Disorders of thyroid gland

(E00-E07)

E00Congenital iodine-deficiency syndrome

Incl.:

endemic conditions associated with environmental iodine deficiency either directly or as a consequence of
maternal iodine deficiency. Some of the conditions have no current hypothyroidism but are the consequence
of inadequate thyroid hormone secretion in the developing fetus. Environmental goitrogens may be
associated.

Use additional code (F70-F79), if desired, to identify associated mental retardation.

Excl.:
subclinical iodine-deficiency hypothyroidism (E02)

E00.0Congenital iodine-deficiency syndrome, neurological type

Endemic cretinism, neurological type

E00.1Congenital iodine-deficiency syndrome, myxoedematous type

Endemic cretinism:

 hypothyroid
 myxoedematous type

E00.2Congenital iodine-deficiency syndrome, mixed type

Endemic cretinism, mixed type

E00.9Congenital iodine-deficiency syndrome, unspecified

Congenital iodine-deficiency hypothyroidism NOS

Endemic cretinism NOS

E01Iodine-deficiency-related thyroid disorders and allied conditions

Excl.:

congenital iodine-deficiency syndrome (E00.-)

subclinical iodine-deficiency hypothyroidism (E02)

E01.0Iodine-deficiency-related diffuse (endemic) goitre

E01.1Iodine-deficiency-related multinodular (endemic) goitre

Iodine-deficiency-related nodular goitre

E01.2Iodine-deficiency-related (endemic) goitre, unspecified

Endemic goitre NOS

E01.8Other iodine-deficiency-related thyroid disorders and allied conditions

Acquired iodine-deficiency hypothyroidism NOS

E02Subclinical iodine-deficiency hypothyroidism

E03Other hypothyroidism
Excl.:

iodine-deficiency-related hypothyroidism (E00-E02)

postprocedural hypothyroidism (E89.0)

E03.0Congenital hypothyroidism with diffuse goitre

 Goitre (nontoxic) congenital:

 NOS
 parenchymatous

Excl.:
transitory congenital goitre with normal function (P72.0)

E03.1Congenital hypothyroidism without goitre

Aplasia of thyroid (with myxoedema)

Congenital:

 atrophy of thyroid
 hypothyroidism NOS

E03.2Hypothyroidism due to medicaments and other exogenous substances

Use additional external cause code (Chapter XX), if desired, to identify cause.

E03.3Postinfectious hypothyroidism

E03.4Atrophy of thyroid (acquired)

Excl.:

congenital atrophy of thyroid (E03.1)

E03.5Myxoedema coma

E03.8Other specified hypothyroidism

E03.9Hypothyroidism, unspecified
Myxoedema NOS

E04Other nontoxic goitre

Excl.:

congenital goitre:

 NOS (E03.3)
 diffuse (E03.3)
 parenchymatous (E03.3)

iodine-deficiency-related goitre (E00-E02)

E04.0Nontoxic diffuse goitre

Goitre, nontoxic:

 diffuse (colloid)
 simple

E04.1Nontoxic single thyroid nodule

Colloid nodule (cystic)(thyroid)

Nontoxic uninodular goitre

Thyroid (cystic) nodule NOS

E04.2Nontoxic multinodular goitre

Cystic goitre NOS

Multinodular (cystic) goitre NOS

E04.8Other specified nontoxic goitre

E04.9Nontoxic goitre, unspecified
Goitre NOS

Nodular goitre (nontoxic) NOS

E05Thyrotoxicosis [hyperthyroidism]
Excl.:

chronic thyroiditis with transient thyrotoxicosis (E06.2)

neonatal thyrotoxicosis (P72.1)

E05.0Thyrotoxicosis with diffuse goitre

Exophthalmic or toxic goitre NOS

Graves disease

Toxic diffuse goitre

E05.1Thyrotoxicosis with toxic single thyroid nodule

Thyrotoxicosis with toxic uninodular goitre

E05.2Thyrotoxicosis with toxic multinodular goitre

Toxic nodular goitre NOS

E05.3Thyrotoxicosis from ectopic thyroid tissue

E05.4Thyrotoxicosis factitia

E05.5Thyroid crisis or storm

E05.8Other thyrotoxicosis
Overproduction of thyroid-stimulating hormone

Use additional external cause code (Chapter XX), if desired, to identify cause.

E05.9Thyrotoxicosis, unspecified
Hyperthyroidism NOS

Thyrotoxic heart disease+ (I43.8*)

E06Thyroiditis
Excl.:

postpartum thyroiditis (O90.5)

E06.0Acute thyroiditis
Abscess of thyroid

Thyroiditis:

 pyogenic
 suppurative

Use additional code (B95-B98), if desired, to identify infectious agent.

E06.1Subacute thyroiditis
Thyroiditis:

 de Quervain
 giant-cell
 granulomatous
 nonsuppurative

Excl.:
 autoimmune thyroiditis (E06.3)

E06.2Chronic thyroiditis with transient thyrotoxicosis

Excl.:

autoimmune thyroiditis (E06.3)

E06.3Autoimmune thyroiditis
Hashimoto thyroiditis

Hashitoxicosis (transient)

Lymphadenoid goitre

Lymphocytic thyroiditis

Struma lymphomatosa

E06.4Drug-induced thyroiditis

Use additional external cause code (Chapter XX), if desired, to identify drug.

E06.5Other chronic thyroiditis

Thyroiditis:

 chronic:
o NOS
o fibrous
 ligneous
 Riedel

E06.9Thyroiditis, unspecified

E07Other disorders of thyroid

E07.0Hypersecretion of calcitonin
C-cell hyperplasia of thyroid

Hypersecretion of thyrocalcitonin

E07.1Dyshormogenetic goitre
Familial dyshormogenetic goitre

Pendred syndrome

Excl.:

transitory congenital goitre with normal function (P72.0)

E07.8Other specified disorders of thyroid

Abnormality of thyroid-binding globulin

Haemorrhage
of thyroid
Infarction

Sick-euthyroid syndrome

E07.9Disorder of thyroid, unspecified

Chapter V
Mental and behavioural disorders
(F00-F99)

Organic, including symptomatic, mental disorders

(F00-F09)
This block comprises a range of mental disorders grouped together on the basis of their having in common a
demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The
dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively;
or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or
systems of the body that are involved.

Dementia (F00-F03) is a syndrome due to disease of the brain, usually of a chronic or progressive nature, in
which there is disturbance of multiple higher cortical functions, including memory, thinking, orientation,
comprehension, calculation, learning capacity, language, and judgement. Consciousness is not clouded. The
impairments of cognitive function are commonly accompanied, and occasionally preceded, by deterioration in
emotional control, social behaviour, or motivation. This syndrome occurs in Alzheimer disease, in
cerebrovascular disease, and in other conditions primarily or secondarily affecting the brain.

Use additional code, if desired, to identify the underlying disease.

F00*Dementia in Alzheimer disease (G30.-+)

Alzheimer disease is a primary degenerative cerebral disease of unknown etiology with characteristic
neuropathological and neurochemical features. The disorder is usually insidious in onset and develops slowly
but steadily over a period of several years.

F00.0*Dementia in Alzheimer disease with early onset (G30.0+)

Dementia in Alzheimer disease with onset before the age of 65, with a relatively rapid deteriorating course
and with marked multiple disorders of the higher cortical functions.

Alzheimer disease, type 2

Presenile dementia, Alzheimer type

Primary degenerative dementia of the Alzheimer type, presenile onset

F00.1*Dementia in Alzheimer disease with late onset (G30.1+)

Dementia in Alzheimer disease with onset after the age of 65, usually in the late 70s or thereafter, with a slow
progression, and with memory impairment as the principal feature.

Alzheimer disease, type 1

Primary degenerative dementia of the Alzheimer type, senile onset

Senile dementia, Alzheimer type

F00.2*Dementia in Alzheimer disease, atypical or mixed type (G30.8+)

Atypical dementia, Alzheimer type

F00.9*Dementia in Alzheimer disease, unspecified (G30.9+)

F01Vascular dementia
Vascular dementia is the result of infarction of the brain due to vascular disease, including hypertensive
cerebrovascular disease. The infarcts are usually small but cumulative in their effect. Onset is usually in later
life.

Incl.:

arteriosclerotic dementia
F01.0Vascular dementia of acute onset
Usually develops rapidly after a succession of strokes from cerebrovascular thrombosis, embolism or
haemorrhage. In rare cases, a single large infarction may be the cause.

F01.1Multi-infarct dementia
Gradual in onset, following a number of transient ischaemic episodes which produce an accumulation of
infarcts in the cerebral parenchyma.

Predominantly cortical dementia

F01.2Subcortical vascular dementia

Includes cases with a history of hypertension and foci of ischaemic destruction in the deep white matter of the
cerebral hemispheres. The cerebral cortex is usually preserved and this contrasts with the clinical picture
which may closely resemble that of dementia in Alzheimer disease.

F01.3Mixed cortical and subcortical vascular dementia

F01.8Other vascular dementia

F01.9Vascular dementia, unspecified

F02*Dementia in other diseases classified elsewhere

Cases of dementia due, or presumed to be due, to causes other than Alzheimer disease or cerebrovascular
disease. Onset may be at any time in life, though rarely in old age.

F02.0*Dementia in Pick disease (G31.0+)

A progressive dementia, commencing in middle age, characterized by early, slowly progressing changes of
character and social deterioration, followed by impairment of intellect, memory, and language functions, with
apathy, euphoria and, occasionally, extrapyramidal phenomena.

F02.1*Dementia in Creutzfeldt-Jakob disease (A81.0+)

A progressive dementia with extensive neurological signs, due to specific neuropathological changes that are
presumed to be caused by a transmissible agent. Onset is usually in middle or later life, but may be at any
adult age. The course is subacute, leading to death within one to two years.

F02.2*Dementia in Huntington disease (G10+)

A dementia occurring as part of a widespread degeneration of the brain. The disorder is transmitted by a
single autosomal dominant gene. Symptoms typically emerge in the third and fourth decade. Progression is
slow, leading to death usually within 10 to 15 years.

Dementia in Huntington chorea

F02.3*Dementia in Parkinson disease (G20+)

A dementia developing in the course of established Parkinson disease. No particular distinguishing clinical
features have yet been demonstrated.

Dementia in:

 paralysis agitans
 parkinsonism

F02.4*Dementia in human immunodeficiency virus [HIV] disease (B22.0+)

Dementia developing in the course of HIV disease, in the absence of a concurrent illness or condition other
than HIV infection that could explain the clinical features.

F02.8*Dementia in other specified diseases classified elsewhere

Dementia (in):

 cerebral lipidosis (E75.-+)

 epilepsy (G40.-+)
  hepatolenticular degeneration (E83.0+)
 hypercalcaemia (E83.5+)
 hypothyroidism, acquired (E01.-+, E03.-+)
 intoxications (T36-T65+)
 multiple sclerosis (G35+)
 neurosyphilis (A52.1+)
 niacin deficiency [pellagra] (E52+)
 polyarteritis nodosa (M30.0+)
 systemic lupus erythematosus (M32.-+)
 trypanosomiasis (B56.-+, B57.-+)
 uraemia (N18.5+)
 vitamin B12 deficiency (E53.8+)

F03Unspecified dementia
Incl.:

Presenile:

 dementia NOS
 psychosis NOS

Primary degenerative dementia NOS

Senile:

 dementia:
o NOS
o depressed or paranoid type
 psychosis NOS

Excl.:
senile dementia with delirium or acute confusional state (F05.1)

senility NOS (R54)

F04Organic amnesic syndrome, not induced by alcohol and other psychoactive substances
A syndrome of prominent impairment of recent and remote memory while immediate recall is preserved, with
reduced ability to learn new material and disorientation in time. Confabulation may be a marked feature, but
perception and other cognitive functions, including the intellect, are usually intact. The prognosis depends on
the course of the underlying lesion.

Incl.:

Korsakov psychosis or syndrome, nonalcoholic

Excl.:

amnesia:

 NOS (R41.3)
 anterograde (R41.1)
 dissociative (F44.0)
 retrograde (R41.2)

Korsakov syndrome:

 alcohol-induced or unspecified (F10.6)

 induced by other psychoactive substances (F11-F19 with common fourth character .6)

F05Delirium, not induced by alcohol and other psychoactive substances

 An etiologically nonspecific organic cerebral syndrome characterized by concurrent disturbances of
consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-
wake schedule. The duration is variable and the degree of severity ranges from mild to very severe.

Incl.:

acute or subacute:

 brain syndrome
 confusional state (nonalcoholic)
 infective psychosis
 organic reaction
 psycho-organic syndrome

Excl.:
delirium tremens, alcohol-induced or unspecified (F10.4)

F05.0Delirium not superimposed on dementia, so described

F05.1Delirium superimposed on dementia

Conditions meeting the above criteria but developing in the course of a dementia (F00-F03).

F05.8Other delirium
Delirium of mixed origin

Postoperative delirium

F05.9Delirium, unspecified

F06Other mental disorders due to brain damage and dysfunction and to physical disease
Includes miscellaneous conditions causally related to brain disorder due to primary cerebral disease, to
systemic disease affecting the brain secondarily, to exogenous toxic substances or hormones, to endocrine
disorders, or to other somatic illnesses.

Excl.:

associated with:

 delirium (F05.-)
 dementia as classified in F00-F03

resulting from use of alcohol and other psychoactive substances (F10-F19)

F06.0Organic hallucinosis
A disorder of persistent or recurrent hallucinations, usually visual or auditory, that occur in clear
consciousness and may or may not be recognized by the subject as such. Delusional elaboration of the
hallucinations may occur, but delusions do not dominate the clinical picture; insight may be preserved.

Organic hallucinatory state (nonalcoholic)

Excl.:

alcoholic hallucinosis (F10.5)

schizophrenia (F20.-)

F06.1Organic catatonic disorder

A disorder of diminished (stupor) or increased (excitement) psychomotor activity associated with catatonic
symptoms. The extremes of psychomotor disturbance may alternate.

Excl.:

catatonic schizophrenia (F20.2)

 stupor:

 NOS (R40.1)
 dissociative (F44.2)

F06.2Organic delusional [schizophrenia-like] disorder

A disorder in which persistent or recurrent delusions dominate the clinical picture. The delusions may be
accompanied by hallucinations. Some features suggestive of schizophrenia, such as bizarre hallucinations or
thought disorder, may be present.

Paranoid and paranoid-hallucinatory organic states

Schizophrenia-like psychosis in epilepsy

Excl.:

disorder:

 acute and transient psychotic (F23.-)

 persistent delusional (F22.-)
 psychotic drug-induced (F11-F19 with common fourth character .5)

schizophrenia (F20.-)

F06.3Organic mood [affective] disorders

Disorders characterized by a change in mood or affect, usually accompanied by a change in the overall level of
activity, depressive, hypomanic, manic or bipolar (see F30-F38), but arising as a consequence of an organic
disorder.

Excl.:

mood disorders, nonorganic or unspecified (F30-F39)

F06.4Organic anxiety disorder

A disorder characterized by the essential descriptive features of a generalized anxiety disorder (F41.1), a
panic disorder (F41.0), or a combination of both, but arising as a consequence of an organic disorder.

Excl.:

anxiety disorders, nonorganic or unspecified (F41.-)

F06.5Organic dissociative disorder

A disorder characterized by a partial or complete loss of the normal integration between memories of the past,
awareness of identity and immediate sensations, and control of bodily movements (see F44.-), but arising as
a consequence of an organic disorder.

Excl.:

dissociative [conversion] disorders, nonorganic or unspecified (F44.-)

F06.6Organic emotionally labile [asthenic] disorder

A disorder characterized by emotional incontinence or lability, fatigability, and a variety of unpleasant physical
sensations (e.g. dizziness) and pains, but arising as a consequence of an organic disorder.

Excl.:

somatoform disorders, nonorganic or unspecified (F45.-)

F06.7Mild cognitive disorder

A disorder characterized by impairment of memory, learning difficulties, and reduced ability to concentrate on
a task for more than brief periods. There is often a marked feeling of mental fatigue when mental tasks are
attempted, and new learning is found to be subjectively difficult even when objectively successful. None of
these symptoms is so severe that a diagnosis of either dementia (F00-F03) or delirium (F05.-) can be made.
This diagnosis should be made only in association with a specified physical disorder, and should not be made
 in the presence of any of the mental or behavioural disorders classified to F10-F99. The disorder may precede,
accompany, or follow a wide variety of infections and physical disorders, both cerebral and systemic, but
direct evidence of cerebral involvement is not necessarily present. It can be differentiated from
postencephalitic syndrome (F07.1) and postconcussional syndrome (F07.2) by its different etiology, more
restricted range of generally milder symptoms, and usually shorter duration.

F06.8Other specified mental disorders due to brain damage and dysfunction and to physical disease
Epileptic psychosis NOS

F06.9Unspecified mental disorder due to brain damage and dysfunction and to physical disease
Organic:

 brain syndrome NOS

 mental disorder NOS

F07Personality and behavioural disorders due to brain disease, damage and dysfunction
Alteration of personality and behaviour can be a residual or concomitant disorder of brain disease, damage or
dysfunction.

F07.0Organic personality disorder

A disorder characterized by a significant alteration of the habitual patterns of behaviour displayed by the
subject premorbidly, involving the expression of emotions, needs and impulses. Impairment of cognitive and
thought functions, and altered sexuality may also be part of the clinical picture.

Organic:

 pseudopsychopathic personality
 pseudoretarded personality

Syndrome:

 frontal lobe
 limbic epilepsy personality
 lobotomy
 postleucotomy

Excl.:
enduring personality change after:

 catastrophic experience (F62.0)

 psychiatric illness (F62.1)

postconcussional syndrome (F07.2)

postencephalitic syndrome (F07.1)

specific personality disorder (F60.-)

F07.1Postencephalitic syndrome
Residual nonspecific and variable behavioural change following recovery from either viral or bacterial
encephalitis. The principal difference between this disorder and the organic personality disorders is that it is
reversible.

Excl.:

organic personality disorder (F07.0)

F07.2Postconcussional syndrome
A syndrome that occurs following head trauma (usually sufficiently severe to result in loss of consciousness)
and includes a number of disparate symptoms such as headache, dizziness, fatigue, irritability, difficulty in
 concentration and performing mental tasks, impairment of memory, insomnia, and reduced tolerance to
stress, emotional excitement, or alcohol.

Postcontusional syndrome (encephalopathy)

Post-traumatic brain syndrome, nonpsychotic

Excl.:

current concussion, brain (S06.0)

F07.8Other organic personality and behavioural disorders due to brain disease, damage and dysfunction
Right hemispheric organic affective disorder

F07.9Unspecified organic personality and behavioural disorder due to brain disease, damage and
dysfunction
Organic psychosyndrome

F09Unspecified organic or symptomatic mental disorder

Incl.:

Psychosis:

 organic NOS
 symptomatic NOS

Excl.:
psychosis NOS (F29)
Chapter VII
Diseases of the eye and adnexa
(H00-H59)

Disorders of eyelid, lacrimal system and orbit

(H00-H06)

H00Hordeolum and chalazion

H00.0Hordeolum and other deep inflammation of eyelid

Abscess
Furuncle of eyelid
Stye

H00.1Chalazion

H01Other inflammation of eyelid

H01.0Blepharitis
Excl.:

blepharoconjunctivitis (H10.5)

H01.1Noninfectious dermatoses of eyelid

Dermatitis:
allergic
contact
of eyelid
eczematous
Discoid lupus erythematosus
Xeroderma

H01.8Other specified inflammation of eyelid

H01.9Inflammation of eyelid, unspecified

H02Other disorders of eyelid

Excl.:

congenital malformations of eyelid (Q10.0-Q10.3)

H02.0Entropion and trichiasis of eyelid

H02.1Ectropion of eyelid

H02.2Lagophthalmos

H02.3Blepharochalasis

H02.4Ptosis of eyelid

H02.5Other disorders affecting eyelid function

Ankyloblepharon

Blepharophimosis

Lid retraction

Excl.:
 blepharospasm (G24.5)

tic (psychogenic) (F95.-)

tic (psychogenic)

 organic (G25.6)

H02.6Xanthelasma of eyelid

H02.7Other degenerative disorders of eyelid and periocular area

Chloasma
Madarosis of eyelid
Vitiligo

H02.8Other specified disorders of eyelid

Hypertrichosis of eyelid

Retained foreign body in eyelid

H02.9Disorder of eyelid, unspecified

H03*Disorders of eyelid in diseases classified elsewhere

H03.0*Parasitic infestation of eyelid in diseases classified elsewhere

Dermatitis of eyelid due to Demodex species (B88.0+)

Parasitic infestation of eyelid in:

 leishmaniasis (B55.-+)
 loiasis (B74.3+)
 onchocerciasis (B73+)
 phthiriasis (B85.3+)

H03.1*Involvement of eyelid in other infectious diseases classified elsewhere

Involvement of eyelid in:

 herpesviral [herpes simplex] infection (B00.5+)

 leprosy (A30.-+)
 molluscum contagiosum (B08.1+)
 tuberculosis (A18.4+)
 yaws (A66.-+)
 zoster (B02.3+)

H03.8*Involvement of eyelid in other diseases classified elsewhere

Involvement of eyelid in impetigo (L01.0+)

H04Disorders of lacrimal system

Excl.:

congenital malformations of lacrimal system (Q10.4-Q10.6)

H04.0Dacryoadenitis
Chronic enlargement of lacrimal gland

H04.1Other disorders of lacrimal gland

Dacryops

Dry eye syndrome

Lacrimal:
  cyst
 gland atrophy

H04.2Epiphora

H04.3Acute and unspecified inflammation of lacrimal passages

Dacryocystitis (phlegmonous)
Dacryopericystitis acute, subacute or unspecified
Lacrimal canaliculitis

Excl.:
neonatal dacryocystitis (P39.1)

H04.4Chronic inflammation of lacrimal passages

Dacryocystitis
Lacrimal:
chronic
canaliculitis
mucocele

H04.5Stenosis and insufficiency of lacrimal passages

Dacryolith

Eversion of lacrimal punctum

Stenosis of lacrimal:

 canaliculi
 duct
 sac

H04.6Other changes in lacrimal passages

Lacrimal fistula

H04.8Other disorders of lacrimal system

H04.9Disorder of lacrimal system, unspecified

H05Disorders of orbit
Excl.:

congenital malformation of orbit (Q10.7)

H05.0Acute inflammation of orbit

Abscess
Cellulitis
of orbit
Osteomyelitis
Periostitis

Tenonitis

H05.1Chronic inflammatory disorders of orbit

Granuloma of orbit

H05.2Exophthalmic conditions
Displacement of globe (lateral) NOS

Haemorrhage
of orbit
Oedema

H05.3Deformity of orbit
 Atrophy
of orbit
Exostosis

H05.4Enophthalmos

H05.5Retained (old) foreign body following penetrating wound of orbit

Retrobulbar foreign body

H05.8Other disorders of orbit

Cyst of orbit

H05.9Disorder of orbit, unspecified

H06*Disorders of lacrimal system and orbit in diseases classified elsewhere

H06.0*Disorders of lacrimal system in diseases classified elsewhere

H06.1*Parasitic infestation of orbit in diseases classified elsewhere

Echinococcus infection of orbit (B67.-+)

Myiasis of orbit (B87.2+)

H06.2*Dysthyroid exophthalmos (E05.-+)

H06.3*Other disorders of orbit in diseases classified elsewhere