STUDY - Technical - New Dacian's Medicine

Diseases of the
Digestive System
Translation Draft
Excludes: Certain diseases
originating in the perinatal period, Certain infectious and
parasitic diseases, Complications of pregnancy, childbirth and
lausion, Congenital malformations, chromosomal deformities and
abnormalities, Endocrine, nutrition and metabolism diseases,
Traumatic injuries, poisoning and other consequences of external
causes, Malignant tumors, Symptoms, signs and abnormal results
of clinical and laboratory investigations not elsewhere
classified. A. Diseases of the oral cavity, salivary glands and
jaws:
1. Odontogenic and
erupting disorders – excludes included and enclaved teeth
(Anodontics – Hypodontia, Oligodontia; Supernumerary teeth
– Dysomolari, The fourth molar, Meziodinte, Paramolar,
Additional teeth; Abnormalities of the volume and shape of the
teeth – Concrescence of teeth, Fusion of teeth, Gemination of
teeth, Tooth: evaginated, dento-facial, invaginate, Pearl
enamel, Macrodontion, Microdontion, Tooth in the form of nails
(chronic), Taurodontism, Paramolar tubercle – excludes carabelli
tuber that is considered as a normal change and should not be
diagnosed; Stained teeth – Dental fluorosis, Stained enamel,
Enamel spots not associated with fluorosis – excludes deposits
(tartar) on the teeth; Disorders of tooth formation – Cement
aplasia and hypoplasia, Dilaceration of teeth, Enamel hypoplasia
(neonatal) (postnatal) (prenatal) (prenatal), Regional
odontodisplasia, Turner tooth – excludes Hutchinson teeth and
purple molars in congenital syphilis, Stained teeth; Hereditary
abnormalities of the dental structure not elsewhere classified –
Imperfect amelogenesis, Imperfect dentinogenesis, Dentition
dysplasia, Clam-shaped tooth; Dental eruption disorders – Early
dental eruption, Natal tooth, Neonatal tooth, Premature: dental
eruption, loss of the first teeth (milk), Primary tooth
(persistent) stopped; Dental eruption syndrome; Other disorders
of odontogenesis – Color change during tooth formation,
Intrinsic pigmentation of nos teeth; Unspecified odontogenicity
disorders – Nos odontogenesis disorders);
2. Included and enclaved
teeth – excludes teeth included and enclaved due to abnormal
position or abnormal position of an adjacent tooth (Included
teeth – an included tooth is a tooth that has not erupted
without being obstructed by another tooth; Inclaved teeth – an
inclaved tooth is a tooth that has not erupted due to
obstruction created by another tooth);
3. Dental caries (Caries
limited to enamel – Lesions with white spots (incipient caries);
Caries of dentine; Cement caries; Stabilized dental caries;
Odontoclasia – Infantile melanodontics, Melanodontoclasia; Other
dental caries; Unspecified dental caries);
4. Other diseases of hard
dental tissue – excludes bruxism, dental caries, gnashing of
teeth NOS (Excessive rubbing of teeth – Wear: proximal teeth,
occlusal teeth; Teeth abrasion – Abrasion: by rubbing the teeth,
ordinary teeth, occupational teeth, tooth ritual, traditional
teeth, Wedge-shaped defect (whose) of nos teeth; Tooth erosion –
Erosion of teeth due to: diet, drugs and medicines, persistent
vomiting, idiopathic, NOS, occupational; Pathological resorption
of teeth – Internal granuloma of the pulp, Dental resorption
(external); Hypercymentosis – cementation hyperplasia; Dental
ankylosis; Deposits (accumulation) on teeth – Dental tartar:
subgingival, supragingival, Deposits (accumulation) on the
teeth: betel, black, green, white matter, orange, tobacco,
Pigmentation of teeth: extrinsic NOS, NOS; Changes in the color
of hard dental tissue after the eruption – excludes deposits
(accumulation) on the teeth; Other specified diseases of the
hard dental tissue – Irradiated enamel, Sensitivity of dentine
(additional diagnosis is used for the external cause, to
identify irradiation, if caused by irradiation); Unspecified
hard dental tissue disease);
5. Disease of the pulp and
periapical tissues (Pulpitis – Pulp: abscess, polyp, Pulpitis:
acute, chronic (hyperplastic) (ulcerative), suppurative; Pulp
necrosis – Pulp gangrene; Pulp degeneration – Denticles, Pulp
calcification, Pulpolites; Abnormal formation of hard dental
tissue in the pulp – Secondary or irregular dentin; Acute apical
periodontitis of pulp origin – Acute apical periodontitis NOS;
Chronic apical periodontitis – Apical or periapical granuloma,
Apical periodontitis NOS; Periapical abscess with fistula –
Dental abscess with fistula, Dento-alveolar abscess with
fistula; Periapical abscess without fistula – Dental abscess
NOS, Dento-alveolar abscess NOS, Nos periapical abscess; Root
cyst – Cyst: apical (periodontal), periapical, residual
radicular – excludes lateral periodontal cyst; Other diseases of
the periapical and unspecified pulp and tissues);
6. Gingivitis and
periodontal diseases (Acute gingivitis – excludes acute
necrotizing ulcerative gingivitis, gingival-stomatitis with
herpes virus (herpes simplex); Chronic gingivitis – Gingivitis
(chronic): desquamative, hyperplastic, NOS, simple marginal,
ulcerative; Acute periodontitis – Acute periodontitis,
Periodontal abscess, Periodontal abscess – exclude acute apical
periodontitis, periapical abscess: NOS, with fistula; Chronic
periodontitis – Chronic pericoronaritis: complex, NOS, simple;
Periodontitis – Juvenile periodontitis; Other periodontal
diseases; Unspecified periodontal disease);
7. Other diseases of the
gum and the edentulous alveolar ridge – excludes atrophy of the
edentulous alveolar ridge, gingivitis: acute, chronic, NOS;
(Gingival retraction – Gingival (generalized) (localized)
(post-infectious) (post-infectious) (post-infectious)
retraction; Gingival hyperplasia – Gingival fibromatosis; Gum
lesions and of the edental alveolar ridge associated with a
trauma – Irritative hyperplasia of the edentulous ridge
(hyperplasia of the teeth) (additional diagnosis is used to
identify the external cause); Other specific diseases of the gum
and edentulous alveolar ridge – Epulis fibrous, Floating crest,
Giant cell epulis, Giant cell peripheral granuloma, Pyogenous
gingival granuloma; The affection of the gums and the
unspecified edentulous alveolar ridge);
8. Dento-facial
abnormalities (including malocclusion) – excludes atrophy or
hemifacial hypertrophy, hyperplasia or unilateral condylate
hypoplasia (Major animals of the size of the jaw – Hyperplasia,
hypoplasia: mandibular, maxillary, Macrognatism (mandibular)
(maxillary) – excludes acromegaly, Robin syndrome; Anomalies of
ratio between the jaws and the base of the skull – Asymmetry of
the jaws, Prognatism (mandibular) (maxillary), Retrognatism
(mandibular) (maxillary); Anomalies of ratio between dental
arches – Strassing (anterior) (posterior), Distoclusion,
Mesiocclusion, Median deflection of the dental arch, Open
occlusion (anterior) (posterior), Supra-occlusion (excessive):
deep, horizontal, vertical, Lateral displacement of the
mandibular teeth, Posterior lingual occlusion of the mandible
teeth; Positional anomalies of the teeth – Straddle of one or
more teeth, Diastema of one or more teeth, Displacement of one
or more teeth, Rotation of one or more teeth, Abnormal spacing
of one or more teeth, Translation of one or more teeth, Teeth
included or enclaved with abnormal position of these teeth or
adjacent teeth – excludes teeth included or claved without
abnormal position; Unspecified malocclusion; Dental-facial
functional abnormalities – Abnormal closure of the jaw,
Malocclusion due to: abnormal swallowing, oral breathing, habits
involving the tongue, lips or fingers – exclude bruxism,
gnashing of teeth; Temporomandibular joint disease – Costen
syndrome or complex, Temporomandibular joint dysfunction,
spontaneously luxible mandible, Painful dysfunction syndrome of
the temporomandibular joint – excludes the recent
temporomandibular joint: dislocation, sprain; Other
dental-facial abnormalities; Unspecified dento-facial anomaly);
9. Other diseases of the
teeth and periodonties (Dental exfoliation due to a systemic
cause; Loss of teeth consequent to accidents, extraction or
local periodontal disease; Atrophy of the edentulous alveolar
ridge; Remaining dental root; Other specified diseases of teeth
and periodontium – Hypertrophy of the alveolar ridge NOS,
Irregular alveolar structure; Nos dental algii; Pathological
fracture of the tooth (diagnosis is given for any predisposition
of dental disease); Ate specified diseases of the teeth and
periodontium; Unspecified diseases of the teeth and
periodontium);
10. Cysts of the oral
region not classified elsewhere – include lesions manifesting
histological characteristics of both aneurysmal cyst and
fibro-bone lesion and excludes root cyst (Developmental-related
dental cyst (odontogenesis) – Cyst: dentiger, related to dental
eruption, follicular, gingival, periodontal lateral, primordial,
Keratochist; Cyst of the oral region unbound by dental
development – Cyst (al): globulomaxillary, incisive canal,
medial palatine, nazopalatin, papillo-palatine; Other cysts of
the mandible – Cyst of the mandible: aneurysmal, hemorrhagic,
NOS, traumatic – excludes the latent bone cyst of the jaw, Cyst
Stafne; Other cysts of the oral region not elsewhere classified
– Dermoid cyst of the mouth, Lymphoepithelial cyst of the mouth,
Epstein pearls, Naso-alveolar cyst, Naso-labial cyst; Cyst of
the unspecified oral region);
11. Other diseases of the
jaws (Diseases related to the development of jaws – Latent bone
cyst of the jaw, Stafne cyst – Torus: mandibular, palatine;
Granuloma with giant cells centrally – Granuloma with giant
cells NOS – excludes granuloma with giant peripheral cells;
Inflammatory diseases of the jaws – Maxillary Osteitis (acute)
(chronic) (suppurative), Osteomyelitis (neonatal) (acute)
(chronic) (suppurative), Osteoradionecroza (acute) (chronic)
(suppurative), Periostitis (acute) m(chronic) (suppurative),
Bone seizure of the jaw; Alveolitis of the jaws – Alveolar
osteitis, dry alveolitis; Other specified diseases of the jaws –
Cherubism, Exostosis of the jaw, Fibrous dysplasia of the jaw,
Unilateral Condiliana: hyperplasia, hypoplasia; Unspecified jaw
disease);
12. Diseases of the
salivary glands (Atrophy of the salivary glands; Hypertrophy of
the salivary glands; Sialoadenita – excludes epidemic
parotiditis, uveoparotidian fever (Heerfordt); Abscess of the
salivary glands, Fistula of the salivary glands – excludes
congenital fistula of the salivary glands; Sialolithiasis –
Calculation of the salivary glands or salivary duct, Lithiasis
of the salivary glands or salivary duct; Mucocell of the
salivary glands – Mucoid: extravasary cyst of the salivary
glands, cyst retention of the salivary glands, Ranula; Disorders
of salivary secretion – Hypoptialism, Ptialism, Xerostomia –
exclude dry mouth NOS; Other diseases of the salivary glands –
Benign lymphoepithelial lesion of the salivary glands, Mikulicz
disease, necrotizing sialometaplasia, Sialectasis, Stenosis of
the salivary canal, Sclerosis of the salivary duct – excludes
sicca syndrome (Sjogren's); Unspecified salivary gland disease –
Nos sialoadenopathy);
13. Stomatitis and related
diseases – excludes the chanting of the oral cavity, cheilitis,
gangrenous stomatitis, gingivostomatitis by viral herpes (herpes
simplex), noma (recurrent oral thrush – Aphthous stomatitis
(major) (minor), Bednar aphthosis, Relapsing necrotic mucosa
periadenitis, Relapsing aphthous ulceration, Herpetiform
stomatitis; Other forms of stomatitis – Stomatitis: due to the
prosthesis, NOS, ulcerative, vesicular; Phlegmon and mouth
abscess – Phlegmon of the oral floor, Submandibular abscess –
exclude abscess (al): periapical, periodontal, periamigdalian,
salivary gland, tongue);
14. Other diseases of the
lips and oral mucosa – include epithelial diseases of the tongue
and exclude certain diseases of the gum and edentulous alveolar
ridges, cysts of the oral region, diseases of the tongue,
stomatitis and related diseases (Diseases of the lips –
Cheilitis: angular, exfoliative, glandular, NOS, Cheilodinia,
Cheilodinia, Cheilosis, Perleche NEC – excludes ariboflavinosis,
cheilitis due to irradiation disorders, perleche due to:
candidais, riboflavin deficiency; Biting the mucous part of the
cheek and lip; Leukoplakia and other abnormalities of the oral
epithelium including the tongue – Erythroplasia of the oral
epithelium including the tongue, Leukoedaemia of the oral
epithelium including the tongue, Nicotinic leukokeratosis of the
palate, Smoking palace – excludes hairy leukoplakia; Hairy
leukoplakia; Granuloma and pseudo-granulosa lesions of the oral
mucosa – Eosinophilic granuloma of the oral mucosa, Pyogenic
granuloma of the oral mucosa, verucous Xantom of the oral
mucosa; Submucous fibrosis of the mouth – Submucous fibrosis of
the tongue; Inflammatory hyperplasia of the oral mucosa –
excludes irritative hyperplasia of the edentulous ridge (dental
hyperplasia); Other lesions of the oral mucosa and unspecified –
Focal oral mucinosis);
15. Diseases of the tongue
– excludes erythroplasia of the tongue, focal epithelial
hyperplasia of the tongue, leukoedaemia of the tongue,
leukoplakia of the tongue, hair leukoplakia, macroglossia
(congenital), submucous fibrosis of the tongue (Glossitis –
Abscess of the tongue, Ulceration (traumatic) of the tongue –
excludes atrophic glossitis; Geographical language – Benign
migratory glossitis, Marginal exfoliative glossitis; Median
rhomboid glossitis; Hypertrophy of the lingual papillae – Black
hairy tongue, loaded tongue, Hypertrophy of the foliate
papillae, Black villi tongue; Atrophy of the papillae of the
tongue – Atrophic glossitis; Plicaturated tongue – Cracked
tongue, Striated tongue, scrotal tongue – excludes congenital
fissure of the tongue; Glossodinia – Glossospirosis, Glossalgia;
Other diseases of the tongue – atrophy of the tongue,
Crenelation of the tongue, Macroglosia, Hypertrophy of the
tongue; Unspecified tongue disease – Nosopathy glossopathy);
B. Diseases of the esophagus, stomach and duodenum
B. Diseases of the esophagus, stomach and duodenum
- excludes hiatal hernia:
1. Esophagitis – Abscess
of the esophagus, Erosion of the esophagus, Esophagitis:
chemical, NOS, peptic (additional diagnosis is used to identify
the external cause) – excludes reflux esophagitis, with
gastroesophageal reflux disease;
2. Gastroesophageal reflux
disease (Gastroesophageal reflux disease with esophagitis –
Esophagitis with reflux; Gastroesophageal reflux disease without
esophagitis – ESOPHAGEal reflux NOS);
3. Other diseases of the
esophagus – exclude esophageal varices (Achalasia of the cardia
– Achalasia NOS, Cardiospasm – excludes congenital cardiospasm;
Ulcer of the esophagus – Ulcer of the esophagus: Due to the
ingestion of: chemicals, drugs and drugs, Fungal, NOS, Peptic
(additional diagnosis is used to identify the external cause);
Obstruction of the esophagus – Compression of the esophagus,
Constriction of the esophagus, Sclerosis of the esophagus,
Stenosis of the esophagus – excludes stenosis and congenital
sclerosis of the esophagus; Perforation of the esophagus –
Rupture of the esophagus – excludes traumatic perforation of the
(thoracic) esophagus; Dyskinesis of the esophagus – Esophagus in
the corkscrew, Diffuse esophageal spasm, Spasm of the esophagus
– exclude cardiospasm; Acquired diverticulum of the esophagus –
acquired esophageal bag – excludes diverticulum (congenital) of
the esophagus; Gastroesophageal hemorrhagic dilaceration
syndrome – Mallory-Weiss syndrome; Other specified diseases of
the esophagus – Hemorrhage of the esophagus NOS; Unspecified
esophagus disease);
4. Diseases of the
esophagus in diseases classified elsewhere (Tuberculous
esophagitis; Megaesophage in the course of Chagas disease;
Diseases of the esophagus in diseases classified elsewhere;
5. Gastric ulcer
(additional diagnosis is used for the external cause, to
identify the drug if it is provoked medicinally) – includes
Ulcer (peptic): pyloric, stomach and excludes acute hemorrhagic
erosive gastritis, Erosion (acute) of the stomach, peptic ulcer
NOS – the "specifications" are used: Acute with hemorrhage,
Acute with perforation, Acute with both hemorrhage and
perforation, Acute without hemorrhage or perforation, Chronic or
unspecified with hemorrhage, Chronic or unspecified with
perforation, Chronic or unspecified with both hemorrhage and
perforation, Chronic without hemorrhage or perforation,
Unspecified as acute or chronic without hemorrhage or
perforation;
6. Duodenal ulcer
(additional diagnosis is used for the external cause, to
identify the drug if it is provoked medicinally) – includes
Ulcer (peptic): duodenal, postpiloric and excludes (acute)
erosion of the duodenum, peptic ulcer NOS – the "specifications"
are used: Acute with hemorrhage, Acute with perforation, Acute
with both hemorrhage and perforation, Acute without hemorrhage
or perforation, Chronic or unspecified with hemorrhage, Chronic
or unspecified with perforation, Chronic or unspecified with
both hemorrhage and perforation, Chronic without hemorrhage or
perforation, Unspecified as acute or chronic without hemorrhage
or perforation;
7. Peptic ulcer
unspecified localization – use "specifications": Acute with
hemorrhage, Acute with perforation, Acute with both hemorrhage
and perforation, Acute without hemorrhage or perforation,
Chronic or unspecified with hemorrhage, Chronic or unspecified
with perforation, Chronic or unspecified with both hemorrhage
and perforation, Chronic without hemorrhage or perforation,
Unspecified as acute or chronic without hemorrhage or
perforation – includes gastroduodenal ulcer, NOS peptic ulcer
and excludes peptic ulcer in the newborn;
8. Gastro-jejunal ulcer –
the "specifications" are used: Acute with hemorrhage, Acute with
perforation, Acute both with hemorrhage and perforation, Acute
without hemorrhage or perforation, Chronic or unspecified with
hemorrhage, Chronic or unspecified with perforation, Chronic or
unspecified with both hemorrhage and perforation, Chronic
without hemorrhage or perforation, Unspecified as acute or
chronic without hemorrhage or perforation – includes: ulcer
(peptic): anastomotic, gastro-cholic, gastro-intestinal,
gastro-jejunal, jejunal, marginal, stomal and excludes primary
ulcer of the small intestine;
9. Gastritis and
duodenitis – excludes gastritis or eosinophilic
gastro-enteritis, Zollinger-Ellison syndrome (Acute hemorrhagic
gastritis – Acute (erosive) gastritis with hemorrhage; Other
acute gastritis, Alcoholic gastritis; Chronic superficial
gastritis; Chronic atrophic gastritis – Gastric atrophy;
Unspecified chronic gastritis – Chronic gastritis: antral,
fundic; Other gastritis – Erosion (acute) of the stomach, Giant
hypertrophic gastritis, Granulomatous gastritis, Menetrier's
disease; Unspecified gastritis; Duodenitis; Unspecified
gastro-duodenitis);
10. Dyspepsia –
Indigestion – excludes: nervous, neurotic, psychogenic,
heartburn;
11. Other diseases of the
stomach and duodenum – includes functional disorders of the
stomach and excludes diverticulum of the duodenum,
gastrointestinal bleeding (Acute dilatation of the stomach –
Acute distention of the stomach; Hypertrophic pyloric stenosis
of the adult – Pyloric stenosis NOS – excludes infantile or
congenital pyloric stenosis; Stomach in the hourglass and
stenosis of the stomach – excludes the stomach in the congenital
hourglass, contraction in the hourglass of the stomach; Pyloric
spasm unclassified elsewhere – excludes pyloric spasm:
congenital or infantile, neurotic, psychogenic; Gastric
diverticulum – excludes congenital diverticulum of the stomach;
Obstruction of the duodenum – Constriction of the duodenum,
Stenosis of the duodenum, Sclerosis of the duodenum, Ileus
duodenal (chronic) – excludes congenital stenosis of the
duodenum; Fistula of the stomach and duodenum – Gastro-colic
fistula, gastro-jejuno-colic fistula; Polyp of the stomach and
duodenum – excludes adenomatous polyp of: duodenum, stomach;
Other specified diseases of the stomach and duodenum;
Angiodysplasia of the stomach and duodenum without mention of
bleeding; Angiodysplasia of the stomach and duodenum with
hemorrhage; Other specified diseases of the stomach and duodenum
– achlorhydria, Gastroptose, Contraction in the hourglass of the
stomach; Disease of the stomach and duodenum unspecified);
C. Diseases of the
appendix:
1. Acute appendicitis
(Acute appendicitis with generalized peritonitis – Appendicitis
(acute) with: perforation, peritonitis (generalized) (localized)
after rupture or perforation, rupture; Acute appendicitis with
peritoneal abscess – Abscess of the appendix; Acute unspecified
appendicitis – Acute appendicitis with localized peritonitis or
NOS, Acute appendicitis without: generalized peritonitis,
perforation, peritoneal abscess, rupture)
2. Other forms of
appendicitis – Appendicitis: chronic, relapsing;
3. Unspecified
appendicitis;
4. Other diseases of the
appendix (Hyperplasia of the appendix; Appendiceal concretions –
Appendix fecal impaction, Appendix sterolite; Diverticulum of
the appendix; Fistula of the appendix; Other specified diseases
of the appendix – Invagination of the appendix; Unspecified
appendix disease);
D. Hernia – includes hernia: acquired, congenital (except diaphragmatic or hiatal), relapsing – note: hernia with both gangrene and obstruction is classified in gangrene hernia:
D. Hernia – includes hernia: acquired, congenital (except diaphragmatic or hiatal), relapsing – note: hernia with both gangrene and obstruction is classified in gangrene hernia:
1. Inguinal hernia –
includes buboocel, inguinal hernia: direct, double, indirect,
NOS, oblique, scrotal hernia;
2. Bilateral inguinal
hernia with obstruction without gangrene (not specified as
relapsing or relapsing);
3. Bilateral inguinal
hernia with gangrene (not specified as relapsing or relapsing);
4. Bilateral inguinal
hernia without obstruction and gangrene – Nos bilateral inguinal
hernia (not specified as relapsing or relapsing);
5. Unilateral or
unspecified inguinal hernia with obstruction without gangrene
(not specified as relapsing or relapsing) – causing an
obstruction without gangrene, incarcerated without gangrene,
irreducible without gangrene, strangulated without gangrene;
6. Unilateral or
unspecified inguinal hernia with gangrene (not specified as
relapsing or relapsing) – nos inguinal hernia with gangrene;
7. Unilateral or
unspecified inguinal hernia without obstruction or gangrene –
Inguinal hernia (unilateral) NOS (unspecified as relapsing or
relapsing);
8. Femoral hernia
(Bilateral femoral hernia with obstruction without gangrene;
Bilateral femoral hernia with gangrene; Bilateral femoral hernia
without obstruction or gangrene – Nos bilateral femoral hernia;
Unilateral or unspecified femoral hernia with obstruction
without gangrene – Femoral hernia (unilateral): causing an
obstruction without gangrene, incarcerated without gangrene,
irreducible without gangrene, strangulated without gangrene;
Unilateral or unspecified femoral hernia with gangrene;
Unilateral or unspecified femoral hernia with obstruction
without obstruction or gangrene – NOS (unilateral) femoral
hernia;
9. Umbilical hernia –
includes paraombilical hernia, excludes omphaloceles (Umbilical
hernia with obstruction without gangrene – Umbilical hernia:
causing a obstruction without gangrene, incarcerated without
gangrene, irreducible without gangrene, strangulated without
gangrene; Umbilical hernia with gangrene – Gangrenous umbilical
hernia; Umbilical hernia without obstruction or gangrene – NOS
umbilical hernia);
10. Ventral hernia –
includes hernia: epigastric, after laparotomy (Ventral hernia
with obstruction without gangrene – Ventral hernia: causing a
obstruction without gangrene, incarcerated without gangrene,
irreducible without gangrene, strangulated without gangrene;
Ventral hernia with gangrene – Gangrenous ventral hernia;
Ventral hernia without occlusion or gangrene – VENTRAL HERNIA
NOS);
11. Diaphragmatic hernia –
includes hiatal hernia (esophageal) (by sliding), paraesophageal
hernia and excludes congenital hernia: diaphragmatic, hiatal
(Diaphragmatic hernia with obstruction without gangrene –
Diaphragmatic hernia: causing an obstruction without gangrene,
incarcerated without gangrene, irreducible without gangrene,
strangled without gangrene; Diaphragmatic hernia with gangrene –
Gangrenous diaphragmatic hernia; Diaphragmatic hernia without
obstruction or gangrene – NOS diaphragmatic hernia);
12. Other abdominal
hernias – includes hernia: abdominal with specified nec
localization, lumbar, obturant, external of the genital organs,
retroperitoneal, sciatica (Other specified abdominal hernias
with obstruction without gangrene – any disease of abdominal
hernia type causing an obstruction without gangrene,
incarcerated without gangrene, irreducible without gangrene,
strangulated without gangrene; Other abdominal hernias specified
with gangrene – any condition of abdominal hernia type specified
as gangrenous; Other specified abdominal hernias without
obstruction or gangrene);
13. Unspecified abdominal
hernia – includes enterocell, epiplocell, hernia: interstitial,
intestinal, intraabdomital, NOS – excludes vaginal enterocelles
(Unspecified abdominal hernia with obstruction without gangrene
– any disease of abdominal hernia type causing a obstruction
without gangrene, incarcerated without gangrene, irreducible
without gangrene, strangulated without gangrene; Unspecified
abdominal hernia with gangrene – any condition of abdominal
hernia type specified as gangrenous; Unspecified abdominal
hernia without obstruction or gangrene – Abdominal hernia NOS);
E. Enteritis and non-infectious colitis
E. Enteritis and non-infectious colitis
- includes non-infectious
inflammatory disease of the intestine and excludes irritable
bowel syndrome:
1. Crohn's disease
(regional enteritis) – includes granulomatous enteritis and
excludes ulcerative colitis (Crohn's disease of the small
intestine – Crohn's disease (regional enteritis) of: duodenum,
ileus, jejunum, Ileitis: regional, terminal – excludes with
Crohn's disease of the large intestine; Crohn's disease of the
large intestine – Colitis: granulomatous, regional, Crohn's
disease (regional enteritis) of: colon, large intestine, rectum
– exclude with Crohn's disease of the small intestine; Other
forms of Crohn's disease – Crohn's disease of both the small
intestine and the large intestine; Unspecified Crohn's disease –
Nos regional enteritis);
2. Ulcerative colitis
(Enterocolitis (chronic) ulcer; Yleocolitis (chronic) ulcerous;
Rectita (chronic) ulcerous; Ulcerative rectosigmoiditis
(chronic); Pseudopolypse of the colon; Mucosal proctocolitis;
Other ulcerative colitis; Unspecified ulcerative colitis –
Ulcerative enteritis NOS);
3. Other gastroenteritis
and non-infectious colitis (Gastroenteritis and colitis due to
irradiation; Gastroenteritis and toxic colitis (additional
diagnosis is used to identify the toxic agent); Gastroenteritis
and food and allergic colitis – Gastroenteritis or colitis due
to food hypersensitivity; Other gastroenteritis and
non-infectious colitis specified – Gastritis or eosinophilic
gastroenteritis; Gastroenteritis and non-infectious colitis not
specified – Diarrhea specified as non-infectious or NOS or where
it can be assumed that the conditions are of non-infectious
origin; Enteritis specified as non-infectious or NOS or where it
can be assumed that the conditions are of non-infectious origin;
Ileitis specified as non-infectious or NOS or where it can be
assumed that the conditions are of non-infectious origin;
Jejunitis specified as non-infectious or NOS or where it can be
assumed that the conditions are of non-infectious origin;
Sigmoiditis specified as non-infectious or NOS or where it can
be assumed that the conditions are of non-infectious origin –
excludes Colitis, diarrhea, enteritis, gastroenteritis:
infectious, unspecified in countries where it can be assumed
that the affections are of infectious origin, functional
diarrhea, neonatal diarrhea (non-infectious), pyogenic
diarrhea);
F. Other diseases of the
intestines:
1. Vascular disorders of
the intestine – excludes necrotizing enterocolitis of the fetus
or newborn (Acute vascular disorders of the intestine –
Acute(a): fulminant ischemic colitis, intestinal infarction,
ischemia of the small intestine, Mesenteric(a) (artery) (vein):
embolism, infarction, thrombosis, Subacute ischemic colitis;
Chronic vascular disorders of the intestine – Chronic ischemia:
colitis, enteritis, enterocolitis, ischemic strangulation of the
intestine, Mesenteric: atherosclerosis, vascular insufficiency);
2. Angiodysplasia of the
colon (Angiosplasia of the colon without mention of hemorrhage –
Angiosysplasia of the colon NOS; Angiodysplasia of the colon
with hemorrhage; Other vascular disorders of the intestine;
Vascular disorders of the intestine not specified: Ischemic: NOS
colitis, NOS enteritis, NOS enterocolitis);
3. Paralytic Ileus and
intestinal obstruction without hernia – excludes stenosis or
congenital stricture of the intestine, ischemic stricture of the
intestine, meconial ileus in cystic fibrosis, neo-natal
intestinal obstruction, obstruction of the duodenum,
postprocedural intestinal obstruction, stenosis of the anus or
rectum, with hernia (Paralytic Ileus – Paralysis: intestines,
colon, small intestine – exclude biliary ileus, ileus NOS, nos
obstructive ileus; Invagination – invagination: intestines,
colon, small intestine, rectum – excludes invagination of the
appendix; Volvulus – Strangulation of the colon or intestine,
Torsion of the colon or intestine, Twisting of the colon or
intestine; Biliary ileus – Obstruction of the intestine by
gallstones; Other obstructions of the intestine – Enterolite:
colon, fecal impaction; Intestinal adhesions (clamps) with
obstruction – Peritoneal adhesions (clamps) with intestinal
obstruction; Other intestinal and unspecified obstructions –
Entero-stenosis, Obstructive Ileus NOS, Occlusion of the colon
or intestine, Stenosis of the colon or intestine, Sclerosis of
the colon or intestine; Unspecified Ileus);
4. Diverticular diseases
of the intestine – the following additional diagnostic elements
will be used: diverticulosis without mentioning the bleeding,
diverticulosis with hemorrhage, diverticulitis without
mentioning hemorrhage, diverticulitis with mention of hemorrhage
– includes diverticulitis of the intestine (small, large),
diverticulosis of the intestine (small, large) and excludes
congenital diverticulum of the intestine, diverticulum of the
appendix, diverticulum Meckel – Diverticular diseases of the
small intestine, with perforation and abscess: Diverticular
diseases of the small intestine, with peritonitis (excludes
diverticular diseases of both the small intestine and the large
intestine with perforation and abscess); Diverticular diseases
of the small intestine, without perforation and abscess:
Diverticular diseases of the small intestine NOS (excludes
diverticular diseases of both the small intestine and the large
intestine without perforation or abscess); Diverticular diseases
of the large intestine with perforation and abscess:
Diverticular diseases of the colon with peritonitis (exclude
diverticular diseases of both the small intestine and the large
intestine with perforation and abscess); Diverticular diseases
of the large intestine without perforation or abscess:
Diverticular diseases of the colon NOS (exclude diverticular
diseases of both the small intestine and the large intestine
without perforation or abscess); Diverticular diseases of both
the large intestine and the small intestine with perforation and
abscess: Diverticular diseases of both the small intestine and
the large intestine with peritonitis; Diverticular diseases of
both the large intestine and the small intestine without
perforation or abscess: Diverticular diseases of both the large
intestine and the small intestine NOS; Diverticular diseases of
the intestine, unspecified part, with perforation and abscess:
Diverticular diseases of the intestine NOS with peritonitis;
Diverticular diseases of the intestine, unspecified part,
without perforation and abscess: Diverticular diseases of the
intestine NOS;
5. Irritable bowel
syndrome – includes: irritable bowel – irritable bowel syndrome
with diarrhea; Irritable bowel syndrome without diarrhea:
Irritable bowel syndrome NOS:
6. Other functional
disorders of the intestine – excludes the modification of
intestinal transit NOS, functional disorders of the stomach,
intestinal malabsorption, psychogenic intestinal disorders –
Constipation; Functional diarrhea; Neurogenic gut, not
classified elsewhere; Megacolon, not classified elsewhere: Colon
dilation, toxic megacolon (additional diagnosis is used to
identify the toxic agent) – excludes megacolon in: Chagas
disease, congenital (without ganglia), Hirschprung's disease;
spasm: Fugaceous proctalgia; Other specified functional
disorders of the intestine: Atony of the colon; Unspecified
functional disorder of the intestine;
7. Fissure and fistula of
and rectal regions – excludes with abscess or phlegmon – Acute
fissure; Chronic fissure; Unspecified fissure, fistula, Rectal
fistula: Rectal fistula in the skin – excludes fistula:
rectovaginal, vezicorrectal; Anorectal fistula;
8. Abscess of the and
rectal regions – includes abscess of the and rectal regions with
or without fistula, phlegmon of the and rectal regions with or
without fistula – abscess: Perianal abscess – excludes
intrasfincterian abscess; Rectal abscess: Perirectal abscess –
excludes ischiorectal abscess; Anorectal abscess; Ischiorectal
abscess: Abscess of the ischiorectal fossa; Intrasfincterian
abscess;
9. Other diseases of the
anus and rectum – includes anal canal and excludes malfunction
after colostomy and enterostomy, fecal matter incontinence,
hemorrhoids, ulcerative proctitis – Anal polyp; Rectal polyp –
excludes adenomatous polyp; prolapse: Prolapse of the canal;
Rectal prolapse: Prolapse of the rectal mucosa; Stricture of the
anus and rectum: Stricture of the anus (sphincter); Hemorrhage
of the anus and rectum – excludes neonatal rectal hemorrhage;
Anus and rectum ulcer: Ulcer: olitis, stercoral – excludes
fissure and fistula of the anus and rectum, in ulcerative
colitis; Proctitis due to irradiation; Other specified diseases
of the anus and rectum: Perforation (nontraumatic) of the
rectum, Proctita NOS; Disease of the anus and rectum
unspecified;
10. Other diseases of the
intestines – Abscess of the intestine – exclude abscess of: and
rectal regions, appendix with diverticular diseases; Perforation
of the intestine (nontraumatic) – excludes perforation
(nontraumatic) of: appendix, duodenum with diverticular
diseases; Diseases of the intestine – excludes fistula: and
rectal regions, appendix, duodenum, intestinal-genital in women,
vesiintestinal; Ulcer of the intestine: Primary ulcer of the
small intestine – excludes ulcer (al): anus or rectum, duodenal,
gastrointestinal, gastro-jejunal, jejunal, peptic with
unspecified localization, ulcerative colitis; Enteroptosis;
Polyp of the colon – excludes adenomatous polyp of the colon,
polyposis of the colon; Polyp of the unspecified colon: polyp
NOS, Juvenile polyp of the colon – excludes juvenile polyposis,
Polyp Peutz-Jegher; Another polyp of the colon: hyperplastic
polyp; Other specified diseases of the intestine; Unspecified
bowel disease;
G. Diseases of the
peritoneum
1. Peritonitis – excludes
peritonitis: aseptic, paroxysmal benign, chemical, due to talc
or other foreign substances, neonatal, pelvic in women, family
periodical, puerperal, with or following abortion or ectopic or
molar pregnancy, appendicitis, diverticular diseases of the
intestine – Acute peritonitis: Abscess (al): abdomino-pelvic,
mezenteric, omentum, peritoneum, retrocecal, retroperitoneal,
subdiaphatic, subhepatic, subphrenic, peritonitis (acute):
generalized, pelvic in man, subphrenic, suppurative – additional
diagnosis is used to identify the infectious agent; Other
peritonitis: Mesenteric chronic proliferative peritonitis:
gaseous necrosis, saponification, Peritonitis due to: bil bile,
urine; Unspecified peritonitis;
2. Other disorders of the
peritoneum – exclude ascites – Peritoneal adhesions: Adhesions
(of): abdominal (wall), diaphragm, intestine, pelvis in men,
ezenteric, omentum, stomach, adhesion clamps – exclude adhesions
(brides) (ale): pelvis in women, with intestinal obstruction;
Hemoperitoneum – excludes traumatic hemoperitoneum; Other
specific disorders of the peritoneum; Unspecified peritoneum
disease;
Disorders of the
peritoneum in infectious diseases classified elsewhere –
Peritonitis with Chlamydia; Gonococcal peritonitis; Syphilitic
peritonitis; Tuberculous peritonitis; Other disorders of the
peritoneum in infectious diseases classified elsewhere.
H. Liver diseases
- excludes
hemochromatosis, jaundice NOS, Reye's syndrome, viral hepatitis
and Wilson's disease.
1. Alcoholic liver disease
– Fatty alcoholic cirrhosis of the liver; Alcoholic hepatitis;
Fibrosis and alcoholic sclerosis of the liver; Alcoholic
cirrhosis of the liver: Alcoholic cirrhosis NOS; Alcoholic liver
failure: Alcoholic liver failure: acute, chronic, NOS, subacute,
with or without hepatic coma; Unspecified alcoholic liver
disease;
2. Toxic liver disease
(additional diagnosis is used for the external cause to identify
the toxic agent) – includes drug-related cause: idiosyncratic
liver disease (unpredictable), (foreseeable) toxic liver disease
and excludes alcoholic liver disease, Budd-Chiari syndrome –
Toxic liver disease with cholestasis: "pure" cholestasis,
Cholestasis with hepatocytes lesions; Toxic liver disease with
liver necrosis: Hepatic insufficiency (acute, chronic) due to
medications; Toxic liver disease with acute hepatitis; Toxic
disease of the liver with persistent chronic hepatitis; Toxic
liver disease with chronic lobular hepatitis; Toxic liver
disease with chronic active hepatitis: Toxic liver disease with
lupoid hepatitis; Toxic liver disease with hepatitis not
elsewhere classified; Toxic liver disease with fibrosis and
cirrhosis of the liver; Toxic liver disease with other disorders
of the liver: Toxic liver disease with: focal nodular
hyperplasia, hepatic granuloma, hepatic peliosis, veno-occlusive
liver disease; Toxic disease of the liver unspecified;
3. Liver failure not
classified elsewhere – includes: Hepatic(a): NOS coma, NOS
encephalopathy; hepatitis: acute NEC with hepatic insufficiency,
fulminant NEC with hepatic insufficiency, malignant NEC with
hepatic insufficiency; necrosis of liver cells u hepatic
insufficiency, atrophy or yellow dystrophy of the liver and
excludes: Alcoholic liver failure; Liver failure complicating:
abortion or ectopic or molar pregnancy; pregnancy, childbirth,
childbirth; jaundice of the fetus or newborn; viral hepatitis
with toxic liver disease – Acute or subacute hepatic
insufficiency; Chronic liver failure; Unspecified liver failure;
4. Chronic hepatitis not
elsewhere classified – excludes Hepatitis (chronic): alcoholic,
drug-causing, granulomatous NEC, reactive nonspecific, viral –
Persistent chronic hepatitis not classified elsewhere; Chronic
lobular hepatitis not elsewhere classified; Chronic active
hepatitis not elsewhere classified: NEC lupoid hepatitis; Other
chronic hepatitis not elsewhere classified; Unspecified chronic
hepatitis;
5. Fibrosis and cirrhosis
of the liver – excludes alcoholic fibrosis of the liver, cardiac
sclerosis of the liver, cirrhosis (liver): alcoholic, congenital
with toxic liver disease – Liver fibrosis; Hepatic sclerosis;
Liver fibrosis with hepatic sclerosis; Primitive biliary
cirrhosis: Chronic non-destructive angiocolitis; Secondary
biliary cirrhosis; Unspecified biliary cirrhosis; Other
unspecified cirrhosis of the liver: Cirrhosis (of the liver):
cryptogenic, macronodular, micronodular, of the mixed type, NOS,
portal, postnecrotic;
6. Other inflammatory
diseases of the liver – exclude Chronic hepatitis NEC,
Hepatitis: acute or subacute, viral, Toxic liver disease –
Abscess of the liver: Liver abscess: angiocolic, hematogenous,
lymphogenous, NOS, pileflebitic – excludes amibian abscess of
the liver, angiocolitis without abscess of the liver,
pileflebitis without abscess of the liver; Phlebitis of the
portal vein: Pileflebitis – excludes pileflebitic abscess of the
liver; Unspecified reactive hepatitis; Unclassified
granulomatous hepatitis elsewhere; Autoimmune hepatitis; Other
specified inflammatory diseases of the liver; Inflammatory
disease of the liver unspecified: Hepatitis NOS;
7. Other diseases of the
liver – exclude alcoholic liver disease, amyloid degeneration of
the liver, cystic liver disease (congenital), thrombosis of the
hepatic vein, hepatomegaly NOS, thrombosis of the portal vein,
toxic liver disease; Fatty degeneration of the liver not
elsewhere classified; Chronic passive congestion of the liver:
Cardiac: cirrhosis (so-called) of the liver, sclerosis of the
liver; Central hemorrhagic necrosis of the liver – excludes
necrosis of the liver with hepatic insufficiency; Infarction of
the liver; Hepatic peliosis: Hepatic angiomatosis;
Veno-occlusive disease of the liver – excludes Bud-Chiari
syndrome; Portal hypertension; Hepato-renal syndrome – excludes
following labor and childbirth; Other specified diseases of the
liver: Focal nodular hyperplasia of the liver, Hepatoptosis;
Unspecified liver disease;
8. Liver disorders in
diseases classified elsewhere – Liver disorders in infectious
and parasitic diseases classified elsewhere: hepato-splenic
schistosomiasis, Hepatitis with herpes virus (herpes simplex),
Portal hypertension in schistosomiasis, Liver syphilis; Liver
disorders in other diseases classified elsewhere: Hepatic
granuloma in: beryliosis, sarcoidosis;
I. Diseases of the
gallbladder, bile ducts and pancreas
1. Cholelithiasis (without
mentioning obstruction or with obstruction) – Gallbladder
calculus with acute cholecystitis; Gallbladder calculus with
another form of cholecystitis: Cholecystitis with NOS
cholelithiasis; Gallbladder calculation without cholecystitis:
Unspecified cholecystolytics or without cholecystitis,
Unspecified cholelithiasis or without cholecystitis; Colic
(recurrent) of the gallbladder unspecified or without
cholecystitis, Calculus (blocked) of: unspecified or
non-cholecystitis duct, gallbladder unspecified or without
cholecystitis; Calculation of the bile ducts with angiocolitis;
Calculation of the bile ducts with cholecystitis (with
angiocolitis); Calculation of bile ducts without angiocolitis
and cholecystitis: Unspecified choledocolithiasis or without
angiocolitis or cholecystitis, Calculus (blocked) of:
unspecified NOS bile duct or without angiocolitis or
cholecystitis, unspecified joint duct or without angiocolitis or
cholecystitis, Hepatic: unspecified cholelithiasis or without
angiocolitis or cholecystitis, unspecified (recurrent) colitis
or without angiocolitis or cholecystitis; Other cholerelitiasis;
2. Cholecystitis – exclude
with cholelithiasis – Acute cholecystitis: Abscess of the
gallbladder without calculi, Angiocolecistitis without calculi,
Cholecystitis: emphysemamatic (acute) without calculi,
gangrenous without calculi, suppurative without calculi, Empyema
of the gallbladder without calculi, gangrene of the gallbladder
without calculi; Chronic cholecystitis; Other cholecystitis;
Unspecified cholecystitis;
3. Other diseases of the
gallbladder - excludes non-visionary of the gallbladder,
postcolecistectomy syndrome - Obstruction of the gallbladder:
Occlusion of the cystic duct or gallbladder without gallstones,
Stenosis of the cystic duct or gallbladder without gallstones,
Sclerosis of the cystic duct or gallbladder without gallstones -
exclude with cholelithiasis; Hydrocollecyst: Mucocele of the
gallbladder; Perforation of the gallbladder: Rupture of the
cistic duct of the gallbladder; Fistula of the gallbladder:
Cholecystocholic fistula, cholecystoduodenal fistula;
Cholesterolosis of the gallbladder: gallbladder in the form of a
wild; Other specified diseases of the gallbladder: Adhesions of
the cystic duct of the gallbladder, Atrophy of the cystic duct
of the gallbladder, Cyst of the cystic duct of the gallbladder,
Dyskinesia of the cystic duct of the gallbladder, Hypertrophy of
the cystic duct of the gallbladder, Non-functioning of the
cystic duct of the gallbladder, Ulcer of the cystic duct of the
gallbladder; Unspecified gallbladder disease;
4. Other diseases of the
biliary tract - excludes the postcolecistectomy syndrome, the
affections attributable to the previous diagnoses involving the
cystic duct and the gallbladder - Angiocolitis (cholangitis):
Angiocolitis: ascending, NOS, primary, relapsing, sclerosing,
secondary, stenosing, suppurative - excludes abscess of the
cholangitic liver, angiocolitis with choledocolithiasis, chronic
non-destructive angiocolitis; Obstruction of the bile ducts:
Occlusion of the bile ducts without gallstones, Stenosis of the
bile ducts without gallstones, Stricture of the bile ducts
without gallstones - excludes with cholelithiasis; Perforation
of the bile ducts: Rupture of the bile ducts; Fistula of the
bile ducts: coledocoduodenal fistula; Spasm of the sphincter of
Oddi; Biliary cyst; Other specified diseases of the bile ducts:
Adhesions of the bile ducts, Atrophy of the bile ducts,
Hypertrophy of the bile ducts, Ulcer of the bile ducts;
Unspecified gallstone disease;
5. Acute pancreatitis -
Abscess of the pancreas; Necrosis of the pancreas: acute,
infectious, pancreatitis: acute (relapsing), hemorrhagic, NOS,
subacute, suppurative;
6. Other diseases of the
pancreas - excludes fibrocystic disease of the pancreas, tumor
of the islets of Langerhans, pancreatic steatorea -
alcohol-borne chronic pancreatitis; Other chronic pancreatitis:
Chronic pancreatitis: infectious, NOS, relapsing, relapsing,
with relapse; Cyst of the pancreas; Pseudocyst of the pancreas;
Other specified diseases of the pancreas: Atrophy of the
pancreas, Calculus of the pancreas, Cirrhosis of the pancreas,
Fibrosis of the pancreas, Pancreatic: infantilism, necrosis:
aseptic, fat, NOS; Unspecified disease of the pancreas;
7. Disorders of the
gallbladder, bile ducts and pancreas in diseases classified
elsewhere - Disorders of the gallbladder and bile ducts in
diseases classified elsewhere; Disorders of the pancreas in
diseases classified elsewhere;
J. Other diseases of the
digestive system
1. Intestinal
malabsorption - excludes after gastrointestinal surgery - Celiac
disease: Gluten intolerance, idiopathic steatorrhea, Nontropical
spruea; Tropical sprue: Sprue NOS, Tropical steatoreea; Blind
loop syndrome not elsewhere classified: NOS blind loop syndrome
- excludes blind loop syndrome: congenital, postprocedural;
Pancreatic steatorea; Malabsorption due to an intolerance not
elsewhere classified: Malabsorption due to intolerance to:
carbohydrates, lipids, proteins, starch - excludes gluten
intolerance, lactose saddle intolerance; other intestinal
malabsorption: Whipple's disease; Unspecified intestinal
malabsorption;
2. Postprocedural
disorders of the digestive system not classified elsewhere -
exclude gastro-jejunal ulcer, irradiation: colitis,
gastroenteritis, prostititis - Vomiting subsequent to
gastrointestinal surgery; Syndromes after gastric surgery:
syndrome: discharge, postgastrectomy, postvagotomy;
Postprocedural malabsorption not classified elsewhere:
postprocedural syndrome of blind loop - excludes malabsorption:
osteomalacia in adults, postprocedural osteoporosis;
Postprocedural intestinal obstruction; Poor function of colon
and enteral stoma; Postcolecistectomy syndrome; Other
post-professional disorders of the digestive system not
elsewhere classified; Other unspecified post-professional
disorders of the digestive system;
3. Other diseases of the
digestive system - exclude neonatal gastrointestinal hemorrhage
- Hematemesis; Melena; Unspecified gastrointestinal bleeding:
Hemorrhage: gastric NOS, intestinal NOS - excludes acute
hemorrhagic gastritis, hemorrhage of the anus and rectum, with
peptic ulcer; Other specified diseases of the digestive system;
Unspecified disease of the digestive system;
4. Disorders of some
digestive organs in diseases classified elsewhere - Megacolon in
Chagas disease; Diseases of other digestive organs specified in
diseases classified elsewhere....
Dorin, Merticaru