Instructions for Classification of Underlying and Multiple Causes of Death – Appendix – 2022

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

A39.0 Meningococcal meningitis

A39.4 Meningococcaemia

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

CVID common variable immunodeficiency

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 interstitial lung disease; 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

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

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) U04.9

3. Vaping-related disorder (U07.0)

Tabular List

U07 Codes for emergency use

U07.0 Vaping-related disorder

SECTION I – Alphabetical index to diseases and nature of injury

Damage

- lung

- - dabbing related U07.0

- - electronic cigarette related U07.0

Disorder

- dabbing related U07.0

- electronic cigarette related U07.0

EVALI (e-cigarette or vaping, product use associated lung injury) U07.0

Injury

- lung

- - dabbing related U07.0

- - electronic cigarette related U07.0

4. Coronavirus Disease (COVID-19) 2019 (U07.1)

Tabular List

U07 Codes for emergency use

U07.1 COVID-19

Excludes: Coronavirus infection, unspecified site (B34.2)

Severe acute respiratory syndrome [SARS], unspecified (U04.9)

SECTION I – Alphabetical index to diseases and nature of injury

Coronavirus Disease 2019 U07.1

COVID U07.1

COVID-19 U07.1

Disease

- Coronavirus 2019 U07.1

Infection

- Coronavirus NEC

- - 2019 novel U07.1

- - severe acute respiratory syndrome (SARS) U04.9

- - unspecified site B34.2

- - when referring to COVID-19 U07.1

SARS-CoV-2 U07.1

Severe acute respiratory syndrome coronavirus 2019 U07.1

Severe acute respiratory syndrome coronavirus type 2 U07.1

/r/n

Sudden acute respiratory syndrome coronavirus type 2 U07.1

/r/n

2019-nCoV U07.1

2019 novel coronavirus U07.1

Ia) Acute respiratory distress syndrome J80

b) Pneumonia J189

c) COVID U071

Code the COVID to U071.

Ia) Acute hypoxic respiratory failure J960

b) Pneumonia with coronavirus disease 2019 J189 U071

II Chronic Obstructive pulmonary disease J449

Code coronavirus disease 2019 to U071.

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

&nbnbsp; 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) Massive trauma to internal organs T148

(c)

II Lethal dose of methamphetamine T436 X41

Homicide

Justifiable homicide by law enforcement

Code to Y350, Legal intervention involving firearm discharge.

I (a) Asphyxia due to drowning T751 Y356

(b) T751

(c)

II T751

Accident

Drowning in river while fleeing police

Code to Y356, Legal intervention involving other specified means.

I (a) Contact gunshot wound to chest S219 X72

(b)

(c)

II T141

Suicide

Shot self with handgun during police standoff

Code to X72, Intentional self-harm by handgun discharge.

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.

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)

II T71 T436

Accident

Asphyxiated after being restrained while intoxicated on methamphetamine

Code to X58, Exposure to other specified factors.

I (a) Cardiac arrhythmia during police restraint I499

(b) Heart enlargement from hypertension

(d) and schizophrenia I10

(e) F102 F141 F209

II T149 Y356

Homicide

Altercation with police

Code to F102, Mental and behavioral disorders due to use of alcohol. Restraint is not coded since there is no resulting injury.

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

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

Homicide

Arrested and taken to jail. Restrained by law enforcement officers in jail.

Code to Y356, Legal intervention involving other specified means.

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

Code to X85, Assault by drugs, medicaments and biological substances. Restraint is not coded since there is no resulting injury.

Appendix J – COVID-19 Decision Tables

Table D

CAUSAL RELATIONSHIP:GENERAL PRINCIPLE AND RULES 1 AND 2

A040 - A050 Address

U071

A052 - A099 Address

U071

A240 - A269 Address

U071

A280 - A289 Address

U071

A310 - A329 Address

U071

A400 - A699 Address

U071

A740 - A749 Address

U071

A812 - A819 Address

U071

A870 - A89 Address

U071

A930 - A94 Address

U071

A968 - A969 Address

U071

A99 - B029 Address

U071

B07 - B159 Address

U071

B172 - B178 Address

U071

B188 - B199 Address

U071

B250 - B259 Address

U071

B270 - B49 Address

U071

B580 - B89 Address

U071

B948 - B949 Address

U071

B99 Address

U071

D500 - D65 Address

U071

D683 - D899 Address

U071

E15 Address

U071

E161 - E162 Address

U071

E200 - E649 Address

U071

E750 - E753 Address

U071

E755 - E756 Address

U071

E769 - E790 Address

U071

E830 - E839 Address

U071

E853 - E882 Address

U071

E888 - E889 Address

U071

F010 - G969 Address

U071

G98 Address

U071

H000 - H579 Address

U071

H600 - H939 Address

U071

I200 - I249 Address

U071

I258 Address

U071

I260 - I698 Address

U071

I710 - I959 Address

U071

I99 - J069 Address

U071

J120 - J949 Address

U071

J960 - K909 Address

U071

K920 - M959 Address

U071

M990 - N989 Address

U071

P000 - P969 Address

U071

R000 - R749 Address

U071

R760 - R99 Address

U071

U070 Address

U071

U071 Address

U071

W78 - W84 Address

U071

Table E

MODIFICATION: SELECTION RULE 3, MODIFICATION RULES A, C, AND D

A083 - A085 Address

DS U071

A327 Address

DS U071

A400 - A419 Address

DS U071

A427 Address

DS U071

B007 Address

DS U071

B342 Address

SMP U071

B349 Address

SMP U071

B377 Address

DS U071

G039 Address

DS U071

G048 - G049 Address

DS U071

G319 Address

DS U071

G931 - G932 Address

DS U071

G934 Address

DS U071

G935 - G936 Address

DS U071

G938 Address

DS U071

H660 Address

DS U071

H669 Address

DS U071

I260 - I269 Address

DS U071

I409 Address

DS U071

I514 Address

DS U071

J110 - J118 Address

SMP U071

J120 - J168 Address

DS U071

J180 - J189 Address

DS U071

J22 Address

DS U071

J320 - J329 Address

DS U071

J690 Address

DS U071

J698 Address

DS U071

J80 Address

DS U071

J81 Address

DS U071

J849 Address

DS U071

J984 Address

DS U071

K290 - K291 Address

DS U071

K296 - K299 Address

DS U071

K529 Address

DS U071

K920 - K922 Address

DS U071

L890 - L899 Address

DS U071

N300 - N303 Address

DS U071

N308 - N309 Address

DS U071

R042 - R048 Address

DS U071

R05 Address

DS U071

R11 Address

DS U071

R291 Address

DS U071

W78 - W80 Address

DS U071

W84 Address

DS U071

Y400 - Y840 Address

DS U071

________________________

ⁱ Similar terms include modifiers such as many, numerous, recurrent, repeated, serial, series, or several.