Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note:
This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Excludes 2:
abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 2:
symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
R40 Somnolence, stupor and coma [+]
Excludes 1: neonatal coma (P91.5)
somnolence, stupor and coma in diabetes (E08-E13)
somnolence, stupor and coma in hepatic failure (K72.-)
somnolence, stupor and coma in hypoglycemia (nondiabetic) (E15)
R41 Other symptoms and signs involving cognitive functions and awareness [+]
Excludes 1: dissociative [conversion] disorders (F44.-)
mild cognitive impairment of uncertain or unknown etiology (G31.84)
R42 Dizziness and giddiness
Light-headedness
Vertigo NOS
Excludes 1: vertiginous syndromes (H81.-)
vertigo from infrasound (T75.23)
R43 Disturbances of smell and taste [+]
R44 Other symptoms and signs involving general sensations and perceptions [+]
Excludes 1: alcoholic hallucinations (F10.151, F10.251, F10.951)
hallucinations in drug psychosis (F11-F19 with fifth to sixth characters 51)
hallucinations in mood disorders with psychotic symptoms (F30.2, F31.5, F32.3, F33.3)
hallucinations in schizophrenia, schizotypal and delusional disorders (F20-F29)
Excludes 2: disturbances of skin sensation (R20.-)
R45 Symptoms and signs involving emotional state [+]
R46 Symptoms and signs involving appearance and behavior [+]
Excludes 1: appearance and behavior in schizophrenia, schizotypal and delusional disorders (F20-F29)
mental and behavioral disorders (F01-F99)

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