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ICD-10 Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findings - Wikipedia ICD-10 Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findingsFrom Wikipedia, the free encyclopedia  (Redirected from ICD-10 Chapter R )
ICD-10 chapters
Chapter Block Title
I A00–B99 Certain infectious and parasitic diseases
II C00–D48 Neoplasms
III D50–D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
IV E00–E90 Endocrine, nutritional and metabolic diseases
V F00–F99 Mental and behavioural disorders
VI G00–G99 Diseases of the nervous system
VII H00–H59 Diseases of the eye and adnexa
VIII H60–H95 Diseases of the ear and mastoid process
IX I00–I99 Diseases of the circulatory system
X J00–J99 Diseases of the respiratory system
XI K00–K93 Diseases of the digestive system
XII L00–L99 Diseases of the skin and subcutaneous tissue
XIII M00–M99 Diseases of the musculoskeletal system and connective tissue
XIV N00–N99 Diseases of the genitourinary system
XV O00–O99 Pregnancy, childbirth and the puerperium
XVI P00–P96 Certain conditions originating in the perinatal period
XVII Q00–Q99 Congenital malformations, deformations and chromosomal abnormalities
XVIII R00–R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
XIX S00–T98 Injury, poisoning and certain other consequences of external causes
XX V01–Y98 External causes of morbidity and mortality
XXI Z00–Z99 Factors influencing health status and contact with health services
XXII U00–U99 Codes for special purposes
ICD-10

ICD-10 is an international statistical classification used in health care and related industries.

Produced by the World Health Organization , it is used in several countries around the world. Some have gone on to develop their own national enhancements, building off the international version of the classification.

Chapter XVIII of ICD-10 deals with symptoms , signs , and abnormal clinical and laboratory findings . Examples of information captured using codes from Chapter XVIII include; dysuria , seizure , hyperglycaemia , and sudden infant death syndrome .

ContentsR00–R69 – Symptoms and signs[ edit ](R00–R09) Circulatory and respiratory systems [ edit ]( R00 ) Abnormalities of heart beat ( R00.0 ) Tachycardia , unspecified( R00.1 ) Bradycardia , unspecified( R00.2 ) Palpitations ( R00.8 ) Other and unspecified abnormalities of heart beat ( R01 ) Cardiac murmurs and other cardiac sounds ( R01.0 ) Benign and innocent cardiac murmurs ( R01.1 ) Cardiac murmur , unspecified Cardiac bruit NOS( R01.2 ) Other cardiac sounds ( R02 ) Gangrene , not elsewhere classified( R03 ) Abnormal blood-pressure reading, without diagnosis ( R03.0 ) Elevated blood-pressure reading, without diagnosis of hypertension ( R03.1 ) Nonspecific low blood-pressure reading( R04 ) Haemorrhage from respiratory passages ( R04.0 ) Epistaxis ( R04.1 ) Haemorrhage from throat ( R04.2 ) Haemoptysis ( R04.8 ) Haemorrhage from other sites in respiratory passages ( R04.9 ) Haemorrhage from respiratory passages , unspecified( R05 ) Cough ( R06 ) Abnormalities of breathing ( R06.0 ) Dyspnoea Orthopnoea ( R06.1 ) Stridor ( R06.2 ) Wheezing ( R06.3 ) Periodic breathing Cheyne-Stokes respiration ( R06.4 ) Hyperventilation ( R06.5 ) Mouth breathing Snoring ( R06.6 ) Hiccup ( R06.7 ) Sneezing ( R06.8 ) Other and unspecified abnormalities of breathing Choking sensation ( R07 ) Pain in throat and chest ( R07.0 ) Pain in throat ( R07.1 ) Chest pain on breathing ( R07.2 ) Precordial pain( R07.3 ) Other chest pain ( R07.4 ) Chest pain , unspecified( R09 ) Other symptoms and signs involving the circulatory and respiratory systems ( R09.0 ) Asphyxia ( R09.1 ) Pleurisy ( R09.2 ) Respiratory arrest ( R09.3 ) Abnormal sputum ( R09.8 ) Other specified symptoms and signs involving the circulatory and respiratory systems Rales Arterial Bruit (R10–R19) Digestive system and abdomen [ edit ]( R10 ) Abdominal and pelvic pain ( R10.0 ) Acute abdomen ( R10.1 ) Pain localized to upper abdomen ( R10.2 ) Pelvic and perineal pain ( R10.3 ) Pain localized to other parts of lower abdomen ( R10.4 ) Other and unspecified abdominal pain Abdominal tenderness NOS Colic , NOS infantile colic ( R11 ) Nausea and vomiting ( R12 ) Heartburn ( R13 ) Dysphagia ( R14 ) Flatulence and related conditions Abdominal distension (gaseous) Bloating Eructation Gas pain Tympanites (abdominal)(intestinal)( R15 ) Faecal incontinence Encopresis ( R16 ) Hepatomegaly and splenomegaly , not elsewhere classified ( R16.0 ) Hepatomegaly , not elsewhere classified( R16.1 ) Splenomegaly , not elsewhere classified( R16.2 ) Hepatomegaly with splenomegaly , not elsewhere classified Hepatosplenomegaly NOS( R17 ) Unspecified jaundice ( R18 ) Ascites ( R19 ) Other symptoms and signs involving the digestive system and abdomen ( R19.0 ) Intra-abdominal and pelvic swelling , mass and lump( R19.1 ) Abnormal bowel sounds ( R19.2 ) Visible peristalsis ( R19.3 ) Abdominal rigidity ( R19.4 ) Change in bowel habit ( R19.5 ) Other faecal abnormalities ( R19.6 ) Halitosis ( R19.8 ) Other specified symptoms and signs involving the digestive system and abdomen (R20–R23) Skin and subcutaneous tissue [ edit ]( R20 ) Disturbances of skin sensation ( R20.0 ) Anaesthesia of skin ( R20.1 ) Hypoaesthesia of skin ( R20.2 ) Paraesthesia of skin ( R20.3 ) Hyperaesthesia ( R20.8 ) Other and unspecified disturbances of skin sensation ( R21 ) Rash and other nonspecific skin eruption( R22 ) Localized swelling , mass and lump of skin and subcutaneous tissue ( R22.0 ) Localized swelling, mass and lump, head ( R22.1 ) Localized swelling, mass and lump, neck ( R22.2 ) Localized swelling, mass and lump, trunk ( R22.3 ) Localized swelling, mass and lump, upper limb ( R22.4 ) Localized swelling, mass and lump, lower limb ( R22.7 ) Localized swelling, mass and lump, multiple sites ( R22.9 ) Localized swelling, mass and lump, unspecified ( R23 ) Other skin changes ( R23.0 ) Cyanosis ( R23.1 ) Pallor ( R23.2 ) Flushing ( R23.3 ) Spontaneous ecchymoses Petechiae ( R23.4 ) Changes in skin texture Desquamation Induration ( R23.8 ) Other and unspecified skin changes (R25–R29) Nervous and musculoskeletal systems [ edit ]( R25 ) Abnormal involuntary movements ( R25.0 ) Abnormal head movements ( R25.1 ) Tremor , unspecified( R25.2 ) Cramp and spasm ( R25.3 ) Fasciculation ( R25.8 ) Other and unspecified abnormal involuntary movements ( R26 ) Abnormalities of gait and mobility ( R26.0 ) Ataxic gait ( R26.1 ) Paralytic gait ( R26.2 ) Difficulty in walking , not elsewhere classified( R26.8 ) Other and unspecified abnormalities of gait and mobility ( R27 ) Other lack of coordination ( R27.0 ) Ataxia , unspecified( R27.8 ) Other and unspecified lack of coordination ( R29 ) Other symptoms and signs involving the nervous and musculoskeletal systems ( R29.0 ) Tetany ( R29.1 ) Meningismus ( R29.2 ) Abnormal reflex Hyperreflexia ( R29.3 ) Abnormal posture ( R29.4 ) Clicking hip ( R29.8 ) Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems (R30–R39) Urinary system [ edit ]( R30 ) Pain associated with micturition ( R30.0 ) Dysuria ( R30.1 ) Vesical tenesmus ( R30.9 ) Painful micturition , unspecified( R31 ) Unspecified haematuria ( R32 ) Unspecified urinary incontinence ( R33 ) Retention of urine ( R34 ) Anuria and oliguria ( R35 ) Polyuria Nocturia ( R36 ) Urethral discharge ( R39 ) Other symptoms and signs involving the urinary system ( R39.0 ) Extravasation of urine ( R39.1 ) Other difficulties with micturition ( R39.2 ) Extrarenal uraemia ( R39.8 ) Other and unspecified symptoms and signs involving the urinary system (R40–R46) Cognition , perception , emotional state and behaviour [ edit ]( R40 ) Somnolence , stupor and coma ( R40.0 ) Somnolence ( R40.1 ) Stupor ( R40.2 ) Coma , unspecified( R41 ) Other symptoms and signs involving cognitive functions and awareness ( R41.0 ) Disorientation , unspecified( R41.1 ) Anterograde amnesia ( R41.2 ) Retrograde amnesia ( R41.3 ) Other amnesia ( R41.8 ) Other and unspecified symptoms and signs involving cognitive functions and awareness ( R42 ) Dizziness and giddiness Vertigo NOS( R43 ) Disturbances of smell and taste ( R43.0 ) Anosmia ( R43.1 ) Parosmia ( R43.2 ) Parageusia ( R43.8 ) Other and unspecified disturbances of smell and taste ( R44 ) Other symptoms and signs involving general sensations and perceptions ( R44.0 ) Auditory hallucinations ( R44.1 ) Visual hallucinations ( R44.2 ) Other hallucinations ( R44.3 ) Hallucinations , unspecified( R44.8 ) Other and unspecified symptoms and signs involving general sensations and perceptions ( R45 ) Symptoms and signs involving emotional state ( R45.0 ) Nervousness ( R45.1 ) Restlessness and agitation ( R45.2 ) Unhappiness ( R45.3 ) Demoralization and apathy ( R45.4 ) Irritability and anger ( R45.5 ) Hostility ( R45.6 ) Physical violence ( R45.7 ) State of emotional shock and stress , unspecified( R45.8 ) Other symptoms and signs involving emotional state Suicidal ideation (tendencies)( R46 ) Symptoms and signs involving appearance and behaviour ( R46.0 ) Very low level of personal hygiene ( R46.1 ) Bizarre personal appearance ( R46.2 ) Strange and inexplicable behaviour ( R46.3 ) Overactivity ( R46.4 ) Slowness and poor responsiveness ( R46.5 ) Suspiciousness and marked evasiveness ( R46.6 ) Undue concern and preoccupation with stressful events ( R46.7 ) Verbosity and circumstantial detail obscuring reason for contact ( R46.8 ) Other symptoms and signs involving appearance and behaviour (R47–R49) Speech and voice [ edit ]( R47 ) Speech disturbances , not elsewhere classified ( R47.0 ) Dysphasia and aphasia ( R47.1 ) Dysarthria and anarthria ( R47.8 ) Other and unspecified speech disturbances ( R48 ) Dyslexia and other Symbolic dysfunctions , not elsewhere classified ( R48.0 ) Dyslexia and alexia ( R48.1 ) Agnosia ( R48.2 ) Apraxia ( R48.8 ) Other and unspecified Symbolic dysfunctions Acalculia Agraphia ( R49 ) Voice disturbances ( R49.0 ) Dysphonia ( R49.1 ) Aphonia ( R49.2 ) Hypernasality and hyponasality ( R49.8 ) Other and unspecified voice disturbances (R50–R69) General symptoms and signs[ edit ]( R50 ) Fever of unknown origin ( R50.0 ) Fever with chills ( R50.1 ) Persistent fever ( R50.9 ) Fever , unspecified( R51 ) Headache ( R52 ) Pain , not elsewhere classified ( R52.0 ) Acute pain ( R52.1 ) Chronic intractable pain ( R52.2 ) Other chronic pain ( R52.9 ) Pain , unspecified( R53 ) Malaise and fatigue Asthenia NOS Debility NOS General physical deterioration Lethargy Tiredness ( R54 ) Senility ( R55 ) Syncope and collapse ( R56 ) Convulsions , not elsewhere classified ( R56.0 ) Febrile convulsions ( R56.8 ) Other and unspecified convulsions Fit NOS Seizure (convulsive) NOS( R57 ) Shock , not elsewhere classified ( R57.0 ) Cardiogenic shock ( R57.1 ) Hypovolaemic shock ( R57.8 ) Other shock( R57.9 ) Shock, unspecified( R58 ) Haemorrhage , not elsewhere classified( R59 ) Enlarged lymph nodes ( R59.0 ) Localized enlarged lymph nodes ( R59.1 ) Generalized enlarged lymph nodes Lymphadenopathy NOS( R60 ) Oedema , not elsewhere classified ( R60.0 ) Localized oedema Peripheral edema ( R60.1 ) Generalized oedema ( R60.9 ) Oedema , unspecified( R61 ) Hyperhidrosis ( R61.0 ) Localized hyperhidrosis ( R61.1 ) Generalized hyperhidrosis ( R61.9 ) Hyperhidrosis , unspecified Night sweats ( R62 ) Lack of expected normal physiological development ( R62.0 ) Delayed milestone ( R62.8 ) Other lack of expected normal physiological development Failure to gain weight Failure to thrive Infantilism NOS Lack of growth Physical retardation ( R62.9 ) Lack of expected normal physiological development , unspecified( R63 ) Symptoms and signs concerning food and fluid intake ( R63.0 ) Anorexia ( R63.1 ) Polydipsia ( R63.2 ) Polyphagia ( R63.3 ) Feeding difficulties and mismanagement ( R63.4 ) Abnormal weight loss ( R63.5 ) Abnormal weight gain ( R63.8 ) Other symptoms and signs concerning food and fluid intake ( R64 ) Cachexia ( R68 ) Other general symptoms and signs ( R68.0 ) Hypothermia , not associated with low environmental temperature ( R68.1 ) Nonspecific symptoms peculiar to infancy ( R68.2 ) Dry mouth , unspecified( R68.3 ) Clubbing of fingers ( R68.8 ) Other specified general symptoms and signs( R69 ) Unknown and unspecified causes of morbidity R70–R94 – Abnormal clinical and laboratory findings , not elsewhere classified[ edit ](R70–R79) On examination of blood , without diagnosis [ edit ]( R70 ) Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity ( R70.0 ) Elevated erythrocyte sedimentation rate ( R70.1 ) Abnormal plasma viscosity ( R71 ) Abnormality of red blood cells Anisocytosis Poikilocytosis ( R72 ) Abnormality of white blood cells , not elsewhere classified( R73 ) Elevated blood glucose level ( R73.0 ) Abnormal glucose tolerance test Impaired glucose tolerance Prediabetes ( R73.9 ) Hyperglycaemia , unspecified( R74 ) Abnormal serum enzyme levels ( R74.0 ) Elevation of levels of transaminase and lactic acid dehydrogenase (LDH)( R74.8 ) Abnormal levels of other serum enzymes acid phosphatase alkaline phosphatase amylase lipase ( triacylglycerol lipase )( R74.9 ) Abnormal level of unspecified serum enzyme ( R75 ) Laboratory evidence of human immunodeficiency virus (HIV)( R76 ) Other abnormal immunological findings in serum ( R76.0 ) Raised antibody titre ( R76.1 ) Abnormal reaction to tuberculin test ( R76.2 ) False-positive serological test for syphilis ( R76.8 ) Other specified abnormal immunological findings in serum ( R76.9 ) Abnormal immunological finding in serum , unspecified( R77 ) Other abnormalities of plasma proteins ( R77.0 ) Abnormality of albumin ( R77.1 ) Abnormality of globulin ( R77.2 ) Abnormality of alphafetoprotein ( R77.8 ) Other specified abnormalities of plasma proteins ( R77.9 ) Abnormality of plasma protein , unspecified( R78 ) Findings of drugs and other substances, not normally found in blood ( R78.0 ) Finding of alcohol in blood ( R78.1 ) Finding of opiate drug in blood ( R78.2 ) Finding of cocaine in blood ( R78.3 ) Finding of hallucinogen in blood ( R78.4 ) Finding of other drugs of addictive potential in blood( R78.5 ) Finding of psychotropic drug in blood ( R78.6 ) Finding of steroid agent in blood ( R78.7 ) Finding of abnormal level of heavy metals in blood ( R78.8 ) Finding of other specified substances, not normally found in blood ( R78.9 ) Finding of unspecified substance, not normally found in blood ( R79 ) Other abnormal findings of blood chemistry ( R79.0 ) Abnormal level of blood mineral ( R79.8 ) Other specified abnormal findings of blood chemistry Abnormal blood-gas level( R79.9 ) Abnormal finding of blood chemistry , unspecified(R80–R82) On examination of urine , without diagnosis [ edit ]( R80 ) Isolated proteinuria Albuminuria ( R81 ) Glycosuria ( R82 ) Other abnormal findings in urine ( R82.0 ) Chyluria ( R82.1 ) Myoglobinuria ( R82.2 ) Biliuria ( R82.3 ) Haemoglobinuria ( R82.4 ) Acetonuria Ketonuria ( R82.5 ) Elevated urine levels of drugs , medicaments and biological substances ( R82.6 ) Abnormal urine levels of substances chiefly nonmedicinal as to source( R82.7 ) Abnormal findings on microbiological examination of urine ( R82.8 ) Abnormal findings on cytological and histological examination of urine ( R82.9 ) Other and unspecified abnormal findings in urine Cells and casts in urine Crystalluria Melanuria (R83–R89) On examination of other body fluids , substances and tissues , without diagnosis [ edit ]( R83 ) Abnormal findings in cerebrospinal fluid ( R84 ) Abnormal findings in specimens from respiratory organs and thorax ( R85 ) Abnormal findings in specimens from digestive organs and abdominal cavity ( R86 ) Abnormal findings in specimens from male genital organs ( R87 ) Abnormal findings in specimens from female genital organs ( R89 ) Abnormal findings in specimens from other organs , systems and tissues (R90–R94) On diagnostic imaging and in function studies , without diagnosis [ edit ]( R90 ) Abnormal findings on diagnostic imaging of central nervous system ( R90.0 ) Intracranial space-occupying lesion ( R90.8 ) Other abnormal findings on diagnostic imaging of central nervous system ( R91 ) Abnormal findings on diagnostic imaging of lung ( R92 ) Abnormal findings on diagnostic imaging of breast ( R93 ) Abnormal findings on diagnostic imaging of other body structures ( R93.0 ) Abnormal findings on diagnostic imaging of skull and head , not elsewhere classified( R93.1 ) Abnormal findings on diagnostic imaging of heart and coronary circulation ( R93.2 ) Abnormal findings on diagnostic imaging of liver and biliary tract ( R93.3 ) Abnormal findings on diagnostic imaging of other parts of digestive tract ( R93.4 ) Abnormal findings on diagnostic imaging of urinary organs ( R93.5 ) Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum ( R93.6 ) Abnormal findings on diagnostic imaging of limbs ( R93.7 ) Abnormal findings on diagnostic imaging of other parts of musculoskeletal system ( R93.8 ) Abnormal findings on diagnostic imaging of other specified body structures( R94 ) Abnormal results of function studies ( R94.0 ) Abnormal results of function studies of central nervous system Abnormal electroencephalogram ( R94.1 ) Abnormal results of function studies of peripheral nervous system and special senses ( R94.2 ) Abnormal results of pulmonary function studies Reduced vital capacity ( R94.3 ) Abnormal results of cardiovascular function studies Abnormal electrocardiogram ( R94.4 ) Abnormal results of kidney function studies Abnormal renal function test( R94.5 ) Abnormal results of liver function studies ( R94.6 ) Abnormal results of thyroid function studies ( R94.7 ) Abnormal results of other endocrine function studies ( R94.8 ) Abnormal results of function studies of other organs and systems Abnormal basal metabolic rate ( BMR )R95–R99 – Ill-defined and unknown causes of mortality [ edit ]( R95 ) Sudden infant death syndrome ( R96 ) Other sudden death, cause unknown ( R96.0 ) Instantaneous death ( R96.1 ) Death occurring less than 24 hours from onset of symptoms, not otherwise explained( R98 ) Unattended death ( R99 ) Other ill-defined and unspecified causes of mortalityExcludes[ edit ]Abnormal findings on antenatal screening of mother (O28.-)Certain conditions originating in the perinatal period (P00-P96)Signs and symptoms classified in the body system chaptersSigns and symptoms of breast (N63, N64.5)See also[ edit ] International Statistical Classification of Diseases and Related Health Problems List of ICD-9 codes 780–799: symptoms, signs, and ill-defined conditions List of ICD-10 codes References[ edit ] Retrieved from " https://en.wikipedia.org/w/index.php?title=ICD-10_Chapter_XVIII:_Symptoms,_signs_and_abnormal_clinical_and_laboratory_findings&oldid=916057707 " Categories : International Classification of Diseases Navigation menuPersonal toolsNot logged in Talk Contributions Create account Log in Namespaces Article Talk VariantsViews Read 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