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Background
During sweep 3 of the Child of the New Century 2006 survey, information was gathered from
the parents of the cohort babies about their child’s health and health-related behaviour. This
included the identification of specific health problems associated with longstanding illness
and this information will be coded using the WHO International Classification of Diseases
10th revision, ICD10.
The variables which need to be coded using ICD-10 are listed below.
EyexC Interviewer probe for detail and write If answered ‘Yes’ to ‘Has ^childname
down (first/second/third) eye ever had any other problem(s) with
problem as respondent reports it. his/her eyesight or ^his/her eyes?"
(question Eyep)
HerxC Interviewer probe for detail and write If answered ‘Yes’ to ‘Has ^childname
down (first/second/third) ear ever had any other problem(s) with
problem as respondent reports it. his/her hearing or ^his/her ears?"
(question Herp)
Coding instructions
The object is to allocate a 3-character ICD-10 code to every response. In order to enable
this to happen, the following are provided:
Child of the New Century 2006 ICD-10 Health Coding (Version 1: 19/7/2006) - 1
Coding
1. The Blaise CAPI edit will route you to the questions which need ICD-10 coding.
1. Read the ‘answer’ carefully, this is what must be coded. If there are two separate
illnesses mentioned in the same response, then these should be coded as follows.
Code the first mentioned illness. Then code ‘yes’ at the question ‘Editor: was more
than one problem recorded at this question?’ You should remove the text for the
second illness and put it into the blank question field, and code the second illness
using the appropriate ICD-10 code.
Remember:
More than one problem may be reported – each must be given a code
Medical terms may be used
Spelling errors are common – the interviewer was typing at some speed
This may seem daunting at first, but it will become easier as you become more familiar with
the ICD-10.
Browse the printed copy of the ICD-10 structure, 3-character categories and the
associated indexes.
Locate the lead term (name of disease/condition) and modifier (describes the
condition/reason for condition). There are two types of modifiers:
Essential modifiers are indented and affect the assigned code
Non essential modifiers appear in brackets and have no bearing on
the assigned ICD-10 code
If the phrase ‘See’ or ‘See also’ appears in brackets after the lead term or modifier,
then you should go to the new term that it refers to.
The term ‘NEC’ (Not Elsewhere Classified) has two purposes ‘Firstly to warn the
coder that specified forms of such conditions are classified elsewhere, and secondly
to provide a direct reference to a residual category (.8 or .9) for a condition’.
The term ‘NOS’ (Not Otherwise Specified) means that ‘When the clinician states a
diagnosis, problem or reason for an encounter as a single term which has no
modifiers …the code assigned is that which follows the lead term e.g. anemia (NOS)
D64.9’
Aetiology and manifestation - dagger and asterisk system. The dagger represents
aetiology or underlying disease and cause. The asterisk represents the manifestation
and effect of the disease. The dagger must always be in the first position with the
asterisk in the second position. E.g. diabetic cataracts could be two separate
illnesses or one illness.
1
Please note that sometimes American spellings are used, especially with words containing ‘ae’ or ‘oe’ (e.g. anaemia, haemorrhage ). In
these cases the ICD-10 index uses only the ‘e’ to spell the word (e.g. anemia).
2
This section uses information provided on the JRRP ICD-10 Clinical Coding course 8/11/2004.
Child of the New Century 2006 ICD-10 Health Coding (Version 1: 19/7/2006) - 2
Use the interactive index to the full ICD-10 index. NB: This index identifies the 4-character
ICD-10 categories. When coding only the first 3 characters must be used.
You can also narrow or widen a search to exclude/include additional words or phrases
* Click on 'Search' in menu bar, or
* Depress ‘F7’/’F6’ to narrow/widen a search
* Depress ‘F8’ to exclude a word or phrase
Use the 'Arrow' buttons or the '+' and '-' keys to browse the selected parts of the Index
If in doubt:
* Click on 'Help' in the menu bar, or
* Ask someone who should know
Rely on your growing knowledge of the ICD-10 – but always check, even experts make
mistakes.
4. Remember, the aim is to reflect in the codes allocated as much detail as possible about
the health problems reported.
5. If in doubt, do not forget that you can use the non-ICD-10 codes:
All entries coded ‘850, 860, or 870’ will be reviewed and other codes allocated where
possible.
6. Acute/chronic conditions. Always allocate the code for the acute condition unless
there is clear evidence that the problem is chronic.
Acute – health problem that is limited in time. Treatment has the potential to fully cure.
Chronic - health problem that persists through time requiring ongoing health care.
Treatment alleviates symptoms rather than provides a cure.
Child of the New Century 2006 ICD-10 Health Coding (Version 1: 19/7/2006) - 3
IF IT’S TAKING A LONG TIME TO DECIDE WHICH CODE TO
ALLOCATE, USE ‘850, 860, or 870’ AND CONTINUE WITH THE
NEXT ANSWER.
Child of the New Century 2006 ICD-10 Health Coding (Version 1: 19/7/2006) - 4
ICD 10 Interactive Index Screens
This is the first screen that you will see when you enter the searchable index.
Remember:
When you type a term into the index, the index will select all
references for e.g. abscess and highlight them.
To scroll through each page of the index use the left and right arrow
keys and sometimes you will need to scroll down the page.
Always allocate the code for the acute condition unless there is clear
evidence that the condition is chronic.
If multiple medical conditions are mentioned in a verbatim response, you must code each
condition in the order that they are mentioned.
CHAPTERS
Chapter III: Diseases of blood and blood-forming organs and certain disorders involving the
immune mechanisms (D50-D89)
Chapter XIII: Diseases of the musculoskeletal system and connective tissue (M00-M99)
Chapter XIX: Injury, poisoning and certain other consequences of external causes (S00-T98)
Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere
classified (R00-R99)
Chapter XXI: Factors influencing health status and contact with health services (Z00-Z99)
Chapter III: Diseases of blood and blood-forming organs and certain disorders involving the
immune mechanisms (D50-D89)
Chapter XIII: Diseases of the musculoskeletal system and connective tissue (M00-M99)
Arthropathies (M00-M25)
Infectious arthropathies (M00-M03)
Inflammatory polyarthropathies (M05-M14)
Arthrosis (M15-M19)
Other joint disorders (M20-M25)
Systemic connective tissue disorders (M30-M36)
Dorsopathies (M40-M54)
Deforming dorsopathies (M40-M43)
Spondylopathies (M45-M49)
Other dorsopathies (M50-M54)
Soft tissue disorders (M60-M79)
Disorders of muscles (M60-M63)
Disorders of synovium and tendon (M65-M68)
Other soft tissue disorders (M70-M79)
Osteopathies and chondropathies (M80-M94)
Disorders of bone density and structure (M80-M85)
Other osteopathies (M86-M90)
Chondropathies (M91-M94)
Other disorders of the musculoskeletal system and connective tissue (M95-M99)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and
delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere
classified (R00-R99)
Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
Symptoms and signs involving the digestive system and abdomen (R10-R19)
Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)
Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)
Symptoms and signs involving the urinary system (R30-R39)
Symptoms and signs involving cognition, perception, emotional state and behaviour (R40-R46)
Symptoms and signs involving speech and voice (R47-R49)
General symptoms and signs (R50-R69)
Abnormal findings on examination of blood, without diagnosis (R70-R79)
Abnormal findings on examination of urine, without diagnosis (R80-R82)
Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
(R83-R89)
Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)
Ill-defined and unknown causes of mortality (R95-R99)
Chapter XIX: Injury, poisoning and certain other consequences of external causes (S00-T98)
Chapter XXI: Factors influencing health status and contact with health services (Z00-Z99)
Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)
Abnormal findings on examination of blood, without diagnosis (R70-R79)
Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
(R83-R89)
Abnormal findings on examination of urine, without diagnosis (R80-R82)
Accidental drowning and submersion (W65-W74)
Accidental exposure to other and unspecified factors (X58-X59)
Accidental poisoning by and exposure to noxious substances (X40-X49)
Acute rheumatic fever (I00-I02)
Acute upper respiratory infections (J00-J06)
Air and space transport accidents (V95-V97)
Aplastic and other anaemias (D60-D64)
Arthropathies (M00-M25)
Arthropod-borne viral fevers and viral haemorrhagic fevers (A90-A99)
Arthrosis (M15-M19)
Assault (X85-Y09)
Falls (W00-W19)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
(P00-P04)
Frostbite (T33-T35)
R64 Cachexia
M61 Calcification and ossification of muscle
N20 Calculus of kidney and ureter
N21 Calculus of lower urinary tract
N22* Calculus of urinary tract in diseases classified elsewhere
B37 Candidiasis
XXX Cannot code
V43 Car occupant injured in collision with car, pick-up truck or van
O96 Death from any obstetric cause occurring more than 42 days but less than one year after
delivery
O97 Death from sequelae of direct obstetric causes
L89 Decubitus ulcer
E53 Deficiency of other B group vitamins
E61 Deficiency of other nutrient elements
F05 Delirium, not induced by alcohol and other psychoactive substances
F00* Dementia in Alzheimer's disease
F02* Dementia in other diseases classified elsewhere
A90 Dengue fever [classical dengue]
A91 Dengue haemorrhagic fever
K02 Dental caries
K07 Dentofacial anomalies [including malocclusion]
Z99 Dependence on enabling machines and devices, not elsewhere classified
F32 Depressive episodes
L27 Dermatitis due to substances taken internally
B35 Dermatophytosis
M33 Dermatopolymyositis
O24 Diabetes mellitus in pregnancy
L22 Diaper [napkin] dermatitis
K44 Diaphragmatic hernia
A09 Diarrhoea and gastroenteritis of presumed infectious origin
E58 Dietary calcium deficiency
E59 Dietary selenium deficiency
E60 Dietary zinc deficiency
C83 Diffuse non-Hodgkin's lymphoma
A36 Diphtheria
B70 Diphyllobothriasis and sparganosis
M01* Direct infections of joint in infectious and parasitic diseases classified elsewhere
W34 Discharge from other and unspecified firearms
W39 Discharge of firework
N75 Diseases of Bartholin's gland
I78 Diseases of capillaries
K04 Diseases of pulp and periapical tissues
K11 Diseases of salivary glands
D73 Diseases of spleen
E32 Diseases of thymus
K14 Diseases of tongue
J38 Diseases of vocal cords and larynx, not elsewhere classified
S73 Dislocation, sprain and strain of joint and ligaments of hip
S93 Dislocation, sprain and strain of joints and ligaments at ankle and foot level
S13 Dislocation, sprain and strain of joints and ligaments at neck level
S63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level
S53 Dislocation, sprain and strain of joints and ligaments of elbow
S03 Dislocation, sprain and strain of joints and ligaments of head
S83 Dislocation, sprain and strain of joints and ligaments of knee
S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis
S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle
S23 Dislocation, sprain and strain of joints and ligaments of thorax
E66 Obesity
F42 Obsessive-compulsive disorder
Y76 Obstetric and gynaecological devices associated with adverse incidents
O95 Obstetric death of unspecified cause
O88 Obstetric embolism
A34 Obstetrical tetanus
O64 Obstructed labour due to malposition and malpresentation of fetus
O65 Obstructed labour due to maternal pelvic abnormality
N13 Obstructive and reflux uropathy
I66 Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
I65 Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction
V63 Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van
V67 Occupant of heavy transport vehicle injured in collision with fixed or stationary object
V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus
V66 Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle
V60 Occupant of heavy transport vehicle injured in collision with pedestrian or animal
V61 Occupant of heavy transport vehicle injured in collision with pedal cycle
V65 Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle
V62 Occupant of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle
V68 Occupant of heavy transport vehicle injured in noncollision transport accident
V69 Occupant of heavy transport vehicle injured in other and unspecified transport accidents
V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or van
V57 Occupant of pick-up truck or van injured in collision with fixed or stationary object
V54 Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus
V56 Occupant of pick-up truck or van injured in collision with other nonmotor vehicle
V51 Occupant of pick-up truck or van injured in collision with pedal cycle
V50 Occupant of pick-up truck or van injured in collision with pedestrian or animal
V55 Occupant of pick-up truck or van injured in collision with railway train or railway vehicle
V52 Occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle
V58 Occupant of pick-up truck or van injured in noncollision transport accident
V59 Occupant of pick-up truck or van injured in other and unspecified transport accidents
V81 Occupant of railway train or railway vehicle injured in transport accident
V86 Occupant of special all-terrain or other motor vehicles designed primarily for off-road use,
injured in transport accident
V85 Occupant of special construction vehicle injured in transport accident
V84 Occupant of special vehicle mainly used in agriculture injured in transport accident
V83 Occupant of special vehicle mainly used on industrial premises injured in transport accident
V82 Occupant of streetcar injured in transport accident
V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal
V31 Occupant of three-wheeled motor vehicle injured in collision with pedal cycle
V32 Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor
vehicle
V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van
V34 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus
A78 Q fever
A82 Rabies
L58 Radiodermatitis
Y78 Radiological devices associated with adverse incidents
N01 Rapidly progressive nephritic syndrome
R21 Rash and other nonspecific skin eruption
A25 Rat-bite fevers
F43 Reaction to severe stress, and adjustment disorders
P93 Reactions and intoxications due to drugs administered to fetus and newborn
M02 Reactive arthropathies
N02 Recurrent and persistent haematuria
F33 Recurrent depressive disorder
Q72 Reduction defects of lower limb
Q73 Reduction defects of unspecified limb
Q71 Reduction defects of upper limb
N47 Redundant prepuce, phimosis and paraphimosis
A68 Relapsing fevers
Q60 Renal agenesis and other reduction defects of kidney
N16* Renal tubulo-interstitial disorders in diseases classified elsewhere
J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours
J70 Respiratory conditions due to other external agents
J99* Respiratory disorders in diseases classified elsewhere
P22 Respiratory distress of newborn
J96 Respiratory failure, not elsewhere classified
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
A16 Respiratory tuberculosis, not confirmed bacteriologically or histologically
O73 Retained placenta and membranes, without haemorrhage
E45 Retarded development following protein-energy malnutrition
R33 Retention of urine
H33 Retinal detachments and breaks
H36* Retinal disorders in diseases classified elsewhere
B68 Taeniasis
E29 Testicular dysfunction
A33 Tetanus neonatorum
D56 Thalassaemia
E51 Thiamine deficiency
W77 Threat to breathing due to cave-in, falling earth and other substances
E06 Thyroiditis
E05 Thyrotoxicosis [hyperthyroidism]
F95 Tic disorders
A84 Tick-borne viral encephalitis
Y56 Topical agents primarily affecting skin and mucous membrane and ophthalmological,
otorhinolaryngological and dental drugs
N44 Torsion of testis
T64 Toxic effect of aflatoxin and other mycotoxin food contaminants
T51 Toxic effect of alcohol
T58 Toxic effect of carbon monoxide
T63 Toxic effect of contact with venomous animals
T54 Toxic effect of corrosive substances
T53 Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons
T56 Toxic effect of metals
T61 Toxic effect of noxious substances eaten as seafood
T52 Toxic effect of organic solvents
T65 Toxic effect of other and unspecified substances
T59 Toxic effect of other gases, fumes and vapours
T57 Toxic effect of other inorganic substances
T62 Toxic effect of other noxious substances eaten as food
T60 Toxic effect of pesticides
T55 Toxic effect of soaps and detergents
G92 Toxic encephalopathy
K71 Toxic liver disease
B58 Toxoplasmosis
A71 Trachoma
V87 Traffic accident of specified type but victim's mode of transport unknown
L87 Transepidermal elimination disorders
G45 Transient cerebral ischaemic attacks and related syndromes
P70 Transitory disorders of carbohydrate metabolism specific to fetus and newborn
P71 Transitory neonatal disorders of calcium and magnesium metabolism
Z94 Transplanted organ and tissue status
S18 Traumatic amputation at neck level
S98 Traumatic amputation of ankle and foot
S58 Traumatic amputation of forearm