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myxoedema ( E03.9 ) L98.6 Other infiltrative disorders of skin and subcutaneous tissue Excludes: hyalinosis cutis et mucosae ( E78.8 ) L98.8 Other specified disorders of skin and subcutaneous tissue L98.9 Disorder of skin and subcutaneous tissue, unspecified L99* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere L99.0* Amyloidosis of skin ( E85.-† ) Lichen amyloidosis
Macular amyloid L99.8* Other specified disorders of skin and subcutaneous tissue in
Use additional code, if desired, to identify other manifestations of infection, such as sepsis or abscess.
Excludes: infection due to: · infusion, transfusion and therapeutic injection ( T80.2 ) · prosthetic devices, implants and grafts ( T82.6-T82.7 , T83.5-T83.6 , T84.5-T84.7 , T85.7 ) obstetric surgical wound infection ( O86.0 )
T81.5 Foreign body accidentally left in body cavity or operation wound following a procedure
Adhesions Obstruction Perforation due to foreign body accidentally left in
operation wound or body cavity
Excludes: obstruction or perforation due to prosthetic devices and implants intentionally left in body ( T82.0-T82.5 , T83.0-T83.4 , T84.0-T84.4 , T85.0-T85.6 )
T81.6 Acute reaction to foreign substance accidentally left during a procedure
Peritonitis: · aseptic · chemical
Wound / Ulcer / Gangrene
Version for 2010 895
T87 Complications peculiar to reattachment and amputation T87.0 Complications of reattached (part of) upper extremity
T87.1 Complications of reattached (part of) lower extremity
T87.2 Complications of other reattached body part
T87.3 Neuroma of amputation stump
T87.4 Infection of amputation stump
T87.5 Necrosis of amputation stump
T87.6 Other and unspecified complications of amputation stump Amputation stump:
· contracture (flexion)(of next proximal joint) · haematoma · oedema
Excludes: phantom limb syndrome ( G54.6-G54.7 ) T88 Other complications of surgical and medical care, not elsewhere classified Excludes: accidental puncture or laceration during a procedure
( T81.2 ) complications following: · infusion, transfusion and therapeutic injection ( T80.- ) · procedure NEC ( T81.- ) specified complications classified elsewhere, such as: · complications of: · anaesthesia in: · labour and delivery ( O74.- ) · pregnancy ( O29.- ) · puerperium ( O89.- ) · devices, implants and grafts ( T82-T85 ) · obstetric surgery and procedures ( O75.4 ) · dermatitis due to drugs and medicaments ( L23.3 , L24.4 , L25.1 , L27.0-L27.1 ) · poisoning and toxic effects of drugs and chemicals ( T36-T65 )
Wound / Ulcer / Gangrene
412 WHO’s ICD-10
I83 Varicose veins of lower extremities Excludes: complicating:
· pregnancy ( O22.0 ) · puerperium ( O87.8 )
I83.0 Varicose veins of lower extremities with ulcer Any condition in I83.9 with ulcer or specified as ulcerated
Varicose ulcer (lower extremity, any part) I83.1 Varicose veins of lower extremities with inflammation Any condition in I83.9 with inflammation or specified as
inflamed Stasis dermatitis NOS I83.2 Varicose veins of lower extremities with both ulcer and
inflammation Any condition in I83.9 with both ulcer and inflammation I83.9 Varicose veins of lower extremities without ulcer or
inflammation Phlebectasia
Varicose veins Varix } of lower extremity [any part] or of
unspecified site
I84 Haemorrhoids Includes: piles
varicose veins of anus and rectum Excludes: complicating:
· childbirth and the puerperium ( O87.2 ) · pregnancy ( O22.4 )
I84.0 Internal thrombosed haemorrhoids I84.1 Internal haemorrhoids with other complications Internal haemorrhoids:
· bleeding · prolapsed · strangulated · ulcerated
I84.2 Internal haemorrhoids without complication Internal haemorrhoids NOS I84.3 External thrombosed haemorrhoids Perianal thrombosis
Perianal haematoma (nontraumatic)
516 WHO’s ICD-10
L87.8 Other transepidermal elimination disorders L87.9 Transepidermal elimination disorder, unspecified
L88 Pyoderma gangrenosum Dermatitis gangrenosa
Phagedenic pyoderma
L89 Decubitus ulcer and pressure area Bedsore
Plaster ulcer Note: For multiple sites of differing stages assign only one
code indicating the highest stage. Excludes: decubitus (trophic) ulcer of cervix (uteri) ( N86 ) L89.0 Stage I decubitus ulcer and pressure area� Decubitus [pressure] ulcer limited to erythema only Note: The ulcer appears as a defined area of persistent redness
(erythema) in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues, without skin loss.
L89.1 Stage II decubitus ulcer� Decubitus [pressure] ulcer with:
•abrasion •blister •partial thickness skin loss involving epidermis and/or dermis •skin loss NOS
L89.2 Stage III decubitus ulcer� Decubitus [pressure] ulcer with full thickness skin loss
involving damage or necrosis of subcutaneous tissue extending to underlying fascia
L89.3 Stage IV decubitus ulcer� Decubitus [pressure] ulcer with necrosis of muscle, bone or
supporting structures (ie tendon or joint capsule) L89.9 Decubitus ulcer and pressure area, unspecified� Decubitus [pressure] ulcer without mention of stage
L90 Atrophic disorders of skin L90.0 Lichen sclerosus et atrophicus Excludes: lichen sclerosus of external genital organs:
· female (N90.4) · male (N48.0)
Wound / Ulcer / Gangrene
Version for 2010 405
I69.2 Sequelae of other nontraumatic intracranial haemorrhage
I69.3 Sequelae of cerebral infarction I69.4 Sequelae of stroke, not specified as haemorrhage or infarction
I69.8 Sequelae of other and unspecified cerebrovascular diseases
Diseases of arteries, arterioles and capillaries (I70-I79) I70 Atherosclerosis Includes: arteriolosclerosis
The following supplementary classification to indicate the presence or absence of gangrene is provided for optional use. 0 without gangrene� 1 with gangrene�
I70.0 Atherosclerosis of aorta I70.1 Atherosclerosis of renal artery Goldblatt's kidney Excludes: atherosclerosis of renal arterioles ( I12.- ) I70.2 Atherosclerosis of arteries of extremities Atherosclerotic gangrene
Mönckeberg's (medial) sclerosis I70.8 Atherosclerosis of other arteries I70.9 Generalized and unspecified atherosclerosis
Wound / Ulcer / Gangrene
746 WHO’s ICD-10
R00.1 Bradycardia, unspecified Bradycardia:
· sinoatrial · sinus · vagal Slow heart beat
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
R00.2 Palpitations Awareness of heart beat
R00.8 Other and unspecified abnormalities of heart beat
R01 Cardiac murmurs and other cardiac sounds Excludes: those originating in the perinatal period ( P29.8 ) R01.0 Benign and innocent cardiac murmurs Functional cardiac murmur
R01.1 Cardiac murmur, unspecified Cardiac bruit NOS
R01.2 Other cardiac sounds Cardiac dullness, increased or decreased
Precordial friction R02 Gangrene, not elsewhere classified Excludes: gangrene in:
· atherosclerosis ( I70.2 ) · diabetes mellitus ( E10-E14 with common fourth character .5) · other peripheral vascular diseases ( I73.- ) gangrene of certain specified sites - see Alphabetical Index gas gangrene ( A48.0 ) pyoderma gangrenosum ( L88 )
Persistent generalized lymphadenopathy in HIV disease
Toxoplasma lymphadenitis
Congenital toxoplasmosis
B23.1
B58.8
P37.1
Debridement vs Excisional D’
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228 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG
8 6 .2 E xcis io n o r d es t r uct io n o f l e s io n o r t iss u e o f s k in a n d s u bcu t a n e ou s t iss u e 8 6 .2 1 E x c i s i o n o f p i l o n i d a l c ys t o r s i n u s
8 6 .2 8 N o n e x c i s i o n a l d e b r i d e m e n t o f w o u n d , i n f ec t i o n o r b u r n Debridement NOS Maggot therapy Removal of devitalized tissue, necrosis and slough by such methods as:
228 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG
8 6 .2 E xcis io n o r d es t r uct io n o f l e s io n o r t iss u e o f s k in a n d s u bcu t a n e ou s t iss u e 8 6 .2 1 E x c i s i o n o f p i l o n i d a l c ys t o r s i n u s
8 6 .2 8 N o n e x c i s i o n a l d e b r i d e m e n t o f w o u n d , i n f ec t i o n o r b u r n Debridement NOS Maggot therapy Removal of devitalized tissue, necrosis and slough by such methods as:
L87.8 Other transepidermal elimination disorders L87.9 Transepidermal elimination disorder, unspecified
L88 Pyoderma gangrenosum Dermatitis gangrenosa
Phagedenic pyoderma
L89 Decubitus ulcer and pressure area Bedsore
Plaster ulcer Note: For multiple sites of differing stages assign only one
code indicating the highest stage. Excludes: decubitus (trophic) ulcer of cervix (uteri) ( N86 ) L89.0 Stage I decubitus ulcer and pressure area� Decubitus [pressure] ulcer limited to erythema only Note: The ulcer appears as a defined area of persistent redness
(erythema) in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues, without skin loss.
L89.1 Stage II decubitus ulcer� Decubitus [pressure] ulcer with:
•abrasion •blister •partial thickness skin loss involving epidermis and/or dermis •skin loss NOS
L89.2 Stage III decubitus ulcer� Decubitus [pressure] ulcer with full thickness skin loss
involving damage or necrosis of subcutaneous tissue extending to underlying fascia
L89.3 Stage IV decubitus ulcer� Decubitus [pressure] ulcer with necrosis of muscle, bone or
supporting structures (ie tendon or joint capsule) L89.9 Decubitus ulcer and pressure area, unspecified� Decubitus [pressure] ulcer without mention of stage
L90 Atrophic disorders of skin L90.0 Lichen sclerosus et atrophicus Excludes: lichen sclerosus of external genital organs: