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DOKUMEN NASIONAL DAN INTERNASIONAL TENTANG PENGGOLONGAN DAN DIAGNOSIS GANGGUAN JIWA

Oleh : Tim Litbang Swaranusa.net ==========================================================

SEKILAS TENTANG PPDGJ III | ICD-10 | DSM-IV TR
Pedoman Penggolongan Penyakit dan Diagnosis Gangguan Jiwa (PPDGJ-III) merujuk pada standard dan system pengkodean dari International Classification of Disease (ICD-10) dan system multiaksis dari Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Berikut sedikit dijelaskan sekilas tentang DSM yang dikeluarkan oleh American Psychiatric Association (APA) dan ICD yang dikeluarkan oleh WHO. DSM-I telah selesai disusun pada tahun 1952 oleh APA(American Psychiatric Association). Edisi kedua keluar pada tahun 1968, kemudaian disusul setelahnya edisi ke-13 pada tahun 1980, yang akhirnya dilakukan revisi kembali pada tahun1987(DSM-III R), dan pada tahun 1994 APA mengeluarkan lagi DSM-IV, yang akhirnya di revisi kembali manjadi DSM-IV TR(text revision) pada tahun 2000. DSM-IV dan DSM-IV TR dikeluarkan setelah melalui persetujuan dengan ICD-9 CM (clinical modification).

ICD sudah digunakan lebih lama, dan pada saat ini infrastruktur ICD telah menginvestasikan dalam pengembangan sistem pengkodean komputer, “casemix”, dan sistem diagnosis. Dari sumber lain berbahasa Indonesia dikatakan “DSMIV didesain untuk mendampingi ICD-10, disusun pada tahun 1992. Pada waktu itu terdapat konsensus yang kuat bahwa sistem diagnosis di USA harus sesuai dgn klasifikasi penyakit internasional (ICD-10) sedangkan ICD-10 merupakan sistem klasifikasi tertinggi yg digunakan di Eropa & negara-negara lain dii dunia.

PEDOMAN PENGGOLONGAN DAN DIAGNOSIS GANGGUAN JIWA [PPDGJJ – I] : Basis Keilmuan yang Menjadi Dasar bagi Munculnya Stigma dan Diskriminasi Terhadap Komunitas LGBT

Berikut adalah dokumen Pedoman Penggolongan dan Diagnosis Gangguan Jiwa [PPDGJ] ke-1 yang dikeluarkan pada tahun 1973 yang di dalamnya masih memasukkan homoseksualitas sebagai salah satu penyakit dan gangguang kejiwaan.

PENGGOLONGAN DIAGNOSA GANGGUAN JIWA ke-I, 1973
I. PSIKOSA (290-299) I.A. Psikosa berhubungan dengan sindroma otak organic 290. Dementia senilis dan Dementia presenilis. 290.0. Dementia senilis 290.1. Dementia presenilis 291. Psikosa alkoholik 291.0. delirium tremens 291.1. psikosa Korsakov 291.2. halusinosa alkoholik lain 291.3. paranoia alkoholik 291.4. psikosa alkoholik lain 292. Psikosa berhubungan dengan infeksi intracranial 292.0. dementia paralytica 292.1. syphilis lain dari susunan saraf pusat 292.2. encephalitis lain, infeksi intracranial lain 293. Psikosa berhubungan dengan kondisi serebral lain 293.0. arteriosclerosis cerebri 293.1. gangguan serebrovaskular lain 293.2. epilepsy 293.3. penyakit degenerasi SSP 293.4. rudapaksa otak 293.9. kondisi serebral lain 294. Psikosa berhubungan dengan kondisi fisik lain 294.0. gangguan endokrin 294.1. gangguan metabolisme dan gizi 294.2. infeksi tubuh 294.3. intoksikasi obat atau racun selain alcohol 294.4. kelahiran anak 294.8. Kondisi fisik lain 294.9. kondisi fisik yang tidak tergolongkan I.B. Psikosa fungsional (295-299) (Psikosa yang tak dihubungkan dengan kondisi fisik seperi tercantum sebelum ini). 295. Skizofrenia 295.0. skizofrenia simplex 295.1. skizofrenia hebefrenik 295.2. skizofrenia katatonik

3.2.6. episode skizofrenia akut 295.kepribadian antisocial 301.sindroma depersonalisasi 300.kepribadian pasif-agresif .reaksi paranoid akut 298.kepribadian nankastik 301.4.4.neurosa fobik 300.0.2.7. skizofrenia latent 295. skizofrenia tak tergolongkan 296. skizofrenia lain 295.neurosa tak tergolongkan 301. neurasthenia 300.295.0.2.8.kepribadian schizoid 301.neurosa histerik 300.8.kebingungan reaktif 298.kepribadian asthenik 301.9.7.neurosa cemas 300.9. skizofrenia schizo-afektif 295.5.parafrenia involusi 297.psikosa manic-depresif àjenis sirkular 296.8.neurosa lain 300.neurosa obsesif-kompulsif 300. Psikosa lain 298.9.neurosa hipokhondrik 300.6.nerasthenia 300.3.0.1. NEUROSA. GANGGUAN KEPRIBADIAN DAN GANGGUAN JIWA NON – PSIKOSA LAIN 300.Paranoia 297.kepribadian histerik 301.0.1.5.7. skizofrenia paranoid 295.8.9.gaduh-gelisah reaktif 298. Keadaan paranoid 297.2.keadaan paranoid lain 298.1.6.3.kepribadian paranoid 301.1.psikosa manic-depresifàjenis mania 296.psikosa reaktif tak tergolongkan 299.kepribadian explosive 301.5.0.3.psikosa afektif tak tergolongkan 297.psikosa manic-depresif à jenis depresi 296.neurosa depresif.psikosa afektif lain 296.1.2. Gangguan kepribadian 301. Neurosa 300. Psikosa tak tergolongkan II.3.4.kepribadian afekif 301.psikosa depresi reaktif 298. skizofrenia residual 295. melankhois involusi 296. Psikosa afektif 296.

0.3.devisi seksual tak tergolongkan 303.Enuresis .Gangguan psikomotorik lain 306.4.Sadism 303.0.1.1. ganja) 304.2.8.halusinogenika 304.Exhibisionisme 302.4.2.Gangguan bicara (gagap.5.Kokaine 304. dan sebagainya) 306.Cannabis sativa (hashish.Opium.Jantung dan pembuluh darah 305.9.Masokhisme 303. N980 dan berhubungan dengan kondisi fisik (309)).ketergantungan obat lain 304.6. Ketergantungan obat 304.Transvestitisme 302.Alkoholisme lain 304.Fetihisme 302.5.3.deviasi seksual lain 303.2.8.6. Gangguan fisik dengan perkiraan sebab psikogenik 305.2.Otot dan tulang 305.0.Barbiturate 304.Hipnotika dan sedative lain atau “obat penenang” 304. Golongan khusus tak tergolongkan di tempat lain 306.Darah dan getah bening 305.Pedofilia 302. Alkoholisme tidak termasuk psikosa alkoholik (291). alkaloid opium dan derivatnya 304. 303. marihuana.Analgetika sintetik dengan efek seperti morfin 304.7.obat perangsang lain 304.1.Tic 306.Voyeurism 303.3.7.Alat pernapasan 305.3. intoxikasi alcohol akut atau kbetulan (E860.Kebiasaan minum berlebihan 303.Homoseksualitas 302.Alat kemih dan kelamin 305.Endokrin 305. Deviasi seksual 302.Minum belebihan episodic 303.gangguan kepribadian tak tergolongkan 302.Alat pencernaan 305.2.Gangguan kemampuan belajar khusus 306.0.4.301.ketergantungan obat tak tergolongkan 305.8.9.9.1.Gangguan makan 306.4.Kulit 305.7.Gangguan tidur 306.Ketagihan alkohol 303.5.6.1.9.9.Pancaindera 305.5.0.Gangguan fisik lain 306.6.

Sneoplasma intracranial 309.0.3.Akibat penyakit otak yang nyata (postnatal) 315.Infeksi intracranial 309.2.6.3.Gangguan peredaran darah 309. Gangguan situasioal sementara 307.0.Penyakit degenerasi SSP 309.6. pertumbuhan atau gizi 309.Reaksi penyesuaian masa Dewasa 307.Akibat rudapaksa dan/atau sebab fisik lain 315. RETARDASI MENTAL (310-315) 310.8.Retardasi mental ringan (IQ: 52-67) 312.Reaksi penyesuaian masa bayi 307.Akibat prematuris 315.9.Obat.Reaksi penyesuaian masa tua 308.4.Retardasi mental taraf perbatasan (IQ: 68-85) 311.Retardasi mental tak tergolongkan Kode tambahan angka ke-4 dapat digunakan untuk kategori 310-315 315.Senilitas atau presenilitas 309.8.Akibat infeksi dan/atau intoxikasi 315. Gangguan tingkah laku masa anak dan remaja 308.1.Gangguan tingkah laku lain 309.Reaksi menarik diri 308.Kondisi fisik lain III.8.Reaksi delinkwen kelompok 308.Chepalalgia 306.2.3.Encopresis 306.4.Retardasi mental berat (IQ: 20-35) 314.Akibat penyakit/pengaruh prenatal yang tak jelas 315. pertumbuhan atau gizi (nutrition) 315.Gangguan metabolism.9. Sindroma otak organic yang on-psikotik 309.1.Retardasi mental sedang (IQ: 36-51) 313. racun dan intoxikasi tubuh 309.5.7.Reaksi melarikan diri 308.9.Rudpaksa oak 309.7.4.1.3.7.Akibat gangguan jiwa berat 315.4.Reaksi cemas berlebihan 308.9.Akibat kelainan kromosoma 315.5.Retardasi mental sangat berat (IQ: <20) 315.Reaksi agresif individual 308.Akibat gangguan metabolisme.2.5.Gejala khusus lain 307.Akibat deprivasi psikososial (lingkungan) 315.Reaksi penyesuaian masa Remaja 307.Reaksi hiperkinetik 308.1.Epilepsy 309.2. KEADAAN TANPA GANGGUAN PSIKIATRIK YANG NYATA DAN KONDISI (KEADAAN) NON-SPESIFIK (316-318) .0.Reaksi penyesuaian masa Anak 307.Akibat keadaan lain dan tak tergolongkan IV.306.0.

Hanya untuk penelitian 319.9.9.2. .3.Amok 317.1.3.Tingkah-laku dis-sosial (Dyssocial behavior) 316.0.4.9. ISTILAH BUKAN-DIAGNOSAUNTK PENGGUNAAN ADMINISTRASI (319) 319.316.Keluarga pasien 319. – 317.Pasien titipan 319.Diagnosa ditangguhkan 319.1. Kegagalan penyesuaiansosial tanpa gangguan psikiatrik yang nyata 316.Lain-lain.2.2.0.Koro 317.1.Kegagalan penyesuaian sosial 316. Tidak terdapat gangguan jiwa V.Kondisi (keadaan) yang terikat pada kebudayaan setempat (culture bound phenomena) 317.Kegagalan penyesuaian dalam pekerjaan 316.1.Istilah bukan-diagnosa untuk penggunaan administrasi 319.Kondisi atau keadaan lain 318.Kesurupan 317.Kegagalan penyesuaian sosial lain 317.3.Latah 317.Kegagalan penyesuaiaan dalam perkawinan 316.

================================================================== International Statistical Classification of Diseases and Related Health Problems 10th Revision Version for 2007 Tabular List of inclusions and four-character subcategories Chapter List Chapter Blocks I II III A00-B99 C00-D48 D50-D89 Title Certain infectious and parasitic diseases Neoplasms Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endocrine. nutritional and metabolic diseases Mental and behavioural disorders Diseases of the nervous system Diseases of the eye and adnexa Diseases of the ear and mastoid process Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the skin and subcutaneous tissue IV V VI VII VIII IX X XI XII E00-E90 F00-F99 G00-G99 H00-H59 H60-H95 I00-I99 J00-J99 K00-K93 L00-L99 .Berikut adalah daftar bab yang memuat klasifikasi penyakit yang dikeluarkan oleh WHO dan di dalamnya tidak lagi memuat homoseksualitas sebagai penyakit jiwa.

poisoning and certain other consequences of external causes External causes of morbidity and mortality Factors influencing health status and contact with health services Codes for special purposes XIX XX XXI XXII S00-T98 V01-Y98 Z00-Z99 U00-U99 Chapter I: Certain infectious and parasitic diseases (A00-B99) A00-A09 Intestinal infectious diseases A15-A19 Tuberculosis A20-A28 Certain zoonotic bacterial diseases A30-A49 Other bacterial diseases A50-A64 Infections with a predominantly sexual mode of transmission A65-A69 Other spirochaetal diseases A70-A74 Other diseases caused by chlamydiae A75-A79 Rickettsioses A80-A89 Viral infections of the central nervous system . deformations and chromosomal abnormalities Symptoms. signs and abnormal clinical and laboratory findings.XIII XIV XV XVI XVII XVIII M00-M99 N00-N99 O00-O99 P00-P96 Q00-Q99 R00-R99 Diseases of the musculoskeletal system and connective tissue Diseases of the genitourinary system Pregnancy. childbirth and the puerperium Certain conditions originating in the perinatal period Congenital malformations. not elsewhere classified Injury.

except of lymphoid. viral and other infectious agents B99 Other infectious diseases Chapter II: Neoplasms (C00-D48) C00-C97 Malignant neoplasms C00-C75 Malignant neoplasms. oral cavity and pharynx C15-C26 Digestive organs C30-C39 Respiratory and intrathoracic organs C40-C41 Bone and articular cartilage C43-C44 Skin . acariasis and other infestations B90-B94 Sequelae of infectious and parasitic diseases B95-B97 Bacterial. haematopoietic and related tissue C00-C14 Lip. stated or presumed to be primary.A90-A99 Arthropod-borne viral fevers and viral haemorrhagic fevers B00-B09 Viral infections characterized by skin and mucous membrane lesions B15-B19 Viral hepatitis B20-B24 Human immunodeficiency virus [HIV] disease B25-B34 Other viral diseases B35-B49 Mycoses B50-B64 Protozoal diseases B65-B83 Helminthiases B85-B89 Pediculosis. of specified sites.

secondary and unspecified sites C81-C96 Malignant neoplasms. stated or presumed to be primary.C45-C49 Mesothelial and soft tissue C50 Breast C51-C58 Female genital organs C60-C63 Male genital organs C64-C68 Urinary tract C69-C72 Eye. brain and other parts of central nervous system C73-C75 Thyroid and other endocrine glands C76-C80 Malignant neoplasms of ill-defined. purpura and other haemorrhagic conditions D70-D77 Other diseases of blood and blood-forming organs D80-D89 Certain disorders involving the immune mechanism . haematopoietic and related tissue C97 Malignant neoplasms of independent (primary) multiple sites D00-D09 In situ neoplasms D10-D36 Benign neoplasms D37-D48 Neoplasms of uncertain or unknown behaviour [see note before D37] Chapter III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) D50-D53 Nutritional anaemias D55-D59 Haemolytic anaemias D60-D64 Aplastic and other anaemias D65-D69 Coagulation defects. of lymphoid.

including symptomatic. nutritional and metabolic diseases (E00-E90) E00-E07 Disorders of thyroid gland E10-E14 Diabetes mellitus E15-E16 Other disorders of glucose regulation and pancreatic internal secretion E20-E35 Disorders of other endocrine glands E40-E46 Malnutrition E50-E64 Other nutritional deficiencies E65-E68 Obesity and other hyperalimentation E70-E90 Metabolic disorders Chapter V: Mental and behavioural disorders (F00-F99) F00-F09 Organic. schizotypal and delusional disorders F30-F39 Mood [affective] disorders F40-F48 Neurotic. mental disorders F10-F19 Mental and behavioural disorders due to psychoactive substance use F20-F29 Schizophrenia.Chapter IV: Endocrine. stress-related and somatoform disorders F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors F60-F69 Disorders of adult personality and behaviour F70-F79 Mental retardation .

lacrimal system and orbit . nerve root and plexus disorders G60-G64 Polyneuropathies and other disorders of the peripheral nervous system G70-G73 Diseases of myoneural junction and muscle G80-G83 Cerebral palsy and other paralytic syndromes G90-G99 Other disorders of the nervous system Chapter VII: Diseases of the eye and adnexa (H00-H59) H00-H06 Disorders of eyelid.F80-F89 Disorders of psychological development F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence F99 Unspecified mental disorder Chapter VI: Diseases of the nervous system (G00-G99) G00-G09 Inflammatory diseases of the central nervous system G10-G13 Systemic atrophies primarily affecting the central nervous system G20-G26 Extrapyramidal and movement disorders G30-G32 Other degenerative diseases of the nervous system G35-G37 Demyelinating diseases of the central nervous system G40-G47 Episodic and paroxysmal disorders G50-G59 Nerve.

cornea. binocular movement. accommodation and refraction H53-H54 Visual disturbances and blindness H55-H59 Other disorders of eye and adnexa Chapter VIII: Diseases of the ear and mastoid process (H60-H95) H60-H62 Diseases of external ear H65-H75 Diseases of middle ear and mastoid H80-H83 Diseases of inner ear H90-H95 Other disorders of ear Chapter IX: Diseases of the circulatory system (I00-I99) I00-I02 Acute rheumatic fever .H10-H13 Disorders of conjunctiva H15-H22 Disorders of sclera. iris and ciliary body H25-H28 Disorders of lens H30-H36 Disorders of choroid and retina H40-H42 Glaucoma H43-H45 Disorders of vitreous body and globe H46-H48 Disorders of optic nerve and visual pathways H49-H52 Disorders of ocular muscles.

not elsewhere classified Other and unspecified disorders of the circulatory system Chapter X: Diseases of the respiratory system (J00-J99) J00-J06 J09-J18 J20-J22 J30-J39 J40-J47 J60-J70 J80-J84 J85-J86 J90-J94 J95-J99 Acute upper respiratory infections Influenza and pneumonia Other acute lower respiratory infections Other diseases of upper respiratory tract Chronic lower respiratory diseases Lung diseases due to external agents Other respiratory diseases principally affecting the interstitium Suppurative and necrotic conditions of lower respiratory tract Other diseases of pleura Other diseases of the respiratory system Chapter XI: .I05-I09 I10-I15 I20-I25 I26-I28 I30-I52 I60-I69 I70-I79 I80-I89 I95-I99 Chronic rheumatic heart diseases Hypertensive diseases Ischaemic heart diseases Pulmonary heart disease and diseases of pulmonary circulation Other forms of heart disease Cerebrovascular diseases Diseases of arteries. arterioles and capillaries Diseases of veins. lymphatic vessels and lymph nodes.

Diseases of the digestive system (K00-K93) K00-K14 Diseases of oral cavity. stomach and duodenum K35-K38 Diseases of appendix K40-K46 Hernia K50-K52 Noninfective enteritis and colitis K55-K63 Other diseases of intestines K65-K67 Diseases of peritoneum K70-K77 Diseases of liver K80-K87 Disorders of gallbladder. biliary tract and pancreas K90-K93 Other diseases of the digestive system Chapter XII: Diseases of the skin and subcutaneous tissue (L00-L99) L00-L08 L10-L14 L20-L30 L40-L45 L50-L54 L55-L59 L60-L75 Infections of the skin and subcutaneous tissue Bullous disorders Dermatitis and eczema Papulosquamous disorders Urticaria and erythema Radiation-related disorders of the skin and subcutaneous tissue Disorders of skin appendages . salivary glands and jaws K20-K31 Diseases of oesophagus.

L80-L99 Other disorders of the skin and subcutaneous tissue Chapter XIII: Diseases of the musculoskeletal system and connective tissue (M00-M99) M00M25 Arthropathies M00M03 M05M14 M15M19 M20M25 M30M36 M40M54 Infectious arthropathies Inflammatory polyarthropathies Arthrosis Other joint disorders Systemic connective tissue disorders Dorsopathies M40M43 M45M49 M50M54 M60M79 Deforming dorsopathies Spondylopathies Other dorsopathies Soft tissue disorders M60M63 Disorders of muscles .

M65M68 M70M79 M80M94 Disorders of synovium and tendon Other soft tissue disorders Osteopathies and chondropathies M80M85 M86M90 M91M94 M95M99 Disorders of bone density and structure Other osteopathies Chondropathies Other disorders of the musculoskeletal system and connective tissue Chapter XIV: Diseases of the genitourinary system (N00-N99) N00-N08 Glomerular diseases N10-N16 Renal tubulo-interstitial diseases N17-N19 Renal failure N20-N23 Urolithiasis N25-N29 Other disorders of kidney and ureter N30-N39 Other diseases of urinary system N40-N51 Diseases of male genital organs N60-N64 Disorders of breast N70-N77 Inflammatory diseases of female pelvic organs .

proteinuria and hypertensive disorders in pregnancy. labour and delivery P05-P08 Disorders related to length of gestation and fetal growth P10-P15 Birth trauma P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period . not elsewhere classified Chapter XVI: Certain conditions originating in the perinatal period (P00-P96) P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy. childbirth and the puerperium (O00-O99) O00-O08 Pregnancy with abortive outcome O10-O16 Oedema. childbirth and the puerperium O20-O29 Other maternal disorders predominantly related to pregnancy O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems O60-O75 Complications of labour and delivery O80-O84 Delivery O85-O92 Complications predominantly related to the puerperium O94-O99 Other obstetric conditions.N80-N98 Noninflammatory disorders of female genital tract N99 Other disorders of genitourinary tract Chapter XV: Pregnancy.

deformations and chromosomal abnormalities (Q00-Q99) Q00-Q07 Congenital malformations of the nervous system Q10-Q18 Congenital malformations of eye.P35-P39 Infections specific to the perinatal period P50-P61 Haemorrhagic and haematological disorders of fetus and newborn P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn P75-P78 Digestive system disorders of fetus and newborn P80-P83 Conditions involving the integument and temperature regulation of fetus and newborn P90-P96 Other disorders originating in the perinatal period Chapter XVII: Congenital malformations. face and neck Q20-Q28 Congenital malformations of the circulatory system Q30-Q34 Congenital malformations of the respiratory system Q35-Q37 Cleft lip and cleft palate Q38-Q45 Other congenital malformations of the digestive system Q50-Q56 Congenital malformations of genital organs Q60-Q64 Congenital malformations of the urinary system Q65-Q79 Congenital malformations and deformations of the musculoskeletal system Q80-Q89 Other congenital malformations Q90-Q99 Chromosomal abnormalities. not elsewhere classified Chapter XVIII: . ear.

not elsewhere classified (R00-R99) R00-R09 Symptoms and signs involving the circulatory and respiratory systems R10-R19 Symptoms and signs involving the digestive system and abdomen R20-R23 Symptoms and signs involving the skin and subcutaneous tissue R25-R29 Symptoms and signs involving the nervous and musculoskeletal systems R30-R39 Symptoms and signs involving the urinary system R40-R46 Symptoms and signs involving cognition. lower back. substances and tissues. poisoning and certain other consequences of external causes (S00-T98) S00-S09 Injuries to the head S10-S19 Injuries to the neck S20-S29 Injuries to the thorax S30-S39 Injuries to the abdomen.Symptoms. without diagnosis R80-R82 Abnormal findings on examination of urine. perception. emotional state and behaviour R47-R49 Symptoms and signs involving speech and voice R50-R69 General symptoms and signs R70-R79 Abnormal findings on examination of blood. signs and abnormal clinical and laboratory findings. without diagnosis R90-R94 Abnormal findings on diagnostic imaging and in function studies. without diagnosis R83-R89 Abnormal findings on examination of other body fluids. lumbar spine and pelvis . without diagnosis R95-R99 Ill-defined and unknown causes of mortality Chapter XIX: Injury.

not elsewhere classified T90-T98 Sequelae of injuries. medicaments and biological substances T51-T65 Toxic effects of substances chiefly nonmedicinal as to source T66-T78 Other and unspecified effects of external causes T79 Certain early complications of trauma T80-T88 Complications of surgical and medical care.S40-S49 Injuries to the shoulder and upper arm S50-S59 Injuries to the elbow and forearm S60-S69 Injuries to the wrist and hand S70-S79 Injuries to the hip and thigh S80-S89 Injuries to the knee and lower leg S90-S99 Injuries to the ankle and foot T00-T07 Injuries involving multiple body regions T08-T14 Injuries to unspecified part of trunk. limb or body region T15-T19 Effects of foreign body entering through natural orifice T20-T32 Burns and corrosions T20-T25 Burns and corrosions of external body surface. specified by site T26-T28 Burns and corrosions confined to eye and internal organs T29-T32 Burns and corrosions of multiple and unspecified body regions T33-T35 Frostbite T36-T50 Poisoning by drugs. of poisoning and of other consequences of external causes Chapter XX: External causes of morbidity and mortality (V01-Y98) .

radiation and extreme ambient air .V01-X59 Accidents V01-V99 Transport accidents V01-V09 Pedestrian injured in transport accident V10-V19 Pedal cyclist injured in transport accident V20-V29 Motorcycle rider injured in transport accident V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident V40-V49 Car occupant injured in transport accident V50-V59 Occupant of pick-up truck or van injured in transport accident V60-V69 Occupant of heavy transport vehicle injured in transport accident V70-V79 Bus occupant injured in transport accident V80-V89 Other land transport accidents V90-V94 Water transport accidents V95-V97 Air and space transport accidents V98-V99 Other and unspecified transport accidents W00-X59 Other external causes of accidental injury W00W19 W20W49 W50W64 W65W74 W75W84 W85Falls Exposure to inanimate mechanical forces Exposure to animate mechanical forces Accidental drowning and submersion Other accidental threats to breathing Exposure to electric current.

without mention of misadventure at the time of the procedure Y85-Y89 Sequelae of external causes of morbidity and mortality Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere Chapter XXI: . fire and flames X10-X19 Contact with heat and hot substances X20-X29 Contact with venomous animals and plants X30-X39 Exposure to forces of nature X40-X49 Accidental poisoning by and exposure to noxious substances X50-X57 Overexertion. medicaments and biological substances causing adverse effects in therapeutic use Y60-Y69 Misadventures to patients during surgical and medical care Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient. or of later complication. travel and privation X58-X59 Accidental exposure to other and unspecified factors X60-X84 Intentional self-harm X85-Y09 Assault Y10-Y34 Event of undetermined intent Y35-Y36 Legal intervention and operations of war Y40-Y84 Complications of medical and surgical care Y40-Y59 Drugs.W99 temperature and pressure X00-X09 Exposure to smoke.

Factors influencing health status and contact with health services (Z00-Z99) Z00-Z13 Persons encountering health services for examination and investigation Z20-Z29 Persons with potential health hazards related to communicable diseases Z30-Z39 Persons encountering health services in circumstances related to reproduction Z40-Z54 Persons encountering health services for specific procedures and health care Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances Z70-Z76 Persons encountering health services in other circumstances Z80-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status Chapter XXII: Codes for special purposes (U00-U99) U00-U49 Provisional assignment of new diseases of uncertain etiology U80-U89 Bacterial agents resistant to antibiotics .

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