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)

Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)

Excludes 1:
abnormal findings on antenatal screening of mother (O28.-)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Excludes 2:
abnormal findings on examination of blood, without diagnosis (R70-R79)
abnormal findings on examination of urine, without diagnosis (R80-R82)
abnormal tumor markers (R97.-)
R83 Abnormal findings in cerebrospinal fluid [+]
R84 Abnormal findings in specimens from respiratory organs and thorax [+]
Includes: abnormal findings in bronchial washings
abnormal findings in nasal secretions
abnormal findings in pleural fluid
abnormal findings in sputum
abnormal findings in throat scrapings
Excludes 1: blood-stained sputum (R04.2)
R85 Abnormal findings in specimens from digestive organs and abdominal cavity [+]
Includes: abnormal findings in peritoneal fluid
abnormal findings in saliva
Excludes 1: cloudy peritoneal dialysis effluent (R88.0)
fecal abnormalities (R19.5)
R86 Abnormal findings in specimens from male genital organs [+]
Includes: abnormal findings in prostatic secretions
abnormal findings in semen, seminal fluid
abnormal spermatozoa
Excludes 1: azoospermia (N46.0-)
oligospermia (N46.1-)
R87 Abnormal findings in specimens from female genital organs [+]
Includes: abnormal findings in secretion and smears from cervix uteri
abnormal findings in secretion and smears from vagina
abnormal findings in secretion and smears from vulva
R88 Abnormal findings in other body fluids and substances [+]
R89 Abnormal findings in specimens from other organs, systems and tissues [+]
Includes: abnormal findings in nipple discharge
abnormal findings in synovial fluid
abnormal findings in wound secretions

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