Download manual of the international statistical classification of diseases

INTERNATIONAL CLASSIFICATION OF DISEASES
MANUAL
OF THE INTERNATIONAL
STATISTICAL CLASSIFICATION
OF DISEASES, INJURIES, AND
CAUSES OF DEATH
Based on the Recommendations
of the Eighth Revision Conference, 1965,
and Adopted by the Nineteenth World Health Assembly
Volume 1
®
~
WORLD HEALTH ORGANIZATION
GENEVA
1967
V.
MENTAL DISORDERS
This section is intended primarily for the classification of patients
seen at mental hospitals, psychiatric clinics, mental deficiency institutions
and similar facilities, where the main interest is in the mental state of the
patient. It therefore includes all forms of mental disorder, even though
associated with or secondary to physical conditions, as in categories
292-294, 309, 310-315.
For primary mortality classification and for morbidity classification
where the main interest is not in the mental state of the patient, the
categories mentioned above should not be used but assignment made to
the associated or underlying physical condition.
PSYCHOSES
290
Senile and pre-senile dementia
290.0
Senile dementia
(290-299)
Senile:
insanity
psychosis NOS
Dementia of old age
Senile imbecility
290.1
Pre-senile dementia
Alzheimer's disease
Circumscribed atrophy of brain
Jacob-Creuzfeldt disease with
dementia
291
Pick's disease of brain
Presenile:
psychosis
sclerosis
Alcoholic psychosis
Delirium tremens
Delirium alcoholicum
291.0
291.1
Korsakov' s psychosis (alcoholic)
Alcoholic polyneuritic psychosis
Chronic alcoholic delirium
291.2
Other alcoholic hallucinosis
Alcoholic hallucinosis NOS
291.3
Alcoholic paranoia
Alcoholic psychosis, paranoid type
-
141
142
291.9
TABULAR LIST
Other and unspecified
Alcoholic: )
dementia
0
0
ot
NOS or of any type not classifiable
msa~l Y
under 291.0-291.3
mama
psychosis
292
Psychosis associated with intracranial infection
0 t d oth
Includes: brain syndrome
0 with0 }due t o or assocta
0 do te d w10 the condipsychotic
reactwn
to
wns m 1ca e m categories
0
dementi~
0
29200-29209
psychosis (orgamc)
29200
With general paralysis
Any condition in 094ol
29201
With other syphilis of central nervous system
Any condition in 090.4, 09400, 094o9
29202
With epidemic encephalitis
Any condition in 062-065
29203
With other and unspecified encephalitis
Encephalitis:
NOS
following infection
unknown cause (idiopathic)
Includes:
Encephalomyelitis:
NOS
acute disseminated
Inflammation of brain NOS
postencephalitic psychosis NOS
Excludes:
psychosis associated with traumatic encephalitis (293o5)
29209
With other and unspecified intracranial infection
Abscess of brain
Meningitis
293
Psychosis associated with other cerebral condition
Includes:
29300
Tuberculosis of brain
Intracranial infection, other or
unspecified
brain syn~r~me wi:~ } due to or associated with the conpst~c 0 lC reac wn
ditions indicated in categories
d emen 1~
29300-29309
0
psychosis (orgamc)
With cerebral arteriosclerosis
Any condition in 437
Includes:
arteriosclerotic psychosis NOS
MENTAL DISORDERS
293.1
143
With other cerebrovascular disturbances
Any condition in 430-436, 438
293.2
With epilepsy
Any condition in 345
293.3
With intracranial neoplasm
Neoplasm (benign) (malignant):
brain
cerebral meninges
intracranial NOS
293.4
With degenerative diseases of central nervous system
Disease:
Pelizaeus-Merzbacher
Schilder's
Huntington's chorea
Excludes:
293.5
Neoplasm (benign) (malignant):
pineal gland
pituitary gland
Multiple sclerosis
Sclerosis of brain
Degeneration of central nervous
system, other or unspecified
senile and pre-senile dementia (290)
With brain trauma
Any condition in:
N800-N804 (Fracture of skull)
N850-N854 (Intracranial injury, excluding those with skull fracture)
Birth injury to brain
Surgical injury to brain
Hypoxia (at birth)
Trauma to brain from electric
current
293.9
With other and unspecified cerebral condition
Congenital anomalies of brain
Other or unspecified cerebral conditions
294
Psychosis associated with other physical condition
Includes:
294.0
brain syndrome with ) due to or associated with the conpsychotic reaction
ditions indicated in categories
dementia
294.0-294.9
psychosis (organic)
With endocrine disorders
Any condition in 240-258
294.1
With metabolic and nutritional disorders
Any condition in 260-279
144
TABULAR LIST
294.2 With systemic infections
Acute rheumatic fever
Influenza
Malaria
Pneumonia
Septicaemia
Excludes: psychosis associated with
Tuberculosis
Typhoid fever
Typhus
Systemic infection, other or unspecified
intracranial infection (292)
294.3 With drug or poison intoxication
Any condition in 304, N960-N979, N981-N989
Excludes:
alcoholic psychosis (291)
294.4 With childbirth
Includes: puerperal:
puerperal psychosis
dementia NOS
(any type classifiable to 299)
insanity NOS
Excludes: psychosis of any type classifiable to 295-298 arising during
the puerperium
294.8
With other physical conditions
294.9 With unspecified physical condition
Includes: organic psychosis NOS
postoperative psychosis NOS
295
Schizophrenia
295.0 Simple type
Schizophrenia, simple
Schizophrenia, simplex
295.1 Hebephrenic type
Hebephrenia
Schizophrenia, hebephrenic
295.2 Catatonic type
Catatonia
Schizophrenia, catatonic
295.3 Paranoid type
Schizophrenia, paranoid
Schizophrenia, paraphrenic
..:c,
295.4 Acute schizophrenic episode
Schizophrenic episode
Acute schizophrenia NOS
Acute schizophrenic attack
Oneirophrenia
Excludes: conditions in 295.0-295.3 specified as acute (295.0-295.3)
295.5 Latent schizophrenia
Latent schizophrenic reaction
Pseudoneurotic schizophrenia
Pseudopsychopathic schizophrenia
MENTAL DISORDERS
145
295.6 Residual schizophrenia
Schizophrenic residual state (Restzustand)
295.7
Schizo-affective type
Mixed schizophrenic and affective psychosis
Schizo-affective psychosis
295.8 Other
Atypical forms of schizophrenia
Infantile autism
Schizophrenia, childhood type, NOS
Schizophrenia of specified type not classifiable under 295.0-295.7
Schizophreniform attack or psychosis
295.9 Unspecified type
Dementia praecox NOS
Schizophrenia NOS
296
Schizophrenic reaction NOS
Affective psychoses
296.0 Involutional melancholia
Agitated depression
Agitated melancholia
Climacteric insanity
Excludes: involutional paraphrenia
Climacteric melancholia
Involutional depression
Menopausal melancholia
(297.1)
296.1 Manic-depressive psychosis, manic type
Hypomania NOS
Manic-depressive reaction:
Hypomanic psychosis
hypomanic
manic
Mania NOS
Manic psychosis
296.2
Manic-depressive psychosis, depressed type
Endogenous depression
Psychotic depression
Melancholia (senile)
Manic-depressive reaction, depressive
296.3 Manic depressive psychosis, circular type
Alternating insanity
Cyclothymia
Circular insanity
Manic-depressive reaction, circular
296.8
Other
Manic stupor
296.9
Unproductive mania
Unspecified
Affective psychosis NOS
Manic-depressive reaction NOS
146
TABULAR LIST
297
Paranoid states
Excludes: acute paranoid reaction (298.3)
paraphrenic schizophrenia (295.3)
297.0 Paranoia
Paranoiac psychosis
297.1 Involutional paraphrenia
297.9 Other
Paranoid reaction (chronic)
Paranoid state
Paraphrenia (late)
NOS
Other psychoses
298
298.0 Reactive depressive psychosis
Psychogenic depressive psychosis
Reactive melancholia
298.1 Reactive excitation
Acute hysterical psychosis
298.2
Psychogenic excitation
Reactive confusion
Acute or sub-acute confusional
state
Psychogenic confusion
298.3 Acute paranoid reaction
Bouffee delirante
298.9 Reactive psychosis unspecified
Psychogenic psychosis NOS
Reactive psychosis
299
Unspecified psychosis
Dementia NOS
Exhaustion delirium
NOS
Insanity NOS
confusional
delusional
Mental deterioration NOS
Psychosis (involutional) NOS
NEUROSES, PERSONALITY DISORDERS AND OTHER NON-PSYCHOTIC
MENTAL DISORDERS (300-309)
Neuroses
300
Excludes: when associated with physical conditions (309)
300.0 Anxiety neurosis
Anxiety:
depression
hysteria
Anxiety:
reaction
state (neurotic)
Panic state
MENTAL DISORDERS
300.1 Hysterical neurosis
Compensation neurosis
Conversion hysteria
Dissociative reaction
Functional paraplegia
300.2 Phobic neurosis
Fear reaction
Phobia NOS
147
Ganser's syndrome
Hysteria NOS
Hysterical manifestation (any)
Hystero-epilepsy
Phobic reaction
300.3 Obsessive compulsive neurosis
Obsessional:
Neurosis:
phobia
anankastic
state
compulsive
syndrome
obsessional
300.4 Depressive neurosis
Neurotic depression
Neurotic depressive state
Neurasthenia
Asthenic reaction
Fatigue neurosis
Nervous debility
Psychogenic:
asthenia
general fatigue
300.6 Depersonalization syndrome
Depersonalization
Derealization
Neurotic state with depersonalization episode
300.7 Hypochondriacal neurosis
Hypochondria
Hypochondriasis
300.5
300.8 Other
Occupational neurosis
Writer's cramp
Other specified neurosis
300.9 Unspecified neurosis
Nervous breakdown
Neurosis NOS
Psychoneurosis NOS
301
Personality disorders
Excludes:
when associated with physical conditions (309)
301.0 Paranoid
Paranoid traits
30l.l Affective
Cyclothymic personality
Hyperthymic personality
Hypothymic personality
148
TABULAR LIST
301.2 Schizoid
301.3 Explosive
Aggressive personality
301.4 Anankastic
Compulsive personality
Obsessive-compulsive personality
Obsessional personality
301.5 Hysterical
Histrionic personality
301.6 Asthenic
Inadequate personality
Passive personality
301.7 Antisocial
Asocial personality
301.8 Other
Immature personality NOS
301.9 Unspecified
Personality disorder NOS
302
Passive-dependent personality
Moral deficiency
Personality disorder of other specified type
Pathologic personality NOS
Sexual deviation
Excludes:
when associated with physical conditions (309)
302.0 Homosexuality
Lesbianism
302.1
Labile personality
Sodomy
Fetishism
302.2 Paedophilia
302.3
Transvestitism
302.4 Exhibitionism
302.8 Other
Erotomania
Masochism
Narcissism
Necrophilia
302.9 Unspecified
Pathological sexuality NOS
Nymphomania
Sadism
Voyeurism
Sexual deviation NOS
MENTAL DISORDERS
149
303
Alcoholism
Excludes: alcoholic psychosis (291)
acute poisoning by alcohol (E860, N980)
when associated with physical conditions (309)
303.0 Episodic excessive drinking
Periodic drinking bouts
303.1
Habitual excessive drinking
Continual drinking to excess
303.2 Alcoholic addiction
Chronic alcoholism
Chronic ethylism
303.9
Other and unspecified alcoholism
Alcoholism (acute) NOS
304
Dipsomania
Ethylism (acute) NOS
Drug dependence
For drug dependence on specific substances under 304.0-304.9 see Alphabetical Index
Includes:
Excludes:
} t h e su b stances Ill
. d'1cated m
. categodaddiction
d to
ries 304.0-304.9
epen. enc7 on.
chrome p01somng by
psychosis associated with drug dependence (294.3)
when associated with physical conditions (309)
304.0
Opium, opium alkaloids and their derivatives
304.1
Synthetic analgesics with morphine-like effects
304.2
Barbiturates
304.3 Other hypnotics and sedatives or tranquilizers
304.4 Cocaine
304.5 Cannabis sativa
304.6 Other psycho-stimulants
304.7 Hallucinogenics
304.8 Other
304.9 Unspecified
Unspecified drug
Includes: drug:
addiction NOS
dependence NOS
150
305
TABULAR LIST
Physical disorders of presumably psychogenic origin
305.0 Skin
Cutaneous neurosis
Pruritus:
neurogenic
psychogenic
305.1
Musculoskeletal
Musculoskeletal neurosis
Psychogenic disorder:
joint
limb
muscle
305.2 Respiratory
Neurosis:
larynx
pharynx
respiratory
Psychogenic air hunger
305.3
Psychogenic:
spasm
torticollis
tremor
paralysis
Psychogenic:
asthma
cough
hyperventilation
respiratory disorder
yawning
Cardiol'ascular
Cardiovascular neurosis
Cardiac neurosis
Da Costa's syndrome
Effort syndrome
Neurocirculatory asthenia
305.4
Psychogenic:
dermatitis
eczema
skin reaction
Soldier's heart
Psychogenic:
cardiovascular disorder
disturbance, heart rhythm
heart disease (functional)
Haemic and lymphatic
Psychogenic disorder of blood or lymphatic system
305.5 Gastro-intestinal
Aerophagy
Cyclical vomiting
Gastric neurosis
Globus
Mucous colitis, psychogenic
305.6
Genito-urinary
Impotence (sexual)
Neurosis, bladder
Psychogenic disorder of:
genito-urinary system
micturition
305.7
Nervous:
eructation
diarrhoea
dyspepsia
Psychogenic disorder, digestive
system
Psychogenic:
disorder of sexual function
dysmenorrhoea
dyspareunia
frigidity
Endocrine
Psychogenic disorder of endocrine system
MENTAL DISORDERS
305.8
151
Organs of special sense
Ocular neurosis
305.9
Other
Disorder:
psychophysiologic NOS
psychosomatic NOS
306
Psychogenic disorder of other or
unspecified parts of the body
Special symptoms not elsewhere classified
This category is intended for use where an outstanding specific symptom
is not manifestly part of a more fundamental classifiable condition.
306.0 Stammering and suttering
Cluttering
Lalling
306.1
Stammering
Stuttering
Specific learning disturbance
Alexia
Word blindness
Specific learning defects (reading)
Word deafness
(mathematics) (strephosymbolia)
306.2
Tics
Habit spasm
306.3
Other psychomotor disorders
Abasia
Astasia
306.4 Specific disorders of sleep
Hypersomnia
Insomnia
306.5
Nightmare
Sleep walking
Feeding disturbances
Anorexia nervosa
306.6 Enuresis
Enuresis
}
Incontinence of urine of non-organic origin
Excludes:
when of unspecified cause (786.2)
306.7 Encopresis
Encopresis
}
Incontinence of faeces of non-organic origin
Excludes:
when of unspecified cause (785.6)
152
306.8
TABULAR LIST
Cephalalgia
Cephalalgia } f
.
. . Tension headache
Headache
o non-orgamc ongm
Excludes:
headache of unspecified cause (791)
306.9
Other
307
Transient situational disturbances
Adjustment reaction of:
adolescence
late life
308
Behaviour disorders of childhood
Adjustment reaction of:
infancy
childhood
309
brain syndrome NOS
acute
chronic
mental disorder:
NOS
non-psychotic:
any type classifiable
to 300-304
I
of childhood
due to or associated with the
conditions indicated in categories 309.0-309.9
With intracranial infections
Abscess of brain
Encephalitis
Inflammation of brain
Meningitis
309.1
Jealousy
MT astturbation
an rum
Truancy
Mental disorders not specified as psychotic associated with physical
conditions
Includes:
309.0
Adult situational reaction
Combat fatigue
Gross stress reaction
Syphilis of central nervous system
Tuberculosis of brain
Intracranial infection, other or unspecified
With drug, poison or systemic intoxication
Acute rheumatic fever
Influenza
Intoxication by drug or poison
Malaria
Pneumonia
Excludes:
alcoholism (303)
drug dependence (304)
Septicaemia
Tuberculosis
Typhoid fever
Typhus
Systemic intoxication, other or unspecified
MENTAL DISORDERS
309.2
153
With brain trauma
Any condition in:
N800-N804 (Fracture of skull)
N850-N854 (Intracranial injury, excluding those with skull fracture)
Birth injury to brain
Surgical injury to brain
Hypoxia (at birth)
Trauma to brain from electric current
309.3 With circulatory disturbance
Any condition in 393-458
309.4
With epilepsy
Any condition in 345
309.5
With disturbance of metabolism, growth or nutrition
Any condition in 240-279
Disturbance of metabolism, growth or nutrition,. other or unspecified
309.6
With senile or pre-senile brain disease
Cerebral atrophy or degeneration, senile
Jakob-Creutzfeldt disease
Senile or pre-senile brain disease, other or unspecified
309.7 With intracranial neoplasm
Neoplasm (benign) (malignant):
brain
cerebral meninges
intracranial NOS
Neoplasm (benign) (malignant):
pineal gland
pituitary gland
309.8 With degenerative diseases of central nervous system
Disease:
Multiple sclerosis
Pelizaeus-Merzbacher
Sclerosis of brain
Schilder's
Degeneration of central nervous
Huntington's chorea
system, other or unspecified
Excludes:
309.9
non-psychotic mental disorders associated with senile or
pre-senile brain disease (309.6)
With other or unspecified physical condition
MENTAL RETARDATION (310-315)
The following fourth-digit sub-divisions may be used
310-315:
wi~h
categories
154
TABULAR LIST
.0
Following infections and intoxications
e.g. prenatal infections such as rubella, syphilis, toxoplasmosis
postnatal infections such as abscess of brain, encephalitis
intoxications such as kernicterus, lead poisoning, maternal
toxaemia
.1
Following trauma or physical agents
e.g. mechanical injury or hypoxia at birth
postnatal injury or hypoxia .
.2
With disorders of metabolism, growth or nutrition
e.g. cerebral lipoidosis
hepatolenticular degeneration (Wilson's disease)
hypothyroidism
phenylketonuria
.3
Associated with gross brain disease (postnatal)
e.g. acute infantile diffuse sclerosis (Krabbe's disease)
neurofibromatosis (von Recklinghausen's disease)
progressive subcortical encephalopathy (Schilder's disease)
spinal sclerosis (Friedreich 's ataxia)
tuberous sclerosis
.4
Associated with diseases and conditions due to (unknown) prenatal
influence
e.g. congenital anomaly of brain
craniostenosis
hypertelorism
microcephaly
.5
With chromosomal abnormalities
e.g. Down's disease
Klinefelter's syndrome
.6 Associated with prematurity
Prematurity without mention of other condition
310
.7
Following major psychiatric disorder
.8
With psycho-social (environmental) deprivation
.9
Other and unspecified
e.g. idiopathic
cause unknown
Borderline mental retardation
Backwardness
Borderline intelligence
Deficientia intelligentiae
Borderline mental deficiency or
subnormality
IQ 68-85
MENTAL DISORDERS
311
Mild mental retardation
Feeble-mindedness
High-grade defect
Moron
312
Severe mental deficiency or subnormality
IQ 20-35
Profound mental retardation
Idiocy
Profound mental deficiency or
subnormality
315
Moderate mental deficiency or
subnormality
IQ 36-51
Severe mental retardation
Imbecile NOS
314
Mild mental deficiency or subnormality
IQ 52-67
Moderate mental retardation
Imbecile, IQ 36-51
313
155
IQ under 20
Unspecified mental retardation
Mental deficiency or subnormality NOS