Instructions for Classifying Multiple Causes of Death, 2022 – Section III
SECTION III – INTENT OF CERTIFIER
In order to assign the most appropriate code for a given diagnostic entity, it may be necessary to take other recorded information and the order in which the information is reported into account. It is important to interpret this information properly so the meaning intended by the certifier is correctly conveyed. The objective is to code each diagnostic entity in accordance with the intent of the certifier without combining separate codable entities. The following instructions help to determine the intent of the certifier. Apply Intent of Certifier instructions to “See also” terms in the Index and to any synonymous sites or terms as well.
1. Other and unspecified gastroenteritis and colitis of unspecified origin (A099)
a. Code A090 (Gastroenteritis and colitis of infectious origin)
When reported due to:
A000-B99
R75
Y431-Y434
Y632
Y842
I (a) Enteritis A090
(b) Listeriosis A329
Code I(a) gastroenteritis and colitis of infectious origin, A090, since enteritis is reported due to a condition classified to A329.
EXCEPTION: When the enteritis is reported due to another infectious condition or an organism classified to A49 or B34, refer to Section III, 7. Organisms and Infections.
b. Code K529 (Noninfective gastroenteritis and colitis, unspecified)
When reported due to:
C000-K929
L272
M000-N999
P000-R749
R760-Y430
Y435-Y631
Y633-Y841
Y843-Y899
I (a) Enteritis K529
(b) Abscess of intestine K630
Code I(a) noninfective gastroenteritis and colitis, unspecified, K529, since enteritis is reported due to a condition classified to K630.
I (a) Colitis A099
Code I(c) gastroenteritis and colitis of unspecified origin, A099, as indexed.
2. Cavitation lung (A162)
Code J984 (Nontuberculous cavitation lung)
When reported due to:
A000-A099 G459-G98 O981-P369
A200-B199 H650-H709 P371-R825
B201-B89 H720-H739 R826
B91-F39 H950-J64 R827-R892
F531 J660-L599 R893
F55 L930-L932 R894-R961
F71-F79 M000-N459 R98-R99
F840-F849 N480-N96 S000-Y899
F99-G419 N980-O979
I (a) Cavitary lung disease J984
(b) COPD J449
Code I(a) nontuberculous cavitation of lung, J984, since cavitary lung disease is reported due to a condition classified to J449.
I (a) Respiratory failure J969
(b) Refractory shock R570
(c) Cavitation lung A162
Code I(c) cavitation of lung, A162, since it is not reported due to any other conditions.
3. Spinal Abscess (A180)
Vertebral Abscess (A180)
Code M462 (Nontuberculous spinal abscess)
When reported due to:
A400-A419 H650-H669 M910-M939
A500 H950-H959 M960-M969
A509 J00-J399 N10-N12
A527 J950-J959 N136
A539 K650-K659 N151
B200-B24 K910-K919 N159
B89 L00-L089 N288
B99 M000-M1990 N340-N343
C412 M320-M351 N390
C760 M359 N700-N768
C795 M420-M429 N990-N999
C810-C969 M45-M519 R75
D160-D169 M600 S000-T983
D480 M860-M889
D550-D589 M894
I (a) Spinal Abscess M462
(b) Staphylococcal septicemia A412
Code I(a) nontuberculous spinal abscess, M462, since spinal abscess is reported due to a condition classified to A412.
4. Charcot Arthropathy (A521)
Code G98 (Arthropathy, neurogenic, neuropathic (Charcot), nonsyphilitic)
When reported due to:
A30 Leprosy G608 Hereditary sensory
E10-E14 Diabetes mellitus neuropathy
E538 Subacute combined degeneration G901 Familial dysautonomia
(of spinal cord) G950 Syringomyelia
F101 Alcohol abuse Q059 Spina bifida,
F102 Alcoholism meningo-myelocele
G600 Hypertrophic interstitial Y453 Indomethacin
neuropathy Y453 Phenylbutazone
G600 Peroneal muscular atrophy Y427 Corticosteroids
I (a) Charcot arthropathy G98
(b) Diabetes E149
5. General Paresis (A521)
a. Code G839 (Paralysis)
When reported due to or on the same line with:
A022 A988 B690 D180-D181 I159
A040 B003-B004 B719 D210 I600-I709
A051 B010-B011 B75 D233-D234 I748
A066 B020-B022 B832 D320-D339 J108
A078 B03-B04 B888 D352 J118
A170-A179 B050-B051 B89 D355 M000-M1990
A180 B060 B900 D360-D367 M420-M429
A190-A191 B200-B24 B901-B909 D420-D439 M45-M519
A203 B258 B91 D443 M860-M949
A228 B259 B92-B940 D446 N000-N399
A260-A289 B261-B262 B941 D448 O100-O16
A321-A329 B268 B948-B949 D45-D479 O740-O749
A368 B270-B279 C470 D487 O900-O909
A390-A394 B334-B338 C479 D489 O95
A398-A399 B375 C700-C729 E713 O994
A428 B384 C751 E750-E756 P000-Q079
A440-A539 B428 C754 F449 Q750-Q799
A544 B450-B459 C758 G000-G239 Q860-Q999
A548 B461 C760 G300-G379 R270-R278
A680-A689 B49-B64 C770 G450-G459 R75
A692 B673 C793-C794 G540-G729
A800-A959 B676 C798-C97 G839-G98
A981-A982 B679 D170 I10
I (a) CVA with general paresis I64 G839
(b)
(c)
b. Code T144 (Paralysis, traumatic)
Refer to Section V, Part S, Sequela of injuries, poisonings, and other consequences of external causes, if a sequela is indicated.
When reported due to or on the same line with:
S000-T149 W81-X39
T20-T35 X50-X599
T66-T79 X70-X84
T90-T95 X91-Y09
T981-T982 Y20-Y369
V010-W43 Y850-Y872
W45-W77 Y890-Y899
I (a) General
paresis
T144
(b) Brain injury S069
(c)
II Auto accident &V499
6. Viral Hepatitis (B161, B169, B171-B179)
Code
For Viral Hepatitis in Code Chronic Viral Hepatitis
Categories
B161 B180
B169 B181
B171 B182
B172 B188
B178 B188
B179 B189
When reported as causing liver conditions in:
K721, K7210
K740-K742
K744-K746
I (a) Cirrhosis of liver K746
(b) Viral hepatitis B B181
Code I(b) B181, chronic viral hepatitis B, since reported as causing a condition classified to K746.
7. Organisms and Infections NOS (B99)
Organisms
Bacterial organisms Viral organisms Organisms classified to
classified to A49.- classified to B34.- other than A49.- or B34.-
Escherichia coli Adenovirus Aspergillus
Haemophilus influenzae Coronavirus Candida
Pneumococcal Coxsackie Cytomegalovirus
Staphylococcal Enterovirus Fungus
Streptococcal Parvovirus Meningococcal
Infectious conditions
Abscess Infection Sepsis, Septicemia
Bacteremia Pneumonia Septic Shock
Empyema Pyemia Words ending in “itis”
These lists are NOT all inclusive. Use them as a guide.
In order to determine which instruction to use, refer to the Index under the named organism or under Infection, named organism.
a. Bacterial organisms and infections classified to A49 and Viral organisms and infections classified to B34
(1) When an infectious or inflammatory condition is reported and
(a) Is preceded or followed by condition classified to A49 or B34 or
(b) A condition classifiable to A49 or B34 is reported as the only entry or first entry on the next lower line or
(c) Is followed by a condition classified to A49 or B34 separated by a connecting term not indicating a due to relationship
(i) If a single code is provided for the infectious or inflammatory condition modified by the condition classified to A49 or B34, use this code. Do not assign a separate code for the condition classifiable to A49 or B34. It may be necessary to use “due to” or “in” in the Index to assign the appropriate code.
I (a) E. coli diarrhea A044
Code as indexed under Diarrhea, due to, Escherichia coli.
I (a) Pneumonia J129
(b) Viral infection
Code as indexed under Pneumonia, viral.
I (a) Meningitis and sepsis G000 A413
(b) H. influenzae
Code as indexed under Meningitis, Haemophilus (influenzae) and Septicemia, Haemophilus influenzae.
I (a) Sepsis with staph A412
Code as staphylococcal sepsis as indexed under Septicemia, staphylococcal.
I (a) Pneumonia c MRSA J152
Code as methicillin resistant staphylococcal aureus pneumonia as indexed under Pneumonia, MRSA.
(ii) If (i) does not apply, and the Index provides a code for the infectious or inflammatory condition qualified as “bacterial,” “infectious,” “infective,” or “viral,” assign the appropriate code based on the reported type of organism. Do not assign a separate code for the condition classified to A49 or B34.
I (a) Coxsackie virus pneumonia J128
Coxsackie virus is a specified virus. Code as indexed under Pneumonia, viral, specified NEC.
I (a) Peritonitis K650
(b) Campylobacter
Campylobacter is a specified bacteria. Code as indexed under Peritonitis, bacterial.
I (a) Pneumonia with coxsackie virus J128
Code as coxsackie virus pneumonia. Since coxsackie virus is a specified virus, code as indexed under Pneumonia, viral, specified NEC.
(iii) If (i) and (ii) do not apply, assign the NOS code for the infectious or inflammatory condition. Do not assign a separate code for the condition classified to A49 or B34.
I (a) Klebsiella urinary tract infection N390
The Index does not provide a code for Infection, urinary tract specified as bacterial, infectious, infective, or Klebsiella. Therefore, code Infection, urinary tract.
I (a) Pyelonephritis N12
(b) Staphylococcus
The Index does not provide a code for pyelonephritis specified as bacterial, infectious, infective, or staphylococcal. Therefore, code Pyelonephritis as indexed.
I (a) Pyelonephritis and pseudomonas N12
The Index does not provide a code for pyelonephritis specified as bacterial, infectious, infective or pseudomonas. Therefore, code pyelonephritis as indexed.
b. Organisms and infections classified to categories other than A49 and B34
(1) When an infectious or inflammatory condition is reported and
(a) Is preceded by a condition classifiable to Chapter I other than A49 or B34
(i) Refer to the Index under the infectious or inflammatory condition. If a single code is provided for this condition, modified by the condition from Chapter I, use this code. It may be necessary to use “due to” or “in” in the Index to assign the appropriate code.
I (a) Cytomegaloviral pneumonia B250
Code as indexed under Pneumonia, cytomegaloviral.
(ii) If (i) does not apply, refer to Volume 1, Chapter I to determine if the Classification provides an appropriate fourth character for the organism. Indications of appropriate fourth characters for sites would be “of other sites,” “other specified organs,” or “other organ involvement.”
I (a) Candidiasis peritonitis B378
Since this term is not indexed together, refer to Volume I, Chapter I and select the fourth character, .8, candidiasis of other sites.
(iii) If (i) and (ii) do not apply, code as two separate conditions.
I (a) Mononucleosis pharyngitis B279 J029
Since this term is not indexed together and Volume I, Chapter I does not provide an appropriate fourth character under B27.-, code as two separate conditions.
(b) A condition from Chapter I other than A49 or B34 is reported as the only entry or the first entry on the next lower line
(i) Code each condition as indexed where reported.
I (a) Peritonitis K659
(b) Candidiasis B379
Since candidiasis is classified to a condition other than A49 or B34, code each condition as indexed.
(c) A condition from Chapter I other than A49 or B34 is reported separated by a connecting term not indicating a due to relationship
(i) Code each condition as indexed where reported.
I (a) Pneumonia with candidiasis J189 B379
Since candidiasis is classified to a condition other than A49 or B34, code each condition as indexed.
c. Do not use HIV or AIDS to modify an infectious or inflammatory condition. Code as two separate conditions.
I (a) HIV pneumonia B24 J189
d. When an infectious or inflammatory condition is reported and a specified organism or specified nonsystemic infection is not the only entry or the first entry on the next lower line.
• Code the infectious or inflammatory condition and the organism or infection separately.
I (a) Pneumonia J189
(b) Emphysema & viral infection J439 B349
I (a) Peritonitis K659
(b) Gastric ulcer and staphylococcal infection K259 A490
e. When an infectious or inflammatory condition is reported and
(1) Infection NOS is reported as the only entry or the first entry on the next lower line
• Code the infectious or inflammatory condition where it is entered on the certificate and do not enter a code for infection NOS, but take into account if it modifies the infectious condition.
I (a) Cholecystitis & arthritis K819 M009
(b) Infection
I (a) Meningitis G039
(b) Infection & brain tumor D432
(2) Infection NOS is not the only entry or the first entry on the next lower line
• Code the infectious or inflammatory condition where it is entered on the certificate and code infection NOS separately.
I (a) Septicemia A419
(b) Diabetes & infection E149 B99
f. When a noninfectious or noninflammatory condition is reported and infection NOS is reported on a lower line
• Code the noninfectious or noninflammatory condition as indexed and code infection NOS (B99) where entered on the certificate.
I (a) ASHD I251
(b) Infection B99
g. When an organism is reported preceding two or more infectious conditions reported consecutively on the same line
• Code each of the infectious conditions modified by the organism.
I (a) Staphylococcal pneumonia and J152 G003
(b) meningitis
h. When one infectious condition is modified by more than one organism, modify the condition by all organisms.
I (a) Strep, Klebsiella and MRSA pneumonia J154 J150 J152
I (a) Strep pneumonia, MRSA J154 J152
I (a) Sepsis enterococcus, MRSA A402 A410
i. When any condition is reported and a generalized infection such as bacteremia, fungemia, sepsis, septicemia, systemic infection, or viremia is reported on a lower line
• Code both the condition and the generalized infection where entered on certificate. Do not modify the condition by the infection.
I (a) Bronchopneumonia J180
(b) Septicemia A419
I (a) Pneumonia J189
(b) Viremia B349
8. Eaton-Lambert syndrome (C80)
Code G708 (Eaton-Lambert syndrome unassociated with neoplasm)
When reported on a record without a condition from the following categories also reported:
C000-D489
Male, 57 years old
I (a) Aspiration
pneumonia
J690
(b)
Eaton-Lambert
syndrome
G708
Code I(b) Eaton-Lambert syndrome unassociated with neoplasm (G708) since there is no condition from categories C000 - D489 reported anywhere on the record.
Female, 69 years old
I (a) Eaton-Lambert
syndrome
C80
(b) Small cell lung
cancer C349
Code I(a) Eaton-Lambert syndrome (C80) since there is a condition from categories C000 - D489 reported on the record.
9. Erythremia (C940)
Code D751 (Secondary erythremia):
When reported due to
A000-D489 F55 L710-L719 N700-N768 R730-R739
D510-D619 G000-G419 L930-L932 N980 R75
D751 G450-G459 L950-L959 N990-Q999 R780
D760-E149 G600-G979 M000-M1990 R030 R826
E240-E279 I00-J989 M300-M359 R040-R049 R893
E65-E678 K20-L00 M420-M549 R090-R098 S000-Y899
E890 L100-L139 M800-M949 R160-R162
E896-E899 L230-L309 M960-M969 R31
F100-F199 L500-L599 N000-N399 R58-R5800
I (a) Septicemia A419
(b) Erythremia D751
(c) Polycythemia D45
10. Polycythemia (D45)
Excludes:
idiopathic
primary
rubra
vera
Code D751 (Secondary polycythemia)
When reported due to:
A000-D489 F55 L710-L719 N700-N768 R730-R739
D510-D619 G000-G419 L930-L932 N980 R75
D751 G450-G459 L950-L959 N990-Q999 R780
D760-E149 G600-G979 M000-M1990 R030 R826
E240-E279 I00-J989 M300-M359 R040-R049 R893
E65-E678 K20-L00 M420-M549 R090-R098 S000-Y899
E890 L100-L139 M800-M949 R160-R162
E896-E899 L230-L309 M960-M969 R31
F100-F199 L500-L599 N000-N399 R58-R5800
I (a) Polycythemia D751
(b) Pneumonia J189
I (a) Polycythemia &D751
(b) Chloromycetin therapy Y408
I (a) Polycythemia vera D45
(b) Emphysema J439
11. Hemolytic Anemia (D589)
Code D594 (Secondary hemolytic anemia)
When reported due to:
A000-D489 F180-F199 Q200-Q289
D594 G000-G09 R75
D65-D699 I00-I519 R780
D760 I776 R823
D800-D899 J09-J22 R826
E201 K700-K769 R893
E280-E289 M000-M359 S000-Y899
E40-E46 N000-N399
E700-E899 O000-O998
F100-F169 P550-P579
I (a) Hemolytic anemia D594
(b) Hairy cell leukemia C914
(c)
I (a) Hemolytic anemia D589
(b)
(c)
II Hypogammaglobulinemia D801
I (a) Secondary hemolytic D594
(b) anemia
12. Sideroblastic Anemia (D643)
a. Code D641 (Secondary sideroblastic anemia due to disease)
When reported due to:
A000-C97 E230 F180-F182 J069 M023
D45 E531 F190-F192 J65 M101
D461 E539 F55 K700-K703 M352
D471 E798 G030 K709 N143
D510-D599 E800-E802 G040 K721 N188-N19
D640-D643 E831 G361 K730-K746 N341
D648 E880 G933 K760 O980-O981
D731 E890 I330 K761 R162
D748 F100-F102 I423 K766 R75
D758 F109-F112 I729 K769 R780
D860-D869 F119-F122 I888 K908 R826
D892 F130-F132 J00 L081 R893
E018-E02 F140-F142 J020 L448 R897
E032-E0390 F150-F152 J030 L946
E050-E059 F160-F162 J040-J042 M021
I (a) Pneumonia J189
(b) Sideroblastic anemia D641
(c) Alcoholic cirrhosis K703
b. Code D642 (Secondary sideroblastic anemia due to drugs or toxins)
When reported due to:
D642 X60-X69
T510-T659 Y10-Y19
T97 Y400-Y599
X40-X49 Y86-Y880
I (a) CHF I500
(b) Sideroblastic anemia &D642
(c) Chloramphenicol Y402
13. Hemorrhagic Purpura NOS (D693)
Code D690 (Hemorrhagic purpura not due to thrombocytopenia)
When reported due to:
A000-C97 F119 I771-I779 N19 Q848
D45-D460 F120 I872 N200-N219 Q872-Q873
D462-D469 F121-F122 I878 N250-N311 Q878
D471 F130-F132 I879 -I889 N312-N319 R104
D510 F140 I898-I899 N320-N390 R162
D511-D581 F141-F142 I99-J00 N392 R233
D582 F150 J020 N398-N399 R238
D588-D618 F151-F152 J030 N719 R291
D619 F160-F162 J040-J042 N897 R31
D648 F180-F181 J069 N910-N939 R398
D65-D692 F182 J65 N948 R72
D698-D71 F190-F191 K658 N950-N959 R75
D720 F192 K660 N991 R780
D721 G000-G032 K700-K769 P070-P073 R826
D728 G038-G039 K908 P219 R893
D729-D759 G040 L081 P221-P289 R897
D860-D869 G042-G049 L272 P546 T360-T658
D892 G060 L448 P916 T659
E240 G061-G09 L573 Q458 T780-T784
E241 G312 L80-L819 Q680 T789
E242 G361 L946 Q740-Q741 T806
E243 G373-G374 L958 Q758 T818
E248 G540 L959 Q772 T881
E249 G92 M021-M023 Q775-Q776 T885
E301 G933 M050-M089 Q778 T886-T887
E54 G958 M101 Q779-Q783 T96-T97
E569 G961 M120 Q785 T981
E642 I00-I019 M138 Q788-Q789 X20-X29
E648 I10 M159 Q791 X40-X48
E703 I159 M300 Q794-Q795 X49
E798 I308 M301-M352 Q796 X60-X69
E850-E859 I330-I339 M358 Q798 Y10-Y19
E871 I400-I409 M359 Q808 Y400-Y599
E880 I423 M898 Q810-Q819 Y86
F100 I729 N000-N078 Q820 Y870
F101-F102 I749 N079 Q821-Q825 Y871
F110-F112 I770 N10-N189 Q828 Y872
I (a) CVA I64
(b) Hemorrhagic purpura D690
(c) Leukemia C959
14. Thrombocytopenia (D696)
Code D695 (Secondary thrombocytopenia)
When reported due to:
A000-D447 F110 J030 P350 -P399 T752
D448 F111-F112 J040-J042 P550 -P560 T780-T783
D449-D509 F119 J069 P570 T784
D510 F120 J09-J118 P610 T788-T789
D511-D691 F121-F122 J65 P614 T803-T804
D692 F130 K658 P916 T808-T809
D693-D699 F131-F132 K660-K661 Q204 -Q205 T818
D730-D752 F140 K700-K769 Q206 T881
D758 F141-F142 K908 Q208 T882 -T883
D759-D763 F150 K920-K921 Q209 T885
D814 F151-F152 K922 Q210 T886 -T888
D820 F160 L081 Q220 -Q246 T889
D821 F161-F162 L448 Q248 T950 -T97
D840 F180-F181 L590 Q249 T981
D841-D848 F182 L818 Q289 T983
D860-D892 F190-F191 L946 Q758 V010-V99
E000-E009 F192 M021 Q775-Q776 W00-W53
E018-E02 F55 M023 Q778 W54-W56
E031-E033 G000-G032 M050-M089 Q779-Q783 W57
E034 G038-G039 M101 Q788-Q789 W58-W87
E035-E0390 G040 M120 Q798 W88-W93
E055 G042-G048 M138 Q828 W94-X19
E059 G049-G060 M159 Q850 X20-X32
E071 G061-G09 M199-M1990 R001 X34-X39
E230 G312 M219 R008 X40-X48
E349 G361 M300 R012 X49-X599
E46 G373-G374 M301-M329 R161-R162 X65
E538 G450-G452 M352 R233 X69-Y369
E539-E54 G454-G459 M898 R291 Y400-Y601
E560-E639 G540 N000-N078 R31 Y603
E642 G903 N079 R398 Y605
E648 G92 N10-N219 R58-R5800 Y610-Y611
E649 G933 N250-N311 R75 Y613
E713 G936 N312-N319 R771 Y615
E740 G938 N320-N390 R780 Y617
E750 G951 N392 R788 Y620-Y621
E752 G958 N398-N399 R798 Y623
E753 G961 N980-N989 R825 Y625
E755-E756 I00-I019 N991 R826 Y630-Y633
E768-E779 I10-I629 O360-O369 R827-R828 Y640-Y655
E782 I630-I6300 O430-O431 R829 Y658
E798 I631-I6310 O438 R893 Y66-Y831
E803 I633-I677 O439-O469 R897 Y840
E835 I678-I679 O60 T200 Y842
E871 I690-I891 O670-O689 T201-T289 Y848-Y849
E880 I898 O700-O719 T300 Y850-Y872
E888 I899-I972 O908 T301-T329 Y880-Y881
E890 I978 O980-O981 T360-T658 Y890-Y891
E898 I99 P070-P073 T659 Y899
F100 J00 P219 T66-T670
F101-F102 J020 P221-P289 T68
I (a) Multiple hemorrhages R5800
(b) Thrombocytopenia D695
(c) Cancer lung C349
15. Hyperparathyroidism (E213)
Code E211 (Secondary hyperparathyroidism)
When reported due to:
A180 D136-D137
A187 D300-D309
A188 D351-D353
B650-B839 D410-D419
B902-B908 D442-D444
C250-C259 E130-E139
C64-C689 E15-E215
C750-C752 E240-E259
C788 E270-E279
C790-C791 E892
C798 M880-M889
C900-C902 N000-N399
D017 Q600-Q649
D090-D091 Q770-Q789
D093 Q798
I (a) Hypercalcemia E835
(b) Hyperparathyroidism E211
(c) Cancer parathyroid gland C750
16. Hyperaldosteronism (E269)
Code E261 (Secondary hyperaldosteronism)
When reported due to:
A220-A229 E270-E46 I500-I509 T96-T97
B500-B54 E511-E519 I701 T983
B560-B575 E660-E669 I778 X40-X49
C740-C749 E713 K700-K709 X60-X69
C797 E86 K721-K7210 X85-X90
D093 E871 K730-K746 Y10-Y19
D350 E880 K850-K851 Y400-Y599
D441 E890 K853-K859 Y86-Y880
D448-D449 E892 N000-N399
D840-D849 E895-E899 T360-T659
E000-E249 I10-I150 T783
E250-E269 I159 T880-T889
I (a) MI I219
(b) Hyperaldosteronism E261
(c) Renal artery stenosis I701
17. Lactase Deficiency (E730)
Code E731 (Secondary lactase deficiency)
When reported due to:
E730-E749 K590-K599
K500 K630
K508-K510 K633
K519-K529 K639
K570 K900-K902
K574 K912
K580-K589 N200-N209
I (a) Severe diarrhea K529
(b) Lactase deficiency E731
(c) Celiac disease K900
Code I(b) secondary lactase deficiency, E731, since reported due to celiac disease.
18. Korsakov Disease, Psychosis, or Syndrome (F106)
Code F04 (Nonalcoholic Korsakovs disease, psychosis, or syndrome)
When reported due to :
A000-D591 L920 S710-S729 T904
D592 L928-L932 S740-S799 T905
D593-D610 L951 S810-S829 T908
D611 L980-L981 S840-S899 T909
D612-E243 M000-N459 S910-S929 T910
E248-E519 N490-N809 S940-S999 T911-T915
E52 N990-N992 T012-T029 T918
E530-F09 N994-Q999 T041-T08 T919-T922
F200-G311 R54 T091 T924-T926
G318-G619 R75 T093-T10 T928
G620 S010-S029 T111 T929-T932
G622 S040-S050 T113-T12 T934-T936
G628-G720 S052-S099 T131 T938
G722-G98 S110-S129 T133-T139 T939
I00-I4250 S140-S199 T141-T142 T940-T953
I427-J989 S210-S229 T144-T329 T954
K20-K291 S240-S299 T340-T349 T958-T959
K293-K669 S310-S328 T351-T399 T96-X40
K710-K851 S340-S399 T410-T422 X43-X44
K853-K859 S410-S429 T425-T426 X46-Y449
K861-L109 S440-S499 T427 Y451-Y468
L129-L449 S510-S529 T428 Y480-Y485
L510-L599 S540-S599 T440-T509 Y500-Y899
L710-L719 S610-S628 T520-T889
L88 S640-S69 T901-T903
I (a) Korsakoff
psychosis
F04
(b) Wernicke encephalopathy E512
(c)
19. Drug Use NOS - Named Drug Use (F11-F16, F18-F19)
Code drug use NOS, F199, when reported anywhere on the certificate. Code use of named drug, F11-F16, F18-F19 with fourth character “9,” when reported anywhere on the certificate and the named drug is listed in Volume 3, under Addiction/Dependence. If the named drug is not listed in Volume 3 under Addiction/Dependence, do not enter a code.
Exceptions:
(1) Complication(s) reported due to (named) drug use. Code the (named) drug use to the appropriate external cause code for adverse effects of drugs in therapeutic use unless the drug is one not used for medical care purposes. Refer to Section V, Part R, 1, Drugs, medicaments, biological substances causing adverse effects in therapeutic use (Y40-Y59) for coding instructions.
(2) There is mention of drug poisoning anywhere on the certificate, code the (named) drug use to F11-F16, F18-F19, with fourth character “9,” if listed in Volume 3 under Addiction/Dependence. If (named) drug is not indexed in Volume 3 under Addiction/Dependence, code F19, specified drug NEC with fourth character “9.” Refer to Section V, Part Q, 2, Poisoning by drugs.
I (a) Chronic alcoholism F102
(b)
(c)
II Drug use F199
Code drug use to F199. There is no complication reported due to the drug use.
I (a) Cancer of pancreas C259
(b)
(c)
II Methadone use F119
Code methadone use to F119 as listed under Dependence in Volume 3. There is no complication reported due to the methadone use.
I (a) Systemic lupus erythematosus M329
(b)
(c)
II Steroid use
Do not code steroid use. Steroid is not listed in Volume 3 under Addiction/Dependence and no complication is reported due to the steroid use.
I (a) Diabetes E139
(b) Steroid use Y427
(c)
II Rheumatoid arthritis &M069
Code the diabetes as a complication of the steroids given in therapeutic use for rheumatoid arthritis. Refer to Section V, Part R, 1, Drugs, medicaments, biological substances causing adverse effects in therapeutic use (Y40-Y59) for coding complications of drugs during therapeutic use.
I (a) Bacterial endocarditis &I330
(b) Use of morphine Y450
(c)
Code the bacterial endocarditis as a complication of the morphine given in therapeutic use. Precede the complication with an ampersand since the condition requiring the drug is not reported. Refer to Section V, Part R, 1, Drugs, medicaments, biological substances causing adverse effects in therapeutic use (Y40-Y59) for coding complications of drugs during therapeutic use.
Place I (a) Acute cocaine poisoning T405 &X42
9 (b)
(c)
MOD II Cocaine use F149 T405
A
|
Accident |
|
Ingested cocaine |
Code cocaine use to F149 as listed under Dependence in Volume 3 since reported on the certificate with drug poisoning. Refer to Section V, Part Q, 2, Poisoning by drugs for instructions in coding drug poisoning.
Place I (a) Respiratory failure J969
9 (b) Acute drug use F199
(c)
MOD II &X42 T402
A
|
Accident |
|
Overdose of morphine |
Code acute drug use to F199 since reported on the certificate with drug poisoning.
Place I (a) Poisoning by drugs T509 &X44
9 (b)
(c)
II Use of sedatives F139
Code use of sedative to F139 as listed under Dependence in Volume 3 since reported on the certificate with drug poisoning.
20. Tobacco Use (F179)
Code F179 (Tobacco use)
a. When age of the decedent is greater than or equal to (>=) 1 year
AND
b. When the certifier selects “Yes” or “Probably” in the tobacco box on the US Standard Certificate of Death.
Did tobacco use contribute to death?
Yes ☐ Probably ☐
No ☐ Unknown ☐
The F179 should follow the last code in Part II.
I (a) Pneumonia J189
(b) Lung cancer C349
II COPD J449 F179
Did tobacco use contribute to death?
Yes ☒ Probably ☐
No ☐ Unknown ☐
Female, 2 months
I (a) Pneumonia J189
(b)
II
Did tobacco use contribute to death?
Yes ☒ Probably ☐
No ☐ Unknown ☐
No F179 is necessary for the tobacco box entry since age of decedent is less than 1 year old.
21. Psychotic Episode NOS (F239)
Code F068 (Psychotic episode, organic NEC)
When reported due to or on the same line with conditions classifiable to the following categories:
A000-E899 L88 R042-R048
F068 L920 R060-R065
G000-G98 L92-L932 R068
H600-H709 L951 R090-R091
H720-H739 L980-L981 R291
I00-J989 M000-N459 R54
K20-L109 N490-N809 R600-R609
L120-L449 N990-N992 R75
L510-L599 N994-Q999
L710-L719 R02
I (a) TIA’s with psychotic episodes G459 F068
(b) Cerebral arteriosclerosis I672
(c) Arteriosclerosis I709
Code psychotic episode on I(a) F068, since reported on the same line with TIA (G459). It could also be coded to F068 since reported due to cerebral arteriosclerosis (I672).
22. Psychosis (any F29)
Code F09 (Psychosis, organic NEC)
When reported due to or on the same line with conditions classifiable to the following categories:
A000-E899 R75 S840-S899 T909
F09 S010-S029 S910-S929 T910
G000-G98 S040-S050 S940-S999 T911-T915
I00-J989 S052-S099 T012-T029 T918
K20-L109 S110-S129 T041-T08 T919-T922
L120-L449 S140-S199 T091 T924-T926
L510-L599 S210-S229 T093-T10 T928
L710-L719 S240-S299 T111 T929-T932
L88 S310-S328 T113-T12 T934-T936
L920 S340-S399 T131 T938
L928-L932 S410-S429 T133-T139 T939
L951 S440-S499 T141-T142 T940-T953
L980-L981 S510-S529 T144-T329 T954
M000-N459 S540-S599 T340-T349 T958-T959
N490-N809 S610-S628 T351-T889 T96-Y899
N950-N959 S640-S699 T901-T903
N990-N992 S710-S729 T904
N994-Q999 S740-S799 T905
R54 S810-S829 T908
I (a) Pneumonia J189
(b) Psychosis – cerebrovascular arteriosclerosis F09 I672
(c) Arteriosclerosis I709
23. Dissociative Disorder (F449)
Code F065 (Organic dissociative disorder)
When reported due to conditions classifiable to the following categories:
A000-E899 L88 R042-R048
F065 L920 R060-R065
G000-G98 L928-L932 R068
H600-H709 L951 R090-R091
H720-H739 L980-L981 R291
I00-J989 M000-N459 R54
K20-L109 N490-N809 R600-R609
L120-L449 N990-N992 R75
L510-L599 N994-Q999 S000-Y899
L710-L719 R02
I (a) Dissociative disorder F065
(b) Remote subdural hematoma T905
(c) Car accident &Y850
Code I(a) organic dissociative disorder, F065, since reported due to an injury.
I (a) Dissociative disorder F065
(b) Senility R54
Code I(a) organic dissociative disorder, F065, since reported due to senility.
24. Personality Disorder (F609), Personality Change (Enduring) (F629)
Code F070 (Organic personality disorder)
When reported due to conditions classifiable to the following categories:
A000-E899 N490-N809 S440-S499 T093-T10
F070 N990-Q999 S510-S529 T111
G000-G98 R54 S540-S599 T113-T12
I00-J989 R75 S610-S628 T131
K20-L109 S010-S029 S640-S699 T133-T139
L120-L449 S040-S050 S710-S729 T141-T142
L510-L599 S052-S099 S740-S799 T144-T329
L710-L719 S110-S129 S810-S829 T340-T349
L88 S140-S199 S840-S899 T351-T889
L920 S210-S229 S910-S929 T901-T922
L928-L932 S240-S299 S940-S999 T924-T932
L951 S310-S328 T012-T029 T934-Y899
L980-L981 S340-S399 T041-T08
M000-N459 S410-S429 T091
Place I (a) Personality disorder F070
9 (b) Head injury S099
(c) Assault &Y09
Code I(a) organic personality disorder, F070, since reported due to a head injury.
I (a) Personality disorder F070
(b) Meningioma brain D320
Code I(a) organic personality disorder, F070, since reported due to a meningioma brain.
I (a) Personality change F070
(b) Jakob-Creutzfeldt Syndrome A810
Code I(a) organic personality disorder, F070, since reported due to Jakob-Creutzfeldt Syndrome.
25. Mental Disorder (any F99)
Code F069 (Organic mental disorder)
When reported due to or on the same line with conditions classifiable to the following categories:
A000-G98 M000-N459 S000-S199 T510-T519
H600-H709 N490-N809 T019 T66-T68
H720-H739 N990-N992 T028 T698-T758
I00-J989 N994-Q999 T029 T790-T799
K20-L109 R02 T049 T900-T911
L120-L449 R042-R048 T062 T913
L510-L599 R060-R065 T064 T918-T919
L710-L719 R068 T07-T08 T940-T950
L88 R090-R091 T093-T094 T958-T959
L920 R291 T140-T149 T97
L928-L932 R54 T200-T207 T981-T982
L951 R600-R609 T340-T341 V010-Y872
L980-L981 R75 T350-T352
I (a) Cardiorespiratory arrest I469
(b) Heart failure I509
(c) Multiple sclerosis and mental disorder G35 F069
26. Parkinson Disease (G20)
Advanced Parkinson Disease (G2000)
Grave Parkinson Disease (G2000)
Severe Parkinson Disease (G2000)
a. Code G214 (Vascular parkinsonism)
When reported due to:
G214
I672-I673
I678-I679
I698
I709
I (a) Parkinsonism G214
(b) Arteriosclerosis I709
(c)
b. Code G219 (Secondary parkinsonism)
When reported due to:
A170-A179 B900 R75
A504-A539 B902 S000-T357
A810-A819 B91 T66-T876
A870-A89 B941 T900-T982
B003 B949 T983
B010 F200-F209 X50-X599
B021-B022 G000-G039 X70-X84
B051 G041-G09 X91-Y09
B060 G20-G2000 Y20-Y369
B200-B24 G218-G219 Y600-Y849
B261 G300-G309 Y850-Y872
B375 I950-I959 Y881-Y899
I (a) Parkinson disease G219
(b) Tuberculous meningitis A170
(c)
I (a) Secondary Parkinson disease G219
(b)
(c)
27. Cerebral Sclerosis (G379)
Code I672 (Cerebrovascular atherosclerosis)
a. When reported due to or on the same line with:
A500-A539 M100-M109
E000-E349 M300-M359
E660-E669 N000-N289
E700-E839 N390
E890-E899 Q600-Q619
I10-I150 Q630-Q639
I159 Q890-Q892
I672 R54
I700-I709 T383
I770 Y423
I99
b. When reported as causing:
I600-I679
I690-I698
I (a) Cerebral edema G936
(b) Cerebral sclerosis G379
I (a) Cerebral thrombosis I633
(b) Cerebral sclerosis I672
I (a) ASHD I251
(b)
(c)
II Cerebral sclerosis, hypertension 1672 I10
28. Myopathy (G729)
Code I429 (Cardiomyopathy)
When reported due to:
A150-A1690 E648-E649 R54
A178 E660-E669 R75
A181 E740 T360-T66
A188 E760-E769 T97
B332 E831 X45
B560-B575 E880-E889 X65
B948 I00-I259 Y15
D500-D649 I300-I4290 Y400-Y599
D758 I514-I5150 Y842
E100-E149 I700-I709 Y86-Y872
E40-E519 P200-P220 Y883
E639 P916
E641 R31
I (a) Myopathy I429
(b) ASHD I251
(c)
Code I(a) cardiomyopathy, I429, since reported due to a specific heart condition.
29. Brain Damage, child (G809)
Code G939 (Brain damage)
When reported due to:
A000-F199 M000-N399 R400-R402
F200-F99 N700-N889 R54
G000-G98 O000-Q999 R560-R5800
H600-H749 R02 R600-R609
H950-J80 R040-R049 R630
J82-J989 R060-R068 R75
K700-K769 R090-R092 S000-Y899
L00-L989 R291
Male, 11 years
I (a) Cardiac arrest I469
(b) Brain damage G809
Since the age of the decedent is less than 18 years of age and there is no indication of the cause of the brain damage, code G809, brain damage, child.
Male, 11 years
I (a) Brain damage G939
(b) Down syndrome Q909
Since there is an indication of the cause of the brain damage, code brain damage, G939.
30. Paralysis (any G81, G82, or G83 excluding senile paralysis)
Code the paralysis for decedent age 28 days and over to G80 (Infantile cerebral palsy) with appropriate fourth character
When reported due to:
P000-P969
Female, 3 months
I (a) Pneumonia 1wk J189
(b) Paraplegia 3 mos G808
(c) Injury spinal cord since birth P115
Code the paraplegia on I(b) to infantile paraplegia, G808, since reported due to an injury of the spinal cord since birth.
31. Cataract (H269)
Code H264 (Secondary cataract)
When reported due to:
A1690 H269
B200-B24 H579
E100-E149 R54
E160-E162 R75
E711 T66
E742 Y493
E830 Y540
E835 Y576
H264
I (a) CVA I64
(b) Cataract H264
(c) Diabetes E149
Code I(b), secondary cataract, H264, since reported due to diabetes (E149).
32. Varices NOS and Bleeding Varices NOS (I839)
Code (a) I859
(Esophageal varices) or
(b) I850 (Bleeding esophageal
varices)
When reported due to or on same line with:
Alcoholic diseases classified to: F100-F109
Liver diseases classified to: B150-B199, B251, B942, K700-K769
Toxic effect of alcohol classified to: T510-T519, T97
I (a) Varices I859
(b) Cirrhosis of liver K746
I (a) Bleeding varices I850
(b) Cirrhosis of liver K746
33. Pneumoconiosis (J64)
Code J60 (Coalworker pneumoconiosis)
When Occupation is reported as:
Coal miner
Coal worker
Miner
Occupation: Coal Miner
I (a) Bronchitis J40
(b) Pneumoconiosis J60
34. Diaphragmatic Hernia in K44
Code Q790 (Congenital diaphragmatic hernia)
When reported as causing hypoplasia or dysplasia of lung NOS (Q336).
I (a) Lung dysplasia Q336
(b) Diaphragmatic hernia Q790
(c)
35. Laennec’s Cirrhosis NOS (K703)
Code K746 (Nonalcoholic Laennec’s cirrhosis)
When reported due to:
A000-B99 K710-K718 Y574-Y599
C000-D539 K730-K760 Y640
D730-D739 K761 Y86
E02-E0390 K763 Y870-Y872
E100-E149 K768-K851 Y880
E500-E519 K853-K859 Y881
E52 K861-K909
E530-E849 Q410-Q459Q900-Q999
F110-F169 R75
F180-F199 T360-T509
I050-I099 T520-T659
I110-I119 T97
I130-I4250 X40-X44
I427-I519 X46-X49
I81 Y400-Y572
K500-K519 Y573
K630-K639
I (a) Cardiac arrest I469
(b) Laennec’s cirrhosis K746
(c) Diabetes E149
Code I(b) nonalcoholic Laennec’s cirrhosis since reported “due to” diabetes
36. Biliary Cirrhosis NOS (K745)
Code K744 (Secondary biliary cirrhosis)
When reported due to:
A000-B99 K763
C000-D539 K768-K909
D730-D739 Q410-Q459
E02-E0390 Q900-Q999
E100-E149 R75
E500-E849 R780
F100-F169 R826
F180-F199 R893
I050-I099 T360-T659
I110-I119 T97
I130-I519 X40-X49
I81 X65
K500-K519 Y15
K630-K639 Y400-Y599
K700-K718 Y640
K730-K760 Y86-Y880
K761 Y881
I (a) Biliary cirrhosis K745
(b)
(c)
I (a) Primary biliary cirrhosis K743
(b)
(c)
I (a) Secondary biliary cirrhosis K744
(b)
(c)
I (a) Biliary cirrhosis K744
(b) Carcinoma pancreas C259
(c)
37. Lupus Erythematosus (L930), Lupus (L930)
Code M321 (Systemic lupus erythematosus with organ or system involvement)
When reported as causing a disease of the following systems:
Anemia
Circulatory (including cardiovascular,
lymph nodes, spleen)
Gastrointestinal
Musculoskeletal
Respiratory
Thrombocytopenia
Urinary
I (a) Nephritis N059
(b) Lupus erythematosus nbsp; M321
(c)
38. Gout (M109)
Code M104 (Secondary gout)
When reported due to:
B200-B24 L578-L589
C880-C959 L930-L932
D45 L945
D550-D599 L951
D751 L981
D758 M100-M109
E168 R75
E740 T510-T519
F100-F102 T97
F109 X45
K700-K769 X65
L100-L109 Y15
L120-L449 Y86-Y872
L510-L569
I (a) Perforated gastric
ulcer
K255
(b) Gout M104
(c) Waldenstrom macroglobulinemia C880
39. Polyarthrosis (M159)
Code M153 (Secondary multiple arthrosis)
When reported due to:
A399
B200-B24
E660-E669
G810-G839
M150-M1990
N924
N950-N959
R54
R75
S000-T983
I (a) Hypostatic pneumonia J182
(b) Polyarthrosis M153
(c) Obesity E669
Code I(b) secondary multiple arthrosis, M153, since reported due to obesity.
40. Coxarthrosis (M169)
Code (a) M166
(Coxarthrosis, secondary, bilateral):
(b) M167 (Coxarthrosis, secondary, NEC,
(unilateral))
When reported due to:
A399
B200-B24
E660-E669
G810-G839
M150-M161
M166-M1990
N924
N950-N959
R54
R75
I (a) Pneumonia J189
(b) Debility R53
(c) Coxarthrosis M167
(d) Polyarthrosis M159
Code I(c) secondary coxarthrosis, M167, since reported due to polyarthrosis (M159).
41. Gonarthrosis (M179)
Code (a) M174
(Secondary gonarthrosis, bilateral):
(b) M175 (Secondary gonarthrosis, (unilateral))
When reported due to:
A399
B200-B24
E660-E669
G810-G839
M150-M171
M174-M1990
N924
N950-N959
R54
R75
I (a) Pneumonia, gonarthrosis J189 M175
(b) Hemiplegia G819
(c) Old CVA I694
Code I(a) secondary gonarthrosis, M175, since reported due to hemiplegia.
42. Arthrosis (M199)
Code M192 (Secondary arthrosis)
When reported due to:
A399
B200-B24
E660-E669
G810-G839
M150-M190
M192-M1990
N924
N950-N959
R54
R75
I (a) Pathological fractures M844
(b) Arthrosis M192
(c) Senility R54
Code I(b) secondary arthrosis, M192, since reported due to senility.
43. Kyphosis (M402)
Code M401 (Secondary kyphosis)
When reported due to:
A1690 E890-E899 M359-M489
A180 G110-G119 M800-M949
B902 G20-G2000 M960-M969
B91 G35-G379 Q050-Q059
C400-C419 G540-G549 Q760-Q799
C490-C499 G600-G839 Q850
C795 G950-G959 Q870-Q878
D166 G970-G979 Q893-Q999
D480 M000-M120 S000-Y899
E200-E215 M150-M1990
E550-E559 M320-M351
I (a) COPD J449
(b) Kyphosis M401
(c) Spinal osteoarthritis M479
Code I(b) secondary kyphosis, M401, since reported due to spinal osteoarthritis.
44. Scoliosis (M419)
a. Code M414 (Neuromuscular scoliosis)
When reported due to:
A800-A809 G700-G709
B91 G800-G809
G111 M414
I (a) Respiratory failure J969
(b) Severe scoliosis years M414
(c) Polio years B91
Code I(b) neuromuscular scoliosis, M414, since reported due to polio (B91).
b. Code M415 (secondary scoliosis)
When reported due to:
A1690 G09 M415-M489
A180 G20-G2000 M800-M949
B902 G360-G379 M960-M969
C400-C419 G540-G549 Q050-Q059
C490-C499 G600-G64 Q760-Q799
C795 G950-G959 Q850
D166 G970-G979 Q870-Q878
D480 M000-M120 Q893-Q999
E200-E215 M150-M1990 S000-Y899
E550-E559 M320-M351
E890-E899 M359-M413
I (a) Pneumonia J189
(b) Scoliosis M415
(c) Progressive systemic sclerosis M340
Code I(b) secondary scoliosis, M415, since reported due to progressive systemic sclerosis.
45. Osteonecrosis (M879) )
Code M873 (Secondary osteonecrosis)
When reported due to:
A000-A399 D550-D589 M860-M870
A400-A419 H650-H669 M873
A420-B889 J00-J399 M878-M889
B89 L00-L089 M894
B900-B949 M000-M1990 M910-M939
B99 M320-M351 N340-N343
C400-C419 M359 N390
C763 M420-M429 N700-N768
C795 M45-M461 R75
C810-C969 M462
D160-D169 M463-M479
D480 M600
I (a) Septicemia A419
(b) Osteonecrosis hip M873
(c) Infective myositis M600
Code I(b) secondary osteonecrosis, M873, since reported due to infective myositis (M600).
46. Dysmenorrhea (N946)
Code N945 (Secondary dysmenorrhea)
When reported due to:
C530-C55 N800-N809
C798 N840-N841
D060-D069 N850-N889
D073 N945
D250-D269 Q510-Q519
D390 Q528
N710-N739
I (a) Anemia and gastric
ulcer
D649 K259
(b) Menorrhagia with dysmenorrhea N920 N945
(c) Cancer of endocervix C530
Code I(b) secondary dysmenorrhea, N945, since reported due to cancer of endocervix (C530).
47. Cesarean Delivery for Inertia Uterus (O622)
Hypotonic Labor (O622)
Hypotonic Uterus Dysfunction (O622)
Inadequate Uterus Contraction (O622)
Uterine Inertia During Labor (O622)
Code O621 (Secondary uterine inertia)
When reported due to:
O100-O209 O440-O469
O230-O249 O621
O260-O264 O670-O679
O266-O269 O95
O310 O980-O998
O330-O349
I (a) Cardiac arrest O754
(b) Uterine inertia O621
(c) Diabetes mellitus of pregnancy O249
Code I(b) secondary uterine inertia, O621, since reported due to diabetes mellitus of pregnancy (O249).
48. Brain Damage, newborn (P112)
Code P219 (Anoxic brain damage, newborn)
When reported due to:
A000-P029
P040-P082
P132-P158
P200-R825
R826
R827-R892
R893
R894-R961
R98
Male, 9 hours
I (a) Brain damage P219
(b) Congenital heart disease Q249
Code I(a) anoxic brain damage, P219, since reported due to congenital heart disease.
49. Intracranial Nontraumatic Hemorrhage of Fetus and Newborn (P52)
Code P10 (Intracranial laceration and hemorrhage due to birth injury) with the appropriate fourth character
When reported due to:
P030-P039
P100-P112
P119
P130-P131
P159
Male, 9 hours
I (a) Cerebral hemorrhage P101
(b) Fractured skull during birth P130
(c)
Code I(a) cerebral hemorrhage due to birth injury, P101, since reported due to a fracture skull occurring during birth.
Female, 2 weeks
I (a) Cerebral hemorrhage P101
(b) Birth injury P159
(c)
Code I(a) cerebral hemorrhage due to birth injury, P101.
50. Septal Defect, (atrial), (auricular), (heart), (ventricular), (Q210, Q211, Q212, Q219)
Code I510 (Acquired septal defect) providing there is no indication the defect is congenital
a. When reported due to:
A000-A099 I400-I519 N990-N999 R502-R509
A181 I700-J80 P000-P049 R53-R54
A200-B89 J82-J989 P100-Q079 R560-R609
B908-E899 K20-K929 Q240-Q249 R634-R635
F100-F199 L890-L899 Q260-Q349 R64
G000-G419 L97 Q380-Q459 R688-R799
G450-G459 L984 Q600-Q799 R826
G500-G729 M000-M1990 Q850-R098 R893
G900-G98 M300-M549 R11 S000-Y899
H650-H839 M800-M959 R160-R18
I00-I029 N000-N399 R222
I10-I339 N600-N96 R300-R398
b. When reported on the same line with:
I110-I119
I130-I139
I200-I339
I400-I519
I (a) Cardiac arrest I469
(b) Ventricular septal defect I510
(c) Myocardial infarction I219
51. Hypoplasia or Dysplasia of Lung NOS (Q336)
Code P280 (Primary atelectasis of newborn)
When reported anywhere on the record with the following codes and not reported due to diaphragmatic hernia in K44.
A500-A509
B200-B24
P000-P009
P011-P013
P050-P073
P220-P229
P280
P350-P399
P612
Q600-Q611
Q613-Q649
R75
I (a) Hypoplasia lung P280
(b)
(c)
II Prematurity P073
Female, 5 hrs.
I (a) Dysplasia of lung 5 hrs Q336
(b)
(c)
II Hyaline membrane disease P220
Code Q336, since the duration and age are the same indicating the condition was congenital.
52. Injury (S000-T149)
Code P10-P15 (Birth trauma)
a. When the age of decedent is less than 28 days
AND
b. There is no mention of external cause
AND
c. Reported due to a condition in P000-P969
Male, 5 days
I (a) Femur fracture P132
(b) Breech delivery P030
Code femur fracture as indexed under Birth, injury, fracture, femur.
53. Fracture (any site) (T142)
Code M844 (Pathological fracture)
a. When reported due to:
A180 D160-D169 M320-M351 M854-M879 Q799
A500-A509 D480 M359 M893-M895 T810-T819
A521 D489 M420-M429 M898-M939 T840-T849
A527-A539 E210-E215 M45-M519 M941-M949 T870-T889
A666 E550-E559 M600 M960
C000-C399 E896-E899 M843-M851 M966-M969
C430-C794 G120-G129 Q770-Q789
C796-C97 M000-M1990
b. When reported due to or on the same line with:
C40-C41 M80-M81 M88
C795 M83
NOTE 1: If accident box is checked, do not enter an external cause code.
NOTE 2: If a fracture qualifies as pathological, all fractures reported of the same site will be coded pathological as well.
NOTE 3: If there is clear evidence that the fracture was a result of trauma instead of a disease, then code fracture as traumatic not pathological.
I (a) Fracture hip M844
(b) Osteoarthritis M199
I (a) Myocardial infarction I219
(b) ASHD I251
(c)
II Fracture of spine due to M844 M139 W19
arthritis causing fall
I (a) Pneumonia J189
(b) Osteoporosis fracture spine M819 M844
(b) Arteriosclerosis I709
(c) Fracture
femur
M844
MOD II
A
|
Accident |
|
Spontaneous in bed |
Code fracture of femur as pathological, M844, since the certifier indicated it was spontaneous. Do not enter code for “accident” in checkbox.
I (a) Aspiration pneumonia J690
(b) Left hip fracture M844
(c)
II Hip fracture, anemia, osteoporosis M844 D649 M819
Code the hip fracture on (b) and in Part II as pathological, applying instruction b and note 2.
I (a) Generalized medical deconditioning R53
MOD II Depression, alcohol abuse, osteoporosis, spinal fx due to blunt impact (fall) F329 F101 M819 T08 &W18
A
|
Accident |
|
Fall from standing |
Code fracture of spine as traumatic since it is directly due to the fall even though osteoporosis is on the record.
54. Starvation NOS (T730)
Code E46 (Malnutrition NOS)
When reported due to:
A000-E649 L100-L129 R13 T058
E670-F509 L400-L409 R54 T065-T08
F530-F539 L510-L539 R600-R609 T091-T099
F608-F609 L890-L899 R630 T141
F680-F73 L97 R633-R634 T148-T149
F920 L984 R75 T170-T217
F982-F983 M000-M1990 S010-S099 T270-T329
F989-G98 M300-N459 S110-S199 T360-T659
I00-J80 N700-N768 S210-S299 T800-T889
J82-J989 O000-Q079 S310-S399 T97
K020-K029 Q200-Q824 T019-T021 T983
K040-K069 Q850-Q999 T029 V010-X52
K080-K929 R11 T041 X54-Y05
Y070-Y899
I (a) Anemia D649
(b) Starvation E46
(c) Cancer of esophagus C159
Code I(b) E46, malnutrition, since reported due to a neoplasm.
I (a) Starvation E46
(b) Crushed abdomen S381
II Auto accident &V499
Code I(a) E46, malnutrition, since reported due to an internal injury.
55. Compartment Syndrome (T796)
Code M622 (Nontraumatic compartment syndrome)
When reported due to:
A530-A539 F109 N040-N049
B200-B24 F449 N170-N19
B91 G10-G419 Q000-Q079
C000-D489 G450-G98 Q250-Q269
D610-D699 I250-I259 Q650-Q799
E000-E039 I48 Q900-Q999
E230-E237 I600-I99 R190
E40-E46 K310-K389 R198
E511-E52 K560-K567 R263
E630-E649 K590-K599 R402
E750-E752 K650-K659 R58-R5800
E754 K850-K869 R75
E872 K910-K919
E890-E899 L890-L899
F100-F102 L97-M999
I (a) Compartment syndrome M622
(b) Hemorrhagic pancreatitis K859
Code I(a) M622 since reported due to pancreatitis.