Chapter XVIII · R00-R99

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

91 categories and 400 codes in 13 blocks, from the Master Industry Table 2021. Open a category for its codes and their markers.

R00-R09Symptoms and signs involving the circulatory and respiratory systems

Block 185 · 9 categories

Category	Title	Codes	Valid for use
R00	Abnormalities of heart beat	5	4
R01	Cardiac murmurs and other cardiac sounds	4	3
R02	Gangrene, not elsewhere classified	1	1
R03	Abnormal blood-pressure reading, without diagnosis	3	2
R04	Haemorrhage from respiratory passages	6	5
R05	Cough	1	1
R06	Abnormalities of breathing	10	9
R07	Pain in throat and chest	6	5
R09	Other symptoms and signs involving the circulatory and respiratory systems	6	5

R10-R19Symptoms and signs involving the digestive system and abdomen

Block 186 · 10 categories

Category	Title	Codes	Valid for use
R10	Abdominal and pelvic pain	6	5
R11	Nausea and vomiting	1	1
R12	Heartburn	1	1
R13	Dysphagia	1	1
R14	Flatulence and related conditions	1	1
R15	Faecal incontinence	1	1
R16	Hepatomegaly and splenomegaly, not elsewhere classified	4	3
R17	Unspecified jaundice	1	1
R18	Ascites	1	1
R19	Other symptoms and signs involving the digestive system and abdomen	9	8

R20-R23Symptoms and signs involving the skin and subcutaneous tissue

Block 187 · 4 categories

Category	Title	Codes	Valid for use
R20	Disturbances of skin sensation	6	5
R21	Rash and other nonspecific skin eruption	1	1
R22	Localized swelling, mass and lump of skin and subcutaneous tissue	8	7
R23	Other skin changes	7	6

R25-R29Symptoms and signs involving the nervous and musculoskeletal systems

Block 188 · 4 categories

Category	Title	Codes	Valid for use
R25	Abnormal involuntary movements	6	5
R26	Abnormalities of gait and mobility	6	5
R27	Other lack of coordination	3	2
R29	Other symptoms and signs involving the nervous and musculoskeletal system	8	7

R30-R39Symptoms and signs involving the urinary system

Block 189 · 8 categories

Category	Title	Codes	Valid for use
R30	Pain associated with micturition	4	3
R31	Unspecified haematuria	1	1
R32	Unspecified urinary incontinence	1	1
R33	Retention of urine	1	1
R34	Anuria and oliguria	1	1
R35	Polyuria	1	1
R36	Urethral discharge	1	1
R39	Other symptoms and signs involving the urinary system	5	4

R40-R46Symptoms and signs involving cognition, perception, emotional state and behaviour

Block 190 · 7 categories

Category	Title	Codes	Valid for use
R40	Somnolence, stupor and coma	4	3
R41	Other symptoms and signs involving cognitive functions and awareness	6	5
R42	Dizziness and giddiness	1	1
R43	Disturbances of smell and taste	5	4
R44	Other symptoms and signs involving general sensations and perceptions	6	5
R45	Symptoms and signs involving emotional state	10	9
R46	Symptoms and signs involving appearance and behaviour	10	9

R47-R49Symptoms and signs involving speech and voice

Block 191 · 3 categories

Category	Title	Codes	Valid for use
R47	Speech disturbances, not elsewhere classified	4	3
R48	Dyslexia and other symbolic dysfunctions, not elsewhere classified	5	4
R49	Voice disturbances	5	4

R50-R69General symptoms and signs

Block 192 · 18 categories

Category	Title	Codes	Valid for use
R50	Fever of other and unknown origin	6	3
R51	Headache	1	1
R52	Pain, not elsewhere classified	5	4
R53	Malaise and fatigue	1	1
R54	Senility	1	1
R55	Syncope and collapse	1	1
R56	Convulsions, not elsewhere classified	3	2
R57	Shock, not elsewhere classified	6	5
R58	Haemorrhage, not elsewhere classified	1	1
R59	Enlarged lymph nodes	4	3
R60	Oedema, not elsewhere classified	4	3
R61	Hyperhidrosis	4	3
R62	Lack of expected normal physiological development	4	3
R63	Symptoms and signs concerning food and fluid intake	9	8
R64	Cachexia	1	1
R65	Systemic inflammatory Response Syndrome	6	5
R68	Other general symptoms and signs	6	5
R69	Unknown and unspecified causes of morbidity	1	1

R70-R79Abnormal findings on examination of blood, without diagnosis

Block 193 · 10 categories

Category	Title	Codes	Valid for use
R70	Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity	3	2
R71	Abnormality of red blood cells	1	1
R72	Abnormality of white blood cells, not elsewhere classified	1	1
R73	Elevated blood glucose level	3	2
R74	Abnormal serum enzyme levels	4	3
R75	Laboratory evidence of human immunodeficiency virus [HIV]	1	1
R76	Other abnormal immunological findings in serum	6	5
R77	Other abnormalities of plasma proteins	6	5
R78	Findings of drugs and other substances, not normally found in blood	11	10
R79	Other abnormal findings of blood chemistry	4	3

R80-R82Abnormal findings on examination of urine, without diagnosis

Block 194 · 3 categories

Category	Title	Codes	Valid for use
R80	Isolated proteinuria	1	1
R81	Glycosuria	1	1
R82	Other abnormal findings in urine	11	10

R83-R89Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis

Block 195 · 6 categories

Category	Title	Codes	Valid for use
R83	Abnormal findings in cerebrospinal fluid	11	10
R84	Abnormal findings in specimens from respiratory organs and thorax	11	10
R85	Abnormal findings in specimens from digestive organs and abdominal cavity	11	10
R86	Abnormal findings in specimens from male genital organs	11	10
R87	Abnormal findings in specimens from female genital organs	11	10
R89	Abnormal findings in specimens from other organs, systems and tissues	11	10

R90-R94Abnormal findings on diagnostic imaging and in function studies, without diagnosis

Block 196 · 5 categories

Category	Title	Codes	Valid for use
R90	Abnormal findings on diagnostic imaging of central nervous system	3	2
R91	Abnormal findings on diagnostic imaging of lung	1	1
R92	Abnormal findings on diagnostic imaging of breast	1	1
R93	Abnormal findings on diagnostic imaging of other body structures	10	9
R94	Abnormal results of function studies	10	9

R95-R99Ill-defined and unknown causes of mortality

Block 197 · 4 categories

Category	Title	Codes	Valid for use
R95	Sudden infant death syndrome	3	2
R96	Other sudden death, cause unknown	3	2
R98	Unattended death	1	1
R99	Other ill-defined and unspecified causes of mortality	1	1

Source and terms

Reproduced from the national table, unaltered.

The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page

Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.

ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.

Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.

Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.

This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.

This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.

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