO coronary artery occlusion; chronic airway obstruction
CAR cardiac arrest
CAS cerebral arteriosclerosis
CASCVD chronic arteriosclerotic cardiovascular disease
CASHD chronic arteriosclerotic heart disease
CAT computerized axial tomography
CB chronic bronchitis
CBC complete blood count
CBD common bile duct; chronic brain disease
CBS chronic brain syndrome
CCF chronic congestive failure
CCI chronic cardiac or coronary insufficiency
CF congestive failure; cystic fibrosis; Christmas factor (PTC)
CFT chronic follicular tonsillitis
CGL chronic granulocytic leukemia
CGN chronic glomerulonephritis
CHA congenital hypoplastic anemia
CHB complete heart block
CHD congestive heart disease; coronary heart disease; congenital heart disease; Chediak-Higaski Disease
CHF congestive heart failure
C2H5OH ethyl alcohol
CI cardiac insufficiency; cerebral infarction
CID cytomegalic inclusiondisease
CIS carcinoma in situ
CJD Creutzfeldt-Jakob Disease
CLD chronic lung disease; chronic liver disease
CLL chronic lymphatic leukemia; chronic lymphocytic leukemia
CMID cytomegalic inclusion disease
CML chronic myelocytic leukemia
CMM cutaneous malignant melanoma
CMV cytomegalic virus
CNHD congenital nonspherocytic hemolytic disease
CNS central nervous system
CO carbon monoxide
COAD chronic obstructive airway disease
CO2 carbon dioxide
COBE chronic obstructive bullous emphysema
COBS chronic organic brain syndrome
COFS cerebro-oculo-facio-skeletal
COOMBS test for Rh sensitivity
COLD chronic obstructive lung disease
COPD chronic obstructive pulmonary disease
COPE chronic obstructive pulmonary emphysema
CP cerebral palsy; cor pulmonale
C&P cystoscopy and pyelography
CPB cardiopulmonary bypass
CPC chronic passive congestion
CPD cephalopelvic disproportion; contagious pustular dermatitis
CPE chronic pulmonary emphysema
CRD chronic renal disease
CREST calcinosis cutis, Raynaud phenomenon, sclerodactyly, and telangiectasis
CRF cardiorespiratory failure; chronic renal failure
CRST calcinosis cutis, Raynaud phenomenon, sclerodactyly, and telangiectasis
CS coronary sclerosis; cesarean section; cerebro-spinal
CSF cerebral spinal fluid
CSH chronic subdural hematoma
CSM cerebrospinal meningitis
CT computer tomography; cerebral thrombosis; coronary thrombosis
CTD congenital thymic dysplasia
CU cause unknown
CUC chronic ulcerative colitis
CUP cystoscopy, urogram, pyelogram (retro)
CUR cystocele, urethrocele, rectocele
CV cardiovascular; cerebrovascular
CVA cerebrovascular accident
CV accident cerebral vascular accident
CVD cardiovascular disease
CVHD cardiovascular heart disease
CVI cardiovascular insufficiency; cerebrovascular insufficiency
CVRD cardiovascular renal disease
CWP coalworker pneumoconiosis
CX cervix
DA degenerative arthritis
DBI phenformin hydrochloride
D&C dilation and curettage
DCR dacrocystorhinostomy
D&D drilling and drainage; debridement and dressing
D&E dilation and evacuation
DFU dead fetus in utero
DIC disseminated intravascular coagulation
DILD diffuse infiltrative lung disease
DIP distal interphalangeal joint; desquamative interstitial pneumonia
DJD degenerative joint disease
DM diabetes mellitus
DMT dimethyltriptamine
DOA dead on arrival
DOPS diffuse obstructive pulmonary syndrome
DPT diphtheria, pertussis, tetanus vaccine
DR diabetic retinopathy
DS Down syndrome
DT due to; delirium tremens
D/T due to; delirium tremens
DU diagnosis unknown; duodenal ulcer
DUB dysfunctional uterine bleeding
DUI driving under influence
DVT deep vein thrombosis
DWI driving while intoxicated
DX dislocation; diagnosis; disease
EBV Epstein-Barr virus
ECCE extracapsular cataract extraction
ECG electrocardiogram
E coli Escherichia coli
ECT electric convulsive therapy
EDC expected date of confinement
EEE Eastern equine encephalitis
EEG electroencephalogram
EFE endocardial fibroelastosis
EGL eosinophilic granuloma of lung
EH enlarged heart; essential hypertension
EIOA excessive intake of alcohol
EKC epidemic keratoconjunctivitis
EKG electrocardiogram
EKP epikeratoprosthesis
ELF elective low forceps
EMC encephalomyocarditis
EMD electromechanical dissociation
EMF endomyocardial fibrosis
EMG electromyogram
EN erythema nodosum
ENT ear, nose, and throat
EP ectopic pregnancy
ER emergency room
ERS evacuation of retained secundines
ESRD end-stage renal disease
EST electric shock therapy
ETOH ethyl alcohol
EUA exam under anesthesia
EWB estrogen withdrawal bleeding
FB foreign body
FBS fasting blood sugar
Fe symbol for iron
FGD fatal granulomatous disease
FHS fetal heart sounds
FHT fetal heart tone
FLSA follicular lymphosarcoma
FME full-mouth extraction
FS frozen section; fracture site
FT full term
FTA fluorescent treponemal antibody test
FTD fronto-temporal dementia
5FU fluorouracil
FUB functional uterine bleeding
FULG fulguration
FUO fever unknown origin
FX fracture
FYI for your information
GAS generalized arteriosclerosis
GB gallbladder; Guillain-Barre (syndrome)
GC gonococcus; gonorrhea; general circulation (systemic)
GE gastroesophageal
GEN generalized
GERD gastroesophageal reflux disease
GI gastrointestinal
GIB gastrointestinal bleeding
GIST gastrointestinal stromal tumor
GIT gastrointestinal tract
GMSD grand mal seizure disorder
GOK God only knows
GSW gunshot wound
GTT glucose tolerance test
Gtt drop
GU genitourinary; gastric ulcer
GVHR graft-versus-host reaction
GYN gynecology
HA headache
HAA hepatitis-associated antigen
HASCVD hypertensive arteriosclerotic cardiovascular disease
HASCVR hypertensive arteriosclerotic cardiovascular renal disease
HASHD hypertensive arteriosclerotic heart disease
HBP high blood pressure
HC Huntington chorea
HCAP health care associated pneumonia
HCPS Hantivirus (cardio) pulmonary syndrome, Hantavirus cardiopulmonary syndrome
HCT hematocrit
HCVD hypertensive cardiovascular disease
HCVRD hypertensive cardiovascular renal disease
HD Hodgkin disease; heart disease
HDN hemolytic disease of newborn
HDS herniated disc syndrome
HEM hemorrhage
HF heart failure; hay fever
HGB; Hgb hemoglobin
HHD hypertensive heart disease
HIV human immunodeficiency virus
HMD hyaline membrane disease
HN2 nitrogen mustard
HNP herniated nucleus pulposus
H/O history of
HPN hypertension
HPS Hantavirus pulmonary syndrome
HPVD hypertensive pulmonary vascular disease
HRE high-resolution electrocardiology
HS herpes simplex; Hurler syndrome
HSV herpes simplex virus
HTLV human T-cell lymphotropic virus
HTLV human T-cell lymphotropic
III/LAV virus-III/lymphadenopathy- associated virus
HTLV-3 human T-cell lymphotropic virus-III
HTLV-III human T-cell lymphotropic virus-III
HTN hypertension
HVD hypertensive vascular disease
Hx history of
IADH inappropriate antidiuretic hormone
IASD interatrial septal defect
ICCE intracapsular cataract extraction
ICD intrauterine contraceptive device
I&D incision and drainage
ID incision and drainage
IDA iron deficiency anemia
IDD insulin-dependent diabetes
IDDI insulin-dependent diabetes
IDDM insulin-dependent diabetes mellitus
IGA immunoglobin A
IHD ischemic heart disease
IHSS idiopathic hypertrophic subaortic stenosis
IIAC idiopathic infantile arterial calcification
ILD ischemic leg disease
IM intramuscular; intramedullary; infectious mononucleosis
IMPP intermittent positive pressure
INAD infantile neuroaxonal dystrophy
INC incomplete
INE infantile necrotizing encephalomyelopathy
INF infection; infected; infantile; infarction
INH isoniazid; inhalation
INS idiopathic nephrotic syndrome
IRDM insulin resistant diabetes mellitus
IRHD inactive rheumatic heart disease
IRIS immune reconstitution inflammatory syndrome
ISD interatrial septal defect
ITP idiopathic thrombocytopenic purpura
IU intrauterine
IUCD intrauterine contraceptive device
IUD intrauterine device (contraceptive); intrauterine death
IUP intrauterine pregnancy
IV intervenous; intravenous
IVC intravenous cholangiography; inferior vena cava
IVCC intravascular consumption coagulopathy
IVD intervertebral disc
IVH intraventricular hemorrhage
IVP intravenous pyelogram
IVSD intraventricular septal defect
IVU intravenous urethrography
IWMI inferior wall myocardial infarction
JAA juxtaposition of atrial appendage
JBE Japanese B encephalitis
KFS Klippel-Feil syndrome
KS Klinefelter syndrome
KUB kidney, ureter, bladder
K-W Kimmelstiel-Wilson disease or syndrome
LAP laparotomy
LAV lymphadenopathy-associated virus
LAV/HTLV-III lymphadenopathy-associated virus/human T-cell lymphotrophic virus-III
LBBB left bundle branch block
LBNA lysis bladder neck adhesions
LBW low birth weight
LBWI low birth weight infant
LCA left coronary artery
LDH lactic dehydrogenase
LE lupus erythematosus; lower extremity; left eye
LKS liver, kidney, spleen
LL lower lobe
LLL left lower lobe
LLQ lower left quadrant
LMA left mentoanterior (position of fetus)
LML left middle lobe; left mesiolateral
LMCAT left middle cerebral artery thrombosis
LML left mesiolateral; left mediolateral (episiotomy)
LMP last menstrual period; left mento-posterior (position of fetus)
LN lupus nephritis
LOA left occipitoanterior
LOMCS left otitis media chronic serous
LP lumbar puncture
LRI lower respiratory infection
LS lumbosacral; lymphosarcoma
LSD lysergic acid diethylamide
LSK liver, spleen, kidney
LUL left upper lobe
LUQ left upper quadrant
LV left ventricle
LVF left ventricular failure
LVH left ventricular hypertrophy
MAC mycobacterium avium complex
MAI mycobacterium avium intracellulare
MAL malignant
MBAI mycobacterium avium intracellulare
MBD minimal brain damage
MCA metastatic cancer; middle cerebral artery
MD muscular dystrophy; manic depressive; myocardial damage
MDA methylene dioxyamphetamine
MEA multiple endocrine adenomatosis
MF myocardial failure; myocardial fibrosis; mycosis fungoides
MGN membranous glomerulonephritis
MHN massive hepatic necrosis
MI myocardial infarction; mitral insufficiency
MPC meperidine, promethazine, chlorpromazine
MRS methicillin resistant staphylococcal
MRSA methicillin resistant staphylococcal aureus
MRSAU methicillin resistant staphylococcal aureus
MS multiple sclerosis; mitral stenosis
MSOF multi-system organ failure
MT malignant teratoma
MUA myelogram
MVP mitral valve prolapse
MVR mitral valve regurgitation; mitral valve replacement
NACD no anatomical cause of death
NAFLD nonalcoholic fatty liver disease
NCA neurocirculatory asthenia
NDI nephrogenic diabetes insipidus
NEG negative
NFI no further information
NFTD normal full-term delivery
NG nasogastric
NH3 symbol for ammonia
NIDD non-insulin-dependent diabetes
NIDDI non-insulin-dependent diabetes
NIDDM non-insulin-dependent diabetes mellitus
NSTEMI non-ST-elevation myocardial infarction
N&V nausea and vomiting
NVD nausea, vomiting, diarrhea
OA osteoarthritis
OAD obstructive airway disease
OB obstetrical
OBS organic brain syndrome
OBST obstructive; obstetrical
OD overdose; oculus dexter (right eye); occupational disease
OHD organic heart disease
OLT orthotopic liver transplant
OM otitis media
OMI old myocardial infarction
OMS organic mental syndrome
OPCA olivopontocerebellar atrophy
ORIF open reduction, internal fixation
OS oculus sinister (left eye); occipitosacral (fetal position)
OT occupational therapy; old TB
OU oculus uterque (each eye); both eyes
PA pernicious anemia; paralysis agitans; pulmonary artery; peripheral arteriosclerosis
PAC premature auricular contraction; phenacetin, aspirin, caffeine
PAF paroxysmal auricular fibrillation
PAOD peripheral arterial occlusive disease; peripheral arteriosclerosis occlusive disease
PAP primary atypical pneumonia
PAS pulmonary artery stenosis
PAT pregnancy at term; paroxysmal auricular tachycardia
Pb chemical symbol for lead
PCD polycystic disease
PCF passive congestive failure
PCP pentachlorophenol; pneumocystis carinii pneumonia
PCT porphyria cutanea tarda
PCV polycythemia vera
PDA patent ductus arteriosus
PE pulmonary embolism; pleural effusion; pulmonary edema
PEG percutaneous endoscopic gastrostomy; pneumoencephalography
PEGT percutaneous endoscopic gastrostomy tube
PET pre-eclamptic toxemia
PG pregnant; prostaglandin
PGH pituitary growth hormone
PH past history; prostatic hypertrophy; pulmonary hypertension
PI pulmonary infarction
PID pelvic inflammatory disease; prolapsed intervertebral disc
PIE pulmonary interstitial emphysema
PIP proximal interphalangeal joint
PKU phenylketonuria
PMD progressive muscular dystrophy
PMI posterior myocardial infarction; point of maximum impulse
PML progressive multifocal leukoencephalopathy
PN pneumonia; periarteritis nodosa; pyelonephritis
PO postoperative; by mouth
POC product of conception
POE point (or portal) of entry
POSS possible; possibly
PP postpartum
PPD purified protein derivative test for tuberculosis
PPH postpartum hemorrhage
PPLO pleuropneumonia-like organism
PPROM preterm premature rupture of membranes
PPS postpump syndrome
PPT precipitated; prolonged prothrombin time
PREM prematurity
PROB probably
PROM premature rupture of membranes
PSVT paroxysmal supraventricular tachycardia
PT paroxysmal tachycardia; pneumothorax; prothrombin time
PTA persistent truncus arteriosus
PTC plasma thromboplastin component
PTCA percutaneous transluminal coronary angioplasty
PTLA percutaneous transluminal laser angioplasty
PU peptic ulcer
PUD peptic ulcer disease; pulmonary disease
PUO pyrexia of unknown origin
P&V pyloroplasty and vagotomy
PVC premature ventricular contraction
PVD peripheral vascular disease; pulmonary vascular disease
PVI peripheral vascular insufficiency
PVL periventricular leukomalacia
PVT paroxysmal ventricular tachycardia
PVS premature ventricular systole (contraction)
PWI posterior wall infarction
PWMI posterior wall myocardial infarction
PX pneumothorax
R right
RA rheumatoid arthritis; right atrium; right auricle
RAAA ruptured abdominal aortic aneurysm
RAD rheumatoid arthritis disease; radiation absorbed dose
RAI radioactive iodine
RBBB right bundle branch block
RBC red blood cells
RCA right coronary artery
RCS reticulum cell sarcoma
RD Raynaud disease; respiratory disease
RDS respiratory distress syndrome
RE regional enteritis
REG radioencephalogram
RESP respiratory
RHD rheumatic heart disease
RLF retrolental fibroplasia
RLL right lower lobe
RLQ right lower quadrant
RMCA right middle cerebral artery
RMCAT right middle cerebral artery thrombosis
RML right middle lobe
RMLE right mediolateral episiotomy
RNA ribonucleic acid
RND radical neck dissection
R/O rule out
RSA reticulum cell sarcoma
RSR regular sinus rhythm
Rt right
RT recreational therapy; right
RTA renal tubular acidosis
RUL right upper lobe
RUQ right upper quadrant
RV right ventricle
RVH right ventricular hypertrophy
RVT renal vein thrombosis
RX drugs or other therapy or treatment
SA sarcoma; secondary anemia
SACD subacute combined degeneration
SARS severe acute respiratory syndrome
SBE subacute bacterial endocarditis
SBO small bowel obstruction
SBP spontaneous bacterial peritonitis
SC sickle cell
SCC squamous cell carcinoma
SCI subcoma insulin; spinal cord injury
SD spontaneous delivery; septal defect; sudden death
SDAT senile dementia Alzheimer type
SDII sudden death in infancy
SDS sudden death syndrome
SEPT septicemia
SF scarlet fever
SGA small for gestational age
SH serum hepatitis
SI saline injection
SIADH syndrome of inappropriate antidiuretic hormone
SICD sudden infant crib death
SID sudden infant death
SIDS sudden infant death syndrome
SIRS systemic inflammatory response syndrome
SLC short leg cast
SLE systemic lupus erythematosus; Saint Louis encephalitis
SMR submucous resection
SNB scalene node biopsy
SO or S&O salpingo-oophorectomy
SOB shortness of breath
SOM secretory otitis media
SOR suppurative otitis, recurrent
S/P status post
SPD sociopathic personality disturbance
SPP suprapubic prostatectomy
SQ subcutaneous
S/R schizophrenic reaction; sinus rhythm
S/p P/T schizophrenic reaction, paranoid type
SSE soapsuds enema
SSKI saturated solution potassium iodide
SSPE subacute sclerosing panencephalitis
STAPH staphylococcal; staphylococcus
STB stillborn
STREP streptococcal; streptococcus
STS serological test for syphilis
STSG split thickness skin graft
SUBQ subcutaneous
SUD sudden unexpected death
SUDI sudden unexplained death of an infant
SUID sudden unexpected infant death
SVC superior vena cava
SVD spontaneous vaginal delivery
SVT superventricular tachycardia
Sx symptoms
SY syndrome
T&A tonsillectomy and adenoidectomy
TAH total abdominal hysterectomy
TAL tendon achilles lengthening
TAO triacetyloleandomycin (antibiotic); thromboangiitis obliterans
TAPVR total anomalous pulmonary venous return
TAR thrombocytopenia absent radius (syndrome)
TAT tetanus anti-toxin
TB tuberculosis; tracheobronchitis
TBC, Tbc tuberculosis
TCI transient cerebral ischemia
TEF tracheoesophageal fistula
TF tetralogy of Fallot
TGV transposition great vessels
THA total hip arthroplasty
TI tricuspid insufficiency
TIA transient ischemic attack
TIE transient ischemic episode
TL tubal ligation
TM tympanic membrane
TOA tubo-ovarian abscess
TP thrombocytopenic purpura
TR tricuspid regurgitation, transfusion reaction
TSD Tay-Sachs disease
TTP thrombotic thrombocytopenic purpura
TUI transurethral incision
TUR transurethral resection (NOS) (prostate)
TURP transurethral resection of prostate
TVP total anomalous venous return
UC ulcerative colitis
UGI upper gastrointestinal
UL upper lobe
UNK unknown
UP ureteropelvic
UPJ ureteropelvic junction
URI upper respiratory infection
UTI urinary tract infection
VAMP vincristine, amethopterine, 6-mercaptopurine, and prednisone
VB vinblastine
VC vincristine
VD venereal disease
VDRL venereal disease research lab
VEE Venezuelan equine encephalomyelitis
VF ventricular fibrillation
VH vaginal hysterectomy; viral hepatitis
VL vas ligation
VM viomycin
V&P vagotomy and pyloroplasty
VPC, VPCS ventricular premature contractions
VR valve replacement
VSD ventricular septal defect
VT ventricular tachycardia
WBC white blood cell
WC whooping cough
WE Western encephalomyelitis
W/O without
WPW Wolfe-Parkinson-White syndrome
YF yellow fever
ZE Zollinger-Ellison (syndrome)
‘ minute
” second(s)
< less than
> greater than
⬇ decreased
⬆ increased; elevated
c with
s without
00 11 secondary to
00 11 to secondary to
Appendix E – Synonymous Sites/Terms
When a condition of a stated anatomical site is indexed in Volume 3, code condition of stated site as indexed. If stated site is not indexed, code condition of synonymous site.
Alimentary canal Gastrointestinal tract
Body Torso, trunk
Brain Anterior fossa, basal ganglion, central nervous
system, cerebral, cerebrum, frontal, occipital,
parietal, pons, posterior fossa, prefrontal, temporal,
III and IV ventricle
NOTE: Do not use brain when ICD provides for CNS
under the reported condition.
Cardiac Heart
Chest Thorax
Geriatric Senile
Greater sac Peritoneum
Hepatic Liver
Hepatocellular Liver
Intestine Bowel, colon
Kidney Renal
Larynx Epiglottis, subglottis, supraglottis, vocal cords
Lesser sac Peritoneum
Nasopharynx, pharynx Throat
Pulmonary Lung
Right\left hemispheric Code brain
Hemispheric NOS Do not assume brain
Right\left ventricle Heart
Third\fourth ventricle Brain
LLL, LUL, RLL, RML, RUL Lobes of the lungs when reported with lobectomy,
pneumonia, etc.
Appendix F – Invalid and Substitute Codes
The following categories are invalid for underlying cause coding in the United States registration areas. Substitute code(s) for use in underlying cause coding appears to the right.
Use the substitute codes when conditions classifiable to the following codes are reported:
Invalid Codes Substitute Codes
A150-A153 A162
A154 A163
A155 A164
A156 A165
A157 A167
A158 A168
A159 A169
A160-A161 A162
B95-B97 Code the disease(s) classified
to other chapters modified by
the organism. Do not enter a
code for the organism.
F70.- F70 (3-characters only)
F71.- F71 (3-characters only)
F72.- F72 (3-characters only)
F73.- F73 (3-characters only)
F78.- F78 (3-characters only)
F79.- F79 (3-characters only)
I151-I158 R99
I23.- I21 or I22
I240 I21 or I22
I252 I258
I65-I66 I63
O08.- O00 – O07
O80.- O95
O81-O84 O759
P95 P969
R69 R95-R99
Appendix G – Codes for Special Purposes (U00-U99)
Provisional assignment of new codes (U00-U99)
1. Terrorism Classification (*U01-*U03)
NCHS has developed a set of new codes within the framework of the ICD that will allow the identification of deaths from terrorism reported on death certificates through the National Vital Statistics System. Terrorism-related ICD-10 codes for mortality have been assigned to the “U” category which has been designated by WHO for use by individual countries. The asterisk preceding the alphanumeric code indicates the code was introduced by the United States and is not officially part of the ICD.
To classify a death as terrorist-related, it is necessary for the incident to be designated as such by the Federal Bureau of Investigation (FBI). Neither a medical examiner nor a coroner who would be completing/certifying the death certificate, nor the nosologist coding the death certificate would determine that an incident is an act of terrorism. If an incident or event is confirmed by the FBI as terrorism, it may be so described on the certificate. If the incident is confirmed as terrorism after the death certificate is completed, the certificate can be recoded at a later date.
Not to be used unless notified by NCHS
Tabular List
Assault (homicide)
*U01-*U02
*U01 Terrorism
Includes: assault-related injuries resulting from the unlawful use of force or violence against persons or property to intimidate or coerce a Government, the civilian population, or any segment thereof, in furtherance of political or social objectives
*U01.0 Terrorism involving explosion of marine weapons
Depth-charge
Marine mine
Mine NOS, at sea or in harbor
Sea-based artillery shell
Torpedo
Underwater blast
*U01.1 Terrorism involving destruction of aircraft
Includes: aircraft used as a weapon
Aircraft:
- burned
- exploded
- shot down
Crushed by falling aircraft
*U01.2 Terrorism involving other explosives and fragments
Antipersonnel bomb (fragments)
Blast NOS
Explosion (of):
- NOS
- artillery shell
- breech-block
- cannon block
- mortar bomb
- munitions being used in terrorism
- own weapons
Fragments from:
- artillery shell
- bomb
- grenade
- guided missile
- land-mine
- rocket
- shell
- shrapnel
Mine NOS
*U01.3 Terrorism involving fires, conflagration and hot substances
Asphyxia originating from fire caused directly
Burns by fire-producing device or indirectly
Other injury by any conventional weapon
Petrol bomb
Collapse of
Fall from
Falling from burning building or structure
Hit by object
Jump from
Conflagration
Fire
Melting of fittings or furniture
Smoldering
*U01.4 Terrorism involving firearms
Bullet
- carbine
- machine gun
- pistol
- rifle
- rubber (rifle)
Pellets (shotgun)
*U01.5 Terrorism involving nuclear weapons
Blast effects
Exposure to ionizing radiation from nuclear weapon
Fireball effects
Heat
Other direct and secondary effects of nuclear weapons
*U01.6 Terrorism involving biological weapons
Anthrax
Cholera
Smallpox
*U01.7 Terrorism involving chemical weapons
Gases, fumes and chemicals:
- Hydrogen cyanide
- Phosgene
- Sarin
*U01.8 Terrorism, other specified
Lasers
Battle wounds
Drowned in terrorist operations NOS
Piercing or stabbing object injuries
*U01.9 Terrorism, unspecified
*U02 Sequelae of terrorism
Intentional self-harm (suicide)
*U03
*U03 Terrorism
*U03.0 Terrorism involving explosions and fragments
Includes: destruction of aircraft used as a weapon
Aircraft:
- burned
- exploded
- shot down
Antipersonnel bomb (fragments)
Blast NOS
Explosion (of):
- NOS
- artillery shell
- breech-block
- cannon block
- mortar bomb
- munitions being used in terrorism
- own weapons
Fragments from:
- artillery shell
- bomb
- grenade
- guided missile
- land-mine
- rocket
- shell
- shrapnel
Mine NOS
*U03.9 Terrorism by other and unspecified means
SECTION II – External causes of injury
Air
– blast in terrorism U01.2
Asphyxia, asphyxiation
– by
– – chemical in terrorism U01.7
– – fumes in terrorism (chemical weapons) U01.7
– – gas (see also Table of drugs and chemicals)
– – – in terrorism (chemical weapons) U01.7
– from
– – fire (see also Exposure, fire)
– – – in terrorism U01.3
Attack
– terrorist NEC U01.9
Bayonet wound
– in
– – terrorism U01.8
Blast (air) in terrorism U01.2
– from nuclear explosion U01.5
– underwater U01.0
Burn, burned, burning (by) (from) (on)
– chemical (external) (internal)
– – in terrorism (chemical weapons) U01.7
– in terrorism (from fire-producing device) NEC U01.3
– – nuclear explosion U01.5
– – petrol bomb U01.3
Casualty (not due to war) NEC
– terrorism U01.9
Collapse
– building
– – burning (uncontrolled fire)
– – – in terrorism U01.3
– structure
– – burning (uncontrolled fire)
– – – in terrorism U01.3
Crash
– aircraft (powered)
– – in terrorism U01.1
Crushed
– by, in
– – falling
– – – aircraft
– – – – in terrorism U01.1
Cut, cutting (any part of body) (by) (see also Contact, with, by object or machine)
– terrorism U01.8
Drowning
– in
– – terrorism U01.8
Effect(s) (adverse) of
– nuclear explosion or weapon in terrorism (blast) (direct) (fireball) (heat) (radiation)
(secondary) U01.5
Explosion (in) (of) (on) (with secondary fire)
– terrorism U01.2
Exposure to
– fire (with exposure to smoke or fumes or causing burns, or secondary explosion)
– – in, of, on, starting in
– – – terrorism (by fire-producing device) U01.3
– – – – fittings or furniture (burning building) (uncontrolled fire) U01.3
– – – – from nuclear explosion U01.5
Fall, falling
– from, off
– – building
– – – burning (uncontrolled fire)
– – – – in terrorism U01.3
– – structure NEC
– – – burning (uncontrolled fire)
– – – – in terrorism U01.3
Fireball effects from nuclear explosion in terrorism U01.5
Heat (effects of) (excessive)
– from
– – nuclear explosion in terrorism U01.5
Infection, infected (opportunistic)
– coronavirus NEC
– – severe acute respiratory syndrome (SARS) U04.9
Injury, injured NEC
– by, caused by, from
– – terrorism – see Terrorism
– due to
– – terrorism – see Terrorism
Jumped, jumping
– from
– – building (see also Jumped, from, high place)
– – – burning (uncontrolled fire)
– – – – in terrorism U01.3
– – structure (see also Jumped, from, high place)
– – – burning (uncontrolled fire)
– – – – in terrorism U01.3
Poisoning (by) (see also Table of drugs and chemicals)
– in terrorism (chemical weapons) U01.7
Radiation (exposure to)
– in
– – terrorism (from or following nuclear explosion) (direct) (secondary) U01.5
– – – laser(s) U01.8
– laser(s)
– – in terrorism U01.8
Sequelae (of)
– in terrorism U02
Shooting, shot (see also Discharge, by type of firearm)
– in terrorism U01.4
Struck by
– bullet (see also Discharge, by type of firearm)
– – in terrorism U01.4
– missile
– – in terrorism – see Terrorism, missile
– object
– – falling
– – – from, in, on
– – – – building
– – – – – burning (uncontrolled fire)
– – – – – – in terrorism U01.3
Suicide, suicidal (attempted) (by)
– explosive(s) (material)
– – in terrorism U03.0
– in terrorism U03.9
Terrorism (by) (in) (injury) (involving) U01.9
– air blast U01.2
– aircraft burned, destroyed, exploded, shot down U01.1
– – used as a weapon U01.1
– anthrax U01.6
– asphyxia from
– – chemical (weapons) U01.7
– – fire, conflagration (caused by fire-producing device) U01.3
– – – from nuclear explosion U01.5
– – gas or fumes U01.7
– bayonet U01.8
– biological agents (weapons) U01.6
– blast (air) (effects) U01.2
– – from nuclear explosion U01.5
– – underwater U01.0
– bomb (antipersonnel) (mortar) (explosion) (fragments) U01.2
– – petrol U01.3
– bullet(s) (from carbine, machine gun, pistol, rifle, rubber (rifle), shotgun) U01.4
– burn from
– – chemical U01.7
– – fire, conflagration (caused by fire-producing device) U01.3
– – – from nuclear explosion U01.5
– – gas U01.7
– burning aircraft U01.1
– chemical (weapons) U01.7
– cholera U01.6
– conflagration U01.3
– crushed by falling aircraft U01.1
– depth-charge U01.0
– destruction of aircraft U01.1
– disability as sequelae one year or more after injury U02
– drowning U01.8
– effect (direct) (secondary) of nuclear weapon U01.5
– – sequelae U02
– explosion (artillery shell) (breech-block) (cannon block) U01.2
– – aircraft U01.1
– – bomb (antipersonnel) (mortar) U01.2
– – – nuclear (atom) (hydrogen) U01.5
– – depth-charge U01.0
– – grenade U01.2
– – injury by fragments (from) U01.2
– – land-mine U01.2
– – marine weapon(s) U01.0
– – mine (land) U01.2
– – – at sea or in harbor U01.0
– – – marine U01.0
– – missile (explosive) (guided) NEC U01.2
– – munitions (dump) (factory) U01.2
– – nuclear (weapon) U01.5
– – other direct and secondary effects of U01.5
– – own weapons U01.2
– – sea-based artillery shell U01.0
– – torpedo U01.0
– exposure to ionizing radiation from nuclear explosion U01.5
– falling aircraft U01.1
– fire or fire-producing device U01.3
– firearms U01.4
– fireball effects from nuclear explosion U01.5
– fragments from artillery shell, bomb NEC, grenade, guided missile, land-mine, rocket,
shell, shrapnel U01.2
– gas or fumes U01.7
– grenade (explosion) (fragments) U01.2
– guided missile (explosion) (fragments) U01.2
– – nuclear U01.5
– heat from nuclear explosion U01.5
– hot substances U01.3
– hydrogen cyanide U01.7
– land-mine (explosion) (fragments) U01.2
– laser(s) U01.8
– late effect (of) U02
– lewisite U01.7
– lung irritant (chemical) (fumes) (gas) U01.7
– marine mine U01.0
– mine U01.2
– – at sea U01.0
– – in harbor U01.0
– – land (explosion) (fragments) U01.2
– – marine U01.0
– missile (explosion) (fragments) (guided) U01.2
– – marine U01.0
– – nuclear U01.5
– mortar bomb (explosion) (fragments) U01.2
– mustard gas U01.7
– nerve gas U01.7
– nuclear weapons U01.5
– pellets (shotgun) U01.4
– petrol bomb U01.3
– piercing object U01.8
– phosgene U01.7
– poisoning (chemical) (fumes) (gas) U01.7
– radiation, ionizing from nuclear explosion U01.5
– rocket (explosion) (fragments) U01.2
– saber, sabre U01.8
– sarin U01.7
– screening smoke U01.7
– sequelae effect (of) U02
– shell (aircraft) (artillery) (cannon) (land-based) (explosion) (fragments) U01.2
– – sea-based U01.0
– shooting U01.4
– – bullet(s) U01.4
– – pellet(s) (rifle) (shotgun) U01.4
– shrapnel U01.2
– smallpox U01.6
– stabbing object(s) U01.8
– submersion U01.8
– torpedo U01.0
– underwater blast U01.0
– vesicant (chemical) (fumes) (gas) U01.7
– weapon burst U01.2
Date of death 9/11/2001
I (a) Burns T300
(b) Terrorist attack on the Pentagon U011
II
Homicide The Pentagon Date of injury 9/11/2001
Code as terrorism involving destruction of aircraft. The FBI declared the Pentagon incident an act of terrorism.
Date of death 9/11/2001
I (a) Chest trauma S299
(b)
II World Trade Center Disaster U011
Homicide World Trade Center Date of injury 9/11/2001
Code as terrorism involving destruction of aircraft. The FBI declared the World Trade Center incident an act of terrorism.
Date of death 11/1/2017
I (a) Metastatic lung Cancer caused by 9/11: terrorist attack C349
(b) First responder at World Trade Center T941 U02
Natural
Code as sequela of terrorism. The FBI declared the 9/11 World Trade Center incident an act of terrorism.
2. Severe Acute Respiratory Syndrome [SARS] (U04)
Tabular List
U04 Severe acute respiratory syndrome [SARS]
U04.9 Severe acute respiratory syndrome [SARS], unspecified
SECTION I – Alphabetical index to diseases and nature of injury
Syndrome
– respiratory
– – severe acute U04.9
– severe acute respiratory syndrome (SARS) U04
Appendix H – List of conditions that can cause diabetes
Acceptable sequences for diabetes “due to” other diseases
Type of Diabetes Due to
E10 B25.2
E40-E46
E63.9
E64.0
E64.9
M35.9
P35.0
E11 E24
E40-E46
E63.9
E64.0
E64.9
M35.9
O24.4
P35.0
E12 E40-E46
E63.9
E64.0
E64.9
E13 B25.2
B26.3
C25
C78.8 (pancreas only)
D13.6-D13.7
D35.0
E05-E06
E22.0
E24
E80.0-E80.2
E83.1
E84
E89.1
F10.1-F10.2
G10
G11.1
G25.8
G71.1
K85
K86.0-K86.1
K86.8-K86.9
M35.9
O24.4
P35.0
Q87.1
Q90
Q96
Q98
Q99.8
S36.2
T37.3
T37.5
T38.0-T38.1
T42.0
T46.5
T46.7
T50.2
Y41.3
Y41.5
Y42.0-Y42.1
Y46.2
Y52.5
Y52.7
Y54.3
E14 B25.2
B26.3
C25
C78.8 (pancreas only)
D13.6-D13.7
D35.0
E05-E06
E22.0
E24
E40-E46
E63.9
E64.0
E64.9
E80.0-E80.2
E83.1
E84
E89.1
F10.1-F10.2
G10
G11.1
G25.8
G71.1
K85
K86.0-K86.1
K86.8-K86.9
M35.9
O24.4
P35.0
Q87.1
Q90
Q96
Q98
Q99.8
S36.2
T37.3
T37.5
T38.0-T38.1
T42.0
T46.5
T46.7
T50.2
Y41.3
Y41.5
Y42.0-Y42.1
Y46.2
Y52.5
Y52.7
Y54.3
Appendix I – Guidance in Certain External Categories
1. General Guidelines in coding Legal Intervention (Y35)
There are very few guidelines offered in the Classification for addressing Legal Interventions and it can be very difficult to determine when these categories are appropriate. To aid in classifying these types of records, apply the general interpretations below:
General Guidelines
– When alcohol or drug poisoning is reported in addition to a legal intervention event, do not apply the legal intervention concept to the poisoning; code according to the usual guidelines
NOTE: If the Manner of Death is marked Homicide, disregard and code poisoning as Accidental.
– When a police chase results in death to the person(s) being chased, code as a legal intervention death; when a police chase results in death to an innocent bystander, do not apply the legal intervention concept to the bystander
– When a decedent kills themselves and police are mentioned on the record, do not apply the legal intervention concept; code according to the usual guidelines.
– When a ‘suicide by cop’ is reported, code as a legal intervention death according to the circumstances described
I (a) Gunshot wounds to chest S219 Y350
(b) Drowning T148
(c)
II T436 X41
Homicide Justifiable homicide by law enforcement
Code as legal intervention involving firearm. Assign the nature of injury and external cause code for accidental poisoning as directed in the legal intervention guidelines.
I (a) Asphyxia due to drowning T751 Y356
(b) T751
(c)
II T751
Accident Drowning in river while fleeing police
Code as legal intervention by other specified means since it seems a police chase resulted in the death of the person being chased.
I (a) Contact gunshot wound to chest S219 X72
(b)
(c)
II T141
Suicide Shot self with handgun during police standoff
Code as suicidal gunshot wound since the police did not inflict the fatal injury.
2. Restraint
Restraint can be seen reported in conjunction with drug intoxication or a mental health crisis. When reported as a means of limiting another’s physical movement, code restraint only when reported with a resulting injury such as asphyxia, suffocation, etc.
A.
When Is reported on the Code
record with
A threat to breathing
term such as: restraint the asphyxia, strangulation, suffocation
asphyxia T71 followed by the appropriate external
strangulation cause code for the restraint
suffocation
I (a) Restraint asphyxia with methamphetamine intoxication T71 X58 T436 X41
(b)
(c)
A II T71 T436
Accident Asphyxiated after being restrained while intoxicated on methamphetamine
Code T71 for the asphyxia followed by the external cause for specified accident to represent the restraint. Assign the nature of injury and external cause code for the poisoning. In Part II, assign the nature of injury codes for asphyxia and methamphetamine reported in the how injury occurred block.
I (a) Cardiac arrhythmia during police restraint I499
(b) Heart enlargement from hypertension
(c) Alcohol dependence, cocaine abuse, I517
(d) and schizophrenia I10
(e) F102 F141 F209
II T149 Y356
Homicide Altercation with police
Code I(a) as indexed. Reformat police restraint down to line (b) to accommodate the format term “during”. No code required since there is no resulting injury. Code remaining Part I conditions as indexed. Code Y356 for altercation with police in Part II. Precede with a T149 since no injury is reported.
B.
When Is reported on the Code
record with
T17 plus appropriate fourth character.
aspiration NOS restraint Also, code the appropriate W78, W79,
W80 if not previously coded
or
e-code for restraint where reported
aspiration of substances
or objects
I (a) Aspiration of vomitus during prone restraint T179 W78
(b) Methamphetamine intoxication Y356
(c) T436 X41
II T71 T436
Homicide Arrested and taken to jail. Restrained by law enforcement officers in jail.
Code I(a) as indexed. No ampersand is needed for the aspiration since it is due to another external cause. Reformat restraint down to line (b) to accommodate the format term “during”. Code Y356 for restrained by law enforcement officers. Code drug poisoning on line (c).
I (a) Sudden cardiac death while being restrained I461
(b) during struggle
(c)
II Mixed drug intoxication; epilepsy; obesity T509 X85 G409 E669 R55 R451
Homicide Collapsed after agitated behavior while being controlled by restraint protocol
CodeI(a) as indexed. No code required for restrained since there is no resulting injury. Code Part II conditions as indexed. Code R55 for collapse and R451 for agitated behavior as indexed under Agitation.
________________________
i Similar terms include modifiers such as many, numerous, recurrent, repeated, serial, series, or several.