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APPENDIX B:

CLINICAL CLASSIFICATIONS SOFTWARE REFINED FOR ICD-10-CM DIAGNOSES CATEGORI ES

Issued September 2019 Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project (HCUP) Phone: (866) 290-HCUP (4287) Email: [email protected] Website: www.hcup-us.ahrq.gov B

Appendix B contains a set of tables listing the Clinical Classifications Software Refined (CCSR) categories and numbers within each ICD-10-CM body system. Use the following hyperlinks to skip directly to each of the body system tables.

CCSR for ICD-10-CM Categories, by Body System Table B.1. Certain Infectious and Parasitic ...... 3 Table B.2. ...... 3 Table B.3. Diseases of the Blood and Blood Forming Organs and Certain Disorders Involving the Immune Mechanism ...... 4 Table B.4. Endocrine, Nutritional and Metabolic Diseases ...... 4 Table B.5. Mental, Behavioral and Neurodevelopmental Disorders ...... 5 Table B.6. Diseases of the ...... 5 Table B.7. Diseases of the Eye and Adnexa ...... 6 Table B.8. Diseases of the and Mastoid Process ...... 6 Table B.9. Diseases of the ...... 6 Table B.10. Diseases of the ...... 7 Table B.11. Diseases of the Digestive System ...... 7 Table B.12. Diseases of the and ...... 8 Table B.13. Diseases of the Musculoskeletal System and Connective Tissue ...... 8 Table B.14. Diseases of the Genitourinary System ...... 9 Table B.15. Pregnancy, Childbirth and the Puerperium ...... 9 Table B.16. Certain Conditions Originating in the Perinatal Period ...... 10 Table B.17. Congenital Malformations, Deformations and Chromosomal Abnormalities ...... 10 Table B.18. Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified ...... 11 Table B.19. Injury, Poisoning and Certain Other Consequences of External Causes ...... 11 Table B.20. External Causes of Morbidity ...... 12 Table B.21. Factors Influencing Health Status and Contact With Health Services ...... 13

HCUP (09/03/19) 2 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Table B.1. CCSR for ICD-10-CM Categories, Certain Infectious and Parasitic Diseases Infectious (INF) – 11 CCSR INF001 INF002 Septicemia INF003 Bacterial infections INF004 Fungal infections INF005 Foodborne intoxications INF006 HIV infection INF009 Parasitic, other specified INF007 Hepatitis INF008 Viral infection and unspecified infections INF010 Sexually transmitted INF011 Sequela of specified infections (excluding HIV and blank cell infectious disease conditions hepatitis) Abbreviations: CCSR, Clinical Classifications Software Refined; HIV, human immunodeficiency virus; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.2. CCSR for ICD-10-CM Categories, Neoplasms Neoplasms (NEO) – 74 CCSR NEO001 Head and neck NEO002 Head and neck NEO003 Head and neck cancers - eye cancers - and oral cavity cancers - throat NEO004 Head and neck NEO005 Head and neck NEO006 Head and neck cancers - cancers - nasopharyngeal cancers - hypopharyngeal NEO007 Head and neck NEO008 Head and neck NEO009 Head and neck cancers - pharyngeal cancers - laryngeal cancers - tonsils NEO010 Head and neck NEO012 Gastrointestinal NEO011 Cardiac cancers cancers - all other types cancers - NEO013 Gastrointestinal NEO014 Gastrointestinal NEO015 Gastrointestinal cancers - cancers - cancers - colorectal NEO016 Gastrointestinal NEO017 Gastrointestinal NEO018 Gastrointestinal cancers - anus cancers - cancers - bile duct NEO019 Gastrointestinal NEO020 Gastrointestinal NEO021 Gastrointestinal cancers - gallbladder cancers - peritoneum cancers - all other types NEO022 Respiratory cancers NEO023 cancer NEO024 Sarcoma NEO025 Skin cancers - NEO026 Skin cancers - basal NEO027 Skin cancers - melanoma cell carcinoma squamous cell carcinoma NEO028 Skin cancers - all other NEO029 cancer - ductal NEO030 Breast cancer - all types carcinoma in situ (DCIS) other types NEO031 Female reproductive NEO032 Female reproductive NEO033 Female cancers - system cancers - system cancers - NEO034 Female reproductive NEO035 Female reproductive NEO036 Female reproductive system cancers - fallopian tube system cancers - endometrium system cancers - NEO037 Female reproductive NEO038 Female reproductive NEO039 cancers - system cancers - all other types system cancers - NEO040 Male reproductive NEO041 Male reproductive NEO042 Male reproductive system cancers - testis system cancers - penis system cancers - all other types NEO043 NEO044 Urinary system NEO045 Urinary system cancers - bladder cancers - and renal cancers - NEO046 Urinary system NEO047 Urinary system NEO048 Nervous system cancers - cancers - all other types cancers - brain NEO049 Nervous system NEO050 NEO051 Endocrine system cancers - all other types cancers - cancers - NEO052 Endocrine system NEO053 Endocrine system NEO054 Endocrine system cancers - cancers - adrenocortical cancers - parathyroid NEO055 Endocrine system NEO056 Endocrine system NEO057 Hodgkin lymphoma cancers - cancers - all other types NEO058 Non-Hodgkin NEO059 Leukemia - acute NEO060 Leukemia - acute lymphoma lymphoblastic leukemia (ALL) myeloid leukemia (AML) HCUP (09/03/19) 3 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Neoplasms (NEO) – 74 CCSR NEO061 Leukemia - chronic NEO062 Leukemia - chronic NEO063 Leukemia - hairy cell lymphocytic leukemia (CLL) myeloid leukemia (CML) NEO064 Leukemia - all other NEO066 Malignant NEO065 Multiple myeloma types neuroendocrine tumors NEO068 Myelodysplastic NEO067 Mesothelioma NEO069 Cancer of other sites syndrome (MDS) NEO072 Neoplasms of NEO070 Secondary NEO071 Malignant , unspecified nature or uncertain malignancies unspecified behavior NEO074 Conditions due to NEO073 Benign neoplasms neoplasm or the treatment of blank cell neoplasm Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.3. CCSR for ICD-10-CM Categories, Diseases of the Blood and Blood Forming Organs and Certain Disorders Involving the Immune Mechanism Blood and Blood Forming Organs (BLD) – 10 CCSR BLD001 Nutritional anemia BLD002 Hemolytic anemia BLD003 Aplastic anemia BLD004 Acute posthemorrhagic BLD006 Coagulation and BLD005 Sickle cell trait/anemia anemia hemorrhagic disorders BLD009 Postprocedural or BLD007 Diseases of white blood BLD008 Immunity disorders postoperative complications of cells the BLD010 Other specified and unspecified hematologic blank cell blank cell conditions Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.4. CCSR for ICD-10-CM Categories, Endocrine, Nutritional and Metabolic Diseases Endocrine (END) – 17 CCSR END002 Diabetes mellitus END003 Diabetes mellitus with END001 Thyroid disorders without complication complication END006 Diabetes mellitus, due END004 Diabetes mellitus, END005 Diabetes mellitus, to underlying condition, drug or Type 1 Type 2 chemical induced, or other specified type END007 Nutritional deficiencies END008 Malnutrition END009 Obesity END010 Disorders of lipid END011 Fluid and electrolyte END012 Cystic fibrosis metabolism disorders END014 Postprocedural or END015 Other specified and END013 Pituitary disorders postoperative endocrine or unspecified endocrine disorders metabolic complication END016 Other specified and END017 Sequela of malnutrition unspecified nutritional and blank cell and other nutritional deficiencies metabolic disorders Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

HCUP (09/03/19) 4 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Table B.5. CCSR for ICD-10-CM Categories, Mental, Behavioral and Neurodevelopmental Disorders Mental, Behavioral and Neurodevelopmental disorders (MBD) - 34 CCSR MBD001 Schizophrenia MBD003 Bipolar and related spectrum and other psychotic MBD002 Depressive disorders disorders disorders MBD004 Other specified and MBD005 Anxiety and fear- MBD006 Obsessive-compulsive unspecified mood disorders related disorders and related disorders MBD007 Trauma- and stressor- MBD008 Disruptive, impulse- MBD009 Personality disorders related disorders control and conduct disorders MBD010 Feeding and eating MBD012 Suicidal ideation/ MBD011 Somatic disorders disorders attempt/intentional self-harm MBD013 Miscellaneous mental MBD014 Neurodevelopmental MBD015 Neonatal abstinence and behavioral disorders syndrome disorders/conditions MBD016 Fetal alcohol MBD017 Alcohol-related MBD018 Opioid-related syndrome disorders disorders MBD019 Cannabis-related MBD020 Sedative-related MBD021 Stimulant-related disorders disorders disorders MBD022 Hallucinogen-related MBD023 Inhalant-related MBD024 Tobacco-related disorders disorders disorders MBD027 Suicide attempt/ MBD025 Other specified MBD026 Mental and substance intentional self-harm; substance-related disorders use disorders in remission subsequent encounter MBD028 Opioid-related MBD029 Stimulant-related MBD030 Cannabis-related disorders; subsequent disorders; subsequent disorders; subsequent encounter encounter encounter MBD031 Hallucinogen-related MBD032 Sedative-related MBD033 Inhalant-related disorders; subsequent disorders; subsequent disorders; subsequent encounter encounter encounter MBD034 Mental and substance blank cell blank cell use disorders; sequela Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.6. CCSR for ICD-10-CM Categories, Diseases of the Nervous System Nervous System (NVS) – 22 CCSR NVS003 Other specified CNS NVS001 Meningitis NVS002 Encephalitis infection and poliomyelitis NVS006 Other specified NVS004 Parkinson`s disease NVS005 Multiple sclerosis hereditary and degenerative nervous system conditions NVS008 Paralysis (other than NVS007 Cerebral palsy NVS009 Epilepsy; convulsions cerebral palsy) NVS010 Headache; including NVS011 Neurocognitive NVS012 Transient cerebral migraine disorders ischemia NVS013 Coma; stupor; and NVS014 CNS abscess NVS015 Polyneuropathies brain damage NVS017 and nerve root NVS016 Sleep wake disorders NVS018 Myopathies disorders NVS021 Postprocedural or NVS019 Nervous system pain NVS020 Other specified postoperative nervous system and pain syndromes nervous system disorders complication HCUP (09/03/19) 5 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Nervous System (NVS) – 22 CCSR NVS022 Sequela of specified blank cell blank cell nervous system conditions Abbreviations: CCSR, Clinical Classification Software Refined; CNS, ; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.7. CCSR for ICD-10-CM Categories, Diseases of the Eye and Adnexa Eye (EYE) – 12 CCSR EYE001 Cornea and external EYE002 Cataract and other lens EYE003 Glaucoma disease disorders EYE004 Uveitis and ocular EYE005 Retinal and vitreous EYE006 Neuro-ophthalmology inflammation conditions EYE008 Oculofacial plastics and EYE007 Strabismus EYE009 Refractive error orbital conditions EYE010 Blindness and vision EYE011 Postprocedural or EYE012 Other specified eye defects postoperative eye complication disorders Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.8. CCSR for ICD-10-CM Categories, Diseases of the Ear and Mastoid Process Ear (EAR) – 6 CCSR EAR002 Diseases of middle ear EAR003 Diseases of inner ear EAR001 Otitis media and mastoid (except otitis media) and related conditions EAR005 Postprocedural or EAR006 Other specified and EAR004 Hearing loss postoperative ear and/or unspecified disorders of the ear mastoid process complication Abbreviations: CCSR, Clinical Classification Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.9. CCSR for ICD-10-CM Categories, Diseases of the Circulatory System Circulatory System (CIR) – 39 CCSR CIR001 Chronic rheumatic CIR002 Acute rheumatic CIR003 Nonrheumatic and heart disease disease unspecified valve disorders CIR004 Endocarditis and CIR005 Myocarditis and CIR006 Pericarditis and endocardial disease cardiomyopathy pericardial disease CIR008 Hypertension with CIR009 Acute myocardial CIR007 Essential hypertension complications and secondary infarction hypertension CIR010 Complications of acute CIR011 Coronary atherosclerosis CIR012 Nonspecific chest myocardial infarction and other heart disease pain CIR013 Acute pulmonary CIR015 Other and ill-defined CIR014 Pulmonary heart disease embolism heart disease CIR018 Cardiac arrest and CIR016 Conduction disorders CIR017 Cardiac dysrhythmias ventricular fibrillation CIR021 Acute hemorrhagic CIR019 Heart failure CIR020 Cerebral infarction cerebrovascular disease CIR022 Sequela of CIR023 Occlusion or stenosis of CIR024 Other and ill-defined hemorrhagic cerebrovascular precerebral or cerebral cerebrovascular disease disease without infarction

HCUP (09/03/19) 6 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Circulatory System (CIR) – 39 CCSR CIR025 Sequela of cerebral CIR026 Peripheral and visceral infarction and other CIR027 Arterial dissections vascular disease cerebrovascular disease CIR030 Aortic and peripheral CIR029 Aortic; peripheral; and CIR028 Gangrene arterial embolism or visceral aneurysms thrombosis CIR033 Acute phlebitis; CIR032 Other specified and CIR031 Hypotension thrombophlebitis and unspecified circulatory disease thromboembolism CIR034 Chronic phlebitis; CIR036 Postthrombotic CIR035 Varicose of lower thrombophlebitis and syndrome and venous extremity thromboembolism insufficiency/hypertension CIR038 Postprocedural or CIR039 Other specified CIR037 Vasculitis postoperative circulatory system diseases of veins and complication lymphatics Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.10. CCSR for ICD-10-CM Categories, Diseases of the Respiratory System Respiratory System (RSP) – 17 CCSR RSP002 Pneumonia (except RSP001 Sinusitis RSP003 that caused by tuberculosis) RSP004 Acute and chronic RSP006 Other specified upper RSP005 Acute bronchitis tonsillitis respiratory infections RSP007 Other specified and RSP008 Chronic obstructive unspecified upper respiratory pulmonary disease and RSP009 Asthma disease bronchiectasis RSP011 Pleurisy, pleural RSP012 Respiratory failure; RSP010 Aspiration pneumonitis effusion and pulmonary collapse insufficiency; arrest RSP013 disease due to RSP014 Pneumothorax RSP015 Mediastinal disorders external agents RSP016 Other specified and RSP017 Postprocedural or unspecified lower respiratory postoperative respiratory system blank cell disease complication Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.11. CCSR for ICD-10-CM Categories, Diseases of the Digestive System Digestive System (DIG) – 25 CCSR DIG002 Disorders of teeth and DIG003 Diseases of mouth; DIG001 Intestinal infection gingiva excluding dental DIG006 Gastrointestinal and DIG004 Esophageal disorders DIG005 Gastroduodenal ulcer biliary perforation DIG008 Other specified and DIG009 Appendicitis and other DIG007 Gastritis and duodenitis unspecified disorders of appendiceal conditions stomach and duodenum DIG011 Regional enteritis and DIG012 Intestinal obstruction DIG010 Abdominal hernia ulcerative colitis and ileus DIG013 Diverticulosis and DIG015 Anal and rectal DIG014 Hemorrhoids diverticulitis conditions

HCUP (09/03/19) 7 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Digestive System (DIG) – 25 CCSR DIG016 Peritonitis and intra- DIG017 disease DIG018 Hepatic failure abdominal abscess DIG019 Other specified and DIG020 Pancreatic disorders DIG021 Gastrointestinal unspecified liver disease (excluding diabetes) hemorrhage DIG024 Postprocedural or DIG022 Noninfectious DIG023 Noninfectious hepatitis postoperative digestive system complication DIG025 Other specified and unspecified gastrointestinal blank cell blank cell disorders Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.12. CCSR for ICD-10-CM Categories, Diseases of the Skin and Subcutaneous Tissue Skin (SKN) – 7 CCSR SKN001 Skin and subcutaneous SKN002 Other specified SKN003 Pressure ulcer of skin tissue infections inflammatory condition of skin SKN004 Non-pressure ulcer of SKN006 Postprocedure or SKN005 Contact dermatitis skin postoperative skin complication SKN007 Other specified and blank cell blank cell unspecified skin disorders Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.13. CCSR for ICD-10-CM Categories, Diseases of the Musculoskeletal System and Connective Tissue Musculoskeletal System (MUS) – 37 CCSR MUS003 Rheumatoid MUS001 Infective arthritis MUS002 Osteomyelitis arthritis and related disease MUS005 Other specified chronic MUS004 Juvenile arthritis MUS006 Osteoarthritis arthropathy MUS007 Other specified MUS008 Immune-mediated/reactive MUS009 and disorders arthropathies synovial disorders MUS010 Musculoskeletal MUS011 Spondylopathies/ MUS012 Biomechanical pain spondyloarthropathy (including infective) lesions MUS015 Pathological MUS014 Pathological fracture, initial MUS013 Osteoporosis fracture, subsequent encounter encounter MUS016 Stress fracture, MUS017 Stress fracture, subsequent MUS018 Atypical fracture, initial encounter encounter initial encounter MUS019 Atypical fracture, MUS020 Pathological, stress and atypical MUS021 Acquired foot subsequent encounter fractures, sequela deformities MUS022 Scoliosis and MUS024 Systemic lupus MUS023 Acquired deformities (excluding other postural dorsopathic erythematosus and foot) deformities connective tissue disorders MUS025 Other specified MUS027 Musculoskeletal MUS026 Muscle disorders connective tissue disease abscess MUS028 Other specified MUS030 Aseptic necrosis bone disease and MUS029 Disorders of jaw and osteonecrosis musculoskeletal deformities

HCUP (09/03/19) 8 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Musculoskeletal System (MUS) – 37 CCSR MUS031 Traumatic MUS032 Neurogenic/neuropathic MUS033 Gout arthropathy arthropathy MUS034 Crystal MUS036 Autoinflammatory arthropathies (excluding MUS035 Osteomalacia syndromes gout) MUS037 Postprocedural or postoperative blank cell blank cell musculoskeletal system complication Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.14. CCSR for ICD-10-CM Categories, Diseases of the Genitourinary System Genitourinary System (GEN) – 26 CCSR GEN001 Nephritis; nephrosis; GEN002 Acute and unspecified GEN003 Chronic kidney disease renal sclerosis renal failure GEN006 Other specified and GEN005 Calculus of urinary GEN004 Urinary tract infections unspecified diseases of kidney tract and GEN007 Other specified and unspecified diseases of bladder GEN008 Urinary incontinence GEN009 Hematuria and urethra GEN010 Proteinuria GEN011 Vesicoureteral reflux GEN012 Hyperplasia of prostate GEN013 Inflammatory conditions GEN014 Erectile dysfunction GEN015 Male infertility of male genital organs GEN016 Other specified male GEN017 Nonmalignant breast GEN018 Inflammatory diseases genital disorders conditions of female pelvic organs GEN020 Prolapse of female GEN019 Endometriosis GEN021 Menstrual disorders genital organs GEN022 Benign ovarian cyst GEN023 Menopausal disorders GEN024 Female infertility GEN026 Postprocedural or GEN025 Other specified female postoperative genitourinary blank cell genital disorders system complication Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.15. CCSR for ICD-10-CM Categories, Pregnancy, Childbirth and the Puerperium Pregnancy (PRG) – 30 CCSR PRG003 Spontaneous abortion PRG001 Antenatal screening PRG002 Gestational weeks and complications of spontaneous abortion PRG004 Induced abortion and PRG005 and PRG006 Molar pregnancy and complications of termination of complications of ectopic other abnormal products of pregnancy pregnancy conception PRG007 Complications PRG009 Early, first or PRG008 Supervision of high- following ectopic and/or molar unspecified trimester risk pregnancy pregnancy hemorrhage PRG010 Hemorrhage after first PRG011 Early or threatened PRG012 Multiple gestation trimester labor PRG013 Maternal care related PRG014 Polyhydramnios and PRG015 Obstetric history to fetal conditions other problems of amniotic cavity affecting care in pregnancy HCUP (09/03/19) 9 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Pregnancy (PRG) – 30 CCSR PRG018 Maternal care related PRG017 Maternal care for PRG016 Previous C-section to disorders of the and abnormality of pelvic organs placental implantation PRG019 Diabetes or abnormal PRG020 Hypertension and glucose tolerance complicating hypertensive-related conditions PRG021 Maternal intrauterine pregnancy; childbirth; or the complicating pregnancy; infection puerperium childbirth; and the puerperium PRG024 Malposition, PRG023 Complications PRG022 Prolonged pregnancy disproportion or other labor specified during childbirth complications PRG025 Anesthesia PRG026 OB-related trauma to PRG027 Complications complications during pregnancy perineum and vulva specified during the puerperium PRG029 Uncomplicated PRG028 Other specified PRG030 Maternal outcome of pregnancy, delivery or complications in pregnancy delivery puerperium Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification, OB, obstetrics Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.16. CCSR for ICD-10-CM Categories, Certain Conditions Originating in the Perinatal Period Perinatal (PNL) – 13 CCSR PNL002 Short gestation; low PNL003 Neonatal acidemia and PNL001 Liveborn birth weight; and fetal growth hypoxia retardation PNL004 Neonatal cerebral PNL005 Respiratory distress PNL006 Respiratory perinatal disorders syndrome condition PNL007 Hemolytic jaundice and PNL008 Birth trauma PNL009 Perinatal infections perinatal jaundice PNL010 Newborn affected by PNL011 Hemorrhagic and PNL012 Neonatal digestive and maternal conditions or hematologic disorders of feeding disorders complications of labor/delivery newborn PNL013 Other specified and blank cell blank cell unspecified perinatal conditions Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.17. CCSR for ICD-10-CM Categories, Congenital Malformations, Deformations and Chromosomal Abnormalities Congenital Malformations (MAL) – 10 CCSR MAL001 Cardiac and circulatory MAL002 Digestive congenital MAL003 Genitourinary congenital anomalies anomalies congenital anomalies MAL005 Congenital MAL004 Nervous system malformations of eye, ear, face, MAL006 Cleft lip or palate congenital anomalies neck MAL007 Respiratory congenital MAL008 Musculoskeletal MAL009 Chromosomal malformations congenital conditions abnormalities MAL010 Other specified and blank cell blank cell unspecified congenital anomalies Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification

HCUP (09/03/19) 10 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.18. CCSR for ICD-10-CM Categories, Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified Signs and Symptoms (SYM) – 17 CCSR SYM001 Syncope SYM002 Fever SYM003 Shock SYM006 and SYM004 Nausea and vomiting SYM005 Dysphagia other digestive/abdomen signs and symptoms SYM008 Symptoms of mental SYM009 Abnormal findings SYM007 Malaise and fatigue and substance use conditions related to substance use SYM010 Nervous system signs SYM011 Genitourinary signs SYM012 Circulatory signs and and symptoms and symptoms symptoms SYM013 Respiratory signs and SYM014 Skin/Subcutaneous SYM015 General sensation/ symptoms signs and symptoms perception signs and symptoms SYM016 Other general signs SYM017 Abnormal findings blank cell and symptoms without diagnosis Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.19. CCSR for ICD-10-CM Categories, Injury, Poisoning and Certain Other Consequences of External Causes Injury (INJ) – 76 CCSR INJ001 Fracture of head and INJ002 Fracture of the spine INJ003 Fracture of torso, initial neck, initial encounter and back, initial encounter encounter INJ005 Fracture of the lower INJ004 Fracture of the upper INJ006 Fracture of the neck of limb (except hip), initial limb, initial encounter the (hip), initial encounter encounter INJ008 Traumatic brain injury INJ007 Dislocations, initial INJ009 injury (SCI), (TBI); concussion, initial encounter initial encounter encounter INJ010 Internal injury, INJ011 Open wounds of head INJ012 Open wounds to limbs, initial encounter and neck, initial encounter initial encounter INJ013 Open wounds of trunk, INJ014 Amputation of a limb, INJ015 Amputation of other initial encounter initial encounter body parts, initial encounter INJ016 Injury to blood vessels, INJ017 Superficial injury; INJ018 Crushing injury, initial initial encounter contusion, initial encounter encounter INJ020 Effect of foreign body INJ019 Burn and corrosion, INJ021 Effect of other external entering opening, initial initial encounter causes, initial encounter encounter INJ022 Poisoning by drugs, INJ023 Toxic effects, initial INJ024 Sprains and strains, initial encounter encounter initial encounter INJ025 Injury to , muscles and , initial INJ026 Other specified injury INJ027 Other unspecified injury encounter INJ028 Adverse effects of INJ029 Underdosing of drugs, INJ030 Drug induced or toxic medical drugs, initial encounter initial encounter related condition INJ033 Complication of INJ031 Allergic reactions INJ032 Maltreatment/abuse cardiovascular device, implant or graft, initial encounter INJ034 Complication of INJ035 Complication of internal INJ036 Complication of genitourinary device, implant or orthopedic device or implant, transplanted organs or tissue, graft, initial encounter initial encounter initial encounter HCUP (09/03/19) 11 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

Injury (INJ) – 76 CCSR INJ037 Complication of other INJ039 Fracture of the spine INJ038 Fracture of head and surgical or medical care, injury, and back, subsequent neck, subsequent encounter initial encounter encounter INJ042 Fracture of lower limb INJ040 Fracture of torso, INJ041 Fracture of the upper (except hip), subsequent subsequent encounter limb, subsequent encounter encounter INJ043 Fracture of the neck of INJ045 Traumatic brain injury INJ044 Dislocations, the femur (hip), subsequent (TBI); concussion, subsequent subsequent encounter encounter encounter INJ048 Open wounds of head INJ046 (SCI), INJ047 Internal organ injury, and neck, subsequent subsequent encounter subsequent encounter encounter INJ049 Open wounds to limbs, INJ050 Open wounds of trunk, INJ051 Amputation of a limb, subsequent encounter subsequent encounter subsequent encounter INJ052 Amputation of other INJ054 Superficial injury; INJ053 Injury to blood vessels, body parts, subsequent contusion, subsequent subsequent encounter encounter encounter INJ057 Effect of foreign body INJ055 Crushing injury, INJ056 Burns and corrosion, entering opening, subsequent subsequent encounter subsequent encounter encounter INJ058 Effect of other external INJ059 Poisoning by drugs, INJ060 Toxic effects, causes, subsequent encounter subsequent encounter subsequent encounter INJ062 Injury to nerves, INJ061 Sprains and strains, INJ063 Other specified injury, muscles and tendons, subsequent encounter subsequent encounter subsequent encounter INJ065 Adverse effects of INJ064 Other unspecified INJ066 Underdosing of drugs, medical drugs, subsequent injuries, subsequent encounter subsequent encounter encounter INJ069 Complication of INJ067 Allergic reactions, INJ068 Maltreatment/abuse, cardiovascular device, implant subsequent encounter subsequent encounter or graft, subsequent encounter INJ070 Complication of INJ071 Complication of internal INJ072 Complication of other genitourinary device, implant or orthopedic device or implant, surgical or medical care, injury, graft, subsequent encounter subsequent encounter subsequent encounter INJ075 Poisoning/toxic INJ074 Effect of other external INJ073 Injury, sequela effect/adverse causes, sequela effects/underdosing, sequela INJ076 Complication, sequela blank cell blank cell Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.20. CCSR for ICD-10-CM Categories, External Causes of Morbidity External Causes (EXT) – 30 CCSR EXT002 External cause codes: EXT001 External cause codes: EXT003 External cause codes: drowning/submersion; initial cut/pierce; initial encounter fall; initial encounter encounter EXT004 External cause codes: EXT005 External cause codes: EXT006 External cause codes: fire/burn; initial encounter firearm; initial encounter machinery; initial encounter EXT007 External cause codes: EXT008 External cause codes: EXT009 External cause codes: motor vehicle traffic (MVT); pedal cyclist; not MVT; initial pedestrian; not MVT; initial initial encounter encounter encounter

HCUP (09/03/19) 12 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories

External Causes (EXT) – 30 CCSR EXT010 External cause codes: EXT011 External cause codes: EXT012 External cause codes: transport; not MVT; initial natural/environment; initial bites; initial encounter encounter encounter EXT013 External cause codes: EXT014 External cause codes: EXT015 External cause codes: overexertion; initial encounter poisoning by drug poisoning by non-drug EXT016 External cause codes: EXT017 External cause codes: EXT018 External cause codes: struck by; against; initial suffocation/; initial other specified, classifiable and encounter encounter NEC; initial encounter EXT020 External cause codes: EXT019 External cause codes: EXT021 External cause codes: intent of injury, unspecified mechanism intent of injury, self-harm accidental/unintentional EXT024 External cause codes: EXT022 External cause codes: EXT023 External cause codes: intent of injury, legal intent of injury, assault intent of injury, undetermined intervention/war EXT025 External cause codes: EXT027 External cause codes: EXT026 External cause codes: complications of medical and place of occurrence of the activity codes surgical care, initial encounter external cause EXT028 External cause codes: EXT029 External cause codes: EXT030 External cause codes: evidence of alcohol involvement subsequent encounter sequela Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

Table B.21. CCSR for ICD-10-CM Categories, Factors Influencing Health Status and Contact with Health Services Factors Influencing Health Status (FAC) – 25 CCSR FAC003 Encounter for observation and examination for FAC001 Encounter for FAC002 Encounter for mental conditions ruled out (excludes administrative purposes health services related to abuse infectious disease, neoplasm, mental disorders) FAC005 Encounter for FAC004 Encounter for FAC006 Encounter for prophylactic measures prophylactic or other procedures antineoplastic therapies (excludes immunization) FAC007 Encounter for mental FAC008 Neoplasm-related FAC009 Implant, device or graft health conditions encounters related encounter FAC010 Other aftercare FAC011 Counseling related to FAC012 Other specified encounter sexual behavior or orientation encounters and counseling FAC013 Contraceptive and FAC014 Medical FAC015 Resistance to procreative management examination/evaluation antimicrobial drugs FAC016 Exposure, encounters, FAC018 Screening for FAC017 No immunization or screening or contact with neurocognitive or underimmunization infectious disease neurodevelopmental condition FAC019 Socioeconomic/ FAC020 Lifestyle/life FAC021 Personal/family history psychosocial factors management factors of disease FAC022 Acquired absence of FAC023 Organ transplant status FAC024 Carrier status limb or organ FAC025 Other specified status blank cell blank cell Abbreviations: CCSR, Clinical Classifications Software Refined; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification Source: Version 2019.1 of the CCSR for ICD-10-CM

HCUP (09/03/19) 13 User Guide: Clinical Classifications Software Refined; Appendix B: CCSR Categories