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ANNEX 8.

LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
A22.0 A22.2 A22.7 A27.0 A27.8 A33 A39.2 A48.3 A52.1 A52.3 A82.0 A82.1 A82.9 A83.0 A83.2 A83.5 A83.8 A83.9 A85.2 A85.8 A86 A87.8 A87.9 A91.3 A98.4 B15.0 B16.0 B16.2 B19.0 B20.1 B20.6 B21.0 B21.1 B21.2 B21.3 B22.0 C77.0 C77.1 C77.2 C77.3 C77.9 C78.0

DESCRIPTION
Cutaneous anthrax due to Bacillus anthracis; Malignant carbuncle due to Bacillus anthracis; Malignant pustule due to Bacillus anthracis Gastrointestinal anthrax due to Bacillus anthracis Anthrax septicaemia due to Bacillus anthracis Leptospirosis icterohaemorrhagica; Leptospirosis due to Leptospira interrogans serovar ictehaemorrhagiciae Other forms of leptospirosis Tetanus Neonatorum Acute meningococcaemia Toxic shock syndrome Symptomatic neurosyphilis Neurosyphilis, unspecified; Gumma (syphilitic) of the central nervous system NOS; Syphilis (late) of the central nervous system NOS; Syphiloma of the central nervous system Sylvatic rabies Urban rabies Rabies, unspecified Japanese encephalitis Eastern equine encephalitis California encephalitis; California meningoencephalitis; La Crosse encephalitis Other mosquito-borne viral encephalitis Mosquito-borne viral encephalitis, unspecified; mosquito-borne viral meningoencephalitis, unspecified Arthropod-borne viral encephalitis, unspecified Other specified viral encephalitis; Encephalitis lethargica; Von Economo-Cruchet disease UNSPECIFIED VIRAL ENCEPHALITIS; VIRAL ENCEPHALOMYELITIS NOS; VIRAL MENINGOENCEPHALITIS NOS Other viral meningitis Viral meningitis, unspecified Severe dengue Ebola virus disease Acute Hepatitis A with hepatic coma Acute hepatitis B with delta-agent (coinfection) with hepatic coma Acute hepatitis B without delta-agent with hepatic coma Unspecified viral hepatitis hepatic with coma HIV disease resulting in other bacterial infections HIV disease resulting in Pneumocystis carinii pneumonia Human immunodeficiency virus [HIV] disease resulting in Kaposi's sarcoma Human immunodeficiency virus [HIV] disease resulting in Burkitt's lymphoma Human immunodeficiency virus [HIV] disease resulting in other types of non-Hodgkin's lymphoma Human immunodeficiency virus [HIV] disease resulting in other malignant neoplasms of lymphoid, haematopoietic and related tissue Human immunodeficiency virus [HIV] disease resulting in encephalopathy; Human immunodeficiency virus [HIV] dementia Secondary and unspecified malignant neoplasm of Lymph nodes of head, face and neck/ Supraclavicular lymph nodes Secondary and unspecified malignant neoplasm of Intrathoracic lymph nodes Secondary and unspecified malignant neoplasm of Intra-abdominal lymph nodes Secondary and unspecified malignant neoplasm of Axillary and upper limb lymph nodes/ Pectoral lymph nodes Secondary and unspecified malignant neoplasm of Lymph node, unspecified Secondary malignant neoplasm of lung

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ANNEX 8. LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
C78.1 C78.2 C78.3 C78.4 C78.5 C78.6 C78.7 C78.8 C79.0 C79.1 C79.3 C79.4 C79.5 C79.6 C79.7 C79.8 D65 E03.5 E10.0

DESCRIPTION
Secondary malignant neoplasm of mediastinum Secondary malignant neoplasm of pleura Secondary malignant neoplasm of other and unspecified respiratory organs Secondary malignant neoplasm of small intestine Secondary malignant neoplasm of large intestine and rectum Secondary malignant neoplasm of retroperitoneum and peritoneum, Malignant ascites NOS Secondary malignant neoplasm of liver Secondary malignant neoplasm of other and unspecified digestive organs Secondary malignant neoplasm of kidney and renal pelvis Secondary malignant neoplasm of bladder and other and unspecified urinary organs Secondary malignant neoplasm of brain and cerebral meninges Secondary malignant neoplasm of other and unspecified parts of nervous system Secondary malignant neoplasm of bone and bone marrow Secondary malignant neoplasm of ovary Secondary malignant neoplasm of adrenal gland Secondary malignant neoplasm of other specified sites Disseminated intravascular coagulation [defibrination syndrome]; Afabrinogenaemia, acquired; Consumption of coagulopathy; Diffuse or disseminated intravascular coagulation [DIC]; Fibrinolytic haemorrhage, acquired; Fibriinolytic purpura; Fulminans purpura Myxoedema coma Insulin-dependent diabetes mellitus [Diabetes mellitus brittle; Diabetes mellitus juvenile-onset; Diabetes mellitus ketosis-prone;Diabetes mellitus type I] with coma; Insulin-dependent diabetic coma with ketoacidosis; Insulin-dependent diabetic coma witho Insulin-dependent diabetes mellitus with ketoacidosis; Insulin-dependent diabetic acidosis with mention of coma; Insulin-dependent diabetic ketoacidosis without mention of coma Non-insulin-dependent diabetes mellitus [ Adult-onset] diabetes mellitus with coma; Maturityonset diabetes mellitus with coma; Nonketotic diabetes mellitus with coma; Stable diabetes mellitus with coma; Diabetes mellitus type II with coma; Adult-onset no Non-insulin-dependent diabetes mellitus with ketoacidosis; Non-insulin-dependent diabetic acidosis with mention of coma; Non-insulin-dependent diabetic ketoacidosis without mention of coma Malnutrition-related diabetes mellitus [Non-insulin-dependent malnutrition-related diabetes mellitus; Insulin-dependent malnutrition-related diabetes mellitus] with coma; Malnutritionrelated diabetes mellitus coma with ketoacidosis; Malnutrition-related Other specified diabetes mellitus with coma; Other specified diabetes mellitus with coma with ketoacidosis; Other specified diabetes mellitus with coma without ketoacidosis; Other specified diabetes mellitus hyperosmolar coma; Other specified diabetes mel Other specified diabetes mellitus with ketoacidosis; Other specified diabetes mellitus with ketoacidosis with mention of coma; Other specified diabetes mellitus with ketoacidosis without mention of coma Unspecified diabetes mellitus [Diabetes NOS] with coma; Unspecified diabetes mellitus with coma with ketoacidosis; Unspecified diabetes mellitus with coma without ketoacidosis; Unspecified diabetes mellitus hyperosmolar coma; Unspecified diabetes mellitus Unspecified diabetes mellitus with ketoacidosis; Unspecified diabetes mellitus with ketoacidosis with mention of coma; Unspecified diabetes mellitus with ketoacidosis without mention of coma

E10.1

E11.0

E11.1

E12.0

E13.0

E13.1

E14.0

E14.1

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ANNEX 8. LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
E15 E27.2 G00.0 G00.1 G00.2 G00.3 G00.8 G00.9 G03.0 G03.1 G03.8 G03.9 G04.0 G04.1 G04.2 G04.8 G04.9 G05.8* G06.0

DESCRIPTION
Nondiabetic hypoglycaemic coma; Drug-induced insulin coma in nondiabetic; Hyperinsulinism with hypoglycaemic coma; Hypoglycaemic coma NOS Use additional external cause code (Chapter XX), if desired to identify drug, if drug-induced. Addisonian crisis; Adrenal crisis; Adrenocortical crisis Haemophilus meningitis; Meningitis/ arachnoiditis/ leptomeningitis/ pachymeningitis due to Haemophilus influenzae Pneumococcal meningitis; Meningitis/ arachnoiditis/ leptomeningitis/ pachymeningitis due to Pneumococcus Streptococcal meningitis; Meningitis/ arachnoiditis/ leptomeningitis/ pachymeningitis due to Streptococcus Staphylococcal meningitis; Meningitis/ arachnoiditis/ leptomeningitis/ pachymeningitis due to Staphylococcus Other bacterial meningitis; Meningitis due to Escherichia coli; Friedlander bacillus; Klebsiella Bacterial meningitis, unspecified; Purulent meningitis NOS; Pyogenic meningitis NOS; Suppurative meningitis NOS Nonpyogenic meningitis; Nonbacterial meningitis/ Arachnoiditis/ Leptomeningitis/ Pachymeningitis Chronic meningitis/ Arachnoiditis/ Leptomeningitis/ Pachymeningitis Meningitis/ Arachnoiditis/ Leptomeningitis/ Pachymeningitis due to other specified causes Meningitis, unspecified; Spinal arachnoiditis NOS Acute disseminated encephalitis; Encephalitis postimmunization; Encephalomyelitis postimmunization; Myelitis complicating vaccination Tropical spastic paraplegia Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified Other encephalitis, myelitis and encephalomyelitis; Postinfectious encephalitis and encephalomyelitis NOS Encephalitis, myelitis and encephalomyelitis, unspecified; Cerebral ventriculitis NOS; Acute ascending myelitis; Meningoencephalitis; Meningomyelitis Encephalitis, myelitis and encephalomyelitis in other diseases classified elsewhere Intracranial abscess and granuloma; Embolic abscess of brain [any part]; Embolic abscess of cerebellar; Embolic abscess of cerebral; Embolic abscess of otogenic; Epidural intracranial abscess or granuloma; Extradural intracranial abscess or granuloma; Sub Intraspinal abscess and granuloma; Embolic abscess of spinal cord [any part]; Epidural intraspinal abscess or granuloma; Extradural intraspinal abscess or granuloma; Subdural intraspinal abscess or granuloma Extradural and subdural abscess, unspecified Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere Intracranial and intraspinal phlebitis and thrombophlebitis; Septic embolism of intracranial or intraspinal venous sinuses and veins; Septic endophlebitis of intracranial or intraspinal venous sinuses and veins; Septic thrombophlebitis of intracranial or Sequelae of inflammatory diseases of central nervous system Compression of brain; Compression of brain stem; Herniation of brain stem Syringomyelia and syringobulbia Vascular myelopathies; Acute embolic infarction of spinal cord; Acute nonembolic infarction of spinal cord; Arterial thrombosis of spinal cord; haematomyelia; Nonpyogenic intraspinal phlebitis and thrombophlebitis; Oedema of spinal cord; Subacute necrotic Hypertensive heart disease with (congestive) heart failure; Hypertensive heart failure; Heart failure with mention of or due to hypertension; Myocarditis with mention of or due to hypertension with CHF; Myocardial degeneration with mention of or due to hy

G06.1 G06.2 G07* G08 G09 G93.5 G95.0 G95.1

I11.0

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ANNEX 8. LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
I12.0 I13.0 I13.1 I13.2 I21.0

DESCRIPTION
Hypertensive renal disease with renal failure; Hypertensive renal failure; Chronic renal failure with hypertension; Unspecified renal failure with hypertension; Unspecified contracted kidney with hypertension and renal failure; Arteriosclerosis of kidney Hypertensive heart and renal disease with (congestive) heart failure Hypertensive heart and renal disease with renal failure Hypertensive heart and renal disease with both (congestive) heart failure and renal failure; Cardiorenal dropsy Acute transmural myocardial infarction of anterior wall; acute transmural infarction of anterior wall NOS; acute transmural infarction of anteroapical; acute transmural infarction of anterolateral; acute transmural infarction of anteroseptal Acute transmural myocardial infarction of inferior wall; acute transmural infarction of diaphragmatic wall; acute transmural infarction of inferior wall NOS;acute transmural infarction of inferolateral; acute transmural infarction of inferoposterior Acute transmural myocardial infarction of other sites; apical-lateral; basal-lateral; high lateral; lateral wall NOS; posterior (true); posterobasal; posterolateral; posteroseptal; septal NOS Acute transmural myocardial infarction of unspecified site; transmural myocardial infarction NOS Acute subendocardial myocardial infarction; nontransmural myocardial infarction NOS Acute subsequent/recurrent myocardial infarction of anterior wall; Acute subsequent/recurrent infarction of anterior wall NOS; Acute subsequent/recurrent anteroapical infarction; Acute subsequent/recurrent anterolateral infarction; Acute subsequent/recurr Acute subsequent/recurrent myocardial infarction of inferior wall; Acute subsequent/recurrent infarction of diaphragmatic wall; Acute subsequent/recurrent infarction of inferior wall NOS; Acute subsequent/recurrent inferolateral infarction; Acute subseque Subsequent/recurrent myocardial infarction of other sites; Acute subsequent/recurrent myocardial apical-lateral infarction; Acute subsequent/recurrent myocardial basal-lateral infarction; Acute subsequent/recurrent myocardial high lateral infarction; Acut Subsequent/recurrent myocardial infarction of unspecified site Haemopericardium as current complication following acute myocardial infarction Atrial septal defect as current complication following acute myocardial infarction Ventricular septal defect as current complication following acute myocardial infarction Rupture of cardiac wall without haemopericardium as current complication following acute myocardial infarction Rupture of chordae tendineae as current complication following acute myocardial infarction Rupture of papillary muscle as current complication following acute myocardial infarction Other current complications following acute myocardial infarction Pulmonary embolism with mention of acute cor pulmonale; Acute cor pulmonale NOS; Pulmonary artery infarction with mention of acute cor pulmonale; Pulmonary vein infarction with mention of acute cor pulmonale; Pulmonary artery thromboembolism with mention Infective pericarditis; Pneumococcal pericarditis; Purulent pericarditis; Staphylococcal pericarditis; Viral pericarditis; Pyopericarditis; Infective pericardial effusion Congestive heart failure; Congestive heart disease; Right ventricular failure (secondary to left heart failure); Biventricular failure Left ventricular failure; Acute oedema of lung with mention of heart disease NOS or heart failure; Acute pulmonary oedema with mention of heart disease NOS or heart failure; Cardiac asthma; Left heart failure

I21.1

I21.2 I21.3 I21.4 I22.0

I22.1

I22.8 I22.9 I23.0 I23.1 I23.2 I23.3 I23.4 I23.5 I23.8 I26.0

I30.1 I50.0 I50.1

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ANNEX 8. LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
I60.0 I60.1 I60.2 I60.3 I60.4 I60.5 I60.6 I60.7 I60.8 I60.9 I61.0 I61.1 I61.2 I61.3 I61.4 I61.5 I61.6 I61.8 I61.9 I62.0 I62.1 I62.9 I63.0 I63.1 I63.2 I63.3 I63.4 I63.5 I63.6 I63.8 I63.9 I65.2 I67.1 I67.3 I67.4 I67.5 I67.6 I67.7 I71.0 J80 J96.0

DESCRIPTION
Subarachnoid haemorrhage from carotid siphon and bifurcation Subarachnoid haemorrhage from middle cerebral artery Subarachnoid haemorrhage from anterior communicating artery Subarachnoid haemorrhage from posterior communicating artery Subarachnoid haemorrhage from basilar artery Subarachnoid haemorrhage from vertebral artery Subarachnoid haemorrhage from other intracranial arteries; Multiple involvement of intracranial arteries Subarachnoid haemorrhage from intracranial artery, unspecified; Ruptured (congenital) berry aneurysm NOS; Subarachnoid haemorrhage from cerebral artery NOS; Subarachnoid haemorrhage from communicating artery NOS Other subarachnoid haemorrhage; Meningeal haemorrhage; Rupture of cerebral arteriovenous malformation Subarachnoid haemorrhage, unspecified; Ruptured (congenital) cerebral aneurysm NOS Intracerebral haemorrhage in hemisphere, subcortical; Deep intracerebral haemorrhage Intracerebral haemorrhage in hemisphere, cortical; Cerebral lobe haemorrhage;. Superficial intracerebral haemorrhage Intracerebral haemorrhage in hemisphere, unspecified Intracerebral haemorrhage in brain stem Intracerebral haemorrhage in cerebellum Intracerebral haemorrhage, intraventricular Intracerebral haemorrhage, multiple localized Other intracerebral haemorrhage Intracerebral haemorrhage, unspecified Subdural haemorrhage (acute)(nontraumatic) Nontraumatic extradural haemorrhage; Nontraumatic epidural haemorrhage Intracranial haemorrhage (nontraumatic), unspecified Cerebral infarction due to thrombosis of precerebral arteries Cerebral infarction due to embolism of precerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries Cerebral infarction due to thrombosis of cerebral arteries Cerebral infarction due to embolism of cerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries Cerebral infarction due to cerebral venous thrombosis, nonpyogenic Other cerebral infarction Cerebral infarction, unspecified Occlusion and stenosis of carotid artery; Embolism of carotid artery not resulting in cerebral infarction; Narrowing of carotid artery not resulting in cerebral infarction; Complete obstruction of carotid artery not resulting in cerebral infarction; Parti Cerebral aneurysm, nonruptured; Cerebral aneurysm NOS; Acquired cerebral arteriovenous fistula Progressive vascular leukoencephalopathy; Binswanger's disease Hypertensive encephalopathy Moyamoya disease Nonpyogenic thrombosis of intracranial venous system; Nonpyogenic thrombosis of cerebral vein; Nonpyogenic thrombosis of intracranial venous sinus Cerebral arteritis, not elsewhere classified Dissection of aorta [any part]; Ruptured dissecting aneurysm of aorta; Dissecting aneurysm of aorta [any part] Adult respiratory distress syndrome; Adult hyaline membrane disease Acute respiratory failure

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ANNEX 8. LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
K70.4 K72.0 K72.1 K72.9 M31.2 M31.3 M34.0 N17.0 N17.1 N17.2 N18.0 N18.8 N18.9 N99.0 O08.3 O08.4 O15.0

DESCRIPTION
Alcoholic hepatic failure; Alcoholic hepatic failure NOS; Acute alcoholic hepatic failure; Chronic alcoholic hepatic failure; Subacute alcoholic hepatic failure; Alcoholic hepatic failure with or without hepatic coma Acute and subacute hepatic failure Chronic hepatic failure Hepatic failure, unspecified; Hepatic failure, not elsewhere classified; Hepatic coma NOS; Hepatic encephalopathy NOS; Acute hepatitis NEC; with hepatic failure; Fulminant hepatitis NEC, with hepatic failure; Malignant hepatitis NEC, with hepatic failure; Lethal midline granuloma Wegener's granulomatosis; Necrotizing respiratory granulomatosis Progressive systemic sclerosis Acute renal failure with tubular necrosis; Tubular necrosis NOS; Acute tubular necrosis; Renal tubular necrosis Acute renal failure with acute cortical necrosis; Cortical necrosis NOS; Acute cortical necrosis; Renal cortical necrosis Acute renal failure with medullary necrosis; Medullary [papillary] necrosis NOS; Acute medullary [papillary] necrosis; Renal medullary [papillary] necrosis End-stage renal disease; ESRD Other chronic renal failure Chronic renal failure, unspecified; Chronic uremia; Diffuse sclerosing glomrulonephritis Postprocedural renal failure Shock or Circulatory collapse or Postoperative shock following abortion and ectopic and molar pregnancy Renal failure or Oliguria or Acute renal failure or Renal shutdown or Renal tubular necrosis or Uraemia following abortion and ectopic and molar pregnancy Eclampsia in pregnancy; Convulsions in pregnancy following Pre-existing hypertensive disorder or Gestational oedema with or without proteinuria or Pre-eclampsia or Unspecified maternal hypertension Eclampsia in labour; Convulsions in labour following Pre-existing hypertensive disorder or Gestational oedema with or without proteinuria or Pre-eclampsia or Unspecified maternal hypertension Eclampsia in the puerperium; Convulsions in the puerperium following Pre-existing hypertensive disorder or Gestational oedema with or without proteinuria or Pre-eclampsia or Unspecified maternal hypertension Eclampsia with pregnancy-induced or pre-existing hypertension, unspecified as to time period; Eclampsia NOS Shock during or following labour and delivery; Obstetric shock Amniotic fluid embolism; Pulmonary amniotic fluid emboli in pregnancy, childbirth or the puerperium Obstetric blood-clot embolism; Obstetric pulmonary embolism NOS; Puerperal pulmonary embolism NOS Postpartum acute renal failure; Hepatorenal syndrome following labour and delivery Cerebral haemorrhage due to birth injury Intraventricular haemorrhage due to birth injury Subarachnoid haemorrhage due to birth injury Severe birth asphyxia; Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, colour poor, tone absent; Asphyxia with 1-minute Apgar score 0-3; White asphyxia Birth asphyxia, unspecified; Anoxia NOS; Asphyxia NOS; Hypoxia NOS This category cannot be used for low APGAR score without mention of asphyxia or other respiratory problems. Tracheobronchial haemorrhage originating in the perinatal period

O15.1

O15.2 O15.9 O75.1 O88.1 O88.2 O90.4 P10.1 P10.2 P10.3 P21.0

P21.9 P26.0

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ANNEX 8. LIST OF MEDICAL CONDITIONS ALLOWED FOR REFERRAL PACKAGE

ICD CODE
P26.1 P26.8 P28.5 P29.0 P52.0 P52.1 P52.3 P52.4 P52.5 P52.6 P52.8 P52.9 P56.0 P56.9 P60 P77 Q00.0 Q06.0 Q06.2 Q06.4 Q06.8 Q22.0 Q22.4 Q23.0 Q23.2 Q23.4 Q25.2 Q25.5 Q33.3 R57.0 R57.1 R57.8 R57.9 T31.6 T31.7 T31.8 T31.9 T32.9 T79.4 T79.5 T81.1

DESCRIPTION
Massive pulmonary haemorrhage originating in the perinatal period Other pulmonary haemorrhages originating in the perinatal period Respiratory failure of newborn Neonatal cardiac failure Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn; Subependymal haemorrhage without intraventricular extension Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn; Subependymal haemorrhage with intraventricular extension Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn Intracerebral (nontraumatic) haemorrhage of fetus and newborn Subarachnoid (nontraumatic) haemorrhage of fetus and newborn Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn Other intracranial (nontraumatic) haemorrhages of fetus and newborn Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified Hydrops fetalis due to isoimmunization Hydrops fetalis due to other and unspecified haemolytic disease Disseminated intravascular coagulation of fetus and newborn; Defibrination syndrome of fetus or newborn Necrotizing enterocolitis of fetus and newborn Anencephaly; Acephaly; Acrania; Amyelencephaly; Hemianencephaly; Hemicephaly Amyelia Diastematomyelia Hydromyelia; Hydrorachis Other specified congenital malformations of spinal cord Pulmonary valve atresia Congenital tricuspid stenosis; Tricuspid atresia Congenital stenosis of aortic valve; Congenital aortic atresia; Congenital aortic stenosis Congenital mitral stenosis; Congenital mitral atresia; Duroziez' disease Hypoplastic left heart syndrome; Atresia, or marked hypolplasia aortic orifice or valve, with hypoplasia of ascending aorta and defective development of left ventricle with mitral valve stenosis or atresia Atresia of aorta Atresia of pulmonary artery Agenesis of lung; Absence of lobe of lung; Absence of lung Cardiogenic shock Hypovolaemic shock Other shock; Endotoxic shock Shock, unspecified; Failure of peripheral circulation NOS Burns involving 60-69% of body surface Burns involving 70-79% of body surface Burns involving 80-89% of body surface Burns involving 90% or more of body surface Corrosions involving 90% or more of body surface Traumatic shock; Immediate shock following unjury; Delayed shock following injury Traumatic anuria; Crush syndrome; Renal failure following crushing Shock during or resulting from a procedure, not elsewhere classified; Collapse NOS during or following a procedure; Endotoxic shock during or following a procedure; Hypovolaemic shock during or following a procedure; Septic hock during or following a proc

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