ICD-10

1
INTRODUCTION TO
ICD-10
2
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?.?. ?????? ????????

• ???????????????? ???????????????????????????????
  
• ??????????????????-???????????
• ?????????????????????????
• ????????????????????????????
• ?????????????????????????????????
• ??????????????????????????????????????????
  ????????
• ????????????????? ICD-10-TM
• ?????????????????????????????? ICD-10-TM
  ????????????????
• ????????????????????? ICD-10 ????????????????

3
ICD ????????????
ICD
International Statistical Classification of
Diseases and related Health Problems
??????????????????????????
4
ICD ???????
ICD

• ???????????
• ???????????????????????????????????????
  ?????????????
• 2. ?????????????????????????????

5
ICD ?????????????????
ICD

• ????????????????????????
• ??????????
• ????????
• ???????????????
• ???????????????????
• ?????????????????????????

6
ICD ?????????????????
ICD-10 10th Revision of ICD ICD-10-TM Thai
modification of ICD-10
7
????????????? ICD-10
? ?????????????????????????
? ???????????????????????????????????????????????
??? ??????? A ??? Z ???????????????? 2 4 ????
?????????????? 3 ??? 4 ????????? ????
A09 Diarrhoea and gastroenteritis of presumed
infectious origin K52.9 Noninfective
gastroenteritis and colitis, unspecified M00.96
Pyogenic arthritis, unspecified, of knee joint
8
?????????????? ICD-10
?????????????????????????
?????????? 1 ????????????????
?????????????, ???????? ????????????
P
O
???????????
?????????
9
?????????????? ICD-10
?????????
?????????? 2 ?????????
A, B
C, D
???????????
????????-??????
Q
S, T
??????????????
??????????
??????????
10
?????????????? ICD-10
??????????
?????????? 3 ?????????????
D50-D89
????????
?????????????????
I
J
E
?????????????
?????????
K
??????
F
????????????????
??????????
L
??????????
G
M
???????????????????
?????
H00-H59
???????????????????
N
????? ?? ????
H60-H95
????????
11
?????????????? ICD-10
????????
R
?????????????????
????????????
Z
?????????
U
????????????
V, W, X, Y
12
??????????????? ICD-10
1 Certain infectious and parasitic diseases (A00-B99)
2 Neoplasms (C00-D48)
3 Diseases of blood and blood forming organs (D50-D89)
4 Endocrine, nutritional and metabolic diseases (E00-E90)
5 Mental and behavioral disorders (F00-F99)
6 Nervous system (G00-G99)
7 Eye (H00-H59)
8 Ear and mastoid process (H60-H95)
9 Circulatory system (I00-I99)
10 Respiratory system (J00-J99)
11 Digestive system (K00-K93)
12 Skin and subcutaneous tissue (L00-L99)
13
??????????????? ICD-10
13 Musculoskeletal system (M00-M99)
14 Genitourinary system (N00-N99)
15 Pregnancy, childbirth and the puerperium (O00-O99)
16 Certain conditions originating in the perinatal period (P00-P96)
17 Congenital malformations (Q00-Q99)
18 Symptoms, signs and abnormal clinical and laboratory findings (R00-R99)
19 Injury and poisoning (S00-T98)
20 External causes of morbidity and mortality (V01-Y98)
21 Factors influencing health status and contact with health services (Z00-Z99)
22 Codes for special purposes (U00-U99)
14
???????????????????????
? ??????????????????????????? ???????????????????
?????????? ???????????????? ????????????????????
??????? ??????????????????????? ????
Abdominal and pelvic pain
R10
R10.0 Acute abdomen R10.1
Pain localized to upper abdomen
R10.2 Pelvic and perineal pain
R10.3 Pain localized to other part of abdomen
R10.4 Other and unspecified abdominal pain
15
???????????????????????
? ??????????????????????????????
?????????????????? ??????????????????????????????
??????????? ???????????????????????? ????
R05
Cough Flatulence and related conditions Ascites
R14
R18
16
???????????????????????
?????????
A01
Typhoid and parathyphoid fever
A01.0 Thyphoid fever
Infection due to Salmonella typhi A01.1
Parathyphoid fever A A01.2 Parathyphoid
fever B A01.3 Parathyphoid fever C A01.4
Parathyphoid fever, unspecified
Infection due to Salmonella paratyphi NOS A01.8
Other specified salmonella infection A01.9
Salmonella infection, unspecified
???????????
17
????????????? ICD-10
???? 3 ????????????????? E10 Insulin-dependent
diabetes mellitus E11 Non-insulin dependent
diabetes mellitus E12 Malnutrition-related
diabetes mellitus E13 Other specified diabetes
mellitus E14 Unspecified diabetes mellitus
18
????????????? ICD-10
??????????? 4 ????????????? .0 with coma .1 with
ketoacidosis .2 with renal complications .3 with
ophthalmic complications .4 with neurological
complications .5 with peripheral circulatory
complications .6 with other specified
complications .7 with multiple complications .8 wi
th unspecified complications .9 without
complications
19
????????????? ICD-10
???? 3 ?????????????? O03 Spontaneous
abortion O04 Medical abortion O05 Other
abortion O06 Unspecified abortion
20
????????????? ICD-10
??????????? 4 ?????????? .0 incomplete,
complicated by genital tract and pelvic
infection .1 incomplete, complicated by
delayed or excessive haemorrhage .2
incomplete, complicated by embolism .3
incomplete, with other and unspecified
complications .4 incomplete, without
complication .5 complete or unspecified,
complicated by genital tract and pelvic
infection .6 complete or unspecified,
complicated by delayed or excessive
haemorrhage .7 complete or unspecified,
complicated by embolism .8 complete or
unspecified, with other and unspecified
complications .9 complete or unspecified,
without complication
21
?????????????????????????? ICD-10
A03
Shigellosis
A03.0 Shigellosis due to Shigella dysenteriae
Group A shigellosis Shiga-Kruse
dysentery A03.1 Shigellosis due to Shigella
flexneri Group B shigellosis A03.2 Shigellosis
due to Shigella boydii Group C shigellosis
A03.3 Shigellosis due to Shigella sonnei Group
D shigellosis A03.8 Other shigellosis A03.9 Shigel
losis, unspecified Bacillary dysentery NOS
??????????? ?????? ??????????????? ??????????????
?????????????????????????????????? ???????????????
??????????????????????? ?????????????????
22
?????????????????????????????

• ?????????? ????????????????? ??? ??????????
  ICD-10 ???? ICD-10-TM ???? ICD-9-CM
• ?????????????????????????????????????? ????
  ?????????? ?????????????????????? ?????????????

23
?????????? ICD-10-TM
Volume 1 Tabular list of diseases Volume
2 Alphabetical index of diseases Volume
3 Procedural codes Volume 4 Alphabetical
index of procedural codes Volume 5 Standard
coding guidelines
24
Volume 1
25
????????????? ICD-10-TM Volume 1
? ????
? ????????? 3 ????
? ????????? 4 ????
? ???????????????????????? (ICD-O)
? ??????????? morbidity mortality
? ???????????
26
??????????????????

• ??????????????????????????????????????
  ????????????????????????????????
• ??????????????????????????????????????
  ??????????????????????????????????????????????????
  ??????????? ?????????????????????????????????????
  ?????

Flatulence and related conditions Abdominal
distension (gaseous) Bloating
Eructation Gas
pain Tympanites (abdominal) (intestinal)
R14
27
Inclusion ??? exclusion

• ????? includes ??? excludes
  ??????????????????????????????????????????????????
  ??????????????????
• ????????? excludes ????????????????????????????
  ??????????????????????

Chronic renal failure Includes chronic
uraemia diffuse sclerosing
glomerulonephritis Excludes chronic renal
failure with hypertension (I12.0)
N18
28
?????????????????????

• ????????????????????????????????????
  ?????????????????????????????????????????????????
  ???? ??????????? 5 ???????????? M00
  ????????????????????????????? ???????????????????
  13 ?????????????? See site code at the
  beginning of this chapter

Pyogenic arthritis
See site code at the
beginning of this chapter
M00
M00.0 Staphylococcal arthritis and poly
arthritis M00.1
Pneumococcal arthritis and polyarthritis
M00.2 Other
streptococcal arthritis and polyarthritis
M00.8 Arthritis and
polyarthritis due to other specified bacterial
agents Use additional code (B95-B96), if
desired, to identify bacterial agent M00.9
Pyogenic arthritis, unspecified
Infective
arthritis NOS
29
?????????????????????
0 Multiple sites
1 Shoulder region Clavicle, Scapula, Acromioclavicular joint, glenohumeral joint, Sternoclavicular joint
2 Upper arm Humerus, Elbow joint
3 Forearm Radius, Ulnar, Wrist joint
4 Hand Carpus, Fingers, Metacarpus, Joints between these bones
5 Pelvic region and thigh Buttock, Femur, Pelvis, Hip joint, Sacroiliac joint
6 Lower leg Fibula, Tibia, Knee joint
7 Ankle and foot Metatarsus, Tarsus, Toes, Ankle joint, Other joints in foot
8 Others Head, Neck, Ribs, Skull, Trunk, Vertebral column
9 Site unspecified
30
?????????? Volume 1
And ????? and ?????????? ?????????????
and/or ???? A18.0 Tuberculosis of bones and
joints ?????????????????????? tuberculosis of
bones, tuberculosis of joints ??? tuberculosis
of bones and joints
31
?????????? Volume 1
Other specified ???????????????????????
other ?????????????????????????????????????????
?????????????????????????????????????? Unspecifie
d ???????????????????????????????????????????????
?????????? J02 Acute pharyngitis
J02.1 Streptococcal pharyngitis J02.8
Acute pharyngitis due to other specified
organisms J02.9 Acute pharyngitis,
unspecified
32
??????????????????? Volume 1
?????? ( ) ??????? 1 ???????????????????????????
?????????????????? ?????????? ????????
???? I10 Hypertension (arterial)(benign)(e
ssential) (malignant)(primary)(syste
mic) ??????? 2 ????????? exclusion
????????????????????????????? exclude
???????????????? ???? H01.0
Blepharitis Excludes blepharoconjunctivitis
(H10.5) ??????? 3 ??????????? 3
????????????????????? ???? Malignant
neoplasms (C00-C97) ??????? 4 ???????????????????
??????????????????? ???? M90.0
Tuberculosis of bone (A18.0)
33
??????????????????? Volume 1
?????? ??????? 1 ???????????????????????????
??????? ???? A30 Leprosy Hansens
disease ??????? 2 ??????????????????????????????
???????????????? ???? C00.8 Overlapping
lesion of lip See note 5 at the
beginning of this chapter ???????
3 ????????????????????????????????????????????????
???????? ???? K27 Peptic ulcer, site
unspecified See
before K25 for subdivisions
34
??????????????????? Volume 1
??????????? _at_ ??????????????????????????????????
??? ???? _at_ C14.1 Malignant neoplasm of
laryngopharynx
35
??????????????????? Volume 1
??????????? ??????????????????????????????????
??????? ICD-10-TM ???? A91 Dengue
haemorrhagic fever A91.0 Dengue haemorrhagic
fever with shock A91.1 Dengue haemorrhagic
fever without shock A91.9 Dengue haemorrhagic
fever, unspecified A63.0 Anogenital (veneral)
warts Anogenital condyloma acuminatum
36
???????????????? Volume 1

• NOS
• ???????? not otherwise specified
• ?????? ?????????????????????????????????
• ??????????????????????? unspecified ???
  unqualified

A04.9 Bacterial intestinal infection,
unspecified Bacterial enteritis NOS
37
Volume 2
38
????????????? Volume 2
? ????
? ????????????????????????????????????????????
? ????????????????????????????????????????????????
????????????????
? ????????????????????????????????????????????????
????????????? ???????????????????????????????????
??
39
?????????????
Accident birth - see Birth, injury cardiac
(see also Infarct, myocardium) I21.9
cardiovascular (see also Disease,
cardiovascular) I51.6 cerebral I64
cerebrovascular I64 hemorrhagic I61.9
old I69.4 coronary (see also Infarct,
myocardium) I21.9 craniovascular I64 during
pregnancy, to mother affecting fetus or
newborn P00.5 vascular, brain I64
40
????? (Tables)
? ???????????????????????????????
(??????????????????? abortion)
? ?????????????????????????? ?????????????????????
?????????????? (??????????????????? neoplasm)
? ????????????????????????????????????????????????
??????????????????? (???????????????????
accident)
41
Table of land transport accident
????? (Tables)
Victim and mode of transport In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in In collision with or involved in
Victim and mode of transport Pedestrian or animal Pedal cycle Two- or three-wheeled motor vehicle Car, pick-up truck or van Heavy transport vehicle or bus Other motor vehicle Railway train or vehicle Other nonmotor vehicle including animal-driven vehicle Fixed or stationary object Noncollision transport accident Other or unspecified transport accident
Pedestrian (W51.-) V01.- V02.- V03.- V04.- V09.- V05.- V06.- (W22.5-) - V09.-
Pedal cyclist V10.- V11.- V12.- V13.- V14.- V19.- V15.- V16.- V17.- V18.- V19.-
Motorcycle rider V20.- V21.- V22.- V23.- V24.- V29.- V25.- V26.- V27.- V28.- V29.-
Occupant of - Three-wheeled motor vehicle V30.- V31.- V32.- V33.- V34.- V39.- V35.- V36.- V37.- V38.- V39.-
- Car V40.- V41.- V42.- V43.- V44.- V49.- V45.- V46.- V47.- V48.- V49.-
- Pick-up truck or van V50.- V51.- V52.- V53.- V54. V59.- V55.- V56.- V57.- V58.- V59.-
42
????????????
Substance Poisoning Poisoning Poisoning Poisoning Adverse effect of therapeutic use
Substance Chapter XIX Accidental Intentional self-harm Undetermined intent Adverse effect of therapeutic use
Acetaminophen T39.1 X40.- X60.- Y10.- Y45.5
Paracetamol T39.1 X40.- X60.- Y10.- Y45.5
Insect (sting), venomous T63.4
Insecticide NEC T60.9 X48.- X68.- Y18.-
- Organophosphorus T60.0 X48.- X68.- Y18.-
43
?????????? Volume 2
See ??????????? ????????????????????????????????
????????? ???? Candidosis ? see
Candidiasis See also ???????????
???????????????????????????????
???????????????????????? ???? Enlargement,
enlarged ? see also Hypertrophy
44
?????????? Volume 2
See condition ??????????? ??????????????????????
????? ???????????? ???????????????????
???? Chronic ? see condition
45
BASIC RULES
46
?????????????????????????

• ?????????????????????????????????????????????????
  ??????? ???????????????????????
  ????????????????????????????????

47
???????????????????????????????
????????????????????
??????????????
????????????????
?????????????
????????????????, ?????????????????,
?????????????????????????
??????????????????
?????????? ?????????
????
???????
???????
???????
????????
48
ICD-10 ?????????????????????
???????? ????????????? ???????? ??????????????????
???????? ????????????????? ????????? ????????????
????
??????????????????????????????????????????????????
??? ?? ??????????????????????????????
49
????????????????

• ?????????????????????????????????????????????????
  ????
• ?????????????????????????????????????????????????
  ????????
• ?????????????????????????????????????????????????
  ??????

50
???????????????????????????

• ??????????????????? ????????????????????????????
  ????????? ???????????????????????????????????????
  ???????????????????? ????????????????????????????
  ??????????? ?????????????? index
  ??????????????????????????????????????????????????
  ????????

B35.3 Tinea pedis Athletes
foot Dermatophytosis of foot Foot
ring worm Hong Kong foot
51
????????????????

• ??????? ??????? ?????????????????????????????????
  ?? 1 ??? ???????????????????????????????????????
  ???????????????????????? ????????????????????????
  ????????????????? ????????????????????????
  ??????????????????????? 2 ?????????????????
  ??????????????????????????????

I05.2 Mitral stenosis with insufficiency J85.1
Abscess of lung with pneumonia K80.0 Calculus of
gallbladder with acute cholecystitis N20.2
Calculus of kidney with calculus of ureter N70.0
Acute salpingitis with oophoritis Q37.9 Cleft
lip with cleft palate
52
????????????? 2 ????
??????????????? ?????????????????????????????????
???????????????? ??????????? 2
???? ??????????????? ???????????????????????
?????????????????????????? ?????????????????
???????????????????????????????????
53
????????????????????????

• ??????? 1
• A06.6 Amoebic brain abscess (G07)
• Amoebic abscess of brain (and liver) (and lung)
• ??????? 2
• G07 Intracranial and intraspinal abscess and
  granuloma in diseases classified elsewhere
• Abscess of brain
• amoebic (A06.6)
• gonococcal (A54.8)
• tuberculous (A17.8)

54
????????????????????????
??????? 3 A54.8 Other gonococcal
infections Gonococcal ? brain abscess
(G07) ? endocarditis (I39.8) ? meningitis
(G01) ? myocarditis (I41.0) ? pericarditis
(I32.0) ? peritonitis (K67.1) ? pneumonia
(J17.0) ? septicaemia ? skin lesions ? stomatitis
55
????????????????????????????
Eclampsia
? in pregnancy . . . O15.0
? in labour . . . O15.1
? in the puerperium . . . O15.2
? unspecified as to time period . . . O15.9
56
???????????????????????????????????
Bartholins abscess
? non-pregnant female . . . N75.1
? in pregnancy . . . O23.5, N75.1
? in the puerperium . . . O86.1, N75.1
? in pregnancy . . . O23.5, N75.1
? in the puerperium . . . O86.1, N75.1
57
???????????????????, ???? ???????????

• ?????????????????? O
• ???????????????????????????????????????? O
  ?????????????????????? O98.- Maternal infectious
  and parasitic diseases classifiable elsewhere but
  complicating pregnancy, childbirth and the
  puerperium ???? O99.- Other maternal diseases
  classifiable elsewhere but complicating
  pregnancy, childbirth and the puerperium
  ???????????????????????????????

58
O98.-
O98.0 Tuberculosis Conditions in
A15-A19 O98.1 Syphilis Conditions in
A50-A53 O98.2 Gonorrhoea Conditions in
A54.- O98.3 Other infections with a predominantly
sexual mode of transmission Conditions in
A55-A64 O98.4 Viral hepatitis Conditions in
B15-B19 O98.5 Other viral diseases Conditions in
A80-B09, B25-B34 O98.6 Protozoal diseases
Conditions in B50-B84 O98.8 Other maternal
infectious and parasitic diseases
O98.9 Unspecified
59
O99.-
O99.0 Anaemia Conditions in
D50-D64 O99.1 Other diseases of the blood and
blood-forming organs and certain disorders
involving the immune mechanism Conditions in
D65-D89 O99.2 Endocrine, nutritional and
metabolic diseases Conditions in
E00-E90 O99.3 Mental disorders and diseases of
the nervous system Conditions in F00-F99 and
G00-G99 O99.4 Diseases of the circulatory system
Conditions in I00-I99 O99.5 Diseases of the
respiratory system Conditions in
J00-J99 O99.6 Diseases of the digestive system
Conditions in K00-K93 O99.7 Diseases of the
skin and subcutaneous tissue Conditions in
L00-L99 O99.8 Other Conditions in C00-D48,
H00-H95, M00-M99, N00-N99, and Q00-Q99
60
????????????????????

• ????????? ??????? ???????????????????????????????
  ???? 1 ??? ?????????????????????????????????????
  ?????? ????????????????? ?????????????

D48.9 Neoplasm of uncertain or unknown behaviour,
unspecified I99 Other and unspecified
disorders of circulatory system N64.9 Disorder of
breast, unspecified P96.9 Condition originating
in the perinatal period, unspecified R99 Other
ill-defined and unspecified causes of
mortality S09.9 Unspecified injury of head T07
Unspecified multiple injuries T08 Fracture of
spine, level unspecified T10 Fracture of upper
limb, level unspecified T12 Fracture of lower
limb, level unspecified
61
??????? ?????????
62
??????????????????
??? . . . . ??????????? ?
63
??????????????????
??????????????? ??????????????????
64
?????????????????????????????????
? ??????????????????????????
? ??????????????? (?????) ????????????????????
? ????? ?????? ????????????????
? ??? ?????? ???????????????????????????????
? ??????????????????? ?????????????????????????????????????????????????????????????????????
65
??????

• ??? ???????????????????????????? ????????????
  ??????????????????????? ????????????????

• ???????????????????????????????????? disease,
  disorder ???? syndrome ??????????? disease,
  disorder ???? syndrome ??????????

66
????????????????????????????????????
??????????????????

• Inclusion

• Exclusion

• ?????????????? ??????????????? ??????????????????

• ??????????????????????

• ?????????????????????????? 5

67
????????????????????????????????????
Acute tubulo-interstitial nephritis
Acute ? infectious interstitial
nephritis ? pyelitis ? pyelonephritis
Use additional code (B95-B97), if desired, to
identify infectious agent.
N18
68
????????????????????????????????????
Chronic renal failure
Includes chronic uraemia diffuse
sclerosing glomerulonephritis
Excludes chronic renal failure with
hypertension (I12.0) N18.0 End-stage renal
disease N18.1 Other chronic renal failure
Uraemic
? neuropathy (G63.8) ? pericarditis
(I32.8) N18.9 Chronic renal failure,
unspecified
N18
69
???????????
1 Enteric fever
2 Acute tonsillitis
3 Lower abdominal pain
4 ANC (antenatal care)
5 Abscess at buttock
6 Congestive heart failure
7 Incomplete abortion
8 Green pit viper snake bite
9 URI (upper respiratory tract infection)
10 Laceration wound left leg
70
????????????????
71
????????????????????
? Principal diagnosis (???????????????)
? Comorbidity (???????????????)
? Complication (???????)
? External cause (????????????)
? Other diagnoses (???????????????)
? Non-OR procedure (???????)
72
???????????????
? ?????? ?????????????????????????????
? ????????????????????????????????????????????????????????????
? ????????????????????????????????? ????????????????????????????????????????
? ???????????? ???????????????????????
? ?????????????? ?????????????????????????????????????????????
73
???????????????
? ???????? ????????????? 1 ???????????
? ????????????????????????????????? ??????????????????????????????????????????????????????? ??????????????????????????????????????????
74
???????
? ???????? ????????????? 1 ???????????
? ??????????????????????????????????????????????? ???????????????????????????????
? ??????????????????????????????????????? ?????? ????????????????????????????????????????????????????????
75
????????????????
? ???????? ????????????? 1 ???????????
? ??????????????? ???????????????????????????????????????????????????????????????? ????????????????????? ????????????????????????????? ??????? ???????????? ???????????????????????????????????????????
76
????????????
? ??????????????????????????????????????????
? ???????????????????????????????????????????????? ???????????? ?????????????? ????????????????
? ?????????????????????? ??????????????? ???????????????? ???????????????????????????????
? ????????????????????????? ????????????????????????????????????????????????? ?????????????????????????? ?????????????????????
77
????????????
? ???????????????????????????????????? ?????????????? 19 (????? S ???? T) ??????????????????? ??????????????? 20 (????? V, W, X ???? Y) ????????????????????
? ??????????????????? 19 (????? S ???? T) ???????????????????????????????????????????????????????????????????????????????? ?????????????????????????? (????? Y) ???????????????????????????????????????
78
????????????????
V01-V99 Transport accidents
?????????????? (??? Y06 ??? Y07) ???????? 4
???????????? ?????????????????????????????? 5
???????????????????????????????????????????????
79
????????????????
W00-X59 Other accidents
X60-X84 Intentional self-harm
X85-Y09 Assault
Y10-Y34 Undetermined intent
?????????????? (?????? Y06 ??? Y07) ???????? 3
???? ?????????????????????????????? 4
???????????????????????? ?????????????? 5
???????????????????????????????????????????????
80
????????????????
Y35 Legal intervention
Y36 Operations of war
Y40-Y84 Complications of medical and surgical care
Y85-Y89 Sequelae of external causes
Y90-Y98 Supplementary factors
?????????????????????????????????????????????????
?????????????????????????????????????????????????
81
?????????????????????????
? ???????????????????????????????????????-?????? (dagger-asterisk system) ???????????????????????????????? () ??????????????????????? ?????????????????????????????????? () ???????????????????????
? ????????????????????????????????? () ????????????????????????????????
82
???????? ??????????? Herpesviral ulceration of
vulva
?????????? Herpesviral ulceration of vulva ???
A60.0 N77.0
??????????????? A60.0 Herpesviral infection of
genitalia and urogenital tract ???????????????
N77.0 Ulceration of vulva in infectious and
parasitic diseases classified elsewhere

83
???????????????????????????
? ????????????????????? 5 ???? ?????????????? 5 ???????? ???? 4 ????????????????????????????????????????
? ????????????????????? 4 ???? ?????????????? 4 ???????? ???? 3 ????????????????????????????????????????
84
?????????????????????????????????????
? ?????????????????????????? () ?????
? ??????????????? V, W, X, Y ??????????????????????????????
? ???? B95 - B97 ??????????????????????????????????
? ???? P00-P04 ?????????????????????????????????????????????????
? ???? Z37.- ????????????????????
? ???? U80 U89 ?????????????????????????????????????????????
85
?????????

• ????????? ???? ???????????????? ????
  ??????????????????????, ???????????, ???????
  HIV ???????????????? ???????????????????????????
  ????????????????????????????????????

86
????? ??? ?????????
? ?????????????????????????????? ????????????????????????????????????????????????????????
? ???????????????????????????????????????????????????????????????????????????????????
? ??????????????????????????????????????????? 18 ???????????????? R ????????????????????????????????????????????????????
87
????????????????? ??? ?????????
R00.2 Palpitations
R04.0 Epistaxis
R07.4 Chest pain, unspecified
R10.1 Pain localized to upper abdomen
R14 Flatulence and related conditions Gas pain
R17 Unspecified jaundice
R31 Unspecified haematuria
R42 Dizziness and giddiness Vertigo
R50.9 Fever, unspecified
R51 Headache
R53 Malaise and fatigue
R56.0 Febrile convulsion
88
????????????????? ??? ?????????
E66.9 Obesity, unspecified
E86 Volume depletion
F10.0 Acute alcohol intoxication Drunkenness
F10.2 Alcohol dependence syndrome Chronic alcoholism
H91.9 Hearing loss, unspecified
J02.9 Sore throat (acute)
K30 Dyspepsia Indigestion
K59.0 Constipation
K92.2 Gastrointestinal haemorrhage, unspecified
M25.5 Pain in joint
M79.1 Myalgia
N94.6 Dysmenorrhoea, unspecified
89
???????????
?????????????????????????????????????????????????
??
Z00.0 General medical examination Health check-up
Z00.1 Routine child health examination
Z01.0 Examination of eye and vision
Z01.2 Dental examination
Z01.3 Examination of blood pressure
Z01.4 Gynecological examination
Z01.7 Laboratory examination
90
????????????????
Z23.0 Need for immunization against cholera alone
Z25.1 Need for immunization against influenza
Z27.3 Need for immunization against diphtheria-tetanus- pertussis with poliomyelitis DPT polio
Z30.1 Insertion of (intrauterine) contraceptive device
Z30.4 Surveillance of contraceptive drugs
Z32.1 Pregnancy examination and test, pregnancy confirmed
Z34.0 Supervision of normal first pregnancy
Z48.0 Attention to surgical dressings and sutures
91
???????? ???????????????????????????????????????
? 10 ?? ???????? 5 ??????????????????????
????????????????????? ???????????????????
?????????????? ????????????? ??.
????????????????????? ?????????? ??????????
??????????????? ??? (a) ???????????????
(b) ???????
(c) ???????? (e)
?????????? (f)
???????? (g) ??????????
?
92
???????? ?????????? ????????????????????????
???????????? 5 ?.?.?????????? ???????????????????
???????? ?????????????????????? ?????????
??????????????????????????????????????
????????????????????????????
??????????????? ??? (a) ???
(b) ????????????????????????
(c) ?????? 5 ?.?.??????????
(d) ???????????????????????????
(e) ???????????????
(f) ??????????????
(g) ?????????
(h) ????????
?
93
????????????????????????