EXAMPLES
DIAGNOSIS: Acute myocarditis secondary to tuberculosis
17.9 422.
DIAGNOSIS: Phagolytic glaucoma with hypermature cataract
366.18 365.51
DIAGNOSIS: Temporary colostomy with cecectomy
46.11 45.72
b. Use additional code . . . .
The words "if desired" as appears in above should be deleted where found throughout
the coding books. All Army MTFs will use additional codes.
EXAMPLE:
Use additional code, to identify infectious organism.
DIAGNOSIS: Acute Pharyngitis, staphylococcal.
462 41.1
c. Note . . . .
The term "Note" is found in both Diseases and Procedures Indexes and Tabulars. In
the Procedures Tabular "Note" may appear at the two- or three-digit level ; and in the
Disease Tabular at the category level. Guidance on use of fifth-digit subclassification
codes is a "Note" instruction without the actual term.
EXAMPLE:
DIAGNOSIS: Third degree burn to trunk comprising 20 percent body surface.
NOTE: This category is to be used when the site of the burn is unspecified or with
categories 940-947 when the site is specified.
Third-degree burn to trunk, 20 percent body surface
942.3 948.22
2. Without Written Instructions:
a. Late effect (cause of) with residual.
If both the residuals and the cause of the late effect are provided, sequence the code for
the residuals first. If the cause of the late effect is specified but not the residuals, code
the cause of the late effect.
DIAGNOSIS: Hemiplegia secondary to poliomyelitis 12 years ago. (See principle XV
for definitions of late effect.)
MD0753
A-5