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Corriger J, et al.

J Investig Allergol Clin Immunol 2019; Vol. 29(5): 357-364

© 2019 Esmon Publicidad

doi: 10.18176/jiaci.0348

Table 1.

International Classification of Diseases (ICD)-10

Anaphylaxis-Related Codes Used in the Initial Selection of Cases (n=95)

ICD-10 codes (2016)

Description

Category Extension

D69

H10

I46

I95

J30

J38

J39

J45

J46

J67

K52

K90

L03

L20

L23

L24

L25

L27

L30

L50

L53

L56

M31

M36

O29

O74

O89

R21

R60

T78

T78

T78

T78

T78

T80

T80

T81

T88

Z01

Z51

0

.1, 3, 9

.0, 9

.8

.1 – 4

.4, 5

.3

.0, 1, 8, 9

.X

.8, 9

.2

.4

.9

.8, 9

.0 – 9

.0 – 9

.0 – 5, 8, 9

.0 – 2, 8, 9

.8, 9

.0 – 9 (excl 3, 7)

.0, 9

.0 – 3

.0

.4

.3

.4

.3

.X

.1, 9

.0

.1

.2

.3

.4

.5

.6

.1, 6

.6

.5

.6

Allergic purpura

Conjunctivitis

Cardiac arrest

Other hypotension

Allergic rhinitis

Edema of larynx and laryngeal spasm

Upper respiratory tract hypersensitivity reaction

Asthma

Status asthmaticus and acute severe asthma

Hypersensitivity pneumonitis due to other or unspecified organic dust

Allergic and dietetic gastroenteritis and colitis

Malabsorption due to intolerance or hypersensitivity

Cellulitis, located edema or erythema

Atopic dermatitis

Allergic contact dermatitis

Irritant contact dermatitis

Unspecified contact dermatitis

Dermatitis or skin eruptions due to substances taken internally, drugs and medicaments

Dermatitis and eczema

Urticaria

Toxic or unspecified erythema

Drug phototoxic or photoallergic responses, photocontact dermatitis and solar urticaria

Hypersensitivity angiitis

Arthropathy in hypersensitivity reactions

Toxic reaction to local anesthesia during pregnancy

Toxic reaction to local anesthesia during labor and delivery

Toxic reaction to local anesthesia during puerperium

Rash and other nonspecific skin eruption

Generalized or unspecified edema

Anaphylactic shock due to adverse food reaction

Other adverse food reactions

Anaphylactic shock, unspecified

Quincke edema

Allergic reaction, unspecified

Anaphylactic shock due to serum

Other serum reactions

Shock or acute reaction resulting from a procedure or a substance left during a procedure

Anaphylactic shock due to adverse effect of correct drug properly administered

Diagnostic skin and sensitization tests (allergy tests)

Desensitization to allergens

cause of admission was assigned an anaphylaxis-related

ICD-10

code (Table 1). Incidence was calculated based on the

number of admissions during 2015. Of the 4817 cases coded as

being anaphylaxis-related, 323 (6.7%) were clinically validated

retrospectively as anaphylaxis by 2 independent allergists and

based on the current accepted international diagnostic criteria

and criteria for the characterization of anaphylaxis [1,14,15].

Doubtful cases were discussed openly with the coauthors

(Figure). We then reviewed the corresponding

ICD-10

codes

for the clinically validated cases.

359