{
  "B99": {
    "code": "B99",
    "description": "Maladies infectieuses, autres et non précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 157,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Syndrome infectieux sans germe ni organe source retrouvé",
      "Syndrome infectieux sans cause retrouvée peut être utilisé.",
      "apyrexie obtenue en 48h sous traitement antibiotique :",
      "Ce chapitre comprend les groupes suivants :",
      "lymphoïde, hématopoïétique et apparentés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Au décours d’un séjour pour syndrome infectieux sans foyer ni agent causal documenté, le code B99+1",
      "• Exemple 1 : hospitalisation pour douleurs de l’hypochondre droit avec syndrome infectieux,",
      "prélèvements bactériologiques négatifs, le diagnostic de cholécystite n’a pas pu être affirmé,",
      "▪ Diagnostic principal : B99+1 Syndrome infectieux sans cause retrouvée",
      "▪ Diagnostic associé : R10.1 Douleur localisée à la partie supérieure de l'abdomen",
      "• Exemple 2 : patient en aplasie fébrile suite à une chimiothérapie, hospitalisé en urgence pour",
      "syndrome infectieux sans germe identifié, ni organe source retrouvé :",
      "▪ Diagnostic principal : D70 Agranulocytose ou D61.1 Aplasie médullaire médicamenteuse",
      "▪ Diagnostic associé : B99+1 Syndrome infectieux sans cause retrouvée",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses – juin 2023, p. 11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B98": {
    "code": "B98",
    "description": "à la fin du Chapitre I est prévu à cet usage [CIM-10 Volume 2 ; 3.1.3 Deux codes pour certaines affections].",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 86,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Hiérarchisation des codes",
      "Infections compliquant des actes",
      "le germe.",
      "d'amputation).",
      "par l’ATIH dans la note de codage de 2018.",
      "lorsqu’ils sont présents.",
      "Exemples",
      "Diagnostic principal : M86.- Ostéomyélite",
      "• Exemple 3 : Infection sur matériel d’ostéosynthèse",
      "Bactériémie",
      "de parasitémie pour les autres microorganismes.",
      "identifier l'agent infectieux.",
      "Exemples :",
      "Diagnostic associé : micro-organisme codé en B95-B96.",
      "• Exemple 2 : Fongémie à Candida Albicans isolée et traitée",
      "Sepsis :",
      "• Pression artérielle systolique ≤ 100 mm Hg",
      "• Fréquence respiratoire ≥ 22/mn",
      "• Confusion",
      "Choc septique :",
      "Il est défini par l’association de :",
      "• Sepsis",
      "(TA habituelle et confusion préexistante).",
      "principes-therapeutiques-.pdf",
      "In Le Manuel MSD pour les professionnels de santé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lorsque le libellé du code de pathologie d’organe précise le germe en cause, il n’est pas recommandé de coder celui-ci en plus.",
      "• Exemple : le codage de la pneumopathie à mycoplasme J15.7 pneumopathie due à Mycoplasma pneumoniae n’autorise pas",
      "l’utilisation du code supplémentaire B96.0 Mycoplasmia pneumoniae.",
      "Lorsque l’infection est le motif d’hospitalisation dans l’unité médicale, l’infection d’organe est le diagnostic principal. Les informations",
      "concernant l’agent infectieux, la résistance aux antibiotiques, les complications de l’infection sont codées en diagnostics associés.",
      "• Exemple : hospitalisation pour une pyélonéphrite à Escherichia coli",
      "Diagnostic principal : N10 Néphrite tubulo-interstitielle aiguë",
      "Diagnostic associé : B96.2 Escherichia coli, cause de maladies classées dans d'autres chapitres",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - 2023, p. 3",
      "Le codage des complications infectieuses des actes et des dispositifs médicaux suit les règles habituelles préconisées par l’OMS (cf. CIM-",
      "10, volume 2) : c’est le code de la nature de cette infection qui est l’affection principale.",
      "On y associe, en DAS, certains codes des catégories T80-T88 du chapitre XIX de la CIM 10 et un code des catégories Y83 ou Y84 du",
      "chapitre XX de la CIM 10 « Actes chirurgicaux et autres actes médicaux à l'origine de réactions anormales du patient ou de complications",
      "ultérieures, sans mention d'accident au cours de l'intervention », complété si besoin par un code des catégories B95-B98 pour identifier",
      "En application de la règle générale rappelée ci-dessus, un code T peut être placé en DP (exemple : T87.4 Infection d'un moignon",
      "Le caractère nosocomial d’une infection autorise l’utilisation du code Y95 facteurs nosocomiaux.",
      "La situation particulière du codage des infections du site opératoire (ISO) après prothèse de genou ou prothèse de hanche a été précisée",
      "Pour une bactériémie iatrogène, on codera d’abord la complication dans T80-T88 lorsqu’elle est précisée et Y95 facteurs nosocomiaux",
      "En l’absence de tout signe infectieux local ou général, un examen microbiologique positif isolé sur cathéter intraveineux de longue durée",
      "ne se code pas. Ainsi, les résultats positifs consécutifs aux analyses effectuées de manière systématique après le retrait du matériel ne sont",
      "pas à coder, en l’absence de symptomatologie et de traitement.",
      "• Exemple 1 : Séjour pour infection d’un stimulateur cardiaque",
      "Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et vasculaires",
      "Diagnostic associé : A49.- lorsque l’hémoculture est positive, agent infectieux codé en B95-B98",
      "• Exemple 2 : Ostéite à staphylocoque doré sur prothèse de hanche",
      "Diagnostics associés : T84.5 Infection et réaction inflammatoire dues à une prothèse articulaire ; B95.6 Staphylococcus aureus, cause",
      "de maladies classées dans d’autres chapitres ; Y83.1 Intervention chirurgicale avec implantation d'une prothèse interne",
      "Diagnostic principal : codes de l’ostéite ou de l’ostéoarthrite",
      "Diagnostic associé : T84.6 Infection et réaction inflammatoire dues à un appareil de fixation interne [toute localisation]",
      "• Exemple 4 : Bactériémie à point de départ d’un cathéter à chambre implantable",
      "Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et vasculaires",
      "Diagnostics associés : codes A49 ; agent infectieux codé en B95-B98",
      "• Exemple 5 : Sepsis à point de départ d’un cathéter à chambre implantable",
      "Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et vasculaires",
      "Diagnostics associés : codes A40-A41 ; agent infectieux codé en B95-B98",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - 2023, p. 10",
      "Le terme de bactériémie définit le passage de bactéries dans la circulation sanguine. On utilise les termes de virémie, de fongémie et",
      "Une bactériémie isolée, sans infection d’organe ou porte d’entrée précisée ni critères de sepsis et en dehors d’une complication suivant",
      "la pose de prothèses, d’implants et greffes internes ou cardiaques et vasculaires, ne permet pas de coder l’infection ou le sepsis. Dans",
      "ce cas un code de la catégorie A49 sera utilisé en DP. Il est recommandé d’associer si besoin un code supplémentaire (B95-B98) pour",
      "Lorsque la bactériémie survient pendant ou au décours d'une infection d'organe identifiée (ou d’un sepsis), alors le codage de l'infection",
      "l'emporte sur celle-ci. La bactériémie (A49.-) ne doit dans ce cas pas être codée en plus.",
      "En revanche, si la bactériémie survient suite à une complication d'acte à visée diagnostique ou thérapeutique, ou sans qu'aucune",
      "étiologie précise ne soit identifiée, alors il faut la coder, ainsi que l'agent infectieux retrouvé à l'hémoculture si besoin.",
      "• Exemple 1 : Bactériémie avec une porte d’entrée jugée très probable mais sans foyer infectieux causal précis, comme une effraction",
      "cutanée non identifiée, une translocation digestive sans colite identifiée etc…",
      "Diagnostic principal : A49.- Infection bactérienne à …, siège non précisé",
      "Diagnostic principal : B37.8 Autres localisations de candidose.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - 2023, pp. 9-10",
      "L’infection associée aux soins (IAS) englobe tout événement infectieux en rapport plus ou moins proche avec un processus, une",
      "structure, une démarche de soins, dans un sens très large. L’IAS comprend l’infection nosocomiale, au sens de contractée dans un",
      "établissement de santé, et couvre également les soins délivrés en dehors des établissements de santé (In DefIAS_vcourte_Publi_Mai07)",
      "Les définitions ci-dessous sont données à titre informatif (extraits du Third International Consensus Definitions for Sepsis and Septic",
      "Shock (Sepsis-3)) ; elles ont été publiées en février 2016 et ne semblent pas avoir fait l’objet d’une intégration par l’OMS dans la CIM10.",
      "Il est maintenant défini comme une dysfonction d’organe menaçant le pronostic vital et causé par une réponse inappropriée de l’hôte",
      "à une infection. Il n’y a plus de distinguo sepsis/sepsis grave.",
      "Il est aussi proposé une définition opérationnelle, pratique : augmentation du score SOFA (Sequential Organ Failure Assessment) d’au",
      "moins 2 points lié à l’infection. La mortalité hospitalière est estimée autour de 10%, justifiant d’une prise en charge adaptée rapide. Le",
      "SOFA basal est supposé être à zéro en l’absence de dysfonction d’organe, aiguë ou chronique, préexistante.",
      "Des critères simplifiés, utilisables hors réanimation, sont proposés en dépistage de patients pouvant avoir un sepsis :",
      "La présence de 2 critères quick SOFA (qSOFA) identifie des patients risquant d’avoir un mauvais pronostic et justifiant d’un monitorage",
      "accru, ou d’un traitement spécifique, ou de prendre un avis en réanimation.",
      "Sous-groupe du sepsis avec anomalies importantes circulatoires et métabolique et une mortalité d’environ 40%.",
      "• Besoin de drogues vasopressives pour maintenir une PAM ≥ 65 mm Hg",
      "• Lactates > 2 mmol/l (18mg/dl) malgré un remplissage adéquat",
      "Ces nouvelles définitions ont l’avantage supplémentaire de la simplicité. Un autre avantage est de supprimer la confusion, fréquente",
      "en pratique courante, entre sepsis et sepsis grave. Le SOFA est utilisé en routine en réanimation, et pour les services informatisés,",
      "facilement calculé automatiquement. Il devient par contre plus difficile, hors réanimation, de diagnostiquer un choc septique. Le quick",
      "SOFA est immédiatement accessible et très intuitif. À l’échelon individuel, il doit probablement être tempéré par l’état basal du patient",
      "Références : https://www.msdmanuals.com/fr/professional/r%C3%A9animation/sepsis-et-choc-septique/sepsis-et-choc-septique",
      "https://sfar.org/wp-content/uploads/2017/10/Nesseler-Choc-septique-definitions-epidemiologie-monitorage-et-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A00": {
    "code": "A00",
    "description": "Choléra",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A00.0": {
    "code": "A00.0",
    "description": "A Vibrio cholerae 01, biovar cholerae",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Choléra classique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A00.1": {
    "code": "A00.1",
    "description": "A Vibrio cholerae 01, biovar El Tor",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Choléra El Tor"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A00.9": {
    "code": "A00.9",
    "description": "Choléra, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A01": {
    "code": "A01",
    "description": "Fièvres typhoïde et paratyphoïde",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A01.0": {
    "code": "A01.0",
    "description": "Fièvre typhoïde",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection due à Salmonella typhi"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A01.1": {
    "code": "A01.1",
    "description": "Paratyphoïde A",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A01.2": {
    "code": "A01.2",
    "description": "Paratyphoïde B",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A01.3": {
    "code": "A01.3",
    "description": "Paratyphoïde C",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A01.4": {
    "code": "A01.4",
    "description": "Paratyphoïde, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection due à Salmonella paratyphi SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A02": {
    "code": "A02",
    "description": "Autres salmonelloses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection ou intoxication alimentaire due à toute espèce de Salmonella, sauf S. typhi et S. paratyphi"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A02.0": {
    "code": "A02.0",
    "description": "Entérite à Salmonella",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A02.1": {
    "code": "A02.1",
    "description": "Sepsis à Salmonella",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 105,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A02.2": {
    "code": "A02.2",
    "description": "Infection localisée à Salmonella",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Arthrite † (M01.3 *)",
      "Maladie rénale tubulo-interstitielle † (N16.0 *)",
      "Méningite † (G01 *) à Salmonella",
      "Ostéomyélite † (M90.2 *)",
      "Pneumopathie † (J17.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A02.8": {
    "code": "A02.8",
    "description": "Autres infections précisées à Salmonella",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A02.9": {
    "code": "A02.9",
    "description": "Salmonellose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03": {
    "code": "A03",
    "description": "Shigellose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03.0": {
    "code": "A03.0",
    "description": "Shigellose à Shigella dysenteriae",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Infection à Shigella du groupe A",
      "Shiga-Kruse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03.1": {
    "code": "A03.1",
    "description": "Shigellose à Shigella flexneri",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Infection à Shigella du groupe B"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03.2": {
    "code": "A03.2",
    "description": "Shigellose à Shigella boydii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 89,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Infection à Shigella du groupe C"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03.3": {
    "code": "A03.3",
    "description": "Shigellose à Shigella sonnei",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Infection à Shigella du groupe D"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03.8": {
    "code": "A03.8",
    "description": "Autres shigelloses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A03.9": {
    "code": "A03.9",
    "description": "Shigellose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Dysenterie bacillaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04": {
    "code": "A04",
    "description": "Autres infections intestinales bactériennes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "entérite tuberculeuse (A18.3)",
      "intoxications d’origine alimentaire classées ailleurs"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.0": {
    "code": "A04.0",
    "description": "Infection entéropathogène à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.1": {
    "code": "A04.1",
    "description": "Infection entérotoxigène à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.2": {
    "code": "A04.2",
    "description": "Infection entéro-invasive à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.3": {
    "code": "A04.3",
    "description": "Infection entéro-hémorragique à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.4": {
    "code": "A04.4",
    "description": "Autres infections intestinales à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Entérite à Escherichia coli SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.5": {
    "code": "A04.5",
    "description": "Entérite à Campylobacter",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.6": {
    "code": "A04.6",
    "description": "Entérite à Yersinia enterocolitica",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "yersiniose extra-intestinale (A28.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.7": {
    "code": "A04.7",
    "description": "Entérocolite à Clostridium difficile",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Intoxication d’origine alimentaire à Clostridium difficile",
      "Colite pseudomembraneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.8": {
    "code": "A04.8",
    "description": "Autres infections intestinales bactériennes précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A04.9": {
    "code": "A04.9",
    "description": "Infection intestinale bactérienne, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Entérite bactérienne SAI",
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "effets toxiques de denrées alimentaires nocives (T61-T62)",
      "infection à Escherichia coli (A04.0-A04.4)",
      "intoxication et infection alimentaires à Salmonella (A02.-)",
      "listériose (A32.-)",
      "intoxication et infection d’origine alimentaire à Clostridium difficile (A04.7)"
    ],
    "clinical_text": [
      "Autres intoxications bactériennes d’origine alimentaire, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.0": {
    "code": "A05.0",
    "description": "Intoxication alimentaire à staphylocoques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.1": {
    "code": "A05.1",
    "description": "Botulisme",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Intoxication alimentaire classique à Clostridium botulinum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.2": {
    "code": "A05.2",
    "description": "Intoxication alimentaire à Clostridium perfringens ou Clostridium welchii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Entérite aiguë nécrosante",
      "Pig-bel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.3": {
    "code": "A05.3",
    "description": "Intoxication alimentaire à Vibrio parahaemolyticus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.4": {
    "code": "A05.4",
    "description": "Intoxication alimentaire à Bacillus cereus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 90,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.8": {
    "code": "A05.8",
    "description": "Autres intoxications bactériennes d’origine alimentaire précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication alimentaire à Vibrio vulnificus (CIM10-CA 2012) – Voir B98.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A05.9": {
    "code": "A05.9",
    "description": "Intoxication bactérienne d’origine alimentaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06": {
    "code": "A06",
    "description": "Amibiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection à Entamoeba histolytica"
    ],
    "exclusions": [
      "autres maladies intestinales à protozoaires (A07.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.0": {
    "code": "A06.0",
    "description": "Dysenterie amibienne aiguë",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Amibiase : • aiguë",
      "• intestinale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.1": {
    "code": "A06.1",
    "description": "Amibiase intestinale chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.2": {
    "code": "A06.2",
    "description": "Colite amibienne non dysentérique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.3": {
    "code": "A06.3",
    "description": "Amœbome de l’intestin",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Amœbome SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.4": {
    "code": "A06.4",
    "description": "Abcès amibien du foie (K77.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Amibiase hépatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.5": {
    "code": "A06.5",
    "description": "Abcès amibien du poumon",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès amibien du poumon (et du foie) (J99.8 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Abcès amibien du poumon (et du foie) avec pneumopathie (J17.3 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.6": {
    "code": "A06.6",
    "description": "Abcès amibien du cerveau (G07 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Abcès amibien du cerveau (et du foie) (et du poumon)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.7": {
    "code": "A06.7",
    "description": "Amibiase cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.8": {
    "code": "A06.8",
    "description": "Autres localisations d’une infection amibienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Appendicite",
      "amibienne",
      "Balanite † (N51.2 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A06.9": {
    "code": "A06.9",
    "description": "Amibiase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07": {
    "code": "A07",
    "description": "Autres maladies intestinales à protozoaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07.0": {
    "code": "A07.0",
    "description": "Balantidiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dysenterie balantidienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07.1": {
    "code": "A07.1",
    "description": "Giardiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lambliase"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07.2": {
    "code": "A07.2",
    "description": "Cryptosporidiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07.3": {
    "code": "A07.3",
    "description": "Infection à Isospora",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 91,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Coccidiose intestinale",
      "Infection due à Isospora belli et Isospora hominis",
      "Isosporose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07.8": {
    "code": "A07.8",
    "description": "Autres maladies intestinales précisées, à protozoaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Microsporidiose intestinale",
      "Sarcocystose",
      "Sarcosporidiose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A07.9": {
    "code": "A07.9",
    "description": "Maladie intestinale à protozoaires, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Colite",
      "Diarrhée à protozoaires",
      "Dysenterie",
      "Diarrhée à flagellés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08": {
    "code": "A08",
    "description": "Infections virales intestinales et autres infections intestinales précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "grippe avec atteinte gastro-intestinale (J09, J10.8, J11.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08.0": {
    "code": "A08.0",
    "description": "Entérite à rotavirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08.1": {
    "code": "A08.1",
    "description": "Gastroentéropathie aiguë due à un norovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Entérite à agent de Norwalk",
      "Entérite à norovirus",
      "Entérite à petit virus rond structuré"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08.2": {
    "code": "A08.2",
    "description": "Entérite à adénovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08.3": {
    "code": "A08.3",
    "description": "Autres entérites virales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08.4": {
    "code": "A08.4",
    "description": "Infections intestinales virales, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Entérite",
      "Gastro-entérite virale SAI",
      "Gastro-entéropathie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A08.5": {
    "code": "A08.5",
    "description": "Autres infections intestinales précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 92,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A09": {
    "code": "A09",
    "description": "Autres gastro-entérites et colites d’origine infectieuse et non précisée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 93,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Codage des diarrhées",
      "du PMSI."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La décision de l’OMS de subdiviser le code A09 et de supprimer la note d’utilisation qui l’accompagnait jusqu’alors modifie",
      "radicalement la façon de coder le diagnostic de « diarrhée sans précision ». Désormais le diagnostic de diarrhée (de gastro-",
      "entérite, d’entérite ou de colite) se code A09.0 quand son origine infectieuse est affirmée – en l’absence de précision sur le",
      "germe en cause. Précisée d’origine non infectieuse, cette affection est codée K52.9. Sans information sur l’origine infectieuse",
      "ou non, le diagnostic doit être codé A09.9. Cette modification de la CIM-10 est introduite le 1er janvier 2009 pour les besoins",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.5 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A09.0": {
    "code": "A09.0",
    "description": "Gastro-entérites et colites d’origine infectieuse, autres et non précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 93,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Catarrhe intestinal",
      "Colite infectieuse, septique, hémorragique, SAI",
      "Entérite",
      "Gastro-entérite",
      "Sigmoïdite",
      "Diarrhée : • aiguë • aqueuse",
      "• hémorragique",
      "• infectieuse du nouveau-né",
      "• sanglante",
      "• dysentérique",
      "• épidémique",
      "• infectieuse (du nouveau-né) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladies dues à des bactéries, des protozoaires, des virus et d’autres agents infectieux",
      "précisés (A00-A08)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A09.9": {
    "code": "A09.9",
    "description": "Gastro-entérites et colites d’origine non précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 93,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diarrhée du nouveau-né SAI",
      "Tuberculose de l’appareil respiratoire, avec confirmation",
      "bactériologique et histologique"
    ],
    "comprend": [
      "infections à Mycobacterium tuberculosis et Mycobacterium bovis"
    ],
    "exclusions": [
      "diarrhée • non infectieuse (K52.9)",
      "• néonatale (P78.3)",
      "colite non infectieuse indéterminée (K52.3)",
      "immunodéficience humaine virale [VIH] à l’origine de tuberculose (B20.0)",
      "pneumoconiose associée à une tuberculose (J65)",
      "séquelles de tuberculose (B90.-)",
      "silicotuberculose (J65)",
      "tuberculose congénitale (P37.0)"
    ],
    "clinical_text": [
      "Tuberculose pulmonaire, confirmée par examen microscopique de l’expectoration, avec ou sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A15.1": {
    "code": "A15.1",
    "description": "Tuberculose pulmonaire, confirmée par culture seulement",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 94,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute maladie classée en A15.0, confirmée par culture seulement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A15.2": {
    "code": "A15.2",
    "description": "Tuberculose pulmonaire, avec confirmation histologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 94,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute maladie classée en A15.0, avec confirmation histologique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A15.3": {
    "code": "A15.3",
    "description": "Tuberculose pulmonaire, avec confirmation, moyen non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 94,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "histologique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute maladie classée en A15.0 avec confirmation, non précisée comme bactériologique ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A15.4": {
    "code": "A15.4",
    "description": "Tuberculose des ganglions intra-thoraciques, avec confirmation bactériologique et histologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 94,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tuberculose • hilaire",
      "• trachéo-bronchique"
    ],
    "comprend": [],
    "exclusions": [
      "précisée comme primo-infection (A15.7)"
    ],
    "clinical_text": [
      "ganglionnaire : • médiastinale avec confirmation bactériologique et histologique",
      "Tuberculose du larynx, de la trachée et des bronches, avec confirmation bactériologique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A15.6": {
    "code": "A15.6",
    "description": "Pleurésie tuberculeuse, avec confirmation bactériologique et histologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 94,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Empyème tuberculeux",
      "avec confirmation bactériologique et histologique",
      "Tuberculose de la plèvre"
    ],
    "comprend": [],
    "exclusions": [
      "au cours d’une primo-infection tuberculeuse de l’appareil respiratoire, avec confirmation",
      "bactériologique et histologique (A15.7)"
    ],
    "clinical_text": [
      "Primo-infection tuberculeuse de l’appareil respiratoire, avec confirmation bactériologique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A16.0": {
    "code": "A16.0",
    "description": "Tuberculose pulmonaire, avec examens bactériologique et histologique négatifs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 95,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bronchectasie tuberculeuse",
      "Fibrose tuberculeuse",
      "avec examens bactériologique et histologique négatifs",
      "Pneumopathie tuberculeuse",
      "Pneumothorax tuberculeux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A16.1": {
    "code": "A16.1",
    "description": "Tuberculose pulmonaire, sans examen bactériologique et histologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 95,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute maladie classée en A16.0, examens bactériologique et histologique non effectués"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A16.2": {
    "code": "A16.2",
    "description": "Tuberculose pulmonaire, sans mention de confirmation bactériologique ou histologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 95,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bronchectasie tuberculeuse",
      "Fibrose tuberculeuse",
      "SAI (sans mention de confirmation bactériologique ou",
      "Pneumopathie tuberculeuse",
      "histologique)",
      "Pneumothorax tuberculeux",
      "Tuberculose pulmonaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tuberculose des ganglions intra-thoraciques, sans mention de confirmation bactériologique ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A16.5": {
    "code": "A16.5",
    "description": "Pleurésie tuberculeuse, sans mention de confirmation bactériologique ou histologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 95,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Empyème tuberculeux",
      "SAI (sans mention de confirmation bactériologique ou",
      "Pleurésie tuberculeuse",
      "histologique)",
      "Tuberculose de la plèvre"
    ],
    "comprend": [],
    "exclusions": [
      "primo-infection tuberculeuse de l’appareil respiratoire (A16.7)"
    ],
    "clinical_text": [
      "Primo-infection tuberculeuse de l’appareil respiratoire, sans mention de confirmation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A17": {
    "code": "A17",
    "description": "† Tuberculose du système nerveux",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A17.0": {
    "code": "A17.0",
    "description": "et G01 conviennent pour l'épidurite (AGORA - # 56596 le 6 janvier 2012)",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A17.1": {
    "code": "A17.1",
    "description": "Tuberculome méningé (G07 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Tuberculome des méninges"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A17.8": {
    "code": "A17.8",
    "description": "Autres formes de tuberculose du système nerveux",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès tuberculeux du cerveau (G07 *)",
      "Méningo-encéphalite tuberculeuse (G05.0 *)",
      "Myélite tuberculeuse (G05.0 *)",
      "Polynévrite tuberculeuse (G63.0 *)",
      "Tuberculome du cerveau (G07 *)",
      "Tuberculome de la moelle épinière (G07 *)",
      "Tuberculose du cerveau (G07 *)",
      "Tuberculose de la moelle épinière (G07 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A17.9": {
    "code": "A17.9",
    "description": "Tuberculose du système nerveux, sans précision (G99.8 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18": {
    "code": "A18",
    "description": "Tuberculose d’autres organes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.0": {
    "code": "A18.0",
    "description": "Tuberculose des os et des articulations",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Arthrite (M01.1 *)",
      "Mastoïdite (H75.0 *)",
      "Ostéite (M90.0 *)",
      "Ostéomyélite (M90.0 *) tuberculeuse",
      "Ostéonécrose (M90.0 *)",
      "Synovite (M68.0 *)",
      "Ténosynovite (M68.0 *)",
      "• genou : tumeur blanche du genou (M01.1 *)",
      "• hanche (M01.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tuberculose de : • colonne vertébrale : mal de Pott (M49.0 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.1": {
    "code": "A18.1",
    "description": "Tuberculose de l’appareil génito-urinaire",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 96,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tuberculose (de) : • col de l’utérus (N74.0 *)",
      "• organes génitaux de l’homme (N51.- *)",
      "• rénale (N29.1 *)",
      "• uretère (N29.1 *)",
      "• vessie (N33.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection inflammatoire tuberculeuse des organes pelviens de la femme (N74.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.2": {
    "code": "A18.2",
    "description": "Adénopathie tuberculeuse périphérique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Adénite tuberculeuse"
    ],
    "comprend": [],
    "exclusions": [
      "adénopathie tuberculeuse trachéo-bronchique (A15.4, A16.3)",
      "tuberculose des • intra-thoraciques (A15.4, A16.3)",
      "ganglions : • mésentériques et rétropéritonéaux (A18.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.3": {
    "code": "A18.3",
    "description": "Tuberculose de l’intestin, du péritoine et des ganglions mésentériques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Ascite",
      "Entérite † (K93.0 *) tuberculeuse",
      "Péritonite † (K67.3 *)",
      "Tuberculose (de) : • anus et rectum † (K93.0 *)",
      "• intestin (côlon) (grêle) † (K93.0 *)",
      "• rétropéritonéale (ganglions lymphatiques)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.4": {
    "code": "A18.4",
    "description": "Tuberculose de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Erythème induré tuberculeux",
      "Lupus : • exedens",
      "• vulgaire (de) : • SAI",
      "• paupière † (H03.1 *)",
      "Scrofuloderme"
    ],
    "comprend": [],
    "exclusions": [
      "lupus érythémateux (L93.-)",
      "• disséminé (M32.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.5": {
    "code": "A18.5",
    "description": "Tuberculose de l’œil",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Choriorétinite † (H32.0 *)",
      "Épisclérite † (H19.0 *)",
      "Iridocyclite † (H22.0 *) tuberculeuse",
      "Kératite interstitielle † (H19.2 *)"
    ],
    "comprend": [],
    "exclusions": [
      "lupus vulgaire de la paupière (A18.4)"
    ],
    "clinical_text": [
      "Kératoconjonctivite (interstitielle) (phlycténulaire) † (H19.2 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.6": {
    "code": "A18.6",
    "description": "Tuberculose de l’oreille",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Otite moyenne tuberculeuse † (H67.0 *)"
    ],
    "comprend": [],
    "exclusions": [
      "mastoïdite tuberculeuse (A18.0 †)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.7": {
    "code": "A18.7",
    "description": "Tuberculose des surrénales (E35.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie d’Addison tuberculeuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A18.8": {
    "code": "A18.8",
    "description": "Tuberculose d’autres organes précisés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 97,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Artérite cérébrale tuberculeuse † (I68.1 *)",
      "Tuberculose de : • endocarde † (I39.8 *)",
      "• myocarde † (I41.0 *)",
      "• œsophage † (K23.0 *)",
      "• péricarde † (I32.0 *)",
      "• thyroïde † (E35.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A19": {
    "code": "A19",
    "description": "Tuberculose miliaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "polysérite tuberculeuse",
      "tuberculose : • disséminée",
      "• généralisée"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A19.0": {
    "code": "A19.0",
    "description": "Tuberculose miliaire aiguë, localisation unique et précisée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A19.1": {
    "code": "A19.1",
    "description": "Tuberculose miliaire aiguë, sièges multiples",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A19.2": {
    "code": "A19.2",
    "description": "Tuberculose miliaire aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A19.8": {
    "code": "A19.8",
    "description": "Autres tuberculoses miliaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A19.9": {
    "code": "A19.9",
    "description": "Tuberculose miliaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20": {
    "code": "A20",
    "description": "Peste",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection à Yersinia pseudotuberculosis subsp.Pestis",
      "infection à Yersinia pestis"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.0": {
    "code": "A20.0",
    "description": "Peste bubonique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.1": {
    "code": "A20.1",
    "description": "Peste cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.2": {
    "code": "A20.2",
    "description": "Peste pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.3": {
    "code": "A20.3",
    "description": "Peste méningée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.7": {
    "code": "A20.7",
    "description": "Peste septique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.8": {
    "code": "A20.8",
    "description": "Autres formes de peste",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peste : • abortive",
      "• asymptomatique",
      "• mineure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A20.9": {
    "code": "A20.9",
    "description": "Peste, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21": {
    "code": "A21",
    "description": "Tularémie",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "fièvre (de) : • mouche du daim",
      "• transmise par le lapin",
      "infection à Francisella tularensis subsp.Tularensis"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.0": {
    "code": "A21.0",
    "description": "Tularémie ulcéro-glandulaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.1": {
    "code": "A21.1",
    "description": "Tularémie oculo-glandulaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tularémie ophtalmique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.2": {
    "code": "A21.2",
    "description": "Tularémie pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.3": {
    "code": "A21.3",
    "description": "Tularémie gastro-intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tularémie abdominale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.7": {
    "code": "A21.7",
    "description": "Tularémie généralisée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 98,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.8": {
    "code": "A21.8",
    "description": "Autres formes de tularémie",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A21.9": {
    "code": "A21.9",
    "description": "Tularémie, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22": {
    "code": "A22",
    "description": "Charbon",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection à Bacillus anthracis"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22.0": {
    "code": "A22.0",
    "description": "Charbon cutané",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anthrax malin",
      "Pustule maligne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22.1": {
    "code": "A22.1",
    "description": "Charbon pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Charbon par inhalation",
      "Maladie des : • chiffonniers",
      "• trieurs de laine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22.2": {
    "code": "A22.2",
    "description": "Charbon gastro-intestinal",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22.7": {
    "code": "A22.7",
    "description": "Sepsis charbonneux",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 105,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22.8": {
    "code": "A22.8",
    "description": "Autres formes de charbon",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Méningite charbonneuse † (G01 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A22.9": {
    "code": "A22.9",
    "description": "Charbon, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23": {
    "code": "A23",
    "description": "Brucellose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "fièvre (de) : • Malte",
      "• méditerranéenne",
      "• ondulante"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23.0": {
    "code": "A23.0",
    "description": "Brucellose à Brucella melitensis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23.1": {
    "code": "A23.1",
    "description": "Brucellose à Brucella abortus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23.2": {
    "code": "A23.2",
    "description": "Brucellose à Brucella suis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23.3": {
    "code": "A23.3",
    "description": "Brucellose à Brucella canis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23.8": {
    "code": "A23.8",
    "description": "Autres brucelloses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A23.9": {
    "code": "A23.9",
    "description": "Brucellose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A24": {
    "code": "A24",
    "description": "Morve et mélioïdose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A24.0": {
    "code": "A24.0",
    "description": "Morve",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection à Pseudomonas mallei",
      "Infection due à Burkholderia mallei"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A24.1": {
    "code": "A24.1",
    "description": "Mélioïdose aiguë et galopante",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Mélioïdose : • pulmonaire",
      "• septique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A24.2": {
    "code": "A24.2",
    "description": "Mélioïdose subaiguë et chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A24.3": {
    "code": "A24.3",
    "description": "Autres mélioïdoses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 99,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A24.4": {
    "code": "A24.4",
    "description": "Mélioïdose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection à Pseudomonas pseudomallei SAI",
      "Maladie de Whitmore",
      "Infection due à Burkholderia pseudomallei NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A25": {
    "code": "A25",
    "description": "Fièvres causées par morsure de rat",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A25.0": {
    "code": "A25.0",
    "description": "Spirillose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Sodoku"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A25.1": {
    "code": "A25.1",
    "description": "Streptobacillose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Érythème arthritique épidémique",
      "Fièvre (de) : • Haverhill",
      "• streptobacillaire causée par morsure de rat"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A25.9": {
    "code": "A25.9",
    "description": "Fièvre causée par morsure de rat, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A26": {
    "code": "A26",
    "description": "Érysipéloïde",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A26.0": {
    "code": "A26.0",
    "description": "Érysipéloïde cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Érythème migrant",
      "Rouget du porc"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A26.7": {
    "code": "A26.7",
    "description": "Sepsis à Erysipelothrix",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 105,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A26.8": {
    "code": "A26.8",
    "description": "Autres formes d’érysipéloïde",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A26.9": {
    "code": "A26.9",
    "description": "Érysipéloïde, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A27": {
    "code": "A27",
    "description": "Leptospirose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A27.0": {
    "code": "A27.0",
    "description": "Leptospirose ictéro-hémorragique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Leptospirose à Leptospira interrogans serovar icterohaemorrhagiae"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A27.8": {
    "code": "A27.8",
    "description": "Autres formes de leptospirose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A27.9": {
    "code": "A27.9",
    "description": "Leptospirose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A28": {
    "code": "A28",
    "description": "Autres anthropozoonoses bactériennes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A28.0": {
    "code": "A28.0",
    "description": "Pasteurellose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A28.1": {
    "code": "A28.1",
    "description": "Maladie des griffes du chat",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A28.2": {
    "code": "A28.2",
    "description": "Yersiniose extra-intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "entérite à Yersinia enterocolitica (A04.6),",
      "peste (A20.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A28.8": {
    "code": "A28.8",
    "description": "Autres anthropozoonoses bactériennes précisées, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A28.9": {
    "code": "A28.9",
    "description": "Anthropozoonose bactérienne, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 100,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30": {
    "code": "A30",
    "description": "Lèpre ou maladie de Hansen",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection à Mycobacterium leprae"
    ],
    "exclusions": [
      "séquelles de lèpre (B92)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.0": {
    "code": "A30.0",
    "description": "Lèpre indéterminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Groupe indéterminé (I)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.1": {
    "code": "A30.1",
    "description": "Lèpre tuberculoïde",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Forme tuberculoïde (T)",
      "Tuberculoïde polaire (TT)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.2": {
    "code": "A30.2",
    "description": "Lèpre tuberculoïde de type intermédiaire atypique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Borderline tuberculoïde (BT)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.3": {
    "code": "A30.3",
    "description": "Lèpre de type intermédiaire atypique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Borderline (BB) proprement dite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.4": {
    "code": "A30.4",
    "description": "Lèpre lépromateuse de type intermédiaire atypique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Borderline lépromateuse (BL)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.5": {
    "code": "A30.5",
    "description": "Lèpre lépromateuse",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Forme lépromateuse (L)",
      "Lépromateuse polaire (LL)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.8": {
    "code": "A30.8",
    "description": "Autres formes de lèpre",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A30.9": {
    "code": "A30.9",
    "description": "Lèpre, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A31": {
    "code": "A31",
    "description": "Infections dues à d’autres mycobactéries",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lèpre (A30.-)",
      "tuberculose (A15-A19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A31.0": {
    "code": "A31.0",
    "description": "Infection pulmonaire à Mycobacterium",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Infection à Mycobacterium : • avium",
      "• intracellulare : bacille de Battey",
      "• kansasii"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A31.1": {
    "code": "A31.1",
    "description": "Infection cutanée à Mycobacterium",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Infection par Mycobacterium : • marinum",
      "• ulcerans",
      "Ulcère de Buruli"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A31.8": {
    "code": "A31.8",
    "description": "Autres infections à Mycobacterium",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A31.9": {
    "code": "A31.9",
    "description": "Infection à Mycobacterium, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 101,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Infection atypique à Mycobacterium SAI",
      "Mycobactériose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A32": {
    "code": "A32",
    "description": "Listériose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection listérienne d’origine alimentaire"
    ],
    "exclusions": [
      "listériose néonatale (disséminée) (P37.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A32.0": {
    "code": "A32.0",
    "description": "Listériose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A32.1": {
    "code": "A32.1",
    "description": "Méningite et méningo-encéphalite listériennes",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Méningite (G01 *)",
      "listérienne",
      "Méningo-encéphalite (G05.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A32.7": {
    "code": "A32.7",
    "description": "Sepsis à Listeria",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 105,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A32.8": {
    "code": "A32.8",
    "description": "Autres formes de listériose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Artérite cérébrale † (I68.1 *)",
      "listérienne",
      "Endocardite † (I39.8 *)",
      "Listériose oculo-glandulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A32.9": {
    "code": "A32.9",
    "description": "Listériose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A33": {
    "code": "A33",
    "description": "Tétanos néonatal",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "AN A34 Tétanos obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A35": {
    "code": "A35",
    "description": "Autres formes de tétanos",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Tétanos SAI"
    ],
    "comprend": [],
    "exclusions": [
      "tétanos : • néonatal (A33)",
      "• obstétrical (A34)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36": {
    "code": "A36",
    "description": "Diphtérie",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36.0": {
    "code": "A36.0",
    "description": "Diphtérie pharyngée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine diphtérique pseudomembraneuse",
      "Diphtérie amygdalienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36.1": {
    "code": "A36.1",
    "description": "Diphtérie rhinopharyngée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36.2": {
    "code": "A36.2",
    "description": "Diphtérie laryngée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Laryngo-trachéite diphtérique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36.3": {
    "code": "A36.3",
    "description": "Diphtérie cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "érythrasma (L08.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36.8": {
    "code": "A36.8",
    "description": "Autres formes de diphtérie",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite † (H13.1 *)",
      "Myocardite † (I41.0 *) diphtérique",
      "Polynévrite † (G63.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A36.9": {
    "code": "A36.9",
    "description": "Diphtérie, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 102,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A37": {
    "code": "A37",
    "description": "Coqueluche",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A37.0": {
    "code": "A37.0",
    "description": "Coqueluche à Bordetella pertussis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A37.1": {
    "code": "A37.1",
    "description": "Coqueluche à Bordetella parapertussis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A37.8": {
    "code": "A37.8",
    "description": "Coqueluche due à d’autres espèces de Bordetella",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A37.9": {
    "code": "A37.9",
    "description": "Coqueluche, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A38": {
    "code": "A38",
    "description": "Scarlatine",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "angine à streptocoques (J02.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39": {
    "code": "A39",
    "description": "Infection à méningocoques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.0": {
    "code": "A39.0",
    "description": "Méningite à méningocoques (G01 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.1": {
    "code": "A39.1",
    "description": "Syndrome de Waterhouse-Friderichsen (E35.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Surrénalite hémorragique à méningocoques",
      "Syndrome méningococcique surrénalien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.2": {
    "code": "A39.2",
    "description": "Méningococcémie aiguë",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.3": {
    "code": "A39.3",
    "description": "Méningococcémie chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.4": {
    "code": "A39.4",
    "description": "Méningococcémie, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bactériémie méningococcique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.5": {
    "code": "A39.5",
    "description": "Cardite à méningocoques",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cardite méningococcique SAI (I52.0 *)",
      "Endocardite (I39.8 *)",
      "Myocardite (I41.0 *) méningococcique",
      "Péricardite (I32.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.8": {
    "code": "A39.8",
    "description": "Autres infections à méningocoques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthrite † (M01.0 *)",
      "Conjonctivite † (H13.1 *)",
      "méningococcique",
      "Encéphalite † (G05.0 *)",
      "Névrite rétrobulbaire † (H48.1 *)",
      "Arthrite post-méningococcique † (M03.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A39.9": {
    "code": "A39.9",
    "description": "Infection méningococcique, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 103,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie méningococcique SAI",
      "Sepsis",
      "à un mois évalué à 10% à 15%.",
      "cadre du codage de l’information médicale pour le PMSI.",
      "en Annexe.",
      "dans un contexte infectieux.",
      "remplissage vasculaire adéquat."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sepsis est défini par le consensus international « sepsis 3 », publié en 2016, comme une défaillance d'organe(s) menaçant le pronostic",
      "vital, causée par une réponse dérégulée de l'hôte à une infection bactérienne, virale, fongique ou parasitaire avec un risque de mortalité",
      "Le diagnostic des défaillances d’organe peut reposer sur le score SOFA (Sequential Organ Failure Assessement) (≥ 2 points, ou augmenté",
      "de 2 points par rapport à un état basal). L’utilisation des codes de sepsis est conditionnée par la mention du diagnostic de sepsis établi",
      "par le clinicien dans le dossier médical du patient. La référence aux scores SOFA est recommandée mais n’est pas nécessaire dans le",
      "D’autres scores SOFA ont été publiés pour l’enfant et pour les séjours en dehors d’une unité de soins critiques. Ces scores sont présentés",
      "Depuis l’élaboration du consensus Sepsis-3, le SRIS, avec ou sans défaillance d’organe, n’est plus utilisé pour établir le diagnostic de sepsis",
      "Le choc septique est défini selon le consensus international « sepsis 3 » par l’association d’une défaillance circulatoire caractérisée chez",
      "l’adulte par le besoin d’un traitement vasopresseur par catécholamines en continu pour maintenir une pression artérielle moyenne ≥65",
      "mm Hg et d’une souffrance cellulaire majeure documentée par une augmentation des lactates sériques > 2mM (ou 18 mg/dl), malgré un",
      "Le sepsis peut être accompagné, ou non, du passage de germes dans la circulation sanguine, avec hémoculture(s) positive(s). En accord",
      "avec cette nouvelle définition, le terme de septicémie ne doit plus être utilisé.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - 2023, p. 5",
      "À partir du 1er mars 2021 et suite à la modification de la définition du sepsis depuis 2016 (sepsis, consensus international « sepsis 3 »), le",
      "codage de celui-ci ne se basera plus sur le codage du syndrome de réponse inflammatoire systémique d'origine infectieuse avec",
      "défaillance d'organe (R65.1). Il sera décrit avec les codes qui comportent les termes sepsis dans leur libellé, dans les catégories A40-A41,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.7": {
    "code": "B37.7",
    "description": "Sepsis à Candida",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40.0": {
    "code": "A40.0",
    "description": "Sepsis à streptocoques, groupe A",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40.1": {
    "code": "A40.1",
    "description": "Sepsis à streptocoques, groupe B",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40.2": {
    "code": "A40.2",
    "description": "Sepsis à streptocoques, groupe D et entérocoques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40.3": {
    "code": "A40.3",
    "description": "Sepsis à Streptococcus pneumoniae",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Sepsis à pneumocoques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40.8": {
    "code": "A40.8",
    "description": "Autres sepsis à streptocoques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40.9": {
    "code": "A40.9",
    "description": "Sepsis à streptocoques, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.0": {
    "code": "A41.0",
    "description": "Sepsis à staphylocoques dorés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.1": {
    "code": "A41.1",
    "description": "Sepsis à d’autres staphylocoques précisés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Sepsis à staphylocoques coagulase-négatifs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.2": {
    "code": "A41.2",
    "description": "Sepsis à staphylocoques non précisés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.3": {
    "code": "A41.3",
    "description": "Sepsis à Haemophilus influenzae",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.4": {
    "code": "A41.4",
    "description": "Sepsis à micro-organismes anaérobies",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gangrène gazeuse (A48.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.5": {
    "code": "A41.5",
    "description": "Sepsis à d’autres micro-organismes Gram négatif",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Sepsis à micro-organismes Gram négatif SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sepsis à Pseudomonas - Serratia - Escherichia coli (CIM10-CA 2012)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41.8": {
    "code": "A41.8",
    "description": "Autres sepsis précisés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• Exemple 2 : Sepsis au cours d’une infection à clostridium",
      "Diagnostic principal : A48.0 Gangrène gazeuse",
      "Diagnostic associé : A41.8 Autres sepsis précisés",
      "• Exemple 3 : Sepsis au cours d’une infection virale",
      "Diagnostic principal : A97.2 Dengue sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - 2023, p. 7",
      "Quel code utiliser pour coder un sepsis sur pneumopathie covid 19 (sofa>=2) en dehors des complications",
      "bactériennes septiques ? Auparavant nous avions le code R65.1.",
      "Les nouvelles définitions ont été adaptées à la CIM-10 qui ne comprend pas de code précis, marqueur de",
      "sepsis d'origine non bactérienne. Le code A41.8 Autres sepsis précisés est actuellement proposé par"
    ],
    "agora_refs": [
      "213015"
    ],
    "cocoa_notes": [
      "dérogation. (AGORA - # 213015 le 1er avril 2021)"
    ]
  },
  "A41.9": {
    "code": "A41.9",
    "description": "Sepsis, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Sepsis SAI",
      "choc septique :",
      "Diag. Associés : A41.9 Sepsis, sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans le cas d’un sepsis avéré sans que le germe en cause ait pu être retrouvé, le code A41.9 sera utilisé.",
      "Exemple : pneumopathie, germe non identifié, accompagnée d’un sepsis sans hémoculture positive, avec",
      "Diagnostic principal : J18.8 Autres pneumopathies, microorganisme non précisé"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.28 : ne pas confondre choc septique R57.2 avec le Syndrome du choc toxique qui se code A48.3"
    ]
  },
  "A42.7": {
    "code": "A42.7",
    "description": "Sepsis actinomycosique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O85": {
    "code": "O85",
    "description": "Sepsis puerpéral",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Endométrite puerpérale",
      "Fièvre puerpérale",
      "Infection puerpérale",
      "Péritonite puerpérale"
    ],
    "comprend": [],
    "exclusions": [
      "embolie pyohémique et septique, obstétricale (O88.3)",
      "sepsis au cours du travail (O75.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.4": {
    "code": "B96.4",
    "description": "Proteus (P.mirabilis) (P.morganii), cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I50.0": {
    "code": "I50.0",
    "description": "Insuffisance cardiaque congestive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 446,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie congestive du cœur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Insuffisance ventriculaire droite (secondaire à une insuffisance cardiaque gauche)",
      "Insuffisance cardiaque (congestive), avec fraction d’éjection ventriculaire gauche [FEVG]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R57.2": {
    "code": "R57.2",
    "description": "Choc septique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 792,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Choc septique",
      "sepsis :",
      "• Augmentation des lactates sériques >2mmol/l (ou 18mg/dl)",
      "Choc septique devra être associé au code du sepsis.",
      "codés à chaque fois qu’ils sont réalisés.",
      "Codage du sepsis avec choc septique",
      "motif d’admission.",
      "être codé en sus.",
      "etc. sont codés.",
      "Exemples :",
      "cardiaque gauche et choc septique, sepsis à Escherichia Coli",
      "ventriculaire gauche.",
      "critiques pour la prise en charge d’un choc septique",
      "o Diagnostic principal : R57.2 Choc septique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le choc septique est un sous-ensemble du sepsis au cours duquel les anomalies circulatoires et cellulaires",
      "ou métaboliques sous-jacentes sont suffisamment profondes pour augmenter considérablement la mortalité",
      "à un mois de 25% à 35% Le choc septique est défini par la présence des critères suivants au cours d’un",
      "• Besoin d’un traitement vasopresseur par catécholamines en continu, malgré un remplissage",
      "vasculaire adéquat, pour maintenir la pression artérielle moyenne à plus de 65 mmHg",
      "Lorsque l’infection s’accompagne d’un sepsis avec choc septique comme défini ci-dessus, le code R57.2",
      "Les actes CCAM de suppléance vitale, de remplissage vasculaire, d’épuration extra-rénale doivent aussi être",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 117",
      "Lorsque l’infection s’accompagne d’un sepsis avec choc septique comme défini ci-dessus, le code R57.2",
      "En cas d’admission [Admission au sens du guide méthodologique : « L’admission dans une unité médicale",
      "d’hospitalisation de MCO est le facteur déclenchant de la production d’un résumé d’unité médicale (RUM) »]",
      "en soins critiques, le choc septique est codé en diagnostic principal du séjour de soins critiques s’il s’agit du",
      "On associe le codage de la ou des défaillance(s) d’organe présente(s) au codage du choc septique.",
      "Lorsque le libellé des codes de sepsis ou d’organe ne précise pas l’agent infectieux en cause celui-ci doit",
      "Les actes CCAM de suppléance vitale réalisés, par exemple remplissage vasculaire, épuration extra-rénale,",
      "• Exemple 1 : hospitalisation pour diverticulite sigmoïdienne avec perforation et abcès, péritonite, insuffisance",
      "o Diagnostic principal : K57.2 Diverticulose du gros intestin, avec perforation et abcès",
      "o Diagnostic associé : A41.5 Sepsis à d'autres micro-organismes Gram Négatif, R57.2 Choc",
      "septique, B96.2 Escherichia coli, cause de maladies classées dans d'autres chapitres, I50.1 Insuffisance",
      "• Exemple 2 : Mutation du patient de l’unité médicale d’hospitalisation de la situation précédente en soins",
      "o Diagnostic associé : A41.5 Sepsis à d'autres micro-organismes Gram négatif.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2023, juin 2021 p.7"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.2": {
    "code": "B96.2",
    "description": "Escherichia coli, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I50.1": {
    "code": "I50.1",
    "description": "Insuffisance ventriculaire gauche. Il s’agit d’une affection fréquente relevant d’une prise en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 488,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "est cardiaque.",
      "surcharge observé au cours de l’insuffisance rénale."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "cardiologique. La cause de l’œdème pulmonaire est cardiaque, d’où son classement dans le chapitre IX de",
      "la CIM–10 avec les maladies cardiaques. On doit donc coder I50.1 tout l’œdème pulmonaire dont l’origine",
      "Les œdèmes pulmonaires dus à des agents externes sont classés en J60–J70. Les autres formes d’œdème",
      "pulmonaire se codent en J81 Œdème pulmonaire. C’est le cas par exemple de l’œdème pulmonaire de",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 114",
      "Œdème pulmonaire néphrogénique par défaut de diurèse et accumulation de liquide : J81 est le code à",
      "retenir dans ce cas. Le volume 3 propose ce code pour l’œdème aigu pulmonaire de cause organique non"
    ],
    "agora_refs": [
      "97865"
    ],
    "cocoa_notes": [
      "cardiaque (ici l’insuffisance rénale) (AGORA - # 97865 le 18 avril 2014)"
    ]
  },
  "P36.00": {
    "code": "P36.00",
    "description": "Sepsis du nouveau-né à streptocoques, groupe B",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.10": {
    "code": "P36.10",
    "description": "Sepsis du nouveau-né à streptocoques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.20": {
    "code": "P36.20",
    "description": "Sepsis du nouveau-né à staphylocoques dorés",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.30": {
    "code": "P36.30",
    "description": "Sepsis du nouveau-né à staphylocoques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.40": {
    "code": "P36.40",
    "description": "Sepsis du nouveau-né à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.50": {
    "code": "P36.50",
    "description": "Sepsis du nouveau-né dû à des anaérobies",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.80": {
    "code": "P36.80",
    "description": "Sepsis du nouveau-né dû à d’autres bactéries",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.90": {
    "code": "P36.90",
    "description": "Sepsis du nouveau-né, bactérie non précisée",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A40": {
    "code": "A40",
    "description": "Sepsis à streptocoques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "après un acte à visée diagnostique et thérapeutique (T81.4)",
      "au cours de l’accouchement (O75.3)",
      "consécutive à : • avortement, grossesse extra-utérine ou molaire (O03-O07, O08.0)",
      "• injection thérapeutique, perfusion ou transfusion (T80.2)",
      "• vaccination (T88.0)",
      "néonatale (P36.0-P36.1)",
      "puerpérale (O85)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (R57.2) pour identifier le choc septique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A41": {
    "code": "A41",
    "description": "Autres sepsis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 108,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "au cours de l’accouchement (O75.3)",
      "bactériémie SAI (A49.9)",
      "consécutive à : • avortement, grossesse extra-utérine ou molaire (O03-O07, O08.0)",
      "• injection thérapeutique, perfusion ou transfusion (T80.2)",
      "• vaccination (T88.0)",
      "mélioïdose septique (A24.1)",
      "peste septique (A20.7)",
      "sepsis (à) (au cours de) : • actinomycosique (A42.7)",
      "• après un acte à visée diagnostique et thérapeutique (T81.4)",
      "• Candida (B37.7)",
      "• charbonneuse (A22.7)",
      "• Erysipelothrix (A26.7)",
      "• gonocoques (A54.8)",
      "• listérienne (A32.7)",
      "• méningocoques (A39.2-A39.4)",
      "• néonatale (P36.-)",
      "• puerpérale (O85)",
      "• streptocoques (A40.-)",
      "• syndrome du choc toxique (A48.3)",
      "• tularémique (A21.7)",
      "• virus de l’herpès (B00.7)",
      "yersiniose extra-intestinale (A28.2)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (R57.2) pour identifier le choc septique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A42": {
    "code": "A42",
    "description": "Actinomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "actinomycétome (B47.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A42.0": {
    "code": "A42.0",
    "description": "Actinomycose pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A42.1": {
    "code": "A42.1",
    "description": "Actinomycose abdominale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A42.2": {
    "code": "A42.2",
    "description": "Actinomycose cervico-faciale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A42.8": {
    "code": "A42.8",
    "description": "Autres formes d’actinomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A42.9": {
    "code": "A42.9",
    "description": "Actinomycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 109,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A43": {
    "code": "A43",
    "description": "Nocardiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A43.0": {
    "code": "A43.0",
    "description": "Nocardiose pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A43.1": {
    "code": "A43.1",
    "description": "Nocardiose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A43.8": {
    "code": "A43.8",
    "description": "Autres formes de nocardiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A43.9": {
    "code": "A43.9",
    "description": "Nocardiose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A44": {
    "code": "A44",
    "description": "Bartonellose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A44.0": {
    "code": "A44.0",
    "description": "Bartonellose généralisée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Fièvre de Oroya"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A44.1": {
    "code": "A44.1",
    "description": "Bartonellose cutanée et cutanéo-muqueuse",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Verruga peruana"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A44.8": {
    "code": "A44.8",
    "description": "Autres formes de bartonellose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A44.9": {
    "code": "A44.9",
    "description": "Bartonellose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A46": {
    "code": "A46",
    "description": "Érysipèle",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "dermohypodermite non nécrosante. L30.3+A46 mais L02? L03?",
      "peau et du tissu cellulaire sous-cutané."
    ],
    "comprend": [],
    "exclusions": [
      "érysipèle du post-partum ou puerpéral (O86.8)"
    ],
    "clinical_text": [
      "Dermohypodermite infectieuse à streptocoques (non nécrosante)",
      "Gestion des exclusions sur lésion infectieuse cutanée / sous cutanée en cas de complication d'une lésion initiale",
      "● exemple 1 : codage d'un eczéma surinfecté, se compliquant secondairement d'un phlegmon, puis d'abcès et de",
      "Coder la complication pour laquelle le patient est pris en charge, ici l’abcès ou la dermohypodermite. Ces complications",
      "de l’eczéma ont motivé l’admission du patient et sa prise en charge, elles sont donc le DP.",
      "Dans cet exemple, coder l’abcès en L02.- ou la dermohypodermite en L08.8 Autres infections localisées précisées de la",
      "● exemple 2 : infection localisée cutanée, L08.8 se compliquant d'érysipèle. A46 autorisé ? (exclusion du chapitre)",
      "Oui, coder l’érysipèle qui complique cette infection localisée lorsque ce diagnostic est bien confirmé par le clinicien. Ne",
      "pas tenir compte de l’exclusion du code A46 puisque l’infection localisée initiale n’est plus présente."
    ],
    "agora_refs": [
      "261525"
    ],
    "cocoa_notes": [
      "(AGORA - # 261525 le 23 avril 2024)"
    ]
  },
  "A48": {
    "code": "A48",
    "description": "Autres maladies bactériennes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "actinomycétome (B47.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A48.0": {
    "code": "A48.0",
    "description": "Gangrène gazeuse",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Myonécrose",
      "à Clostridium",
      "Phlegmon",
      "d'exclusion du chapitre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Gestion des exclusions sur lésion infectieuse cutanée / sous cutanée en cas de complication d'une lésion initiale",
      "● exemple 3 : sur terrain de dermite ocre, zone de nécrose se compliquant d'une dermohypodermite. L08.8 autorisé ? pas",
      "Le codage de la lésion nécrosée prime sur la dermohypodermite et l’affection préexistante, le DP pourra donc être codé,",
      "selon la profondeur et la gravité de la nécrose, soit M72.6, A48.0 ou R02. Le L08.8 ne pourra plus être codé. L'insuffisance"
    ],
    "agora_refs": [
      "261525"
    ],
    "cocoa_notes": [
      "veineuse avec inflammation pourra en revanche être codée en DAS avec le I83.1 (AGORA - # 261525 le 23 avril 2024)"
    ]
  },
  "A48.1": {
    "code": "A48.1",
    "description": "Maladie des légionnaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Légionellose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A48.2": {
    "code": "A48.2",
    "description": "Maladie des légionnaires, sans signes pulmonaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 110,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "[Fièvre de Pontiac]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A48.3": {
    "code": "A48.3",
    "description": "Syndrome du choc toxique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Toxic Shock Syndrom [TSS]"
    ],
    "comprend": [],
    "exclusions": [
      "choc endotoxique SAI (R57.8)",
      "sepsis SAI (A41.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A48.4": {
    "code": "A48.4",
    "description": "Fièvre purpurique du Brésil",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection généralisée à Haemophilus aegyptius"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A48.8": {
    "code": "A48.8",
    "description": "Autres maladies bactériennes précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49": {
    "code": "A49",
    "description": "Infection bactérienne, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Bactériémie sans syndrome infectieux",
      "fongémie et de parasitémie pour les autres microorganismes.",
      "besoin.",
      "Diagnostic associé : microorganisme codé en B95-B96."
    ],
    "comprend": [],
    "exclusions": [
      "agents bactériens, cause de maladies classées dans d’autres chapitres (B95-B96)",
      "infection (à) : • Chlamydia SAI (A74.9)",
      "• méningococcique SAI (A39.9)",
      "• rickettsies SAI (A79.9)",
      "• spirochètes SAI (A69.9)"
    ],
    "clinical_text": [
      "Le terme de bactériémie définit le passage de bactéries dans la circulation sanguine. On utilise les termes de virémie, de",
      "Une bactériémie isolée, sans infection d’organe ou porte d’entrée précisée ni critères de sepsis et en dehors d’une",
      "complication suivant la pose de prothèses, d’implants et greffes internes ou cardiaques et vasculaires, ne permet pas de",
      "coder l’infection ou le sepsis. Dans ce cas un code de la catégorie A49 sera utilisé en DP.",
      "Lorsque la bactériémie survient pendant ou au décours d'une infection d'organe identifiée (ou d’un sepsis), alors le codage",
      "de l'infection l'emporte sur celle-ci. La bactériémie (A49.-) ne doit dans ce cas pas être codée en plus.",
      "En revanche, si la bactériémie survient suite à une complication d'acte à visée diagnostique ou thérapeutique, ou sans",
      "qu'aucune étiologie précise ne soit identifiée, alors il faut la coder, ainsi que l'agent infectieux retrouvé à l'hémoculture si",
      "● Exemple 1 : Bactériémie avec une porte d’entrée jugée très probable mais sans foyer infectieux causal précis, comme une",
      "effraction cutanée non identifiée, une translocation digestive sans colite identifiée etc. :",
      "Diagnostic principal : A49.- Infection bactérienne à …, siège non précisé",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - 2023, p. 9"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49.0": {
    "code": "A49.0",
    "description": "Infection à staphylocoques, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49.1": {
    "code": "A49.1",
    "description": "Infection à streptocoques et entérocoques, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49.2": {
    "code": "A49.2",
    "description": "Infection à Haemophilus influenzae, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49.3": {
    "code": "A49.3",
    "description": "Infection à Mycoplasma, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49.8": {
    "code": "A49.8",
    "description": "Autres infections bactériennes, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A49.9": {
    "code": "A49.9",
    "description": "Infection bactérienne, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 111,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bactériémie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladies dues au virus de l’immunodéficience humaine [VIH] (B20-B24)",
      "syndrome de Reiter (M02.3)",
      "urétrite non spécifique et non gonococcique (N34.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50": {
    "code": "A50",
    "description": "Syphilis congénitale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.0": {
    "code": "A50.0",
    "description": "Syphilis congénitale précoce, symptomatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "après la naissance.",
      "Laryngite",
      "Oculopathie",
      "Ostéochondropathie",
      "syphilitique congénitale précoce",
      "Pharyngite",
      "Pneumopathie",
      "Rhinite",
      "Syphilis congénitale précoce : • cutanée",
      "• cutanéo-muqueuse",
      "• viscérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute manifestation d’une syphilis congénitale précisée comme étant précoce, ou évidente moins de 2 ans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.1": {
    "code": "A50.1",
    "description": "Syphilis congénitale précoce, latente",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syphilis congénitale sans signes cliniques, avec réaction sérologique positive et réaction négative dans le",
      "liquide céphalo-rachidien, moins de 2 ans après la naissance."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.2": {
    "code": "A50.2",
    "description": "Syphilis congénitale précoce, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syphilis congénitale SAI moins de deux ans après la naissance."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.3": {
    "code": "A50.3",
    "description": "Oculopathie syphilitique congénitale tardive",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Oculopathie syphilitique congénitale tardive NCA † (H58.8 *)"
    ],
    "comprend": [],
    "exclusions": [
      "triade de Hutchinson (A50.5)"
    ],
    "clinical_text": [
      "Kératite interstitielle syphilitique congénitale tardive † (H19.2 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.4": {
    "code": "A50.4",
    "description": "Syphilis congénitale nerveuse tardive",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Démence paralytique",
      "Paralysie générale",
      "Syphilis nerveuse tabétique juvénile",
      "Tabès",
      "Neuro-syphilis",
      "Encéphalite † (G05.0 *)",
      "Méningite † (G01 *) syphilitique congénitale tardive",
      "Polynévrite † (G63.0 *)"
    ],
    "comprend": [],
    "exclusions": [
      "triade de Hutchinson (A50.5)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier un trouble mental associé."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.5": {
    "code": "A50.5",
    "description": "Autres formes tardives de syphilis congénitale, symptomatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 112,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthropathie † (M03.1 *)",
      "syphilitique congénitale tardive",
      "Ostéo-chondropathie † (M90.2 *)",
      "Dents de Hutchinson",
      "Maladie de Clutton † (M03.1 *)",
      "Nez en selle attribuable à la syphilis",
      "Syphilis cardio-vasculaire congénitale tardive † (I98.0 *)",
      "Triade de Hutchinson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute forme de syphilis congénitale précisée tardive, ou évidente deux ans au moins après la naissance."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.6": {
    "code": "A50.6",
    "description": "Syphilis congénitale tardive, latente",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syphilis congénitale sans signes cliniques, avec réaction sérologique positive et réaction négative dans le",
      "liquide céphalo-rachidien, deux ans au moins après la naissance."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.7": {
    "code": "A50.7",
    "description": "Syphilis congénitale tardive, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syphilis congénitale SAI, deux ans au moins après la naissance."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A50.9": {
    "code": "A50.9",
    "description": "Syphilis congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51": {
    "code": "A51",
    "description": "Syphilis précoce",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.0": {
    "code": "A51.0",
    "description": "Syphilis génitale primaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Chancre syphilitique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.1": {
    "code": "A51.1",
    "description": "Syphilis anale primaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.2": {
    "code": "A51.2",
    "description": "Syphilis primaire d’autres localisations",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.3": {
    "code": "A51.3",
    "description": "Syphilis secondaire de la peau et des muqueuses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Alopécie † (L99.8 *)",
      "Leucodermie † (L99.8 *) syphilitique",
      "Plaque muqueuse",
      "Condylome plat"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.4": {
    "code": "A51.4",
    "description": "Autres formes de syphilis secondaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Iridocyclite † (H22.0 *)",
      "Lymphadénopathie",
      "syphilitique",
      "Méningite † (G01 *)",
      "secondaire",
      "Myosite † (M63.0 *)",
      "Oculopathie NCA † (H58.8 *)",
      "Périostite † (M90.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection inflammatoire des organes pelviens de la femme † (N74.2 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.5": {
    "code": "A51.5",
    "description": "Syphilis précoce, latente",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syphilis (acquise) sans signes cliniques, avec réaction sérologique positive et réaction négative dans le",
      "liquide céphalo-rachidien, moins de deux ans après l’infection."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A51.9": {
    "code": "A51.9",
    "description": "Syphilis précoce, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52": {
    "code": "A52",
    "description": "Syphilis tardive",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.0": {
    "code": "A52.0",
    "description": "Syphilis cardio-vasculaire",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 113,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anévrisme syphilitique de l’aorte (I79.0 *)",
      "Aortite (I79.1 *)",
      "Artérite cérébrale (I68.1 *)",
      "Endocardite SAI (I39.8 *)",
      "Insuffisance aortique (I39.1 *) syphilitique",
      "Insuffisance pulmonaire (I39.3 *)",
      "Myocardite (I41.0 *)",
      "Péricardite (I32.0 *)",
      "Syphilis cardio-vasculaire SAI (I98.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.1": {
    "code": "A52.1",
    "description": "Syphilis nerveuse symptomatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthropathie syphilitique (tabétique) † (M14.6 *)",
      "Atrophie optique † (H48.0 *)",
      "Encéphalite † (G05.0 *)",
      "Méningite † (G01 *)",
      "syphilitique tardive",
      "Névrite : • acoustique † (H94.0 *)",
      "• rétrobulbaire † (H48.1 *)",
      "Polynévrite † (G63.0 *)",
      "Parkinsonisme syphilitique † (G22 *)",
      "Tabès"
    ],
    "comprend": [],
    "exclusions": [
      "Arthropathie de Charcot • SAI (G98 †)",
      "• non syphilitique (G98 †)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.2": {
    "code": "A52.2",
    "description": "Syphilis nerveuse asymptomatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.3": {
    "code": "A52.3",
    "description": "Syphilis nerveuse, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Gomme (syphilitique)",
      "Syphilis (tardive) du système nerveux central SAI",
      "Syphilome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.7": {
    "code": "A52.7",
    "description": "Autres formes tardives de syphilis symptomatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bursite † (M73.1 *)",
      "Choriorétinite † (H32.0 *)",
      "Épisclérite † (H19.0 *) syphilitique tardive",
      "Leucodermie † (L99.8 *)",
      "Oculopathie NCA † (H58.8 *)",
      "Péritonite † (K67.2 *)",
      "Glomérulite syphilitique † (N08.0 *)",
      "Gomme (syphilitique)",
      "toute localisation, sauf celles classées en A52.0-A52.3",
      "Syphilis tardive ou tertiaire",
      "Synovite syphilitique (stade non précisé) † (M68.0 *)",
      "Syphilis (stade non précisé) : • hépatique † (K77.0 *)",
      "• musculaire † (M63.0 *)",
      "• osseuse † (M90.2 *)",
      "• pulmonaire † (J99.8 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection inflammatoire des organes pelviens de la femme † (N74.2 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.8": {
    "code": "A52.8",
    "description": "Syphilis tardive, latente",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syphilis (acquise), sans symptômes cliniques, avec réaction sérologique positive et réaction négative dans",
      "le liquide céphalo-rachidien, deux ans au moins après l’infection."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A52.9": {
    "code": "A52.9",
    "description": "Syphilis tardive, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A53": {
    "code": "A53",
    "description": "Syphilis, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A53.0": {
    "code": "A53.0",
    "description": "Syphilis latente, non précisée précoce ou tardive",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Sérologie syphilitique positive",
      "Syphilis latente SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A53.9": {
    "code": "A53.9",
    "description": "Syphilis, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 114,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection due à Treponema pallidum SAI",
      "Syphilis (acquise) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "syphilis SAI entraînant la mort avant l’âge de deux ans (A50.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54": {
    "code": "A54",
    "description": "Infection gonococcique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection gonococcique de la partie inférieure de l’appareil génito-urinaire, sans abcès péri-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.2": {
    "code": "A54.2",
    "description": "Pelvipéritonite gonococcique et autres infections génito-urinaires gonococciques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épididymite † (N51.1 *)",
      "gonococcique",
      "Orchite † (N51.1 *)",
      "Prostatite † (N51.0 *)"
    ],
    "comprend": [],
    "exclusions": [
      "péritonite gonococcique (A54.8)"
    ],
    "clinical_text": [
      "Affection inflammatoire des organes pelviens de la femme † (N74.3 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.3": {
    "code": "A54.3",
    "description": "Infection gonococcique de l’œil",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite † (H13.1 *)",
      "gonococcique",
      "Iridocyclite † (H22.0 *)",
      "Ophtalmie gonococcique du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.4": {
    "code": "A54.4",
    "description": "Infection gonococcique du système ostéo-articulaire et des muscles",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthrite (M01.3 *)",
      "Bursite (M73.0 *)",
      "Ostéomyélite (M90.2 *) gonococcique",
      "Synovite (M68.0 *)",
      "Ténosynovite (M68.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.5": {
    "code": "A54.5",
    "description": "Pharyngite gonococcique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.6": {
    "code": "A54.6",
    "description": "Infection gonococcique de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.8": {
    "code": "A54.8",
    "description": "Autres infections gonococciques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès du cerveau † (G07 *)",
      "Endocardite † (I39.8 *)",
      "Lésions cutanées",
      "Méningite † (G01 *)",
      "Myocardite † (I41.0 *) gonococcique(s)",
      "Péricardite † (I32.0 *)",
      "Péritonite † (K67.1 *)",
      "Pneumopathie † (J17.0 *)",
      "Sepsis"
    ],
    "comprend": [],
    "exclusions": [
      "pelvipéritonite gonococcique (A54.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A54.9": {
    "code": "A54.9",
    "description": "Infection gonococcique, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 115,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A55": {
    "code": "A55",
    "description": "Lymphogranulomatose vénérienne à Chlamydia",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Bubon climatique ou tropical",
      "Esthiomène",
      "Lymphogranulomatose inguinale",
      "Maladie de (Durand-)Nicolas-Favre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56": {
    "code": "A56",
    "description": "Autres infections à Chlamydia transmises par voie sexuelle",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infections à Chlamydia trachomatis transmises par voie sexuelle"
    ],
    "exclusions": [
      "conjonctivite néonatale à Chlamydia (P39.1)",
      "lymphogranulomatose à Chlamydia (A55)",
      "maladies classées en A74.-",
      "pneumopathie congénitale à Chlamydia (P23.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56.0": {
    "code": "A56.0",
    "description": "Infection à Chlamydia de la partie inférieure de l’appareil génito-urinaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cervicite",
      "Cystite",
      "à Chlamydia",
      "Urétrite",
      "Vulvo-vaginite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56.1": {
    "code": "A56.1",
    "description": "Infection à Chlamydia, pelvi-péritonéale et des autres organes génito-urinaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épididymite † (N51.1 *) à Chlamydia",
      "Orchite † (N51.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection inflammatoire des organes pelviens de la femme † (N74.4 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56.2": {
    "code": "A56.2",
    "description": "Infection à Chlamydia de l’appareil génito-urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56.3": {
    "code": "A56.3",
    "description": "Infection à Chlamydia de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56.4": {
    "code": "A56.4",
    "description": "Infection à Chlamydia du pharynx",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A56.8": {
    "code": "A56.8",
    "description": "Infection à Chlamydia transmise par voie sexuelle, autres localisations",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A57": {
    "code": "A57",
    "description": "Chancre mou",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Chancrelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A58": {
    "code": "A58",
    "description": "Granulome inguinal",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Donovanose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A59": {
    "code": "A59",
    "description": "Trichomonase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "trichomonase intestinale (A07.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A59.0": {
    "code": "A59.0",
    "description": "Trichomonase uro-génitale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucorrhée (vaginale)",
      "à Trichomonas (vaginalis)",
      "Prostatite † (N51.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A59.8": {
    "code": "A59.8",
    "description": "Autres localisations de trichomonase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A59.9": {
    "code": "A59.9",
    "description": "Trichomonase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 116,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A60": {
    "code": "A60",
    "description": "Infection ano-génitale par le virus de l’herpès herpès simplex [HSV]",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A60.0": {
    "code": "A60.0",
    "description": "Infection des organes génitaux et de l’appareil génito-urinaire par le virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• homme † (N51.- *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection des organes génitaux par le virus de l’herpès : • femme † (N77.0 *-N77.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A60.1": {
    "code": "A60.1",
    "description": "Infection de la marge cutanée de l’anus et du rectum, par le virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A60.9": {
    "code": "A60.9",
    "description": "Infection ano-génitale par le virus de l’herpès, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "sexuel, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "molluscum contagiosum (B08.1)",
      "papillome du col de l’utérus (D26.0)"
    ],
    "clinical_text": [
      "Autres maladies dont le mode de transmission est essentiellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A63.0": {
    "code": "A63.0",
    "description": "Condylomes ano-génitaux (vénériens)",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A63.00": {
    "code": "A63.00",
    "description": "Condylomes anaux (vénériens)",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A63.08": {
    "code": "A63.08",
    "description": "Autres condylomes ano-génitaux (vénériens)",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A63.8": {
    "code": "A63.8",
    "description": "Autres maladies précisées dont le mode de transmission est essentiellement sexuel",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A64": {
    "code": "A64",
    "description": "Maladie sexuellement transmise, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Maladie vénérienne SAI"
    ],
    "comprend": [],
    "exclusions": [
      "leptospirose (A27.-)",
      "syphilis (A50-A53)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A65": {
    "code": "A65",
    "description": "Syphilis non vénérienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Béjel",
      "Njovera",
      "Syphilis endémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66": {
    "code": "A66",
    "description": "Pian",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "bouba",
      "frambœsia"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.0": {
    "code": "A66.0",
    "description": "Lésions initiales du pian",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chancre pianique",
      "Frambœsia initiale ou primaire",
      "Pian mère",
      "Ulcère frambœsial initial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.1": {
    "code": "A66.1",
    "description": "Papillomes multiples et pian plantaire humide",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 117,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pian-crabe",
      "Frambœsome",
      "Papillome pianique plantaire ou palmaire",
      "Pianome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.2": {
    "code": "A66.2",
    "description": "Autres lésions cutanées précoces du pian",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Frambœside du pian récent",
      "Pian cutané, moins de cinq ans après l’infection"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pian récent (cutané) (maculaire) (maculo-papulaire) (micropapulaire) (papulaire)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.3": {
    "code": "A66.3",
    "description": "Hyperkératose pianique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Main de vampire",
      "Pianides plantaires hyperkératosiques et trichophytoïdes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyperkératose palmaire ou plantaire (précoce) (tardive), due au pian"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.4": {
    "code": "A66.4",
    "description": "Gommes et ulcères pianiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Frambœside gommeuse",
      "Pian tardif nodulaire (ulcéré)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.5": {
    "code": "A66.5",
    "description": "Gangosa",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rhinopharyngite mutilante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.6": {
    "code": "A66.6",
    "description": "Lésions ostéo-articulaires pianiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gomme osseuse",
      "Goundou du pian (tardif)",
      "Ostéite ou périostite gommeuse",
      "Hydarthrose",
      "Nodule",
      "du pian (précoce) (tardif)",
      "Ostéite",
      "Périostite (hypertrophique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.7": {
    "code": "A66.7",
    "description": "Autres manifestations du pian",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésions muqueuses pianiques",
      "Nodules juxta-articulaires pianiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.8": {
    "code": "A66.8",
    "description": "Pian latent",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pian sans signes cliniques, avec sérologie positive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A66.9": {
    "code": "A66.9",
    "description": "Pian, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A67": {
    "code": "A67",
    "description": "Pinta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Caraté"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A67.0": {
    "code": "A67.0",
    "description": "Lésions initiales de la pinta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chancre (initial)",
      "de la pinta",
      "Papule (initiale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A67.1": {
    "code": "A67.1",
    "description": "Lésions intermédiaires de la pinta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperkératose",
      "Lésions hyperchromiques de la pinta",
      "Plaques érythémateuses",
      "Pintides"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A67.2": {
    "code": "A67.2",
    "description": "Lésions tardives de la pinta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 118,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésions cardio-vasculaires † (I98.1 *)",
      "Lésions cutanées : • achromiques",
      "de la pinta",
      "• cicatricielles",
      "• dyschromiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A67.3": {
    "code": "A67.3",
    "description": "Lésions mixtes de la pinta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions cutanées achromiques avec lésions cutanées hyperchromiques de la pinta"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A67.9": {
    "code": "A67.9",
    "description": "Pinta, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A68": {
    "code": "A68",
    "description": "Fièvres récurrentes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "typhus récurrent",
      "borrélioses"
    ],
    "exclusions": [
      "maladie de Lyme (A69.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A68.0": {
    "code": "A68.0",
    "description": "Fièvre récurrente à poux",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre récurrente à Borrelia recurrentis",
      "Borréliose à poux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A68.1": {
    "code": "A68.1",
    "description": "Fièvre récurrente à tiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre récurrente à Borrelia, sauf Borrelia recurrentis",
      "Borréliose à tiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A68.9": {
    "code": "A68.9",
    "description": "Fièvre récurrente, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Borréliose, sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A69": {
    "code": "A69",
    "description": "Autres infections à spirochètes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A69.0": {
    "code": "A69.0",
    "description": "Stomatite ulcéro-nécrotique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancrum oris",
      "Gangrène à fuso-spirochètes",
      "Noma",
      "Stomatite gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A69.1": {
    "code": "A69.1",
    "description": "Autres infections dites de Vincent",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine",
      "de Vincent",
      "Gingivite",
      "ulcéro-nécrotique (aiguë)",
      "Gingivo-stomatite",
      "Pharyngite à fuso-spirochètes",
      "Stomatite à fuso-spirochètes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A69.2": {
    "code": "A69.2",
    "description": "Maladie de Lyme",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Érythème chronique migrateur à Borrelia burgdorferi"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A69.8": {
    "code": "A69.8",
    "description": "Autres infections à spirochètes précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A69.9": {
    "code": "A69.9",
    "description": "Infection à spirochètes, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 119,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A70": {
    "code": "A70",
    "description": "Infection à Chlamydia psittaci",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Ornithose",
      "Psittacose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A71": {
    "code": "A71",
    "description": "Trachome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séquelles de trachome (B94.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A71.0": {
    "code": "A71.0",
    "description": "Phase initiale du trachome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trachoma dubium"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A71.1": {
    "code": "A71.1",
    "description": "Phase active du trachome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite : • folliculaire trachomateuse",
      "• granuleuse (trachomateuse)",
      "Pannus trachomateux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A71.9": {
    "code": "A71.9",
    "description": "Trachome, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A74": {
    "code": "A74",
    "description": "Autres infections à Chlamydia",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "conjonctivite néonatale à Chlamydia (P39.1)",
      "infections à Chlamydia transmises par voie sexuelle (A55-A56)",
      "pneumopathie (à) : • Chlamydia (J16.0)",
      "• congénitale (P23.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A74.0": {
    "code": "A74.0",
    "description": "Conjonctivite à Chlamydia (H13.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paratrachome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A74.8": {
    "code": "A74.8",
    "description": "Autres infections à Chlamydia précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péritonite à Chlamydia † (K67.0 *)",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A74.9": {
    "code": "A74.9",
    "description": "Infection à Chlamydia, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chlamydiose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A75": {
    "code": "A75",
    "description": "Typhus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rickettsiose due à Neorickettsia sennetsu Ehrlichia sennetsu (A79.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A75.0": {
    "code": "A75.0",
    "description": "Typhus épidémique à poux dû à Rickettsia prowazekii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Typhus : • classique",
      "• épidémique (à poux)",
      "• exanthématique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A75.1": {
    "code": "A75.1",
    "description": "Typhus résurgent",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Brill-Zinsser"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A75.2": {
    "code": "A75.2",
    "description": "Typhus à Rickettsia typhi",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Typhus murin (à puces)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A75.3": {
    "code": "A75.3",
    "description": "Typhus à Rickettsia tsutsugamushi",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 120,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre fluviale du Japon",
      "Typhus des broussailles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A75.9": {
    "code": "A75.9",
    "description": "Typhus, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77": {
    "code": "A77",
    "description": "Fièvre pourprée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "rickettsiose à tiques"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77.0": {
    "code": "A77.0",
    "description": "Fièvre pourprée à Rickettsia rickettsii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre (de) : • pourprée des Montagnes rocheuses",
      "• Sao Paulo",
      "• maculeuse brésilienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77.1": {
    "code": "A77.1",
    "description": "Fièvre pourprée à Rickettsia conorii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre (à) (de) : • boutonneuse",
      "• exanthématique méditerranéenne",
      "• indienne à tiques",
      "• Marseille",
      "• tiques du Kenya",
      "Typhus africain à tiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77.2": {
    "code": "A77.2",
    "description": "Fièvre pourprée due à Rickettsia sibirica",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre russo-asiatique",
      "Typhus à tiques de Sibérie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77.3": {
    "code": "A77.3",
    "description": "Fièvre pourprée due à Rickettsia australis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre à tiques du Queensland"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77.8": {
    "code": "A77.8",
    "description": "Autres fièvres pourprées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A77.9": {
    "code": "A77.9",
    "description": "Fièvre pourprée, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Typhus à tiques SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A78": {
    "code": "A78",
    "description": "Fièvre Q",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Fièvre (du) : • Montana",
      "• quadrilatérale",
      "Infection à Coxiella burnetii"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A79": {
    "code": "A79",
    "description": "Autres rickettsioses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A79.0": {
    "code": "A79.0",
    "description": "Fièvre des tranchées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre (de) : • quintane",
      "• Volhynie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A79.1": {
    "code": "A79.1",
    "description": "Rickettsiose varicelliforme due à Rickettsia akari",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre de Kew Garden",
      "Rickettsiose vésiculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A79.8": {
    "code": "A79.8",
    "description": "Autres types précisés de rickettsiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rickettsiose à Neorickettsia sennetsu",
      "Rickettsiose à Ehrlichia sennetsu",
      "Ehrlichiose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A79.9": {
    "code": "A79.9",
    "description": "Rickettsiose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 121,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à rickettsies SAI"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles de : • encéphalite virale (B94.1)",
      "• poliomyélite (B91)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80": {
    "code": "A80",
    "description": "Poliomyélite aiguë",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80.0": {
    "code": "A80.0",
    "description": "Poliomyélite paralytique aiguë, associée au virus vaccinal",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80.1": {
    "code": "A80.1",
    "description": "Poliomyélite paralytique aiguë, virus sauvage importé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80.2": {
    "code": "A80.2",
    "description": "Poliomyélite paralytique aiguë, virus sauvage indigène",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80.3": {
    "code": "A80.3",
    "description": "Poliomyélites paralytiques aiguës, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80.4": {
    "code": "A80.4",
    "description": "Poliomyélite aiguë non paralytique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A80.9": {
    "code": "A80.9",
    "description": "Poliomyélite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A81": {
    "code": "A81",
    "description": "Infections atypiques à virus, du système nerveux central",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "maladies à prions, du système nerveux central"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A81.0": {
    "code": "A81.0",
    "description": "Maladie de Creutzfeldt-Jakob",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalopathie spongieuse subaiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A81.1": {
    "code": "A81.1",
    "description": "Panencéphalite sclérosante subaiguë",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalite subaiguë à inclusions de Dawson",
      "Leucoencéphalopathie sclérosante de Van Bogaert"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A81.2": {
    "code": "A81.2",
    "description": "Leucoencéphalopathie multifocale progressive",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucoencéphalopathie multifocale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A81.8": {
    "code": "A81.8",
    "description": "Autres infections atypiques à virus, du système nerveux central",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kuru",
      "Maladie à prion humaine héréditaire rare. (Orphanet)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encéphalopathie spongiforme subaiguë [Syndrome de Gerstmann-Straussler-Scheinker]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A81.9": {
    "code": "A81.9",
    "description": "Infection atypique à virus, du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie à prion du système nerveux central SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A82": {
    "code": "A82",
    "description": "Rage",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A82.0": {
    "code": "A82.0",
    "description": "Rage sylvatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A82.1": {
    "code": "A82.1",
    "description": "Rage des rues",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Rage citadine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A82.9": {
    "code": "A82.9",
    "description": "Rage, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 122,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83": {
    "code": "A83",
    "description": "Encéphalite virale transmise par des moustiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "méningo-encéphalite à virus transmise par des moustiques"
    ],
    "exclusions": [
      "encéphalite équine vénézuélienne (A92.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.0": {
    "code": "A83.0",
    "description": "Encéphalite japonaise",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.1": {
    "code": "A83.1",
    "description": "Encéphalite équine occidentale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.2": {
    "code": "A83.2",
    "description": "Encéphalite équine orientale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.3": {
    "code": "A83.3",
    "description": "Encéphalite de Saint-Louis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.4": {
    "code": "A83.4",
    "description": "Encéphalite australienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Maladie virale de Kunjin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.5": {
    "code": "A83.5",
    "description": "Encéphalite de Californie",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalite de La Crosse",
      "Méningo-encéphalite de Californie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.6": {
    "code": "A83.6",
    "description": "Maladie à virus de Rocio",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.8": {
    "code": "A83.8",
    "description": "Autres encéphalites virales transmises par des moustiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A83.9": {
    "code": "A83.9",
    "description": "Encéphalite virale transmise par des moustiques, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A84": {
    "code": "A84",
    "description": "Encéphalite virale transmise par des tiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "méningo-encéphalite virale transmise par des tiques"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A84.0": {
    "code": "A84.0",
    "description": "Encéphalite de la taïga",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalite verno-estivale russe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A84.1": {
    "code": "A84.1",
    "description": "Encéphalite d’Europe centrale transmise par des tiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A84.8": {
    "code": "A84.8",
    "description": "Autres encéphalites virales transmises par des tiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalomyélite ovine",
      "Louping ill",
      "Maladie virale de Powassan"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A84.9": {
    "code": "A84.9",
    "description": "Encéphalite virale transmise par des tiques, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A85": {
    "code": "A85",
    "description": "Autres encéphalites virales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "Encéphalomyélite",
      "précisée virale NCA",
      "méningo-encéphalite"
    ],
    "exclusions": [
      "chorioméningite Iymphocytaire (A87.2)",
      "encéphalite (due au virus de) : • herpès (simplex) (B00.4)",
      "• morbilleuse (B05.0)",
      "• ourlienne (B26.2)",
      "• poliomyélite (A80.-)",
      "• zostérienne (B02.0)",
      "encéphalomyélite myalgique (G93.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A85.0": {
    "code": "A85.0",
    "description": "Encéphalite à entérovirus (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalomyélite à entérovirus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A85.1": {
    "code": "A85.1",
    "description": "Encéphalite à adénovirus (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 123,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Méningo-encéphalite à adénovirus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A85.2": {
    "code": "A85.2",
    "description": "Encéphalite virale transmise par des arthropodes, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A85.8": {
    "code": "A85.8",
    "description": "Autres encéphalites virales précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalite léthargique",
      "Maladie de Von Economo-Cruchet"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A86": {
    "code": "A86",
    "description": "Encéphalite virale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Encéphalomyélite",
      "à virus SAI",
      "Méningo-encéphalite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A87": {
    "code": "A87",
    "description": "Méningite virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "méningite (due au virus de) : • herpès (simplex) (B00.3)",
      "• morbilleuse (B05.1)",
      "• ourlienne (B26.1)",
      "• poliomyélite (A80.-)",
      "• zostérienne (B02.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A87.0": {
    "code": "A87.0",
    "description": "Méningite à entérovirus (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningite à virus : • Coxsackie",
      "• ECHO"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A87.1": {
    "code": "A87.1",
    "description": "Méningite à adénovirus (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A87.2": {
    "code": "A87.2",
    "description": "Chorio-méningite lymphocytaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Méningo-encéphalite lymphocytaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A87.8": {
    "code": "A87.8",
    "description": "Autres méningites virales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A87.9": {
    "code": "A87.9",
    "description": "Méningite virale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "encéphalite virale SAI (A86)",
      "méningite virale SAI (A87.9)"
    ],
    "clinical_text": [
      "Autres infections virales du système nerveux central, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A88.0": {
    "code": "A88.0",
    "description": "Fièvre exanthémateuse à entérovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "exanthème de Boston"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A88.1": {
    "code": "A88.1",
    "description": "Vertige épidémique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A88.8": {
    "code": "A88.8",
    "description": "Autres infections virales précisées du système nerveux central",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A89": {
    "code": "A89",
    "description": "Infection virale du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 124,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "(A92-A99)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fièvres virales transmises par des arthropodes et fièvres virales hémorragiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92": {
    "code": "A92",
    "description": "Autres fièvres virales transmises par des moustiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie de la Ross River (B33.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.0": {
    "code": "A92.0",
    "description": "Fièvre de Chikungunya",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre hémorragique de Chikungunya"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.1": {
    "code": "A92.1",
    "description": "Fièvre due au virus O’nyong-nyong",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.2": {
    "code": "A92.2",
    "description": "Fièvre équine vénézuélienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Encéphalite équine vénézuélienne",
      "Encéphalomyélite équine vénézuélienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.3": {
    "code": "A92.3",
    "description": "Fièvre due au virus West-Nile",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre West-Nile",
      "Fièvre du Nil occidental"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.4": {
    "code": "A92.4",
    "description": "Fièvre de la vallée du Rift",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.5": {
    "code": "A92.5",
    "description": "Maladie due au virus Zika",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fièvre",
      "Infection à virus Zika",
      "Encéphalite † (G04.8 *)",
      "Zika SAI",
      "(Wikipedia)"
    ],
    "comprend": [],
    "exclusions": [
      "maladie congénitale due au virus Zika (P35.4)"
    ],
    "clinical_text": [
      "Le virus Zika ou virus de Zika [ZIKV] est un arbovirus membre de la famille des Flaviviridae et du genre",
      "Flavivirus, responsable de la fièvre de Zika. Il tire son nom d’une forêt en Ouganda où il a été identifié pour",
      "la première fois en 1947. Transmis par la piqûre d’un moustique infecté, il peut entraîner un syndrome proche",
      "des autres arboviroses, avec fièvre, éruption cutanée, céphalée et douleurs articulaires, spontanément",
      "résolutif. C’est par ailleurs le seul arbovirus pour lequel une transmission sexuelle a été mise en évidence."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.8": {
    "code": "A92.8",
    "description": "Autres fièvres virales précisées, transmises par des moustiques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A92.9": {
    "code": "A92.9",
    "description": "Fièvre virale transmise par des moustiques, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres fièvres virales transmises par des arthropodes, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A93.0": {
    "code": "A93.0",
    "description": "Fièvre d’Oropouche",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A93.1": {
    "code": "A93.1",
    "description": "Fièvre à phlébotome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre à pappataci"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A93.2": {
    "code": "A93.2",
    "description": "Fièvre à tiques du Colorado",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A93.8": {
    "code": "A93.8",
    "description": "Autres fièvres virales précisées, transmises par des arthropodes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 125,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie virale de Piry",
      "Stomatite vésiculaire virale",
      "Fièvre de l’Indiana",
      "Syndrome de fièvre sévère avec thrombocytopénie [SFST]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A94": {
    "code": "A94",
    "description": "Fièvre virale transmise par des arthropodes, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Fièvre à arbovirus SAI",
      "Infection à arbovirus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A95": {
    "code": "A95",
    "description": "Fièvre jaune",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A95.0": {
    "code": "A95.0",
    "description": "Fièvre jaune sylvatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre jaune de : • brousse",
      "• jungle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A95.1": {
    "code": "A95.1",
    "description": "Fièvre jaune citadine",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A95.9": {
    "code": "A95.9",
    "description": "Fièvre jaune, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A96": {
    "code": "A96",
    "description": "Fièvre hémorragique à Arénavirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A96.0": {
    "code": "A96.0",
    "description": "Fièvre hémorragique de Junin",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre hémorragique d’Argentine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A96.1": {
    "code": "A96.1",
    "description": "Fièvre hémorragique de Machupo",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre hémorragique de Bolivie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A96.2": {
    "code": "A96.2",
    "description": "Fièvre de Lassa",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A96.8": {
    "code": "A96.8",
    "description": "Autres fièvres hémorragiques à arénavirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A96.9": {
    "code": "A96.9",
    "description": "Fièvre hémorragique à arénavirus, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A97": {
    "code": "A97",
    "description": "Dengue",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "à la dengue."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La dengue est une maladie virale transmise par la piqure de moustique infecté par le virus de la dengue. Elle se présente",
      "sous différentes formes cliniques dont l’évolution et l’issue sont souvent imprévisibles. La plupart des patients guérissent",
      "après une évolution clinique peu sévère spontanément résolutive présentant nausées, vomissements, éruption cutanée et",
      "douleurs. Un faible nombre de cas évolue vers une affection sévère caractérisée par des fuites plasmatiques avec ou sans",
      "hémorragie bien qu’une hémorragie sévère ou une défaillance d’organe majeure puisse survenir avec un éventuel choc dû"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A97.0": {
    "code": "A97.0",
    "description": "Dengue sans signe d’alerte",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dengue hémorragique de grade 1 et 2",
      "Dengue hémorragique sans signe d’alerte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A97.1": {
    "code": "A97.1",
    "description": "Dengue avec signes d’alerte",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "l’hématocrite.",
      "augmentation du volume du foie de plus de 2 cm.",
      "Dengue hémorragique avec signes d’alerte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les signes cliniques d’alerte sont : sensibilité douloureuse à la palpation ou douleur abdominale, hémorragies",
      "des muqueuses, léthargie et/ou nervosité, rapide diminution du nombre de plaquettes, augmentation de",
      "D’autres signes cliniques peuvent être présents : vomissements persistants, épanchements liquidiens,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A97.2": {
    "code": "A97.2",
    "description": "Dengue sévère",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dengue hémorragique sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les signes cliniques comprennent : fuite plasmatique sévère entraînant un choc (dengue avec syndrome de",
      "choc) et/ou épanchements liquidiens avec détresse respiratoire ; hémorragie sévère ; défaillance sévère",
      "d’organe : transaminases (ASAT ou ALAT) à 1000 (défaillance hépatique), altération de l’état de conscience",
      "(encéphalite), autres défaillances telles que myocardite ou néphropathie."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A97.9": {
    "code": "A97.9",
    "description": "Dengue, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 126,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98": {
    "code": "A98",
    "description": "Autres fièvres hémorragiques virales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fièvre hémorragique (à) (de la) : • virus chikungunya (A92.0)",
      "• dengue (A97.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.0": {
    "code": "A98.0",
    "description": "Fièvre hémorragique de Crimée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre hémorragique du Congo",
      "Fièvre hémorragique d’Asie centrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.1": {
    "code": "A98.1",
    "description": "Fièvre hémorragique d’Omsk",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.2": {
    "code": "A98.2",
    "description": "Maladie de la forêt de Kyasanur",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.3": {
    "code": "A98.3",
    "description": "Maladie de Marburg",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.4": {
    "code": "A98.4",
    "description": "Maladie à virus Ebola",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.5": {
    "code": "A98.5",
    "description": "Fièvre hémorragique avec syndrome rénal",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre hémorragique (de) : • Corée",
      "• épidémique",
      "• russe",
      "Nephropathia epidemica"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome (cardio-)pulmonaire à virus Hanta (B33.4 †, J17.1 *)"
    ],
    "clinical_text": [
      "Maladie à hantavirus ou à virus Hanta avec manifestations rénales"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A98.8": {
    "code": "A98.8",
    "description": "Autres fièvres hémorragiques virales précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "A99": {
    "code": "A99",
    "description": "Fièvre hémorragique virale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00": {
    "code": "B00",
    "description": "Infections par le virus de l’herpès herpès simplex [HSV]",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "herpangine (B08.5)",
      "Infection : • ano-génitale par le virus de l’herpès (A60.-)",
      "• virale congénitale herpétique (P35.2)",
      "mononucléose due à herpès virus gamma (B27.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.0": {
    "code": "B00.0",
    "description": "Eczéma herpétique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pustulose varicelliforme de Kaposi"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.1": {
    "code": "B00.1",
    "description": "Dermite vésiculaire due au virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dermite vésiculaire de : • lèvre",
      "due au virus humain type 2 (alpha)",
      "• oreille",
      "Herpès simplex de : • face",
      "• lèvre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.2": {
    "code": "B00.2",
    "description": "Gingivo-stomatite et pharyngo-amygdalite due au virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pharyngite due au virus de l’herpès"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.3": {
    "code": "B00.3",
    "description": "Méningite due au virus de l’herpès (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.4": {
    "code": "B00.4",
    "description": "Encéphalite due au virus de l’herpès (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 127,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalomyélite à herpès simien type 1 (Virus B)",
      "Méningo-encéphalite due au virus de l’herpès"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.5": {
    "code": "B00.5",
    "description": "Affections oculaires dues au virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Conjonctivite † (H13.1 *)",
      "Dermite de la paupière † (H03.1 *)",
      "Iridocyclite † (H22.0 *)",
      "Iritis † (H22.0 *) due au virus de l’herpès",
      "Kératite † (H19.1 *)",
      "Kératoconjonctivite † (H19.1 *)",
      "Uvéite † (H22.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.7": {
    "code": "B00.7",
    "description": "Maladie disséminée due au virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Sepsis dû au virus de l’herpès"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.8": {
    "code": "B00.8",
    "description": "Autres formes d’infection due au virus de l’herpès",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hépatite herpétique † (K77.0 *)",
      "Œsophagite herpétique † (K23.80 *)",
      "Panaris herpétique † (L99.8 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B00.9": {
    "code": "B00.9",
    "description": "Infection due au virus de l’herpès, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à herpès simplex SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B01": {
    "code": "B01",
    "description": "Varicelle",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B01.0": {
    "code": "B01.0",
    "description": "Méningite varicelleuse (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B01.1": {
    "code": "B01.1",
    "description": "Encéphalite varicelleuse (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalite post-varicelleuse",
      "Encéphalomyélite varicelleuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B01.2": {
    "code": "B01.2",
    "description": "Pneumopathie varicelleuse (J17.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B01.8": {
    "code": "B01.8",
    "description": "Varicelle avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B01.9": {
    "code": "B01.9",
    "description": "Varicelle sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Varicelle SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02": {
    "code": "B02",
    "description": "Zona [herpès zoster]",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.0": {
    "code": "B02.0",
    "description": "Encéphalite zostérienne (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Méningo-encéphalite zostérienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.1": {
    "code": "B02.1",
    "description": "Méningite zostérienne (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.2": {
    "code": "B02.2",
    "description": "Zona accompagné d’autres manifestations neurologiques",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 128,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atteinte post-herpétique du ganglion géniculé (G53.0 *)",
      "Névralgie trigéminée post-herpétique (G53.0 *)",
      "Polynévrite post-zostérienne (G63.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.3": {
    "code": "B02.3",
    "description": "Zona ophtalmique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Blépharite † (H03.1 *)",
      "Conjonctivite † (H13.1 *)",
      "Iridocyclite † (H22.0 *)",
      "Iritis † (H22.0 *) zostérienne",
      "Kératite † (H19.2 *)",
      "Kératoconjonctivite † (H19.2 *)",
      "Sclérite † (H19.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.7": {
    "code": "B02.7",
    "description": "Zona disséminé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.8": {
    "code": "B02.8",
    "description": "Zona avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B02.9": {
    "code": "B02.9",
    "description": "Zona sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Zona SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B03": {
    "code": "B03",
    "description": "Variole 1",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B04": {
    "code": "B04",
    "description": "Monkeypox",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05": {
    "code": "B05",
    "description": "Rougeole",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "panencéphalite sclérosante subaiguë (A81.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.0": {
    "code": "B05.0",
    "description": "Rougeole compliquée d’une encéphalite (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Encéphalite post-morbilleuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.1": {
    "code": "B05.1",
    "description": "Rougeole compliquée d’une méningite (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningite post-morbilleuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.2": {
    "code": "B05.2",
    "description": "Rougeole compliquée d’une pneumopathie (J17.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pneumopathie post-morbilleuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.3": {
    "code": "B05.3",
    "description": "Rougeole compliquée d’une otite moyenne (H67.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne post-morbilleuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.4": {
    "code": "B05.4",
    "description": "Rougeole avec complications intestinales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.8": {
    "code": "B05.8",
    "description": "Rougeole avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rougeole compliquée de kératite et de kérato-conjonctivite † (H19.2 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B05.9": {
    "code": "B05.9",
    "description": "Rougeole sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 129,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rougeole SAI",
      "de surveillance."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "1 En mai 1980, la 33e Assemblée mondiale de la Santé a officiellement déclaré que la variole avait été éradiquée. La classification est maintenue à des fins"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B06": {
    "code": "B06",
    "description": "Rubéole",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rubéole congénitale (P35.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B06.0": {
    "code": "B06.0",
    "description": "Rubéole avec complications neurologiques",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalite (G05.1 *)",
      "Méningite (G02.0 *) rubéoleuse",
      "Méningo-encéphalite (G05.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B06.8": {
    "code": "B06.8",
    "description": "Rubéole avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrite † (M01.4 *)",
      "rubéoleuse",
      "Pneumopathie † (J17.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B06.9": {
    "code": "B06.9",
    "description": "Rubéole sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rubéole SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B07": {
    "code": "B07",
    "description": "Verrues d’origine virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Verruca : • simplex",
      "• vulgaris",
      "muqueuses, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "condylomes ano-génitaux (vénériens) (A63.0)",
      "papillome (de) : • col de l’utérus (D26.0)",
      "• larynx (D14.1)",
      "• vessie (D41.4)",
      "stomatite vésiculaire virale (A93.8)"
    ],
    "clinical_text": [
      "Autres infections virales caractérisées par des lésions cutanéo-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.0": {
    "code": "B08.0",
    "description": "Autres infections à orthopoxvirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cowpox",
      "Dermatite pustuleuse contagieuse ovine",
      "Orf",
      "Pseudovaccine",
      "Nodule des trayeurs",
      "Vaccine naturelle",
      "Vaccinia"
    ],
    "comprend": [],
    "exclusions": [
      "monkeypox (B04)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.1": {
    "code": "B08.1",
    "description": "Molluscum contagiosum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.2": {
    "code": "B08.2",
    "description": "Exanthème subit",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sixième maladie",
      "Roséole infantile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.3": {
    "code": "B08.3",
    "description": "Érythème infectieux",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mégalérythème épidémique",
      "Cinquième maladie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.4": {
    "code": "B08.4",
    "description": "Stomatite vésiculaire avec exanthème, due à un entérovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome pied-main-bouche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.5": {
    "code": "B08.5",
    "description": "Pharyngite vésiculaire due à un entérovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 130,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Herpangine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B08.8": {
    "code": "B08.8",
    "description": "Autres infections virales précisées, caractérisées par des lésions cutanéo-muqueuses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre (de) : • aphteuse",
      "• Yaba",
      "Pharyngite lymphonodulaire à entérovirus",
      "Syndrome du virus de Tanapox",
      "précision",
      "Enanthème",
      "viral SAI",
      "Exanthème",
      "transfusionnelle"
    ],
    "comprend": [],
    "exclusions": [
      "hépatite (à) : • cytomégalovirus [CMV] (B25.1)",
      "• herpétique (B00.8)",
      "séquelles d’hépatite virale (B94.2)"
    ],
    "clinical_text": [
      "Infection virale caractérisée par des lésions cutanéo-muqueuses, sans",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament en cas d’hépatite post-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B15": {
    "code": "B15",
    "description": "Hépatite aiguë A",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B15.0": {
    "code": "B15.0",
    "description": "Hépatite A avec coma hépatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B15.9": {
    "code": "B15.9",
    "description": "Hépatite A sans coma hépatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite A (aiguë) (virale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B16": {
    "code": "B16",
    "description": "Hépatite aiguë B",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B16.0": {
    "code": "B16.0",
    "description": "Hépatite aiguë B avec agent delta, avec coma hépatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B16.1": {
    "code": "B16.1",
    "description": "Hépatite aiguë B avec agent delta, sans coma hépatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B16.2": {
    "code": "B16.2",
    "description": "Hépatite aiguë B sans agent delta, avec coma hépatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B16.9": {
    "code": "B16.9",
    "description": "Hépatite aiguë B, sans agent delta et sans coma hépatique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite B aiguë (virale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B17": {
    "code": "B17",
    "description": "Autres hépatites virales aiguës",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B17.0": {
    "code": "B17.0",
    "description": "Infection aiguë par agent delta d’un sujet porteur au cours de l’hépatite B chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Surinfection aiguë par agent delta d’un sujet porteur de l’hépatite B"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B17.1": {
    "code": "B17.1",
    "description": "Hépatite aiguë C",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B17.2": {
    "code": "B17.2",
    "description": "Hépatite aiguë E",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B17.8": {
    "code": "B17.8",
    "description": "Autres hépatites virales aiguës précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite non A non B (aiguë) (virale) NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B17.9": {
    "code": "B17.9",
    "description": "Hépatite virale aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 131,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite aiguë SAI",
      "Hépatite infectieuse aiguë SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B18": {
    "code": "B18",
    "description": "Hépatite virale chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B18.0": {
    "code": "B18.0",
    "description": "Hépatite virale chronique B avec agent delta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "supplémentaire :",
      "0 phase d’immunotolérance",
      "9 phase autre et non spécifiée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "subdivisions données à titre facultatif, qui peuvent être utilisées comme cinquième caractère"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B18.1": {
    "code": "B18.1",
    "description": "Hépatite virale chronique B sans agent delta",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite (virale) B SAI",
      "supplémentaire :",
      "0 phase d’immunotolérance",
      "9 phase autre et non spécifiée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "subdivisions données à titre facultatif, qui peuvent être utilisées comme cinquième caractère"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B18.2": {
    "code": "B18.2",
    "description": "Hépatite virale chronique C",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B18.8": {
    "code": "B18.8",
    "description": "Autres hépatites virales chroniques",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B18.9": {
    "code": "B18.9",
    "description": "Hépatite virale chronique, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B19": {
    "code": "B19",
    "description": "Hépatite virale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B19.0": {
    "code": "B19.0",
    "description": "Hépatite virale, sans précision, avec coma",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B19.9": {
    "code": "B19.9",
    "description": "Hépatite virale, sans précision, sans coma",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite virale SAI",
      "Règles de codage d’une infection à VIH",
      "asymptomatique [séropositivité isolée].",
      "infectieuses et parasitaires"
    ],
    "comprend": [],
    "exclusions": [
      "infection asymptomatique par le virus de l’immunodéficience humaine [VIH] (Z21)",
      "infection compliquant la grossesse, l’accouchement et la puerpéralité (O98.7)",
      "Syndrome d’infection aiguë par VIH (B23.0)"
    ],
    "clinical_text": [
      "Le groupe B20–B24 est réservé au codage des infections symptomatiques par le VIH. Le code Z21 est réservé à l’infection restée",
      "Bien que certains libellés incluent explicitement l’affection associée à l’infection à VIH, on doit toujours les coder séparément ; ainsi le",
      "codage d’une infection à VIH compliquée d’un sarcome de Kaposi doit associer un code C46.– à B21.0.",
      "Les codes B24.– permettent de coder la maladie à VIH lorsque le patient ne présente pas d’affection spécifique lors du séjour considéré.",
      "Ainsi en MCO, un bilan sans fait nouveau chez un patient au stade de sida associera B24.+1 Sida avéré SAI en diagnostic relié au code",
      "du bilan en diagnostic principal. De même les codes B24.– sont employés lorsqu’un patient est pris en charge pour une affection sans",
      "rapport avec son infection à VIH et que cette dernière ne fait pas l’objet d’une prise en charge particulière. Ainsi une fracture de jambe",
      "chez un patient atteint du sida se code S82.– et B24.+1 si le sida répond aux conditions des diagnostics associés.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2021, juin 2021, p. 8",
      "NB : Ce paragraphe n’apparaît plus dans la version du fascicule de codage des maladies infectieuses mise à jour en juin 2023",
      "Immunodéficience humaine virale [VIH], à l’origine de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.0": {
    "code": "B20.0",
    "description": "Maladie par VIH à l’origine d’une infection mycobactérienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie par VIH à l’origine de tuberculose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.1": {
    "code": "B20.1",
    "description": "Maladie par VIH à l’origine d’autres infections bactériennes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.2": {
    "code": "B20.2",
    "description": "Maladie par VIH à l’origine d’infections à cytomégalovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.3": {
    "code": "B20.3",
    "description": "Maladie par VIH à l’origine d’autres infections virales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 132,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.4": {
    "code": "B20.4",
    "description": "Maladie par VIH à l’origine de candidose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.5": {
    "code": "B20.5",
    "description": "Maladie par VIH à l’origine d’autres mycoses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.6": {
    "code": "B20.6",
    "description": "Maladie par VIH à l’origine de pneumopathie à Pneumocystis carinii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie par VIH à l’origine de pneumopathie à Pneumocystis jirovecii"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.7": {
    "code": "B20.7",
    "description": "Maladie par VIH à l’origine d’infections multiples",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.8": {
    "code": "B20.8",
    "description": "Maladie par VIH à l’origine d’autres maladies infectieuses et parasitaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B20.9": {
    "code": "B20.9",
    "description": "Maladie par VIH à l’origine d’une maladie infectieuse ou parasitaire non précisée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie par VIH à l’origine d’une infection SAI",
      "malignes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Immunodéficience humaine virale [VIH], à l’origine de tumeurs"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B21.0": {
    "code": "B21.0",
    "description": "Maladie par VIH à l’origine d’un sarcome de Kaposi",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B21.1": {
    "code": "B21.1",
    "description": "Maladie par VIH à l’origine d’un lymphome de Burkitt",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B21.2": {
    "code": "B21.2",
    "description": "Maladie par VIH à l’origine d’autres lymphomes non hodgkiniens",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie par VIH à l’origine d’autres tumeurs malignes des tissus lymphoïde, hématopoïétique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B21.7": {
    "code": "B21.7",
    "description": "Maladie par VIH à l’origine de tumeurs malignes multiples",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B21.8": {
    "code": "B21.8",
    "description": "Maladie par VIH à l’origine d’autres tumeurs malignes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B21.9": {
    "code": "B21.9",
    "description": "Maladie par VIH à l’origine d’une tumeur maligne, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Immunodéficience humaine virale [VIH], à l’origine d’autres",
      "affections précisées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B22.0": {
    "code": "B22.0",
    "description": "Maladie par VIH à l’origine d’une encéphalopathie",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Démence par VIH"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B22.1": {
    "code": "B22.1",
    "description": "Maladie par VIH à l’origine d’une pneumopathie lymphoïde interstitielle",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B22.2": {
    "code": "B22.2",
    "description": "Maladie par VIH à l’origine d’un syndrome cachectique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Maladie par VIH à l’origine d’une émaciation",
      "Maladie par VIH à l’origine d’un arrêt de croissance"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B22.7": {
    "code": "B22.7",
    "description": "Maladie par VIH à l’origine de maladies multiples classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "la morbidité ou la mortalité."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Pour l’utilisation de cette catégorie, se référer aux règles et instructions du Volume 2 concernant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B23": {
    "code": "B23",
    "description": "Immunodéficience humaine virale [VIH], à l’origine d’autres maladies",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B23.0": {
    "code": "B23.0",
    "description": "Syndrome d’infection aiguë par VIH",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B23.1": {
    "code": "B23.1",
    "description": "Maladie par VIH à l’origine d’adénopathies généralisées (persistantes)",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie par VIH à l’origine d’anomalies hématologiques et immunologiques, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B23.8": {
    "code": "B23.8",
    "description": "Maladie par VIH à l’origine d’autres états précisés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 133,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B24": {
    "code": "B24",
    "description": "Immunodéficience humaine virale [VIH], sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Complexe relatif au SIDA [ARC] SAI",
      "Syndrome d’immunodéficience acquise [SIDA] SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "charge pour une affection sans rapport avec son infection par le VIH."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.29 : ces codes peuvent être associés à n’importe quel autre code de la CIM, y compris lorsqu’un patient est pris en"
    ]
  },
  "B25": {
    "code": "B25",
    "description": "Maladie à cytomégalovirus [CMV]",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infection congénitale à cytomégalovirus (P35.1)",
      "mononucléose à cytomégalovirus (B27.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B25.0": {
    "code": "B25.0",
    "description": "Pneumopathie à cytomégalovirus (J17.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B25.1": {
    "code": "B25.1",
    "description": "Hépatite à cytomégalovirus (K77.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B25.2": {
    "code": "B25.2",
    "description": "Pancréatite à cytomégalovirus (K87.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B25.8": {
    "code": "B25.8",
    "description": "Autres maladies à cytomégalovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Rétinite à cytomégalovirus † (H32.00 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B25.9": {
    "code": "B25.9",
    "description": "Maladie à cytomégalovirus, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26": {
    "code": "B26",
    "description": "Oreillons",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "parotidite : • épidémique",
      "• infectieuse"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26.0": {
    "code": "B26.0",
    "description": "Orchite ourlienne (N51.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26.1": {
    "code": "B26.1",
    "description": "Méningite ourlienne (G02.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26.2": {
    "code": "B26.2",
    "description": "Encéphalite ourlienne (G05.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26.3": {
    "code": "B26.3",
    "description": "Pancréatite ourlienne (K87.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26.8": {
    "code": "B26.8",
    "description": "Oreillons avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthrite † (M01.5 *)",
      "Myocardite † (I41.1 *)",
      "ourlienne",
      "Néphrite † (N08.0 *)",
      "Polynévrite † (G63.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B26.9": {
    "code": "B26.9",
    "description": "Oreillons sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 134,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Oreillons SAI",
      "Parotidite ourlienne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B27": {
    "code": "B27",
    "description": "Mononucléose infectieuse",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "angine à monocytes",
      "fièvre glandulaire",
      "maladie de Pfeiffer"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B27.0": {
    "code": "B27.0",
    "description": "Mononucléose due à herpès virus gamma",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mononucléose due au virus d’Epstein-Barr"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B27.1": {
    "code": "B27.1",
    "description": "Mononucléose à cytomégalovirus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B27.8": {
    "code": "B27.8",
    "description": "Autres mononucléoses infectieuses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B27.9": {
    "code": "B27.9",
    "description": "Mononucléose infectieuse, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "nous vous conseillons le code D72.8"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.30 : pour le « syndrome mononucléosique » sans précision, sans mention d’une origine infectieuse,"
    ]
  },
  "B30": {
    "code": "B30",
    "description": "Conjonctivite virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affection oculaire : • due au virus de l’herpès herpès simplex [HSV] (B00.5)",
      "• zostérienne (B02.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B30.0": {
    "code": "B30.0",
    "description": "Kératoconjonctivite due à un adénovirus (H19.2 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kératoconjonctivite épidémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B30.1": {
    "code": "B30.1",
    "description": "Conjonctivite due à un adénovirus (H13.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• piscines"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Conjonctivite (des) : • folliculaire aiguë due à un adénovirus"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B30.2": {
    "code": "B30.2",
    "description": "Pharyngo-conjonctivite virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B30.3": {
    "code": "B30.3",
    "description": "Conjonctivite hémorragique aiguë épidémique (entérovirale) (H13.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite (due à) : • entérovirus 70",
      "• hémorragique (aiguë) (épidémique)",
      "• virus Coxsackie 24"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B30.8": {
    "code": "B30.8",
    "description": "Autres conjonctivites virales (H13.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite de Newcastle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B30.9": {
    "code": "B30.9",
    "description": "Conjonctivite virale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33": {
    "code": "B33",
    "description": "Autres maladies à virus, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33.0": {
    "code": "B33.0",
    "description": "Myalgie épidémique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Bornholm"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33.1": {
    "code": "B33.1",
    "description": "Maladie de la Ross River",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre de la Ross River",
      "Polyarthrite épidémique exanthémateuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33.2": {
    "code": "B33.2",
    "description": "Cardite virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33.3": {
    "code": "B33.3",
    "description": "Infections à rétrovirus, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 135,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection à rétrovirus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33.4": {
    "code": "B33.4",
    "description": "Syndrome (cardio-)pulmonaire à virus Hanta [SPH] [SCPH] (J17.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome (cardio-)pulmonaire à Hantavirus",
      "Maladie à virus Hanta avec manifestations pulmonaires",
      "Maladie à virus Sin Nombre",
      "aux virus Andes, Bayou et Black Creek Canal."
    ],
    "comprend": [],
    "exclusions": [
      "fièvre hémorragique avec syndrome rénal (A98.5 †, N08.0 *)"
    ],
    "clinical_text": [
      "Utiliser au besoin un code supplémentaire (N17.9) pour identifier la défaillance rénale associée au SPH dû"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B33.8": {
    "code": "B33.8",
    "description": "Autres maladies à virus précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34": {
    "code": "B34",
    "description": "Infection virale, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infection (à) (due au) : • rétrovirus SAI (B33.3)",
      "• virus de l’herpès herpès simplex [HSV] SAI (B00.9)",
      "maladie à cytomégalovirus SAI (B25.9)",
      "virus, cause de maladies classées dans d’autres chapitres (B97.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.0": {
    "code": "B34.0",
    "description": "Infection adénovirale, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.1": {
    "code": "B34.1",
    "description": "Infection entérovirale, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection SAI à virus : • Coxsackie",
      "• ECHO"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.2": {
    "code": "B34.2",
    "description": "Infection coronavirale, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome respiratoire aigu sévère [SRAS] (U04.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.3": {
    "code": "B34.3",
    "description": "Infection parvovirale, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.4": {
    "code": "B34.4",
    "description": "Infection papovavirale, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.8": {
    "code": "B34.8",
    "description": "Autres infections virales, siège non précisé",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B34.9": {
    "code": "B34.9",
    "description": "Infection virale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 136,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Virémie SAI",
      "Virose SAI"
    ],
    "comprend": [],
    "exclusions": [
      "mycosis fongoïde (C84.0)",
      "pneumopathie par hypersensibilité aux poussières organiques (J67.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35": {
    "code": "B35",
    "description": "Dermatophytose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "favus",
      "infections causées par les espèces appartenant aux genres Epidermophyton, Microsporum et Trichophyton",
      "teigne, tous types, sauf ceux classés en B36.-"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.0": {
    "code": "B35.0",
    "description": "Teigne de la barbe et du cuir chevelu",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kérion (de Celse)",
      "Sycosis trichophytique",
      "Teigne tondante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.1": {
    "code": "B35.1",
    "description": "Teigne de l’ongle",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermatophytose de l’ongle",
      "Onychomycose",
      "Onyxis dermatophytique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.2": {
    "code": "B35.2",
    "description": "Teigne de la main",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermatophytose de la main",
      "Trichophytie de la main"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.3": {
    "code": "B35.3",
    "description": "Teigne du pied",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermatophytose du pied",
      "Pied d’athlète",
      "Trichophytie du pied"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.4": {
    "code": "B35.4",
    "description": "Teigne de la peau glabre",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trichophytie des parties découvertes du corps"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.5": {
    "code": "B35.5",
    "description": "Teigne imbriquée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Herpès circiné",
      "Tokelau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.6": {
    "code": "B35.6",
    "description": "Dermatophytose inguino-crurale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermatophytose à Tinea cruris",
      "Eczéma marginé de Hebra",
      "Gale des blanchisseurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.8": {
    "code": "B35.8",
    "description": "Autres dermatophytoses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermatophytose : • disséminée",
      "• granulomateuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B35.9": {
    "code": "B35.9",
    "description": "Dermatophytose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 137,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36": {
    "code": "B36",
    "description": "Autres mycoses superficielles",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36.0": {
    "code": "B36.0",
    "description": "Pityriasis versicolor",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tinea : • flava",
      "• versicolor"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36.1": {
    "code": "B36.1",
    "description": "Tinea nigra",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Keratomycosis nigricans palmaris",
      "Microsporosis nigra",
      "Pityriasis nigra"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36.2": {
    "code": "B36.2",
    "description": "Piedra blanche",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tinea blanca"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36.3": {
    "code": "B36.3",
    "description": "Piedra noire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36.8": {
    "code": "B36.8",
    "description": "Autres mycoses superficielles précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B36.9": {
    "code": "B36.9",
    "description": "Mycose superficielle, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Mycose des plis SAI : coder en plus l’intertrigo L30.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37": {
    "code": "B37",
    "description": "Candidose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "candidiase",
      "moniliase"
    ],
    "exclusions": [
      "candidose néonatale (P37.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.0": {
    "code": "B37.0",
    "description": "Stomatite à Candida",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Muguet buccal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.1": {
    "code": "B37.1",
    "description": "Candidose pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.2": {
    "code": "B37.2",
    "description": "Candidose de la peau et des ongles",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Onyxis à Candida",
      "Périonyxis à Candida"
    ],
    "comprend": [],
    "exclusions": [
      "érythème fessier du nourrisson (L22)"
    ],
    "clinical_text": [
      "Mycose des plis candidosique, intertrigo candidosique : coder en plus l’intertrigo L30.4"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.3": {
    "code": "B37.3",
    "description": "Candidose de la vulve et du vagin (N77.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Vulvo-vaginite à Candida"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.4": {
    "code": "B37.4",
    "description": "Candidose d’autres localisations uro-génitales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Balanite † (N51.2 *) à Candida",
      "Urétrite † (N37.0 *) à Candida"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.5": {
    "code": "B37.5",
    "description": "Méningite à Candida (G02.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.6": {
    "code": "B37.6",
    "description": "Endocardite à Candida (I39.8 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 138,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.8": {
    "code": "B37.8",
    "description": "Autres localisations de candidose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Cheilite à Candida",
      "Entérite à Candida",
      "Œsophagite à Candida † (K23.81 *)",
      "Otite externe à Candida (CIM10-CA 2012)",
      "Exemple 2 : Fongémie à Candida Albicans isolée et traitée",
      "ATIH - Fascicule 08 Maladies infectieuses 2023, p. 10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Diagnostic principal : B37.8 Autres localisations de candidose."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B37.9": {
    "code": "B37.9",
    "description": "Candidose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Muguet SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38": {
    "code": "B38",
    "description": "Coccidioïdomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.0": {
    "code": "B38.0",
    "description": "Coccidioïdomycose pulmonaire aiguë",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.1": {
    "code": "B38.1",
    "description": "Coccidioïdomycose pulmonaire chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.2": {
    "code": "B38.2",
    "description": "Coccidioïdomycose pulmonaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.3": {
    "code": "B38.3",
    "description": "Coccidioïdomycose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.4": {
    "code": "B38.4",
    "description": "Méningite à coccidioïdomycose (G02.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.7": {
    "code": "B38.7",
    "description": "Coccidioïdomycose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Coccidioïdomycose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.8": {
    "code": "B38.8",
    "description": "Autres formes de coccidioïdomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B38.9": {
    "code": "B38.9",
    "description": "Coccidioïdomycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39": {
    "code": "B39",
    "description": "Histoplasmose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.0": {
    "code": "B39.0",
    "description": "Histoplasmose pulmonaire aiguë à Histoplasma capsulatum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.1": {
    "code": "B39.1",
    "description": "Histoplasmose pulmonaire chronique à Histoplasma capsulatum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.2": {
    "code": "B39.2",
    "description": "Histoplasmose pulmonaire, sans précision à Histoplasma capsulatum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.3": {
    "code": "B39.3",
    "description": "Histoplasmose disséminée à Histoplasma capsulatum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Histoplasmose généralisée à Histoplasma capsulatum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.4": {
    "code": "B39.4",
    "description": "Histoplasmose, sans précision à Histoplasma capsulatum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Histoplasmose américaine à Histoplasma capsulatum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.5": {
    "code": "B39.5",
    "description": "Histoplasmose à Histoplasma duboisii",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Histoplasmose africaine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B39.9": {
    "code": "B39.9",
    "description": "Histoplasmose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 139,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40": {
    "code": "B40",
    "description": "Blastomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "blastomycose : • brésilienne (B41.-)",
      "• chéloïdienne (B48.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.0": {
    "code": "B40.0",
    "description": "Blastomycose pulmonaire aiguë",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.1": {
    "code": "B40.1",
    "description": "Blastomycose pulmonaire chronique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.2": {
    "code": "B40.2",
    "description": "Blastomycose pulmonaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.3": {
    "code": "B40.3",
    "description": "Blastomycose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.7": {
    "code": "B40.7",
    "description": "Blastomycose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Blastomycose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.8": {
    "code": "B40.8",
    "description": "Autres formes de blastomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B40.9": {
    "code": "B40.9",
    "description": "Blastomycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B41": {
    "code": "B41",
    "description": "Para-coccidio-ïdomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "blastomycose brésilienne",
      "maladie de Lutz"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B41.0": {
    "code": "B41.0",
    "description": "Para-coccidio-ïdomycose pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B41.7": {
    "code": "B41.7",
    "description": "Para-coccidio-ïdomycose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Para-coccidio-ïdomycose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B41.8": {
    "code": "B41.8",
    "description": "Autres formes de para-coccidio-ïdomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B41.9": {
    "code": "B41.9",
    "description": "Para-coccidio-ïdomycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B42": {
    "code": "B42",
    "description": "Sporotrichose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B42.0": {
    "code": "B42.0",
    "description": "Sporotrichose pulmonaire (J99.8 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B42.1": {
    "code": "B42.1",
    "description": "Sporotrichose lympho-cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B42.7": {
    "code": "B42.7",
    "description": "Sporotrichose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Sporotrichose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B42.8": {
    "code": "B42.8",
    "description": "Autres formes de sporotrichose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B42.9": {
    "code": "B42.9",
    "description": "Sporotrichose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B43": {
    "code": "B43",
    "description": "Chromomycose et abcès phæohyphomycosique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "chromoblastomycose"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B43.0": {
    "code": "B43.0",
    "description": "Chromomycose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Dermatite verruqueuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B43.1": {
    "code": "B43.1",
    "description": "Abcès phæohyphomycosique du cerveau",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Chromomycose cérébrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B43.2": {
    "code": "B43.2",
    "description": "Abcès et kyste phæohyphomycosiques sous-cutanés",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 140,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B43.8": {
    "code": "B43.8",
    "description": "Autres formes de chromomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B43.9": {
    "code": "B43.9",
    "description": "Chromomycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44": {
    "code": "B44",
    "description": "Aspergillose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "aspergillome"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44.0": {
    "code": "B44.0",
    "description": "Aspergillose pulmonaire invasive",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44.1": {
    "code": "B44.1",
    "description": "Autres aspergilloses pulmonaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44.2": {
    "code": "B44.2",
    "description": "Aspergillose amygdalienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44.7": {
    "code": "B44.7",
    "description": "Aspergillose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Aspergillose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44.8": {
    "code": "B44.8",
    "description": "Autres formes d’aspergillose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B44.9": {
    "code": "B44.9",
    "description": "Aspergillose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45": {
    "code": "B45",
    "description": "Cryptococcose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.0": {
    "code": "B45.0",
    "description": "Cryptococcose pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.1": {
    "code": "B45.1",
    "description": "Cryptococcose cérébrale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Cryptococcose cérébro-méningée",
      "Méningite à cryptocoques † (G02.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.2": {
    "code": "B45.2",
    "description": "Cryptococcose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.3": {
    "code": "B45.3",
    "description": "Cryptococcose osseuse",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.7": {
    "code": "B45.7",
    "description": "Cryptococcose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Cryptococcose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.8": {
    "code": "B45.8",
    "description": "Autres formes de cryptococcose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B45.9": {
    "code": "B45.9",
    "description": "Cryptococcose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46": {
    "code": "B46",
    "description": "Zygomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.0": {
    "code": "B46.0",
    "description": "Mucormycose pulmonaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.1": {
    "code": "B46.1",
    "description": "Mucormycose rhinocérébrale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.2": {
    "code": "B46.2",
    "description": "Mucormycose gastro-intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.3": {
    "code": "B46.3",
    "description": "Mucormycose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Mucormycose sous-cutanée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.4": {
    "code": "B46.4",
    "description": "Mucormycose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Mucormycose généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.5": {
    "code": "B46.5",
    "description": "Mucormycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 141,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.8": {
    "code": "B46.8",
    "description": "Autres zygomycoses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Entomophthorose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B46.9": {
    "code": "B46.9",
    "description": "Zygomycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Phycomycose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B47": {
    "code": "B47",
    "description": "Mycétome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B47.0": {
    "code": "B47.0",
    "description": "Eumycétome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maduromycose",
      "Pied de Madura, mycosique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B47.1": {
    "code": "B47.1",
    "description": "Actinomycétome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B47.9": {
    "code": "B47.9",
    "description": "Mycétome, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pied de Madura SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48": {
    "code": "B48",
    "description": "Autres mycoses, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.0": {
    "code": "B48.0",
    "description": "Lobomycose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Blastomycose chéloïdienne",
      "Maladie de Lobo"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.1": {
    "code": "B48.1",
    "description": "Rhinosporidose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.2": {
    "code": "B48.2",
    "description": "Allescheriase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Pseudallescheria boydii"
    ],
    "comprend": [],
    "exclusions": [
      "eumycétome (B47.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.3": {
    "code": "B48.3",
    "description": "Géotrichose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Stomatite à Geotrichum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.4": {
    "code": "B48.4",
    "description": "Pénicilliose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.5": {
    "code": "B48.5",
    "description": "Pneumocystose (J17.2 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Pneumopathie à Pneumocystis : • carinii",
      "• jirovecii"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.7": {
    "code": "B48.7",
    "description": "Mycoses opportunistes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Mycoses causées par des champignons de faible virulence qui ne peuvent donner un état infectieux qu’en",
      "raison de la présence de certains facteurs tels que l’existence d’une maladie débilitante ou l’administration",
      "d’agents thérapeutiques immunosuppresseurs ou autres, ou de radiothérapie. La plupart des champignons",
      "responsables sont des saprophytes habituels du sol et de végétaux en décomposition."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B48.8": {
    "code": "B48.8",
    "description": "Autres mycoses précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Adiaspiromycose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B49": {
    "code": "B49",
    "description": "Mycose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 142,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Fongémie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "amibiase (A06.-)",
      "autres maladies intestinales à protozoaires (A07.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B50": {
    "code": "B50",
    "description": "Paludisme à Plasmodium falciparum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infections mixtes à Plasmodium falciparum et à toute autre espèce de Plasmodium"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B50.0": {
    "code": "B50.0",
    "description": "Paludisme à Plasmodium falciparum avec complications cérébrales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paludisme cérébral SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B50.8": {
    "code": "B50.8",
    "description": "Autres formes sévères et compliquées de paludisme à Plasmodium falciparum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paludisme sévère ou compliqué à Plasmodium falciparum SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B50.9": {
    "code": "B50.9",
    "description": "Paludisme à Plasmodium falciparum, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B51": {
    "code": "B51",
    "description": "Paludisme à Plasmodium vivax",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infections mixtes à Plasmodium vivax et autres espèces de Plasmodium, à l’exception de Plasmodium",
      "falciparum"
    ],
    "exclusions": [
      "infections mixtes avec Plasmodium falciparum (B50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B51.0": {
    "code": "B51.0",
    "description": "Paludisme à Plasmodium vivax, avec rupture de la rate",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B51.8": {
    "code": "B51.8",
    "description": "Paludisme à Plasmodium vivax, avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B51.9": {
    "code": "B51.9",
    "description": "Paludisme à Plasmodium vivax, sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paludisme à Plasmodium vivax SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B52": {
    "code": "B52",
    "description": "Paludisme à Plasmodium malariae",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infections mixtes à Plasmodium malariae et autres espèces de Plasmodium, à l’exception de Plasmodium",
      "falciparum et de Plasmodium vivax"
    ],
    "exclusions": [
      "infections mixtes avec Plasmodium : • falciparum (B50.-)",
      "• vivax (B51.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B52.0": {
    "code": "B52.0",
    "description": "Paludisme à Plasmodium malariae, avec atteinte rénale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B52.8": {
    "code": "B52.8",
    "description": "Paludisme à Plasmodium malariae, avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B52.9": {
    "code": "B52.9",
    "description": "Paludisme à Plasmodium malariae, sans complication",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paludisme à Plasmodium malariae SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B53": {
    "code": "B53",
    "description": "Autres paludismes confirmés par examen parasitologique",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B53.0": {
    "code": "B53.0",
    "description": "Paludisme à Plasmodium ovale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infections mixtes avec Plasmodium : • falciparum (B50.-)",
      "• malariae (B52.-)",
      "• vivax (B51.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B53.1": {
    "code": "B53.1",
    "description": "Paludisme à plasmodies simiennes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infections mixtes avec Plasmodium : • falciparum (B50.-)",
      "• malariae (B52.-)",
      "• ovale (B53.0)",
      "• vivax (B51.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B53.8": {
    "code": "B53.8",
    "description": "Autres paludismes, confirmés par examen parasitologique, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 143,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paludisme confirmé par examen parasitologique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B54": {
    "code": "B54",
    "description": "Paludisme, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Paludisme diagnostiqué cliniquement, sans confirmation parasitologique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B55": {
    "code": "B55",
    "description": "Leishmaniose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B55.0": {
    "code": "B55.0",
    "description": "Leishmaniose viscérale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kala-azar",
      "Leishmaniose dermique après kala-azar"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B55.1": {
    "code": "B55.1",
    "description": "Leishmaniose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B55.2": {
    "code": "B55.2",
    "description": "Leishmaniose cutanéo-muqueuse",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B55.9": {
    "code": "B55.9",
    "description": "Leishmaniose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B56": {
    "code": "B56",
    "description": "Trypanosomiase africaine",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B56.0": {
    "code": "B56.0",
    "description": "Trypanosomiase à Trypanosoma gambiense",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Trypanosoma brucei gambiense",
      "Maladie du sommeil de l’Afrique occidentale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B56.1": {
    "code": "B56.1",
    "description": "Trypanosomiase à Trypanosoma rhodesiense",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Trypanosoma brucei rhodesiense",
      "Maladie du sommeil de l’Afrique orientale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B56.9": {
    "code": "B56.9",
    "description": "Trypanosomiase africaine, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie du sommeil SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trypanosomiase SAI, en des lieux où la trypanosomiase africaine est répandue"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57": {
    "code": "B57",
    "description": "Maladie de Chagas",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection à Trypanosoma cruzi",
      "trypanosomiase américaine"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57.0": {
    "code": "B57.0",
    "description": "Forme aiguë de la maladie de Chagas, avec atteinte cardiaque (I41.2 *, I98.1 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• myocardite (I41.2 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Forme aiguë de la maladie de Chagas avec : • atteinte cardio-vasculaire NCA (I98.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57.1": {
    "code": "B57.1",
    "description": "Forme aiguë de la maladie de Chagas, sans atteinte cardiaque",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Forme aiguë de la maladie de Chagas SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57.2": {
    "code": "B57.2",
    "description": "Maladie de Chagas (chronique) avec atteinte cardiaque",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Chagas (chronique) (avec) : • SAI",
      "• atteinte cardio-vasculaire NCA † (I98.1 *)",
      "• myocardite † (I41.2 *)",
      "• américaine SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trypanosomiase : • SAI, en des lieux où la maladie de Chagas est répandue"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57.3": {
    "code": "B57.3",
    "description": "Maladie de Chagas (chronique) avec atteinte de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57.4": {
    "code": "B57.4",
    "description": "Maladie de Chagas (chronique) avec atteinte du système nerveux",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B57.5": {
    "code": "B57.5",
    "description": "Maladie de Chagas (chronique) avec atteinte d’autres organes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 144,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58": {
    "code": "B58",
    "description": "Toxoplasmose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection à Toxoplasma gondii"
    ],
    "exclusions": [
      "toxoplasmose congénitale (P37.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58.0": {
    "code": "B58.0",
    "description": "Oculopathie à Toxoplasma",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétinite à Toxoplasma † (H32.01 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58.1": {
    "code": "B58.1",
    "description": "Hépatite à Toxoplasma (K77.0 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58.2": {
    "code": "B58.2",
    "description": "Méningo-encéphalite à Toxoplasma (G05.2 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58.3": {
    "code": "B58.3",
    "description": "Toxoplasmose pulmonaire (J17.3 *)",
    "dagger_star": "†",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58.8": {
    "code": "B58.8",
    "description": "Toxoplasmose avec atteinte d’autres organes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myocardite † (I41.2 *) à Toxoplasma",
      "Myosite † (M63.1 *) à Toxoplasma"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B58.9": {
    "code": "B58.9",
    "description": "Toxoplasmose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60": {
    "code": "B60",
    "description": "Autres maladies dues à des protozoaires, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cryptosporidiose (A07.2)",
      "isosporose (A07.3)",
      "microsporidiose intestinale (A07.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60.0": {
    "code": "B60.0",
    "description": "Babésiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Piroplasmose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60.1": {
    "code": "B60.1",
    "description": "Acanthamœbiose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Conjonctivite due à Acanthamoeba † (H13.1 *)",
      "Kératoconjonctivite due à Acanthamoeba † (H19.2 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60.2": {
    "code": "B60.2",
    "description": "Nægleriase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningo-encéphalite amibienne primitive † (G05.2 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60.8": {
    "code": "B60.8",
    "description": "Autres maladies précisées dues à des protozoaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60.80": {
    "code": "B60.80",
    "description": "Microsporidiose extra-intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B60.88": {
    "code": "B60.88",
    "description": "Maladie précisée due à d’autres protozoaires",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B64": {
    "code": "B64",
    "description": "Maladie due à des protozoaires, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 145,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65": {
    "code": "B65",
    "description": "Schistosomiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "bilharziose"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65.0": {
    "code": "B65.0",
    "description": "Schistosomiase due à Schistosoma haematobium",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bilharziose urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65.1": {
    "code": "B65.1",
    "description": "Schistosomiase due à Schistosoma mansoni",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bilharziose intestinale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65.2": {
    "code": "B65.2",
    "description": "Schistosomiase due à Schistosoma japonicum",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Schistosomiase asiatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65.3": {
    "code": "B65.3",
    "description": "Dermite cercarienne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prurit des nageurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65.8": {
    "code": "B65.8",
    "description": "Autres formes de schistosomiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection à Schistosoma : • intercalatum",
      "• mattheei",
      "• mekongi"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B65.9": {
    "code": "B65.9",
    "description": "Schistosomiase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66": {
    "code": "B66",
    "description": "Autres infections par douves",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "distomatoses"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.0": {
    "code": "B66.0",
    "description": "Opisthorchiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection par : • douve du foie du chat",
      "• Opisthorchis (felineus) (viverrini)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.1": {
    "code": "B66.1",
    "description": "Clonorchiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Clonorchis sinensis",
      "Maladie : • chinoise de la douve du foie",
      "• orientale de la douve du foie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.2": {
    "code": "B66.2",
    "description": "Dicrocœliase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection (à) : • Dicrocoelium dendriticum",
      "• petite douve (du foie)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.3": {
    "code": "B66.3",
    "description": "Fasciolase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Fasciola : • gigantica",
      "• hepatica",
      "• indica",
      "Maladie due à la douve du foie de mouton"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.4": {
    "code": "B66.4",
    "description": "Paragonimiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Distomatose pulmonaire",
      "Douve pulmonaire",
      "Infection par l’espèce Paragonimus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.5": {
    "code": "B66.5",
    "description": "Fasciolopsiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 146,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Distomatose intestinale",
      "Infection par Fasciolopsis buski",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.8": {
    "code": "B66.8",
    "description": "Autres infections par douves précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Échinostomose",
      "Hétérophyiase",
      "Métagonimiase",
      "Nanophyétiase",
      "Watsoniase"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B66.9": {
    "code": "B66.9",
    "description": "Infection par douves, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67": {
    "code": "B67",
    "description": "Échinococcose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "hydatidose"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.0": {
    "code": "B67.0",
    "description": "Infection hépatique à Echinococcus granulosus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.1": {
    "code": "B67.1",
    "description": "Infection pulmonaire à Echinococcus granulosus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.2": {
    "code": "B67.2",
    "description": "Infection osseuse à Echinococcus granulosus",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.3": {
    "code": "B67.3",
    "description": "Infections à Echinococcus granulosus, autres et à localisations multiples",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.4": {
    "code": "B67.4",
    "description": "Infection à Echinococcus granulosus, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection par cestodes du chien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.5": {
    "code": "B67.5",
    "description": "Infection hépatique à Echinococcus multilocularis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.6": {
    "code": "B67.6",
    "description": "Infections à Echinococcus multilocularis, autres et à localisations multiples",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.7": {
    "code": "B67.7",
    "description": "Infection à Echinococcus multilocularis, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.8": {
    "code": "B67.8",
    "description": "Infection hépatique à Echinococcus, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B67.9": {
    "code": "B67.9",
    "description": "Infections à Echinococcus, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Échinococcose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B68": {
    "code": "B68",
    "description": "Infection à Taenia",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "téniase"
    ],
    "exclusions": [
      "cysticercose (B69.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B68.0": {
    "code": "B68.0",
    "description": "Infection à Taenia solium",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection par cestodes du porc",
      "Ver solitaire du porc"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B68.1": {
    "code": "B68.1",
    "description": "Infection à Taenia saginata",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection par cestodes : • adultes (Taenia saginata)",
      "• bœuf",
      "Ver solitaire du bœuf"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B68.9": {
    "code": "B68.9",
    "description": "Infection à Taenia, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 147,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B69": {
    "code": "B69",
    "description": "Cysticercose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infection par larve de Taenia solium"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B69.0": {
    "code": "B69.0",
    "description": "Cysticercose du système nerveux central",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B69.1": {
    "code": "B69.1",
    "description": "Cysticercose de l’œil",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B69.8": {
    "code": "B69.8",
    "description": "Cysticercose, autres localisations",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B69.9": {
    "code": "B69.9",
    "description": "Cysticercose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B70": {
    "code": "B70",
    "description": "Diphyllobothriase et sparganose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B70.0": {
    "code": "B70.0",
    "description": "Diphyllobothriase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cestodes de poisson (infection)"
    ],
    "comprend": [],
    "exclusions": [
      "diphyllobothriase larvaire (B70.1)"
    ],
    "clinical_text": [
      "Infection à Diphyllobothrium (adulte), (D. Iatum) (D. pacificum)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B70.1": {
    "code": "B70.1",
    "description": "Sparganose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Diphyllobothriase larvaire",
      "Infection à : • larves de Spirometra",
      "• Sparganum (S. mansoni) (S. proliferum)",
      "Spirométrose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B71": {
    "code": "B71",
    "description": "Autres infections à cestodes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B71.0": {
    "code": "B71.0",
    "description": "Hyménolépiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection (à) (par) : • cestodes du rat",
      "• Hymenolepis nana"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B71.1": {
    "code": "B71.1",
    "description": "Infection à Dipylidium",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B71.8": {
    "code": "B71.8",
    "description": "Autres infections par cestodes, précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cénurose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B71.9": {
    "code": "B71.9",
    "description": "Infection par cestodes, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B72": {
    "code": "B72",
    "description": "Dracunculose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": true,
    "severity": 2,
    "synonyms": [],
    "comprend": [
      "dracontiase",
      "Infection (à) : • Dracunculus medinensis",
      "• ver de Guinée"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B73": {
    "code": "B73",
    "description": "Onchocercose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cécité des rivières",
      "Infection à Onchocerca volvulus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74": {
    "code": "B74",
    "description": "Filariose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "éosinophilie tropicale (pulmonaire) SAI (J82)",
      "onchocercose (B73)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.0": {
    "code": "B74.0",
    "description": "Filariose à Wuchereria bancrofti",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 148,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Eléphantiasis bancroftien",
      "Filariose bancroftienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.1": {
    "code": "B74.1",
    "description": "Filariose à Brugia malayi",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.2": {
    "code": "B74.2",
    "description": "Filariose à Brugia timori",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.3": {
    "code": "B74.3",
    "description": "Loase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Filariose à Loa loa",
      "Infection à Loa loa",
      "Loïase",
      "Œdème de Calabar"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.4": {
    "code": "B74.4",
    "description": "Mansonellose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Mansonella : • ozzardi",
      "• perstans",
      "• streptocerca"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.8": {
    "code": "B74.8",
    "description": "Autres filarioses",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dirofilariose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B74.9": {
    "code": "B74.9",
    "description": "Filariose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B75": {
    "code": "B75",
    "description": "Trichinose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Infection à Trichinella",
      "Trichinellose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B76": {
    "code": "B76",
    "description": "Ankylostomiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "uncinariose"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B76.0": {
    "code": "B76.0",
    "description": "Ankylostomose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Ancylostoma"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B76.1": {
    "code": "B76.1",
    "description": "Nécatorose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection à Necator americanus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B76.8": {
    "code": "B76.8",
    "description": "Autres ankylostomiases",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B76.9": {
    "code": "B76.9",
    "description": "Ankylostomiase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Larva migrans cutanée SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B77": {
    "code": "B77",
    "description": "Ascaridiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "ascaridiose",
      "infection à Ascaris"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B77.0": {
    "code": "B77.0",
    "description": "Ascaridiase avec complications intestinales",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B77.8": {
    "code": "B77.8",
    "description": "Ascaridiase avec autres complications",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B77.9": {
    "code": "B77.9",
    "description": "Ascaridiase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B78": {
    "code": "B78",
    "description": "Anguillulose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "strongyloïdose"
    ],
    "exclusions": [
      "trichostrongylose (B81.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B78.0": {
    "code": "B78.0",
    "description": "Anguillulose intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B78.1": {
    "code": "B78.1",
    "description": "Anguillulose cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 149,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B78.7": {
    "code": "B78.7",
    "description": "Anguillulose disséminée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B78.9": {
    "code": "B78.9",
    "description": "Anguillulose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B79": {
    "code": "B79",
    "description": "Infection à Trichuris trichiuria",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Trichocéphale (infection) (maladie)",
      "Trichocéphalose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B80": {
    "code": "B80",
    "description": "Oxyurose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Entérobiase",
      "Infection à oxyures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81": {
    "code": "B81",
    "description": "Autres helminthiases intestinales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "angio-strongyloïdose due à Parastrongylus (Angiostrongylus) cantonensis (B83.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81.0": {
    "code": "B81.0",
    "description": "Anisakiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome éosinophilique du tube digestif",
      "Infection à larve d’Anisakis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81.1": {
    "code": "B81.1",
    "description": "Capillariose intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Capillariose SAI",
      "Infection à Capillaria philippinensis"
    ],
    "comprend": [],
    "exclusions": [
      "capillariose hépatique (B83.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81.2": {
    "code": "B81.2",
    "description": "Trichostrongylose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81.3": {
    "code": "B81.3",
    "description": "Angio-strongyloïdose intestinale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Angio-strongyloïdose à Parastrongylus (Angiostrongylus) costaricensis",
      "Angio-strongylose à Parastrongylus (Angiostrongylus) costaricensis"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81.4": {
    "code": "B81.4",
    "description": "Helminthiases intestinales mixtes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Helminthiase mixte SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection par helminthes intestinaux classés dans plus d’une des catégories B65.0-B81.3 et B81.8"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B81.8": {
    "code": "B81.8",
    "description": "Autres helminthiases intestinales précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection par : • Œsophagostomum ou œsophagostomose",
      "• Ternidens deminutus ou ternidensiase"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B82": {
    "code": "B82",
    "description": "Parasitose intestinale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B82.0": {
    "code": "B82.0",
    "description": "Helminthiase intestinale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B82.9": {
    "code": "B82.9",
    "description": "Parasitose intestinale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 150,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83": {
    "code": "B83",
    "description": "Autres helminthiases",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "capillariose : • SAI (B81.1)",
      "• intestinale (B81.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.0": {
    "code": "B83.0",
    "description": "Larva migrans viscérale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toxocarose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.1": {
    "code": "B83.1",
    "description": "Gnathostomiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dermatite migrante",
      "Dermatite ou œdème « rampant »"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.2": {
    "code": "B83.2",
    "description": "Angio-strongyloïdose à Parastrongylus cantonensis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Angio-strongyloïdose à Angiostrongylus cantonensis",
      "Méningo-encéphalite à éosinophiles † (G05.2 *)"
    ],
    "comprend": [],
    "exclusions": [
      "angio-strongyloïdose intestinale (B81.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.3": {
    "code": "B83.3",
    "description": "Syngamose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.4": {
    "code": "B83.4",
    "description": "Hirudiniase interne",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hirudiniase externe (B88.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.8": {
    "code": "B83.8",
    "description": "Autres helminthiases précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Acanthocéphalose",
      "Capillariose hépatique",
      "Gongylonémose",
      "Métastrongylose",
      "Thélaziose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B83.9": {
    "code": "B83.9",
    "description": "Helminthiase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 151,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vers SAI"
    ],
    "comprend": [],
    "exclusions": [
      "helminthiase intestinale SAI (B82.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B85": {
    "code": "B85",
    "description": "Pédiculose et phtiriase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B85.0": {
    "code": "B85.0",
    "description": "Pédiculose due à Pediculus humanus capitis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infestation de la chevelure par des poux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B85.1": {
    "code": "B85.1",
    "description": "Pédiculose due à Pediculus humanus corporis",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infestation du corps par des poux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B85.2": {
    "code": "B85.2",
    "description": "Pédiculose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B85.3": {
    "code": "B85.3",
    "description": "Phtiriase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infestation par : • morpions",
      "• Phtirius pubis",
      "• Phtirius ingunalis",
      "• poux du pubis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B85.4": {
    "code": "B85.4",
    "description": "Infestation mixte, pédiculose et phtiriase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infestation classée dans plus d’une des catégories B85.0-B85.3"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B86": {
    "code": "B86",
    "description": "Gale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Prurit dû à la gale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87": {
    "code": "B87",
    "description": "Myiase",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infestation par larves de mouches"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.0": {
    "code": "B87.0",
    "description": "Myiase cutanée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myiase rampante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.1": {
    "code": "B87.1",
    "description": "Myiase des plaies cutanées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myiase traumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.2": {
    "code": "B87.2",
    "description": "Myiase oculaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.3": {
    "code": "B87.3",
    "description": "Myiase rhinopharyngée",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myiase laryngée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.4": {
    "code": "B87.4",
    "description": "Myiase auriculaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.8": {
    "code": "B87.8",
    "description": "Myiase d’autres localisations",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myiase : • génito-urinaire",
      "• intestinale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B87.9": {
    "code": "B87.9",
    "description": "Myiase, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 152,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B88": {
    "code": "B88",
    "description": "Autres infestations",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B88.0": {
    "code": "B88.0",
    "description": "Autres acariases",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite (due à) : • acarienne",
      "• Demodex",
      "• Dermanyssus gallinae",
      "• Liponyssoides sanguineus",
      "Trombiculose"
    ],
    "comprend": [],
    "exclusions": [
      "gale (B86)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B88.1": {
    "code": "B88.1",
    "description": "Tungose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infestation par puce-chique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B88.2": {
    "code": "B88.2",
    "description": "Autres infestations par arthropodes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Scarabiase",
      "Comment coder une dermatose due aux punaises de lit ?",
      "Situation d'un patient infesté par des punaises de lit."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "En dehors des codes d'éventuelles complications infectieuses cutanées, le code T00.9 Lésions traumatiques",
      "superficielles multiples, sans précision peut être utilisé pour décrire des piqûres multiples d'insecte en lui",
      "associant le code W57.0 Morsure ou piqûre non venimeuse d'insectes et autres arthropodes, domicile et",
      "éventuellement le Z59.10 ou Z59.18 selon la situation. Coder d'abord le motif d'admission."
    ],
    "agora_refs": [
      "94235",
      "268830"
    ],
    "cocoa_notes": [
      "Ces parasites sont décrits comme des arthropodes, codez B88.2 (AGORA - # 94235 le 20 février 2014)",
      "(AGORA - # 268830 le 30 octobre 2024)"
    ]
  },
  "B88.3": {
    "code": "B88.3",
    "description": "Hirudiniase externe",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infestation par sangsues SAI"
    ],
    "comprend": [],
    "exclusions": [
      "hirudiniase interne (B83.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B88.8": {
    "code": "B88.8",
    "description": "Autres infestations précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ichtyoparasitose à Vandellia cirrhosa",
      "Linguatulose",
      "Porocéphalose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B88.9": {
    "code": "B88.9",
    "description": "Infestation, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infestation (cutanée) (par) : • SAI",
      "• acariens SAI",
      "Parasites de la peau SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B89": {
    "code": "B89",
    "description": "Parasitose, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 153,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "LES SÉQUELLES DE MALADIES ET DE LÉSIONS TRAUMATIQUES",
      "(volume 2 page 28 ou 33).",
      "[...] ».",
      "compétence du médecin qui a dispensé les soins au patient.",
      "Exemples :",
      "de tuberculose : N97.1, B90.1 ;",
      "de poliomyélite : G83.1, B91 ;"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La CIM–10 définit les séquelles comme des « états pathologiques stables, conséquences d’affections qui ne sont plus en phase active »",
      "Elle précise (ibid. page 101 ou 132) : « Si un épisode de soins se rapporte au traitement ou aux examens entrepris pour une affection",
      "résiduelle (séquelle) d’une maladie qui n’existe plus, on décrira la nature de la séquelle de manière exhaustive et on en donnera l’origine",
      "Page 106 ou 138 : « La CIM–10 fournit un certain nombre de catégories intitulées « Séquelles de... » (B90-B94, E64.–, E68, G09, I69.–, O97,",
      "la mise à jour de 2003 (se reporter au site Internet de l’ATIH). Celles-ci peuvent être utilisées pour coder les conséquences des affections",
      "qui ne sont pas elles-mêmes présentes lors de l’épisode de soins, comme causes du problème justifiant les soins ou les examens. Le code",
      "retenu pour « affection principale » doit être celui qui désigne la nature des séquelles elles-mêmes, auquel on peut ajouter le code",
      "« Séquelles de… ». Un délai « d’un an ou plus après le début de la maladie » est cité dans les notes propres à certaines catégories (G09,",
      "Il concerne les règles de codage de la mortalité et son sens est indiqué aux pages 75 ou 101 du volume 2. Les situations concernées sont",
      "celles dans lesquelles il n’est pas identifié d’autre cause au décès.",
      "La notion de séquelle doit être retenue et codée chaque fois qu’elle est explicitement mentionnée. Il ne s’impose pas au responsable de",
      "l’information médicale ou au codeur de trancher entre le codage d’une maladie présente ou d’un état séquellaire. Ce diagnostic est de la",
      "Pour le codage d’une séquelle, conformément à la consigne de la CIM–10, on donne la priorité au code qui correspond à sa nature. Le",
      "code de séquelle est mentionné comme un diagnostic associé conventionnel (se reporter au point 1 du chapitre précédent).",
      "– salpingite tuberculeuse dix ans auparavant, responsable d’une stérilité : on code d’abord la stérilité et on lui associe la séquelle",
      "– monoplégie d’un membre inférieur séquellaire d’une poliomyélite : on code d’abord la monoplégie et on lui associe la séquelle",
      "– épilepsie séquellaire d’un infarctus cérébral : on code d’abord l’épilepsie et on lui associe la séquelle d’infarctus cérébral : G40.-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I69.3": {
    "code": "I69.3",
    "description": "Séquelles d’infarctus cérébral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles d’accident vasculaire cérébral, non précisé comme étant hémorragique ou par"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B90": {
    "code": "B90",
    "description": "Séquelles de tuberculose",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B90.0": {
    "code": "B90.0",
    "description": "Séquelles de tuberculose du système nerveux central",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B90.1": {
    "code": "B90.1",
    "description": "Séquelles de tuberculose génito-urinaire",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B90.2": {
    "code": "B90.2",
    "description": "Séquelles de tuberculose des os et des articulations",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B90.8": {
    "code": "B90.8",
    "description": "Séquelles de tuberculose d’autres organes",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B90.9": {
    "code": "B90.9",
    "description": "Séquelles de tuberculose des voies respiratoires et sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de tuberculose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B91": {
    "code": "B91",
    "description": "Séquelles de poliomyélite",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome post-poliomyélite (G14)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B92": {
    "code": "B92",
    "description": "Séquelles de lèpre",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "précisées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de maladies infectieuses et parasitaires, autres et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B94.0": {
    "code": "B94.0",
    "description": "Séquelles du trachome",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B94.1": {
    "code": "B94.1",
    "description": "Séquelles d’encéphalite virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 154,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B94.2": {
    "code": "B94.2",
    "description": "Séquelles d’hépatite virale",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B94.8": {
    "code": "B94.8",
    "description": "Séquelles d’autres maladies infectieuses et parasitaires précisées",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B94.9": {
    "code": "B94.9",
    "description": "Séquelles de maladie infectieuse ou parasitaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "CODAGE DES INFECTIONS : généralités",
      "Utilisation des catégories de la CIM-10",
      "• agent infectieux lorsqu’il est connu ;",
      "• résistance aux médicaments anti-infectieux ;",
      "• complication infectieuse de soins ;",
      "• sévérité de l’infection : sepsis et choc septique",
      "Hiérarchisation des codes",
      "EMPLOI DES CODES DU GROUPE B95–B98 CIM–10",
      "Exemples :",
      "– endocardite subaiguë à streptocoques D : I33.0, B95.2 ;",
      "– abcès cutané à Staphylococcus aureus : L02.–, B95.6 ;",
      "– ostéite à Staphylococcus aureus : M86.–, B95.6 ;",
      "– pyélonéphrite aiguë à Escherichia coli : N10, B96.2 ;",
      "– ascite infectée à Escherichia coli : R18, B96.2.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 91",
      "d’autres chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le codage des infections peut recourir à plusieurs catégories de la CIM-10 selon la situation clinique :",
      "• localisation à l’origine des symptômes infectieux, c’est-à-dire infection d’organe causale ;",
      "Pour les infections localisées, classables dans les chapitres « systèmes, appareils et organes », des codes du Chapitre I peuvent être",
      "ajoutés pour identifier l’organisme infectieux, lorsque cette information n’apparaît pas dans le titre de la catégorie. Le groupe de",
      "catégories, B95-B98 à la fin du Chapitre I est prévu à cet usage [CIM-10 Volume 2 ; 3.1.3 Deux codes pour certaines affections].",
      "Lorsque le libellé du code de pathologie d’organe précise le germe en cause, il n’est pas recommandé de coder celui-ci en plus.",
      "Exemple : le codage de la pneumopathie à mycoplasme J15.7 Pneumopathie due à Mycoplasma pneumoniae n’autorise pas",
      "l’utilisation du code supplémentaire B96.0 Mycoplasmia pneumoniae",
      "Lorsque l’infection est le motif d’hospitalisation dans l’unité médicale, l’infection d’organe est le diagnostic principal. Les informations",
      "concernant l’agent infectieux, la résistance aux antibiotiques, les complications de l’infection sont codées en diagnostics associés.",
      "• Exemple : hospitalisation pour une pyélonéphrite à Escherichia coli",
      "▪ Diagnostic principal : N10 Néphrite tubulo-interstitielle aiguë",
      "▪ Diagnostic associé : B96.2 Escherichia coli, cause de maladies classées dans d'autres chapitres",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses – juin 2023, p. 3",
      "Ces codes ne doivent être utilisés qu’en position de diagnostic associé. Leur usage doit être conforme à leur intitulé. Ils sont donc",
      "réservés aux cas dans lesquels une infection est présente, infection classée dans un chapitre distinct du chapitre I (CIM–10, vol. 2, §",
      "4.4.4). La rubrique de l’infection s’accompagne souvent d’une note signalant la possibilité d’association : « Utiliser, au besoin, un",
      "code supplémentaire (B95–B98) pour identifier l’agent infectieux ».",
      "– sinusite maxillaire chronique à Hæmophilus influenzæ : J32.0, B96.3 ;",
      "En l’absence d’infection, une colonisation (« portage sain ») doit être codée avec la catégorie Z22.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Streptocoques et staphylocoques, cause de maladies classées dans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.0": {
    "code": "B95.0",
    "description": "Streptocoques, groupe A, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.1": {
    "code": "B95.1",
    "description": "Streptocoques, groupe B, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.2": {
    "code": "B95.2",
    "description": "Streptocoques, groupe D, et entérocoques, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "71893"
    ],
    "cocoa_notes": [
      "Enterococcus faecalis – Entérocoques (AGORA – # 71893 le 22 novembre 2012)"
    ]
  },
  "B95.3": {
    "code": "B95.3",
    "description": "Streptococcus pneumoniae, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.4": {
    "code": "B95.4",
    "description": "Autres streptocoques, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 155,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "(CIM10-CA 2012)"
    ],
    "comprend": [],
    "exclusions": [
      "Streptococcus faecalis (B95.2)",
      "Streptococcus faecium (B95.2)"
    ],
    "clinical_text": [
      "Streptocoques, groupe G, cause de maladies classées dans d’autres chapitres"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.5": {
    "code": "B95.5",
    "description": "Streptocoques non précisés, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.6": {
    "code": "B95.6",
    "description": "Staphylococcus aureus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.7": {
    "code": "B95.7",
    "description": "Autres staphylocoques, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B95.8": {
    "code": "B95.8",
    "description": "Staphylocoque non précisé, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "d’autres chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres agents bactériens précisés, cause de maladies classées dans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.0": {
    "code": "B96.0",
    "description": "Mycoplasma pneumoniae, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pleuro-pneumonia-like-organism [PPLO]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.1": {
    "code": "B96.1",
    "description": "Klebsiella pneumoniae [subsp.pneumoniae], cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "52751"
    ],
    "cocoa_notes": [
      "Klebsiella Oxytoca (AGORA – # 52751 le 23 septembre 2011)"
    ]
  },
  "B96.3": {
    "code": "B96.3",
    "description": "Haemophilus influenzae, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.5": {
    "code": "B96.5",
    "description": "Pseudomonas (P.aeruginosa) (Pyocyanique), cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "124789 le 8 janvier 2016 # 124789)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Nous confirmons l’emploi de B96.5 pour le Stenotrophomonas (Pseudomonas) maltophilia (AGORA - #"
    ],
    "agora_refs": [
      "170949"
    ],
    "cocoa_notes": [
      "Pseudomonas Studzeri : le B96.5 est correct (AGORA - # 170949 le 13 novembre 2018)"
    ]
  },
  "B96.6": {
    "code": "B96.6",
    "description": "Bacillus fragilis, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.7": {
    "code": "B96.7",
    "description": "Clostridium perfringens, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.8": {
    "code": "B96.8",
    "description": "Autres agents bactériens précisés, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.80": {
    "code": "B96.80",
    "description": "Acinetobacter (A. baumannii), cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.81": {
    "code": "B96.81",
    "description": "Citrobacter, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B96.88": {
    "code": "B96.88",
    "description": "Autres agents bactériens précisés, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Campylobacter NCA (CIM10-CA 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97": {
    "code": "B97",
    "description": "Virus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.0": {
    "code": "B97.0",
    "description": "Adénovirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.1": {
    "code": "B97.1",
    "description": "Entérovirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Virus : • Coxsackie",
      "• ECHO"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.2": {
    "code": "B97.2",
    "description": "Coronavirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.3": {
    "code": "B97.3",
    "description": "Rétrovirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lentivirus",
      "Oncovirus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.4": {
    "code": "B97.4",
    "description": "Virus respiratoire syncytial, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.5": {
    "code": "B97.5",
    "description": "Réovirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.6": {
    "code": "B97.6",
    "description": "Parvovirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 156,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.7": {
    "code": "B97.7",
    "description": "Papillovirus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 157,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Papillomavirus - Human Papilloma Virus [HPV]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B97.8": {
    "code": "B97.8",
    "description": "Autres virus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 157,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Metapneumovirus humain",
      "d’autres chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Virus parainfluenza, cause de maladies classées dans d’autres chapitres (CIM10-CA 2012)",
      "Autres agents infectieux précisés, cause de maladies classées dans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B98.0": {
    "code": "B98.0",
    "description": "Helicobacter pylori (H. pylori), cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 157,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "B98.1": {
    "code": "B98.1",
    "description": "Vibrio vulnificus, cause de maladies classées dans d’autres chapitres",
    "dagger_star": "",
    "chapter": "Certaines maladies infectieuses et parasitaires",
    "page": 157,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Autres maladies infectieuses (B99)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50": {
    "code": "C50",
    "description": "Tumeur maligne du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "tissu conjonctif du sein"
    ],
    "exclusions": [
      "cancer de la peau du sein (C43.5, C44.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C97": {
    "code": "C97",
    "description": "Tumeurs malignes de sièges multiples indépendants (primitifs)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cancers de sièges multiples indépendants (primitifs)",
      "la mortalité.",
      "chacun des cancers.",
      "chapitres relatifs aux diverses localisations anatomiques."
    ],
    "comprend": [
      "érythroplasie",
      "érythroplasie de Queyrat",
      "les codes morphologiques avec code de comportement /2",
      "Maladie de Bowen"
    ],
    "exclusions": [],
    "clinical_text": [
      "Note Pour l’utilisation de cette catégorie, se référer aux règles et instructions du Volume 2 concernant le codage de",
      "nature différents, coexistant chez un même patient. Nous vous déconseillons son utilisation. Codez plutôt individuellement",
      "Note On considère que de nombreuses tumeurs in situ correspondent à des stades de transition morphologique",
      "entre la dysplasie et le cancer invasif. Ainsi, on reconnaît trois stades d’évolution dans le cas de néoplasie intra-",
      "épithéliale cervicale (NIC), dont le troisième (NIC III) comprend à la fois une dysplasie sévère et un carcinome in",
      "situ. Ce système de classification a été étendu à d’autres organes, tels que la vulve et le vagin. Les descriptions",
      "des néoplasies intra-épithéliales, stade III, avec ou sans mention de dysplasie sévère sont classées dans cette",
      "section; les stades I et II sont classés parmi les dysplasies de l’appareil atteint et doivent être codés dans les"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.39 : C97 permet, en monocodage, d’indexer les dossiers signalant au moins deux tumeurs malignes de siège ou de"
    ]
  },
  "C02.8": {
    "code": "C02.8",
    "description": "Cancer à localisations contigües de la langue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne de la langue dont le point de départ ne peut être classé à aucune des catégories C01-C02.4"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C08.8": {
    "code": "C08.8",
    "description": "Cancer à localisations contigües des glandes salivaires principales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "des catégories C07-C08.1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des glandes salivaires principales dont le point de départ ne peut être classé à aucune"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C14.8": {
    "code": "C14.8",
    "description": "Cancer à localisations contigües de la lèvre, de la cavité buccale et du pharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "à aucune des catégories C00-C14.2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne de la lèvre, de la cavité buccale et du pharynx dont le point de départ ne peut être classé"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C21.8": {
    "code": "C21.8",
    "description": "Cancer à localisations contigües du rectum, de l’anus et du canal anal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "Cancer ano-rectal",
      "Cancer de la jonction ano-rectale",
      "aucune des catégories C20-C21.2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne du rectum, de l’anus et du canal anal dont le point de départ ne peut être classé à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C24.8": {
    "code": "C24.8",
    "description": "Cancer à localisations contigües des voies biliaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne affectant à la fois les canaux biliaires intra-hépatiques et extra-hépatiques",
      "Tumeur maligne des voies biliaires dont le point de départ ne peut être classé à aucune des catégories"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C26.8": {
    "code": "C26.8",
    "description": "Cancer à localisations contigües de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "jonction cardio-œsophagienne (C16.0)"
    ],
    "clinical_text": [
      "Tumeur maligne des organes digestifs dont le point de départ ne peut être classé à aucune des catégories"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C39.8": {
    "code": "C39.8",
    "description": "Cancer à localisations contigües des organes respiratoires et intra-thoraciques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "à aucune des catégories C30-C39.0"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des organes respiratoires et intra-thoraciques dont le point de départ ne peut être classé"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.8": {
    "code": "C41.8",
    "description": "Cancer à localisations contigües des os et du cartilage articulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "catégories C40-C41.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne de l’os et du cartilage articulaire dont le point de départ ne peut être classé à aucune des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.8": {
    "code": "C49.8",
    "description": "Cancer à localisations contigües du tissu conjonctif et des autres tissus mous",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "aucune des catégories C47-C49.6"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne du tissu conjonctif et des autres tissus mous dont le point de départ ne peut être classé à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.8": {
    "code": "C57.8",
    "description": "Cancer à localisations contigües des organes génitaux de la femme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "Cancer salpingo-ovarien",
      "Cancer utéro-ovarien",
      "des catégories C51-C57.7, C58"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des organes génitaux de la femme dont le point de départ ne peut être classé à aucune"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C63.8": {
    "code": "C63.8",
    "description": "Cancer à localisations contigües des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "des catégories C60-C63.7"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des organes génitaux de l’homme dont le point de départ ne peut être classé à aucune"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C68.8": {
    "code": "C68.8",
    "description": "Cancer à localisations contigües des organes urinaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des organes urinaires dont le point de départ ne peut être classé à aucune des catégories"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.8": {
    "code": "C72.8",
    "description": "Cancer à localisations contigües de l’encéphale et d’autres parties du système nerveux central",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "peut être classé à aucune des catégories C70-C72.5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne de l’encéphale et d’autres parties du système nerveux central dont le point de départ ne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D63.0": {
    "code": "D63.0",
    "description": "Anémie au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.43 : anémies paranéoplasiques"
    ]
  },
  "G13.0": {
    "code": "G13.0",
    "description": "Neuromyopathie et neuropathie paranéoplasiques",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Neuromyopathie carcinomateuse (C00-C97 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Neuropathie sensitive paranéoplasique [Denny-Brown] (C00-D48 †)",
      "Autres affections dégénératives systémiques affectant principalement le système nerveux central"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G13.1": {
    "code": "G13.1",
    "description": "Autres affections dégénératives systémiques affectant principalement le système nerveux central au cours de",
    "dagger_star": "*",
    "chapter": "Tumeurs",
    "page": 163,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "maladies tumorales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G53.3": {
    "code": "G53.3",
    "description": "Paralysie de plusieurs nerfs crâniens au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G55.0": {
    "code": "G55.0",
    "description": "Compression des racines et des plexus nerveux au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Syndrome de Pancoast-Tobias (C34.1 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Compression des racines et des plexus nerveux au cours d’atteintes des disques intervertébraux"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63.1": {
    "code": "G63.1",
    "description": "Polynévrite au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.1": {
    "code": "G73.1",
    "description": "Syndrome de Lambert-Eaton (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.2": {
    "code": "G73.2",
    "description": "Autres syndromes myasthéniques au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G94.1": {
    "code": "G94.1",
    "description": "Hydrocéphalie au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G99.2": {
    "code": "G99.2",
    "description": "Myélopathies au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• maladies tumorales (C00-D48 †)",
      "• spondylarthrose (M47.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Myélopathie au cours de : • atteinte des disques intervertébraux (M50.0 †, M51.0 †)",
      "Syndromes de compression des artères vertébrale et spinale antérieure (M47.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36.0": {
    "code": "M36.0",
    "description": "Dermato(poly)myosite au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M82.0": {
    "code": "M82.0",
    "description": "Ostéoporose au cours de myélomatose multiple (C90.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.6": {
    "code": "M90.6",
    "description": "Ostéite déformante au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéite déformante au cours de tumeurs osseuses malignes (C40-C41 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N08.1": {
    "code": "N08.1",
    "description": "Glomérulopathie au cours de maladies tumorales",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 616,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• myélome multiple (C90.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Glomérulopathie au cours de : • macroglobulinémie de Waldenstrom (C88.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N16.1": {
    "code": "N16.1",
    "description": "Maladie rénale tubulo-interstitielle au cours de maladies tumorales",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Maladie rénale tubulo- • leucémie (C91-C95 †)",
      "interstitielle au cours de : • lymphome (C81-C85 †, C96.- †)",
      "• myélome multiple (C90.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie rénale tubulo-interstitielle au cours de maladies du sang et des troubles du système"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00": {
    "code": "C00",
    "description": "Tumeur maligne de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "face cutanée de la lèvre (C43.0, C44.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.0": {
    "code": "C00.0",
    "description": "Cancer de la lèvre supérieure, bord libre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvre supérieure : • SAI",
      "• extérieur",
      "• zone d’application du rouge à lèvres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.1": {
    "code": "C00.1",
    "description": "Cancer de la lèvre inférieure, bord libre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvre inférieure : • SAI",
      "• extérieur",
      "• zone d’application du rouge à lèvres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.2": {
    "code": "C00.2",
    "description": "Cancer de la lèvre, sans précision, bord libre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Extérieur de la lèvre SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.3": {
    "code": "C00.3",
    "description": "Cancer de la lèvre supérieure, face interne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvre supérieure : • face : • muqueuse",
      "• orale",
      "• frein",
      "• muqueuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.4": {
    "code": "C00.4",
    "description": "Cancer de la lèvre inférieure, face interne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvre inférieure : • face : • muqueuse",
      "• orale",
      "• frein",
      "• muqueuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.5": {
    "code": "C00.5",
    "description": "Cancer de la lèvre, sans précision, face interne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvre, sans indication si • face : • muqueuse",
      "inférieure ou supérieure : • orale",
      "• frein",
      "• muqueuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.6": {
    "code": "C00.6",
    "description": "Cancer de la commissure des lèvres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.8": {
    "code": "C00.8",
    "description": "Cancer à localisations contigües de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C00.9": {
    "code": "C00.9",
    "description": "Cancer de la lèvre, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C01": {
    "code": "C01",
    "description": "Tumeur maligne de la base de la langue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 164,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer de la face supérieure de la base de la langue",
      "Cancer de la partie fixe de la langue SAI",
      "Cancer du tiers postérieur de la langue",
      "2024 – 2-6 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02": {
    "code": "C02",
    "description": "Tumeur maligne de la langue, parties autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02.0": {
    "code": "C02.0",
    "description": "Cancer de la face dorsale de la langue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Deux tiers antérieurs de la langue, face supérieure"
    ],
    "comprend": [],
    "exclusions": [
      "face supérieure de la base de la langue (C01)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02.1": {
    "code": "C02.1",
    "description": "Cancer de la pointe et bords latéraux de la langue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pointe de la langue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02.2": {
    "code": "C02.2",
    "description": "Cancer de la face inférieure de la langue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Deux tiers antérieurs de la langue, face inférieure",
      "Frein de la langue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02.3": {
    "code": "C02.3",
    "description": "Cancer des deux tiers antérieurs de la langue, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Partie mobile de la langue SAI",
      "Tiers moyen de la langue SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02.4": {
    "code": "C02.4",
    "description": "Cancer de l’amygdale linguale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer de la tonsille linguale"
    ],
    "comprend": [],
    "exclusions": [
      "cancer de l’amygdale SAI (C09.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C02.9": {
    "code": "C02.9",
    "description": "Cancer de la langue, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C03": {
    "code": "C03",
    "description": "Tumeur maligne de la gencive",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "gencive",
      "muqueuse (de la crête) alvéolaire"
    ],
    "exclusions": [
      "tumeurs malignes odontogéniques (C41.0-C41.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C03.0": {
    "code": "C03.0",
    "description": "Cancer de la gencive supérieure",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C03.1": {
    "code": "C03.1",
    "description": "Cancer de la gencive inférieure",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C03.9": {
    "code": "C03.9",
    "description": "Cancer de la gencive, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C04": {
    "code": "C04",
    "description": "Tumeur maligne du plancher de la bouche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C04.0": {
    "code": "C04.0",
    "description": "Cancer du plancher antérieur de la bouche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "En avant de la jonction prémolaire-canine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C04.1": {
    "code": "C04.1",
    "description": "Cancer du plancher latéral de la bouche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C04.8": {
    "code": "C04.8",
    "description": "Cancer à localisations contigües du plancher de la bouche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C04.9": {
    "code": "C04.9",
    "description": "Cancer du plancher de la bouche, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C05": {
    "code": "C05",
    "description": "Tumeur maligne du palais",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C05.0": {
    "code": "C05.0",
    "description": "Cancer de la voûte palatine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C05.1": {
    "code": "C05.1",
    "description": "Voile du palais",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 165,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cancer de la paroi rhino-pharyngienne du voile du palais (C11.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C05.2": {
    "code": "C05.2",
    "description": "Cancer de la luette",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C05.8": {
    "code": "C05.8",
    "description": "Cancer à localisations contigües du palais",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C05.9": {
    "code": "C05.9",
    "description": "Cancer du palais, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Plafond de la cavité buccale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C06": {
    "code": "C06",
    "description": "Tumeur maligne de la bouche, parties autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C06.0": {
    "code": "C06.0",
    "description": "Cancer de la muqueuse de la joue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Face interne de la joue",
      "Muqueuse buccale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C06.1": {
    "code": "C06.1",
    "description": "Cancer du vestibule de la bouche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Gouttière : • buccale",
      "(supérieure) (inférieure)",
      "• labiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C06.2": {
    "code": "C06.2",
    "description": "Cancer de la région rétro-molaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C06.8": {
    "code": "C06.8",
    "description": "Cancer à localisations contigües de la bouche, parties autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C06.9": {
    "code": "C06.9",
    "description": "Cancer de la bouche, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cavité buccale SAI",
      "Glande salivaire accessoire, siège non précisé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C07": {
    "code": "C07",
    "description": "Tumeur maligne de la glande parotide",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer du canal de Sténon",
      "Cancer du conduit parotidien",
      "précisées"
    ],
    "comprend": [],
    "exclusions": [
      "glande parotide (C07)",
      "tumeurs malignes des glandes salivaires accessoires SAI (C06.9)",
      "tumeurs malignes des glandes salivaires accessoires précisées classées en fonction de leur siège",
      "anatomique"
    ],
    "clinical_text": [
      "Tumeur maligne des glandes salivaires principales, autres et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C08.0": {
    "code": "C08.0",
    "description": "Cancer de la glande sous-maxillaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer de la glande sous-mandibulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C08.1": {
    "code": "C08.1",
    "description": "Cancer de la glande sublinguale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C08.9": {
    "code": "C08.9",
    "description": "Cancer de la glande salivaire principale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 166,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Glande salivaire (principale) SAI",
      "2024 – 2-8 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C09": {
    "code": "C09",
    "description": "Tumeur maligne de l’amygdale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "Amygdale : • linguale (C02.4)",
      "• pharyngienne (C11.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C09.0": {
    "code": "C09.0",
    "description": "Cancer de la fosse amygdalienne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer de la fosse tonsillaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C09.1": {
    "code": "C09.1",
    "description": "Cancer du pilier de l’amygdale [tonsille] (antérieur) (postérieur)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer du pilier de la tonsille (antérieur) (postérieur)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C09.8": {
    "code": "C09.8",
    "description": "Cancer à localisations contigües de l’amygdale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer à localisations contigües de la tonsille",
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C09.9": {
    "code": "C09.9",
    "description": "Cancer de l’amygdale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tonsille : • SAI",
      "• palatine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10": {
    "code": "C10",
    "description": "Tumeur maligne de l’oropharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amygdale (C09.-)",
      "tonsille (C09.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.0": {
    "code": "C10.0",
    "description": "Cancer du sillon glosso-épiglottique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.1": {
    "code": "C10.1",
    "description": "Cancer de la face antérieure de l’épiglotte",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Epiglotte, bord libre",
      "Epiglotte, marge",
      "Pli(s) glosso-épiglottique(s)"
    ],
    "comprend": [],
    "exclusions": [
      "épiglotte (partie sus-hyoïdienne) SAI (C32.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.2": {
    "code": "C10.2",
    "description": "Cancer de la paroi latérale de l’oropharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.3": {
    "code": "C10.3",
    "description": "Cancer de la paroi postérieure de l’oropharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.4": {
    "code": "C10.4",
    "description": "Cancer de la fente branchiale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer du kyste branchial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.8": {
    "code": "C10.8",
    "description": "Cancer à localisations contigües de l’oropharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "Carrefour pharyngo-laryngé de l’oropharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C10.9": {
    "code": "C10.9",
    "description": "Cancer de l’oropharynx, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11": {
    "code": "C11",
    "description": "Tumeur maligne du rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11.0": {
    "code": "C11.0",
    "description": "Cancer de la paroi supérieure du rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Plafond du rhinopharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11.1": {
    "code": "C11.1",
    "description": "Cancer de la paroi postérieure du rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 167,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Amygdale pharyngienne",
      "Tonsille pharyngienne",
      "Tissu adénoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11.2": {
    "code": "C11.2",
    "description": "Cancer de la paroi latérale du rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fossette de Rosenmüller",
      "Orifice de la trompe d’Eustache",
      "Orifice de la trompe auditive",
      "Récessus pharyngien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11.3": {
    "code": "C11.3",
    "description": "Cancer de la paroi antérieure du rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bord postérieur de : • choanes",
      "• cloison nasale",
      "Plancher du rhinopharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Paroi rhinopharyngienne (supérieure) (postérieure) du voile du palais"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11.8": {
    "code": "C11.8",
    "description": "Cancer à localisations contigües de rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C11.9": {
    "code": "C11.9",
    "description": "Cancer du rhinopharynx, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paroi rhinopharyngienne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C12": {
    "code": "C12",
    "description": "Tumeur maligne du sinus piriforme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer du récessus piriforme",
      "Cancer du sinus pyramidal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C13": {
    "code": "C13",
    "description": "Tumeur maligne de l’hypopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cancer du sinus piriforme (C12)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C13.0": {
    "code": "C13.0",
    "description": "Cancer de la région rétro-cricoïdienne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C13.1": {
    "code": "C13.1",
    "description": "Cancer du repli ary-épiglottique, versant hypopharyngé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Repli ary-épiglottique : • SAI",
      "• zone marginale"
    ],
    "comprend": [],
    "exclusions": [
      "repli ary-épiglottique, versant laryngé (C32.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C13.2": {
    "code": "C13.2",
    "description": "Cancer de la paroi postérieure de l’hypopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C13.8": {
    "code": "C13.8",
    "description": "Cancer à localisations contigües de l’hypopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C13.9": {
    "code": "C13.9",
    "description": "Cancer de l’hypopharynx, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paroi hypopharyngée SAI",
      "siège autre et mal définis"
    ],
    "comprend": [],
    "exclusions": [
      "cavité buccale SAI (C06.9)"
    ],
    "clinical_text": [
      "Tumeur maligne de la lèvre, de la cavité buccale et du pharynx, de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C14.0": {
    "code": "C14.0",
    "description": "Cancer du pharynx, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 168,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-10 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code C14.1 Tumeur maligne du laryngopharynx a existé par erreur. L’OMS a publié un erratum dès 1995 indiquant qu’il",
      "fallait le supprimer. Les termes « hypopharynx » et « laryngopharynx » sont en effet synonymes. Le code C14.1 constituait",
      "donc un doublon du code C13.9 Tumeur maligne de l’hypopharynx. Cette correction est signalée parmi d’autres dans les",
      "errata publiés dans les pages 759 à 761 de l’édition originale du volume 3.",
      "Elle est intégrée dans les rééditions du volume 1 parues depuis l’édition d’origine (1993). Le fichier de la CIM-10 mis à",
      "disposition des utilisateurs par l’ATIH ne contient donc plus ce code.",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.5-6 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C14.2": {
    "code": "C14.2",
    "description": "Cancer de l’anneau de Waldeyer",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer de l’anneau lymphoïde du pharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15": {
    "code": "C15",
    "description": "Tumeur maligne de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": true,
    "severity": null,
    "synonyms": [
      ".0, .1 ou .2 pour une description anatomique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Utiliser l’une des trois subdivisions suivantes selon le type de description utilisé :",
      ".3, .4 ou .5 pour une description « en tiers » (supérieur, moyen, inférieur)",
      "L’OMS a renoncé volontairement au principe de l’exclusion mutuelle des catégories car ces deux types de",
      "description sont utilisés mais les localisations qui en résultent ne sont pas superposables."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.0": {
    "code": "C15.0",
    "description": "Cancer de l’œsophage cervical",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.1": {
    "code": "C15.1",
    "description": "Cancer de l’œsophage thoracique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.2": {
    "code": "C15.2",
    "description": "Cancer de l’œsophage abdominal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.3": {
    "code": "C15.3",
    "description": "Cancer du tiers supérieur de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.4": {
    "code": "C15.4",
    "description": "Cancer du tiers moyen de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.5": {
    "code": "C15.5",
    "description": "Cancer du tiers inférieur de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.8": {
    "code": "C15.8",
    "description": "Cancer à localisations contigües de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C15.9": {
    "code": "C15.9",
    "description": "Cancer de l’œsophage, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16": {
    "code": "C16",
    "description": "Tumeur maligne de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "Tumeur stromale gastro-intestinale [GIST]",
      "les tumeurs stromales gastro-intestinales [TSGI] sont des tumeurs mésenchymateuses malignes du tube"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "11337"
    ],
    "cocoa_notes": [
      "digestif. Vous coderez donc à l’aide de la catégorie C16 (AGORA - # 11337 le 26 février 2009)"
    ]
  },
  "C16.0": {
    "code": "C16.0",
    "description": "Cancer du cardia",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Jonction : • cardio-œsophagienne",
      "• œsophago-gastrique",
      "Œsophage et estomac",
      "Orifice œsophagien de l’estomac"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.1": {
    "code": "C16.1",
    "description": "Cancer du fundus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.2": {
    "code": "C16.2",
    "description": "Cancer du corps de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.3": {
    "code": "C16.3",
    "description": "Cancer de l’antre pylorique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Antre de l’estomac",
      "Antre gastrique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.4": {
    "code": "C16.4",
    "description": "Cancer du pylore",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 169,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Canal pylorique",
      "Pré-pylore"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.5": {
    "code": "C16.5",
    "description": "Cancer de la petite courbure de l’estomac, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Petite courbure de l’estomac, non classée en C16.1-C16.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.6": {
    "code": "C16.6",
    "description": "Cancer de la grande courbure de l’estomac, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Grande courbure de l’estomac, non classée en C16.0-C16.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.8": {
    "code": "C16.8",
    "description": "Cancer à localisations contigües de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C16.9": {
    "code": "C16.9",
    "description": "+8 Cancer de l’estomac, tumeurs malignes autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17": {
    "code": "C17",
    "description": "Tumeur maligne de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17.0": {
    "code": "C17.0",
    "description": "Cancer du duodénum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17.1": {
    "code": "C17.1",
    "description": "Cancer du jéjunum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17.2": {
    "code": "C17.2",
    "description": "Cancer de l’iléon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "valvule iléo-cæcale (C18.0)",
      "valvule de Bauhin (C18.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17.3": {
    "code": "C17.3",
    "description": "Cancer du diverticule de Meckel",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer du vestige du conduit vitellin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17.8": {
    "code": "C17.8",
    "description": "Cancer à localisations contigües de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C17.9": {
    "code": "C17.9",
    "description": "Cancer de l’intestin grêle, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18": {
    "code": "C18",
    "description": "Tumeur maligne du côlon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.0": {
    "code": "C18.0",
    "description": "Cancer du cæcum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Valvule iléo-cæcale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.1": {
    "code": "C18.1",
    "description": "Cancer de l’appendice",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer de l’appendice iléo-cæcal",
      "Cancer de l’appendice vermiforme",
      "Cancer de l’appendice vermiculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.2": {
    "code": "C18.2",
    "description": "Cancer du côlon ascendant",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.3": {
    "code": "C18.3",
    "description": "Cancer de l’angle droit du côlon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.4": {
    "code": "C18.4",
    "description": "Cancer du côlon transverse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.5": {
    "code": "C18.5",
    "description": "Cancer de l’angle gauche du côlon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.6": {
    "code": "C18.6",
    "description": "Cancer du côlon descendant",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.7": {
    "code": "C18.7",
    "description": "Cancer du côlon sigmoïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 170,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sigmoïde",
      "Côlon pelvien",
      "2024 – 2-12 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [
      "jonction recto-sigmoïdienne (C19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.8": {
    "code": "C18.8",
    "description": "Cancer à localisations contigües du côlon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C18.9": {
    "code": "C18.9",
    "description": "+8 Cancer du côlon, tumeurs malignes autres et non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C19": {
    "code": "C19",
    "description": "Tumeur maligne de la jonction recto-sigmoïdienne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer du côlon et rectum",
      "Cancer recto-sigmoïde (côlon)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C20": {
    "code": "C20",
    "description": "Tumeur maligne du rectum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer de l’ampoule rectale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C21": {
    "code": "C21",
    "description": "Tumeur maligne de l’anus et du canal anal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C21.0": {
    "code": "C21.0",
    "description": "Cancer de l’anus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "marge anale (C43.5, C44.5)",
      "peau anale (C43.5, C44.5)",
      "peau périanale (C43.5, C44.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C21.1": {
    "code": "C21.1",
    "description": "Cancer du canal anal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Sphincter anal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "53265"
    ],
    "cocoa_notes": [
      "cancer des glandes anales : je vous conseille de coder C21.1 (AGORA - # 53265 le 12 octobre 2011)"
    ]
  },
  "C21.2": {
    "code": "C21.2",
    "description": "Cancer de la zone cloacale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22": {
    "code": "C22",
    "description": "Tumeur maligne du foie et des voies biliaires intra-hépatiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tumeur maligne secondaire du foie (C78.7) et des voies biliaires intra-hépatiques",
      "cancer des voies biliaires SAI (C24.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.0": {
    "code": "C22.0",
    "description": "-C24.1",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.1": {
    "code": "C22.1",
    "description": "Carcinome du canal biliaire intra-hépatique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cholangiocarcinome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.2": {
    "code": "C22.2",
    "description": "Hépatoblastome",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.3": {
    "code": "C22.3",
    "description": "Angiosarcome du foie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sarcome des cellules de Kupffer"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.4": {
    "code": "C22.4",
    "description": "Autres sarcomes du foie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.7": {
    "code": "C22.7",
    "description": "Autres carcinomes du foie précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 171,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C22.9": {
    "code": "C22.9",
    "description": "Cancer du foie, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C23": {
    "code": "C23",
    "description": "Tumeur maligne de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": true,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C24": {
    "code": "C24",
    "description": "Tumeurs malignes des voies biliaires, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cancer du canal biliaire intra-hépatique (C22.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C24.0": {
    "code": "C24.0",
    "description": "Cancer du canal biliaire extra-hépatique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer du canal : • biliaire SAI",
      "• cholédoque",
      "• cystique",
      "• hépatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C24.1": {
    "code": "C24.1",
    "description": "Cancer de l’ampoule de Vater",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer de l’ampoule hépato-pancréatique",
      "Ampullome (vatérien)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C24.9": {
    "code": "C24.9",
    "description": "Cancer des voies biliaires, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25": {
    "code": "C25",
    "description": "Tumeur maligne du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur intra-canalaire papillaire mucineuse du pancréas [TIPMP] : à coder selon son histologie. « Dans les grandes séries",
      "chirurgicales, récemment publiées, il existait plus de 40% de cancer invasif, près de 10 à 20% de dysplasie sévère (carcinome",
      "in situ), et près de 30 à 40% d’hyperplasie ou de dysplasie minime à modérée. (Acta Endoscopica - Volume 32 - N° 1 -"
    ],
    "agora_refs": [
      "12608"
    ],
    "cocoa_notes": [
      "2002 - p.95) ». Si maligne : C25.- ; si bénigne : D37.7 (AGORA - # 12608 le 31 mars 2009 - # 59417 le 24 février 2012)"
    ]
  },
  "C25.0": {
    "code": "C25.0",
    "description": "Cancer de la tête du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.1": {
    "code": "C25.1",
    "description": "Cancer du corps du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.2": {
    "code": "C25.2",
    "description": "Cancer de la queue du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.3": {
    "code": "C25.3",
    "description": "Cancer du canal pancréatique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer du conduit pancréatique (principal)",
      "Cancer du canal de Wirsung"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.4": {
    "code": "C25.4",
    "description": "+8 Cancer du pancréas endocrine, tumeurs malignes autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.7": {
    "code": "C25.7",
    "description": "Cancer d’autres parties du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer du col du pancréas"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.8": {
    "code": "C25.8",
    "description": "Cancer à localisations contigües du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 172,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "2024 – 2-14 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C25.9": {
    "code": "C25.9",
    "description": "+8 Cancer du pancréas, tumeurs malignes autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C26": {
    "code": "C26",
    "description": "Tumeur maligne des organes digestifs, de sièges autres et mal définis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cancer du péritoine et rétropéritoine (C48.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C26.0": {
    "code": "C26.0",
    "description": "Cancer du tractus intestinal, partie non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Intestin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C26.1": {
    "code": "C26.1",
    "description": "Cancer de la rate",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lymphome : à cellules T/NK matures (C84.−)",
      "de Hodgkin (C81.-)",
      "folliculaire (C82.−)",
      "non folliculaire (C83.−)",
      "non hodgkinien (C85.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C26.9": {
    "code": "C26.9",
    "description": "Cancer de sièges mal définis de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tractus gastro-intestinal SAI",
      "Tube ou appareil digestif SAI"
    ],
    "comprend": [
      "oreille moyenne"
    ],
    "exclusions": [
      "mésothéliome (C45.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C30": {
    "code": "C30",
    "description": "Tumeur maligne des fosses nasales et de l’oreille moyenne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C30.0": {
    "code": "C30.0",
    "description": "Cancer des fosses nasales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cartilage du nez",
      "Cloison nasale",
      "Cornets",
      "Vestibule des fosses nasales"
    ],
    "comprend": [],
    "exclusions": [
      "bord postérieur de la cloison nasale et des choanes (C11.3)",
      "bulbe olfactif (C72.2)",
      "nez SAI (C76.0)",
      "os du nez (C41.0)",
      "peau du nez (C43.3, C44.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C30.1": {
    "code": "C30.1",
    "description": "Cancer de l’oreille moyenne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 173,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cellules mastoïdiennes",
      "Oreille interne",
      "Trompe d’Eustache",
      "Trompe auditive"
    ],
    "comprend": [],
    "exclusions": [
      "cartilage de l’oreille (C49.0)",
      "conduit auditif (externe) (C43.2, C44.2)",
      "os de l’oreille (méat) (C41.0)",
      "peau de l’oreille (externe) (C43.2, C44.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31": {
    "code": "C31",
    "description": "Tumeur maligne des sinus de la face",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31.0": {
    "code": "C31.0",
    "description": "Cancer du sinus maxillaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Antre (de Highmore) (maxillaire)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31.1": {
    "code": "C31.1",
    "description": "Cancer du sinus ethmoïdal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31.2": {
    "code": "C31.2",
    "description": "Cancer du sinus frontal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31.3": {
    "code": "C31.3",
    "description": "Cancer du sinus sphénoïdal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31.8": {
    "code": "C31.8",
    "description": "Cancer à localisations contigües des sinus de la face",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C31.9": {
    "code": "C31.9",
    "description": "Cancer des sinus de la face, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32": {
    "code": "C32",
    "description": "Tumeur maligne du larynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32.0": {
    "code": "C32.0",
    "description": "Cancer de la glotte",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corde vocale (vraie) SAI",
      "Musculature intrinsèque du larynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32.1": {
    "code": "C32.1",
    "description": "Cancer de l’étage sus-glottique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bandes ventriculaires",
      "Épiglotte (partie sus-hyoïdienne) SAI",
      "Face postérieure (laryngée) de l’épiglotte",
      "Fausses cordes vocales",
      "Larynx extrinsèque",
      "Repli ary-épiglottique, versant laryngé",
      "Margelle laryngée"
    ],
    "comprend": [],
    "exclusions": [
      "face antérieure de l’épiglotte (C10.1)",
      "repli ary-épiglottique : • SAI (C13.1)",
      "• versant hypopharyngé (C13.1)",
      "• zone marginale (C13.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32.2": {
    "code": "C32.2",
    "description": "Cancer de l’étage sous-glottique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32.3": {
    "code": "C32.3",
    "description": "Cancer du cartilage laryngé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32.8": {
    "code": "C32.8",
    "description": "Cancer à localisations contigües du larynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C32.9": {
    "code": "C32.9",
    "description": "Cancer du larynx, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C33": {
    "code": "C33",
    "description": "Tumeur maligne de la trachée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34": {
    "code": "C34",
    "description": "Tumeur maligne des bronches et du poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34.0": {
    "code": "C34.0",
    "description": "Cancer de la bronche souche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éperon",
      "Hile (du poumon)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34.1": {
    "code": "C34.1",
    "description": "Cancer du lobe supérieur, bronches ou poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34.2": {
    "code": "C34.2",
    "description": "Cancer du lobe moyen, bronches ou poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 174,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-16 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34.3": {
    "code": "C34.3",
    "description": "Cancer du lobe inférieur, bronches ou poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34.8": {
    "code": "C34.8",
    "description": "Cancer à localisations contigües des bronches et du poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C34.9": {
    "code": "C34.9",
    "description": "Cancer de bronche ou poumon, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C37": {
    "code": "C37",
    "description": "Tumeur maligne du thymus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Thymome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38": {
    "code": "C38",
    "description": "Tumeur maligne du cœur, du médiastin et de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mésothéliome (C45.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38.0": {
    "code": "C38.0",
    "description": "Cancer du cœur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péricarde"
    ],
    "comprend": [],
    "exclusions": [
      "gros vaisseaux (C49.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38.1": {
    "code": "C38.1",
    "description": "Cancer du médiastin antérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38.2": {
    "code": "C38.2",
    "description": "Cancer du médiastin postérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38.3": {
    "code": "C38.3",
    "description": "Cancer du médiastin, partie non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38.4": {
    "code": "C38.4",
    "description": "Cancer de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C38.8": {
    "code": "C38.8",
    "description": "Cancer à localisations contigües du cœur, du médiastin et de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "thoraciques, de sièges autres et mal définis"
    ],
    "comprend": [],
    "exclusions": [
      "intra-thoracique SAI (C76.1)",
      "thoracique SAI (C76.1)"
    ],
    "clinical_text": [
      "Tumeur maligne de l’appareil respiratoire et des organes intra-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C39.0": {
    "code": "C39.0",
    "description": "Cancer des voies respiratoires supérieures, partie non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C39.9": {
    "code": "C39.9",
    "description": "Cancer de sièges mal définis de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Voies respiratoires SAI"
    ],
    "comprend": [],
    "exclusions": [
      "moelle osseuse SAI (C96.7)",
      "synoviale (C49.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40": {
    "code": "C40",
    "description": "Tumeur maligne des os et du cartilage articulaire des membres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40.0": {
    "code": "C40.0",
    "description": "Cancer de l’omoplate et os longs du membre supérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer de la scapula"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40.1": {
    "code": "C40.1",
    "description": "Cancer des os courts du membre supérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40.2": {
    "code": "C40.2",
    "description": "Cancer des os longs du membre inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 175,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40.3": {
    "code": "C40.3",
    "description": "Cancer des os courts du membre inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40.8": {
    "code": "C40.8",
    "description": "Cancer à localisations contigües des os et du cartilage articulaire des membres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C40.9": {
    "code": "C40.9",
    "description": "Cancer des os et du cartilage articulaire d’un membre, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "non précisés"
    ],
    "comprend": [],
    "exclusions": [
      "cartilage de : • larynx (C32.3)",
      "• membres (C40.-)",
      "• nez (C30.0)",
      "• oreille (C49.0)",
      "• os des membres (C40.-)"
    ],
    "clinical_text": [
      "Tumeur maligne des os et du cartilage articulaire, de sièges autres et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.0": {
    "code": "C41.0",
    "description": "Cancer des os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maxillaire (supérieur)",
      "Os orbital"
    ],
    "comprend": [],
    "exclusions": [
      "carcinome, tout type, sauf intra-osseux • mâchoire supérieure (C03.0)",
      "ou odontogène de : • sinus maxillaire (C31.0)",
      "cancer de la mandibule (C41.1)",
      "cancer du maxillaire inférieur (C41.1)"
    ],
    "clinical_text": [
      "Os crânio-faciaux : ethmoïde, frontal, occipital, orbital, pariétal, sphénoïde, temporal",
      "Os maxillo-faciaux : mâchoire supérieure, maxillaire (supérieur), os propres du nez (CIM10-CA 2012)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.1": {
    "code": "C41.1",
    "description": "Cancer de la mandibule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maxillaire inférieur"
    ],
    "comprend": [],
    "exclusions": [
      "carcinome, tout type, sauf intra-osseux • SAI (C03.9)",
      "ou odontogène de la mâchoire : • inférieure (C03.1)",
      "maxillaire supérieur (C41.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.2": {
    "code": "C41.2",
    "description": "Cancer du rachis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "sacrum et coccyx (C41.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.3": {
    "code": "C41.3",
    "description": "Cancer des côtes, sternum et clavicule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.4": {
    "code": "C41.4",
    "description": "Cancer du pelvis, sacrum et coccyx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C41.9": {
    "code": "C41.9",
    "description": "Cancer des os et du cartilage articulaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43": {
    "code": "C43",
    "description": "Mélanome malin de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "les codes morphologiques M872-M879 avec code de comportement /3"
    ],
    "exclusions": [
      "mélanome malin de la peau des organes génitaux (C5l-C52, C60.-, C63.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.0": {
    "code": "C43.0",
    "description": "Mélanome malin de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bord libre de la lèvre (C00.0-C00.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.1": {
    "code": "C43.1",
    "description": "Mélanome malin de la paupière, y compris le canthus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.2": {
    "code": "C43.2",
    "description": "Mélanome malin de l’oreille et du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 176,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-18 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.3": {
    "code": "C43.3",
    "description": "Mélanome malin de la face, parties autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.4": {
    "code": "C43.4",
    "description": "Mélanome malin du cuir chevelu et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.5": {
    "code": "C43.5",
    "description": "Mélanome malin du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Marge anale",
      "Peau",
      "Peau (du) : • périanale",
      "• sein"
    ],
    "comprend": [],
    "exclusions": [
      "anus SAI (C21.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.6": {
    "code": "C43.6",
    "description": "Mélanome malin du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.7": {
    "code": "C43.7",
    "description": "Mélanome malin du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.8": {
    "code": "C43.8",
    "description": "Lésion à localisations contigües d’un mélanome malin de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C43.9": {
    "code": "C43.9",
    "description": "Mélanome malin de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44": {
    "code": "C44",
    "description": "Autres tumeurs malignes de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Tumeur de Merckel",
      "cette lésion comme une tumeur maligne de la peau."
    ],
    "comprend": [
      "tumeur maligne des glandes : • sébacées",
      "• sudoripares",
      "épithélioma spinocellulaire",
      "épithélioma basocellulaire",
      "carcinome spinocellulaire",
      "carcinome basocellulaire"
    ],
    "exclusions": [
      "mélanome malin de la peau (C43.-)",
      "cancer de la peau des organes génitaux (C5l-C52, C60.-, C63.-)",
      "sarcome de Kaposi (C46.-)"
    ],
    "clinical_text": [
      "La consultation de la CIM-O, dont une version non actualisée figure en fin de volume 1 de la CIM, donne le code histologique",
      "de cette lésion (carcinome neuroendocrine cutané) : M8247/3, et renvoie au code CIM C44.- Il convient donc de coder",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.7 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.0": {
    "code": "C44.0",
    "description": "Cancer de la face cutanée de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Carcinome basocellulaire de la lèvre"
    ],
    "comprend": [],
    "exclusions": [
      "tumeur maligne de la lèvre (C00.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.1": {
    "code": "C44.1",
    "description": "Cancer de la peau de la paupière, y compris le canthus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tissu conjonctif de la paupière (C49.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.2": {
    "code": "C44.2",
    "description": "Cancer de la peau de l’oreille et du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tissu conjonctif de l’oreille (C49.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.3": {
    "code": "C44.3",
    "description": "Cancer de la peau de la face, parties autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.4": {
    "code": "C44.4",
    "description": "Cancer de la peau du cuir chevelu et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.5": {
    "code": "C44.5",
    "description": "Cancer de la peau du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 177,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Marge Anale",
      "Peau",
      "Peau (du) : • périanale",
      "• sein"
    ],
    "comprend": [],
    "exclusions": [
      "anus SAI (C21.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.6": {
    "code": "C44.6",
    "description": "Cancer de la peau du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.7": {
    "code": "C44.7",
    "description": "Cancer de la peau du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.8": {
    "code": "C44.8",
    "description": "Cancer à localisations contigües de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C44.9": {
    "code": "C44.9",
    "description": "Tumeur maligne de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C45": {
    "code": "C45",
    "description": "Mésothéliome",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "le code morphologique M905 avec code de comportement /3"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C45.0": {
    "code": "C45.0",
    "description": "Mésothéliome de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "autres tumeurs malignes de la plèvre (C38.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C45.1": {
    "code": "C45.1",
    "description": "Mésothéliome du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épiploon",
      "Mésentère",
      "Mésocôlon",
      "Péritoine (pariétal) (pelvien)"
    ],
    "comprend": [],
    "exclusions": [
      "autres tumeurs malignes du péritoine (C48.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C45.2": {
    "code": "C45.2",
    "description": "Mésothéliome du péricarde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "autres tumeurs malignes du péricarde (C38.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C45.7": {
    "code": "C45.7",
    "description": "Mésothéliome d’autres sièges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C45.9": {
    "code": "C45.9",
    "description": "Mésothéliome, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46": {
    "code": "C46",
    "description": "Sarcome de Kaposi",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "le code morphologique M9140 avec code de comportement /3"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.0": {
    "code": "C46.0",
    "description": "Sarcome de Kaposi de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.1": {
    "code": "C46.1",
    "description": "Sarcome de Kaposi des tissus mous",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.2": {
    "code": "C46.2",
    "description": "Sarcome de Kaposi du palais",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.3": {
    "code": "C46.3",
    "description": "Sarcome de Kaposi des ganglions lymphatiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.7": {
    "code": "C46.7",
    "description": "Sarcome de Kaposi d’autres sièges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.70": {
    "code": "C46.70",
    "description": "Sarcome de Kaposi de la sphère O.R.L.",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.71": {
    "code": "C46.71",
    "description": "Sarcome de Kaposi digestif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.72": {
    "code": "C46.72",
    "description": "Sarcome de Kaposi pulmonaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.78": {
    "code": "C46.78",
    "description": "Sarcome de Kaposi d’autres localisations",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.8": {
    "code": "C46.8",
    "description": "Sarcome de Kaposi d’organes multiples",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C46.9": {
    "code": "C46.9",
    "description": "Sarcome de Kaposi, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 178,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "2024 – 2-20 – Retour aux chapitres",
      "Tumeur maligne des nerfs périphériques et du système nerveux",
      "autonome"
    ],
    "comprend": [
      "cancer des nerfs et ganglions sympathiques et parasympathiques",
      "neuroblastome",
      "neuroblastome (paravertébral) : en l’absence de plus de précisions il s’agit d’une tumeur maligne du système nerveux"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "18472"
    ],
    "cocoa_notes": [
      "sympathique que vous coderez avec la catégorie C47 selon la localisation précise (AGORA - # 18472 le 3 septembre 2009)"
    ]
  },
  "C47.0": {
    "code": "C47.0",
    "description": "Cancer des nerfs périphériques de la tête, de la face et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerfs périphériques de l’orbite (C69.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.1": {
    "code": "C47.1",
    "description": "Cancer des nerfs périphériques du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.2": {
    "code": "C47.2",
    "description": "Cancer des nerfs périphériques du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.3": {
    "code": "C47.3",
    "description": "Cancer des nerfs périphériques du thorax",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.4": {
    "code": "C47.4",
    "description": "Cancer des nerfs périphériques de l’abdomen",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.5": {
    "code": "C47.5",
    "description": "Cancer des nerfs périphériques du pelvis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.6": {
    "code": "C47.6",
    "description": "Cancer des nerfs périphériques du tronc, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.8": {
    "code": "C47.8",
    "description": "Cancer à localisations contigües des nerfs périphériques et du système nerveux autonome",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C47.9": {
    "code": "C47.9",
    "description": "Cancer des nerfs périphériques et système nerveux autonome, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C48": {
    "code": "C48",
    "description": "Tumeur maligne du rétropéritoine et du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mésothéliome (C45.-)",
      "sarcome de Kaposi (C46.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C48.0": {
    "code": "C48.0",
    "description": "Cancer du rétropéritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C48.1": {
    "code": "C48.1",
    "description": "Cancer de parties précisées du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épiploon",
      "Épiploon gastro-splénique",
      "Ligament gastro-splénique]",
      "Épiploon pancréatico-splénique",
      "Ligament pancréatico-splénique",
      "Mésentère",
      "Mésocôlon",
      "Péritoine : • pariétal",
      "• pelvien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C48.2": {
    "code": "C48.2",
    "description": "Cancer du péritoine, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C48.8": {
    "code": "C48.8",
    "description": "Cancer à localisations contigües du rétropéritoine et du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 179,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49": {
    "code": "C49",
    "description": "Tumeur maligne du tissu conjonctif et des autres tissus mous",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "aponévrose",
      "fascia",
      "bourse séreuse",
      "cartilage",
      "ligament, sauf de l’utérus",
      "muscle",
      "synoviale",
      "tendon (gaine)",
      "tissu adipeux",
      "vaisseau : • lymphatique",
      "• sanguin",
      "myxofibrosarcome (histiocytofibrome malin myxoïde)",
      "rhabdomyosarcome",
      "hémangiopéricytome"
    ],
    "exclusions": [
      "cartilage (du) : • articulaire (C40-C41)",
      "• larynx (C32.3)",
      "• nez (C30.0)",
      "mésothéliome (C45.-)",
      "nerfs périphériques et du système nerveux autonome (C47.-)",
      "péritoine (C48.-)",
      "rétropéritoine (C48.0)",
      "sarcome de Kaposi (C46.-)",
      "tissu conjonctif du sein (C50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.0": {
    "code": "C49.0",
    "description": "Cancer du tissu conjonctif et autres tissus mous de la tête, de la face et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tissu conjonctif de : • oreille",
      "• paupière"
    ],
    "comprend": [],
    "exclusions": [
      "tissu conjonctif de l’orbite (C69.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.1": {
    "code": "C49.1",
    "description": "Cancer du tissu conjonctif et autres tissus mous du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.2": {
    "code": "C49.2",
    "description": "Cancer du tissu conjonctif et autres tissus mous du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.3": {
    "code": "C49.3",
    "description": "Cancer du tissu conjonctif et autres tissus mous du thorax",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.30": {
    "code": "C49.30",
    "description": "Cancer des vaisseaux (sanguins) (lymphatiques) du thorax",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Veine cave supérieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.38": {
    "code": "C49.38",
    "description": "Cancer du tissu conjonctif et autres tissus mous du thorax, autres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aisselle",
      "Diaphragme"
    ],
    "comprend": [],
    "exclusions": [
      "cœur (C38.0)",
      "médiastin (C38.1-C38.3)",
      "sein (C50.-)",
      "thymus (C37)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.4": {
    "code": "C49.4",
    "description": "Cancer du tissu conjonctif et autres tissus mous de l’abdomen",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.40": {
    "code": "C49.40",
    "description": "Cancer des vaisseaux (sanguins) (lymphatiques) de l’abdomen",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Veine cave inférieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.48": {
    "code": "C49.48",
    "description": "Cancer du tissu conjonctif et autres tissus mous de l’abdomen, autres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 180,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hypochondre",
      "Paroi abdominale",
      "2024 – 2-22 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.5": {
    "code": "C49.5",
    "description": "Cancer du tissu conjonctif et autres tissus mous du pelvis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.50": {
    "code": "C49.50",
    "description": "Cancer des vaisseaux (sanguins) (lymphatiques) du pelvis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.58": {
    "code": "C49.58",
    "description": "Cancer du tissu conjonctif et autres tissus mous du pelvis, autres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aine",
      "Fesse",
      "Périnée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.6": {
    "code": "C49.6",
    "description": "Cancer du tissu conjonctif et autres tissus mous du tronc, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dos SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C49.9": {
    "code": "C49.9",
    "description": "Cancer du tissu conjonctif et autres tissus mous, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tumeur maligne du sein (C50)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.0": {
    "code": "C50.0",
    "description": "Cancer du mamelon et de l’aréole",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.1": {
    "code": "C50.1",
    "description": "Cancer de la partie centrale du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.2": {
    "code": "C50.2",
    "description": "Cancer du quadrant supéro-interne du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.3": {
    "code": "C50.3",
    "description": "Cancer du quadrant inféro-interne du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.4": {
    "code": "C50.4",
    "description": "Cancer du quadrant supéro-externe du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.5": {
    "code": "C50.5",
    "description": "Cancer du quadrant inféro-externe du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.6": {
    "code": "C50.6",
    "description": "Cancer du prolongement axillaire du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.8": {
    "code": "C50.8",
    "description": "Cancer à localisations contigües du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C50.9": {
    "code": "C50.9",
    "description": "Cancer du sein, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "cancer de la peau des organes génitaux de la femme"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C51": {
    "code": "C51",
    "description": "Tumeur maligne de la vulve",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C51.0": {
    "code": "C51.0",
    "description": "Cancer de la grande lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Glande de Bartholin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C51.1": {
    "code": "C51.1",
    "description": "Cancer de la petite lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C51.2": {
    "code": "C51.2",
    "description": "Cancer du clitoris",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C51.8": {
    "code": "C51.8",
    "description": "Cancer à localisations contigües de la vulve",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 181,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C51.9": {
    "code": "C51.9",
    "description": "Cancer de la vulve, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Organes génitaux externes de la femme SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C52": {
    "code": "C52",
    "description": "Tumeur maligne du vagin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer vaginal, SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C53": {
    "code": "C53",
    "description": "Tumeur maligne du col de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C53.0": {
    "code": "C53.0",
    "description": "Cancer de l’endocol",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C53.1": {
    "code": "C53.1",
    "description": "Cancer de l’exocol",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C53.8": {
    "code": "C53.8",
    "description": "Cancer à localisations contigües du col de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C53.9": {
    "code": "C53.9",
    "description": "Cancer du col de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54": {
    "code": "C54",
    "description": "Tumeur maligne du corps de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54.0": {
    "code": "C54.0",
    "description": "Cancer de l’isthme de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Segment inférieur de l’utérus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54.1": {
    "code": "C54.1",
    "description": "Cancer de l’endomètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54.2": {
    "code": "C54.2",
    "description": "Cancer du myomètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54.3": {
    "code": "C54.3",
    "description": "Cancer du fond de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54.8": {
    "code": "C54.8",
    "description": "Cancer à localisations contigües du corps de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C54.9": {
    "code": "C54.9",
    "description": "Cancer du corps de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C55": {
    "code": "C55",
    "description": "Tumeur maligne de l’utérus, partie non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer utérin, SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C56": {
    "code": "C56",
    "description": "Tumeur maligne de l’ovaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer ovarien, SAI",
      "précisés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des organes génitaux de la femme, autres et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.0": {
    "code": "C57.0",
    "description": "Cancer de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Oviducte",
      "Trompe de l’utérus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.1": {
    "code": "C57.1",
    "description": "Cancer du ligament large",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.2": {
    "code": "C57.2",
    "description": "Cancer du ligament rond",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.3": {
    "code": "C57.3",
    "description": "Cancer du paramètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ligament de l’utérus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.4": {
    "code": "C57.4",
    "description": "Cancer des annexes de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 182,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2024 – 2-24 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.7": {
    "code": "C57.7",
    "description": "Cancer des autres organes génitaux de la femme précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer du corps ou canal de Wolff",
      "Cancer du mesonephros"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C57.9": {
    "code": "C57.9",
    "description": "Cancer d’organe génital de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Voies génito-urinaires de la femme SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C58": {
    "code": "C58",
    "description": "Tumeur maligne du placenta",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Choriocarcinome SAI",
      "Chorio-épithéliome SAI"
    ],
    "comprend": [
      "cancer de la peau des organes génitaux de l’homme"
    ],
    "exclusions": [
      "chorio-adénome (destruens) (D39.2)",
      "môle hydatiforme : • SAI (O01.9)",
      "• invasive (D39.2)",
      "• maligne (D39.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C60": {
    "code": "C60",
    "description": "Tumeur maligne de la verge",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C60.0": {
    "code": "C60.0",
    "description": "Cancer du prépuce",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C60.1": {
    "code": "C60.1",
    "description": "Cancer du gland",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C60.2": {
    "code": "C60.2",
    "description": "Cancer du corps de la verge",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Corps caverneux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C60.8": {
    "code": "C60.8",
    "description": "Cancer à localisations contigües de la verge",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C60.9": {
    "code": "C60.9",
    "description": "Cancer de la verge, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Peau de la verge SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C61": {
    "code": "C61",
    "description": "Tumeur maligne de la prostate",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Cancer de la prostate SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C62": {
    "code": "C62",
    "description": "Tumeur maligne du testicule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C62.0": {
    "code": "C62.0",
    "description": "Cancer de testicule cryptorchide",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer du testicule : • ectopique",
      "• retenu"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C62.1": {
    "code": "C62.1",
    "description": "Cancer de testicule descendu",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer du testicule scrotal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C62.9": {
    "code": "C62.9",
    "description": "Cancer de testicule, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 183,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séminome testiculaire",
      "précisés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur maligne des organes génitaux de l’homme, autres et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C63.0": {
    "code": "C63.0",
    "description": "Cancer de l’épididyme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C63.1": {
    "code": "C63.1",
    "description": "Cancer du cordon spermatique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C63.2": {
    "code": "C63.2",
    "description": "Cancer du scrotum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peau du scrotum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C63.7": {
    "code": "C63.7",
    "description": "Cancer d’autres organes génitaux de l’homme précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tunique vaginale",
      "Vésicule séminale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C63.9": {
    "code": "C63.9",
    "description": "Cancer d’organe génital de l’homme, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Voies génito-urinaires de l’homme SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C64": {
    "code": "C64",
    "description": "Tumeur maligne du rein, à l’exception du bassinet",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Néphroblastome"
    ],
    "comprend": [],
    "exclusions": [
      "bassinet (C65)",
      "calices (C65)"
    ],
    "clinical_text": [
      "Tumeur de Wilms (coder en plus l’aplasie radiale bilatérale Q87.2)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C65": {
    "code": "C65",
    "description": "Tumeur maligne du bassinet",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Cancer des calices",
      "Cancer de la jonction pelvi-urétérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C66": {
    "code": "C66",
    "description": "Tumeur maligne de l’uretère",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "orifice urétéral de la vessie (C67.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67": {
    "code": "C67",
    "description": "Tumeur maligne de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "carcinomes urothéliaux de haut grade sans caractère in situ : il s’agit soit d’une tumeur infiltrante à coder cancer, soit d’une",
      "tumeur superficielle non infiltrante sans caractère in situ (TAG3) (mais il s’agit souvent d’un problème d’échantillonnage),"
    ],
    "agora_refs": [
      "45776"
    ],
    "cocoa_notes": [
      "tumeur très agressive qu’il est conseillé de coder également comme un cancer (AGORA - # 45776 le 4 mai 2011)"
    ]
  },
  "C67.0": {
    "code": "C67.0",
    "description": "Cancer du trigone de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.1": {
    "code": "C67.1",
    "description": "Cancer du dôme de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.2": {
    "code": "C67.2",
    "description": "Cancer de la paroi latérale de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.3": {
    "code": "C67.3",
    "description": "Cancer de la paroi antérieure de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.4": {
    "code": "C67.4",
    "description": "Cancer de la paroi postérieure de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.5": {
    "code": "C67.5",
    "description": "Cancer du col vésical",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Orifice urétral interne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.6": {
    "code": "C67.6",
    "description": "Cancer de l’orifice urétéral",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 184,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-26 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.7": {
    "code": "C67.7",
    "description": "Cancer de l’ouraque",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.8": {
    "code": "C67.8",
    "description": "Cancer à localisations contigües de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C67.9": {
    "code": "C67.9",
    "description": "Cancer de la vessie, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C68": {
    "code": "C68",
    "description": "Tumeur maligne des organes urinaires, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "voies génito-urinaires SAI : • femme (C57.9)",
      "• homme (C63.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C68.0": {
    "code": "C68.0",
    "description": "Cancer de l’urètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "orifice urétral de la vessie (C67.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C68.1": {
    "code": "C68.1",
    "description": "Cancer de la glande urétrale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C68.9": {
    "code": "C68.9",
    "description": "Cancer d’organe urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Appareil urinaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69": {
    "code": "C69",
    "description": "Tumeur maligne de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerf optique (C72.3)",
      "paupière (peau) (C43.1, C44.1)",
      "tissu conjonctif de la paupière (C49.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.0": {
    "code": "C69.0",
    "description": "Cancer de la conjonctive",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.1": {
    "code": "C69.1",
    "description": "Cancer de la cornée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.2": {
    "code": "C69.2",
    "description": "Cancer de la rétine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétinoblastome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.3": {
    "code": "C69.3",
    "description": "Cancer de la choroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.4": {
    "code": "C69.4",
    "description": "Cancer du corps ciliaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.5": {
    "code": "C69.5",
    "description": "Cancer de la glande lacrymale et du canal lacrymal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canal lacrymo-nasal",
      "Sac lacrymal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.6": {
    "code": "C69.6",
    "description": "Cancer de l’orbite",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Muscle extra-oculaire",
      "Nerfs périphériques de l’orbite",
      "Tissu : • conjonctif de l’orbite",
      "• rétro-bulbaire",
      "• rétro-oculaire"
    ],
    "comprend": [],
    "exclusions": [
      "os de l’orbite (C41.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.8": {
    "code": "C69.8",
    "description": "Cancer à localisations contigües de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 185,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C69.9": {
    "code": "C69.9",
    "description": "Cancer de l’œil, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Globe oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C70": {
    "code": "C70",
    "description": "Tumeur maligne des méninges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C70.0": {
    "code": "C70.0",
    "description": "Cancer des méninges cérébrales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C70.1": {
    "code": "C70.1",
    "description": "Cancer des méninges rachidiennes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C70.9": {
    "code": "C70.9",
    "description": "Cancer des méninges, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71": {
    "code": "C71",
    "description": "Tumeur maligne de l’encéphale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerfs crâniens (C72.2-C72.5)",
      "tissu rétrobulbaire (C69.6)",
      "gliome de bas grade (grade II) : le grade est un facteur pronostique et non histologique. Vous coderez donc avec la"
    ],
    "clinical_text": [],
    "agora_refs": [
      "45776"
    ],
    "cocoa_notes": [
      "catégorie C71 (AGORA - # 45776 le 18 décembre 2009)"
    ]
  },
  "C71.0": {
    "code": "C71.0",
    "description": "Cancer du cerveau, sauf lobes et ventricules",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cancer supra-tentoriel SAI",
      "Gliomatose du cerveau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.1": {
    "code": "C71.1",
    "description": "Cancer du lobe frontal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.2": {
    "code": "C71.2",
    "description": "Cancer du lobe temporal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.3": {
    "code": "C71.3",
    "description": "Cancer du lobe pariétal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.4": {
    "code": "C71.4",
    "description": "Cancer du lobe occipital",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.5": {
    "code": "C71.5",
    "description": "Cancer du ventricule cérébral",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "quatrième ventricule (C71.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.6": {
    "code": "C71.6",
    "description": "Cancer du cervelet",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.7": {
    "code": "C71.7",
    "description": "Cancer du tronc cérébral",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infra-tentoriel SAI",
      "Quatrième ventricule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.8": {
    "code": "C71.8",
    "description": "Cancer à localisations contigües de l’encéphale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "Corps calleux",
      "Glioblastome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C71.9": {
    "code": "C71.9",
    "description": "Cancer de l’encéphale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "parties du système nerveux central"
    ],
    "comprend": [],
    "exclusions": [
      "méninges (C70.-)",
      "nerfs périphériques et du système nerveux autonome (C47.-)"
    ],
    "clinical_text": [
      "Tumeur maligne de la moelle épinière, des nerfs crâniens et d’autres"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.0": {
    "code": "C72.0",
    "description": "Cancer de la moelle épinière",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.1": {
    "code": "C72.1",
    "description": "Cancer de la queue de cheval",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.2": {
    "code": "C72.2",
    "description": "Cancer du nerf olfactif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 186,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bulbe olfactif",
      "2024 – 2-28 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.3": {
    "code": "C72.3",
    "description": "Cancer du nerf optique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.4": {
    "code": "C72.4",
    "description": "Cancer du nerf auditif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.5": {
    "code": "C72.5",
    "description": "Cancer des nerfs crâniens, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Nerf crânien SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C72.9": {
    "code": "C72.9",
    "description": "Cancer du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Système nerveux SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C73": {
    "code": "C73",
    "description": "Tumeur maligne de la thyroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Cancer thyroïdien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C74": {
    "code": "C74",
    "description": "Tumeur maligne de la surrénale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C74.0": {
    "code": "C74.0",
    "description": "Cancer du cortex de la surrénale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Corticosurrénalome malin (coder l’activité fonctionnelle en plus)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C74.1": {
    "code": "C74.1",
    "description": "Cancer de la médullosurrénale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Phéochromocytome malin (coder l’activité fonctionnelle en plus)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C74.9": {
    "code": "C74.9",
    "description": "Cancer de la surrénale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tumeur maligne d’autres glandes endocrines et structures",
      "apparentées"
    ],
    "comprend": [],
    "exclusions": [
      "ovaire (C56)",
      "pancréas endocrine (C25.4)",
      "surrénale (C74.-)",
      "testicule (C62.-)",
      "thymus (C37)",
      "thyroïde (C73)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.0": {
    "code": "C75.0",
    "description": "Cancer de parathyroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.1": {
    "code": "C75.1",
    "description": "Cancer de l’hypophyse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.2": {
    "code": "C75.2",
    "description": "Cancer du tractus crânio-pharyngien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.3": {
    "code": "C75.3",
    "description": "Cancer de l’épiphyse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer de la glande pinéale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.4": {
    "code": "C75.4",
    "description": "Cancer du corpuscule carotidien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.5": {
    "code": "C75.5",
    "description": "Cancer du glomus aortique et autres paraganglions",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.8": {
    "code": "C75.8",
    "description": "Cancer pluriglandulaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Les sièges d’atteintes multiples connus doivent être codés séparément."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C75.9": {
    "code": "C75.9",
    "description": "Cancer de glande endocrine, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 187,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76": {
    "code": "C76",
    "description": "Tumeur maligne de sièges autres et mal définis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tumeur maligne de(s) : • siège non précisé (subdivisions de la catégorie C80)",
      "• tissus lymphoïde, hématopoïétique et apparentés (C81-C96)",
      "• voies génito-urinaires SAI : • femme (C57.9)",
      "• homme (C63.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.0": {
    "code": "C76.0",
    "description": "Cancer de tête, face et cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Joue SAI",
      "Nez SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.1": {
    "code": "C76.1",
    "description": "Cancer du thorax",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aisselle SAI",
      "Intra-thoracique SAI",
      "Thoracique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.2": {
    "code": "C76.2",
    "description": "Cancer de l’abdomen",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.3": {
    "code": "C76.3",
    "description": "Cancer du pelvis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aine SAI",
      "organes pelviens, tels que : • cloison recto-vésicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Localisation empiétant sur plusieurs • cloison recto-vaginale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.4": {
    "code": "C76.4",
    "description": "Cancer du membre supérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.5": {
    "code": "C76.5",
    "description": "Cancer du membre inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.7": {
    "code": "C76.7",
    "description": "Cancer d’autres sièges mal définis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C76.8": {
    "code": "C76.8",
    "description": "Cancer à localisations contigües de sièges autres et mal définis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "[voir note 5 en début de chapitre]",
      "Tumeur maligne des ganglions lymphatiques, secondaire et non",
      "précisée"
    ],
    "comprend": [],
    "exclusions": [
      "tumeur maligne des ganglions lymphatiques, précisée comme étant primitive (C81-C86, C96.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.0": {
    "code": "C77.0",
    "description": "Métastase de ganglions lymphatiques de la tête, de la face et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ganglions sus-claviculaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.1": {
    "code": "C77.1",
    "description": "Métastase de ganglions lymphatiques intra-thoraciques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.2": {
    "code": "C77.2",
    "description": "Métastase de ganglions lymphatiques intra-abdominaux",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.3": {
    "code": "C77.3",
    "description": "Métastase de ganglions lymphatiques de l’aisselle et du membre supérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ganglions pectoraux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.4": {
    "code": "C77.4",
    "description": "Métastase de ganglions lymphatiques inguinaux et du membre inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.5": {
    "code": "C77.5",
    "description": "Métastase de ganglions lymphatiques intra-pelviens",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.8": {
    "code": "C77.8",
    "description": "Métastase de ganglions lymphatiques de sièges multiples",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C77.9": {
    "code": "C77.9",
    "description": "Métastase de ganglion lymphatique, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 188,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2024 – 2-30 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78": {
    "code": "C78",
    "description": "Tumeur maligne secondaire des organes respiratoires et digestifs",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.0": {
    "code": "C78.0",
    "description": "Tumeur maligne secondaire du poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Métastase pulmonaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "la lymphangite carcinomateuse (pulmonaire) est une forme de métastase pulmonaire dont le code est C78.0."
    ],
    "agora_refs": [
      "124807"
    ],
    "cocoa_notes": [
      "Le cancer primitif sera codé en plus, y compris s’il est pulmonaire. (AGORA - # 124807 le 8 janvier 2016)"
    ]
  },
  "C78.1": {
    "code": "C78.1",
    "description": "Tumeur maligne secondaire du médiastin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase médiastinale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.2": {
    "code": "C78.2",
    "description": "Tumeur maligne secondaire de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pleurésie maligne SAI",
      "Métastase pleurale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.3": {
    "code": "C78.3",
    "description": "Tumeur maligne secondaire des organes respiratoires, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase d’organe respiratoire autre et SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.4": {
    "code": "C78.4",
    "description": "Tumeur maligne secondaire de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase grêlique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.5": {
    "code": "C78.5",
    "description": "Tumeur maligne secondaire du gros intestin et du rectum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase colique",
      "Métastase rectale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.6": {
    "code": "C78.6",
    "description": "Tumeur maligne secondaire du rétropéritoine et du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ascite maligne SAI",
      "Carcinose péritonéale",
      "maligne secondaire du rétropéritoine et du péritoine.",
      "Maladie gélatineuse du péritoine",
      "histologiques rigoureux."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La carcinose péritonéale est une atteinte métastatique diffuse du péritoine : son code est C78.6 Tumeur",
      "La maladie gélatineuse ou pseudomyxome du péritoine est une maladie rare d’origine variable et",
      "controversée. Elle résulte le plus souvent de la diffusion du contenu mucineux d’une tumeur ovarienne ou",
      "appendiculaire rompue. C’est pourquoi la CIM la classe dans les tumeurs malignes métastatiques du",
      "péritoine (C78.6), et la Classification internationale des maladies pour l’oncologie (CIM-O) lui attribue le code",
      "de comportement /6 des tumeurs malignes métastatiques (M8480/6). Mais d’autres étiologies existent, qui",
      "peuvent remettre en cause son caractère de malignité tumorale (même si l’évolution est péjorative), voire",
      "son caractère secondaire. Un codage différent est donc possible s’il est étayé sur des arguments",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.6 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.7": {
    "code": "C78.7",
    "description": "Tumeur maligne secondaire du foie et des voies biliaires intra-hépatiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase hépatique",
      "Métastase biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C78.8": {
    "code": "C78.8",
    "description": "Tumeur maligne secondaire des organes digestifs, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 189,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase digestive autre et SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79": {
    "code": "C79",
    "description": "Tumeur maligne secondaire de sièges autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.0": {
    "code": "C79.0",
    "description": "Tumeur maligne secondaire du rein et du bassinet",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.1": {
    "code": "C79.1",
    "description": "Tumeur maligne secondaire de la vessie et des organes urinaires, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase vésicale",
      "Métastase urinaire autre et SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.2": {
    "code": "C79.2",
    "description": "Tumeur maligne secondaire de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase cutanée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.3": {
    "code": "C79.3",
    "description": "Tumeur maligne secondaire du cerveau et des méninges cérébrales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningite carcinomateuse",
      "Métastase cérébrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "22790",
      "90259"
    ],
    "cocoa_notes": [
      "Métastase sous-arachnoïdienne (AGORA - # 22790 le 8 décembre 2009)",
      "Epidurite métastatique au niveau de l’encéphale (AGORA – # 90259 le 5 décembre 2013)"
    ]
  },
  "C79.4": {
    "code": "C79.4",
    "description": "Tumeur maligne secondaire de parties du système nerveux, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase du système nerveux autre et SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "90259"
    ],
    "cocoa_notes": [
      "Epidurite métastatique au niveau du rachis (AGORA – # 90259 le 5 décembre 2013)"
    ]
  },
  "C79.5": {
    "code": "C79.5",
    "description": "Tumeur maligne secondaire des os et de la moelle osseuse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase osseuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.6": {
    "code": "C79.6",
    "description": "Tumeur maligne secondaire de l’ovaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase ovarienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.7": {
    "code": "C79.7",
    "description": "Tumeur maligne secondaire de la glande surrénale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase surrénalienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.8": {
    "code": "C79.8",
    "description": "Tumeur maligne secondaire d’autres sièges précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Métastase d’autre siège"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C79.9": {
    "code": "C79.9",
    "description": "est en effet le code requis pour un cancer généralisé. Cependant vu son imprécision il est conseillé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 190,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-32 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "140468"
    ],
    "cocoa_notes": [
      "de coder séparément les tumeurs et métastases (AGORA – # 140468 le 6 décembre 2016)"
    ]
  },
  "C80": {
    "code": "C80",
    "description": "Tumeur maligne de siège non précisé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 191,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C80.0": {
    "code": "C80.0",
    "description": "Tumeur maligne de siège primitif non précisé, ainsi décrit",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 191,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cancer de siège primitif inconnu",
      "a été recherché et n’a pas été retrouvé.",
      "ATIH - notice Info_MAJ_CIM10_2012 - janvier 2012"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code C80.0 Tumeur maligne de siège primitif non précisé, ainsi décrit est à utiliser lorsque le cancer primitif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C80.9": {
    "code": "C80.9",
    "description": "Tumeur maligne de siège primitif non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 191,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cachexie maligne SAI",
      "Cancer SAI",
      "Carcinome SAI",
      "Tumeur maligne SAI",
      "Cancer multiple SAI",
      "ATIH - notice Info_MAJ_CIM10_2012 - janvier 2012",
      "hématopoïétique et apparentés (C81-C96)",
      "Lymphome avec localisation viscérale",
      "morphologiques."
    ],
    "comprend": [],
    "exclusions": [
      "cancer multiple secondaire SAI (C79.9)",
      "tumeur maligne secondaire de siège non précisé (C79.9)",
      "tumeur des ganglions lymphatiques, secondaire et non précisée (C77.-)"
    ],
    "clinical_text": [
      "Cachexie maligne : ce terme devrait de préférence être codé R64 associé au(x) code(s) précis de la tumeur",
      "Le libellé du code C80.9 est modifié en Tumeur maligne de siège primitif non précisé. Il serait à employer en",
      "l’absence de toute information sur la nature de la tumeur et sa localisation.",
      "Tumeurs malignes primitives ou présumées primitives des tissus lymphoïde,",
      "Le codage des lymphomes emploie exclusivement les catégories C81 à C85. En effet, même s’il existe des localisations",
      "particulières, l’OMS considère qu’il s’agit de maladies générales. Par exemple, vous coderez C85.9 Lymphome non",
      "hodgkinien non précisé un lymphome de l’intestin grêle ou de toute autre partie de l’organisme en l’absence de précisions",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.6 - Créé le 15 mars 2008"
    ],
    "agora_refs": [
      "90818"
    ],
    "cocoa_notes": [
      "et des éventuelles métastases si besoin (AGORA – # 90818 le 20 décembre 2013)"
    ]
  },
  "C81": {
    "code": "C81",
    "description": "Lymphome de Hodgkin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C81.0": {
    "code": "C81.0",
    "description": "Lymphome de Hodgkin à prédominance lymphocytaire, forme nodulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "lymphome de Poppema : ce lymphome est décrit comme une maladie de Hodgkin, forme nodulaire,"
    ],
    "agora_refs": [
      "55064"
    ],
    "cocoa_notes": [
      "prédominance lymphocytaire. Vous le coderez C81.0 (AGORA – # 55064 le 24 novembre 2011)"
    ]
  },
  "C81.1": {
    "code": "C81.1",
    "description": "Lymphome de Hodgkin (classique), sclérose nodulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C81.2": {
    "code": "C81.2",
    "description": "Lymphome de Hodgkin (classique), à cellularité mixte",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C81.3": {
    "code": "C81.3",
    "description": "Lymphome de Hodgkin (classique), à déplétion lymphocytaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C81.4": {
    "code": "C81.4",
    "description": "Lymphome de Hodgkin (classique), riche en lymphocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lymphome de Hodgkin à prédominance lymphocytaire, forme nodulaire (C81.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C81.7": {
    "code": "C81.7",
    "description": "Autres formes de lymphome de Hodgkin (classique)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome de Hodgkin classique, de forme non précisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C81.9": {
    "code": "C81.9",
    "description": "Lymphome de Hodgkin, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82": {
    "code": "C82",
    "description": "Lymphome folliculaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "lymphome folliculaire avec ou sans zones diffuses"
    ],
    "exclusions": [
      "lymphome non hodgkinien à cellules T/NK (C84.−)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.0": {
    "code": "C82.0",
    "description": "Lymphome folliculaire, grade I",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.1": {
    "code": "C82.1",
    "description": "Lymphome folliculaire, grade II",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.2": {
    "code": "C82.2",
    "description": "Lymphome folliculaire, grade III, non précisé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.3": {
    "code": "C82.3",
    "description": "Lymphome folliculaire, grade IIIa",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.4": {
    "code": "C82.4",
    "description": "Lymphome folliculaire, grade IIIb",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.5": {
    "code": "C82.5",
    "description": "Lymphome centrofolliculaire diffus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.6": {
    "code": "C82.6",
    "description": "Lymphome centrofolliculaire cutané",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.7": {
    "code": "C82.7",
    "description": "Autres formes de lymphome folliculaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C82.9": {
    "code": "C82.9",
    "description": "Lymphome folliculaire sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 192,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome nodulaire SAI",
      "2024 – 2-34 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83": {
    "code": "C83",
    "description": "Lymphome non folliculaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.0": {
    "code": "C83.0",
    "description": "Lymphome à petites cellules B",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Forme aleucémique de la leucémie lymphoïde chronique B",
      "Lymphome ganglionnaire de la zone marginale",
      "Lymphome lymphoplasmocytaire",
      "Lymphome splénique de la zone marginale"
    ],
    "comprend": [],
    "exclusions": [
      "leucémie lymphoïde chronique (C91.1)",
      "macroglobulinémie de Waldenström (C88.0)",
      "lymphome à cellules T (C84.−)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.1": {
    "code": "C83.1",
    "description": "Lymphome à cellules du manteau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome centrocytique",
      "Polypose lymphomateuse maligne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.3": {
    "code": "C83.3",
    "description": "Lymphome diffus à grandes cellules B",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome diffus à • anaplasique",
      "grandes cellules B : • CD30+",
      "• centroblastique",
      "• immunoblastique",
      "• plasmoblastique",
      "• riche en lymphocytes T",
      "• sous-type non précisé"
    ],
    "comprend": [],
    "exclusions": [
      "lymphome médiastinal (thymique) à grandes cellules B (C85.2)",
      "lymphome à cellules T/NK (C84.−)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.5": {
    "code": "C83.5",
    "description": "Lymphome lymphoblastique (diffus)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome à cellules précurseurs B",
      "Lymphome à cellules précurseurs T",
      "Lymphome lymphoblastique à cellules B",
      "Lymphome lymphoblastique à cellules T",
      "Lymphome lymphoblastique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.7": {
    "code": "C83.7",
    "description": "Lymphome de Burkitt",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome de Burkitt atypique",
      "Lymphome « Burkitt-like »"
    ],
    "comprend": [],
    "exclusions": [
      "Leucémie à cellules B matures, de type Burkitt (C91.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.8": {
    "code": "C83.8",
    "description": "Autres lymphomes non folliculaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulomatose lymphomatoïde",
      "Lymphomes des séreuses",
      "Lymphome intra-vasculaire à grandes cellules B"
    ],
    "comprend": [],
    "exclusions": [
      "lymphome médiastinal (thymique) à grandes cellules B (C85.2)",
      "lymphome à grandes cellules B riche en lymphocytes T (C83.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C83.9": {
    "code": "C83.9",
    "description": "Lymphome (diffus) non folliculaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84": {
    "code": "C84",
    "description": "Lymphomes à cellules T/NK matures",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.0": {
    "code": "C84.0",
    "description": "Mycosis fongoïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.1": {
    "code": "C84.1",
    "description": "Réticulose de Sézary",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 193,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.4": {
    "code": "C84.4",
    "description": "Lymphome périphérique à cellules T, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymhome de Lennert",
      "Lymphome lympho-épithélioïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.5": {
    "code": "C84.5",
    "description": "Autres lymphomes à cellules T/NK matures",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "coder selon la description la plus précise."
    ],
    "comprend": [],
    "exclusions": [
      "leucémie à cellules T (C91.-)",
      "lymphome angio-immunoblastique à cellules T (C86.5)",
      "lymphome (intestinal) à cellules T, type entéropathique (C86.2)",
      "lymphome à cellules T simulant une panniculite sous-cutanée (C86.3)",
      "lymphome à cellules NK blastiques (C86.4)",
      "lymphome extra-nodal à cellules T/NK, type nasal (C86.0)",
      "lymphome hépatosplénique à cellules T (C86.1)",
      "syndrome lymphoprolifératif cutané primitif à cellules T CD30+ (C86.6)"
    ],
    "clinical_text": [
      "Note Si une atteinte des cellules T est mentionnée à propos d’un lymphome précis, il convient de le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.6": {
    "code": "C84.6",
    "description": "Lymphome anaplasique à grandes cellules ALK positives",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymphome à grandes cellules anaplasiques, CD30+"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.7": {
    "code": "C84.7",
    "description": "Lymphome anaplasique à grandes cellules ALK négatives",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome lymphoprolifératif cutané primitif à cellules T CD30+ (C86.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.8": {
    "code": "C84.8",
    "description": "Lymphome cutané à cellules T, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C84.9": {
    "code": "C84.9",
    "description": "Lymphome à cellules T/NK matures, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymphome à cellules T/NK SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lymphome à cellules T matures, non classé ailleurs (C84.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C85": {
    "code": "C85",
    "description": "Lymphome non hodgkinien, de types autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C85.1": {
    "code": "C85.1",
    "description": "Lymphomes à cellules B, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "coder selon la description la plus précise."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Si une atteinte des cellules B est mentionnée à propos d’un lymphome précis, il convient de le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C85.2": {
    "code": "C85.2",
    "description": "Lymphome médiastinal (thymique) à grandes cellules B",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C85.7": {
    "code": "C85.7",
    "description": "Autres types précisés de lymphome non hodgkinien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C85.9": {
    "code": "C85.9",
    "description": "Lymphome non hodgkinien non précisé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome : • SAI",
      "• malin SAI",
      "• non hodgkinien SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86": {
    "code": "C86",
    "description": "Autres types précisés de lymphomes à cellules T/NK",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lymphome anaplasique à grandes cellules ALK négatives (C84.7)",
      "lymphome anaplasique à grandes cellules ALK positives (C84.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.0": {
    "code": "C86.0",
    "description": "Lymphome extra-nodal à cellules T/NK, type nasal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Granulome malin centro-facial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.1": {
    "code": "C86.1",
    "description": "Lymphome hépatosplénique à cellules T",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Types alpha-beta et gamma-delta"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.2": {
    "code": "C86.2",
    "description": "Lymphome (intestinal) à cellules T, type entéropathique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymphome à cellules T associé à une entéropathie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.3": {
    "code": "C86.3",
    "description": "Lymphome à cellules T simulant une panniculite",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 194,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2024 – 2-36 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.4": {
    "code": "C86.4",
    "description": "Lymphome à cellules NK blastiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.5": {
    "code": "C86.5",
    "description": "Lymphome angio-immunoblastique à cellules T",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lymphadénopathie angio-immunoblastique avec dysprotéinémie [LAID]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C86.6": {
    "code": "C86.6",
    "description": "Syndrome lymphoprolifératif cutané primitif à cellules T CD30 positives",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymphome cutané primitif anaplasique à grandes cellules",
      "Papulose lymphomatoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lymphome cutané primitif à grandes cellules T CD30+ positives"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88": {
    "code": "C88",
    "description": "Maladies immuno-prolifératives malignes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88.0": {
    "code": "C88.0",
    "description": "Macroglobulinémie de Waldenström",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome lymphoplasmocytaire avec production d’IgM",
      "Macroglobulinémie (idiopathique) (primitive)"
    ],
    "comprend": [],
    "exclusions": [
      "lymphome à petites cellules B (C83.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88.2": {
    "code": "C88.2",
    "description": "Maladie d’autres chaînes lourdes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie des chaînes lourdes gamma Ɣ",
      "Maladie des chaînes lourdes mu μ",
      "Maladie de Franklin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88.3": {
    "code": "C88.3",
    "description": "Maladie immuno-proliférative de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphome méditerranéen",
      "Maladie des chaînes lourdes alpha α"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88.4": {
    "code": "C88.4",
    "description": "Lymphome de la zone marginale à cellules B des tissus lymphoïdes associés aux muqueuses",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de haute malignité (diffus à grandes cellules)",
      "Lymphome MALT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Utiliser, au besoin, un code supplémentaire (C83.3) pour indiquer l’évolution vers un lymphome",
      "Lymphome MALT : les lymphomes du tissu lymphoïde associé aux muqueuses (Mucosa Associated",
      "Lymphoid Tissue) peuvent atteindre plusieurs organes (tube digestif, appareil respiratoire essentiellement)",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.6 - Créé le 15 mars 2008",
      "Lymphome des tissus lymphoïdes associés aux tissus cutanés : lymphome SALT",
      "Lymphome des tissus lymphoïdes associés aux bronches : lymphome BALT"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88.7": {
    "code": "C88.7",
    "description": "Autres maladies immunoprolifératives malignes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C88.9": {
    "code": "C88.9",
    "description": "Maladie immunoproliférative maligne, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie immunoproliférative SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C90": {
    "code": "C90",
    "description": "Myélome multiple et tumeurs malignes à plasmocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C90.0": {
    "code": "C90.0",
    "description": "Myélome multiple",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Kahler",
      "Myélomatose",
      "Myélome à plasmocytes",
      "Plasmocytome médullaire"
    ],
    "comprend": [],
    "exclusions": [
      "plasmocytome solitaire (C90.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C90.1": {
    "code": "C90.1",
    "description": "Leucémie à plasmocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucémie plasmocytaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C90.2": {
    "code": "C90.2",
    "description": "Plasmocytome extra-médullaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 195,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C90.3": {
    "code": "C90.3",
    "description": "Plasmocytome solitaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myélome solitaire",
      "Plasmocytome SAI",
      "Tumeur maligne à plasmocytes localisée SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91": {
    "code": "C91",
    "description": "Leucémie lymphoïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.0": {
    "code": "C91.0",
    "description": "Leucémie lymphoblastique aiguë [LLA]",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Ce code ne devrait être employé que pour les leucémies à cellules précurseurs B et T"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.1": {
    "code": "C91.1",
    "description": "Leucémie lymphoïde chronique à cellules B",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Leucémie lymphoplasmocytaire",
      "Syndrome de Richter"
    ],
    "comprend": [],
    "exclusions": [
      "lymphome lymphoplasmocytaire (C83.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.3": {
    "code": "C91.3",
    "description": "Leucémie à prolymphocytes à cellules B",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.4": {
    "code": "C91.4",
    "description": "Leucémie à tricholeucocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Réticulo-endothéliose leucémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.5": {
    "code": "C91.5",
    "description": "Lymphome/leucémie de l’adulte à cellules T (associé(e) à HTLV-1)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Forme • aiguë",
      "• chronique",
      "• latente",
      "• lymphomatoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.6": {
    "code": "C91.6",
    "description": "Leucémie à prolymphocytes à cellules T",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.7": {
    "code": "C91.7",
    "description": "Autres leucémies lymphoïdes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Leucémie à grands lymphocytes T granuleux (associée à la polyarthrite rhumatoïde)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.8": {
    "code": "C91.8",
    "description": "Leucémie à cellules B matures, de type Burkitt",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lymphome de Burkitt avec peu ou pas d’envahissement médullaire (C83.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C91.9": {
    "code": "C91.9",
    "description": "Leucémie lymphoïde, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92": {
    "code": "C92",
    "description": "Leucémie myéloïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "leucémie : • granulocytaire",
      "• myélogène"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.0": {
    "code": "C92.0",
    "description": "Leucémie myéloblastique aiguë [LAM]",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 196,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie réfractaire avec excès de blastes en transformation",
      "LAM 1/ETO",
      "LAM avec t(8;21)",
      "LAM M0",
      "LAM M1",
      "LAM M2",
      "LAM (sans classification FAB) SAI",
      "Leucémie aiguë myéloblastique (avec maturation)",
      "Leucémie aiguë myéloblastique peu différenciée",
      "2024 – 2-38 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [
      "poussée aiguë au cours d’une leucémie myéloïde chronique (C92.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.1": {
    "code": "C92.1",
    "description": "Leucémie myéloïde chronique [LMC] ABL-BCR positif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Leucémie myélogène chronique, t(9;22)(q34;q11)"
    ],
    "comprend": [],
    "exclusions": [
      "leucémie myéloïde chronique atypique (C92.2)",
      "leucémie myélomonocytaire chronique (C93.1)",
      "maladie myéloproliférative sans précision (D47.1)"
    ],
    "clinical_text": [
      "Leucémie myélogène chronique avec crise de cellules blastiques",
      "Leucémie myélogène chronique, chromosome Philadelphie (Ph1) positif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.2": {
    "code": "C92.2",
    "description": "Leucémie myéloïde chronique atypique, ABL-BCR négatif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.3": {
    "code": "C92.3",
    "description": "Sarcome myéloïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Note tumeur à cellules myéloïdes immatures",
      "Chlorome",
      "Sarcome granulocytaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.4": {
    "code": "C92.4",
    "description": "Leucémie promyélocytaire aiguë [PML]",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "LAM M3",
      "LAM M3 avec t(15;17) et variantes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.5": {
    "code": "C92.5",
    "description": "Leucémie myélomonocytaire aiguë",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "LAM M4",
      "LAM M4 Eo avec inv(16) ou t(16;16)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.6": {
    "code": "C92.6",
    "description": "Leucémie myéloïde aiguë avec anomalies 11q23",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Leucémie myéloïde aiguë avec anomalies du gène MLL"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.7": {
    "code": "C92.7",
    "description": "Autres leucémies myéloïdes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "leucémie chronique à éosinophiles (D47.5)",
      "syndrome hyperéosinophilique (D47.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.8": {
    "code": "C92.8",
    "description": "Leucémie myéloïde aiguë avec dysplasie de plusieurs lignées cellulaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "maladie myélodysplasique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note leucémie myéloïde aiguë avec dysplasie de l’hématopoïèse restante et/ou antécédent de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C92.9": {
    "code": "C92.9",
    "description": "Leucémie myéloïde, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C93": {
    "code": "C93",
    "description": "Leucémie monocytaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "leucémie monocytoïde"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C93.0": {
    "code": "C93.0",
    "description": "Leucémie monoblastique/monocytaire aiguë",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "LAM M5a",
      "LAM M5b",
      "LAM M5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C93.1": {
    "code": "C93.1",
    "description": "Leucémie myélomonocytaire chronique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucémie monocytaire chronique",
      "Leucémie myélomonocytaire chronique, type 1",
      "Leucémie myélomonocytaire chronique, type 2",
      "Leucémie myélomonocytaire chronique avec éosiniphilie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C93.3": {
    "code": "C93.3",
    "description": "Leucémie myélomonocytaire juvénile",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C93.7": {
    "code": "C93.7",
    "description": "Autres leucémies monocytaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C93.9": {
    "code": "C93.9",
    "description": "Leucémie monocytaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 197,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94": {
    "code": "C94",
    "description": "Autres leucémies à cellules précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "leucémie à plasmocytes (C90.1)",
      "réticulo-endothéliose leucémique (C91.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94.0": {
    "code": "C94.0",
    "description": "Leucémie érythroïde aiguë",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucémie myéloïde aiguë M6(a)(b)",
      "Erythroleucémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94.2": {
    "code": "C94.2",
    "description": "Leucémie aiguë à mégacaryocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucémie myéloïde aiguë M7",
      "Leucémie mégacaryoblastique aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94.3": {
    "code": "C94.3",
    "description": "Leucémie à mastocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94.4": {
    "code": "C94.4",
    "description": "Panmyélose aiguë avec myélofibrose",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myélofibrose aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94.6": {
    "code": "C94.6",
    "description": "Maladie myélodysplasique et myéloproliférative, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C94.7": {
    "code": "C94.7",
    "description": "Autres leucémies précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Leucémie agressive à cellules NK",
      "Leucémie aiguë à basophiles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C95": {
    "code": "C95",
    "description": "Leucémie à cellules non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C95.0": {
    "code": "C95.0",
    "description": "Leucémie aiguë à cellules non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Leucémie à cellules souches de lignée mal définie",
      "Leucémie aiguë biclonale",
      "Leucémie aiguë biphénotypique",
      "Leucémie aiguë de lignée mixte"
    ],
    "comprend": [],
    "exclusions": [
      "poussée aiguë au cours d’une leucémie chronique non précisée (C95.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C95.1": {
    "code": "C95.1",
    "description": "Leucémie chronique à cellules non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C95.7": {
    "code": "C95.7",
    "description": "Autres leucémies à cellules non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C95.9": {
    "code": "C95.9",
    "description": "Leucémie, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tumeurs malignes des tissus lymphoïde, hématopoïétique et",
      "apparentés, autres et non précisées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.0": {
    "code": "C96.0",
    "description": "Histiocytose à cellules de Langerhans multifocale et multisystémique (disséminée)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hystiocytose X, multisystémique",
      "Maladie de Letterer-Siwe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.2": {
    "code": "C96.2",
    "description": "Tumeur maligne à mastocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 198,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mastocytose systémique agressive",
      "Sarcome à mastocytes",
      "2024 – 2-40 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [
      "leucémie à mastocytes (C94.3)",
      "mastocytose (congénitale) (cutanée) (Q82.2)",
      "mastocytose indolente (D47.0)"
    ],
    "clinical_text": [],
    "agora_refs": [
      "110241"
    ],
    "cocoa_notes": [
      "mastocytose osseuse (…) : C96.2 à confirmer par l’anatomopathologiste (AGORA – # 110241 le 20 février 2015)"
    ]
  },
  "C96.4": {
    "code": "C96.4",
    "description": "Sarcome à cellules dendritiques (cellules accessoires)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sarcome à cellules de Langerhans",
      "Sarcome à cellules dendritiques folliculaires",
      "Sarcome à cellules dendritiques interdigitées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.5": {
    "code": "C96.5",
    "description": "Histiocytose à cellules de Langerhans multifocale et unisystémique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Histiocytose X, multifocale",
      "Maladie de Hand-Schüller-Christian"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.6": {
    "code": "C96.6",
    "description": "Histiocytose à cellules de Langerhans unifocale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome éosinophile",
      "Histiocytose à cellules de Langerhans, SAI",
      "Histiocytose X, unifocale",
      "Histiocytose X, SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.7": {
    "code": "C96.7",
    "description": "Autres tumeurs malignes précisées des tissus lymphoïde, hématopoïétique et apparentés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.8": {
    "code": "C96.8",
    "description": "Sarcome histiocytaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hystiocytose maligne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "C96.9": {
    "code": "C96.9",
    "description": "Tumeur maligne des tissus lymphoïde, hématopoïétique et apparentés, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 199,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeurs malignes de sièges multiples indépendants (primitifs) (C97)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D00": {
    "code": "D00",
    "description": "Carcinome in situ de la cavité buccale, de l’œsophage et de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mélanome in situ (D03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D00.0": {
    "code": "D00.0",
    "description": "Carcinome in situ de la lèvre, cavité buccale et pharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bord libre de la lèvre",
      "Repli ary-épiglottique : • SAI",
      "• versant hypopharyngé",
      "• zone marginale"
    ],
    "comprend": [],
    "exclusions": [
      "épiglotte : • SAI (D02.0)",
      "• partie sus-hyoïdienne (D02.0)",
      "peau de la lèvre (D03.0, D04.0)",
      "repli ary-épiglottique, versant laryngé (D02.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D00.1": {
    "code": "D00.1",
    "description": "Carcinome in situ de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D00.2": {
    "code": "D00.2",
    "description": "Carcinome in situ de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01": {
    "code": "D01",
    "description": "Carcinome in situ des organes digestifs, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mélanome in situ (D03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.0": {
    "code": "D01.0",
    "description": "Carcinome in situ du côlon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "262160 le 2 mai 2024)"
    ],
    "comprend": [],
    "exclusions": [
      "jonction recto-sigmoïdienne (D01.1)"
    ],
    "clinical_text": [
      "Coder la dysplasie de haut grade du caecum en D01.0 comme préconisé en réponse # 16611 (AGORA – #",
      "En l'absence de précision de l'anapath nous conseillons de coder un carcinome in situ pour les adénomes"
    ],
    "agora_refs": [
      "16611"
    ],
    "cocoa_notes": [
      "du côlon avec dysplasie de haut grade. (AGORA – # 16611 le 27 septembre 2012)"
    ]
  },
  "D01.1": {
    "code": "D01.1",
    "description": "Carcinome in situ de la jonction recto-sigmoïdienne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.2": {
    "code": "D01.2",
    "description": "Carcinome in situ du rectum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.3": {
    "code": "D01.3",
    "description": "Carcinome in situ de l’anus et du canal anal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "marge anale (D03.5, D04.5)",
      "peau",
      "peau périanale (D03.5, D04.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.4": {
    "code": "D01.4",
    "description": "Carcinome in situ de parties de l’intestin, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ampoule de Vater (D01.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.5": {
    "code": "D01.5",
    "description": "Carcinome in situ du foie, de la vésicule et des voies biliaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 200,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ampoule de Vater",
      "Ampoule hépato-pancréatique",
      "2024 – 2-42 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.7": {
    "code": "D01.7",
    "description": "Carcinome in situ d’autres organes digestifs précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pancréas"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D01.9": {
    "code": "D01.9",
    "description": "Carcinome in situ d’organe digestif, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D02": {
    "code": "D02",
    "description": "Carcinome in situ de l’oreille moyenne et de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mélanome in situ (D03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D02.0": {
    "code": "D02.0",
    "description": "Larynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épiglotte (partie sus-hyoïdienne)",
      "Repli ary-épiglottique, versant laryngé"
    ],
    "comprend": [],
    "exclusions": [
      "repli ary-épiglottique : • SAI (D00.0)",
      "• versant hypopharyngé (D00.0)",
      "• zone marginale (D00.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D02.1": {
    "code": "D02.1",
    "description": "Trachée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D02.2": {
    "code": "D02.2",
    "description": "Bronches et poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D02.3": {
    "code": "D02.3",
    "description": "Autres parties de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fosses nasales",
      "Oreille moyenne",
      "Sinus de la face"
    ],
    "comprend": [],
    "exclusions": [
      "nez : • SAI (D09.7)",
      "• peau (D03.3, D04.3)",
      "oreille (externe) (peau) (D03.2, D04.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D02.4": {
    "code": "D02.4",
    "description": "Appareil respiratoire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03": {
    "code": "D03",
    "description": "Mélanome in situ",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "les codes morphologiques M872-M879 avec code de comportement /2"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.0": {
    "code": "D03.0",
    "description": "Mélanome in situ de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.1": {
    "code": "D03.1",
    "description": "Mélanome in situ de la paupière, y compris le canthus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.2": {
    "code": "D03.2",
    "description": "Mélanome in situ de l’oreille et du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.3": {
    "code": "D03.3",
    "description": "Mélanome in situ de parties de la face, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.4": {
    "code": "D03.4",
    "description": "Mélanome in situ du cuir chevelu et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.5": {
    "code": "D03.5",
    "description": "Mélanome in situ du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Marge",
      "anale",
      "Peau",
      "Peau périanale",
      "Sein (peau) (tissu mou)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.6": {
    "code": "D03.6",
    "description": "Mélanome in situ du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.7": {
    "code": "D03.7",
    "description": "Mélanome in situ du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.8": {
    "code": "D03.8",
    "description": "Mélanome in situ d’autres sièges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D03.9": {
    "code": "D03.9",
    "description": "Mélanome in situ, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 201,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04": {
    "code": "D04",
    "description": "Carcinome in situ de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "érythroplasie de Queyrat (verge) SAI (D07.4)",
      "mélanome in situ (D03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.0": {
    "code": "D04.0",
    "description": "Carcinome in situ de la peau de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bord libre de la lèvre (D00.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.1": {
    "code": "D04.1",
    "description": "Carcinome in situ de la peau de la paupière, y compris le canthus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.2": {
    "code": "D04.2",
    "description": "Carcinome in situ de la peau de l’oreille et du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.3": {
    "code": "D04.3",
    "description": "Carcinome in situ de la peau des parties de la face, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.4": {
    "code": "D04.4",
    "description": "Carcinome in situ de la peau du cuir chevelu et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.5": {
    "code": "D04.5",
    "description": "Carcinome in situ de la peau du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Marge",
      "anale",
      "Peau",
      "Peau (du) : • périanale",
      "• sein"
    ],
    "comprend": [],
    "exclusions": [
      "anus SAI (D01.3)",
      "peau des organes génitaux (D07.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.6": {
    "code": "D04.6",
    "description": "Carcinome in situ de la peau du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.7": {
    "code": "D04.7",
    "description": "Carcinome in situ de la peau du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.8": {
    "code": "D04.8",
    "description": "Carcinome in situ de la peau d’autres sièges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D04.9": {
    "code": "D04.9",
    "description": "Carcinome in situ de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D05": {
    "code": "D05",
    "description": "Carcinome in situ du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "carcinome in situ de la peau du sein (D04.5)",
      "mélanome in situ du sein (peau) (D03.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D05.0": {
    "code": "D05.0",
    "description": "Carcinome in situ lobulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D05.1": {
    "code": "D05.1",
    "description": "Carcinome in situ intra-canalaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D05.7": {
    "code": "D05.7",
    "description": "Autres carcinomes in situ du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D05.9": {
    "code": "D05.9",
    "description": "Carcinome in situ du sein, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D06": {
    "code": "D06",
    "description": "Carcinome in situ du col de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "néoplasie intra-épithéliale du col de l’utérus [NIC], stade III avec ou sans mention de dysplasie sévère"
    ],
    "exclusions": [
      "dysplasie sévère du col de l’utérus SAI (N87.2)",
      "mélanome in situ du col de l’utérus (D03.5)"
    ],
    "clinical_text": [
      "Les lésions malpighiennes intra-épithéliales de haut grade du col de l'utérus peuvent bien être codés en D06.- Carcinome"
    ],
    "agora_refs": [
      "232868"
    ],
    "cocoa_notes": [
      "in situ du col de l'utérus. (AGORA - # 232868 le 11 juillet 2022)"
    ]
  },
  "D06.0": {
    "code": "D06.0",
    "description": "Carcinome in situ de l’endocol",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D06.1": {
    "code": "D06.1",
    "description": "Carcinome in situ de l’exocol",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D06.7": {
    "code": "D06.7",
    "description": "Carcinome in situ d’autres parties du col de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D06.9": {
    "code": "D06.9",
    "description": "Carcinome in situ du col de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 202,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-44 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07": {
    "code": "D07",
    "description": "Carcinome in situ d’organes génitaux, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mélanome in situ (D03.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.0": {
    "code": "D07.0",
    "description": "Carcinome in situ de l’endomètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.1": {
    "code": "D07.1",
    "description": "Carcinome in situ de la vulve",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysplasie sévère de la vulve SAI (N90.2)"
    ],
    "clinical_text": [
      "Néoplasie intra-épithéliale de la vulve [NIV], stade III, avec ou sans mention de dysplasie sévère"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.2": {
    "code": "D07.2",
    "description": "Carcinome in situ du vagin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysplasie sévère du vagin SAI (N89.2)"
    ],
    "clinical_text": [
      "Néoplasie intra-épithéliale du vagin [NIVA], stade III, avec ou sans mention de dysplasie sévère"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.3": {
    "code": "D07.3",
    "description": "Carcinome in situ des organes génitaux de la femme, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.4": {
    "code": "D07.4",
    "description": "Carcinome in situ de la verge",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Érythroplasie de Queyrat SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.5": {
    "code": "D07.5",
    "description": "Carcinome in situ de la prostate",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysplasie de la prostate de bas grade (N42.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D07.6": {
    "code": "D07.6",
    "description": "Carcinome in situ des organes génitaux de l’homme, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09": {
    "code": "D09",
    "description": "Carcinome in situ de sièges autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mélanome in situ (D03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09.0": {
    "code": "D09.0",
    "description": "Carcinome in situ de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09.1": {
    "code": "D09.1",
    "description": "Carcinome in situ des organes urinaires, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09.2": {
    "code": "D09.2",
    "description": "Carcinome in situ de l’œil",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "peau de la paupière (D04.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09.3": {
    "code": "D09.3",
    "description": "Carcinome in situ de la thyroïde et autres glandes endocrines",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ovaire (D07.3)",
      "pancréas endocrine (D01.7)",
      "testicule (D07.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09.7": {
    "code": "D09.7",
    "description": "Carcinome in situ d’autres sièges précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D09.9": {
    "code": "D09.9",
    "description": "Carcinome in situ, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 203,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "les codes morphologiques avec code de comportement /0"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10": {
    "code": "D10",
    "description": "Tumeur bénigne de la bouche et du pharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.0": {
    "code": "D10.0",
    "description": "Tumeur bénigne de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvre (bord libre) (face intérieure) (frein) (muqueuse)"
    ],
    "comprend": [],
    "exclusions": [
      "peau de la lèvre (D22.0, D23.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.1": {
    "code": "D10.1",
    "description": "Tumeur bénigne de la langue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amygdale linguale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.2": {
    "code": "D10.2",
    "description": "Tumeur bénigne du plancher de la bouche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.3": {
    "code": "D10.3",
    "description": "Tumeur bénigne de parties de la bouche, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glandes salivaires accessoires SAI"
    ],
    "comprend": [],
    "exclusions": [
      "muqueuse de la lèvre (D10.0)",
      "paroi rhino-pharyngienne du voile du palais (D10.6)",
      "tumeur odontogène bénigne (D16.4-D16.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.4": {
    "code": "D10.4",
    "description": "Tumeur bénigne de l’amygdale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amygdale (palatine)",
      "Tonsille (palatine)"
    ],
    "comprend": [],
    "exclusions": [
      "amygdale : • linguale (D10.1)",
      "• pharyngienne (D10.6)",
      "fosse des amygdales (D10.5)",
      "piliers des amygdales (D10.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.5": {
    "code": "D10.5",
    "description": "Tumeur bénigne d’autres parties de l’oropharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épiglotte, face antérieure",
      "Fosse des amygdales",
      "Piliers des amygdales",
      "Fossette",
      "Tératome épignathe (oropharyngé mature)"
    ],
    "comprend": [],
    "exclusions": [
      "Epiglotte : • SAI (D14.1)",
      "• partie sus-hyoïdienne (D14.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.6": {
    "code": "D10.6",
    "description": "Tumeur bénigne du rhinopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amygdale pharyngienne",
      "Bord postérieur de la cloison nasale et des choanes",
      "Tératome nasopharyngé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.7": {
    "code": "D10.7",
    "description": "Tumeur bénigne de l’hypopharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D10.9": {
    "code": "D10.9",
    "description": "Tumeur bénigne du pharynx, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 204,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-46 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D11": {
    "code": "D11",
    "description": "Tumeur bénigne des glandes salivaires principales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tumeurs bénignes des glandes salivaires accessoires SAI (D10.3)",
      "tumeurs bénignes des glandes salivaires accessoires précisées qui sont classées en fonction de leur siège",
      "anatomique"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D11.0": {
    "code": "D11.0",
    "description": "Tumeur bénigne de la glande parotide",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D11.7": {
    "code": "D11.7",
    "description": "Tumeur bénigne d’autres glandes salivaires principales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glande : • sous-maxillaire",
      "• sous-mandibulaire",
      "• sublinguale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D11.9": {
    "code": "D11.9",
    "description": "Tumeur bénigne de la glande salivaire principale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12": {
    "code": "D12",
    "description": "Tumeur bénigne du côlon, du rectum, de l’anus et du canal anal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.0": {
    "code": "D12.0",
    "description": "Tumeur bénigne du cæcum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Valvule iléo-cæcale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.1": {
    "code": "D12.1",
    "description": "Tumeur bénigne de l’appendice",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.2": {
    "code": "D12.2",
    "description": "et non D18.0.",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 104"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.3": {
    "code": "D12.3",
    "description": "Tumeur bénigne du côlon transverse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angle : • droit du côlon",
      "• gauche du côlon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.4": {
    "code": "D12.4",
    "description": "Tumeur bénigne du côlon descendant",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.5": {
    "code": "D12.5",
    "description": "Tumeur bénigne du côlon sigmoïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 205,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.6": {
    "code": "D12.6",
    "description": "+8 Colon, tumeurs bénignes autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.7": {
    "code": "D12.7",
    "description": "Tumeur bénigne de la jonction recto-sigmoïdienne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.8": {
    "code": "D12.8",
    "description": "Tumeur bénigne du rectum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D12.9": {
    "code": "D12.9",
    "description": "Tumeur bénigne de l’anus et du canal anal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "marge anale (D22.5, D23.5)",
      "peau anale (D22.5, D23.5)",
      "peau périanale (D22.5, D23.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13": {
    "code": "D13",
    "description": "Tumeurs bénignes de parties autres et mal définies de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.0": {
    "code": "D13.0",
    "description": "Tumeur bénigne de l’œsophage",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.1": {
    "code": "D13.1",
    "description": "Tumeur bénigne de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.2": {
    "code": "D13.2",
    "description": "Tumeur bénigne du duodénum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.3": {
    "code": "D13.3",
    "description": "Tumeur bénigne de parties de l’intestin grêle, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.4": {
    "code": "D13.4",
    "description": "Tumeur bénigne du foie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Voies biliaires intra-hépatiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.5": {
    "code": "D13.5",
    "description": "Tumeur bénigne des voies biliaires extra-hépatiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.6": {
    "code": "D13.6",
    "description": "Tumeur bénigne du pancréas",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pancréas endocrine (D13.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.7": {
    "code": "D13.7",
    "description": "Tumeur bénigne du pancréas endocrine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Îlots de Langerhans",
      "Tumeur à cellules insulaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.9": {
    "code": "D13.9",
    "description": "Tumeur bénigne de sièges mal définis de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Appareil digestif SAI",
      "Intestin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D13.90": {
    "code": "D13.90",
    "description": "Tumeur bénigne de la rate",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D14": {
    "code": "D14",
    "description": "Tumeur bénigne de l’oreille moyenne et de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D14.0": {
    "code": "D14.0",
    "description": "Tumeur bénigne de l’oreille moyenne, fosses nasales et sinus de la face",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 206,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cartilage du nez",
      "2024 – 2-48 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [
      "bord postérieur de la cloison nasale et des choanes (D10.6)",
      "bulbe olfactif (D33.3)",
      "cartilage de l’oreille (D21.0)",
      "conduit auditif (externe) (D22.2, D23.2)",
      "nez : • SAI (D36.7)",
      "• peau (D22.3, D23.3)",
      "oreille (externe) (peau) (D22.2, D23.2)",
      "os de : • nez (D16.4)",
      "• oreille (D16.4)",
      "polype (de) : • nasal (fosses nasales) (J33.-)",
      "• oreille (moyenne) (H74.4)",
      "• sinus de la face (J33.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D14.1": {
    "code": "D14.1",
    "description": "Tumeur bénigne du larynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épiglotte (partie sus-hyoïdienne)"
    ],
    "comprend": [],
    "exclusions": [
      "épiglotte, face antérieure (D10.5)",
      "polype des cordes vocales et du larynx (J38.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D14.2": {
    "code": "D14.2",
    "description": "Tumeur bénigne de la trachée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D14.3": {
    "code": "D14.3",
    "description": "Tumeur bénigne des bronches et du poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D14.4": {
    "code": "D14.4",
    "description": "Tumeur bénigne de l’appareil respiratoire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D15": {
    "code": "D15",
    "description": "Tumeur bénigne des organes intra-thoraciques, autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tissu mésothélial (D19.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D15.0": {
    "code": "D15.0",
    "description": "Tumeur bénigne du thymus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D15.1": {
    "code": "D15.1",
    "description": "Tumeur bénigne du cœur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myxome (de l’oreillette)"
    ],
    "comprend": [],
    "exclusions": [
      "gros vaisseaux (D21.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D15.2": {
    "code": "D15.2",
    "description": "Tumeur bénigne du médiastin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D15.7": {
    "code": "D15.7",
    "description": "Tumeur bénigne d’autres organes intra-thoraciques précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D15.9": {
    "code": "D15.9",
    "description": "Tumeur bénigne d’organe intra-thoracique, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16": {
    "code": "D16",
    "description": "Tumeur bénigne des os et du cartilage articulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "Kératokyste ondotogénique"
    ],
    "exclusions": [
      "synoviale (D21.-)",
      "tissu conjonctif de : • larynx (D14.1)",
      "• nez (D14.0)",
      "• oreille (D21.0)",
      "• paupière (D21.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.0": {
    "code": "D16.0",
    "description": "Tumeur bénigne de l’omoplate et des os longs du membre supérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tumeur bénigne de la scapula"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.1": {
    "code": "D16.1",
    "description": "Tumeur bénigne des os courts du membre supérieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.2": {
    "code": "D16.2",
    "description": "Tumeur bénigne des os longs du membre inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.3": {
    "code": "D16.3",
    "description": "Tumeur bénigne des os courts du membre inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.4": {
    "code": "D16.4",
    "description": "Tumeur bénigne des os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maxillaire (supérieur)",
      "Os orbital"
    ],
    "comprend": [],
    "exclusions": [
      "maxillaire inférieur (D16.5)",
      "mandibule (D16.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.5": {
    "code": "D16.5",
    "description": "Tumeur bénigne du maxillaire inférieur",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tumeur bénigne de la mandibule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.6": {
    "code": "D16.6",
    "description": "Tumeur bénigne du rachis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "sacrum et coccyx (D16.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.7": {
    "code": "D16.7",
    "description": "Tumeur bénigne de côtes, sternum et clavicule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.8": {
    "code": "D16.8",
    "description": "Tumeur bénigne de bassin, sacrum et coccyx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 207,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D16.9": {
    "code": "D16.9",
    "description": "Tumeur bénigne de l’os et de cartilage articulaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17": {
    "code": "D17",
    "description": "Tumeur lipomateuse bénigne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "les codes morphologiques M885-M888 avec code de comportement /0"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.0": {
    "code": "D17.0",
    "description": "Tumeur lipomateuse bénigne de la peau et du tissu sous-cutané de la tête, de la face et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.1": {
    "code": "D17.1",
    "description": "Tumeur lipomateuse bénigne de la peau et du tissu sous-cutané du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.2": {
    "code": "D17.2",
    "description": "Tumeur lipomateuse bénigne de la peau et du tissu sous-cutané des membres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur lipomateuse bénigne de la peau et du tissu sous-cutané, de sièges autres et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.4": {
    "code": "D17.4",
    "description": "Tumeur lipomateuse bénigne des organes intra-thoraciques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.5": {
    "code": "D17.5",
    "description": "Tumeur lipomateuse bénigne des organes intra-abdominaux",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "péritoine et rétropéritoine (D17.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.6": {
    "code": "D17.6",
    "description": "Tumeur lipomateuse bénigne du cordon spermatique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D17.7": {
    "code": "D17.7",
    "description": "Tumeur lipomateuse bénigne d’autres sièges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péritoine",
      "Rétropéritoine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un lipome surrénalien se code-t-il bien D17.7 et non D35.0 ? selon les consignes données dans le fascicule",
      "d’aide au codage des tumeurs on doit toujours coder une lésion tumorale selon sa topographie (sauf"
    ],
    "agora_refs": [
      "62009"
    ],
    "cocoa_notes": [
      "tumeurs malignes hématopoïétiques). D35.0 doit donc être retenu. (AGORA – # 62009 le 13 avril 2012)"
    ]
  },
  "D17.9": {
    "code": "D17.9",
    "description": "Tumeur lipomateuse bénigne, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lipome SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D18": {
    "code": "D18",
    "description": "Hémangiome et lymphangiome, tout siège",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "HÉMANGIOME ET LYMPHANGIOME"
    ],
    "comprend": [
      "les codes morphologiques M912-M917 avec code de comportement /0"
    ],
    "exclusions": [
      "nævus bleu ou pigmentaire (D22.-)"
    ],
    "clinical_text": [
      "Ces lésions, tumorales ou dysplasiques selon les cas, n’obéissent pas au mode de classement habituel adopté dans le",
      "chapitre II du volume 1 de la CIM–10 : alors que le classement des tumeurs y suit une logique topographique, l’OMS fait ici",
      "une exception en les distinguant d’après leur nature. En France, la consigne est d’employer la catégorie D18 pour les seuls",
      "hémangiomes et lymphangiomes superficiels (limités aux téguments), mais d’enregistrer le code de tumeur bénigne de",
      "l’organe lorsque ces tumeurs atteignent un organe profond. Par exemple, un hémangiome du côlon droit doit être codé"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D18.0": {
    "code": "D18.0",
    "description": "Hémangiome, tout siège",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angiome SAI"
    ],
    "comprend": [],
    "exclusions": [
      "angiome caverneux (Q28.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D18.1": {
    "code": "D18.1",
    "description": "Lymphangiome, tout siège",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 208,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-50 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D19": {
    "code": "D19",
    "description": "Tumeur bénigne du tissu mésothélial",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "le code morphologique M905 avec code de comportement /0"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D19.0": {
    "code": "D19.0",
    "description": "Tumeur bénigne de tissu mésothélial de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D19.1": {
    "code": "D19.1",
    "description": "Tumeur bénigne de tissu mésothélial du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D19.7": {
    "code": "D19.7",
    "description": "Tumeur bénigne de tissu mésothélial d’autres sièges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D19.9": {
    "code": "D19.9",
    "description": "Tumeur bénigne de tissu mésothélial, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mésothéliome bénin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D20": {
    "code": "D20",
    "description": "Tumeur bénigne des tissus mous du rétropéritoine et du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tissu mésothélial (Dl9.-)",
      "tumeur lipomateuse bénigne du péritoine et du rétropéritoine (D17.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D20.0": {
    "code": "D20.0",
    "description": "Tumeur bénigne du rétropéritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D20.1": {
    "code": "D20.1",
    "description": "Tumeur bénigne du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21": {
    "code": "D21",
    "description": "Autres tumeurs bénignes du tissu conjonctif et des autres tissus mous",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "aponévrose",
      "fascia",
      "bourse séreuse",
      "cartilage",
      "ligament, sauf de l’utérus",
      "muscle",
      "myxome",
      "péri-neuriome",
      "synoviale",
      "tendon (gaine)",
      "tissu adipeux",
      "vaisseau : • lymphatique",
      "• sanguin"
    ],
    "exclusions": [
      "cartilage (du) : • articulaire (D16.-)",
      "• larynx (D14.1)",
      "• nez (D14.0)",
      "hémangiome (D18.0)",
      "léïomyome de l’utérus (D25.-)",
      "lymphangiome (D18.1)",
      "nerfs périphériques et du système nerveux autonome (D36.1)",
      "péritoine (D20.1)",
      "rétropéritoine (D20.0)",
      "tissu • conjonctif du sein (D24)",
      "• vasculaire (D18.-)",
      "tout ligament de l’utérus (D28.2)",
      "tumeur lipomateuse (D17.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.0": {
    "code": "D21.0",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous de la tête, de la face et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tissu conjonctif de : • oreille",
      "• paupière",
      "Maladie de Kimura (coder en plus I89.8 et L92.8)"
    ],
    "comprend": [],
    "exclusions": [
      "tissu conjonctif de l’orbite (D31.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.1": {
    "code": "D21.1",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 209,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.2": {
    "code": "D21.2",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.3": {
    "code": "D21.3",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du thorax",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.30": {
    "code": "D21.30",
    "description": "Tumeur bénigne de vaisseaux (sanguins) (lymphatiques) du thorax",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Veine cave supérieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.38": {
    "code": "D21.38",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du thorax, autres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aisselle",
      "Diaphragme"
    ],
    "comprend": [],
    "exclusions": [
      "cœur (D15.1)",
      "médiastin (D15.2)",
      "thymus (D15.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.4": {
    "code": "D21.4",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous de l’abdomen",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.40": {
    "code": "D21.40",
    "description": "Tumeur bénigne de vaisseaux (sanguins) (lymphatiques) de l’abdomen",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Veine cave inférieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.48": {
    "code": "D21.48",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous de l’abdomen, autres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.5": {
    "code": "D21.5",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du pelvis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.50": {
    "code": "D21.50",
    "description": "Tumeur bénigne de vaisseaux (sanguins) (lymphatiques) du pelvis",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.58": {
    "code": "D21.58",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du pelvis, autres",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "léiomyome de l’utérus (D25.–)",
      "tout ligament de l’utérus (D28.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.6": {
    "code": "D21.6",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous du tronc, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dos SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D21.9": {
    "code": "D21.9",
    "description": "Tumeur bénigne de tissu conjonctif et autres tissus mous, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22": {
    "code": "D22",
    "description": "Nævus à mélanocytes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "nævus : • SAI",
      "• bleu",
      "• pigmentaire",
      "• pileux",
      "les codes morphologiques M872-M879 avec code de comportement /0"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.0": {
    "code": "D22.0",
    "description": "Nævus à mélanocytes de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.1": {
    "code": "D22.1",
    "description": "Nævus à mélanocytes de la paupière, y compris le canthus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.2": {
    "code": "D22.2",
    "description": "Nævus à mélanocytes de l’oreille et du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.3": {
    "code": "D22.3",
    "description": "Nævus à mélanocytes des parties de la face, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.4": {
    "code": "D22.4",
    "description": "Nævus à mélanocytes du cuir chevelu et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.5": {
    "code": "D22.5",
    "description": "Nævus à mélanocytes du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Marge anale",
      "Peau anale",
      "Peau (du) : • périanale",
      "• sein"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.6": {
    "code": "D22.6",
    "description": "Nævus à mélanocytes du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.7": {
    "code": "D22.7",
    "description": "Nævus à mélanocytes du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 210,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-52 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D22.9": {
    "code": "D22.9",
    "description": "Nævus à mélanocytes, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le caractère génétique."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Brooke-Spiegler ou syndrome de Poncet-Spiegler : maladie génétique rare caractérisée par un syndrome héréditaire de",
      "prédisposition aux tumeurs cutanées, se manifestant par de multiples tumeurs annexielles, incluant des cylindromes, des",
      "spiradénomes et des trichoépithéliomes (Orphanet) (https://www.orpha.net/fr/disease/detail/79493). Nous vous conseillons de coder",
      "chaque tumeur bénigne en fonction de sa localisation et d'ajouter Q99.8 Autres anomalies précisées des chromosomes pour marquer"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23": {
    "code": "D23",
    "description": "Autres tumeurs bénignes de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "tumeurs bénignes de : • follicules pileux",
      "• glandes : • sébacées",
      "• sudoripares"
    ],
    "exclusions": [
      "nævus à mélanocytes (D22.-)",
      "tumeurs lipomateuses bénignes (D17.0-D17.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.0": {
    "code": "D23.0",
    "description": "Tumeur bénigne de la peau de la lèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bord libre de la lèvre (D10.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.1": {
    "code": "D23.1",
    "description": "Tumeur bénigne de la peau de la paupière, y compris le canthus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.2": {
    "code": "D23.2",
    "description": "Tumeur bénigne de la peau de l’oreille et du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.3": {
    "code": "D23.3",
    "description": "Tumeur bénigne de la peau des parties de la face, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.4": {
    "code": "D23.4",
    "description": "Tumeur bénigne de la peau du cuir chevelu et du cou",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.5": {
    "code": "D23.5",
    "description": "Tumeur bénigne de la peau du tronc",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "marge anale",
      "peau anale",
      "peau (du) : • périanale",
      "• sein"
    ],
    "comprend": [],
    "exclusions": [
      "anus SAI (D12.9)",
      "peau des organes génitaux (D28-D29)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.6": {
    "code": "D23.6",
    "description": "Tumeur bénigne de la peau du membre supérieur, y compris l’épaule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.7": {
    "code": "D23.7",
    "description": "Tumeur bénigne de la peau du membre inférieur, y compris la hanche",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D23.9": {
    "code": "D23.9",
    "description": "Tumeur bénigne de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D24": {
    "code": "D24",
    "description": "Tumeur bénigne du sein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Sein : • parties molles",
      "• tissu conjonctif"
    ],
    "comprend": [],
    "exclusions": [
      "dysplasie mammaire bénigne (N60.-)",
      "peau du sein (D22.5, D23.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D25": {
    "code": "D25",
    "description": "Léïomyome de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "fibromyome de l’utérus",
      "fibrome utérin",
      "tumeur bénigne de l’utérus avec le code morphologique M889 et le code de comportement /0"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D25.0": {
    "code": "D25.0",
    "description": "Léïomyome sous-muqueux de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D25.1": {
    "code": "D25.1",
    "description": "Léïomyome intra-mural de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D25.2": {
    "code": "D25.2",
    "description": "Léïomyome sous-séreux de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 211,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D25.9": {
    "code": "D25.9",
    "description": "Léïomyome de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D26": {
    "code": "D26",
    "description": "Autres tumeurs bénignes de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D26.0": {
    "code": "D26.0",
    "description": "Tumeur bénigne du col de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D26.1": {
    "code": "D26.1",
    "description": "Tumeur bénigne du corps de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D26.7": {
    "code": "D26.7",
    "description": "Tumeur bénigne d’autres parties de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D26.9": {
    "code": "D26.9",
    "description": "Tumeur bénigne de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D27": {
    "code": "D27",
    "description": "Tumeur bénigne de l’ovaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "précisés"
    ],
    "comprend": [
      "peau des organes génitaux de la femme",
      "polype adénomateux"
    ],
    "exclusions": [],
    "clinical_text": [
      "Tumeur bénigne des organes génitaux de la femme, autres et non"
    ],
    "agora_refs": [
      "37540"
    ],
    "cocoa_notes": [
      "tératome mature pluritissulaire de l’ovaire (AGORA - # 37540 le 26 novembre 2010)"
    ]
  },
  "D28.0": {
    "code": "D28.0",
    "description": "Tumeur bénigne de la vulve",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D28.1": {
    "code": "D28.1",
    "description": "Tumeur bénigne du vagin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D28.2": {
    "code": "D28.2",
    "description": "Tumeur bénigne de trompe et ligaments de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ligament de l’utérus (large) (rond)",
      "Trompe de Fallope"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D28.7": {
    "code": "D28.7",
    "description": "Tumeur bénigne d’autres organes génitaux de la femme précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D28.9": {
    "code": "D28.9",
    "description": "Tumeur bénigne d’organe génital de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29": {
    "code": "D29",
    "description": "Tumeur bénigne des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "peau des organes génitaux de l’homme"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.0": {
    "code": "D29.0",
    "description": "Tumeur bénigne de la verge",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.1": {
    "code": "D29.1",
    "description": "Tumeur bénigne de la prostate",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "adénomatose hyperplasique de la prostate (N40)",
      "hyperplasie (adénomateuse) de la prostate (N40)",
      "hypertrophie prostatique (N40)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.2": {
    "code": "D29.2",
    "description": "Tumeur bénigne du testicule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.3": {
    "code": "D29.3",
    "description": "Tumeur bénigne de l’épididyme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.4": {
    "code": "D29.4",
    "description": "Tumeur bénigne du scrotum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peau du scrotum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.7": {
    "code": "D29.7",
    "description": "Tumeur bénigne d’autres organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cordon spermatique",
      "Tunique vaginale",
      "Vésicule séminale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D29.9": {
    "code": "D29.9",
    "description": "Tumeur bénigne d’organe génital de l’homme, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 212,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-54 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30": {
    "code": "D30",
    "description": "Tumeur bénigne des organes urinaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.0": {
    "code": "D30.0",
    "description": "Tumeur bénigne du rein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bassinet rénal (D30.1)",
      "calices rénaux (D30.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.1": {
    "code": "D30.1",
    "description": "Tumeur bénigne du bassinet rénal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.2": {
    "code": "D30.2",
    "description": "Tumeur bénigne de l’uretère",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "orifice urétéral de la vessie (D30.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.3": {
    "code": "D30.3",
    "description": "Tumeur bénigne de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Orifice de la vessie : • urétéral",
      "• urétral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.4": {
    "code": "D30.4",
    "description": "Tumeur bénigne de l’urètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "orifice urétral de la vessie (D30.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.7": {
    "code": "D30.7",
    "description": "Tumeur bénigne d’autres organes urinaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glandes para-urétrales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D30.9": {
    "code": "D30.9",
    "description": "Tumeur bénigne d’organe urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Appareil urinaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31": {
    "code": "D31",
    "description": "Tumeur bénigne de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerf optique (D33.3)",
      "peau de la paupière (D22.1, D23.1)",
      "tissu conjonctif de la paupière (D21.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.0": {
    "code": "D31.0",
    "description": "Tumeur bénigne de la conjonctive",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.1": {
    "code": "D31.1",
    "description": "Tumeur bénigne de la cornée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.2": {
    "code": "D31.2",
    "description": "Tumeur bénigne de la rétine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.3": {
    "code": "D31.3",
    "description": "Tumeur bénigne de la choroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.4": {
    "code": "D31.4",
    "description": "Tumeur bénigne du corps ciliaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.5": {
    "code": "D31.5",
    "description": "Tumeur bénigne de glande lacrymale et canal lacrymal",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canal lacrymo-nasal",
      "Sac lacrymal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.6": {
    "code": "D31.6",
    "description": "Tumeur bénigne de l’orbite, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Muscle extra-oculaire",
      "Nerfs périphériques de l’orbite",
      "Tissu : • conjonctif de l’orbite",
      "• rétrobulbaire",
      "• rétro-oculaire"
    ],
    "comprend": [],
    "exclusions": [
      "os orbital (D16.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D31.9": {
    "code": "D31.9",
    "description": "Tumeur bénigne de l’œil, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 213,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Globe oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D32": {
    "code": "D32",
    "description": "Tumeur bénigne des méninges",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D32.0": {
    "code": "D32.0",
    "description": "Tumeur bénigne des méninges cérébrales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D32.1": {
    "code": "D32.1",
    "description": "Tumeur bénigne des méninges rachidiennes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D32.9": {
    "code": "D32.9",
    "description": "Tumeur bénigne des méninges, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningiome SAI",
      "central"
    ],
    "comprend": [],
    "exclusions": [
      "angiome (D18.0)",
      "méninges (D32.-)",
      "nerfs périphériques et du système nerveux autonome (D36.1)",
      "tissu rétro-oculaire (D31.6)"
    ],
    "clinical_text": [
      "Tumeur bénigne de l’encéphale et d’autres parties du système nerveux"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.0": {
    "code": "D33.0",
    "description": "Tumeur bénigne de l’encéphale, supra-tentoriel",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémisphères cérébraux",
      "Lobe : • frontal",
      "• occipital",
      "• pariétal",
      "• temporal",
      "Ventricule cérébral"
    ],
    "comprend": [],
    "exclusions": [
      "quatrième ventricule (D33.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.1": {
    "code": "D33.1",
    "description": "Tumeur bénigne de l’encéphale, infra-tentoriel",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cervelet",
      "Quatrième ventricule",
      "Tronc cérébral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.2": {
    "code": "D33.2",
    "description": "Tumeur bénigne de l’encéphale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.3": {
    "code": "D33.3",
    "description": "Tumeur bénigne des nerfs crâniens",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bulbe olfactive",
      "Neurinome (de l’acoustique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.4": {
    "code": "D33.4",
    "description": "Tumeur bénigne de la moelle épinière",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.7": {
    "code": "D33.7",
    "description": "Tumeur bénigne d’autres parties précisées du système nerveux central",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D33.9": {
    "code": "D33.9",
    "description": "Tumeur bénigne du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Système nerveux (central) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D34": {
    "code": "D34",
    "description": "Tumeur bénigne de la thyroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35": {
    "code": "D35",
    "description": "Tumeur bénigne des glandes endocrines, autres et non précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ovaire (D27)",
      "pancréas endocrine (D13.7)",
      "testicule (D29.2)",
      "thymus (D15.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.0": {
    "code": "D35.0",
    "description": "Tumeur bénigne des surrénales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 214,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024 – 2-56 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un lipome surrénalien se code-t-il bien D17.7 et non D35.0 ? selon les consignes données dans le fascicule",
      "d’aide au codage des tumeurs on doit toujours coder une lésion tumorale selon sa topographie (sauf tumeurs"
    ],
    "agora_refs": [
      "62009"
    ],
    "cocoa_notes": [
      "malignes hématopoïétiques). D35.0 doit donc être retenu. (AGORA – # 62009 le 13 avril 2012)"
    ]
  },
  "D35.1": {
    "code": "D35.1",
    "description": "Tumeur bénigne de parathyroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.2": {
    "code": "D35.2",
    "description": "Tumeur bénigne de l’hypophyse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.3": {
    "code": "D35.3",
    "description": "Tumeur bénigne du canal crânio-pharyngien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.4": {
    "code": "D35.4",
    "description": "Tumeur bénigne de l’épiphyse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.5": {
    "code": "D35.5",
    "description": "Tumeur bénigne du corpuscule carotidien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.6": {
    "code": "D35.6",
    "description": "Tumeur bénigne du glomus aortique et autres paraganglions",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.7": {
    "code": "D35.7",
    "description": "Tumeur bénigne d’autres glandes endocrines précisées",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.8": {
    "code": "D35.8",
    "description": "Tumeur bénigne pluriglandulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D35.9": {
    "code": "D35.9",
    "description": "Tumeur bénigne de glande endocrine, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D36": {
    "code": "D36",
    "description": "Tumeur bénigne de sièges autres et non précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D36.0": {
    "code": "D36.0",
    "description": "Tumeur bénigne des ganglions lymphatiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D36.1": {
    "code": "D36.1",
    "description": "Tumeur bénigne des nerfs périphériques et du système nerveux autonome",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Neurinome de nerf périphérique"
    ],
    "comprend": [],
    "exclusions": [
      "nerfs périphériques de l’orbite (D31.6)",
      "neurinome des nerfs crâniens (D33.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D36.7": {
    "code": "D36.7",
    "description": "Tumeur bénigne d’autres sièges précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nez SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D36.9": {
    "code": "D36.9",
    "description": "Tumeur bénigne de siège non précisé",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 215,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "TUMEURS À ÉVOLUTION IMPRÉVISIBLE OU INCONNUE",
      "ne peut pas se prononcer.",
      "imprévisible ou inconnue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Les catégories D37-D48 classent en fonction de leur siège les tumeurs à évolution imprévisible ou de nature",
      "imprécise : le doute subsiste donc quant au caractère malin ou bénin de la tumeur. Ces tumeurs relèvent du",
      "code de comportement /1 dans la classification de la morphologie des tumeurs.",
      "Le classement des tumeurs dans la CIM–10 tient notamment compte de leur comportement évolutif : tumeurs malignes",
      "(C00–C97), tumeurs in situ (D00–D09), tumeurs bénignes (D10–D36), tumeurs à évolution imprévisible ou inconnue (D37–",
      "Une tumeur à évolution imprévisible possède des caractéristiques déterminées et son classement comme telle est un",
      "diagnostic positif qui repose sur un examen histologique. La notion de tumeur à évolution imprévisible sous-entend",
      "l’élimination des comportements malin, in situ et bénin, et l’identification d’un comportement évolutif différent. Un poly-",
      "adénome colique, par exemple, ne doit pas être considéré comme une tumeur à évolution imprévisible au motif que, laissé",
      "à une évolution naturelle, il est susceptible de devenir malin. La CIM–10 classe le poly-adénome colique avec les tumeurs",
      "bénignes et ce classement (code D12.6) doit être respecté. En revanche, la CIM–10 classe le polype de vessie avec les",
      "tumeurs à évolution imprévisible et ce classement (code D41.4) doit aussi être respecté. Le codage d’une tumeur comme",
      "étant à évolution imprévisible nécessite que les informations contenues dans le dossier médical, en particulier dans le",
      "compte-rendu de l’examen anatomopathologique, soient conformes à ce diagnostic.",
      "Au contraire, une tumeur d’évolution inconnue est une tumeur pour laquelle on ne dispose pas d’information sur son",
      "comportement évolutif : on ne possède pas d’information sur son caractère malin, in situ, bénin ou d’évolution imprévisible.",
      "En pratique, la qualification de tumeur d’évolution inconnue concerne donc une tumeur pour laquelle on ne dispose pas",
      "d’examen histologique, ou dont l’examen histologique n’est pas contributif, et sur le comportement de laquelle le médecin",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 119-120",
      "Tumeur de la cavité buccale et des organes digestifs à évolution"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.0": {
    "code": "D37.0",
    "description": "Tumeur à évolution imprévisible ou inconnue de lèvre, cavité buccale et pharynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Extérieur de la lèvre",
      "Glandes salivaires principales et accessoires",
      "Repli ary-épiglottique : • SAI",
      "• versant hypopharyngé",
      "• zone marginale"
    ],
    "comprend": [],
    "exclusions": [
      "épiglotte : • SAI (D38.0)",
      "• partie sus-hyoïdienne (D38.0)",
      "peau de la lèvre (D48.5)",
      "repli ary-épiglottique, versant laryngé (D38.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.1": {
    "code": "D37.1",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’estomac",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.2": {
    "code": "D37.2",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.3": {
    "code": "D37.3",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’appendice",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.4": {
    "code": "D37.4",
    "description": "Tumeur à évolution imprévisible ou inconnue du côlon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.5": {
    "code": "D37.5",
    "description": "Tumeur à évolution imprévisible ou inconnue du rectum",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Jonction recto-sigmoïdienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.6": {
    "code": "D37.6",
    "description": "Tumeur à évolution imprévisible ou inconnue du foie, de la vésicule et des voies biliaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 216,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ampoule de Vater",
      "Ampoule hépato-pancréatique",
      "2024 – 2-58 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.7": {
    "code": "D37.7",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres organes digestifs",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anus SAI",
      "Canal anal",
      "Intestin SAI",
      "Œsophage",
      "Pancréas",
      "Sphincter anal"
    ],
    "comprend": [],
    "exclusions": [
      "marge anale (D48.5)",
      "peau anale (D48.5)",
      "peau périanale (D48.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D37.9": {
    "code": "D37.9",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’appareil digestif, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thoraciques à évolution imprévisible ou inconnue"
    ],
    "comprend": [],
    "exclusions": [
      "cœur (D48.7)"
    ],
    "clinical_text": [
      "Tumeur de l’oreille moyenne et des organes respiratoires et intra-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.0": {
    "code": "D38.0",
    "description": "Tumeur à évolution imprévisible ou inconnue du larynx",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épiglotte (partie sus-hyoïdienne)",
      "Repli ary-épiglottique, versant laryngé"
    ],
    "comprend": [],
    "exclusions": [
      "repli ary-épiglottique : • SAI (D37.0)",
      "• versant hypopharyngé (D37.0)",
      "• zone marginale (D37.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.1": {
    "code": "D38.1",
    "description": "Tumeur à évolution imprévisible ou inconnue de la trachée, des bronches et du poumon",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.2": {
    "code": "D38.2",
    "description": "Tumeur à évolution imprévisible ou inconnue de la plèvre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.3": {
    "code": "D38.3",
    "description": "Tumeur à évolution imprévisible ou inconnue du médiastin",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.4": {
    "code": "D38.4",
    "description": "Tumeur à évolution imprévisible ou inconnue du thymus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.5": {
    "code": "D38.5",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres organes respiratoires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cartilage du nez",
      "Fosses nasales",
      "Oreille moyenne",
      "Sinus de la face"
    ],
    "comprend": [],
    "exclusions": [
      "oreille (externe) (peau) (D48.5)",
      "nez SAI (D48.7)",
      "peau du nez (D48.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D38.6": {
    "code": "D38.6",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’appareil respiratoire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "inconnue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur des organes génitaux de la femme à évolution imprévisible ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D39.0": {
    "code": "D39.0",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’utérus",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D39.1": {
    "code": "D39.1",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’ovaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D39.2": {
    "code": "D39.2",
    "description": "Tumeur à évolution imprévisible ou inconnue du placenta",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 217,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chorio-adénome destruens",
      "Môle hydatiforme : • invasive",
      "• maligne"
    ],
    "comprend": [],
    "exclusions": [
      "môle hydatiforme SAI (O01.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D39.7": {
    "code": "D39.7",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres organes génitaux de la femme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peau des organes génitaux de la femme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D39.9": {
    "code": "D39.9",
    "description": "Tumeur à évolution imprévisible ou inconnue d’organe génital de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "inconnue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tumeur des organes génitaux de l’homme à évolution imprévisible ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D40.0": {
    "code": "D40.0",
    "description": "Tumeur à évolution imprévisible ou inconnue de la prostate",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D40.1": {
    "code": "D40.1",
    "description": "Tumeur à évolution imprévisible ou inconnue du testicule",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D40.7": {
    "code": "D40.7",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peau des organes génitaux de l’homme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D40.9": {
    "code": "D40.9",
    "description": "Tumeur à évolution imprévisible ou inconnue d’organe génital de l’homme, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41": {
    "code": "D41",
    "description": "Tumeur des organes urinaires à évolution imprévisible ou inconnue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.0": {
    "code": "D41.0",
    "description": "Tumeur à évolution imprévisible ou inconnue du rein",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bassinet (D41.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.1": {
    "code": "D41.1",
    "description": "Tumeur à évolution imprévisible ou inconnue du bassinet",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.2": {
    "code": "D41.2",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’uretère",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.3": {
    "code": "D41.3",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’urètre",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.4": {
    "code": "D41.4",
    "description": "Tumeur à évolution imprévisible ou inconnue de la vessie",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polype de la vessie",
      "Papillome de la vessie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.2 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.7": {
    "code": "D41.7",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres organes urinaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D41.9": {
    "code": "D41.9",
    "description": "Tumeur à évolution imprévisible ou inconnue d’organe urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D42": {
    "code": "D42",
    "description": "Tumeur des méninges à évolution imprévisible ou inconnue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D42.0": {
    "code": "D42.0",
    "description": "Tumeur à évolution imprévisible ou inconnue des méninges cérébrales",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D42.1": {
    "code": "D42.1",
    "description": "Tumeur à évolution imprévisible ou inconnue des méninges rachidiennes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D42.9": {
    "code": "D42.9",
    "description": "Tumeur à évolution imprévisible ou inconnue des méninges, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 218,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2024 – 2-60 – Retour aux chapitres",
      "imprévisible ou inconnue"
    ],
    "comprend": [],
    "exclusions": [
      "nerfs périphériques et du système nerveux autonome (D48.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.0": {
    "code": "D43.0",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’encéphale, supra-tentoriel",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémisphères cérébraux",
      "Lobe : • frontal",
      "• occipital",
      "• pariétal",
      "• temporal",
      "Ventricule cérébral"
    ],
    "comprend": [],
    "exclusions": [
      "quatrième ventricule (D43.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.1": {
    "code": "D43.1",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’encéphale, infra-tentoriel",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cervelet",
      "Quatrième ventricule",
      "Tronc cérébral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.2": {
    "code": "D43.2",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’encéphale, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.3": {
    "code": "D43.3",
    "description": "Tumeur à évolution imprévisible ou inconnue des nerfs crâniens",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.4": {
    "code": "D43.4",
    "description": "Tumeur à évolution imprévisible ou inconnue de la moelle épinière",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.7": {
    "code": "D43.7",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres parties du système nerveux central",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D43.9": {
    "code": "D43.9",
    "description": "Tumeur à évolution imprévisible ou inconnue du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Système nerveux (central) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44": {
    "code": "D44",
    "description": "Tumeur des glandes endocrines à évolution imprévisible ou inconnue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ovaire (D39.1)",
      "pancréas endocrine (D37.7)",
      "testicule (D40.1)",
      "thymus (D38.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.0": {
    "code": "D44.0",
    "description": "Tumeur à évolution imprévisible ou inconnue de la thyroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.1": {
    "code": "D44.1",
    "description": "Tumeur à évolution imprévisible ou inconnue de la surrénale",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.2": {
    "code": "D44.2",
    "description": "Tumeur à évolution imprévisible ou inconnue de parathyroïde",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.3": {
    "code": "D44.3",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’hypophyse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.4": {
    "code": "D44.4",
    "description": "Tumeur à évolution imprévisible ou inconnue du canal cranio-pharyngien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.40": {
    "code": "D44.40",
    "description": "Craniopharyngiome",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.48": {
    "code": "D44.48",
    "description": "Autres tumeurs à évolution imprévisible ou inconnue du canal cranio-pharyngien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.5": {
    "code": "D44.5",
    "description": "Tumeur à évolution imprévisible ou inconnue de l’épiphyse",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.6": {
    "code": "D44.6",
    "description": "Tumeur à évolution imprévisible ou inconnue du corpuscule carotidien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.7": {
    "code": "D44.7",
    "description": "Tumeur à évolution imprévisible ou inconnue du glomus aortique et autres paraganglions",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.8": {
    "code": "D44.8",
    "description": "Tumeur à évolution imprévisible ou inconnue pluriglandulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adénomatose endocrinienne multiple"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D44.9": {
    "code": "D44.9",
    "description": "Tumeur à évolution imprévisible ou inconnue de glande endocrine, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 219,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D45": {
    "code": "D45",
    "description": "Polyglobulie essentielle",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Maladie de Vaquez",
      "Polycythemia vera",
      "Polycythemia rubra"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note la polyglobulie essentielle a été reclassée avec un code d’affection maligne dans la CIM-O 3e édition. Le code D45",
      "continuera d’être utilisé, même s’il est placé dans le chapitre des tumeurs à évolution imprévisible ou inconnue. La",
      "modification de son classement sera examinée lors de la révision de la CIM 11."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46": {
    "code": "D46",
    "description": "Syndromes myélodysplasiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "syndrome myélodysplasique secondaire à une thérapie par agent alkylant",
      "syndrome myélodysplasique secondaire à une thérapie par épipodophyllotoxines",
      "syndrome myélodysplasique secondaire à une thérapie, SAI"
    ],
    "exclusions": [
      "aplasie médullaire médicamenteuse (D61.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.0": {
    "code": "D46.0",
    "description": "Anémie réfractaire sans sidéroblastes en couronne, ainsi précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Note Sans sidéroblastes, sans excès de blaste"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.1": {
    "code": "D46.1",
    "description": "Anémie réfractaire avec sidéroblastes en couronne",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.2": {
    "code": "D46.2",
    "description": "Anémie réfractaire avec excès de blastes",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "AREB",
      "AREB I",
      "AREB II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.4": {
    "code": "D46.4",
    "description": "Anémie réfractaire, non précisée",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.5": {
    "code": "D46.5",
    "description": "Anémie réfractaire avec dysplasie de plusieurs lignées cellulaires",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.6": {
    "code": "D46.6",
    "description": "Syndrome myélodysplasique avec syndrome de délétion isolée du chromosome 5",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "del(5q)",
      "Syndrome de délétion du bras court du chromosome 5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.7": {
    "code": "D46.7",
    "description": "Autres syndromes myélodysplasiques",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "leucémie myélomonocytaire chronique (C93.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D46.9": {
    "code": "D46.9",
    "description": "Syndrome myélodysplasique, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myélodysplasie SAI",
      "Pré-leucémie (syndrome de) SAI",
      "évolution imprévisible ou inconnue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres tumeurs des tissus lymphoïde, hématopoïétique et apparentés à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D47.0": {
    "code": "D47.0",
    "description": "Tumeurs à histiocytes et mastocytes à évolution imprévisible et inconnue",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Mastocytome SAI",
      "Mastocytose systémique indolente",
      "Tumeur à mastocytes SAI"
    ],
    "comprend": [],
    "exclusions": [
      "mastocytose (congénitale) (cutanée) (Q82.2)"
    ],
    "clinical_text": [
      "Mastocytose systémique associée à une hémopathie clonale non mastocytaire"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D47.1": {
    "code": "D47.1",
    "description": "Maladie myéloproliférative chronique",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 220,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Leucémie chronique à neutrophiles",
      "Maladie myéloproliférative, sans précision",
      "2024 – 2-62 – Retour aux chapitres"
    ],
    "comprend": [],
    "exclusions": [
      "leucémie myéloïde chronique atypique, ABL-BCR négative (C92.2)",
      "leucémie myéloïde chronique [LMC] ABL-BCR positive (C92.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D47.2": {
    "code": "D47.2",
    "description": "Gammapathie monoclonale de signification indéterminée [GMSI]",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D47.3": {
    "code": "D47.3",
    "description": "Thrombocytémie essentielle (hémorragique)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thrombocytémie hémorragique idiopathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D47.4": {
    "code": "D47.4",
    "description": "Ostéomyélofibrose",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myélofibrose chronique idiopathique",
      "Myélofibrose (idiopathique) (avec métaplasie myéloïde)",
      "Myélofibrose secondaire à un syndrome myéloprolifératif",
      "Myélosclérose (mégacaryocytaire) avec métaplasie myéloïde"
    ],
    "comprend": [],
    "exclusions": [
      "myélofibrose aiguë (C94.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D47.5": {
    "code": "D47.5",
    "description": "Leucémie chronique à éosinophiles",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome hyperéosinophilique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres tumeurs précisées des tissus lymphoïde, hématopoïétique et apparentés à évolution"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.0": {
    "code": "D48.0",
    "description": "Tumeur à évolution imprévisible ou inconnue des os et du cartilage articulaire",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cartilage de : • larynx (D38.0)",
      "• nez (D38.5)",
      "• oreille (D48.1)",
      "synoviale (D48.1)",
      "tissu conjonctif de la paupière (D48.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.1": {
    "code": "D48.1",
    "description": "Tumeur à évolution imprévisible ou inconnue du tissu conjonctif et autres tissus mous",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tissu conjonctif de : • oreille",
      "• paupière",
      "Tumeur desmoïde (Orphanet)"
    ],
    "comprend": [],
    "exclusions": [
      "cartilage (du) : • articulaire (D48.0)",
      "• larynx (D38.0)",
      "• nez (D38.5)",
      "tissu conjonctif du sein (D48.6)"
    ],
    "clinical_text": [
      "Tumeur à évolution imprévisible ou inconnue des nerfs périphériques et du système nerveux"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.3": {
    "code": "D48.3",
    "description": "Tumeur à évolution imprévisible ou inconnue du rétropéritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.30": {
    "code": "D48.30",
    "description": "Tératome sacrococcygien",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysembryome sacrococcygien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.38": {
    "code": "D48.38",
    "description": "Autres tumeurs à évolution imprévisible ou inconnue du rétropéritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.4": {
    "code": "D48.4",
    "description": "Tumeur à évolution imprévisible ou inconnue du péritoine",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 221,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.5": {
    "code": "D48.5",
    "description": "Tumeur à évolution imprévisible ou inconnue de la peau",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 222,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Marge anale",
      "Peau anale",
      "Peau (du) : • périanale",
      "• sein",
      "Mélanose de Dubreuilh",
      "Lentigo malin"
    ],
    "comprend": [],
    "exclusions": [
      "anus SAI (D37.7)",
      "extérieur de la lèvre (D37.0)",
      "peau des organes génitaux (D39.7, D40.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.6": {
    "code": "D48.6",
    "description": "(AGORA - # 232065 le 29 juin 2022)",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 222,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.7": {
    "code": "D48.7",
    "description": "Tumeur à évolution imprévisible ou inconnue d’autres sièges précisés",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 222,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cœur",
      "Nerfs périphériques de l’orbite",
      "Œil"
    ],
    "comprend": [],
    "exclusions": [
      "peau de la paupière (D48.5)",
      "tissu conjonctif (D48.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D48.9": {
    "code": "D48.9",
    "description": "Tumeur à évolution imprévisible ou inconnue, sans précision",
    "dagger_star": "",
    "chapter": "Tumeurs",
    "page": 222,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néoformation SAI",
      "Prolifération tumorale SAI",
      "Tumeur SAI",
      "2024 – 2-64 – Retour aux chapitres",
      "Maladies du sang et des organes hématopoïétiques",
      "et certains troubles du système immunitaire (D50-D89)",
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies auto-immunes (systémiques) SAI (M35.9)",
      "maladies dues au virus de l’immunodéficience humaine [VIH] (B20-B24)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D63": {
    "code": "D63",
    "description": "* Anémie au cours de maladies chroniques classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D77": {
    "code": "D77",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 238,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "maladies classées ailleurs",
      "Fibrose splénique due à la schistosomiase (B65.- †)",
      "Fibrose splénique due à la bilharziose (B65.- †)",
      "d’anticorps"
    ],
    "comprend": [
      "anomalies du système du complément",
      "déficits immunitaires, sauf les maladies dues au virus de l’immunodéficience humaine [VIH] sarcoïdose"
    ],
    "exclusions": [
      "anomalies fonctionnelles des granulocytes neutrophiles (D71)",
      "maladies : • auto-immunes (systémiques) SAI (M35.9)",
      "• dues au virus de l’immunodéficience humaine [VIH] (B20-B24)",
      "• compliquant la grossesse, l’accouchement et la puerpéralité (O98.7)"
    ],
    "clinical_text": [
      "Déficit immunitaire avec déficit prédominant de la production"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D50": {
    "code": "D50",
    "description": "Anémie par carence en fer",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "anémie : • ferriprive",
      "• hypochrome"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D50.0": {
    "code": "D50.0",
    "description": "Anémie par carence en fer secondaire à une perte de sang (chronique)",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie post-hémorragique (chronique)"
    ],
    "comprend": [],
    "exclusions": [
      "anémie : • congénitale par perte de sang fœtal (P61.3)",
      "• post-hémorragique aiguë (D62)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D50.1": {
    "code": "D50.1",
    "description": "Dysphagie sidéropénique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de : • Kelly-Paterson",
      "• Plummer-Vinson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D50.8": {
    "code": "D50.8",
    "description": "Autres anémies par carence en fer",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il est recommandé de coder l’anémie inflammatoire avec le code D50.8 associé au code R70.0"
    ],
    "agora_refs": [
      "254"
    ],
    "cocoa_notes": [
      "Aunis p.43 : anémie inflammatoire D50.8 + R70.0",
      "(AGORA - # 254 le 22 juin 2004)."
    ]
  },
  "D50.9": {
    "code": "D50.9",
    "description": "Anémie par carence en fer, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie microcytaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D51": {
    "code": "D51",
    "description": "Anémie par carence en vitamine B12",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "carence en vitamine B12 (E53.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D51.0": {
    "code": "D51.0",
    "description": "Anémie par carence en vitamine B12 due à une carence en facteur intrinsèque",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie (de) : • Addison",
      "• Biermer",
      "• pernicieuse (congénitale)",
      "Carence congénitale en facteur intrinsèque",
      "Déficit congénital en facteur intrinsèque",
      "Anémie de Biermer congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.10 - Créé le 5 janvier 2009",
      "Anémie par carence en vitamine B12 due à une malabsorption sélective de la vitamine B12, avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D51.2": {
    "code": "D51.2",
    "description": "Carence en transcobalamine II",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficit en transcobalamine II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.10 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D51.3": {
    "code": "D51.3",
    "description": "Autres anémies par carence alimentaire en vitamine B12",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie des végétariens stricts"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D51.8": {
    "code": "D51.8",
    "description": "Autres anémies par carence en vitamine B12",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficit de synthèse des méthylcobalamines [Cbl E/Cbl G]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalie du transfert lysosomal de l’hydroxycobalamine [Cbl F]",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.10 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D51.9": {
    "code": "D51.9",
    "description": "Anémie par carence en vitamine B12, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 224,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D52": {
    "code": "D52",
    "description": "Anémie par carence en acide folique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D52.0": {
    "code": "D52.0",
    "description": "Anémie par carence alimentaire en acide folique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie mégaloblastique nutritionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D52.1": {
    "code": "D52.1",
    "description": "Anémie par carence en acide folique due à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D52.8": {
    "code": "D52.8",
    "description": "Autres anémies par carence en acide folique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D52.9": {
    "code": "D52.9",
    "description": "Anémie par carence en acide folique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie macrocytaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D53": {
    "code": "D53",
    "description": "Autres anémies nutritionnelles",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "anémie mégaloblastique ne répondant pas au traitement par la vitamine B12 ou l’acide folique"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D53.0": {
    "code": "D53.0",
    "description": "Anémie par carence en protéines",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie (par) : • carence en acides aminés",
      "• orotacidurique",
      "Acidurie orotique"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Lesch-Nyhan (E79.1)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D53.1": {
    "code": "D53.1",
    "description": "Autres anémies mégaloblastiques, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie mégaloblastique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Di Guglielmo (C94.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D53.2": {
    "code": "D53.2",
    "description": "Anémie scorbutique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "scorbut (E54)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D53.8": {
    "code": "D53.8",
    "description": "Autres anémies nutritionnelles précisées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie associée à carence en : • cuivre",
      "• molybdène",
      "• zinc"
    ],
    "comprend": [],
    "exclusions": [
      "carences nutritionnelles sans mention • cuivre (E61.0)",
      "d’anémies, telles que carence en : • molybdène (E61.5)",
      "• zinc (E60)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D53.9": {
    "code": "D53.9",
    "description": "Anémie nutritionnelle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 225,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie chronique simple"
    ],
    "comprend": [],
    "exclusions": [
      "anémie SAI (D64.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55": {
    "code": "D55",
    "description": "Anémie due à des anomalies enzymatiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémie par déficit enzymatique, due à des médicaments (D59.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55.0": {
    "code": "D55.0",
    "description": "Anémie due à une carence en glucose-6-phosphate déshydrogénase [G6PD]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anémie par carence en G6PD",
      "Favisme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55.1": {
    "code": "D55.1",
    "description": "Anémie due à d’autres anomalies du métabolisme du glutathion",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "monophosphate [HMP]",
      "• hémolytique non sphérocytaire (héréditaire), type I"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anémie (due à) : • déficit enzymatique, excepté G6PD, de la voie de l’hexose"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55.2": {
    "code": "D55.2",
    "description": "Anémie due à des anomalies des enzymes glycolytiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anémie (due à) : • déficit en : • hexokinase",
      "• pyruvate kinase [PK]",
      "• triose-phosphate isomérase",
      "• hémolytique non sphérocytaire (héréditaire), type II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55.3": {
    "code": "D55.3",
    "description": "Anémie due à des anomalies du métabolisme des nucléotides",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55.8": {
    "code": "D55.8",
    "description": "Autres anémies dues à des anomalies enzymatiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D55.9": {
    "code": "D55.9",
    "description": "Anémie due à des anomalies enzymatiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56": {
    "code": "D56",
    "description": "Thalassémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.0": {
    "code": "D56.0",
    "description": "Alpha-thalassémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anasarque fœtoplacentaire due à une maladie hémolytique (P56.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.1": {
    "code": "D56.1",
    "description": "Bêta-thalassémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bêta-thalassémie grave",
      "Maladie de Cooley",
      "Thalassémie : • intermédiaire moyenne",
      "• majeure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.2": {
    "code": "D56.2",
    "description": "Delta-bêta-thalassémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.3": {
    "code": "D56.3",
    "description": "Trait thalassémique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thalassémie (bêta) mineure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.4": {
    "code": "D56.4",
    "description": "Persistance héréditaire de l’hémoglobine fœtale [HbF]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.8": {
    "code": "D56.8",
    "description": "Autres thalassémies",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D56.9": {
    "code": "D56.9",
    "description": "Thalassémie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 226,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anémie méditerranéenne (avec autre hémoglobinopathie)",
      "Thalassémie (mineure) (mixte) (avec autre hémoglobinopathie)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D57": {
    "code": "D57",
    "description": "Affections à hématies falciformes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "anémies drépanocytaires",
      "drépanocytose",
      "anémie falciforme",
      "hémoglobinose S"
    ],
    "exclusions": [
      "autres hémoglobinopathies (D58.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D57.0": {
    "code": "D57.0",
    "description": "Anémie à hématies falciformes avec crises",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Maladie Hb-SS avec crises",
      "Drépanocytose avec crises"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D57.1": {
    "code": "D57.1",
    "description": "Anémie à hématies falciformes sans crises",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Anémie à hématies falciformes",
      "Maladie à hématies falciformes drépanocytaire SAI",
      "Trouble à hématies falciformes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D57.2": {
    "code": "D57.2",
    "description": "Affections à hématies falciformes hétérozygotes doubles",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Maladie à Hb-SC",
      "Maladie à Hb-SD",
      "Maladie à Hb-SE",
      "Thalassémie à hématies falciformes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D57.3": {
    "code": "D57.3",
    "description": "Trait de la maladie des hématies falciformes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémoglobine S hétérozygote [Hb-AS]",
      "Trait Hb-S"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D57.8": {
    "code": "D57.8",
    "description": "Autres affections à hématies falciformes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D58": {
    "code": "D58",
    "description": "Autres anémies hémolytiques héréditaires",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D58.0": {
    "code": "D58.0",
    "description": "Sphérocytose héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ictère : • acholurique (familial)",
      "• hémolytique congénital (sphérocytaire)",
      "Syndrome de Minkowski-Chauffard"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D58.1": {
    "code": "D58.1",
    "description": "Elliptocytose héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Elliptocytose (congénitale)",
      "Ovalocytose (congénitale) (héréditaire)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D58.2": {
    "code": "D58.2",
    "description": "Autres hémoglobinopathies",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anémie congénitale à corps de Heinz",
      "Hémoglobine anormale SAI",
      "Hémoglobinopathie SAI",
      "Maladie à Hb-C",
      "Maladie à Hb-D",
      "Maladie à Hb-E",
      "Maladie hémolytique à hémoglobine instable"
    ],
    "comprend": [],
    "exclusions": [
      "hémoglobinose M [Hb-M] (D74.0)",
      "methémoglobinémie (D74.-)",
      "persistance héréditaire de l’hémoglobine fœtale [HbF] (D56.4)",
      "polycythémie : • due à haute altitude (D75.1)",
      "• familiale (D75.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D58.8": {
    "code": "D58.8",
    "description": "Autres anémies hémolytiques héréditaires précisées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 227,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Stomatocytose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D58.9": {
    "code": "D58.9",
    "description": "Anémie hémolytique héréditaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59": {
    "code": "D59",
    "description": "Anémie hémolytique acquise",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.0": {
    "code": "D59.0",
    "description": "Anémie hémolytique auto-immune, due à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.1": {
    "code": "D59.1",
    "description": "Autres anémies hémolytiques auto-immunes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• type froid (secondaire) (symptomatique)",
      "Hémoglobinurie à agglutinines froides",
      "Maladie (à) : • agglutinines froides",
      "• chronique à hémagglutinines froides",
      "• hémolytique auto-immune (type chaud) (type froid)"
    ],
    "comprend": [],
    "exclusions": [
      "hémoglobinurie paroxystique a frigore (D59.6)",
      "maladie hémolytique du fœtus et du nouveau-né (P55.-)",
      "syndrome d’Evans (D69.3)"
    ],
    "clinical_text": [
      "Anémie hémolytique : • type chaud (secondaire) (symptomatique)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.2": {
    "code": "D59.2",
    "description": "Anémie hémolytique non auto-immune, due à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie par déficit enzymatique, due à des médicaments",
      "Anémie post-chimiothérapie [anémie chimio-induite] :",
      "- # 162737 le 14 mai 2018)",
      "catégorie Y43 du chapitre XX."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament.",
      "si elle est hémolytique, c’est le code D59.2 Anémie hémolytique non auto-immune, due à des médicaments",
      "que vous utiliserez. Si en revanche il s’agit d’une aplasie sur la lignée érythrocytaire, vous utiliserez un code",
      "de la catégorie D60 Aplasie médullaire [aplastique] acquise pure [érythroblastopénie]. Dans les deux",
      "situations, il faut ajouter un code ad hoc de cause externe dans la catégorie Y43.3 du chapitre XX. (AGORA",
      "Si la cause n’est pas précisée, le code D64.8 Autres anémies précisées, pourrait correspondre pour décrire"
    ],
    "agora_refs": [
      "213864"
    ],
    "cocoa_notes": [
      "l’anémie chimio-induite (AGORA - # 213864 le 20 avril 2021). Ajouter un code de cause externe dans la"
    ]
  },
  "D59.3": {
    "code": "D59.3",
    "description": "Syndrome hémolytique urémique [SHU]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.4": {
    "code": "D59.4",
    "description": "Autres anémies hémolytiques non auto-immunes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie hémolytique : • mécanique",
      "• microangiopathique",
      "• toxique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.5": {
    "code": "D59.5",
    "description": "Hémoglobinurie nocturne paroxystique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Marchiafava-Micheli"
    ],
    "comprend": [],
    "exclusions": [
      "hémoglobinurie SAI (R82.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.6": {
    "code": "D59.6",
    "description": "Hémoglobinurie due à une hémolyse relevant d’autres causes externes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémoglobinurie (de) : • effort",
      "• marche",
      "• paroxystique a frigore"
    ],
    "comprend": [],
    "exclusions": [
      "hémoglobinurie SAI (R82.3)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D59.8": {
    "code": "D59.8",
    "description": "Autres anémies hémolytiques acquises",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "hémolyse d’origine virale : l’hémolyse générant une hyper-hémoglobinémie pour laquelle le volume 3"
    ],
    "agora_refs": [
      "87253"
    ],
    "cocoa_notes": [
      "renvoie à la catégorie D59 nous vous conseillons de coder D59.8 (AGORA - # 87253 le 3 octobre 2013)"
    ]
  },
  "D59.9": {
    "code": "D59.9",
    "description": "Anémie hémolytique acquise, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 228,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie hémolytique idiopathique chronique",
      "Aplasie médullaire acquise pure des globules rouges",
      "[érythroblastopénie]"
    ],
    "comprend": [
      "érythroblastopénie (acquise) (adulte) (avec thymome)",
      "Anémie post-chimiothérapie [anémie chimio-induite] :",
      "si elle est hémolytique, c’est le code D59.2 Anémie hémolytique non auto-immune, due à des médicaments",
      "que vous utiliserez. Si en revanche il s’agit d’une aplasie sur la lignée érythrocytaire, vous utiliserez un code",
      "de la catégorie D60 Aplasie médullaire [aplastique] acquise pure [érythroblastopénie]. Dans les deux",
      "situations, il faut ajouter un code ad hoc de cause externe dans la catégorie Y43.3 du chapitre XX. (AGORA",
      "- # 162737 le 14 mai 2018)",
      "Si la cause n’est pas précisée, le code D64.8 Autres anémies précisées, pourrait correspondre pour décrire",
      "catégorie Y43 du chapitre XX."
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "213864"
    ],
    "cocoa_notes": [
      "l’anémie chimio-induite (AGORA - # 213864 le 20 avril 2021). Ajouter un code de cause externe dans la"
    ]
  },
  "D60.0": {
    "code": "D60.0",
    "description": "Aplasie médullaire acquise pure des globules rouges, chronique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie aplastique acquise pure, chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D60.1": {
    "code": "D60.1",
    "description": "Aplasie médullaire acquise pure des globules rouges, transitoire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie aplastique acquise pure, transitoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D60.8": {
    "code": "D60.8",
    "description": "Autres aplasies médullaires acquises pures des globules rouges",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Autres anémies aplastiques acquises pures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D60.9": {
    "code": "D60.9",
    "description": "Aplasie médullaire acquise pure des globules rouges, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie aplastique acquise pure SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D61": {
    "code": "D61",
    "description": "Autres aplasies médullaires",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "agranulocytose (D70)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D61.0": {
    "code": "D61.0",
    "description": "Aplasie médullaire constitutionnelle",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie aplastique constitutionnelle",
      "Anémie (de) : • Fanconi",
      "• hypoplasique familiale",
      "Érythroblastopénie (pure) (du) : • congénitale",
      "• nourrisson",
      "• primaire",
      "Pancytopénie avec malformations",
      "Syndrome de Blackfan-Diamond"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D61.1": {
    "code": "D61.1",
    "description": "Aplasie médullaire d’origine médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Anémie aplastique médicamenteuse",
      "Anémie aplastique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le volume 3 indexe l'expression d'aplastic anemia, qui est plutôt utilisée pour décrire l'aplasie médullaire.",
      "Le D61.1 décrit une aplasie médullaire touchant les trois lignées, il ne peut par conséquent pas correspondre",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [
      "215488",
      "215418"
    ],
    "cocoa_notes": [
      "(AGORA - # 215488 le 21 mai 2021)",
      "à l'anémie chimio-induite qui ne concerne que les globules rouges. (AGORA - # 215418 le 21 mai 2021)"
    ]
  },
  "D61.2": {
    "code": "D61.2",
    "description": "Aplasie médullaire due à d’autres agents externes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Anémie aplastique à d’autres agents externes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D61.3": {
    "code": "D61.3",
    "description": "Aplasie médullaire idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 229,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie aplastique idiopathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D61.8": {
    "code": "D61.8",
    "description": "Autres aplasies médullaires précisées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Autres anémies aplastiques précisées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D61.9": {
    "code": "D61.9",
    "description": "Aplasie médullaire sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie aplastique SAI",
      "Anémie hypoplasique SAI",
      "Hypoplasie médullaire",
      "Panmyélophtisie",
      "Anémie arégénérative SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D62": {
    "code": "D62",
    "description": "dans cette circonstance particulière.",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les règles de l’art en matière de transfusion de patients subissant une intervention ont été définies par les experts de la",
      "Société française d’anesthésie et de réanimation (SFAR) lors de l’élaboration de la Classification commune des actes médicaux",
      "(CCAM). Il a été admis que l’anesthésiste doit assurer la compensation des pertes sanguines, en particulier au cours des",
      "interventions par nature hémorragiques : certaines interventions sur le squelette (particulièrement hanche, fémur, genou,",
      "colonne vertébrale) ou le système cardiovasculaire. Cette restitution du volume sanguin peut utiliser des modalités très",
      "variables : allo-transfusion, auto-transfusion, emploi de système de récupération sanguine peropératoire. Elle peut être",
      "entièrement effectuée au cours de l’intervention selon les pertes estimées et éventuellement poursuivie au décours de",
      "l’opération. Dans ces conditions le code D62 ne doit pas être mentionné.",
      "Inversement, une anémie post-opératoire peut se révéler consécutive à un phénomène hémorragique inhabituel : le",
      "saignement peut résulter de la lésion elle-même (par exemple, rupture de la rate, plaie du foie) ou d’un traumatisme",
      "peropératoire (plaie d’un gros vaisseau, lâchage d’une suture vasculaire, conditions particulières de travail sur le site",
      "opératoire). Ces cas nécessitent des transfusions massives, ou à tout le moins dont le volume dépasse le volume prévisible",
      "en fonction de l’intervention. Le code D62 peut alors être mentionné dans le résumé d’unité médicale.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 81-82"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D63.8": {
    "code": "D63.8",
    "description": "Anémie au cours d’autres maladies chroniques classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anémie au cours d’une maladie rénale chronique de stade égal ou supérieur à 3 (N18.3–N18.5 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64": {
    "code": "D64",
    "description": "Autres anémies",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémie réfractaire : • SAI (D46.4)",
      "• avec excès de blastes (D46.2)",
      "• en transformation (C92.0)",
      "• non sidéroblastique (D46.0)",
      "• sidéroblastique (D46.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64.0": {
    "code": "D64.0",
    "description": "Anémie sidéroblastique héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie hypochrome sidéroblastique liée au sexe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64.1": {
    "code": "D64.1",
    "description": "Anémie sidéroblastique secondaire, due à une maladie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la maladie."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64.2": {
    "code": "D64.2",
    "description": "Anémie sidéroblastique secondaire, due à des médicaments et des toxines",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 230,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64.3": {
    "code": "D64.3",
    "description": "Autres anémies sidéroblastiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 231,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie sidéroblastique : • SAI",
      "• réagissant à la pyridoxine NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64.4": {
    "code": "D64.4",
    "description": "Anémie dysérythropoïétique congénitale",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 231,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie dyshématopoïétique (congénitale)"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Di Guglielmo (C94.0)",
      "syndrome de Blackfan-Diamond (D61.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D64.8": {
    "code": "D64.8",
    "description": "Autres anémies précisées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 231,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anémie leuco-érythroblastique",
      "Pseudo-leucémie infantile",
      "Anémie post-chimiothérapie [anémie chimio-induite] :",
      "- # 162737 le 14 mai 2018)",
      "catégorie Y43 du chapitre XX."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "si elle est hémolytique, c’est le code D59.2 Anémie hémolytique non auto-immune, due à des médicaments",
      "que vous utiliserez. Si en revanche il s’agit d’une aplasie sur la lignée érythrocytaire, vous utiliserez un code",
      "de la catégorie D60 Aplasie médullaire [aplastique] acquise pure [érythroblastopénie]. Dans les deux",
      "situations, il faut ajouter un code ad hoc de cause externe dans la catégorie Y43.3 du chapitre XX. (AGORA",
      "Si la cause n’est pas précisée, le code D64.8 Autres anémies précisées, pourrait correspondre pour décrire"
    ],
    "agora_refs": [
      "213864"
    ],
    "cocoa_notes": [
      "l’anémie chimio-induite (AGORA - # 213864 le 20 avril 2021). Ajouter un code de cause externe dans la"
    ]
  },
  "D64.9": {
    "code": "D64.9",
    "description": "Anémie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 231,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anémie normocytaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D65": {
    "code": "D65",
    "description": "Coagulation intra-vasculaire disséminée [CIVD]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 231,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Syndrome de défibrination",
      "Afibrinogénémie acquise",
      "Coagulation intra-vasculaire diffuse ou disséminée",
      "Coagulopathie de consommation",
      "Hémorragie fibrinolytique acquise",
      "Purpura : • fibrinolytique",
      "• fulminans"
    ],
    "comprend": [],
    "exclusions": [
      "chez le nouveau-né (P60)",
      "Compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.1) [facultatif]",
      "• grossesse, accouchement et puerpéralité (O45.0, O46.0, O67.0, O72.3)"
    ],
    "clinical_text": [
      "Le purpura fulminans est une forme grave, parfois mortelle, de sepsis sévère, touchant plus fréquemment",
      "les enfants et les adolescents. Il est défini comme l’association d’un sepsis sévère, d’une coagulation intra-",
      "vasculaire disséminée et de lésions purpuriques (ne s’effaçant pas à la vitropression) vasculaires et",
      "plaquettaires. L’agent infectieux bactérien en cause est le plus souvent le méningocoque (80 %) et plus",
      "rarement les pneumocoque, haemophilus, bacilles gram positif ou gram négatif (in Wikipédia).",
      "En plus du D65, penser à coder le sepsis avec le germe responsable"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D66": {
    "code": "D66",
    "description": "Carence héréditaire en facteur VIII",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 231,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Carence en facteur VIII (avec anomalie fonctionnelle)",
      "Hémophilie : • SAI",
      "• A",
      "• classique"
    ],
    "comprend": [],
    "exclusions": [
      "carence en facteur VIII avec anomalie vasculaire (D68.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D67": {
    "code": "D67",
    "description": "Carence héréditaire en facteur IX",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 232,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Carence en : • facteur IX (avec anomalie fonctionnelle)",
      "• facteur de la thromboplastine plasmatique",
      "Hémophilie B",
      "Maladie de Christmas"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68": {
    "code": "D68",
    "description": "Autres anomalies de la coagulation",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 232,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O07, O08.1)",
      "• grossesse, accouchement et puerpéralité (O45.0, O46.0, O67.0, O72.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.0": {
    "code": "D68.0",
    "description": "Maladie de von Willebrand",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 232,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angiohémophilie",
      "Carence en facteur VIII avec anomalie vasculaire",
      "Hémophilie vasculaire"
    ],
    "comprend": [],
    "exclusions": [
      "carence en facteur VIII : • SAI (D66)",
      "• avec anomalie fonctionnelle (D66)",
      "fragilité capillaire (héréditaire) (D69.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.1": {
    "code": "D68.1",
    "description": "Carence héréditaire en facteur XI",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 232,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en précurseur de thromboplastine plasmatique [PTA]",
      "Hémophilie C"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.2": {
    "code": "D68.2",
    "description": "Carence héréditaire en autres facteurs de coagulation",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 232,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Afibrinogénémie congénitale",
      "Carence en : • AC-globuline",
      "• proaccélérine",
      "Carence en facteur : • I fibrinogène",
      "• II prothrombine",
      "• V labile",
      "• VII stable",
      "• X Stuart-Prower",
      "• XII Hageman",
      "• XIII stabilisant de la fibrine",
      "Dysfibrinogénémie (congénitale)",
      "Hypoproconvertinémie",
      "Maladie de Owren"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.3": {
    "code": "D68.3",
    "description": "sera porté en diagnostic associé significatif (DAS).",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 233,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "en rapport avec ce traitement.",
      "Hyperhéparinémie",
      "administré."
    ],
    "comprend": [],
    "exclusions": [
      "utilisation au long cours d’anticoagulants (sans hémorragie) (Z92.1)"
    ],
    "clinical_text": [
      "Nota bene : le code Z92.1, dont le libellé correspondant a été modifié Utilisation au long cours",
      "d’anticoagulants sans hémorragie, ne doit plus désormais être utilisé que pour signaler l’utilisation",
      "d’anticoagulants au long cours par des patients pris en charge pour une affection autre qu’une hémorragie",
      "ATIH – Précisions sur l’utilisation de certains codes de la CIM-10 - Créé le 24 avril 2006 – p. 1",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’anticoagulant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.4": {
    "code": "D68.4",
    "description": "Carence acquise en facteur de coagulation",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 233,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• avitaminose K"
    ],
    "comprend": [],
    "exclusions": [
      "carence du nouveau-né en vitamine K (P53)"
    ],
    "clinical_text": [
      "Carence en facteur de coagulation due à : • affections du foie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.5": {
    "code": "D68.5",
    "description": "Thrombophilie primaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 233,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en : • antithrombine",
      "• protéine C",
      "• protéine S",
      "Mutation du gène de la prothrombine",
      "Résistance à la protéine C activée",
      "Mutation du facteur V Leiden"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.6": {
    "code": "D68.6",
    "description": "Autres thrombophilies",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 233,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence d’anticoagulant lupique",
      "Syndrome des anti-cardiolipines",
      "Syndrome des anti-phospholipides"
    ],
    "comprend": [],
    "exclusions": [
      "coagulation intra-vasculaire disséminée (D65)",
      "hyperhomocystéinémie (E72.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.8": {
    "code": "D68.8",
    "description": "Autres anomalies précisées de la coagulation",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 233,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D68.9": {
    "code": "D68.9",
    "description": "Anomalie de la coagulation, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 233,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69": {
    "code": "D69",
    "description": "Purpura et autres affections hémorragiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "purpura : • cryoglobulinémique (D89.1)",
      "• fulminans (D65)",
      "• hypergammaglobulinémique bénin (D89.0)",
      "• thrombopénique thrombotique (M31.1)",
      "thrombocytémie essentielle (hémorragique) (D47.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.0": {
    "code": "D69.0",
    "description": "Purpura allergique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Purpura : • anaphylactoïde",
      "• non thrombopénique : • hémorragique",
      "• idiopathique",
      "• rhumatoïde",
      "• de Schönlein-Henoch",
      "• vasculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.1": {
    "code": "D69.1",
    "description": "Modifications qualitatives des plaquettes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Glanzmann",
      "Syndrome de(s) : • Bernard-Soulier",
      "• plaquettes grises",
      "• plaquettes géantes",
      "Thrombasthénie (hémorragique) (héréditaire)",
      "Thrombopathie"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de von Willebrand (D68.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.2": {
    "code": "D69.2",
    "description": "Autres purpuras non thrombopéniques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Purpura : • SAI",
      "• sénile",
      "• simple"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.3": {
    "code": "D69.3",
    "description": "Purpura thrombopénique idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome d’Evans"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.4": {
    "code": "D69.4",
    "description": "Autres thrombopénies primaires",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de Wiskott-Aldrich (D82.0)",
      "thrombopénie : • avec absence de radius (Q87.2) [facultatif]",
      "• néonatale transitoire (P61.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.5": {
    "code": "D69.5",
    "description": "Thrombopénie secondaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.6": {
    "code": "D69.6",
    "description": "Thrombopénie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.8": {
    "code": "D69.8",
    "description": "Autres affections hémorragiques précisées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fragilité capillaire (héréditaire)",
      "Pseudohémophilie vasculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D69.9": {
    "code": "D69.9",
    "description": "Affection hémorragique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 234,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D70": {
    "code": "D70",
    "description": "Agranulocytose",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 235,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Agranulocytose génétique infantile",
      "Angine agranulocytaire",
      "Maladie de Werner-Schultz",
      "Neutropénie : • SAI",
      "• congénitale",
      "• cyclique",
      "• médicamenteuse",
      "• périodique",
      "• splénique (primaire)",
      "• toxique",
      "Splénomégalie neutropénique",
      "Syndrome de Kostmann",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [
      "neutropénie néonatale transitoire (P61.5)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D71": {
    "code": "D71",
    "description": "Anomalies fonctionnelles des granulocytes neutrophiles",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 235,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Dysphagocytose congénitale",
      "Granulomatose septique progressive",
      "Maladie granulomateuse chronique (infantile)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficit en complexe récepteur de la membrane cellulaire [CR3]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D72": {
    "code": "D72",
    "description": "Autres anomalies des leucocytes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 235,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "Anomalie des globules blancs (numération) (R72)",
      "basophilie (D75.8)",
      "neutropénie (D70)",
      "préleucémie (syndrome de) (D46.9)",
      "troubles immunitaires (D80-D89)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D72.0": {
    "code": "D72.0",
    "description": "Anomalies génétiques des leucocytes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 235,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• May-Hegglin",
      "• Pelger-Huët",
      "Hypersegmentation leucocytaire, héréditaire",
      "Hyposegmentation leucocytaire, héréditaire",
      "Leucomélanopathie héréditaire"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Chediak(-Steinbrink)-Higashi (E70.3)"
    ],
    "clinical_text": [
      "Anomalie (granulation) (granulocyte) ou syndrome de : • Alder"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D72.1": {
    "code": "D72.1",
    "description": "Éosinophilie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 235,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Éosinophilie : • allergique",
      "• héréditaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D72.8": {
    "code": "D72.8",
    "description": "Autres anomalies précisées des leucocytes",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Leucocytose",
      "Lymphocytose (symptomatique)",
      "Lymphopénie",
      "Monocytose (symptomatique)",
      "Plasmocytose",
      "Réaction leucémoïde de type : • lymphocytaire",
      "• monocytaire",
      "• myélocytaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.43 : syndrome mononucléosique sans cause identifiée"
    ]
  },
  "D72.9": {
    "code": "D72.9",
    "description": "Anomalie des leucocytes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73": {
    "code": "D73",
    "description": "Maladies de la rate",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.0": {
    "code": "D73.0",
    "description": "Hyposplénisme",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asplénie post-chirurgicale",
      "Antécédent personnel de splénectomie chirurgicale",
      "Atrophie de la rate"
    ],
    "comprend": [],
    "exclusions": [
      "asplénie (congénitale) (Q89.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.1": {
    "code": "D73.1",
    "description": "Hypersplénisme",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "splénomégalie : • SAI (R16.1)",
      "• congénitale (Q89.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.2": {
    "code": "D73.2",
    "description": "Splénomégalie congestive chronique",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.3": {
    "code": "D73.3",
    "description": "Abcès de la rate",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.4": {
    "code": "D73.4",
    "description": "Kyste de la rate",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.5": {
    "code": "D73.5",
    "description": "Infarctus de la rate",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Rupture de la rate, non traumatique",
      "Torsion de la rate"
    ],
    "comprend": [],
    "exclusions": [
      "rupture traumatique de la rate (S36.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.8": {
    "code": "D73.8",
    "description": "Autres maladies de la rate",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fibrose de la rate SAI",
      "Périsplénite",
      "Splénite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D73.9": {
    "code": "D73.9",
    "description": "Maladie de la rate, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D74": {
    "code": "D74",
    "description": "Méthémoglobinémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D74.0": {
    "code": "D74.0",
    "description": "Méthémoglobinémie congénitale",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficit congénital en NADH-méthémoglobine-réductase",
      "Hémoglobinose M [Hb-M]",
      "Méthémoglobinémie héréditaire",
      "Déficit en cytochrome B-5-réductase"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p. 10 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D74.8": {
    "code": "D74.8",
    "description": "Autres méthémoglobinémies",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 236,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méthémoglobinémie : • acquise (avec sulfhémoglobinémie)",
      "• toxique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D74.9": {
    "code": "D74.9",
    "description": "Méthémoglobinémie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 237,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D75": {
    "code": "D75",
    "description": "Autres maladies du sang et des organes hématopoïétiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 237,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "adénopathie (R59.-)",
      "hypergammaglobulinémie SAI (D89.2)",
      "lymphadénite : • SAI (I88.9)",
      "• aiguë (L04.-)",
      "• chronique (I88.1)",
      "• mésentérique (aiguë) (chronique) (I88.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D75.0": {
    "code": "D75.0",
    "description": "Érythrocytose familiale",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 237,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polycythémie : • bénigne",
      "• familiale",
      "Polyglobulie : • bénigne"
    ],
    "comprend": [],
    "exclusions": [
      "ovalocytose héréditaire (D58.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D75.1": {
    "code": "D75.1",
    "description": "Polycythémie secondaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 237,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éryhtrocytose SAI",
      "Polycythémie : • SAI",
      "• acquise",
      "• due à : • altitude",
      "• chute du volume plasmatique",
      "• érythropoïétine",
      "• stress",
      "• émotive",
      "• hypoxémique",
      "• néphrogène",
      "• relative"
    ],
    "comprend": [],
    "exclusions": [
      "polycythémie (du) : • nouveau-né (P61.1)",
      "• vraie : polyglobulie essentielle (D45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D75.8": {
    "code": "D75.8",
    "description": "Autres maladies précisées du sang et des organes hématopoïétiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 237,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Basophilie",
      "Thrombocytose post-splénectomie",
      "(CIM10 CA 2012)",
      "Thrombocytose réactive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "72232"
    ],
    "cocoa_notes": [
      "Thrombocytose inflammatoire (AGORA – # 72232 le 4 décembre 2012)"
    ]
  },
  "D75.9": {
    "code": "D75.9",
    "description": "Maladie du sang et des organes hématopoïétiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 237,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "réticulaire et réticulo-histiocytaire"
    ],
    "comprend": [],
    "exclusions": [
      "granulome éosinophile (C96.6)",
      "histiocytose à cellules de Langerhans multifocale (C96.5)",
      "histiocytose à cellules de Langerhans unifocale (C96.6)",
      "histiocytose maligne (C96.8)",
      "histiocytose X, multifocale (C96.5)",
      "histiocytose X, unifocale (C96.6)",
      "maladie de Abt-Letterer-Siwe (C96.0)",
      "maladie de Hand-Schüller-Christian (C96.5)",
      "réticulo-endothéliose : • leucémique (C91.4)",
      "• non lipidique (C96.0)",
      "réticulose : • histiocytaire médullaire (C96.8)",
      "• lipomélanique (I89.8)",
      "• maligne SAI (C86.0)",
      "sarcome histiocytiare (C96.8)"
    ],
    "clinical_text": [
      "Autres maladies précisées avec participation des tissus lympho-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D76.1": {
    "code": "D76.1",
    "description": "Lympho-histiocytose hémo-phagocytaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 238,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Histiocytoses de phagocytes mononucléés",
      "Réticulose hémophagocytaire familiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D76.2": {
    "code": "D76.2",
    "description": "Syndrome hémophagocytaire (associé à une infection)",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 238,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Syndrome d’activation macrophagique [SAM]",
      "parentérale…"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Bien que limité à l’association à une infection dans la CIM10FR de l’ATIH, il peut être associé à une néoplasie,",
      "une maladie systémique (Lupus, Horton, PR…), auto-immun, iatrogénique, ou compliquer une nutrition",
      "Utiliser, au besoin, un code supplémentaire pour identifier l’agent infectieux ou la maladie."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D76.3": {
    "code": "D76.3",
    "description": "Autres syndromes histiocytaires",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 238,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Histiocytose sinusale avec adénopathie massive",
      "Réticulo-histiocytome (à cellules géantes)",
      "Xantho-granulome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres maladies du sang et des organes hématopoïétiques au cours de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.0": {
    "code": "D80.0",
    "description": "Hypogammaglobulinémie héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Agammaglobulinémie : • autosomique récessive (type suisse)",
      "Maladie de Bruton"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "• liée au chromosome X (avec déficit de l’hormone de croissance)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.1": {
    "code": "D80.1",
    "description": "Hypogammaglobulinémie non familiale",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• commune variable",
      "Hypogammaglobulinémie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Agammaglobulinémie : • avec lymphocytes B porteurs d’immunoglobulines"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.2": {
    "code": "D80.2",
    "description": "Déficit sélectif en immunoglobuline A [IgA]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.3": {
    "code": "D80.3",
    "description": "Déficit sélectif en sous-classes d’immunoglobulines G [IgG]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.4": {
    "code": "D80.4",
    "description": "Déficit sélectif en immunoglobuline M [IgM]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.5": {
    "code": "D80.5",
    "description": "Déficit immunitaire avec augmentation de l’immunoglobuline M [IgM]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.6": {
    "code": "D80.6",
    "description": "Déficit en anticorps avec immunoglobulines presque normales ou avec hyper-immuno-globulinémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.7": {
    "code": "D80.7",
    "description": "Hypogammaglobulinémie transitoire du nourrisson",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.8": {
    "code": "D80.8",
    "description": "Autres déficits immunitaires avec déficit prédominant de la production d’anticorps",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit de la chaîne légère kappa"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D80.9": {
    "code": "D80.9",
    "description": "Déficit immunitaire avec déficit prédominant de la production d’anticorps, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81": {
    "code": "D81",
    "description": "Déficits immunitaires combinés",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "agammaglobulinémie autosomique récessive (type suisse) (D80.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.0": {
    "code": "D81.0",
    "description": "Déficit immunitaire combiné sévère [DICS] avec dysgénésie réticulaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.1": {
    "code": "D81.1",
    "description": "Déficit immunitaire combiné sévère [DICS] avec nombre faible de cellules B et T",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.2": {
    "code": "D81.2",
    "description": "Déficit immunitaire combiné sévère [DICS] avec nombre faible ou normal de cellules B",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.3": {
    "code": "D81.3",
    "description": "Déficit en adénosine désaminase [ADA]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.4": {
    "code": "D81.4",
    "description": "Syndrome de Nézelof",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.5": {
    "code": "D81.5",
    "description": "Déficit en purine nucléoside phosphorylase [PNP]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.6": {
    "code": "D81.6",
    "description": "Déficit en complexe majeur d’histocompatibilité classe I",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome des lymphocytes nus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.7": {
    "code": "D81.7",
    "description": "Déficit en complexe majeur d’histocompatibilité classe 11",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 239,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.8": {
    "code": "D81.8",
    "description": "Autres déficits immunitaires combinés",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficit en carboxylase biotine-dépendante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D81.9": {
    "code": "D81.9",
    "description": "Déficit immunitaire combiné, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficit immunitaire combiné sévère [DICS] SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82": {
    "code": "D82",
    "description": "Déficit immunitaire associé à d’autres anomalies majeures",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ataxie télangiectasique (G11.3)",
      "syndrome de Louis-Bar (G11.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.0": {
    "code": "D82.0",
    "description": "Syndrome de Wiskott-Aldrich",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit immunitaire avec thrombocytopénie et eczéma"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.1": {
    "code": "D82.1",
    "description": "Syndrome de Di George",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alymphoplasie thymique",
      "Aplasie ou hypoplasie thymique avec déficit immunitaire",
      "Syndrome de la poche branchiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.2": {
    "code": "D82.2",
    "description": "Déficit immunitaire avec micromélie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.3": {
    "code": "D82.3",
    "description": "Déficit immunitaire avec réponse héréditaire anormale au virus d’Epstein-Barr",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie lymphoproliférative liée au chromosome X"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.4": {
    "code": "D82.4",
    "description": "Syndrome d’hyper-immunoglobuline E [IgE]",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.8": {
    "code": "D82.8",
    "description": "Déficit immunitaire associé à d’autres anomalies majeures précisées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D82.9": {
    "code": "D82.9",
    "description": "Déficit immunitaire associé à une anomalie majeure, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D83": {
    "code": "D83",
    "description": "Déficit immunitaire commun variable",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficit immunitaire commun variable avec anomalies prédominantes du nombre et de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D83.2": {
    "code": "D83.2",
    "description": "Déficit immunitaire commun variable avec auto-anticorps anti-lymphocytes B ou T",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D83.8": {
    "code": "D83.8",
    "description": "Autres déficits immunitaires communs variables",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D83.9": {
    "code": "D83.9",
    "description": "Déficit immunitaire commun variable, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D84": {
    "code": "D84",
    "description": "Autres déficits immunitaires",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D84.0": {
    "code": "D84.0",
    "description": "Anomalie de la fonction lymphocytaire antigène-1(LFA-l)",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D84.1": {
    "code": "D84.1",
    "description": "Déficit du complément",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit de l’inhibiteur de la C1 estérase [C1-INH]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D84.8": {
    "code": "D84.8",
    "description": "Autres déficits immunitaires précisés",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D84.9": {
    "code": "D84.9",
    "description": "Déficit immunitaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 240,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86": {
    "code": "D86",
    "description": "Sarcoïdose",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86.0": {
    "code": "D86.0",
    "description": "Sarcoïdose du poumon",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86.1": {
    "code": "D86.1",
    "description": "Sarcoïdose des ganglions lymphatiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86.2": {
    "code": "D86.2",
    "description": "Sarcoïdose du poumon avec sarcoïdose des ganglions lymphatiques",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86.3": {
    "code": "D86.3",
    "description": "Sarcoïdose de la peau",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86.8": {
    "code": "D86.8",
    "description": "Sarcoïdose de localisations autres et associées",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthropathie † (M14.8 *)",
      "Iridocyclite † (H22.1 *)",
      "Myocardite † (I41.8 *) de la sarcoïdose",
      "Myosite † (M63.3 *)",
      "Paralysie multiple des nerfs crâniens † (G53.2 *)",
      "Fièvre uvéo-parotidienne",
      "Syndrome de Heerfordt"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D86.9": {
    "code": "D86.9",
    "description": "Sarcoïdose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89": {
    "code": "D89",
    "description": "Autres anomalies du système immunitaire, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "échec et rejet de greffe (T86.-)",
      "gammapathie monoclonale de signification indéterminée [GMSI] (D47.2)",
      "hyperglobulinémie SAI (R77.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89.0": {
    "code": "D89.0",
    "description": "Hyper-gamma-globulinémie polyclonale",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Gammapathie polyclonale SAI",
      "Purpura hyper-gamma-globulinémique bénin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89.1": {
    "code": "D89.1",
    "description": "Cryo-globulinémie",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Angéite cryo-globulinémique",
      "Vascularite cryo-globulinémique",
      "Cryo-globulinémie : • essentielle",
      "• idiopathique",
      "• mixte",
      "• primitive",
      "• secondaire",
      "Purpura cryo-globulinémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89.2": {
    "code": "D89.2",
    "description": "Hyper-gamma-globulinémie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89.3": {
    "code": "D89.3",
    "description": "Syndrome de restauration immunitaire",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome inflammatoire de restauration immunitaire [SIRI]",
      "codées.",
      "ATIH - Modifications de la CIM-10 introduites en 2010 – p. 2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament.",
      "Ce syndrome est défini comme une réaction inflammatoire « paradoxale » en réponse à une infection infra-",
      "clinique (ou antérieurement traitée) ayant lieu pendant la phase de reprise de fonction du système",
      "immunitaire suite au traitement par antirétroviraux. Les manifestations liées à ce syndrome doivent aussi être"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89.8": {
    "code": "D89.8",
    "description": ". (AGORA - # 168681 le 11 septembre 2018) – Coder en plus l’infection à streptocoque",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "D89.9": {
    "code": "D89.9",
    "description": "Anomalie du système immunitaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du sang et des organes hématopoïétiques et certains troubles du système immunitaire",
    "page": 241,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie immunitaire SAI",
      "Maladies endocriniennes, nutritionnelles",
      "et métaboliques (E00-E90)",
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies endocriniennes et métaboliques transitoires spécifiques au fœtus et au nouveau-né (P70-P74)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)"
    ],
    "clinical_text": [
      "Note Toutes les tumeurs sont classées dans le Chapitre II, qu’il soit ou non fait mention d’activité fonctionnelle. On peut utiliser,",
      "au besoin, les codes de ce chapitre (E05.8, E07.0, E16-E31, E34.-) comme code supplémentaire pour indiquer l’activité",
      "fonctionnelle d’une tumeur ou d’un tissu endocrinien ectopique, et l’hyperfonctionnement ou l’hypofonctionnement de",
      "glandes endocrines associé à une tumeur et à d’autres états classés ailleurs.",
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E35": {
    "code": "E35",
    "description": "* Anomalies endocriniennes au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E90": {
    "code": "E90",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs",
      "Ce chapitre comprend les groupes suivants :",
      "l’adolescence"
    ],
    "comprend": [
      "troubles du développement psychologique"
    ],
    "exclusions": [
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00–R99)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E00": {
    "code": "E00",
    "description": "Syndrome d’insuffisance thyroïdienne congénitale",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypothyroïdie par carence inapparente en iode (E02)"
    ],
    "clinical_text": [
      "C omprend maladies endémiques dues à une insuffisance en iode de l’environnement soit directe, soit résultant d’une",
      "insuffisance thyroïdienne maternelle. Certaines de ces maladies ne correspondent pas à une hypothyroïdie",
      "en cours mais sont la conséquence d’une sécrétion anormale de l’hormone thyroïdienne au cours du",
      "développement du fœtus. Le goitre endémique peut y être associé."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E00.0": {
    "code": "E00.0",
    "description": "Syndrome d’insuffisance thyroïdienne congénitale de type neurologique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crétinisme endémique, de type neurologique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E00.1": {
    "code": "E00.1",
    "description": "Syndrome d’insuffisance thyroïdienne congénitale de type myxœdémateux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crétinisme endémique (de) : • hypothyroïdien",
      "• type myxœdémateux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E00.2": {
    "code": "E00.2",
    "description": "Syndrome d’insuffisance thyroïdienne congénitale de type mixte",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crétinisme endémique, de type mixte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E00.9": {
    "code": "E00.9",
    "description": "Syndrome d’insuffisance thyroïdienne congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crétinisme endémique SAI",
      "Hypothyroïdie par insuffisance congénitale en iode SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E01": {
    "code": "E01",
    "description": "Affections thyroïdiennes et apparentées liées à une carence en iode",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypothyroïdie par carence inapparente en iode (E02)",
      "syndrome d’insuffisance thyroïdienne congénitale (E00.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E01.0": {
    "code": "E01.0",
    "description": "Goitre diffus (endémique) lié à une carence en iode",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E01.1": {
    "code": "E01.1",
    "description": "Goitre multinodulaire (endémique) lié à une carence en iode",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre nodulaire lié à une carence en iode"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E01.2": {
    "code": "E01.2",
    "description": "Goitre (endémique) lié à une carence en iode, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre endémique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E01.8": {
    "code": "E01.8",
    "description": "Autres affections thyroïdiennes et apparentées liées à une carence en iode",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypothyroïdie par carence acquise en iode SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E02": {
    "code": "E02",
    "description": "Hypothyroïdie par carence inapparente en iode",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03": {
    "code": "E03",
    "description": "Autres hypothyroïdies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypothyroïdie : • après un acte à visée diagnostique et thérapeutique (E89.0)",
      "• liée à une carence en iode (E00 – E02)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.0": {
    "code": "E03.0",
    "description": "Hypothyroïdie congénitale, avec goitre diffus",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre congénital (non • SAI",
      "toxique) : • parenchymateux"
    ],
    "comprend": [],
    "exclusions": [
      "goitre congénital transitoire avec fonction normale (P72.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.1": {
    "code": "E03.1",
    "description": "Hypothyroïdie congénitale, sans goitre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 244,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aplasie de la thyroïde (avec myxœdème)",
      "Atrophie congénitale de la thyroïde",
      "Hypothyroïdie congénitale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.2": {
    "code": "E03.2",
    "description": "Hypothyroïdie due à des médicaments et à d’autres produits exogènes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.3": {
    "code": "E03.3",
    "description": "Hypothyroïdie post-infectieuse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.4": {
    "code": "E03.4",
    "description": "Atrophie de la thyroïde (acquise)",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atrophie congénitale de la thyroïde (E03.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.5": {
    "code": "E03.5",
    "description": "Coma myxœdémateux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.8": {
    "code": "E03.8",
    "description": "Autres hypothyroïdies précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E03.9": {
    "code": "E03.9",
    "description": "Hypothyroïdie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myxœdème SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E04": {
    "code": "E04",
    "description": "Autres goitres non toxiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "goitre congénital : • SAI (E03.0)",
      "• diffus (E03.0)",
      "• parenchymateux (E03.0)",
      "• SAI (E03.0)",
      "goitre lié à une carence en iode (E00-E02)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E04.0": {
    "code": "E04.0",
    "description": "Goitre diffus non toxique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre, non toxique : • diffus (colloïde)",
      "• simple"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E04.1": {
    "code": "E04.1",
    "description": "Nodule thyroïdien simple non toxique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre uninodulaire non toxique",
      "Nodule : • colloïde (kystique) (thyroïdien)",
      "• thyroïdien (kystique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E04.2": {
    "code": "E04.2",
    "description": "Goitre multinodulaire non toxique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre : • kystique SAI",
      "• multinodulaire (kystique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E04.8": {
    "code": "E04.8",
    "description": "Autres goitres non toxiques précisés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E04.9": {
    "code": "E04.9",
    "description": "Goitre non toxique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre : • SAI",
      "• nodulaire (non toxique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05": {
    "code": "E05",
    "description": "Thyréotoxicose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "affection du cœur † (I43.8 *)",
      "cardiothyréose † (I43.8 *)",
      "d’origine thyroïdienne (thyréotoxique)",
      "affection de l’œil † (H58.8 *)",
      "exophtalmie † (H06.2 *)"
    ],
    "exclusions": [
      "thyréotoxicose néonatale (P72.1)",
      "thyroïdite chronique avec thyréotoxicose transitoire (E06.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.0": {
    "code": "E05.0",
    "description": "Thyréotoxicose avec goitre diffus",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Goitre : • exophtalmique ou toxique SAI",
      "• toxique diffus",
      "Maladie de Basedow"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.1": {
    "code": "E05.1",
    "description": "Thyréotoxicose avec nodule thyroïdien simple",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 245,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Thyréotoxicose avec goitre uninodulaire toxique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.2": {
    "code": "E05.2",
    "description": "Thyréotoxicose avec goitre multinodulaire toxique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Goitre nodulaire toxique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.3": {
    "code": "E05.3",
    "description": "Thyréotoxicose due à des nodules thyroïdiens ectopiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.4": {
    "code": "E05.4",
    "description": "Thyréotoxicose factice",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.5": {
    "code": "E05.5",
    "description": "Crise aiguë thyréotoxique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.8": {
    "code": "E05.8",
    "description": "Autres thyréotoxicoses",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperproduction de thyrotrophine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E05.9": {
    "code": "E05.9",
    "description": "Thyréotoxicose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperthyroïdie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06": {
    "code": "E06",
    "description": "Thyroïdite",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "thyroïdite du post-partum (O90.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.0": {
    "code": "E06.0",
    "description": "Thyroïdite aiguë",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès de la thyroïde",
      "Thyroïdite : • pyogène",
      "• suppurée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.1": {
    "code": "E06.1",
    "description": "Thyroïdite subaiguë",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thyroïdite (à) (de) : • cellules géantes",
      "• de Quervain",
      "• granulomateuse",
      "• non suppurée"
    ],
    "comprend": [],
    "exclusions": [
      "thyroïdite auto-immune (E06.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.2": {
    "code": "E06.2",
    "description": "Thyroïdite chronique avec thyréotoxicose transitoire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "thyroïdite auto-immune (E06.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.3": {
    "code": "E06.3",
    "description": "Thyroïdite auto-immune",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre lymphadénoïde",
      "Hashitoxicose (transitoire)",
      "Strumite lymphomateuse",
      "Thyroïdite (de) : • Hashimoto",
      "• lymphocytaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.4": {
    "code": "E06.4",
    "description": "Thyroïdite médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.5": {
    "code": "E06.5",
    "description": "Autres thyroïdites chroniques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thyroïdite (de) : • chronique : • SAI",
      "• fibreuse",
      "• ligneuse",
      "• Riedel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E06.9": {
    "code": "E06.9",
    "description": "Thyroïdite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 246,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E07": {
    "code": "E07",
    "description": "Autres affections de la thyroïde",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 247,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E07.0": {
    "code": "E07.0",
    "description": "Hypersécrétion de calcitonine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 247,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie des cellules C de la thyroïde",
      "Hypersécrétion de thyrocalcitonine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E07.1": {
    "code": "E07.1",
    "description": "Goitre dû à un trouble de l’hormonosynthèse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 247,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goitre familial dû à un trouble de l’hormonosynthèse",
      "Syndrome de Pendred"
    ],
    "comprend": [],
    "exclusions": [
      "goitre congénital transitoire avec fonction thyroïdienne normale (P72.0)"
    ],
    "clinical_text": [
      "Hypothyroïdie par anomalie héréditaire de l’hormonosynthèse, avec goitre diffus",
      "Hypothyroidie par anomalie héréditaire de l’hormonosynthèse, sans (mention de) goitre",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E07.8": {
    "code": "E07.8",
    "description": "Autres affections précisées de la thyroïde",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 247,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de la thyroglobuline",
      "Hémorragie de la thyroïde",
      "Infarctus de la thyroïde",
      "Syndrome de dysfonctionnement euthyroïdien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E07.9": {
    "code": "E07.9",
    "description": "Affection de la thyroïde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 247,
    "is_category": false,
    "severity": null,
    "synonyms": [
      ".0 Avec coma",
      "• hyperosmolaire",
      "• hyperglycémique SAI",
      ".1 Avec acidocétose",
      "Acidocétose diabétique, sans mention de coma",
      "Acidose diabétique, sans mention de coma",
      ".2 † Avec complications rénales",
      "Glomérulonéphrite intra-capillaire (N08.3 *)",
      "Néphropathie diabétique (N08.3 *)",
      "Syndrome de Kimmelstiel-Wilson (N08.3 *)",
      ".3 † Avec complications oculaires",
      "Cataracte diabétique (H28.0 *)",
      "Rétinopathie diabétique (H36.0 *)",
      ".4 † Avec complications neurologiques",
      "Amyotrophie diabétique (G73.0 *)",
      "Mononévrite diabétique (G59.0 *)",
      "Neuropathie végétative diabétique (G99.0 *)",
      "Polynévrite diabétique (G63.2 *)",
      "• système nerveux autonome (G99.0 *)",
      ".5 Avec complications vasculaires périphériques",
      "Angiopathie périphérique † (I79.2 *)",
      "Gangrène diabétique",
      "Ulcère",
      ".6 Avec autres complications précisées",
      "Arthropathie diabétique † (M14.2 *)",
      "• nerveuse diabétique † (M14.6 *)",
      ".7 Avec complications multiples",
      ".8 Avec complications non précisées",
      ".9 Sans complication",
      "quatrième caractère .9.",
      "se code avec la catégorie E11.",
      "2019)",
      "- # 188973 le 19 novembre 2019)",
      "suivants :",
      "par pompe,",
      "l’une des caractéristiques suivantes :",
      "• syndrome coronaire aigu ou AVC il y a moins d’un an,",
      "• grossesse chez une patiente diabétique de type 1 ou 2",
      "• situation de précarité et d’isolement social."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament.",
      "Les subdivisions suivantes peuvent être utilisées comme quatrième chiffre avec les catégories E10 à E14 :",
      "Coma : • diabétique, avec ou sans acidocétose : • hyperglycémique",
      "Dans le volume 3 la cétose est codée avec le caractère «1 ». Vous pouvez donc employer ce type de code en présence",
      "utilisée pour coder l’affection principale que lorsque les complications multiples du diabète ont été enregistrées comme",
      "« affection principale » sans aucune préférence pour l’une d’entre elles. Des codes pour chacune des complications",
      "mentionnées peuvent être ajoutés comme codes supplémentaires facultatifs ».",
      "En revanche, lorsqu’une complication précise domine la prise en charge, elle doit être codée comme « affection principale »,",
      "les éventuelles complications associées étant codées en complément, avec le double codage †/ *.",
      "Le quatrième caractère .9 doit également être employé dans les cas de diabète sans mention de complication.",
      "Le diabète de type II (non insulino-dépendant) précisé « insulino-nécessitant », « insulino-traité » ou « insulino-requérant »,",
      "Le décollement de la rétine n’est pas systématiquement présent au cours de la rétinopathie diabétique. Il est donc licite de",
      "Après réexamen nous donnons la consigne suivante pour coder le mal perforant plantaire d’origine diabétique : code",
      "Comment coder une ostéite sur un mal perforant plantaire diabétique ? vous associerez le code de l'ostéite (M86.-) à ceux",
      "Comment coder un mal perforant plantaire nécrosé dont la nécrose nécessite l'amputation ? vous associerez R02 au code",
      "La nécrose au cours d'un mal perforant codé L97, n'est pas exclue dans les notes de R02. (AGORA - # 188973 le 19 novembre",
      "Le mal perforant ne s'accompagnant pas toujours de nécrose, il est normal de l'associer au R02 lorsque c'est le cas. (AGORA",
      "Diabète (tout type) décompensé sur le mode cétosique sans acidose : dans le volume 3 la cétose diabétique est codée avec",
      "le 4ème caractère « 1 ». Vous pouvez donc employer ce type de code en présence d'une cétose même en l'absence",
      "Le diabète africain ressemble au diabète de type 1 au début de la maladie mais sans stigmates d’auto-immunité. Les sujets",
      "avec ce phénotype de diabète présentent 2 entités évolutives possibles : les DT1B auront une insulinodépendance définitive.",
      "Les DT2C auront une ou plusieurs rémissions insuliniques prolongées et leur équilibre glycémique pourra être maintenu très",
      "longtemps avec une alimentation équilibrée associée ou non à des antidiabétiques oraux. Néanmoins, il reste encore à",
      "trouver quelle serait la cause de la cétose en absence d’auto-immunité et quels seraient les déterminants de",
      "l’insulinodépendance au long cours. ». (Pr Jean-François Gauthier et collègues – extrait de Cas cliniques Diabète – Numéro 4",
      "Situations équivalentes (au traitement unique) : on assimile à la situation de traitement unique les circonstances suivantes :",
      "1°) La mise en route du traitement d’une maladie chronique ou de longue durée, c’est-à-dire l’hospitalisation nécessitée par",
      "la première administration d’un traitement médicamenteux appelé à être ensuite poursuivi au long cours. Les conditions",
      "précisées dans le point 1.5 du chapitre I doivent être respectées.",
      "2°) Chez les patients diabétiques non améliorés par une adaptation ambulatoire du traitement, la nécessité d’une rupture",
      "dans la prise en charge globale avec changement de la stratégie thérapeutique répondant au moins à l’un des critères",
      "- nécessité de recourir à un schéma insulinique avec plusieurs injections quotidiennes d’insuline ou une insulinothérapie",
      "- nécessité de reconsidérer l’approche thérapeutique en cas d’échec d’un traitement insulinique multi-injections,",
      "- nécessité de débuter ou modifier une insulinothérapie chez un patient à haut risque c’est-à-dire présentant au moins",
      "• rétinopathie pré proliférative sévère ou proliférative non stabilisée,",
      "• insuffisance rénale avec un taux de filtration glomérulaire < 30 ml/mn (MDRD ou CKD-EPI)",
      "• antécédent d’hypoglycémies sévères ou à répétition (plus de 4 par semaine) ou non perçues",
      "Toute la prise en charge est réévaluée durant l’hospitalisation (règles hygiéno-diététiques, auto-surveillance glycémique,",
      "traitement oral ou injectable associé à l’insuline, traitement des comorbidités).",
      "Il ne peut pas s’agir seulement, au cours du séjour, de modifications posologiques progressives du traitement antérieur, ou",
      "de la mise en place progressive du traitement avec lequel le patient quittera l’unité.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 133-134"
    ],
    "agora_refs": [
      "91484",
      "119404",
      "21745",
      "34936",
      "120773",
      "91484",
      "139365"
    ],
    "cocoa_notes": [
      "d’une cétose même en absence d’acidose. (AGORA - # 91484 le 10 janvier 2014)",
      "Aunis p.48 : Pour l’emploi du quatrième caractère .7, on se reportera au Volume 2 p.120 : « la sous-catégorie .7 ne doit être",
      "Aunis p.48 : le « diabète décompensé SAI » se code comme un diabète sans mention de complication, c’est-à-dire avec le",
      "le coder en association avec le H36.0 et le code du diabète. (AGORA - # 119404 le 26 juin 2015)",
      "principal L97, codes associés G63.2 et code du diabète avec 4e caractère .4. (AGORA – # 21745 le 25 novembre 2009)",
      "du mal perforant plantaire diabétique. (AGORA - # 34936 le 14 septembre 2010)",
      "du mal perforant. (AGORA - # 120773 le 24 juillet 2015)",
      "d'acidose. (AGORA - # 91484 le 10 janvier 2014)",
      "– Supplément à Médecine Clinique Endocrinologie et Diabète – Décembre 2013) (AGORA – # 139365 le 23 octobre 2016)"
    ]
  },
  "E10": {
    "code": "E10",
    "description": "Diabète sucré de type 1",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "diabète (sucré) : • instable",
      "• juvénile",
      "• sujet à cétose"
    ],
    "exclusions": [],
    "clinical_text": [
      "[voir en tête de groupe les intitulés alternatifs pour les subdivisions .0 à .9]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.0": {
    "code": "E10.0",
    "description": "Diabète sucré de type 1, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.1": {
    "code": "E10.1",
    "description": "Diabète sucré de type 1, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.2": {
    "code": "E10.2",
    "description": "Diabète sucré de type 1, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.3": {
    "code": "E10.3",
    "description": "Diabète sucré de type 1, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.4": {
    "code": "E10.4",
    "description": "Diabète sucré de type 1, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.5": {
    "code": "E10.5",
    "description": "Diabète sucré de type 1, avec complications vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.6": {
    "code": "E10.6",
    "description": "Diabète sucré de type 1, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.7": {
    "code": "E10.7",
    "description": "Diabète sucré de type 1, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.8": {
    "code": "E10.8",
    "description": "Diabète sucré de type 1, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E10.9": {
    "code": "E10.9",
    "description": "Diabète sucré de type 1, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "DIABÈTE DE TYPE 2 TRAITÉ PAR INSULINE",
      "l’ordonnance de sortie).",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 89"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Des extensions des codes de la catégorie E11 Diabète sucré de type 2 de la CIM–10 ont été créées en 2011 pour distinguer",
      "le diabète de type 2 traité par voie orale de celui nécessitant un traitement par insuline (diabète de type 2 dit",
      "insulinonécessitant, insulinorequérant ou insulinotraité). Les codes étendus correspondant à ces derniers sont ceux",
      "possédant le chiffre « 0 » en cinquième position du code : E11.00 Diabète sucré de type 2 insulinotraité, avec coma, E11.10",
      "Diabète sucré de type 2 insulinotraité, avec acidocétose, E11.20 Diabète sucré de type 2 insulinotraité, avec complications",
      "rénales […] E11.90 Diabète sucré de type 2 insulinotraité, sans complication. Ces codes sont réservés au diabète de type 2",
      "insulinotraité au long cours. Ils ne doivent pas être employés lorsqu’un évènement ponctuel exige, pendant une",
      "hospitalisation, un bref remplacement d’un traitement antidiabétique oral par l’insuline, par exemple pour une anesthésie.",
      "La mention d’un code étendu E11.–0 dans un RUM suppose que le patient fût déjà traité par insuline à son domicile avant",
      "son hospitalisation ou que le traitement insulinique soit poursuivi à domicile après la sortie (il est alors mentionné dans",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11": {
    "code": "E11",
    "description": "Diabète sucré de type 2",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "diabète (sucré) (avec obésité) • adulte",
      "(sans obésité) (de) : • maturité",
      "• non cétosique",
      "• non insulino-dépendant du sujet jeune",
      "• stable"
    ],
    "exclusions": [
      "anomalie de l’épreuve de tolérance au glucose (R73.0)",
      "diabète sucré : • au cours de la grossesse, de l’accouchement et de la puerpéralité (O24.-)",
      "• de malnutrition (E12.-)",
      "• néonatal (P70.2)",
      "glycosurie : • SAI (R81)",
      "• rénale (E74.8)",
      "hypo-insulinémie post-chirurgicale (E89.1)"
    ],
    "clinical_text": [
      "[voir en tête de groupe les intitulés alternatifs pour les subdivisions .0 à .9]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.0": {
    "code": "E11.0",
    "description": "Diabète sucré de type 2, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.00": {
    "code": "E11.00",
    "description": "Diabète sucré de type 2 insulinotraité, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 249,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.08": {
    "code": "E11.08",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.1": {
    "code": "E11.1",
    "description": "Diabète sucré de type 2, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.10": {
    "code": "E11.10",
    "description": "Diabète sucré de type 2 insulinotraité, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.18": {
    "code": "E11.18",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.2": {
    "code": "E11.2",
    "description": "Diabète sucré de type 2, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.20": {
    "code": "E11.20",
    "description": "Diabète sucré de type 2 insulinotraité, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.28": {
    "code": "E11.28",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.3": {
    "code": "E11.3",
    "description": "Diabète sucré de type 2, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.30": {
    "code": "E11.30",
    "description": "Diabète sucré de type 2 insulinotraité, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.38": {
    "code": "E11.38",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.4": {
    "code": "E11.4",
    "description": "Diabète sucré de type 2, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.40": {
    "code": "E11.40",
    "description": "Diabète sucré de type 2 insulinotraité, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.48": {
    "code": "E11.48",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.5": {
    "code": "E11.5",
    "description": "Diabète sucré de type 2, avec complications vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.50": {
    "code": "E11.50",
    "description": "Diabète sucré de type 2 insulinotraité, avec complications vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Diabète sucré de type 2 non insulinotraité ou sans précision, avec complications vasculaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.6": {
    "code": "E11.6",
    "description": "Diabète sucré de type 2, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.60": {
    "code": "E11.60",
    "description": "Diabète sucré de type 2 insulinotraité, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.68": {
    "code": "E11.68",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.7": {
    "code": "E11.7",
    "description": "Diabète sucré de type 2, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.70": {
    "code": "E11.70",
    "description": "Diabète sucré de type 2 insulinotraité, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.78": {
    "code": "E11.78",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.8": {
    "code": "E11.8",
    "description": "Diabète sucré de type 2, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.80": {
    "code": "E11.80",
    "description": "Diabète sucré de type 2 insulinotraité, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.88": {
    "code": "E11.88",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.9": {
    "code": "E11.9",
    "description": "Diabète sucré de type 2, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.90": {
    "code": "E11.90",
    "description": "Diabète sucré de type 2 insulinotraité, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E11.98": {
    "code": "E11.98",
    "description": "Diabète sucré de type 2 non insulinotraité ou sans précision, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 250,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12": {
    "code": "E12",
    "description": "Diabète sucré de malnutrition",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "diabète sucré de malnutrition : • de type 1",
      "• de type 2"
    ],
    "exclusions": [
      "anomalie de l’épreuve de tolérance au glucose (R73.0)",
      "diabète sucré : • au cours de la grossesse, de l’accouchement et de la puerpéralité (O24.-)",
      "• néonatal (P70.2)",
      "glycosurie : • SAI (R81)",
      "• rénale (E74.8)",
      "hypoinsulinémie post-chirurgicale (E89.1)"
    ],
    "clinical_text": [
      "[voir en tête de groupe les intitulés alternatifs pour les subdivisions .0 à .9]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.0": {
    "code": "E12.0",
    "description": "Diabète sucré de malnutrition, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.1": {
    "code": "E12.1",
    "description": "Diabète sucré de malnutrition, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.2": {
    "code": "E12.2",
    "description": "Diabète sucré de malnutrition, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.3": {
    "code": "E12.3",
    "description": "Diabète sucré de malnutrition, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.4": {
    "code": "E12.4",
    "description": "Diabète sucré de malnutrition, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.5": {
    "code": "E12.5",
    "description": "Diabète sucré de malnutrition, avec complications vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.6": {
    "code": "E12.6",
    "description": "Diabète sucré de malnutrition, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.7": {
    "code": "E12.7",
    "description": "Diabète sucré de malnutrition, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.8": {
    "code": "E12.8",
    "description": "Diabète sucré de malnutrition, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E12.9": {
    "code": "E12.9",
    "description": "Diabète sucré de malnutrition, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13": {
    "code": "E13",
    "description": "Autres diabètes sucrés précisés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Diabète sucré d’origine mitochondriale : E13 + E88.8"
    ],
    "comprend": [],
    "exclusions": [
      "anomalie de l’épreuve de tolérance au glucose (R73.0)",
      "diabète sucré : • au cours de la grossesse, de l’accouchement et de la puerpéralité (O24.-)",
      "• de malnutrition (E12.-)",
      "• de type 1 (E10.-)",
      "• néonatal (P70.2)",
      "• de type 2 (E11.-)",
      "glycosurie : • SAI (R81)",
      "• rénale (E74.8)",
      "Hypo-insulinémie post-chirurgicale (E89.1)"
    ],
    "clinical_text": [
      "[voir en tête de groupe les intitulés alternatifs pour les subdivisions .0 à .9]",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009",
      "Diabète cortico-induit : Il n'y a en effet pas de code précis pour le diabète cortico-induit. En revanche le E13.8 reste imprécis.",
      "S'il n'y a aucune complication, préférer le .9 et si les complications ne peuvent pas être décrites avec les extensions de .0 à",
      "Dans le cas d’un diabète insulino-dépendant associé à une mucoviscidose le code du diabète employé doit-il être le E10"
    ],
    "agora_refs": [
      "255286",
      "89264",
      "59391"
    ],
    "cocoa_notes": [
      ".5, alors préférer le E13.6 ou le E13.7. (AGORA - # 255286 le 29 novembre 2023)",
      "ou le E13 ? Le diabète lié à la mucoviscidose doit être codé avec la catégorie E13. (AGORA - # 89264 le 15 novembre 2013)",
      "Diabète MODY (AGORA – # 59391 le 24 février 2012)"
    ]
  },
  "E13.0": {
    "code": "E13.0",
    "description": "Autres diabètes sucrés précisés, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.1": {
    "code": "E13.1",
    "description": "Autres diabètes sucrés précisés, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.2": {
    "code": "E13.2",
    "description": "Autres diabètes sucrés précisés, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.3": {
    "code": "E13.3",
    "description": "Autres diabètes sucrés précisés, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 251,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.4": {
    "code": "E13.4",
    "description": "Autres diabètes sucrés précisés, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.5": {
    "code": "E13.5",
    "description": "Autres diabètes sucrés précisés, avec complications vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.6": {
    "code": "E13.6",
    "description": "Autres diabètes sucrés précisés, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.7": {
    "code": "E13.7",
    "description": "Autres diabètes sucrés précisés, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.8": {
    "code": "E13.8",
    "description": "Autres diabètes sucrés précisés, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E13.9": {
    "code": "E13.9",
    "description": "Autres diabètes sucrés précisés, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14": {
    "code": "E14",
    "description": "Diabète sucré, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "diabète SAI"
    ],
    "exclusions": [
      "anomalie de l’épreuve de tolérance au glucose (R73.0)",
      "diabète sucré : • au cours de la grossesse, de l’accouchement et de la puerpéralité (O24.-)",
      "• de malnutrition (E12.-)",
      "• de type 1 (E10.-)",
      "• néonatal (P70.2)",
      "• de type 2 (E11.-)",
      "glycosurie : • SAI (R81)",
      "• rénale (E74.8)",
      "hypoinsulinémie post-chirurgicale (E89.1)"
    ],
    "clinical_text": [
      "[voir en tête de groupe les intitulés alternatifs pour les subdivisions .0 à .9]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.0": {
    "code": "E14.0",
    "description": "Diabète sucré, sans précision relative au type, avec coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.1": {
    "code": "E14.1",
    "description": "Diabète sucré, sans précision relative au type, avec acidocétose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.2": {
    "code": "E14.2",
    "description": "Diabète sucré, sans précision relative au type, avec complications rénales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.3": {
    "code": "E14.3",
    "description": "Diabète sucré, sans précision relative au type, avec complications oculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.4": {
    "code": "E14.4",
    "description": "Diabète sucré, sans précision relative au type, avec complications neurologiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.5": {
    "code": "E14.5",
    "description": "Diabète sucré, sans précision relative au type, avec complications vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.6": {
    "code": "E14.6",
    "description": "Diabète sucré, sans précision relative au type, avec autres complications précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.7": {
    "code": "E14.7",
    "description": "Diabète sucré, sans précision relative au type, avec complications multiples",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.8": {
    "code": "E14.8",
    "description": "Diabète sucré, sans précision relative au type, avec complications non précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E14.9": {
    "code": "E14.9",
    "description": "Diabète sucré, sans précision relative au type, sans complication",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 252,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "interne (E15-E16)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres anomalies de la régulation du glucose et de la sécrétion pancréatique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E15": {
    "code": "E15",
    "description": "Coma hypoglycémique non diabétique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Co ma : • hypoglycémique SAI",
      "• insulinique induit, chez un non diabétique",
      "Hyperinsulinisme avec coma hypoglycémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16": {
    "code": "E16",
    "description": "Autres anomalies de la sécrétion pancréatique interne",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16.0": {
    "code": "E16.0",
    "description": "Hypoglycémie médicamenteuse, sans coma",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament)",
      "Codage de l’hypoglycémie causée par l’insuline dans le diabète : il s’agit d’une hypoglycémie induite par"
    ],
    "agora_refs": [
      "271531"
    ],
    "cocoa_notes": [
      "l’administration d’insuline alors le code E16.0 est justifié (AGORA - # 271531 le 03 février 2025)"
    ]
  },
  "E16.1": {
    "code": "E16.1",
    "description": "Autres hypoglycémies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalopathie après coma hypoglycémique (G94.3 *)",
      "Hyperinsulinisme : • SAI",
      "• fonctionnel",
      "• congénital",
      "Hyperplasie des cellules bêta des îlots de Langerhans SAI",
      "Hypoglycémie non hyperinsulinémique fonctionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16.2": {
    "code": "E16.2",
    "description": "Hypoglycémie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16.3": {
    "code": "E16.3",
    "description": "Hypersécrétion de glucagon",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyperplasie des cellules endocrines du pancréas avec hypersécrétion de glucagon"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16.4": {
    "code": "E16.4",
    "description": "Sécrétion anormale de gastrine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypergastrinémie",
      "Syndrome de Zollinger-Ellison"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16.8": {
    "code": "E16.8",
    "description": "Autres anomalies précisées de la sécrétion pancréatique interne",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "endocrine de :",
      "• pancréatique",
      "• « releasing factor » de l’hormone de croissance",
      "• somatotropine",
      "• somatostatine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hypersécrétion du pancréas • polypeptide : • intestinal vaso-actif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E16.9": {
    "code": "E16.9",
    "description": "Anomalie de la régulation de la sécrétion pancréatique interne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 253,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie des • endocrines du pancréas SAI",
      "cellules (des) :",
      "• îlots de Langerhans SAI"
    ],
    "comprend": [],
    "exclusions": [
      "galactorrhée (N64.3)",
      "gynécomastie (N62)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E20": {
    "code": "E20",
    "description": "Hypoparathyroïdie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypoparathyroïdie : • après un acte à visée diagnostique et thérapeutique (E89.2)",
      "• néonatale transitoire (P71.4)",
      "syndrome de Di George (D82.1)",
      "tétanie SAI (R29.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E20.0": {
    "code": "E20.0",
    "description": "Hypoparathyroïdie idiopathique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E20.1": {
    "code": "E20.1",
    "description": "Pseudohypoparathyroïdie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E20.8": {
    "code": "E20.8",
    "description": "Autres hypoparathyroïdies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hypoparathyroidie par anomalie de l’hormonosynthèse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E20.9": {
    "code": "E20.9",
    "description": "Hypoparathyroïdie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tétanie parathyroïdienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21": {
    "code": "E21",
    "description": "Hyperparathyroïdie et autres maladies de la glande parathyroïde",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ostéomalacie : • adulte (M83.-)",
      "• infantile et juvénile (E55.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21.0": {
    "code": "E21.0",
    "description": "Hyperparathyroïdie primaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperplasie de la glande parathyroïde",
      "Ostéite fibro-kystique généralisée",
      "Maladie osseuse de von Recklinghausen"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21.1": {
    "code": "E21.1",
    "description": "Hyperparathyroïdie secondaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperparathyroïdie tertiaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21.2": {
    "code": "E21.2",
    "description": "Autres hyperparathyroïdies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypercalcémie hypocalciurique familiale (E83.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21.3": {
    "code": "E21.3",
    "description": "Hyperparathyroïdie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21.4": {
    "code": "E21.4",
    "description": "Autres maladies précisées de la glande parathyroïde",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E21.5": {
    "code": "E21.5",
    "description": "Maladie de la glande parathyroïde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 254,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E22": {
    "code": "E22",
    "description": "Hypersécrétion de l’hypophyse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypersécrétion de : • adrénocorticotrophine • hypophysaire (E24.0)",
      "[ACTH] : • non associée à la maladie de Cushing (E27.0)",
      "• thyrotrophine (E05.8)",
      "syndrome de : • Cushing (E24.-)",
      "• Nelson (E24.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E22.0": {
    "code": "E22.0",
    "description": "Acromégalie et gigantisme",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthropathie associée à l’acromégalie † (M14.5 *)",
      "Hypersécrétion de l’hormone somatotrope"
    ],
    "comprend": [],
    "exclusions": [
      "gigantisme constitutionnel (E34.4)",
      "haute stature constitutionnelle (E34.4)",
      "hypersécrétion du pancréas endocrine du \"releasing factor\" de l’hormone de",
      "croissance [somatotropine] (E16.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E22.1": {
    "code": "E22.1",
    "description": "Hyperprolactinémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E22.2": {
    "code": "E22.2",
    "description": "Syndrome de sécrétion anormale de l’hormone antidiurétique [SIADH]",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E22.8": {
    "code": "E22.8",
    "description": "Autres hypersécrétions de l’hypophyse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Puberté hypophysaire précoce"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E22.9": {
    "code": "E22.9",
    "description": "Hypersécrétion de l’hypophyse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23": {
    "code": "E23",
    "description": "Hyposécrétion et autres anomalies de l’hypophyse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypopituitarisme après un acte à visée diagnostique et thérapeutique (E89.3)"
    ],
    "clinical_text": [
      "C omprend les états mentionnés ci-dessous, qu’il s’agisse d’une anomalie hypophysaire ou hypothalamique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23.0": {
    "code": "E23.0",
    "description": "Hypopituitarisme",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nanisme hypopituitaire",
      "Cachexie hypophysaire",
      "Hypogonadisme hypogonadotrophique",
      "• isolée en : • gonadotrophine",
      "• hormone de croissance [somatotropine]",
      "• hormone hypophysaire",
      "• staturale pituitaire SAI",
      "Maladie de Simmonds",
      "Nécrose pituitaire (post-partum)",
      "Panhypopituitarisme",
      "Syndrome de : • eunuchoïdisme fertile",
      "• Kallmann",
      "• Lorain-Lévi",
      "• Sheehan"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Insuffisance (de) : • hormone de croissance [somatotropine] idiopathique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23.1": {
    "code": "E23.1",
    "description": "Hypopituitarisme médicamenteux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier de médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23.2": {
    "code": "E23.2",
    "description": "Diabète insipide",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "diabète insipide néphrogénique (N25.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23.3": {
    "code": "E23.3",
    "description": "Anomalie hypothalamique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 255,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de : • Prader-Willi (Q87.1)",
      "• Russell-Silver (Q87.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23.6": {
    "code": "E23.6",
    "description": "Autres anomalies de l’hypophyse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès de l’hypophyse",
      "Dystrophie adiposo-génitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E23.7": {
    "code": "E23.7",
    "description": "Anomalie de l’hypophyse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24": {
    "code": "E24",
    "description": "Syndrome de Cushing",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.0": {
    "code": "E24.0",
    "description": "Maladie de Cushing hypophyso-dépendante",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypercorticisme hypophyso-dépendant",
      "Hypersécrétion hypophysaire d’adrénocorticotrophine [ACTH]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.1": {
    "code": "E24.1",
    "description": "Syndrome de Nelson",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.2": {
    "code": "E24.2",
    "description": "Syndrome de Cushing médicamenteux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.3": {
    "code": "E24.3",
    "description": "Syndrome de sécrétion ectopique d’adrénocorticotrophine [ACTH]",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.4": {
    "code": "E24.4",
    "description": "Pseudosyndrome de Cushing dû à l’alcool",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.8": {
    "code": "E24.8",
    "description": "Autres syndromes de Cushing",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E24.9": {
    "code": "E24.9",
    "description": "Syndrome de Cushing, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E25": {
    "code": "E25",
    "description": "Anomalies génito-surrénaliennes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend macro-génitosomie précoce chez l’homme",
      "précocité sexuelle avec hyperplasie surrénale chez l’homme",
      "pseudo-puberté iso-sexuelle précoce chez l’homme",
      "pseudo-hermaphrodisme surrénalien chez la femme",
      "pseudo-puberté hétérosexuelle précoce chez la femme",
      "des hormones cortico-stéroïdes",
      "virilisme (chez la femme)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "syndromes génito-surrénaliens, masculinisant ou féminisant, qu’ils soient acquis ou associés à une",
      "hyperplasie surrénale congénitale consécutive à des anomalies enzymatiques congénitales de la synthèse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E25.0": {
    "code": "E25.0",
    "description": "Anomalies génito-surrénaliennes congénitales liées à un déficit enzymatique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en 21-hydroxylase",
      "Hyperplasie surrénale congénitale (avec perte de sel)",
      "Déficit en 11-bêtahydroxylase",
      "Déficit en 3-bêta-ol-déshydrogénase",
      "Insuffisance surrénalienne par autre déficit précisé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E25.8": {
    "code": "E25.8",
    "description": "Autres anomalies génito-surrénaliennes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie génito-surrénalienne idiopathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier de médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E25.9": {
    "code": "E25.9",
    "description": "Anomalie génito-surrénalienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 256,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome génito-surrénalien SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E26": {
    "code": "E26",
    "description": "Hyperaldostéronisme",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E26.0": {
    "code": "E26.0",
    "description": "Hyperaldostéronisme primaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Conn"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyperaldostéronisme primaire dû à un adénome surrénalien (bilatéral)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E26.1": {
    "code": "E26.1",
    "description": "Hyperaldostéronisme secondaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E26.8": {
    "code": "E26.8",
    "description": "Autres Hyperaldostéronismes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Bartter"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E26.9": {
    "code": "E26.9",
    "description": "Hyperaldostéronisme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27": {
    "code": "E27",
    "description": "Autres maladies de la glande surrénale",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.0": {
    "code": "E27.0",
    "description": "Autres hyperfonctionnement corticosurrénaux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Puberté surrénalienne précoce"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Cushing (E24.-)"
    ],
    "clinical_text": [
      "Hypersécrétion d’adrénocorticotrophine [ACTH], non associée à la maladie de Cushing"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.1": {
    "code": "E27.1",
    "description": "Insuffisance corticosurrénale primaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie d’Addison",
      "Surrénalite auto-immune"
    ],
    "comprend": [],
    "exclusions": [
      "amylose (E85.-)",
      "maladie d’Addison tuberculeuse (A18.7)",
      "syndrome de Waterhouse-Friderichsen (A39.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.2": {
    "code": "E27.2",
    "description": "Crise addisonienne",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Insuffisance surrénale aiguë",
      "Crise : • corticosurrénalienne",
      "• surrénalienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.3": {
    "code": "E27.3",
    "description": "Insuffisance corticosurrénale médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier de médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.4": {
    "code": "E27.4",
    "description": "Insuffisances corticosurrénales, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémorragie de la surrénale",
      "Infarctus de la surrénale",
      "Insuffisance corticosurrénale SAI",
      "Hypoaldostéronisme"
    ],
    "comprend": [],
    "exclusions": [
      "adrénoleucodystrophie (E71.3)",
      "Syndrome d’Addison-Schilder (E71.3)",
      "syndrome de Waterhouse-Friderichsen (A39.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.5": {
    "code": "E27.5",
    "description": "Hyperfonctionnement de la médullosurrénale",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperplasie de la médullosurrénale",
      "Hypersécrétion de catécholamine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.8": {
    "code": "E27.8",
    "description": "Autres maladies précisées de la glande surrénale",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anomalie de la transcortine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E27.9": {
    "code": "E27.9",
    "description": "Maladie de la glande surrénale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 257,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28": {
    "code": "E28",
    "description": "Dysfonction ovarienne",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "insuffisance : • isolée en gonadotrophine (E23.0)",
      "• ovarienne après un acte à visée diagnostique et thérapeutique (E89.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28.0": {
    "code": "E28.0",
    "description": "Hyperœstrogénie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier de médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28.1": {
    "code": "E28.1",
    "description": "Hyperandrogénie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypersécrétion des androgènes ovariens"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier de médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28.2": {
    "code": "E28.2",
    "description": "Syndrome ovarien polykystique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome (de) : • ovarien sclérokystique",
      "• Stein-Leventhal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28.3": {
    "code": "E28.3",
    "description": "Insuffisance ovarienne primaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diminution des œstrogènes",
      "Ménopause prématurée SAI",
      "Syndrome de l’ovaire résistant aux gonadotrophines"
    ],
    "comprend": [],
    "exclusions": [
      "dysgénésie gonadique pure (Q99.1)",
      "syndrome de Turner (Q96.-)",
      "troubles de la ménopause et du climatère féminin (N95.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28.8": {
    "code": "E28.8",
    "description": "Autres dysfonctions ovariennes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperfonction ovarienne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E28.9": {
    "code": "E28.9",
    "description": "Dysfonction ovarienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E29": {
    "code": "E29",
    "description": "Dysfonction testiculaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "azoospermie ou oligospermie SAI (N46)",
      "hypofonction testiculaire après un acte à visée diagnostique et thérapeutique (E89.5)",
      "insuffisance isolée en gonadotrophine (E23.0)",
      "syndrome de : • Klinefelter (Q98.0-Q98.2, Q98.4)",
      "• résistance aux androgènes (E34.5)",
      "• testicule féminisant (E34.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E29.0": {
    "code": "E29.0",
    "description": "Hyperfonction testiculaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypersécrétion d’hormones testiculaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E29.1": {
    "code": "E29.1",
    "description": "Hypofonction testiculaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypogonadisme testiculaire SAI",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Biosynthèse défectueuse de l’hormone androgène testiculaire SAI",
      "Déficit en 5-alpha-réductase (avec pseudo-hermaphroditisme masculin)",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E29.8": {
    "code": "E29.8",
    "description": "Autres dysfonctions testiculaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E29.9": {
    "code": "E29.9",
    "description": "Dysfonction testiculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 258,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E30": {
    "code": "E30",
    "description": "Anomalies de la puberté, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E30.0": {
    "code": "E30.0",
    "description": "Puberté retardée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Développement sexuel retardé",
      "Retard de développement constitutionnel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E30.1": {
    "code": "E30.1",
    "description": "Puberté précoce",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Menstruation précoce"
    ],
    "comprend": [],
    "exclusions": [
      "hyperplasie surrénale congénitale (E25.0)",
      "pseudo-puberté : • hétérosexuelle précoce chez la femme (E25.-)",
      "• iso-sexuelle précoce chez l’homme (E25.-)",
      "puberté hypophysaire précoce (E22.8)",
      "syndrome d’Albright(-McCune)(-Sternberg) (Q78.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E30.8": {
    "code": "E30.8",
    "description": "Autres anomalies de la puberté",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thélarche prématurée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E30.9": {
    "code": "E30.9",
    "description": "Anomalie de la puberté, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E31": {
    "code": "E31",
    "description": "Dysfonctionnement pluriglandulaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ataxie télangiectasique (G11.3)",
      "syndrome de Louis-Bar (G11.3)",
      "dystrophie myotonique (G71.1)",
      "maladie de Steinert (G71.1)",
      "pseudohypoparathyroïdie (E20.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E31.0": {
    "code": "E31.0",
    "description": "Insuffisance pluriglandulaire auto-immune",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Schmidt"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E31.1": {
    "code": "E31.1",
    "description": "Hyperfonctionnement pluriglandulaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "adénomatose endocrinienne multiple (D44.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E31.8": {
    "code": "E31.8",
    "description": "Autres dysfonctionnements pluriglandulaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E31.9": {
    "code": "E31.9",
    "description": "Dysfonctionnement pluriglandulaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E32": {
    "code": "E32",
    "description": "Maladies du thymus",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "aplasie ou hypoplasie avec déficit immunitaire (D82.1)",
      "myasthénie (G70.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E32.0": {
    "code": "E32.0",
    "description": "Hyperplasie persistante du thymus",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrophie du thymus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E32.1": {
    "code": "E32.1",
    "description": "Abcès du thymus",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E32.8": {
    "code": "E32.8",
    "description": "Autres maladies du thymus",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E32.9": {
    "code": "E32.9",
    "description": "Maladie du thymus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 259,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34": {
    "code": "E34",
    "description": "Autres troubles endocriniens",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pseudohypoparathyroïdie (E20.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.0": {
    "code": "E34.0",
    "description": "Syndrome carcinoïde",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "associée à une tumeur carcinoïde."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note : Peut être utilisé, au besoin, comme code supplémentaire pour identifier l’activité fonctionnelle"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.1": {
    "code": "E34.1",
    "description": "Autres hypersécrétions d’hormones intestinales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.2": {
    "code": "E34.2",
    "description": "Sécrétion hormonale ectopique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.3": {
    "code": "E34.3",
    "description": "Insuffisance staturale, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nanisme (congénital) (infantile)",
      "Insuffisance staturale : • SAI",
      "• constitutionnelle",
      "• de type Laron",
      "• psychosociale"
    ],
    "comprend": [],
    "exclusions": [
      "insuffisance staturale • achondroplasique (Q77.4)",
      "(au cours de) : • hypochondroplasique (Q77.4)",
      "• hypophysaire (E23.0)",
      "• micromélique avec immunodéficience (D82.2)",
      "• nutritionnelle (E45)",
      "• rénale (N25.0)",
      "• syndromes dysmorphiques spécifiques - coder le syndrome",
      "progeria (E34.8)",
      "syndrome de Russell-Silver (Q87.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.4": {
    "code": "E34.4",
    "description": "Haute stature constitutionnelle",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gigantisme constitutionnel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.5": {
    "code": "E34.5",
    "description": "Syndrome de résistance aux androgènes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anomalies des récepteurs hormonaux périphériques",
      "Pseudohermaphrodisme masculin avec résistance aux androgènes",
      "Syndrome de Reifenstein",
      "Testicule féminisant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.8": {
    "code": "E34.8",
    "description": "Autres troubles endocriniens précisés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysfonctionnement de la glande pinéale",
      "Progeria"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E34.9": {
    "code": "E34.9",
    "description": "Anomalie endocrinienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble : • endocrinien SAI",
      "• hormonal SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E35.0": {
    "code": "E35.0",
    "description": "Anomalies de la glande thyroïde au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tuberculose de la thyroïde (A18.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E35.1": {
    "code": "E35.1",
    "description": "Anomalies de la glande surrénale au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie d’Addison tuberculeuse (A18.7 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Waterhouse-Friderichsen (méningococcique) (A39.1 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E35.8": {
    "code": "E35.8",
    "description": "Anomalies d’autres glandes endocrines au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 260,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dénutrition",
      "MALNUTRITION, DÉNUTRITION",
      "Les critères phénotypiques sont les suivants :",
      "- IMC < courbe IOTF 18,5 ;",
      "Les critères étiologiques sont les suivants :",
      "par rapport :",
      "• à la consommation alimentaire habituelle quantifiée,",
      "• ou aux besoins protéino-énergétiques estimés ;",
      "- absorption réduite (malabsorption/mal-digestion) ;",
      "• pathologie aiguë",
      "• pathologie chronique évolutive",
      "• pathologie maligne évolutive",
      "- courbe IOTF 17 < IMC < courbe IOTF 18,5 ;",
      "maladie ;",
      "- IMC ≤ courbe IOTF 17 ;",
      "1.3 Consigne",
      "Malnutrition protéino-énergétique modérée.",
      "- IMC < 18,5 kg/m² ;",
      "- absorption réduite (malabsorption/maldigestion) ;",
      "• pathologie maligne évolutive.",
      "- 17 < IMC < 18,5 kg/m² ;",
      "- IMC ≤ 17 kg/m² ;",
      "(1 caractère étiologique + 1 caractère phénotypique).",
      "recommandé de poser un diagnostic de dénutrition sévère.",
      "2.3 Consigne",
      "ans et plus ».",
      "biologiques. Ces critères sont résumés ci-dessous.",
      "pathologie maligne évolutive.",
      "- 20 ≤ IMC < 22 ;",
      "avant le début de la maladie ;",
      "- IMC < 20 kg/m² ;",
      "3.3 Consigne",
      "[…]",
      "4). Consignes générales",
      "partagé (DMP).",
      "explicitement mentionné.",
      "L’utilisation d’une seule de ces méthodes suffit.",
      "4.2 Critère « albuminémie »",
      "en compte quel que soit l’état inflammatoire.",
      "4.3 Critère « MNA »",
      "4.4 Courbes IOTF (IMC) et courbe de poids chez l’enfant",
      "Sorbonne Paris Cité – CRESS UMR1153 (cress-umr1153.fr)].",
      "(trisomie 21, myopathie, etc.).",
      "dénutrition modérée chez l’enfant",
      "dénutrition sévère chez l’enfant",
      "3 couloirs en percentiles.",
      "et odontologie – BO du 17 juillet 2025, pp. 109-114"
    ],
    "comprend": [],
    "exclusions": [
      "anémies nutritionnelles (D50-D53)",
      "famine (T73.0)",
      "malabsorption intestinale (K90.-)",
      "séquelles de malnutrition protéino-énergétique (E64.0)",
      "syndrome cachectique dû à infection à VIH (B22.2)"
    ],
    "clinical_text": [
      "Note : Le degré de malnutrition se mesure généralement en termes de poids, exprimé en écarts types par rapport à la moyenne",
      "de la population de référence. Lorsqu’on dispose d’une ou plusieurs mesures antérieures, l’absence de gain pondéral chez",
      "l’enfant, ou la perte de poids chez l’enfant ou chez l’adulte, est en général évocateur de malnutrition. Quand on ne dispose",
      "que d’une mesure, le diagnostic est basé sur des présomptions et n’est pas certain sans autres signes cliniques ou",
      "biologiques. Dans les cas exceptionnels où l’on ne dispose d’aucune mesure de poids, il faut se fier aux signes cliniques.",
      "Si un poids est inférieur à la valeur moyenne de la population de référence, il existe une forte présomption : de malnutrition",
      "grave si une valeur observée se situe à trois écarts types ou plus en dessous de la valeur moyenne de la population de",
      "référence ; de malnutrition modérée pour une valeur observée située entre deux et moins de trois écarts types ; et de",
      "malnutrition légère pour une valeur située entre un et moins de deux écarts types.",
      "La CIM-10 classe les états de malnutrition dans le groupe E40–E46 : E40 Kwashiorkor ; E41 Marasme nutritionnel ; E42 Kwashiokor avec",
      "marasme ; E43 Malnutrition protéino-énergétique grave, sans précision ; E44.0 Malnutrition protéino-énergétique modérée ; E44.1",
      "Malnutrition protéino-énergétique légère ; E46 Malnutrition sans précision, auxquels s’ajoute O25 Malnutrition au cours de la grossesse.",
      "Les codes E40, E41 et E42 ne peuvent connaître qu’un emploi exceptionnel dans notre pays.",
      "Elle range sous le terme générique de malnutrition [cet anglicisme désigne de fait tout trouble lié à un déséquilibre alimentaire, aussi",
      "bien en défaut qu’en excès] un groupe d’affections résultant d’une carence d’apport ou d’une désassimilation protéino-énergétique :",
      "on doit donc l’entendre dans le sens restreint de dénutrition.",
      "La HAS publie en novembre 2019 des recommandations de bonne pratique pour le diagnostic de la dénutrition de l’enfant et de l’adulte.",
      "Ce document [Diagnostic de la dénutrition de l’enfant et de l’adulte - novembre 2019] a été élaboré en collaboration avec la Fédération",
      "française de nutrition (FFN). Pour les patients de moins de 70 ans, le diagnostic de la dénutrition nécessite la présence d’au moins 1",
      "critère phénotypique et 1 critère étiologique. Ce diagnostic est un préalable obligatoire avant de juger de sa sévérité. Il repose",
      "exclusivement sur des critères non biologiques. Ces critères sont ici résumés.",
      "1) diagnostic de la dénutrition chez les patients âgés de moins de 18 ans",
      "- perte de poids ≥ 5 % en 1 mois ou ≥ 10 % en 6 mois ou ≥ 10 % par rapport au poids habituel avant le début de la maladie ;",
      "- stagnation pondérale aboutissant à un poids situé 2 couloirs en dessous du couloir habituel de l’enfant (courbe de poids) ;",
      "- réduction de la masse ou de la fonction musculaires (lorsque les normes ou les outils sont disponibles)",
      "- réduction de la prise alimentaire ≥ 50 % pendant plus d’1 semaine, ou toute réduction des apports pendant plus de 2 semaines",
      "- situation d’agression (hypercatabolisme protéique avec ou sans syndrome inflammatoire) :",
      "1.1 Les critères de dénutrition modérée chez les patients âgés de moins de 18 ans",
      "- perte de poids ≥ 5 % et ≤ 10 % en 1 mois ou ≥ 10 % et ≤ 15 % en 6 mois par rapport au poids habituel avant le début de la",
      "- stagnation pondérale aboutissant à un poids situé entre 2 et 3 couloirs en dessous du couloir habituel.",
      "L’observation d’un seul critère de dénutrition modérée suffit pour poser le diagnostic de dénutrition modérée dès lors que la",
      "dénutrition est présente (1 caractère phénotypique + 1 caractère étiologique).",
      "1.2 Les critères de dénutrition sévère chez les patients âgés de moins de 18 ans",
      "- perte de poids > 10 % en 1 mois ou > 15 % en 6 mois par rapport au poids habituel avant le début de la maladie ;",
      "- stagnation pondérale aboutissant à un poids situé au moins 3 couloirs (représentant 3 écart-types) en dessous du couloir habituel ;",
      "- infléchissement statural (avec perte d’au moins un couloir par rapport à la taille habituelle).",
      "L’observation d’un seul critère de dénutrition sévère suffit pour poser le diagnostic de dénutrition sévère dès lors que la dénutrition",
      "est présente (1 caractère phénotypique + 1 caractère étiologique).",
      "Une dénutrition sévère se code E43 Malnutrition protéino-énergétique grave, sans précision, une dénutrition modérée se code E44.0",
      "2) diagnostic de la dénutrition chez l’adulte (≥ 18 ans et < 70 ans)",
      "- perte de poids ≥ 5 % en 1 mois ou ≥ 10 % en 6 mois ou ≥ 10 % par rapport au poids habituel avant le début de la maladie ;",
      "- réduction quantifiée de la masse et/ou de la fonction musculaires.",
      "- réduction de la prise alimentaire ≥ 50 % pendant plus d’1 semaine, ou toute réduction des apports pendant plus de 2 semaines",
      "- situation d’agression (hypercatabolisme protéique avec ou sans syndrome inflammatoire) :",
      "2.1 Les critères de dénutrition modérée chez l’adulte (≥ 18 ans et < 70 ans)",
      "- perte de poids ≥ 5 % en 1 mois ou ≥ 10 % en 6 mois ou ≥ 10 % par rapport au poids habituel avant le début de la maladie ;",
      "- mesure de l’albuminémie par immuno-néphélémétrie ou immuno-turbidimétrie >30 g/L et < 35 g/L.",
      "L’observation d’un seul critère de dénutrition modérée suffit à qualifier la dénutrition de modérée dès lors que la dénutrition est",
      "présente (1 caractère phénotypique + 1 caractère étiologique).",
      "2.2 Les critères de dénutrition sévère chez l’adulte (≥ 18 ans et < 70 ans)",
      "- perte de poids ≥ 10 % en 1 mois ou ≥ 15 % en 6 mois ou ≥ 15 % par rapport au poids habituel avant le début de la maladie ;",
      "- mesure de l’albuminémie par immuno-néphélémétrie ou immuno-turbidimétrie ≤ 30g/L.",
      "L’observation d’un seul critère de dénutrition sévère suffit à qualifier la dénutrition de sévère dès lors que la dénutrition est présente",
      "Lors de l’observation simultanée d’un seul critère de dénutrition sévère et d’un ou plusieurs critères de dénutrition modérée, il est",
      "Une dénutrition sévère se code E43 Malnutrition protéino-énergétique grave, sans précision, une dénutrition modérée se code E44.0",
      "3) Le diagnostic de la dénutrition chez la personne âgée de 70 ans et plus repose sur la recommandation de bonnes pratiques de la",
      "HAS élaborée en collaboration avec la Fédération française de nutrition intitulée « Diagnostic de la dénutrition chez la personne de 70",
      "Pour les patients de 70 ans et plus, le diagnostic de la dénutrition nécessite la présence d’au moins 1 critère phénotypique et 1 critère",
      "étiologique. Ce diagnostic est un préalable obligatoire avant de juger de sa sévérité. Il repose exclusivement sur des critères non",
      "- Les critères phénotypiques sont les suivants (1 seul critère suffit) :",
      "- perte de poids ≥ 5 % en 1 mois ou ≥ 10 % en 6 mois ou ≥ 10 % par rapport au poids habituel avant le début de la maladie ;",
      "- IMC < 22 kg/m² [Ce critère ne concerne pas la personne âgée de 70 ans et plus en situation d’obésité.] ;",
      "- sarcopénie confirmée par une réduction quantifiée de la force et de la masse musculaire.",
      "- Les critères étiologiques sont les suivants (1 seul critère suffit) :",
      "- réduction de la prise alimentaire ≥ 50 % pendant plus d’1 semaine, ou toute réduction des apports pendant plus de 2 semaines",
      "par rapport à la consommation alimentaire habituelle ou aux besoins protéino-énergétiques ;",
      "- situation d’agression (avec ou sans syndrome inflammatoire) : pathologie aiguë ou pathologie chronique évolutive ou",
      "3.1 Les critères de dénutrition modérée chez les patients âgés de 70 ans et plus",
      "- perte de poids ≥ 5 % et < 10 % en 1 mois ou ≥ 10 % et < 15 % en 6 mois ou ≥ 10 % et < 15 % par rapport au poids habituel",
      "- mesure de l’albuminémie par immuno-néphélémétrie ou immuno-turbidimétrie > 30 g/L.",
      "L’observation d’un seul critère de dénutrition modérée suffit pour poser le diagnostic de dénutrition modérée dès lors que la",
      "dénutrition est présente (1 caractère phénotypique + 1 caractère étiologique).",
      "3.2 Les critères de dénutrition sévère chez les patients âgés de 70 ans et plus",
      "- Perte de poids ≥ 10 % en 1 mois ou ≥ 15 % en 6 mois ou ≥ 15 % par rapport au poids habituel avant le début de la maladie ;",
      "- mesure de l’albuminémie par immuno-néphélémétrie ou immuno-turbidimétrie ≤ 30 g/L.",
      "L’observation d’un seul critère de dénutrition sévère suffit à qualifier la dénutrition de sévère dès lors que la dénutrition est présente",
      "Une dénutrition sévère se code E43 Malnutrition protéino-énergétique grave, sans précision, une dénutrition modérée se code E44.0",
      "L’emploi des codes E40 à E46 doit se fonder sur ces critères et nécessite que le dossier comporte la mention de dénutrition [Pour",
      "mémoire l’emploi des catégories E40, E41 et E42 ne peut être qu’exceptionnel en France]. Cette mention peut être indiquée par un",
      "clinicien ou par un diététicien. Il est recommandé d’intégrer les valeurs du poids et de la taille et de l’IMC dans le dossier médical",
      "Le code CIM10 est déterminé en fonction des critères correspondant aux définitions publiées par la HAS et retrouvés au dossier, sans",
      "que le niveau de sévérité ne doive nécessairement être mentionné dans le dossier. Il est toutefois recommandé que ce niveau soit",
      "4.1 Outil d’évaluation de la masse et/ou de la fonction musculaire",
      "D’après la « Fiche-outil-diagnostic » HAS [fiche_outil_diagnostic_denutrition.pdf (has-sante.fr)] les seuils d’albuminémie sont à prendre",
      "Ce dépistage peut être formalisé par un questionnaire tel que le Mini Nutritional Assessment.",
      "Les courbes disponibles sur le site de la CRESS [Courbes de croissance 2018 – Centre of Research in Epidemiology and Statistics",
      "4.5 Courbe de poids chez l’enfant : définition du couloir habituel",
      "Le couloir habituel est le couloir habituel de croissance pondérale de l’enfant ou de référence pour des pathologies spécifiques",
      "4.6 Critère « stagnation pondérale aboutissant à un poids situé entre 2 et 3 couloirs en dessous du couloir habituel » pour la",
      "Pour le critère de la définition HAS, il faut comprendre 2 couloirs en dessous du couloir habituel, et jusqu’à la limite du 3ème couloir.",
      "4.7 Critère « stagnation pondérale aboutissant à un poids situé au moins 3 couloirs en dessous du couloir habituel » pour la",
      "Pour le critère de la définition HAS « poids situé au moins 3 couloirs (représentant 3 écart-types) » il faut comprendre",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Dénutrition des sujets âgés de plus de 70 ans : « sarcopénie confirmée par une réduction confirmée de la force ET de la masse",
      "musculaire » : le terme « ET/OU » est absent du tableau récapitulatif de l'outil d'évaluation du document de la HAS. Nous avons bien"
    ],
    "agora_refs": [
      "241815"
    ],
    "cocoa_notes": [
      "transmis votre demande d'ajustement. (AGORA - # 241815 le 29 mars 2023)"
    ]
  },
  "E40": {
    "code": "E40",
    "description": "Kwashiorkor",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 263,
    "is_category": true,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kwashiorkor avec marasme (E42)"
    ],
    "clinical_text": [
      "Malnutrition grave avec œdème nutritionnel et dépigmentation de la peau et des cheveux."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E41": {
    "code": "E41",
    "description": "Marasme nutritionnel",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 263,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Malnutrition grave avec marasme"
    ],
    "comprend": [],
    "exclusions": [
      "kwashiorkor avec marasme (E42)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E42": {
    "code": "E42",
    "description": "Kwashiorkor avec marasme",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 264,
    "is_category": true,
    "severity": 4,
    "synonyms": [
      "grave [comme en E43] : • forme intermédiaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malnutrition protéino-énergétique • avec signes de kwashiorkor et de marasme"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E43": {
    "code": "E43",
    "description": "Malnutrition protéino-énergétique grave, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 264,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Œdème de famine",
      "Dénutrition sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perte de poids importante (émaciation) chez l’enfant ou l’adulte, ou absence de gain pondéral chez l’enfant,",
      "aboutissant à un poids inférieur d’au moins trois écarts types à la valeur moyenne de la population de",
      "référence (ou à une perte similaire exprimée selon d’autres méthodes statistiques). Lorsque l’on ne dispose",
      "que d’une seule mesure, il y a une forte présomption d’émaciation grave quand le poids est inférieur de",
      "trois écarts types ou davantage à la moyenne de la population de référence."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E44": {
    "code": "E44",
    "description": "Malnutrition protéino-énergétique légère ou modérée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 264,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "modérée."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "En l’absence de critères HAS pour distinguer la dénutrition légère de la dénutrition modérée, seul le praticien responsable",
      "ayant dispensé les soins est garant de l’exhaustivité et de la qualité des informations qu’il transmet pour traitement au",
      "médecin responsable de l’information médicale pour l’établissement (article R. 6113-4 du code de la santé publique).",
      "Dans la mesure où le clinicien indique une dénutrition modérée dans le compte rendu d’hospitalisation et que les éléments",
      "du dossier ne permettent pas de récuser ce diagnostic, le code à retenir est donc E44.0 Malnutrition protéino-énergétique",
      "RAPPORT ANNUEL RELATIF AUX CAMPAGNES DE CONTRÔLE 2011–2015, avril 2017, p.24"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E44.0": {
    "code": "E44.0",
    "description": "Malnutrition protéino-énergétique modérée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 264,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "de référence.",
      "Dénutrition modérée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perte de poids chez l’enfant ou chez l’adulte, ou absence de gain pondéral chez l’enfant, aboutissant à un",
      "poids qui est inférieur de deux écarts types ou plus, mais moins de trois, à la valeur moyenne de la population",
      "de référence (ou une perte similaire exprimée selon d’autres méthodes statistiques). Quand on ne dispose",
      "que d’une mesure, il existe une forte présomption de malnutrition protéino-énergétique modérée quand le",
      "poids observé est inférieur de deux écarts types ou plus, mais moins de trois, à la moyenne de la population"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E44.1": {
    "code": "E44.1",
    "description": "Malnutrition protéino-énergétique légère",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 264,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "référence.",
      "Dénutrition légère",
      "Nanisme nutritionnel",
      "Arrêt de croissance dû à la malnutrition",
      "Insuffisance staturale nutritionnelle",
      "Retard de développement physique dû à la malnutrition"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perte de poids chez l’enfant ou chez l’adulte, ou absence de gain pondéral chez l’enfant, aboutissant à un",
      "poids qui est inférieur d’un écart type ou plus, mais moins de deux, à la valeur moyenne de la population",
      "de référence (ou une perte similaire exprimée selon d’autres méthodes statistiques). Quand on ne dispose",
      "que d’une mesure, il existe une forte présomption de malnutrition protéino-énergétique modérée quand le",
      "poids observé est inférieur d’un écart type ou plus, mais moins de deux, à la moyenne de la population de",
      "SM E45 Retard de développement après malnutrition protéino-énergétique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E46": {
    "code": "E46",
    "description": "Malnutrition protéino-énergétique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 264,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Déséquilibre protéino-énergétique SAI",
      "Malnutrition SAI",
      "Dénutrition SAI"
    ],
    "comprend": [],
    "exclusions": [
      "anémies nutritionnelles (D50-D53)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50": {
    "code": "E50",
    "description": "Avitaminose A",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séquelles d’avitaminose A (E64.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.0": {
    "code": "E50.0",
    "description": "Avitaminose A avec xérosis conjonctival",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.1": {
    "code": "E50.1",
    "description": "Avitaminose A avec taches de Bitot et xérosis conjonctival",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Taches de Bitot chez le jeune enfant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.2": {
    "code": "E50.2",
    "description": "Avitaminose A avec xérosis cornéen",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.3": {
    "code": "E50.3",
    "description": "Avitaminose A avec xérosis et ulcération de la cornée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.4": {
    "code": "E50.4",
    "description": "Avitaminose A avec kératomalacie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.5": {
    "code": "E50.5",
    "description": "Avitaminose A avec héméralopie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.6": {
    "code": "E50.6",
    "description": "Avitaminose A avec cicatrices xérophtalmiques de la cornée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.7": {
    "code": "E50.7",
    "description": "Autres manifestations oculaires de l’avitaminose A",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Xérophtalmie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.8": {
    "code": "E50.8",
    "description": "Autres manifestations de l’avitaminose A",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kératose folliculaire due à l’avitaminose A † (L86 *)",
      "Xérodermie due à l’avitaminose A † (L86 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E50.9": {
    "code": "E50.9",
    "description": "Avitaminose A, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hypovitaminose A SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E51": {
    "code": "E51",
    "description": "Carence en thiamine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séquelles de carence en thiamine (E64.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E51.1": {
    "code": "E51.1",
    "description": "Béribéri",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Béribéri : •humide † (I98.8 *)",
      "• sec"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E51.2": {
    "code": "E51.2",
    "description": "Encéphalopathie de Wernicke",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E51.8": {
    "code": "E51.8",
    "description": "Autres manifestations de la carence en thiamine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Anémie mégaloblastique thiamine sensible [TRMA]",
      "Syndrome de Rogers"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E51.9": {
    "code": "E51.9",
    "description": "Carence en thiamine, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Carence en Vitamine B1 SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E52": {
    "code": "E52",
    "description": "Carence en acide nicotinique [pellagre]",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 265,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Carence en : • acide nicotinique (tryptophane)",
      "• nicotinamide Pellagre (alcoolique)",
      "• Vitamine B3"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles de carence en acide nicotinique (E64.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E53": {
    "code": "E53",
    "description": "Autres avitaminoses du groupe B",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémie par carence en vitamine B12 (D51.-)",
      "séquelles d’avitaminose du groupe B (E64.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E53.0": {
    "code": "E53.0",
    "description": "Carence en riboflavine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ariboflavinose",
      "Carence en Vitamine B2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E53.1": {
    "code": "E53.1",
    "description": "Carence en pyridoxine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Avitaminose B6",
      "Convulsions pyridoxino-dépendantes : E53.1 + R56.8"
    ],
    "comprend": [],
    "exclusions": [
      "anémie sidéroblastique réagissant à la pyridoxine (D64.3)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.3 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E53.8": {
    "code": "E53.8",
    "description": "Autres avitaminoses précisées du groupe B",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Carence en : • acide folique [Vitamine B9]",
      "• folate [Vitamine B9]",
      "• acide pantothénique [Vitamine B5]",
      "• biotine [Vitamine B8] [Vitamine H]",
      "• cyanocobalamine [Vitamine B12]",
      "Défaut de transport des folates",
      "Convulsions folino-dépendantes : E53.8 + R56.8"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E53.9": {
    "code": "E53.9",
    "description": "Avitaminose du groupe B, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E54": {
    "code": "E54",
    "description": "Carence en acide ascorbique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Carence en vitamine C",
      "Scorbut"
    ],
    "comprend": [],
    "exclusions": [
      "anémie scorbutique (D53.2)",
      "séquelles d’avitaminose C (E64.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E55": {
    "code": "E55",
    "description": "Carence en vitamine D",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ostéomalacie de l’adulte (M83.-)",
      "ostéoporose (M80 – M81)",
      "séquelles de rachitisme (E64.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E55.0": {
    "code": "E55.0",
    "description": "Rachitisme évolutif",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ostéomalacie : • infantile",
      "• juvénile"
    ],
    "comprend": [],
    "exclusions": [
      "rachitisme (de) : • cœliaque (K90.0) • rénal (N25.0)",
      "• Crohn (K50.-) • résistant à la vitamine D (E83.3)",
      "• non évolutif (E64.3)"
    ],
    "clinical_text": [
      "EMOIS - Atelier codage - Laurence DURIF, Olivier GUYE, 4 avril 2014"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E55.9": {
    "code": "E55.9",
    "description": "Carence en vitamine D, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 266,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Avitaminose D",
      "patient",
      "d’hospitalisation",
      "ATIH – saisine du 30/03/2018"
    ],
    "comprend": [],
    "exclusions": [
      "Rachitisme pseudo-carentiel de type I (par déficit de la 1-alpha-hydroxylase rénale) (E88.8)"
    ],
    "clinical_text": [
      "L’ATIH propose l’attitude suivante : E55.9 est un diagnostic associé pour les séjours comportant au dossier",
      "1 - un dosage réalisé pendant le séjour confirmant une hypovitaminose et/ou une supplémentation",
      "pendant le séjour (résultat d’hypovitaminose antérieur au séjour tracé au dossier)",
      "2 - ET un diagnostic caractérisé par le clinicien dans l’observation médicale et/ou le compte-rendu",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E56": {
    "code": "E56",
    "description": "Autres avitaminoses",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séquelles d’autres avitaminoses (E64.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E56.0": {
    "code": "E56.0",
    "description": "Carence en vitamine E",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficit congénital de l’absorption et /ou du transport de la vitamine E",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.11 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E56.1": {
    "code": "E56.1",
    "description": "Carence en vitamine K",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficit de la gamma-glutamyl-carboxylase",
      "Déficit de la vitamine K époxyde-réductase"
    ],
    "comprend": [],
    "exclusions": [
      "carence en facteur de coagulation due à l’avitaminose K (D68.4)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E56.8": {
    "code": "E56.8",
    "description": "Carence en autres vitamines",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E56.9": {
    "code": "E56.9",
    "description": "Avitaminose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E58": {
    "code": "E58",
    "description": "Carence alimentaire en calcium",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme du calcium (E83.5)",
      "séquelles de carence calcique (E64.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E59": {
    "code": "E59",
    "description": "Carence alimentaire en sélénium",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Maladie de Keshan"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles de carence en sélénium (E64.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E60": {
    "code": "E60",
    "description": "Carence alimentaire en zinc",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61": {
    "code": "E61",
    "description": "Carences en autres éléments nutritionnels",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections thyroïdiennes liées à une carence en iode (E00 – E02)",
      "anomalies du métabolisme des minéraux (E83.-)",
      "séquelles de malnutrition et autres carences nutritionnelles (E64.-)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.0": {
    "code": "E61.0",
    "description": "Carence en cuivre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.1": {
    "code": "E61.1",
    "description": "Carence en fer",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémie par carence en fer (D50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.2": {
    "code": "E61.2",
    "description": "Carence en magnésium",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.3": {
    "code": "E61.3",
    "description": "Carence en manganèse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.4": {
    "code": "E61.4",
    "description": "Carence en chrome",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.5": {
    "code": "E61.5",
    "description": "Carence en molybdène",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.6": {
    "code": "E61.6",
    "description": "Carence en vanadium",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.7": {
    "code": "E61.7",
    "description": "Carence en plusieurs éléments nutritionnels",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.8": {
    "code": "E61.8",
    "description": "Carence en autres éléments nutritionnels précisés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E61.9": {
    "code": "E61.9",
    "description": "Carence en élément nutritionnel, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 267,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E63": {
    "code": "E63",
    "description": "Autres carences nutritionnelles",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déshydratation (E86)",
      "problèmes alimentaires du nouveau-né (P92.-)",
      "retard de croissance (R62.8)",
      "séquelles de malnutrition et autres carences nutritionnelles (E64.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E63.0": {
    "code": "E63.0",
    "description": "Carence en acides gras essentiels",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E63.1": {
    "code": "E63.1",
    "description": "Déséquilibre alimentaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E63.8": {
    "code": "E63.8",
    "description": "Autres carences nutritionnelles précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E63.9": {
    "code": "E63.9",
    "description": "Carence nutritionnelle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myocardiopathie nutritionnelle SAI † (I43.2 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64": {
    "code": "E64",
    "description": "Séquelles de malnutrition et autres carences nutritionnelles",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 118"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note la catégorie E64 ne doit pas être utilisée pour signaler la malnutrition ou les carences nutritionnelles chroniques.",
      "Coder ces affections comme une malnutrition ou des carences nutritionnelles actuelles.",
      "La notion de séquelle doit être retenue et codée chaque fois qu’elle est explicitement mentionnée. Il n’appartient pas au",
      "médecin responsable de l’information médicale ni au codeur de trancher entre le codage d’une maladie présente ou d’un",
      "état séquellaire. Cette distinction est de la compétence du médecin qui a dispensé les soins au patient.",
      "Pour le codage d’une séquelle, conformément à la consigne de la CIM–10, on donne la priorité au code qui correspond à",
      "sa nature. Le code de séquelle est habituellement un diagnostic associé ; néanmoins depuis le 1er mars 2013, un code de",
      "séquelle peut aussi être enregistré comme diagnostic relié lorsqu’il en respecte la définition.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64.0": {
    "code": "E64.0",
    "description": "Séquelles de malnutrition protéino-énergétique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "retard de développement après malnutrition protéino-énergétique (E45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64.1": {
    "code": "E64.1",
    "description": "Séquelles d’avitaminose A",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64.2": {
    "code": "E64.2",
    "description": "Séquelles d’avitaminose C",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64.3": {
    "code": "E64.3",
    "description": "Séquelles de rachitisme",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (M40.-) pour identifier l’atteinte rachidienne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64.8": {
    "code": "E64.8",
    "description": "Séquelles d’autres carences nutritionnelles",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E64.9": {
    "code": "E64.9",
    "description": "Séquelles d’une carence nutritionnelle non précisée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 268,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E65": {
    "code": "E65",
    "description": "Adiposité localisée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Bourrelet adipeux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séjour pour dermolipectomie, par exemple dans les suites d’une prise en charge chirurgicale ou médicale",
      "d’une obésité morbide, prise en charge par l’assurance maladie obligatoire : DP E65. Adiposité localisée,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.7": {
    "code": "L98.7",
    "description": "Hypertrophie et affaissement de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 568,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peau lâche ou affaissée : • SAI",
      "• après amaigrissement (chirurgie bariatrique) (régime)"
    ],
    "comprend": [],
    "exclusions": [
      "Hypertrophie et affaissement • acquise (H02.3)",
      "de la peau de la paupière : • congénitale (Q10.3)",
      "modifications de la peau dues à une exposition chronique aux rayonnements non",
      "ionisants (L57.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66": {
    "code": "E66",
    "description": "Obésité",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dystrophie adiposo-génitale (E23.6)",
      "lipomatose : • SAI (E88.2)",
      "adipose (de) : • douloureuse (Dercum) (E88.2)",
      "syndrome de Prader-Willi (Q87.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.0": {
    "code": "E66.0",
    "description": "Obésité due à un excès calorique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Obésité commune",
      "Obésité primaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.03": {
    "code": "E66.03",
    "description": "Surpoids dû à un excès calorique, de l’adulte ou de l’enfant",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Obésité due à un excès calorique de l’adulte avec indice de masse corporelle [IMC] égal ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.09": {
    "code": "E66.09",
    "description": "Obésité due à un excès calorique de l’adulte, indice de masse corporelle [IMC] non précisé",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.1": {
    "code": "E66.1",
    "description": "Obésité médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.13": {
    "code": "E66.13",
    "description": "Surpoids médicamenteux de l’adulte ou de l’enfant",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Obésité médicamenteuse de l’adulte avec indice de masse corporelle [IMC] égal ou supérieur à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.19": {
    "code": "E66.19",
    "description": "Obésité médicamenteuse de l’adulte, indice de masse corporelle [IMC] non précisé",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.2": {
    "code": "E66.2",
    "description": "Obésité (extrême) avec hypoventilation alvéolaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Pickwick",
      "Syndrome obesite hypoventilation (SOH)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Obésité (extrême) avec hypoventilation alvéolaire de l’adulte avec indice de masse corporelle"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.24": {
    "code": "E66.24",
    "description": "[IMC] égal ou supérieur à 30 kg/m² et inférieur à 35 kg/m², ou obésité extrême avec",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 269,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "hypoventilation alvéolaire de l’enfant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Obésité (extrême) avec hypoventilation alvéolaire de l’adulte avec indice de masse corporelle"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.8": {
    "code": "E66.8",
    "description": "Autres obésités",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Obésité endogène",
      "Obésité morbide",
      "Obésité d’origine génétique",
      "Obésité liée à des dysfonctionnements hormonaux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.83": {
    "code": "E66.83",
    "description": "Autres surpoids de l’adulte ou de l’enfant",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres obésités de l’adulte avec indice de masse corporelle [IMC] égal ou supérieur à 30 kg/m²"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.87": {
    "code": "E66.87",
    "description": "Autres obésités de l’adulte avec indice de masse corporelle [IMC] égal ou supérieur à 50 kg/m²",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.89": {
    "code": "E66.89",
    "description": "Autres obésités de l’adulte, indice de masse corporelle [IMC] non précisé",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.9": {
    "code": "E66.9",
    "description": "Obésité, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Obésité exogène SAI",
      "Surpoids, sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.93": {
    "code": "E66.93",
    "description": "Surpoids de l’adulte ou de l’enfant, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Obésité sans précision, de l’adulte avec indice de masse corporelle [IMC] égal ou supérieur à 30 kg/m²"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.97": {
    "code": "E66.97",
    "description": "Obésité sans précision, de l’adulte avec indice de masse corporelle [IMC] égal ou supérieur à 50 kg/m²",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E66.99": {
    "code": "E66.99",
    "description": "Obésité sans précision de l’adulte, indice de masse corporelle [IMC] non précisé",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E67": {
    "code": "E67",
    "description": "Autres excès d’apport",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séquelles d’excès d’apport (E68)",
      "suralimentation SAI (R63.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E67.0": {
    "code": "E67.0",
    "description": "Hypervitaminose A",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E67.1": {
    "code": "E67.1",
    "description": "Hypercaroténémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E67.2": {
    "code": "E67.2",
    "description": "Syndrome d’hypervitaminose B6",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E67.3": {
    "code": "E67.3",
    "description": "Hypervitaminose D",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E67.8": {
    "code": "E67.8",
    "description": "Autres excès précisés d’apport",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 270,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E68": {
    "code": "E68",
    "description": "Séquelles d’excès d’apport",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "comme des excès d’apport actuels.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 118"
    ],
    "comprend": [],
    "exclusions": [
      "anémies hémolytiques dues à des anomalies enzymatiques (D55.-)",
      "déficit en 5-alpha-réductase (E29.1)",
      "hyperplasie surrénale congénitale (E25.0)",
      "syndrome de : • Ehlers-Danlos (Q79.6)",
      "• Marfan (Q87.4)",
      "• résistance aux androgènes (E34.5)"
    ],
    "clinical_text": [
      "Note la catégorie E68 ne doit pas être utilisée pour signaler les excès d’apport chroniques. Coder ces affections",
      "La notion de séquelle doit être retenue et codée chaque fois qu’elle est explicitement mentionnée. Il n’appartient pas au",
      "médecin responsable de l’information médicale ni au codeur de trancher entre le codage d’une maladie présente ou d’un",
      "état séquellaire. Cette distinction est de la compétence du médecin qui a dispensé les soins au patient.",
      "Pour le codage d’une séquelle, conformément à la consigne de la CIM–10, on donne la priorité au code qui correspond à",
      "sa nature. Le code de séquelle est habituellement un diagnostic associé ; néanmoins depuis le 1er mars 2013, un code de",
      "séquelle peut aussi être enregistré comme diagnostic relié lorsqu’il en respecte la définition.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70": {
    "code": "E70",
    "description": "Anomalies du métabolisme des acides aminés aromatiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70.0": {
    "code": "E70.0",
    "description": "Phénylcétonurie classique (typique) (atypique)",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70.1": {
    "code": "E70.1",
    "description": "Autres hyperphénylalaninémies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en dihydroptéridine-réductase",
      "Déficit de synthèse des bioptérines",
      "Autres anomalies du métabolisme des bioptérines"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres hyperphénylalaninémies par déficit en phénylalanine-hydroxylase :",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.1 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70.2": {
    "code": "E70.2",
    "description": "Anomalies du métabolisme de la tyrosine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcaptonurie",
      "Ochronose",
      "Tyrosinémie de type I",
      "Tyrosinose oculocutanée",
      "Tyrosinémie de type II",
      "Tyrosinémie de type III",
      "Dystonie répondant à la dopamine : E70.2 + G24.8",
      "Dystonie par déficit en tyrosine-hydroxylase : E70.2 + G24.8"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficit du métabolisme de la DOPA (voir déficits en neurotransmetteurs)",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.1 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70.3": {
    "code": "E70.3",
    "description": "Albinisme",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Albinisme : • cutanéo-oculaire",
      "• oculaire",
      "Syndrome de : • Chediak(-Steinbrinck)-Higashi",
      "• Cross",
      "• Hermansky-Pudlak"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70.8": {
    "code": "E70.8",
    "description": "Autres anomalies du métabolisme des acides aminés aromatiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalies du métabolisme de : • histidine",
      "• tryptophane"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E70.9": {
    "code": "E70.9",
    "description": "Anomalies du métabolisme des acides aminés aromatiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 271,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "métabolisme des acides gras"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalies du métabolisme des acides aminés à chaîne ramifiée et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E71.0": {
    "code": "E71.0",
    "description": "Maladie des urines à odeur de sirop d’érable",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 272,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie des urines à odeur de sirop d’érable, forme classique [leucinose classique]",
      "Maladie des urines à odeur de sirop d’érable, forme subaiguë [leucinose subaigue]",
      "Maladie des urines à odeur de sirop d’érable, forme tardive [leucinose tardive]",
      "Maladie des urines à odeur de sirop d’érable, forme thiamine-sensible [leucinose thiamine-sensible]",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.1 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E71.1": {
    "code": "E71.1",
    "description": "Autres anomalies du métabolisme des acides aminés à chaîne ramifiée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 272,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acidémie isovalérique",
      "Acidémie méthylmalonique (héréditaire)",
      "Acidémie méthylmalonique par anomalie de la MMCoA-mutase",
      "Acidémie méthylmalonique Cbl a / Cbl b",
      "Acidémie méthylmalonique Cbl c / Cbl d",
      "Acidémie méthylmalonique autre",
      "Acidémie propionique",
      "Déficit multiple en carboxylases",
      "Déficit en biotinidase",
      "Déficit en holocarboxylase-synthétase",
      "Déficit en 3-méthyl-crotonyl-CoA-carboxylase",
      "Déficit en bêtacétothiolase",
      "Hyperleucine-isoleucinémie",
      "Hypervalinémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres anomalies du métabolisme des acides aminés à chaine ramifiée, autres",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.1-2 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E71.2": {
    "code": "E71.2",
    "description": "Anomalie du métabolisme des acides aminés à chaîne ramifiée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 272,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E71.3": {
    "code": "E71.3",
    "description": "Anomalie du métabolisme des acides gras",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 272,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adrénoleucodystrophie",
      "Syndrome d’Addison-Schilder",
      "Adrénoleucodystrophie, sans précision",
      "Adrénoleucodystrophie liée à l’X garçon",
      "Adrénoleucodystrophie liée à l’X fille",
      "Adrénoleucodystrophie néonatale",
      "Adrénomyéloneuropathie liée à l’X",
      "Déficit du transporteur de la carnitine",
      "Déficit en carnitine-palmitoyl-transférase I",
      "Déficit en carnitine-palmitoyl-transférase II",
      "Déficit en carnitine-acyl-translocase",
      "Bêtaoxydation des acides gras à chaine longue :",
      "Déficit en long chain acylCoA deshydrogenase",
      "Déficit en enzyme trifonctionnelle",
      "Déficit en 3-hydroxy long chain acylCoA deshydrogenase",
      "Acidurie glutarique de type II :",
      "Déficit en electron transfer flavoprotein [ETF]",
      "Bêtaoxydation des acides gras à chaine moyenne et courte :",
      "Déficit en medium chain acylCoA deshydrogenase",
      "Déficit en short chain acylCoA deshydrogenase",
      "Autres déficits de la bêtaoxydation",
      "Déficits de la cétogénèse :",
      "Déficit en HMGCoA-synthétase",
      "Déficit en HMGCoA-lyase",
      "Déficits de la cétolyse :",
      "Déficit en succinylCoA-transférase",
      "Déficit en acétoacétylCoA-thiolase",
      "Déficits généralisés de la biogénèse peroxysomale :",
      "Acidémie pipécolique",
      "Carence en carnitine palmityltransférase musculaire"
    ],
    "comprend": [],
    "exclusions": [
      "• maladie de Schilder (G37.0)",
      "• maladie de Refsum(-Thiébaut) infantile (G60.1)",
      "• maladie de Refsum(-Thiébaut) forme classique de l’adulte (G60.1)",
      "Syndrome de Zellweger classique et variants (Q87.8)"
    ],
    "clinical_text": [
      "Déficit en acyl-CoA déshydrogénase des acides gras à chaîne très longue [VLCAD]",
      "Déficit de captation de la carnitine et du transport des acides gras à chaîne longue :",
      "Autres déficits de la bêtaoxydation mitochondriale des acides gras à chaine longue",
      "Déficit en electron transfer flavoprotein dehydrogenase [ETF-DH]",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.8 - Créé le 5 janvier 2009",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.8 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72": {
    "code": "E72",
    "description": "Autres anomalies du métabolisme des acides aminés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 273,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme (de la) (des) : • acides aminés à chaîne ramifiée (E71.0-E71.2)",
      "• acides aminés aromatiques (E70.-)",
      "• acides gras (E71.3)",
      "• purine et pyrimidine (E79.-)",
      "goutte (M10.-)",
      "résultats anormaux d’examens sans maladie évidente (R70-R89)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.0": {
    "code": "E72.0",
    "description": "Anomalies du transport des acides aminés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 273,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cystinose",
      "Cystinurie",
      "Maladie de Hartnup",
      "Anomalie du stockage de la cystine † (N29.8 *)",
      "Syndrome de : • Lowe",
      "• de Toni-Debré-Fanconi",
      "Intolérance aux protéines dibasiques avec lysinurie"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme du tryptophane (E70.8)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.2 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.1": {
    "code": "E72.1",
    "description": "Anomalies du métabolisme des acides aminés soufrés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 273,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cystathioninurie",
      "Déficit (isolé) en sulfite-oxydase",
      "Homocystinurie",
      "Méthioninémie",
      "Hyperméthioninémie",
      "Déficit en diméthylglycine-déshydrogénase"
    ],
    "comprend": [],
    "exclusions": [
      "carence en transcobalamine II (D51.2)"
    ],
    "clinical_text": [
      "Déficit en sulfite-oxydase associé à un déficit en xantine-oxydase (cofacteur = molybdène) : E72.1 + E79.8",
      "Homocystinurie par déficit en cystathionine-synthétase B6-résistante",
      "Homocystinurie par déficit en cystathionine-synthétase B6-sensible",
      "Déficit en N5-N10-méthylène-tétrahydrofolate-réductase [Met-THF]",
      "Troubles de la reméthylation autres que déficit en méthylène-tétrahydrofolate-réductase [Met-THF] Cbl e, Cbl g",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.2 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.2": {
    "code": "E72.2",
    "description": "Anomalies du cycle de l’uréogenèse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 274,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acidurie arginino-succinique",
      "Argininémie",
      "Citrullinémie",
      "Hyperammoniémie",
      "Autres déficits du cycle de l’urée",
      "Déficit en ornithine-transcarbamylase, garçon néonatal",
      "Déficit en ornithine-transcarbamylase, garçon tardif",
      "Déficit en ornithine-transcarbamylase, fille",
      "Déficit en carbamyl-phosphate-synthétase",
      "Déficit en N-acétyl-glutamate-synthétase [NAGA-synthétase]"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme de l’ornithine (E72.4)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.2 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.3": {
    "code": "E72.3",
    "description": "Anomalies du métabolisme de la lysine et de l’hydroxylysine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 274,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acidurie glutarique de type I",
      "Hydroxylysinémie",
      "Hyperlysinémie"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Refsum (G60.1)",
      "Syndrome de Zellweger (Q87.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.4": {
    "code": "E72.4",
    "description": "Anomalies du métabolisme de l’ornithine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 274,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ornithinémie (type I, II)",
      "Ornithinémie de type I",
      "Atrophie gyrée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Triple H : hyperornithinémie, hyperammoniémie, homocitrullinurie",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.2 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.5": {
    "code": "E72.5",
    "description": "Anomalies du métabolisme de la glycine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 274,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperglycinémie non cétosique",
      "Hyperhydroxyprolinémie",
      "Hyperprolinémie (type I, II)",
      "Sarcosinémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.3 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.8": {
    "code": "E72.8",
    "description": "Autres anomalies précisées du métabolisme des acides aminés",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 274,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en prolidase",
      "Autres anomalies du métabolisme de la sérine",
      "Déficit de la glutamine synthétase",
      "Acidurie pyroglutamique par déficit en glutathion-synthétase",
      "Oxoprolinurie",
      "Anomalies du métabolisme des acides aminés bêta",
      "L-2 acidurie hydroxyglutarique",
      "D-2 acidurie hydroxyglutarique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalies du métabolisme de la sérine, de la proline et de la glutamine",
      "Anomalies du cycle gammaglutamyl autres que déficit en glutathion-synthétase",
      "Hyperinsulinisme-hyperammoniémie par hyperperactivité de la glutamate-déshydrogénase",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.3 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E72.9": {
    "code": "E72.9",
    "description": "Anomalie du métabolisme des acides aminés, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 274,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E73": {
    "code": "E73",
    "description": "Intolérance au lactose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E73.0": {
    "code": "E73.0",
    "description": "Déficit congénital en lactase",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E73.1": {
    "code": "E73.1",
    "description": "Déficit secondaire en lactase",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E73.8": {
    "code": "E73.8",
    "description": "Autres intolérances au lactose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E73.9": {
    "code": "E73.9",
    "description": "Intolérance au lactose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74": {
    "code": "E74",
    "description": "Autres anomalies du métabolisme des hydrates de carbone",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "diabète sucré (E10-E14)",
      "hypersécrétion de glucagon (E16.3)",
      "hypoglycémie SAI (E16.2)",
      "mucopolysaccharidose (E76.0-E76.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.0": {
    "code": "E74.0",
    "description": "Thésaurismose glycogénique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en phosphorylase hépatique",
      "Glycogénose cardiaque",
      "Glycogénose type I a :maladie de von Gierke",
      "Glycogénose type I b, c, d",
      "Glycogénose type VII : maladie de Tarui",
      "Glycogénose type IX : déficit en phosphorylase-kinase",
      "Déficit en glycogène-synthétase : glycogénose type 0",
      "Glycogénose type II : maladie de Pompe",
      "Glycogénose type V : maladie de McArdle",
      "Glycogénoses musculaires autres",
      "Glycogénose type IV : maladie d’Andersen"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Glycogénose type III : déficit en amylo-1-6-glucosidase, maladie de Forbes, de Cori",
      "Glycogénose type VI : déficit en phosphorylase hépatique, maladie de Hers",
      "Glycogénose hépatorénale de Bickel-Fanconi : déficit en Glut II",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.3 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.1": {
    "code": "E74.1",
    "description": "Anomalies du métabolisme du fructose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en fructose-1-6-diphosphatase",
      "Fructosurie essentielle",
      "Intolérance héréditaire au fructose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.2": {
    "code": "E74.2",
    "description": "Anomalies du métabolisme du galactose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en galactokinase",
      "Galactosémie",
      "Galactosémie par déficit en galactose-uridyl-transférase"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Galactosémie par déficit en uridine-diphosphate-galactose-4’-épimérase",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.4 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.3": {
    "code": "E74.3",
    "description": "Autres anomalies de l’absorption intestinale des hydrates de carbone",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 275,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en sucrase (formes sévères)",
      "Malabsorption glucose-galactose (formes sévères primitives)"
    ],
    "comprend": [],
    "exclusions": [
      "intolérance au lactose (E73.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.4": {
    "code": "E74.4",
    "description": "Anomalies du métabolisme du pyruvate et de la gluconéogenèse",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 276,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en : • phosphoénol-pyruvate-carboxykinase",
      "• pyruvate : • carboxylase",
      "• déshydrogénase",
      "Déficit du cycle de Krebs",
      "Hyperlactacidémies congénitales inclassées",
      "Syndrome de Leigh : E74.4 + G31.8"
    ],
    "comprend": [],
    "exclusions": [
      "avec anémie (D55.-)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.4 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.8": {
    "code": "E74.8",
    "description": "Autres anomalies précisées du métabolisme des hydrates de carbone",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 276,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glycosurie rénale",
      "Oxalose Oxalose de type I",
      "Oxalose de type II",
      "Oxalurie Oxaluries de type I et type II",
      "Syndrome de Sjögren-Larsson",
      "Pentosurie essentielle",
      "Anomalies héréditaires du métabolisme des polyols :",
      "Déficit en ribose-5-phosphate-isomérase",
      "Déficit en transaldolase",
      "Autres anomalies héréditaires du métabolisme des polyols"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.4 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E74.9": {
    "code": "E74.9",
    "description": "Anomalie du métabolisme des hydrates de carbone, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 276,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "stockage des lipides"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Refsum (G60.1)",
      "mucolipidose, type I-III (E77.0-E77.1)"
    ],
    "clinical_text": [
      "Anomalies du métabolisme des sphingolipides et autres anomalies du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.0": {
    "code": "E75.0",
    "description": "Gangliosidose GM2",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 276,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gangliosidose GM2 : • SAI",
      "• adulte",
      "• juvénile",
      "Maladie de : • Sandhoff",
      "• Tay-Sachs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.1": {
    "code": "E75.1",
    "description": "Autres gangliosidoses",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 276,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gangliosidose : • SAI",
      "• GM1 : maladie de Landing",
      "• GM3",
      "Mucolipidose de type IV"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.2": {
    "code": "E75.2",
    "description": "Autres sphingolipidoses",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 277,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit multiple en sulfatase : maladie d’Austin",
      "Leucodystrophie métachromatique",
      "• Gaucher",
      "Maladie de Gaucher de type I non traitée par enzymothérapie",
      "Maladie de Gaucher de type II non traitée par enzymothérapie",
      "Maladie de Gaucher de type I traitée par enzymothérapie",
      "Maladie de Gaucher de type II traitée par enzymothérapie",
      "Maladie de Gaucher de type III traitée par enzymothérapie",
      "• Krabbe",
      "• Niemann-Pick",
      "Maladie de Niemann-Pick types A et B [type I]",
      "Maladie de Niemann-Pick type C [type II]",
      "Syndrome de Farber",
      "Maladie de Canavan : déficit en N-acétylaspartique-acylase"
    ],
    "comprend": [],
    "exclusions": [
      "adrénoleucodystrophie [Addison-Schilder] (E71.3)"
    ],
    "clinical_text": [
      "Maladie de : • Fabry(-Anderson) traitée ou non par enzymothérapie",
      "Maladie de Gaucher de type III non traitée par enzymothérapie",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.5 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.3": {
    "code": "E75.3",
    "description": "Sphingolipidose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 277,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.4": {
    "code": "E75.4",
    "description": "Lipofuscinose [lipofuschinose] à céroïdes neuronaux [CLN]",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 277,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hagberg",
      "Bielschowsky",
      "CLN 4, forme adulte classique : maladie de Kufs",
      "CLN 5, forme tardive variant du nourrisson finnish",
      "CLN 6, forme tardive variant du nourrisson non finnish",
      "CLN 7, forme tardive variant du nourrisson turkish",
      "CLN 8 : épilepsie progressive avec retard mental [EPMR]",
      "CLN autres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficit en palmitoyl-protéine-thioestérase [CLN 1], forme classique du nourrisson : maladie de Santavuori-",
      "Déficit en palmitoyl-protéine-thioestérase [CLN 1], forme tardive classique du nourrisson : maladie de",
      "Déficit en palmitoyl-protéine-thioestérase [CLN 1], forme juvénile : maladie de Spielmeyer-Vogt",
      "Déficit en pepstatine-insensitive-peptidase [CLN 2], forme tardive classique du nourrisson",
      "Déficit en pepstatine-insensitive-peptidase [CLN 2], forme juvénile",
      "Déficit en battenine [CLN 3], forme juvénile classique : maladie de Batten",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.5 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.5": {
    "code": "E75.5",
    "description": "Autres anomalies du stockage des lipides",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 277,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cholestérose cérébro-tendineuse",
      "Maladie de Wolman : déficit en lipase acide",
      "Maladie de stockage des esters du cholestérol"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Xanthomatose cérébro-tendineuse de van Bogaert-Scherer-Epstein",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.5 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E75.6": {
    "code": "E75.6",
    "description": "Anomalie du stockage des lipides, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 277,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76": {
    "code": "E76",
    "description": "Anomalies du métabolisme des glucosaminoglycanes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76.0": {
    "code": "E76.0",
    "description": "Mucopolysaccharidose, type I",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Scheie (mucopolysaccharidose de type I)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie de Hurler (mucopolysaccharidose de type I) non traitée par enzymothérapie",
      "Maladie de Hurler (mucopolysaccharidose de type I) traitée par enzymothérapie",
      "Maladie de Hurler-Scheie (mucopolysaccharidose de type I) non traitée par enzymothérapie",
      "Maladie de Hurler-Scheie (mucopolysaccharidose de type I) traitée par enzymothérapie",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.5 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76.1": {
    "code": "E76.1",
    "description": "Mucopolysaccharidose, type II",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Hunter (mucopolysaccharidose de type II)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.5 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76.2": {
    "code": "E76.2",
    "description": "Autres mucopolysaccharidoses",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Carence en bêta-glucoronidiase [MPS VII]",
      "Syndrome de Sly",
      "Mucopolysaccharidoses, type III, IV, VI, VII",
      "Maladie de : • Maroteaux-Lamy (léger) (sévère) [MPS VI]",
      "• Morquio (-semblable à) (classique) [MPS IV]",
      "• Sanfilippo [MPS III], types A, B, C, D"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.5 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76.3": {
    "code": "E76.3",
    "description": "Mucopolysaccharidose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76.8": {
    "code": "E76.8",
    "description": "Autres anomalies du métabolisme des glucosaminoglycanes",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E76.9": {
    "code": "E76.9",
    "description": "Anomalie du métabolisme des glucosaminoglycanes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E77": {
    "code": "E77",
    "description": "Anomalies du métabolisme des glycoprotéines",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E77.0": {
    "code": "E77.0",
    "description": "Défauts de la transformation post-traductionnelle des enzymes lysosomiaux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mucolipidose III : polydystrophie de type Hurler"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Mucolipidose II : maladie à inclusion cellulaire [I. cell disease]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E77.1": {
    "code": "E77.1",
    "description": "Défauts de la dégradation des glycoprotéines",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aspartylglucosaminurie",
      "Fucosidose",
      "Mannosidose : Alphamannosidose",
      "Bêtamannosidose",
      "Sialidose",
      "Mucolipidose I",
      "Déficit en alpha-N-acétylgalactosaminidase",
      "Maladie de Schindler et Kanzaki",
      "Galactosialidose",
      "Déficit en cathepsine K (pycnodysostose)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E77.8": {
    "code": "E77.8",
    "description": "Autres anomalies du métabolisme des glycoprotéines",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Carbohydrate deficient glycoprotein syndrome [CDG], type II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Défauts de glycosylation des protéines [carbohydrate deficient glycoprotein syndrome] [CDG]",
      "Carbohydrate deficient glycoprotein syndrome [CDG], types Ia, Ib et autres types I",
      "Carbohydrate deficient glycoprotein syndrome [CDG], autres types",
      "Autres anomalies héréditaires du métabolisme des glycoprotéines",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.6 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E77.9": {
    "code": "E77.9",
    "description": "Anomalie du métabolisme des glycoprotéines, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 278,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78": {
    "code": "E78",
    "description": "Anomalies du métabolisme des lipoprotéines et autres lipidémies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "sphingolipidose (E75.0-E75.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.0": {
    "code": "E78.0",
    "description": "Hypercholestérolémie essentielle",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperbêtalipoprotéinémie",
      "Hypercholestérolémie familiale",
      "Hyperlipidémie, groupe A",
      "Hyperlipoprotéinémie à lipoprotéines de basse densité [LDL]",
      "Hyperlipoprotéinémie, type IIa de Fredrickson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hypercholestérolémie familiale sévère par déficit en LDL récepteurs",
      "Hypercholestérolémie familiale sévère par déficit de l’apo B 100",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.6 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.1": {
    "code": "E78.1",
    "description": "Hyperglycéridémie essentielle",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperglycéridémie endogène",
      "Hyperlipidémie, groupe B",
      "Hyper-lipoprotéinémie, type IV de Fredrickson",
      "Hyper-prébêta-lipoprotéinémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyper-lipoprotéinémie à lipoprotéines de très basse densité [VLDL]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.2": {
    "code": "E78.2",
    "description": "Hyperlipidémie mixte",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyper-bêta-lipoprotéinémie avec prébêta-lipoprotéinémie",
      "Hypercholestérolémie avec hyperglycéridémie endogène",
      "Hyperlipidémie, groupe C",
      "Hyper-lipoprotéinémie de Fredrickson, type IIb ou III",
      "Xanthome : • tubéreux",
      "• tubéro-éruptif",
      "Dys-bêta-lipoprotéinémie familiale",
      "Bêta-lipoprotéinémie large ou flottante"
    ],
    "comprend": [],
    "exclusions": [
      "cholestérose cérébro-tendineuse de van Bogaert-Scherer-Epstein (E75.5)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.6 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.3": {
    "code": "E78.3",
    "description": "Hyperchylomicronémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperglycéridémie mixte",
      "Hyperlipidémie, groupe D",
      "Hyperlipoprotéinémie de Fredrickson, type I ou V",
      "Hyper-chylomicronémie sans autre précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyper-chylomicronémie par déficit en activité LPL par atteinte de la protéine",
      "Hyper-chylomicronémie par déficit en activité LPL par déficit en cofacteur Apo C ll",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.6 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.4": {
    "code": "E78.4",
    "description": "Autres hyperlipidémies",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperlipidémie mixte familiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.5": {
    "code": "E78.5",
    "description": "Hyperlipidémie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.6": {
    "code": "E78.6",
    "description": "Déficit en lipoprotéines",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 279,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abêtalipoprotéinémie",
      "Déficit en : • lécithine-cholestérol-acyltransférase",
      "• lipoprotéines de haute densité",
      "Maladie de l’œil de poisson",
      "Hypobêtalipoprotéinémie",
      "Maladie de Tangier (par déficit familial en HDL)",
      "Maladie d’Anderson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hypo-alpha-lipo-protéinémie par déficit en lipoprotéines de haute densité",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.6 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.8": {
    "code": "E78.8",
    "description": "Autres anomalies du métabolisme des lipoprotéines",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficits de synthèse du cholestérol et des acides biliaires",
      "Desmostérolurie",
      "Acidurie mévalonique",
      "Autres déficits de synthèse du cholestérol",
      "Déficit de synthèse des acides biliaires"
    ],
    "comprend": [],
    "exclusions": [
      "Déficit en 7-8-dihydrocholestérol-déshydrogénase (Q87.1)",
      "Syndrome de Smith-Lemli-Opitz (Q87.1)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.6 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E78.9": {
    "code": "E78.9",
    "description": "Anomalie du métabolisme des lipoprotéines, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E79": {
    "code": "E79",
    "description": "Anomalies du métabolisme de la purine et de la pyrimidine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémie orotacidurique (D53.0)",
      "acidurie orotique (D53.0)",
      "calcul du rein (N20.0)",
      "déficits immunitaires combinés (D81.-)",
      "goutte (M10.-)",
      "xeroderma pigmentosum (Q82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E79.0": {
    "code": "E79.0",
    "description": "Hyperuricémie sans signes d’arthrite inflammatoire et de maladie tophacée",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperuricémie asymptomatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E79.1": {
    "code": "E79.1",
    "description": "Syndrome de Lesch-Nyhan",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficit en hypoxanthine-guanine-phospho-ribosyl-transférase [HGPRT]",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E79.8": {
    "code": "E79.8",
    "description": "Autres anomalies du métabolisme de la purine et de la pyrimidine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Xanthinurie héréditaire",
      "Déficit en adényl-phospho-ribosyl-transférase [APRT]",
      "Autres anomalies du métabolisme des purines",
      "Autres anomalies du métabolisme des pyrimidines"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E79.9": {
    "code": "E79.9",
    "description": "Anomalie du métabolisme de la purine et de la pyrimidine, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80": {
    "code": "E80",
    "description": "Anomalies du métabolisme de la porphyrine et de la bilirubine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "déficit en catalase et en peroxydase"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.0": {
    "code": "E80.0",
    "description": "Porphyrie érythropoïétique héréditaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Porphyrie érythropoïétique congénitale",
      "Protoporphyrie érythropoïétique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.1": {
    "code": "E80.1",
    "description": "Porphyrie cutanée tardive",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Porphyrie cutanée tardive héréditaire",
      "Porphyrie variegata"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.2": {
    "code": "E80.2",
    "description": "Autres porphyries",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coproporphyrie héréditaire",
      "Porphyrie : • SAI",
      "• aiguë intermittente (hépatique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.3": {
    "code": "E80.3",
    "description": "Déficit en catalase et en peroxydase",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 280,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acatalasie",
      "Maladie de Takahara"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.4": {
    "code": "E80.4",
    "description": "Syndrome de Gilbert",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.5": {
    "code": "E80.5",
    "description": "Maladie de Crigler et Najjar",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.6": {
    "code": "E80.6",
    "description": "Autres anomalies du métabolisme de la bilirubine",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de : •Dubin-Johnson",
      "• Rotor"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E80.7": {
    "code": "E80.7",
    "description": "Anomalie du métabolisme de la bilirubine, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83": {
    "code": "E83",
    "description": "Anomalies du métabolisme des minéraux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "carence (en) : • alimentaire en minéraux (E58-E61)",
      "• vitamine D (E55.-)",
      "maladies de la glande parathyroïde (E20-E21)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.0": {
    "code": "E83.0",
    "description": "Anomalies du métabolisme du cuivre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de : • Menkes (cheveux crépus) (en fil de fer)",
      "• Wilson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.1": {
    "code": "E83.1",
    "description": "Anomalies du métabolisme du fer",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémochromatose : Hémochromatose génétique",
      "Hémochromatose néonatale"
    ],
    "comprend": [],
    "exclusions": [
      "anémie : • par carence en fer (D50.-)",
      "• sidéroblastique (D64.0-D64.3)"
    ],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.7 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.2": {
    "code": "E83.2",
    "description": "Anomalies du métabolisme du zinc",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrodermatitis enteropathica"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.3": {
    "code": "E83.3",
    "description": "Anomalies du métabolisme du phosphore et des phosphatases",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en phosphatase acide",
      "Hypo-phosphatasie",
      "Hypo-phosphatémie familiale",
      "Ostéomalacie résistante à la vitamine D",
      "Rachitisme résistant à la vitamine D"
    ],
    "comprend": [],
    "exclusions": [
      "ostéomalacie de l’adulte (M83.-)",
      "ostéoporose (M80-M81)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.4": {
    "code": "E83.4",
    "description": "Anomalies du métabolisme du magnésium",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypermagnésiémie",
      "Hypomagnésiémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.5": {
    "code": "E83.5",
    "description": "Anomalies du métabolisme du calcium",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypercalcémie hypocalciurique familiale",
      "Hypercalciurie idiopathique"
    ],
    "comprend": [],
    "exclusions": [
      "chondrocalcinose (M11.1-M11.2)",
      "hyperparathyroïdie (E21.0-E21.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.50": {
    "code": "E83.50",
    "description": "Hypercalcémie supérieure à 3 millimoles [mmol] par litre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.51": {
    "code": "E83.51",
    "description": "Hypocalcémie inférieure à 1,5 millimoles [mmol] par litre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.58": {
    "code": "E83.58",
    "description": "Anomalies du métabolisme du calcium, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.8": {
    "code": "E83.8",
    "description": "Autres anomalies du métabolisme des minéraux",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E83.9": {
    "code": "E83.9",
    "description": "Anomalie du métabolisme des minéraux, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 281,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E84": {
    "code": "E84",
    "description": "Fibrose kystique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "mucoviscidose"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E84.0": {
    "code": "E84.0",
    "description": "Fibrose kystique avec manifestations pulmonaires",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E84.1": {
    "code": "E84.1",
    "description": "Fibrose kystique avec manifestations intestinales",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Iléus méconial dans la fibrose kystique † (P75 *)",
      "Syndrome d’obstruction intestinale distale"
    ],
    "comprend": [],
    "exclusions": [
      "occlusion intestinale (iléus) due à un bouchon de méconium sans fibrose kystique",
      "(P76.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E84.8": {
    "code": "E84.8",
    "description": "Fibrose kystique avec autres manifestations",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E84.9": {
    "code": "E84.9",
    "description": "Fibrose kystique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85": {
    "code": "E85",
    "description": "Amylose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie d’Alzheimer (G30.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.0": {
    "code": "E85.0",
    "description": "Amylose hérédofamiliale non neuropathique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre méditerranéenne familiale",
      "Néphropathie amyloïde familiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.1": {
    "code": "E85.1",
    "description": "Amylose hérédofamiliale neuropathique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polyneuropathie amyloïde (portugaise)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.2": {
    "code": "E85.2",
    "description": "Amylose hérédofamiliale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.3": {
    "code": "E85.3",
    "description": "Amylose généralisée secondaire",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amylose associée à hémodialyse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.4": {
    "code": "E85.4",
    "description": "Amylose limitée à un ou plusieurs organe(s)",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amylose localisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.8": {
    "code": "E85.8",
    "description": "Autres amyloses",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E85.9": {
    "code": "E85.9",
    "description": "Amylose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E86": {
    "code": "E86",
    "description": "Hypovolémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Déplétion du volume du plasma ou du liquide extra-cellulaire",
      "Déshydratation"
    ],
    "comprend": [],
    "exclusions": [
      "choc hypovolémique : • SAI (R57.1)",
      "• post-opératoire (T81.1)",
      "• traumatique (T79.4)",
      "déshydratation du nouveau-né (P74.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87": {
    "code": "E87",
    "description": "Autres déséquilibres hydro-électrolytiques et acido-basiques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.0": {
    "code": "E87.0",
    "description": "Hyperosmolarité et hypernatrémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Excès de sodium [Na]",
      "Surcharge en sodium [Na]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.00": {
    "code": "E87.00",
    "description": "Hypernatrémie supérieure à 150 millimoles [mmol] par litre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.08": {
    "code": "E87.08",
    "description": "Hyperosmolarités et hypernatrémies, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 282,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.1": {
    "code": "E87.1",
    "description": "Hypo-osmolarité et hyponatrémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en sodium [Na]"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de sécrétion anormale de l’hormone antidiurétique (E22.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.10": {
    "code": "E87.10",
    "description": "Hyponatrémie inférieure à 120 millimoles [mmol] par litre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.18": {
    "code": "E87.18",
    "description": "Hypoosmolarités et hyponatrémies, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.2": {
    "code": "E87.2",
    "description": "Acidose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Acidose : • SAI",
      "• lactique",
      "• métabolique",
      "• respiratoire"
    ],
    "comprend": [],
    "exclusions": [
      "acidose diabétique (E10-E14 avec la subdivision .1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.3": {
    "code": "E87.3",
    "description": "Alcalose",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcalose : • SAI",
      "• métabolique",
      "• respiratoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.4": {
    "code": "E87.4",
    "description": "Anomalie mixte de l’équilibre acido-basique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.5": {
    "code": "E87.5",
    "description": "Hyperkaliémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Excès de potassium [K]",
      "Surcharge en potassium [K]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.50": {
    "code": "E87.50",
    "description": "Hyperkaliémie supérieure à 6,5 millimoles [mmol] par litre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.58": {
    "code": "E87.58",
    "description": "Hyperkaliémies, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.6": {
    "code": "E87.6",
    "description": "Hypokaliémie",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficit en potassium [K]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.60": {
    "code": "E87.60",
    "description": "Hypokaliémie inférieure à 2,5 millimoles [mmol] par litre",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.68": {
    "code": "E87.68",
    "description": "Hypokaliémies, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.7": {
    "code": "E87.7",
    "description": "Surcharge liquidienne",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "œdème (R60.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E87.8": {
    "code": "E87.8",
    "description": "Autres déséquilibres hydro-électrolytiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 283,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déséquilibre électrolytique SAI",
      "Hyperchlorémie",
      "Hypochlorémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88": {
    "code": "E88",
    "description": "Autres anomalies métaboliques",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 284,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "histiocytose X (chronique) (C96.6)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88.0": {
    "code": "E88.0",
    "description": "Anomalies du métabolisme des protéines plasmatiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 284,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bisalbuminémie",
      "Hypoprotéinémie",
      "Hypoalbuminémie",
      "Déficit en alpha-1-antitrypsine",
      "Déficit en alpha-1antitrypsine",
      "Déficit en alpha-1-antitrypsine, forme hépatique",
      "Déficit en alpha-1-antitrypsine, forme pulmonaire"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme des lipoprotéines (E78.-)",
      "gammapathie monoclonale de signification indéterminée [GMSI] (D47.2)",
      "hyper-gamma-globulinémie polyclonale (D89.0)",
      "macro-globulinémie de Waldenström (C88.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88.1": {
    "code": "E88.1",
    "description": "Lipodystrophie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 284,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lipodystrophie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Whipple (K90.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88.2": {
    "code": "E88.2",
    "description": "Lipomatose, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 284,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lipomatose : • SAI",
      "• douloureuse",
      "Adipose douloureuse de Dercum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88.3": {
    "code": "E88.3",
    "description": "Syndrome de lyse tumorale",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 284,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ATIH – Modifications de la CIM-10 introduites en 2010 – p.2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de lyse tumorale (à la suite d’un traitement médicamenteux antinéoplasique) (spontanée)",
      "Ce syndrome est défini comme l’ensemble des manifestations consécutives à la destruction des cellules",
      "tumorales. Les manifestations liées à ce syndrome doivent aussi être codées."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88.8": {
    "code": "E88.8",
    "description": "Autres anomalies métaboliques précisées",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 284,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adénolipomatose de Launois-Bensaude",
      "également classant en CMD10.",
      "NOTICE TECHNIQUE n° ATIH-693-16-2021 du 21 décembre 2021",
      "Triméthylaminurie",
      "Acidurie malonique",
      "Anomalies du métabolisme des neurotransmetteurs :",
      "Acidurie gamma-hydroxybutyrique",
      "Acidurie 4-hydroxybutyrique",
      "Déficit en acide succinique-semialdéhyde-déshydrogénase",
      "Deficit en acide gamma-amino-butyrique [GABA] transaminase",
      "Hyperekplexia",
      "Déficit en acide L-amino-aromatique-décarboxylase",
      "Déficit en mono-amine-oxydase A",
      "Déficits multiples de la biogénèse peroxysomale :",
      "Déficits multiples de la bêtaoxydation peroxysomale",
      "Déficit du catabolisme des acides biliaires",
      "Déficits isolés de la bêtaoxydation peroxysomale",
      "Déficit en AcylCoA-oxydase",
      "Déficit en enzyme bifonctionnelle",
      "Déficit en 3-oxo-acylcoA-thiolase",
      "Déficits isolés de la synthèse des plasmalogènes",
      "Déficits enzymatiques :",
      "Anomalies du génome mitochondrial :",
      "Délétion/duplication de l’ADN mitochondrial",
      "Déplétion de l’ADN mitochondrial",
      "Mutation(s) ponctuelle(s) de l’ADN mitochondrial",
      "Syndrome de Pearson",
      "Cytopathie mitochondriale",
      "Anomalie du génome nucléaire",
      "Diabète sucré d’origine mitochondriale : E88.8 + E13.-",
      "Déficits de synthèse de la créatine :",
      "Acidurie guanidinoacétique",
      "Autres déficits de synthèse de la créatine",
      "Anomalie du métabolisme de la Vitamine D :"
    ],
    "comprend": [],
    "exclusions": [
      "Chondrodysplasie ponctuée (Q77.3)",
      "Maladie de Leber (H47.2)",
      "Syndrome de Kearns et Sayre (H49.8)",
      "Autres myopathies mitochondriales (G71.3)"
    ],
    "clinical_text": [
      "Lipomatose de LAUNOIS-BENSAUDE : code E88.8 qui oriente en CMD10. L’acte d’exérèse LCFA011 est",
      "Aciduries organiques autres que celles dérivées des acides aminés ramifiés",
      "Autres déficits multiples précisés de la biogenèse peroxysomale",
      "Déficit du complexe I de la chaine respiratoire mitochondriale",
      "Déficit du complexe II de la chaine respiratoire mitochondriale",
      "Déficit du complexe III de la chaine respiratoire mitochondriale",
      "Déficit du complexe IV (cytochrome C oxydase) de la chaine respiratoire mitochondriale",
      "Déficit du complexe V (ATPase) de la chaine respiratoire mitochondriale",
      "Déficit multiple en complexes de la chaine respiratoire mitochondriale",
      "Rachitisme pseudo-carentiel de type I (par déficit de la 1-alpha-hydroxylase rénale)",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E88.9": {
    "code": "E88.9",
    "description": "Anomalie métabolique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "diagnostique et thérapeutique, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalies endocriniennes et métaboliques après un acte à visée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E89.0": {
    "code": "E89.0",
    "description": "Hypothyroïdie après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypothyroïdie après : • chirurgie",
      "• irradiation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E89.1": {
    "code": "E89.1",
    "description": "Hypoinsulinémie après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperglycémie après : • chirurgie",
      "• pancréatectomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E89.2": {
    "code": "E89.2",
    "description": "Hypoparathyroïdie après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tétanie parathyréoprive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E89.3": {
    "code": "E89.3",
    "description": "Hypopituitarisme après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypopituitarisme après irradiation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E89.4": {
    "code": "E89.4",
    "description": "Insuffisance ovarienne après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "E89.5": {
    "code": "E89.5",
    "description": "Hypofonctionnement testiculaire après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies endocriniennes, nutritionnelles et métaboliques",
    "page": 285,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hypofonctionnement corticosurrénal (de la médullaire) après un acte à visée diagnostique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F99": {
    "code": "F99",
    "description": "Trouble mental, sans autre indication",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 347,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Maladie mentale SAI",
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "trouble mental organique SAI (F06.9)",
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "certaines maladies infectieuses et parasitaires (A00-B99)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F00": {
    "code": "F00",
    "description": "* Démence de la maladie d’Alzheimer (G30.- †)",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 289,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "régulièrement en quelques années."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La maladie d’Alzheimer est une maladie cérébrale dégénérative primitive d’étiologie inconnue dont la neuropathologie et",
      "la neurochimie sont caractéristiques. Elle débute habituellement de façon insidieuse et progresse lentement mais",
      "[Voir en début de groupe pour les subdivisions à cinq et à six caractères]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02": {
    "code": "F02",
    "description": "* Démence au cours d’autres maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 291,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démences dues, ou supposées dues, à d’autres causes que la maladie d’Alzheimer ou une maladie vasculaire cérébrale.",
      "Elles peuvent débuter à tout âge, mais ne surviennent que rarement à un âge avancé.",
      "[Voir en début de groupe pour les subdivisions à cinq et à six caractères]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F66": {
    "code": "F66",
    "description": "caractérisant des orientations sexuelles, mentionnées dans le « livre bleu », non reprises dans le « livre vert », ne peuvent pas être",
    "dagger_star": "",
    "chapter": "",
    "page": 287,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "utilisées.",
      "suivantes, utilisables :",
      "– avec le caractère .0 des codes du groupe F10–F19 :",
      "5 avec coma : coder en sus le coma",
      "6 avec convulsions : coder en sus les convulsions",
      "[…]",
      "– avec le caractère .3 des codes du groupe F10–F19 :",
      "1 avec convulsions : coder en sus les convulsions",
      "– avec le caractère .4 des codes du groupe F10–F19 :",
      "connaissance de cause après téléchargement…",
      "IDENTIFICATION DU POLYHANDICAP LOURD",
      "• une déficience mentale profonde ou une démence sévère ;",
      "• une mobilité réduite conséquence du trouble moteur ;",
      "• liste 2 : troubles moteurs (codes du chapitre G, Q et R)",
      "autres organes ou systèmes de l’organisme.",
      "symptômes supplémentaires :",
      "0 sans symptôme supplémentaire",
      "1 avec d’autres symptômes, essentiellement délirants",
      "2 avec d’autres symptômes, essentiellement hallucinatoires",
      "3 avec d’autres symptômes, essentiellement dépressifs",
      "4 avec d’autres symptômes, mixtes",
      "démence :",
      "0 légère",
      "1 moyenne",
      "2 sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "On insiste également sur le fait que l’emploi de certains libellés ainsi complétés peut entraîner des difficultés, en particulier quand ils",
      "intègrent des informations de nature différente : ainsi en est-il, par exemple, de l’extension « avec traumatismes ou autres blessures",
      "physiques » (5e caractère « 1 ») proposée avec le 4e caractère « .0 » des catégories F10–F19 Troubles mentaux et du comportement liés",
      "à l’utilisation de substances psychoactives. Chaque fois qu’un libellé contient plusieurs informations qui peuvent être codées",
      "distinctement, il est préférable d’utiliser un codage multiple. Cette consigne est tout spécialement à appliquer pour les extensions",
      "1 avec traumatismes ou autres blessures physiques : coder ceux-ci selon leur nature",
      "2 avec d’autres complications médicales : coder celles-ci selon leur nature",
      "Le remaniement du chapitre V a été l’occasion d’intégrer les règles d’orthographe, de ponctuation et de typographie recommandée",
      "en France. Les libellés incomplets (non signifiants hors contexte) ont été reconstitués. La prise en compte de toutes ces modifications",
      "a obligé à modifier la mise en page initiale du chapitre V : c’est la raison de sa publication in extenso sur le site Internet de l’ATIH.",
      "Manuel des groupes homogènes de malades – BO 2015/5bis – Volume 1, Codes de la CIM 10, Annexe 6-4",
      "Le polyhandicap se définit par l’association de quatre critères :",
      "• un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "• une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un appareil.",
      "Pour permettre l’identification du polyhandicap lourd dans les recueils d’informations du PMSI, quatre listes de codes de la CIM–10 ont",
      "été élaborées sous le contrôle de la Société française de pédiatrie et de la Société française de neuropédiatrie :",
      "• liste 1 : déficiences mentales ou psychiatriques sévères (codes du chapitre F)",
      "• liste 3 : critères de mobilité réduite (codes des chapitres R et Z)",
      "• liste 4 : restrictions extrêmes de l’autonomie (codes des chapitres U et Z).",
      "Un code au moins de chacune des quatre listes doit être présent dans le RSS pour affirmer le polyhandicap lourd.",
      "Voir les listes et recommandations pour le codage du polyhandicap lourd sur le site Internet de l’ATIH.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 2",
      "Ce groupe réunit un ensemble de troubles mentaux ayant en commun une étiologie organique démontrable, à type de maladie ou",
      "de lésion cérébrale, ou d’atteinte entraînant un dysfonctionnement du cerveau. Le dysfonctionnement peut être primaire : c’est le cas",
      "des maladies, lésions ou atteintes qui touchent le cerveau de manière directe ou sélective",
      "il peut également être secondaire : c’est le cas des maladies et des troubles somatiques qui affectent le cerveau au même titre que les",
      "La démence (F00 – F03) est un syndrome dû à une maladie cérébrale, habituellement chronique et progressive, caractérisé par une",
      "altération de nombreuses fonctions corticales supérieures, telles que la mémoire, l’idéation, l’orientation, la compréhension, le calcul,",
      "la capacité d’apprendre, le langage et le jugement. Le syndrome ne s’accompagne pas d’un obscurcissement de la conscience. Les",
      "déficiences des fonctions cognitives s’accompagnent habituellement (et sont parfois précédées) d’une détérioration du contrôle",
      "émotionnel, du comportement social ou de la motivation. Ce syndrome survient dans la maladie d’Alzheimer, dans les maladies",
      "vasculaires cérébrales et dans d’autres affections qui, de manière primaire ou secondaire, affectent le cerveau.",
      "Utiliser, au besoin, un code supplémentaire pour identifier la maladie sous-jacente.",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère avec les catégories F00–F03 pour préciser la présence de",
      "Les subdivisions suivantes peuvent être utilisées comme sixième caractère avec les catégories F00–F03 pour préciser la sévérité de la",
      "Les catégories F00 à F03 avec un niveau sévère de démence (valeur 2 du sixième caractère) appartiennent à la Liste 1 « déficiences",
      "mentales ou psychiatriques sévères » permettant l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – Liste 1 p.3-6"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "L’ATIH propose un fichier de correspondance entre la CFTMEA et la CIM-10 2010 : les lecteurs de la CoCoA peuvent l’utiliser en toute"
    ]
  },
  "F00.0": {
    "code": "F00.0",
    "description": "Démence de la maladie d’Alzheimer, à début précoce (G30.0†)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 289,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Démence présénile, de type Alzheimer",
      "Maladie d’Alzheimer, type 2",
      "2022, p. 3"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence de la maladie d’Alzheimer survenant avant l’âge de 65 ans, évoluant assez rapidement vers une",
      "détérioration et comportant de multiples perturbations marquées des fonctions corticales supérieures.",
      "Démence dégénérative primaire de type Alzheimer, à début présénile",
      "Les codes F00.002, F00.012, F00.022, F00.032 et F00.042 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F00.1": {
    "code": "F00.1",
    "description": "Démence de la maladie d’Alzheimer, à début tardif (G30.1 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 289,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "altération de la mémoire.",
      "Démence sénile, de type Alzheimer [DSTA]",
      "Maladie d’Alzheimer, type 1",
      "2022, p. 3"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence de la maladie d’Alzheimer survenant après l’âge de 65 ans, habituellement à la fin de la huitième",
      "décennie ou au-delà ; elle évolue de façon lentement progressive et se caractérise essentiellement par une",
      "Démence dégénérative primaire de type Alzheimer, à début sénile",
      "Les codes F00.102, F00.112, F00.122, F00.132 et F00.142 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F00.2": {
    "code": "F00.2",
    "description": "Démence de la maladie d’Alzheimer, forme atypique ou mixte (G30.8 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 289,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Démence atypique, de type Alzheimer",
      "2022, p. 3"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes F00.202, F00.212, F00.222, F00.232 et F00.242 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F00.9": {
    "code": "F00.9",
    "description": "Démence de la maladie d’Alzheimer, sans précision (G30.9 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 289,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2022, pp. 3-4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes F00.902, F00.912, F00.922, F00.932 et F00.942 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01": {
    "code": "F01",
    "description": "Démence vasculaire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "démence survient habituellement à un âge avancé."
    ],
    "comprend": [
      "démence artériopathique"
    ],
    "exclusions": [],
    "clinical_text": [
      "La démence vasculaire résulte d’un infarcissement cérébral dû à une maladie vasculaire, par exemple une maladie",
      "cérébrovasculaire hypertensive. Les infarctus sont habituellement de petite taille, mais leurs effets sont cumulatifs. La",
      "[Voir en début de groupe pour les subdivisions à cinq et à six caractères]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01.0": {
    "code": "F01.0",
    "description": "Démence vasculaire à début aigu",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "infarcissement massif unique.",
      "2022, p. 4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence vasculaire qui s’installe, habituellement de façon rapide, à la suite d’ictus cérébraux répétés, liés à",
      "des thromboses vasculaires, des embolies ou des hémorragies. Il est rare que la cause en soit un",
      "Les codes F01.002, F01.012, F01.022, F01.032 et F01.042 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01.1": {
    "code": "F01.1",
    "description": "Démence vasculaire par infarctus multiples",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Démence à prédominance corticale",
      "2022, p. 4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence vasculaire dont le début est progressif, qui fait suite à de nombreux épisodes ischémiques",
      "transitoires provoquant des lacunes dans le parenchyme cérébral.",
      "Les codes F01.102, F01.112, F01.122, F01.132 et F01.142 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01.2": {
    "code": "F01.2",
    "description": "Démence vasculaire sous-corticale",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "d’Alzheimer.",
      "2022, p. 4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence vasculaire avec antécédent d’hypertension artérielle et de foyers de destruction ischémique dans",
      "la substance blanche profonde des hémisphères cérébraux. Le cortex cérébral est habituellement indemne,",
      "ce qui tranche avec le tableau clinique qui peut être proche de celui de la démence de la maladie",
      "Les codes F01.202, F01.212, F01.222, F01.232 et F01.242 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01.3": {
    "code": "F01.3",
    "description": "Démence vasculaire mixte, corticale et sous-corticale",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2022, p. 4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes F01.302, F01.312, F01.322, F01.332 et F01.342 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01.8": {
    "code": "F01.8",
    "description": "Autres formes de démence vasculaire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2022, pp. 4-5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes F01.802, F01.812, F01.822, F01.832 et F01.842 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F01.9": {
    "code": "F01.9",
    "description": "Démence vasculaire, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 290,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02.0": {
    "code": "F02.0",
    "description": "Démence de la maladie de Pick (G31.0 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 291,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "rarement, de symptômes extra-pyramidaux.",
      "2022, p. 5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence évoluant progressivement, débutant à l’âge mûr, caractérisée par des modifications précoces,",
      "lentement progressives, du caractère et par une détérioration sociale, aboutissant à une déficience des",
      "fonctions intellectuelles, de la mémoire et du langage, accompagnées d’une apathie, d’une euphorie et, plus",
      "Les codes F02.002, F02.012, F02.022, F02.032 et F02.042 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02.1": {
    "code": "F02.1",
    "description": "Démence de la maladie de Creutzfeldt-Jakob (A81.0 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 291,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "est subaiguë, aboutissant à la mort en un à deux ans.",
      "2022, p. 5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence évoluant progressivement, comportant des signes neurologiques étendus, due à des altérations",
      "neuropathologiques spécifiques que l’on suppose provoquées par un agent transmissible. Elle débute",
      "habituellement à l’âge mûr ou plus tard, mais peut débuter chez l’adulte à n’importe quel âge. Son évolution",
      "Les codes F02.102, F02.112, F02.122, F02.132 et F02.142 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02.2": {
    "code": "F02.2",
    "description": "Démence de la maladie de Huntington (G10 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 291,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "15 années.",
      "Démence de la chorée de Huntington",
      "2022, p. 5"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence survenant dans le contexte d’une dégénérescence cérébrale étendue. La maladie est transmise",
      "par un gène autosomique dominant unique. Les symptômes apparaissent typiquement dans la troisième et",
      "la quatrième décennies. L’évolution est lentement progressive, aboutissant habituellement à la mort en 10 à",
      "Les codes F02.202, F02.212, F02.222, F02.232 et F02.242 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02.3": {
    "code": "F02.3",
    "description": "Démence de la maladie de Parkinson (G20 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 291,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "clinique distinctive n’a été mise en évidence jusqu’ici.",
      "Démence dans : • paralysie agitante",
      "• parkinsonisme",
      "2022, pp. 5-6"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence survenant au cours de l’évolution d’une maladie de Parkinson avérée. Aucune caractéristique",
      "Les codes F02.302, F02.312, F02.322, F02.332 et F02.342 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02.4": {
    "code": "F02.4",
    "description": "Démence de la maladie due au virus de l’immunodéficience humaine [VIH] (B22.0 †)",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 291,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2022, p. 6"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence survenant au cours de l’évolution d’une maladie VIH, en l’absence de toute autre maladie ou",
      "infection concomitante pouvant expliquer les signes cliniques.",
      "Les codes F02.402, F02.412, F02.422, F02.432 et F02.442 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F02.8": {
    "code": "F02.8",
    "description": "Démence au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Troubles mentaux et du comportement",
    "page": 292,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• vitamine B12 (E53.8 †)",
      "• dégénérescence hépato-lenticulaire (E83.0 †)",
      "• épilepsie (G40.– †)",
      "• hypercalcémie (E83.5 †)",
      "• hypothyroïdie acquise (E01.– †, E03.– †)",
      "• intoxications (T36–T65 †)",
      "• lipidose cérébrale (E75.– †)",
      "• lupus érythémateux disséminé (M32.– †)",
      "• neuro-syphilis (A52.1 †)",
      "• périartérite noueuse (M30.0 †)",
      "• sclérose en plaques (G35 †)",
      "• trypanosomiase (B56.– †, B57.– †)",
      "• urémie (N18.5 †)",
      "• maladie à corps de Lewy (G31.8 †)",
      "2022, pp. 5-6"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Démence au cours de : • carence en : • acide nicotinique : pellagre (E52 †)",
      "Les codes F02.802, F02.812, F02.822, F02.832 et F02.842 font partie de la Liste 1 « déficiences mentales ou",
      "psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars",
      "Démence cortico-basale : vous coderez la démence (F02.8) et sa cause, la dégénérescence cortico-basale",
      "Démence corticale dégénérative : en l’absence de précision étiologique je vous conseille de coder F02.8 et"
    ],
    "agora_refs": [
      "12619"
    ],
    "cocoa_notes": [
      "(G31.8) (AGORA - # 12619 le 31 mars 2009)"
    ]
  },
  "G31.8": {
    "code": "G31.8",
    "description": "(AGORA - # 71769 le 20 novembre 2012)",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "– liste 2 pp. 7-9",
      "Affection dégénérative du système nerveux, sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G31.8 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F03": {
    "code": "F03",
    "description": "Démence, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 292,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Attention Penser à ajouter « + » pour les subdivisions. Ex :",
      "Démence : • dégénérative primaire SAI",
      "• présénile SAI",
      "• sénile SAI",
      "• forme dépressive ou délirante SAI",
      "Psychose : • présénile SAI",
      "2022, p. 6",
      "2 substances psychoactives",
      "Psychose ou syndrome de Korsakov non alcoolique"
    ],
    "comprend": [],
    "exclusions": [
      "démence sénile avec delirium ou état confusionnel aigu (F05.1)",
      "sénilité SAI (R54)",
      "amnésie : • SAI (R41.1)",
      "• antérograde (R41.1)",
      "• dissociative (F44.0)",
      "• rétrograde (R41.2)",
      "syndrome de • induit par l’alcool ou sans précision (F10.6)",
      "Korsakov : • induit par d’autres substances psychoactives (F11–F19 avec le quatrième caractère .6)"
    ],
    "clinical_text": [
      "[Voir en début de groupe pour les subdivisions à cinq et à six caractères]",
      "Utiliser, au besoin, un code supplémentaire pour identifier un delirium ou un état confusionnel associé à la démence.",
      "Les codes F03.+02, F03.+12, F03.+22, F03.+32 et F03.+42 font partie de la Liste 1 « déficiences mentales",
      "ou psychiatriques sévères » pour l’identification du polyhandicap lourd.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars",
      "Syndrome amnésique organique, non induit par l’alcool et d’autres",
      "Syndrome dominé par une altération de la mémoire, récente et ancienne, avec conservation de la mémoire immédiate,",
      "par une réduction de la capacité à apprendre des informations nouvelles et par une désorientation temporelle. Il peut y",
      "avoir une confabulation marquée, mais la perception et les autres fonctions cognitives, y compris l’intelligence, sont",
      "habituellement intactes. Le pronostic dépend de l’évolution de la lésion sous-jacente."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F05": {
    "code": "F05",
    "description": "Delirium, non induit par l’alcool et d’autres substances psychoactives",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 293,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "état confusionnel (non alcoolique) aigu ou subaigu",
      "psychose infectieuse aiguë ou subaiguë",
      "réaction organique aiguë ou subaiguë",
      "syndrome : • cérébral aigu ou subaigu",
      "• psycho-organique aigu ou subaigu"
    ],
    "exclusions": [
      "delirium tremens induit par l’alcool ou sans précision (F10.4)"
    ],
    "clinical_text": [
      "Syndrome cérébral organique sans étiologie spécifique, caractérisé par la présence simultanée de perturbations de la",
      "conscience et de l’attention, de la perception, de l’idéation, de la mémoire, du comportement psychomoteur, des émotions",
      "et du rythme veille–sommeil. La durée est variable et le degré de gravité varie de léger à très sévère."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F05.0": {
    "code": "F05.0",
    "description": "Delirium non surajouté à une démence, ainsi décrit",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 293,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "En cas de syndrome confusionnel sans cause précisée, coder R41.0 ; la note placée en tête des catégories",
      "à type de maladie ou de lésion cérébrales, ou d’atteinte entraînant un dysfonctionnement du cerveau. »",
      "Après discussion au sein de l'ATIH nous donnons la règle suivante : la catégorie F05 est employée pour",
      "coder une confusion dès lors que son origine est reliée à une atteinte organique diagnostiquée (qu'elle",
      "affecte directement ou indirectement le cerveau). R41.0 est réservé aux états passagers sans cause établie."
    ],
    "agora_refs": [
      "48472",
      "53052"
    ],
    "cocoa_notes": [
      "(AGORA - # 48472 le 17 juin 2011)",
      "(AGORA – # 53052 le 4 octobre 2011)"
    ]
  },
  "F05.1": {
    "code": "F05.1",
    "description": "Delirium surajouté à une démence",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 293,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier le type de démence."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F05.8": {
    "code": "F05.8",
    "description": "Autres formes de delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 293,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Delirium d’origine mixte",
      "Delirium post-opératoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Quel code CIM10 utiliser pour coder une désorientation sur des troubles métaboliques tels que",
      "l’hyponatrémie ? L’état confusionnel de cause connue, ici l’hyponatrémie, peut bien être codé dans la",
      "catégorie F05. Si par exemple cela survient en post-opératoire, le code F05.8 pourrait convenir avec le code",
      "Comment doit-on coder une confusion, désorientation en post-opératoire causée par la morphine ou",
      "produit anesthésiant ? Il existe différentes situations de codage possibles. S'il s'agit d'une désorientation",
      "transitoire réversible, ce serait le code R41.0, mais s'il s'agit par exemple du syndrome de delirium post-",
      "opératoire, les codes F05.5 ou F05.8 sont plus appropriés, associés au code ad hoc de complication d'acte"
    ],
    "agora_refs": [
      "189827",
      "264162"
    ],
    "cocoa_notes": [
      "d’hyponatrémie et le code ad hoc de cause externe. (AGORA - # 189827 le 13 décembre 2019)",
      "à visée thérapeutique. À confirmer avec le clinicien. (AGORA - # 264162 le 18 juin 2024)"
    ]
  },
  "F05.9": {
    "code": "F05.9",
    "description": "Delirium, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 293,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Autres troubles mentaux dus à une lésion cérébrale et un",
      "dysfonctionnement cérébral, et à une affection somatique",
      "des troubles endocriniens ou à d’autres maladies somatiques."
    ],
    "comprend": [],
    "exclusions": [
      "associés à : • delirium (F05.–)",
      "• démence classée en F00–F03",
      "induits par l’alcool et d’autres substances psychoactives (F10–F19)"
    ],
    "clinical_text": [
      "C omprend diverses affections causées par un trouble cérébral dû à une affection cérébrale primitive, à une affection",
      "somatique touchant secondairement le cerveau, à des substances toxiques exogènes ou des hormones, à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.0": {
    "code": "F06.0",
    "description": "État hallucinatoire organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le sujet lui-même.",
      "État hallucinatoire organique (non alcoolique)"
    ],
    "comprend": [],
    "exclusions": [
      "hallucinose alcoolique (F10.5)",
      "schizophrénie (F20.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par des hallucinations persistantes ou récurrentes, habituellement visuelles ou auditives,",
      "survenant en l’absence d’une obnubilation de la conscience, et que le sujet peut reconnaître ou non en tant",
      "que telles. Les hallucinations peuvent être à l’origine d’une élaboration délirante, mais les idées délirantes",
      "ne dominent pas le tableau clinique ; les hallucinations peuvent être reconnues comme pathologiques par"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.1": {
    "code": "F06.1",
    "description": "Catatonie organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "peuvent alterner."
    ],
    "comprend": [],
    "exclusions": [
      "schizophrénie catatonique (F20.2)",
      "stupeur : • SAI (R40.1)",
      "• dissociative (F44.2)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une diminution (stupeur) ou une augmentation (agitation) de l’activité",
      "psychomotrice et par des symptômes catatoniques. Les deux pôles de la perturbation psychomotrice"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.2": {
    "code": "F06.2",
    "description": "Trouble délirant organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "peuvent être présentes.",
      "Trouble d’allure schizophrénique organique",
      "Psychose d’allure schizophrénique au cours d’une épilepsie"
    ],
    "comprend": [],
    "exclusions": [
      "schizophrénie (F20.–)",
      "troubles : • délirants persistants (F22.–)",
      "• psychotiques :",
      "• aigus et transitoires (F23)",
      "• induits par des substances psychoactives (F11–F19 avec le quatrième",
      "caractère .5)"
    ],
    "clinical_text": [
      "Trouble caractérisé par la présence, au premier plan du tableau clinique, d’idées délirantes persistantes ou",
      "récurrentes. Les idées délirantes peuvent être accompagnées d’hallucinations. Certaines caractéristiques",
      "évoquant une schizophrénie, comme des hallucinations bizarres ou des troubles du cours de la pensée,",
      "Etats délirants et états délirants et hallucinatoires d’origine organique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.3": {
    "code": "F06.3",
    "description": "Troubles organiques de l’humeur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Troubles affectifs organiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles caractérisés par une altération de l’humeur ou de l’affect, habituellement accompagnés d’une",
      "altération du niveau global d’activité, il peut s’agir de troubles dépressifs, hypomaniaques, maniaques ou",
      "bipolaires (voir F30–F38), mais secondaires à une maladie organique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.30": {
    "code": "F06.30",
    "description": "Trouble maniaque organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.31": {
    "code": "F06.31",
    "description": "Trouble bipolaire organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.32": {
    "code": "F06.32",
    "description": "Trouble dépressif organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.33": {
    "code": "F06.33",
    "description": "Trouble affectif mixte organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 294,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles de l’humeur non organiques ou sans précision (F30–F39)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.4": {
    "code": "F06.4",
    "description": "Trouble anxieux organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 295,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "organique."
    ],
    "comprend": [],
    "exclusions": [
      "troubles anxieux non organiques ou sans précision (F41.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par la présence des caractéristiques descriptives essentielles d’une anxiété généralisée",
      "(F41.1), d’un trouble panique (F41.0) ou d’une association des deux, mais secondaire à une maladie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.5": {
    "code": "F06.5",
    "description": "Trouble dissociatif organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 295,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "mais secondaire à une maladie organique."
    ],
    "comprend": [],
    "exclusions": [
      "troubles dissociatifs de conversion non organiques ou sans précision (F44.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une perte partielle ou complète de l’intégration normale entre souvenirs du passé,",
      "conscience de l’identité et des sensations immédiates, et contrôle des mouvements corporels (voir F44.–),"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.6": {
    "code": "F06.6",
    "description": "Labilité émotionnelle organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 295,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Asthénie émotionnelle organique",
      "organique."
    ],
    "comprend": [],
    "exclusions": [
      "troubles somatoformes non organiques ou sans précision (F45.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une incontinence ou une labilité émotionnelles, une fatigabilité, et diverses sensations",
      "physiques désagréables (par exemple des vertiges) et par des douleurs, mais secondaire à une maladie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.7": {
    "code": "F06.7",
    "description": "Trouble cognitif léger",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 295,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par une altération de la mémoire, des difficultés d’apprentissage et une réduction de la",
      "capacité à se concentrer sur une tâche, sauf pendant des périodes de courte durée. Le sujet éprouve souvent",
      "une fatigue mentale accentuée quand il fait des efforts mentaux, et un nouvel apprentissage peut être",
      "subjectivement difficile même quand il est objectivement réussi. Aucun de ces symptômes ne présente une",
      "sévérité suffisante pour justifier un diagnostic de démence (F00–F03) ou de delirium (F05.–). Ce diagnostic",
      "ne doit être fait qu’en présence d’un trouble somatique spécifié ; il ne doit pas être fait en présence de l’un",
      "des troubles mentaux ou du comportement classés en F10–F99. Le trouble peut précéder, accompagner ou",
      "succéder à des infections et des troubles physiques très divers, cérébraux et généraux, sans qu’il existe",
      "obligatoirement des preuves directes en faveur d’une atteinte cérébrale. Il peut être différencié d’un",
      "syndrome post-encéphalitique (F07.1) et d’un syndrome post-commotionnel (F07.2) sur la base de son",
      "étiologie, de sa symptomatologie, moins riche et moins sévère, et de sa durée, habituellement plus courte."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.70": {
    "code": "F06.70",
    "description": "Trouble cognitif léger non associé à un trouble physique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 295,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F06.71": {
    "code": "F06.71",
    "description": "Trouble cognitif léger associé à un trouble physique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 295,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres troubles mentaux précisés dus à une lésion cérébrale et un dysfonctionnement cérébral"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F07.0": {
    "code": "F07.0",
    "description": "Trouble organique de la personnalité",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 296,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "cognitives, de la pensée et de la sexualité.",
      "Personnalité pseudopsychopathique organique",
      "Pseudodébilité organique",
      "Psychosyndrome de l’épilepsie du système limbique",
      "Syndrome (des) : • frontal",
      "• lobotomisés",
      "• post-leucotomie"
    ],
    "comprend": [],
    "exclusions": [
      "changement durable de la • post-commotionnel (F07.2)",
      "personnalité après : • expérience de catastrophe (F62.0)",
      "• maladie psychiatrique (F62.1)",
      "syndrome : • (subjectif) des traumatisés crâniens (F07.2)",
      "• post-encéphalitique (F07.1)",
      "trouble spécifique de la personnalité (F60.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une altération significative des modes de comportement qui étaient habituels au",
      "sujet avant la survenue de la maladie ; les perturbations concernent, en particulier, l’expression des émotions,",
      "des besoins et des pulsions. Le tableau clinique peut, par ailleurs, comporter une altération des fonctions"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F07.1": {
    "code": "F07.1",
    "description": "Syndrome post-encéphalitique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 296,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "troubles organiques de la personnalité."
    ],
    "comprend": [],
    "exclusions": [
      "trouble organique de la personnalité (F07.0)"
    ],
    "clinical_text": [
      "Altération résiduelle du comportement, non spécifique et variable, après guérison d’une encéphalite virale",
      "ou bactérienne. Le syndrome est réversible, ce qui constitue la principale différence entre ce tableau et les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F07.2": {
    "code": "F07.2",
    "description": "Syndrome post-commotionnel",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 296,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome : • cérébral post-traumatique, non psychotique",
      "• post-contusionnel (encéphalopathie)",
      "• (subjectif) des traumatisés crâniens"
    ],
    "comprend": [],
    "exclusions": [
      "commotion cérébrale actuelle (S06.0)"
    ],
    "clinical_text": [
      "Syndrome survenant à la suite d’un traumatisme crânien (habituellement d’une gravité suffisante pour",
      "provoquer une perte de connaissance) et comportant de nombreux symptômes variés tels que maux de",
      "tête, vertiges, fatigue, irritabilité, difficultés de concentration, difficultés à accomplir des tâches mentales,",
      "altération de la mémoire, insomnie et diminution de la tolérance au stress, aux émotions ou à l’alcool.",
      "Autres troubles organiques de la personnalité et du comportement dus à une affection, une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F09": {
    "code": "F09",
    "description": "Trouble mental organique ou symptomatique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 296,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Ps ychose : • organique SAI",
      "• symptomatique SAI",
      "psychoactives (F10–F19)",
      "effets provenant des unes ou des autres.",
      ".0 Intoxication aiguë",
      "d’administration.",
      "0 sans complication",
      "1 avec traumatismes ou autres blessures physiques",
      "2 avec d’autres complications médicales",
      "3 avec delirium",
      "4 avec distorsion des perceptions",
      "5 avec coma",
      "6 avec convulsions",
      "7 intoxication pathologique",
      "Intoxication pathologique",
      "Ivresse : • SAI",
      "• alcoolique aiguë",
      "« Mauvais voyages » (drogues)",
      "Bad trip",
      ".1 Utilisation nocive pour la santé",
      "Abus d’une substance psychoactive",
      ".2 Syndrome de dépendance",
      "substances psychoactives pharmacologiquement différentes.",
      "clinique :",
      "0 actuellement abstinent",
      "00 actuellement abstinent en rémission récente",
      "01 actuellement abstinent en rémission partielle",
      "02 actuellement abstinent en rémission complète",
      "1 actuellement abstinent, mais dans un environnement protégé",
      "4 utilise actuellement la drogue : dépendance active",
      "40 dépendance active sans signe physique",
      "41 dépendance active avec symptômes physiques",
      "5 utilisation continue",
      "6 utilisation épisodique (dipsomanie)",
      "Alcoolisme chronique",
      "Dipsomanie",
      "Toxicomanie",
      ".3 Syndrome de sevrage",
      "syndrome de sevrage peut se compliquer de convulsions.",
      "complications :",
      "1 avec convulsions",
      ".4 Syndrome de sevrage avec delirium",
      "0 sans convulsion",
      "Delirium tremens",
      ".5 Trouble psychotique",
      "confusion grave.",
      "0 d’allure schizophrénique",
      "1 avec idées délirantes au premier plan",
      "2 avec hallucinations au premier plan",
      "3 avec symptômes polymorphes au premier plan",
      "4 avec symptômes dépressifs au premier plan",
      "5 avec symptômes maniaques au premier plan",
      "6 mixte",
      "Hallucinose",
      "Jalousie alcoolique",
      "Paranoïa",
      "Psychose SAI",
      ".6 Syndrome amnésique",
      "commune mesure avec les autres perturbations.",
      "Trouble amnésique induit par l’alcool ou les drogues",
      ".7 Trouble résiduel ou psychotique de survenue tardive",
      "d’autres substances psychoactives.",
      "0 Flashbacks",
      "1 trouble de la personnalité ou du comportement",
      "2 trouble thymique résiduel",
      "3 Démence",
      "4 autre déficit cognitif persistant",
      "5 trouble psychotique à début tardif",
      "Démence : • alcoolique SAI",
      "Flashbacks",
      "Syndrome cérébral alcoolique chronique",
      "Trouble (des) : • affectif résiduel",
      "• résiduel de la personnalité et du comportement",
      ".8 Autres troubles mentaux et du comportement",
      ".9 Trouble mental ou du comportement, sans précision"
    ],
    "comprend": [],
    "exclusions": [
      "psychose SAI (F29)",
      "abus de substances n’entraînant pas de dépendance (F55)",
      "intoxication signifiant empoisonnement (T36–T50)"
    ],
    "clinical_text": [
      "Troubles mentaux et du comportement liés à l’utilisation de substances",
      "Ce groupe comprend de nombreux troubles variés, de gravité et de symptomatologie diverses, mais qui sont tous liés à",
      "l’utilisation d’une ou de plusieurs substances psychoactives, prescrites ou non par un médecin. Le troisième caractère du",
      "code identifie la substance impliquée, alors que le quatrième caractère sert à spécifier les tableaux cliniques ; les quatrièmes",
      "caractères doivent être utilisés, selon les besoins, pour chacune des substances indiquées ; il convient toutefois de noter",
      "que les quatrièmes caractères du code ne sont pas tous applicables à chaque substance.",
      "L’identification de la substance psychoactive doit se faire à partir de toutes les sources d’information possibles. Ces dernières",
      "comportent : les informations fournies par le sujet lui-même, les analyses de sang, d’urine, etc., les symptômes physiques",
      "et psychologiques caractéristiques, les signes et comportements cliniques, les drogues trouvées chez le patient, les",
      "renseignements des tierces personnes bien informées. De nombreux sujets consomment plusieurs catégories de substances",
      "psychoactives différentes. Le diagnostic principal se fera, si possible, en fonction de la substance toxique (ou de la catégorie",
      "de substances toxiques) qui est responsable du tableau clinique ou qui en détermine les caractéristiques essentielles. Des",
      "diagnostics supplémentaires doivent être codés quand d’autres substances psychoactives ont été consommées en quantité",
      "suffisante pour provoquer une intoxication (quatrième caractère .0), des conséquences nocives (quatrième caractère .1),",
      "une dépendance (quatrième caractère .2) ou d’autres troubles (quatrième caractère .3–.9).",
      "Le diagnostic de troubles liés à l’utilisation de substances multiples (F19) doit être réservé à des cas où le choix des substances",
      "psychoactives se fait de façon chaotique et sans discrimination, ou dans lesquels il n’est pas possible de différencier les",
      "Utiliser, au besoin, des codes supplémentaires (E51.2 † - G32.8 *) au cours d’un syndrome de Wernicke",
      "Les subdivisions suivantes doivent être utilisées comme quatrième caractère avec les catégories F10–F19:",
      "Etat consécutif à la prise d’une substance psychoactive et entraînant des perturbations de la conscience, des facultés",
      "cognitives, de la perception, de l’affect ou du comportement, ou d’autres fonctions et réponses psycho-",
      "physiologiques. Les perturbations sont directement liées aux effets pharmacologiques aigus de la substance",
      "consommée, et disparaissent avec le temps, avec guérison complète, sauf dans les cas ayant entraîné des lésions",
      "organiques ou d’autres complications. Parmi les complications, on peut citer : les traumatismes, les fausses routes",
      "avec inhalation de vomissements, le delirium, le coma, les convulsions et d’autres complications médicales. La nature",
      "de ces complications dépend de la catégorie pharmacologique de la substance consommée et de son mode",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour préciser le tableau clinique :",
      "États de transe et de possession au cours d’une intoxication par une substance psychoactive",
      "Mode de consommation d’une substance psychoactive qui est préjudiciable à la santé. Les complications peuvent",
      "être physiques (par exemple hépatite consécutive à des injections de substances psychoactives par le sujet lui-même)",
      "ou psychiques (par exemple épisodes dépressifs secondaires à une forte consommation d’alcool).",
      "Ensemble de phénomènes comportementaux, cognitifs et physiologiques survenant à la suite d’une consommation",
      "répétée d’une substance psychoactive, typiquement associés à un désir puissant de prendre la drogue, à une",
      "difficulté à contrôler la consommation, à une poursuite de la consommation malgré des conséquences nocives, à un",
      "désinvestissement progressif des autres activités et obligations au profit de la consommation de cette drogue, à une",
      "tolérance accrue, et, parfois, à un syndrome de sevrage physique.",
      "Le syndrome de dépendance peut concerner une substance psychoactive spécifique (par exemple le tabac, l’alcool",
      "ou le diazépam), une catégorie de substances (par exemple les substances opiacées) ou un ensemble plus vaste de",
      "Les subdivisions suivantes peuvent être utilisées comme 5e et 6e caractères supplémentaires pour spécifier le tableau",
      "2 suit actuellement un régime de maintenance ou de substitution, sous surveillance médicale",
      "3 actuellement abstinent, mais prend des médicaments aversifs ou bloquants",
      "Ensemble de symptômes qui se regroupent de diverses manières et dont la gravité est variable ; ils surviennent lors",
      "d’un sevrage complet ou partiel d’une substance psychoactive consommée de façon prolongée. La survenue et",
      "l’évolution du syndrome de sevrage sont limitées dans le temps et dépendent de la catégorie et de la dose de la",
      "substance psychoactive consommée immédiatement avant l’arrêt ou la réduction de la consommation. Le",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour spécifier la présence de",
      "État dans lequel le syndrome de sevrage décrit sous le quatrième caractère .3 se complique d’un delirium (voir les",
      "critères de F05.–). Cet état peut également comporter des convulsions. Lorsque des facteurs organiques jouent",
      "également un rôle dans cette étiologie, l’état doit être classé en F05.8.",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour spécifier la présence de",
      "Ensemble de phénomènes psychotiques survenant durant ou immédiatement après la consommation d’une",
      "substance psychoactive, qui ne peuvent être entièrement expliqués par une intoxication aiguë et qui n’entrent pas",
      "dans le cadre d’un syndrome de sevrage. Ce trouble se caractérise par la présence d’hallucinations (typiquement",
      "auditives, mais souvent également polysensorielles), d’une distorsion des perceptions, d’idées délirantes (souvent de",
      "type paranoïaque ou persécutoire), de perturbations psychomotrices (agitation ou stupeur), et d’un affect anormal,",
      "pouvant aller d’une peur intense à l’extase. Les fonctions élémentaires ne sont habituellement pas touchées, mais il",
      "peut exister un certain degré d’obnubilation de la conscience, n’atteignant toutefois jamais le caractère d’une",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour spécifier la présence de",
      "Syndrome dominé par la présence de troubles chroniques de la mémoire (faits récents et anciens). La mémoire",
      "immédiate est habituellement préservée et la mémoire récente est plus sévèrement perturbée que la mémoire des",
      "faits anciens. Il y a habituellement des perturbations manifestes de la perception du temps et de la chronologie des",
      "événements, ainsi que des difficultés à apprendre des matières nouvelles. Le syndrome peut comporter une fabulation",
      "intense. Les autres fonctions cognitives sont d’habitude relativement préservées et les troubles mnésiques sont sans",
      "Psychose ou syndrome de Korsakov, induit par l’alcool ou d’autres substances psychoactives ou sans précision",
      "Etat dans lequel les modifications, induites par les substances psychoactives, des cognitions, des affects, de la",
      "personnalité ou du comportement persistent au-delà de la période où l’on estime que la substance psychoactive a",
      "des effets directs. La survenue de la perturbation doit être directement liée à la consommation de la substance. Les",
      "cas où le début du trouble est retardé par rapport à un (des) épisode(s) d’abus d’une substance psychoactive ne",
      "doivent être notés ici que s’il existe des arguments clairs et précis permettant d’attribuer le trouble aux effets résiduels",
      "de la substance. Les flashbacks peuvent être différenciés d’un état psychotique, en partie parce qu’ils sont épisodiques",
      "et souvent de courte durée, et en partie parce qu’ils reproduisent des expériences antérieures liées à l’alcool ou à",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour spécifier le tableau clinique :",
      "• et autres altérations des fonctions cognitives durables, moins sévères",
      "• perceptions persistant, induit par des substances hallucinogènes",
      "• psychotique de survenue tardive, induit par des substances psychoactives"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F10": {
    "code": "F10",
    "description": "Troubles mentaux et du comportement liés à l’utilisation d’alcool",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 299,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "caractères"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Parmi les sous-catégories de la catégorie F10, ce tableau signale les CMA. Elles valent aussi pour leurs subdivisions à 5 et 6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F10.3": {
    "code": "F10.3",
    "description": "Syndrome de sevrage de l’alcool sans delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 299,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "98422"
    ],
    "cocoa_notes": [
      "le pré-delirium tremens se code comme un syndrome de sevrage : F10.3 (AGORA - # 98422 le 25 avril 2014)"
    ]
  },
  "F10.4": {
    "code": "F10.4",
    "description": "Syndrome de sevrage de l’alcool avec delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 299,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F10.5": {
    "code": "F10.5",
    "description": "Troubles psychotiques dus à l’alcool",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 299,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F10.6": {
    "code": "F10.6",
    "description": "Syndrome amnésique dû à l’alcool",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 299,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F10.7": {
    "code": "F10.7",
    "description": "Trouble mental résiduel ou psychotique de survenue tardive dû à l’alcool",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11": {
    "code": "F11",
    "description": "Troubles mentaux et du comportement liés à l’utilisation d’opiacés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "caractères"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Parmi les sous-catégories de la catégorie F11, ce tableau signale les CMA. Elles valent aussi pour leurs subdivisions à 5 et 6"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.51 : comprend les troubles mentaux et du comportement liés à l’utilisation d’héroïne"
    ]
  },
  "F11.1": {
    "code": "F11.1",
    "description": "Utilisation d’opiacés nocive pour la santé",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11.3": {
    "code": "F11.3",
    "description": "Syndrome de sevrage des opiacés sans delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11.4": {
    "code": "F11.4",
    "description": "Syndrome de sevrage des opiacés avec delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11.5": {
    "code": "F11.5",
    "description": "Troubles psychotiques dus aux opiacés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11.6": {
    "code": "F11.6",
    "description": "Syndrome amnésique dû aux opiacés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11.7": {
    "code": "F11.7",
    "description": "Trouble mental résiduel ou psychotique de survenue tardive dû aux opiacés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles mentaux dû aux opiacés, autres que la simple utilisation nocive, la dépendance, le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F11.8": {
    "code": "F11.8",
    "description": "syndrome de sevrage, les troubles psychotiques, le syndrome amnésique et les troubles",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "résiduels ou psychotiques de survenue tardive",
      "cannabis",
      "ou d’hypnotiques",
      "caractères"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles mentaux et du comportement liés à l’utilisation de dérivés du",
      "Troubles mentaux et du comportement liés à l’utilisation de sédatifs",
      "Parmi les sous-catégories de la catégorie F13, ce tableau signale les CMA. Elle valent aussi pour leurs subdivisions à 5 et 6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F13.3": {
    "code": "F13.3",
    "description": "Syndrome de sevrage des sédatifs ou des hypnotiques sans delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F13.4": {
    "code": "F13.4",
    "description": "Syndrome de sevrage des sédatifs ou des hypnotiques avec delirium",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F13.5": {
    "code": "F13.5",
    "description": "Troubles psychotiques dus aux sédatifs ou aux hypnotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F13.6": {
    "code": "F13.6",
    "description": "Syndrome amnésique dû aux sédatifs ou aux hypnotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F13.7": {
    "code": "F13.7",
    "description": "Trouble mental résiduel ou psychotique de survenue tardive dû aux sédatifs ou aux hypnotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F14": {
    "code": "F14",
    "description": "Troubles mentaux et du comportement liés à l’utilisation de cocaïne",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "stimulants, y compris la caféine",
      "Troubles mentaux et du comportement liés à l’utilisation",
      "d’hallucinogènes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles mentaux et du comportement liés à l’utilisation d’autres"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F17": {
    "code": "F17",
    "description": "Troubles mentaux et du comportement liés à l’utilisation de tabac",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 300,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "volatils"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles mentaux et du comportement liés à l’utilisation de solvants",
      "Troubles mentaux et du comportement liés à l’utilisation de drogues",
      "multiples et troubles liés à l’utilisation d’autres substances"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F19": {
    "code": "F19",
    "description": "psychoactives que l’alcool, les opiacés, le cannabis, les sédatifs, les",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 301,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "les solvants volatils",
      "maintenus ici bien que leur nature reste controversée."
    ],
    "comprend": [
      "utilisation inadéquate de drogues SAI"
    ],
    "exclusions": [],
    "clinical_text": [
      "hypnotiques, la cocaïne, les stimulants, les hallucinogènes, le tabac et",
      "Cette catégorie doit être utilisée quand au moins deux substances psychoactives sont utilisées, sans qu’il soit possible de",
      "déterminer laquelle est principalement en cause dans le trouble. Cette catégorie doit également être utilisée quand la nature",
      "exacte de certaines – voire de l’ensemble – des substances psychoactives utilisées est incertaine ou inconnue, de nombreux",
      "consommateurs de drogues multiples ne sachant pas exactement eux-mêmes ce qu’ils prennent.",
      "Ce groupe réunit la schizophrénie, catégorie la plus importante de ce groupe de troubles, le trouble schizotypique, les troubles",
      "délirants persistants et un groupe assez large de troubles psychotiques aigus et transitoires. Les troubles schizo-affectifs ont été"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20": {
    "code": "F20",
    "description": "Schizophrénie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 301,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "épisodes suivis d’une rémission complète ou incomplète.",
      "0 Continue",
      "1 épisodique avec déficit progressif",
      "2 épisodique avec déficit stable",
      "3 épisodique rémittente",
      "4 rémission incomplète",
      "5 rémission complète",
      "8 Autre",
      "9 évolution imprévisible, période d’observation trop brève"
    ],
    "comprend": [],
    "exclusions": [
      "réaction schizophrénique (F23.2)",
      "schizophrénie : • aiguë (indifférenciée) (F23.2)",
      "• cyclique (F25.2)",
      "trouble schizotypique (F21)"
    ],
    "clinical_text": [
      "Les troubles schizophréniques se caractérisent habituellement par des distorsions fondamentales et caractéristiques de la",
      "pensée et de la perception, ainsi que par des affects inappropriés ou émoussés. La clarté de l’état de conscience et les",
      "capacités intellectuelles sont habituellement préservées, bien que certains déficits des fonctions cognitives puissent",
      "apparaître au cours de l’évolution. Les phénomènes psychopathologiques les plus importants sont : l’écho de la pensée,",
      "les pensées imposées et le vol de la pensée, la divulgation de la pensée, la perception délirante, les idées délirantes de",
      "contrôle, d’influence ou de passivité, les hallucinations dans lesquelles des voix parlent ou discutent du sujet à la troisième",
      "personne, les troubles du cours de la pensée et les symptômes négatifs. L’évolution des troubles schizophréniques peut",
      "être continue, épisodique avec survenue d’un déficit progressif ou stable, ou bien elle peut comporter un ou plusieurs",
      "On ne doit pas faire un diagnostic de schizophrénie quand le tableau clinique comporte des symptômes dépressifs ou",
      "maniaques importants, à moins d’être certain que les symptômes schizophréniques précédaient les troubles affectifs. Par",
      "ailleurs, on ne doit pas porter un diagnostic de schizophrénie quand il existe une atteinte cérébrale manifeste ou une",
      "intoxication par une drogue ou un sevrage à une drogue. Des troubles semblables apparaissant au cours d’une épilepsie",
      "ou d’une autre affection cérébrale, sont à coder en F06.2, ceux induits par des substances psychoactives étant à classer en",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour spécifier la modalité évolutive :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.0": {
    "code": "F20.0",
    "description": "Schizophrénie paranoïde",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 301,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "soit relativement discrets.",
      "Schizophrénie paraphrénique"
    ],
    "comprend": [],
    "exclusions": [
      "état paranoïaque d’involution (F22.8)",
      "paranoïa (F22.0)"
    ],
    "clinical_text": [
      "La schizophrénie paranoïde se caractérise essentiellement par la présence d’idées délirantes relativement stables, souvent",
      "de persécution, habituellement accompagnées d’hallucinations, en particulier auditives, et de perturbations des perceptions.",
      "Les perturbations des affects, de la volonté et du langage, de même que les symptômes catatoniques, sont soit absents,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.1": {
    "code": "F20.1",
    "description": "Schizophrénie hébéphrénique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 302,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hébéphrénie",
      "Schizophrénie désorganisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Forme de schizophrénie caractérisée par la présence, au premier plan, d’une perturbation des affects ; les idées délirantes",
      "et les hallucinations restent flottantes et fragmentaires, le comportement est irresponsable et imprévisible ; il existe",
      "fréquemment un maniérisme. L’humeur est superficielle et inappropriée. La pensée est désorganisée et le discours",
      "incohérent. Le trouble entraîne fréquemment un isolement social. Le pronostic est habituellement médiocre en raison de",
      "l’apparition précoce de symptômes « négatifs » concernant, en particulier, un émoussement des affects et une perte de la",
      "volonté. En principe, le diagnostic d’hébéphrénie doit être réservé à des adolescents et des adultes jeunes."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.2": {
    "code": "F20.2",
    "description": "Schizophrénie catatonique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 302,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Catalepsie schizophrénique",
      "Catatonie",
      "Flexibilité cireuse catatonique",
      "Stupeur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La schizophrénie catatonique se caractérise essentiellement par la présence de perturbations psychomotrices importantes",
      "pouvant alterner d’un extrême à un autre : hyperkinésie ou stupeur, obéissance automatique ou négativisme. Des attitudes",
      "imposées ou des postures catatoniques peuvent être maintenues pendant une période prolongée. La survenue d’épisodes",
      "d’agitation violente est caractéristique de ce trouble. Les manifestations catatoniques peuvent s’accompagner d’un état",
      "oniroïde (ressemblant à un rêve) comportant des expériences hallucinatoires intensément vécues."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.3": {
    "code": "F20.3",
    "description": "Schizophrénie indifférenciée",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 302,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Schizophrénie atypique"
    ],
    "comprend": [],
    "exclusions": [
      "dépression post-schizophrénique (F20.4)",
      "schizophrénie chronique indifférenciée (F20.5)",
      "trouble psychotique aigu d’allure schizophrénique (F23.2)"
    ],
    "clinical_text": [
      "Etats psychotiques répondant aux critères généraux de la schizophrénie, mais ne correspondant à aucune des formes",
      "cliniques décrites en F20.0–F20.2, ou répondant simultanément aux critères de plusieurs de ces formes, sans prédominance",
      "nette d’un groupe déterminé de caractéristiques diagnostiques."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.4": {
    "code": "F20.4",
    "description": "Dépression post-schizophrénique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 302,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "(F20.0–F20.3)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épisode dépressif éventuellement prolongé, survenant au décours d’une maladie schizophrénique. Certains symptômes",
      "schizophréniques « positifs » ou « négatifs » doivent encore être présents, mais ne dominent plus le tableau clinique. Ce",
      "type d’état dépressif s’accompagne d’un risque accru de suicide. Si le patient ne présente plus aucun symptôme",
      "schizophrénique, on doit faire un diagnostic d’épisode dépressif (F32.–). Si les symptômes schizophréniques restent florides",
      "et au premier plan de la symptomatologie, on doit garder le diagnostic de la forme clinique appropriée de schizophrénie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.5": {
    "code": "F20.5",
    "description": "Schizophrénie résiduelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 302,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Etat résiduel schizophrénique",
      "Restzustand (schizophrénique)",
      "Schizophrénie chronique indifférenciée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Stade chronique de l’évolution d’une maladie schizophrénique, avec une progression nette à partir du début jusqu’à un",
      "stade tardif caractérisé par des symptômes « négatifs » durables, mais pas obligatoirement irréversibles, par exemple",
      "ralentissement psychomoteur, hypoactivité, émoussement affectif, passivité et manque d’initiative, pauvreté de la quantité",
      "et du contenu du discours, peu de communication non verbale (expression faciale, contact oculaire, modulation de la voix",
      "et gestes), manque de soins apportés à sa personne et performances sociales médiocres."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.6": {
    "code": "F20.6",
    "description": "Schizophrénie simple",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 302,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "précédée d’un quelconque symptôme psychotique manifeste."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la survenue insidieuse et progressive de bizarreries du comportement, d’une impossibilité à",
      "répondre aux exigences de la société et d’une diminution globale des performances. La survenue des caractéristiques «",
      "négatives » de la schizophrénie résiduelle (par exemple un émoussement affectif et une perte de la volonté, etc.) n’est pas"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.8": {
    "code": "F20.8",
    "description": "Autres formes de schizophrénie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 303,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Accès schizophréniforme",
      "Psychose schizophréniforme",
      "Trouble schizophréniforme",
      "Schizophrénie cénestopathique"
    ],
    "comprend": [],
    "exclusions": [
      "état paranoïaque d’involution (F22.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F20.9": {
    "code": "F20.9",
    "description": "Schizophrénie, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 303,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F21": {
    "code": "F21",
    "description": "Trouble schizotypique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 303,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "celle d’un trouble de la personnalité.",
      "Personnalité schizotypique",
      "Réaction schizophrénique latente",
      "Schizophrénie : • borderline",
      "• latente",
      "• prépsychotique",
      "• prodromique",
      "• pseudo-névrotique",
      "• pseudopsychopathique"
    ],
    "comprend": [],
    "exclusions": [
      "personnalité schizoïde (F60.1)",
      "syndrome d’Asperger (F84.5)"
    ],
    "clinical_text": [
      "Trouble caractérisé par un comportement excentrique et des anomalies de la pensée et des affects, ressemblant à celles",
      "de la schizophrénie, mais ne comportant aucune anomalie schizophrénique manifeste ou caractéristique à un moment",
      "quelconque de l’évolution. La symptomatologie peut comporter une froideur affective inappropriée, une anhédonie, un",
      "comportement étrange ou excentrique, une tendance au retrait social, des idées de persécution ou des idées bizarres ne",
      "présentant pas les caractéristiques d’idées délirantes authentiques, des ruminations obsessionnelles, des troubles du cours",
      "de la pensée et des perturbations des perceptions, parfois des épisodes transitoires quasi-psychotiques comportant des",
      "illusions intenses, des hallucinations auditives ou autres et des idées pseudo-délirantes, survenant habituellement sans",
      "facteur déclenchant extérieur. Le début du trouble est difficile à déterminer et son évolution correspond habituellement à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F22": {
    "code": "F22",
    "description": "Troubles délirants persistants",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 303,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "des troubles divers caractérisés uniquement, ou essentiellement, par la présence d’idées délirantes",
      "persistantes et ne pouvant être classés parmi les troubles organiques, schizophréniques ou affectifs. Quand",
      "la durée d’un trouble délirant est inférieure à quelques mois, il doit être classé, au moins temporairement,",
      "en F23.–."
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F22.0": {
    "code": "F22.0",
    "description": "Trouble délirant",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 303,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Etat paranoïaque",
      "Paranoïa",
      "Paraphrénie (tardive)",
      "Psychose paranoïaque",
      "Sensitiver Beziehungswahn",
      "Délire de relation des sensitifs"
    ],
    "comprend": [],
    "exclusions": [
      "personnalité paranoïaque (F60.0)",
      "psychose paranoïaque psychogène (F23.3)",
      "réaction paranoïaque (F23.3)",
      "schizophrénie paranoïde (F20.0)"
    ],
    "clinical_text": [
      "Trouble caractérisé par la survenue d’une idée délirante unique ou d’un ensemble d’idées délirantes apparentées,",
      "habituellement persistantes, parfois durant toute la vie. Le contenu de l’idée ou des idées délirantes est très variable. La",
      "présence d’hallucinations auditives (voix) manifestes et persistantes, de symptômes schizophréniques tels que des idées",
      "délirantes d’influence ou un émoussement net des affects, ou la mise en évidence d’une affection cérébrale, sont",
      "incompatibles avec le diagnostic. Toutefois, la présence d’hallucinations auditives, en particulier chez les sujets âgés,",
      "survenant de façon irrégulière ou transitoire, ne permet pas d’éliminer ce diagnostic, à condition qu’il ne s’agisse pas",
      "d’hallucinations typiquement schizophréniques et qu’elles ne dominent pas le tableau clinique.",
      "Syndrome d’Ekbom ou délire de parasitose dans lequel le patient à la conviction d’être infecté par un parasite"
    ],
    "agora_refs": [
      "144655"
    ],
    "cocoa_notes": [
      "(AGORA - # 144655 le 28 mars 2017)"
    ]
  },
  "F22.8": {
    "code": "F22.8",
    "description": "Autres troubles délirants persistants",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 304,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dysmorphophobie délirante",
      "Etat paranoïaque d’involution",
      "Paranoïa quérulente"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles dans lesquels l’idée ou les idées délirantes sont accompagnées d’hallucinations auditives persistantes à type de",
      "voix ou de symptômes schizophréniques qui ne justifient pas un diagnostic de schizophrénie (F20.–)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F22.9": {
    "code": "F22.9",
    "description": "Trouble délirant persistant, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 304,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23": {
    "code": "F23",
    "description": "Troubles psychotiques aigus et transitoires",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 304,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "trouble.",
      "facteur de stress aigu associé :",
      "0 sans facteur de stress aigu associé",
      "1 avec facteur de stress aigu associé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Gro upe hétérogène de troubles caractérisés par la survenue aiguë de symptômes psychotiques tels que des idées délirantes,",
      "des hallucinations, des perturbations des perceptions et par une désorganisation massive du comportement normal. Une",
      "survenue aiguë est définie comme étant l’apparition, allant crescendo, d’un tableau clinique manifestement pathologique,",
      "en deux semaines au plus. Ces troubles ne comportent aucun élément en faveur d’une étiologie organique. Ils",
      "s’accompagnent souvent d’une perplexité ou d’une hébétude, mais les perturbations de l’orientation dans le temps, dans",
      "l’espace, et quant à la personne, ne sont pas suffisamment persistantes ou graves pour répondre aux critères d’un delirium",
      "d’origine organique (F05.–). En général, ces troubles guérissent complétement en moins de quelques mois, souvent en",
      "quelques semaines ou jours. Le diagnostic doit être modifié si le trouble persiste. Le trouble peut être associé à un facteur",
      "aigu de stress, c’est-à-dire habituellement à des événements stressants survenus une ou deux semaines avant le début du",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour préciser la présence ou l’absence d’un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23.0": {
    "code": "F23.0",
    "description": "Trouble psychotique aigu polymorphe, sans symptôme schizophrénique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 304,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble psychotique aigu, comportant des hallucinations, des idées délirantes ou des perturbations des perceptions",
      "manifestes, mais très variables, changeant de jour en jour, voire d’heure en heure. Il existe souvent un bouleversement",
      "émotionnel s’accompagnant de sentiments intenses et transitoires de bonheur ou d’extase, d’anxiété ou d’irritabilité.",
      "Le polymorphisme et l’instabilité sont caractéristiques du tableau clinique.",
      "Les caractéristiques psychotiques ne répondent pas aux critères de la schizophrénie (F20.–). Ces troubles ont souvent un",
      "début brutal, se développent rapidement en l’espace de quelques jours et disparaissent souvent rapidement, sans rechute.",
      "Quand les symptômes persistent, le diagnostic doit être modifié pour celui de trouble délirant persistant (F22.–).",
      "Bouffée délirante sans symptôme schizophrénique ou sans précision",
      "Psychose cycloïde sans symptôme schizophrénique ou sans précision"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23.1": {
    "code": "F23.1",
    "description": "Trouble psychotique aigu polymorphe avec symptômes schizophréniques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 304,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bouffée délirante avec symptômes schizophréniques",
      "Psychose cycloïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble psychotique aigu caractérisé par la présence du tableau clinique polymorphe et instable décrit sous F23.0; malgré",
      "l’instabilité du tableau clinique, certains symptômes typiquement schizophréniques sont présents la plupart du temps.",
      "Quand les symptômes schizophréniques persistent, le diagnostic doit être modifié pour celui de schizophrénie (F20.–)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23.2": {
    "code": "F23.2",
    "description": "Trouble psychotique aigu d’allure schizophrénique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 304,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "schizophrénie (F20.–).",
      "Accès schizophréniforme de courte durée",
      "Psychose schizophréniforme de courte durée",
      "Trouble schizophréniforme de courte durée",
      "Onirophrénie",
      "Réaction schizophrénique",
      "Schizophrénie aiguë (indifférenciée)"
    ],
    "comprend": [],
    "exclusions": [
      "trouble : • délirant organique (F06.2)",
      "• d’allure schizophrénique organique (F06.2)",
      "• schizophréniforme SAI (F20.8)"
    ],
    "clinical_text": [
      "Trouble psychotique aigu, caractérisé par la présence de symptômes psychotiques relativement stables, justifiant un",
      "diagnostic de schizophrénie, mais persistant moins d’un mois. Les caractéristiques polymorphes instables décrites en F23.0",
      "sont absentes. Quand les symptômes schizophréniques persistent, le diagnostic doit être modifié pour celui de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23.3": {
    "code": "F23.3",
    "description": "Autre trouble psychotique aigu, essentiellement délirant",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Psychose paranoïaque psychogène",
      "Réaction paranoïaque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble psychotique aigu caractérisé par la présence au premier plan du tableau clinique d’idées délirantes ou",
      "d’hallucinations relativement stables, mais ne justifiant pas un diagnostic de schizophrénie (F20.–). Quand les idées délirantes",
      "persistent, le diagnostic doit être modifié pour celui de trouble délirant persistant (F22.–)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23.8": {
    "code": "F23.8",
    "description": "Autres troubles psychotiques aigus et transitoires",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "justifiant pas un classement en F23.0–F23.3."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres troubles psychotiques aigus précisés ne comportant aucun élément en faveur d’une étiologie organique, et ne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F23.9": {
    "code": "F23.9",
    "description": "Trouble psychotique aigu et transitoire, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Psychose réactionnelle (brève) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F24": {
    "code": "F24",
    "description": "Trouble délirant induit",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Folie à deux",
      "Trouble : • paranoïaque induit",
      "• psychotique induit"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble délirant partagé par au moins deux personnes liées très étroitement entre elles sur le plan émotionnel. Un seul des",
      "partenaires présente un trouble psychotique authentique ; les idées délirantes sont induites chez l’autre (les autres) et",
      "disparaissent habituellement en cas de séparation des partenaires."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F25": {
    "code": "F25",
    "description": "Troubles schizo-affectifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "diagnostic de trouble schizoaffectif.",
      "après la disparition des symptômes affectifs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles épisodiques dans lesquels des symptômes affectifs et des symptômes schizophréniques sont conjointement au",
      "premier plan de la symptomatologie, mais ne justifient pas un diagnostic ni de schizophrénie, ni d’épisode dépressif ou",
      "maniaque. Les affections au cours desquelles des symptômes affectifs sont surajoutés à une maladie schizophrénique",
      "préexistante, ou vont de pair ou alternent avec des troubles délirants persistants d’un type différent, sont classés sous F20–",
      "Les subdivisions suivantes peuvent être utilisées comme cinquième caractère pour préciser les sous-types suivants :",
      "0 présence simultanée de symptômes affectifs et schizophréniques, sans persistance de symptômes schizophréniques",
      "1 présence simultanée de symptômes affectifs et schizophréniques, avec persistance de symptômes schizophréniques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F25.0": {
    "code": "F25.0",
    "description": "Trouble schizoaffectif, type maniaque",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Psychose : • schizoaffective, type maniaque",
      "• schizophréniforme, type maniaque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble dans lequel des symptômes schizophréniques et des symptômes maniaques sont conjointement au",
      "premier plan de la symptomatologie au cours d’un même épisode de la maladie, l’épisode pathologique ne",
      "justifiant ainsi un diagnostic ni de schizophrénie ni d’épisode maniaque.",
      "Cette sous-catégorie doit être utilisée pour classer un épisode isolé et le trouble récurrent dont la plupart",
      "des épisodes sont des épisodes schizoaffectifs, type maniaque."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F25.1": {
    "code": "F25.1",
    "description": "Trouble schizoaffectif, type dépressif",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Psychose : • schizoaffective, type dépressif",
      "• schizophréniforme, type dépressif"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble dans lequel des symptômes schizophréniques et des symptômes dépressifs sont conjointement au",
      "premier plan de la symptomatologie au cours d’un même épisode de la maladie, l’épisode pathologique ne",
      "justifiant ainsi un diagnostic ni de schizophrénie ni d’épisode dépressif.",
      "Cette sous-catégorie doit être utilisée pour classer un épisode isolé et le trouble récurrent dont la plupart",
      "des épisodes sont des épisodes schizoaffectifs, type dépressif."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F25.2": {
    "code": "F25.2",
    "description": "Trouble schizoaffectif, type mixte",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 305,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Psychose schizophrénique et affective mixte",
      "Schizophrénie cyclique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F25.8": {
    "code": "F25.8",
    "description": "Autres troubles schizoaffectifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F25.9": {
    "code": "F25.9",
    "description": "Trouble schizoaffectif, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Psychose schizoaffective SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F28": {
    "code": "F28",
    "description": "Autres troubles psychotiques non organiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "dépressif grave type psychotique (F32.3).",
      "Psychose hallucinatoire chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles délirants ou hallucinatoires ne justifiant pas un diagnostic de schizophrénie (F20.–), de trouble délirant persistant",
      "(F22.–), de trouble psychotique aigu et transitoire (F23.–), d’épisode maniaque type psychotique (F30.2) ou d’épisode"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F29": {
    "code": "F29",
    "description": "Psychose non organique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Ps ychose SAI",
      "avec des situations ou des événements stressants."
    ],
    "comprend": [
      "Troubles affectifs"
    ],
    "exclusions": [
      "psychose organique ou symptomatique SAI (F09)",
      "trouble mental SAI (F99)"
    ],
    "clinical_text": [
      "Ce groupe réunit les troubles dans lesquels la perturbation fondamentale est un changement des affects ou de l’humeur, dans le sens",
      "d’une dépression (avec ou sans anxiété associée) ou d’une exaltation. Le changement de l’humeur est habituellement accompagné",
      "d’une modification du niveau global d’activité, et la plupart des autres symptômes sont soit secondaires à ces changements de l’humeur",
      "et de l’activité, soit facilement compréhensibles dans leur contexte.",
      "La plupart de ces troubles ont tendance à être récurrents et la survenue des épisodes individuels peut souvent être mise en relation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30": {
    "code": "F30",
    "description": "Épisode maniaque",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend trouble bipolaire, épisode maniaque isolé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toutes les subdivisions de cette catégorie s’appliquent exclusivement à un épisode isolé. Un épisode hypomaniaque ou",
      "maniaque survenant chez un sujet ayant présenté un ou plusieurs épisodes affectifs dans le passé (dépressif, hypomaniaque,",
      "maniaque ou mixte) doit conduire à un diagnostic de trouble affectif bipolaire (F31.–)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.0": {
    "code": "F30.0",
    "description": "Hypomanie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "délirantes."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la présence d’une élévation légère, mais persistante, de l’humeur, de l’énergie et de l’activité,",
      "associée habituellement à un sentiment intense de bien-être et d’efficacité physique et psychique. Il existe souvent une",
      "augmentation de la sociabilité, du désir de parler, de la familiarité ou de l’énergie sexuelle, et une réduction du besoin de",
      "sommeil ; ces symptômes ne sont toutefois pas assez marqués pour entraver le fonctionnement professionnel ou pour",
      "entraîner un rejet social. L’euphorie et la sociabilité sont parfois remplacées par une irritabilité ou des attitudes vaniteuses",
      "ou grossières. Les perturbations de l’humeur et du comportement ne sont pas accompagnées d’hallucinations ou d’idées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.1": {
    "code": "F30.1",
    "description": "Manie sans symptôme psychotique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 306,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "imprudentes, déraisonnables, inappropriées ou déplacées."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Présence d’une élévation de l’humeur hors de proportion avec la situation du sujet, pouvant aller d’une jovialité insouciante",
      "à une agitation pratiquement incontrôlable. Cette élévation s’accompagne d’une augmentation d’énergie, entraînant une",
      "hyperactivité, un désir de parler et une réduction du besoin de sommeil. L’attention ne peut être soutenue et il existe",
      "souvent une distractibilité importante. Le sujet présente souvent une augmentation de l’estime de soi avec idées de",
      "grandeur et surestimation de ses capacités. La levée des inhibitions sociales normales peut entraîner des conduites"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.2": {
    "code": "F30.2",
    "description": "Manie avec symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Présence, associée au tableau clinique décrit en F30.1, d’idées délirantes (habituellement de grandeur) ou d’hallucinations",
      "(habituellement à type de voix parlant directement au sujet), ou d’une agitation, d’une activité motrice excessive et d’une",
      "fuite des idées d’une gravité telle que le sujet devient incompréhensible ou hors d’état de communiquer normalement."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.20": {
    "code": "F30.20",
    "description": "Manie avec symptômes psychotiques congruents à l’humeur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.21": {
    "code": "F30.21",
    "description": "Manie avec symptômes psychotiques non congruents à l’humeur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.8": {
    "code": "F30.8",
    "description": "Autres épisodes maniaques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F30.9": {
    "code": "F30.9",
    "description": "Épisode maniaque, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Manie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31": {
    "code": "F31",
    "description": "Trouble affectif bipolaire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend dépression maniaque",
      "maladie maniaco-dépressive",
      "psychose maniaco-dépressive",
      "réaction maniaco-dépressive"
    ],
    "comprend": [],
    "exclusions": [
      "cyclothymie (F34.0)",
      "Trouble bipolaire, épisode maniaque isolé (F30.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par deux ou plusieurs épisodes au cours desquels l’humeur et le niveau d’activité du sujet sont",
      "profondément perturbés, tantôt dans le sens d’une élévation de l’humeur et d’une augmentation de l’énergie et de l’activité",
      "(hypomanie ou manie), tantôt dans le sens d’un abaissement de l’humeur et d’une réduction de l’énergie et de l’activité",
      "(dépression). Les épisodes récurrents d’hypomanie ou de manie sont classés comme bipolaires."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.0": {
    "code": "F31.0",
    "description": "Trouble affectif bipolaire, épisode actuel hypomaniaque",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "maniaque, dépressif, ou mixte)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est actuellement hypomaniaque, et a eu, dans le passé, au moins un autre épisode affectif (hypomaniaque,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.1": {
    "code": "F31.1",
    "description": "Trouble affectif bipolaire, épisode actuel maniaque sans symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est actuellement maniaque, sans symptômes psychotiques (comme sous F30.1), et a eu, dans le passé, au moins",
      "un autre épisode affectif (hypomaniaque, maniaque, dépressif ou mixte)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.2": {
    "code": "F31.2",
    "description": "Trouble affectif bipolaire, épisode actuel maniaque avec symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est actuellement maniaque, avec symptômes psychotiques (comme sous F30.2), et a eu, dans le passé, au moins",
      "un autre épisode affectif (hypomaniaque, maniaque, dépressif ou mixte).",
      "Trouble affectif bipolaire, épisode actuel maniaque, avec symptômes psychotiques congruents à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.3": {
    "code": "F31.3",
    "description": "Trouble affectif bipolaire, épisode actuel de dépression légère ou moyenne",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est actuellement déprimé, comme au cours d’un épisode dépressif d’intensité légère ou moyenne (F32.0 ou F32.1),",
      "et a eu, dans le passé, au moins un épisode hypomaniaque, maniaque ou mixte bien documenté."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.30": {
    "code": "F31.30",
    "description": "Trouble affectif bipolaire, épisode actuel de dépression légère ou moyenne, sans syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.31": {
    "code": "F31.31",
    "description": "Trouble affectif bipolaire, épisode actuel de dépression légère ou moyenne, avec syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.4": {
    "code": "F31.4",
    "description": "Trouble affectif bipolaire, épisode actuel de dépression sévère sans symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est actuellement déprimé, comme au cours d’un épisode dépressif d’intensité sévère sans symptômes psychotiques",
      "(F32.2), et a eu, dans le passé, au moins un épisode hypomaniaque, maniaque ou mixte bien documenté."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.5": {
    "code": "F31.5",
    "description": "Trouble affectif bipolaire, épisode actuel de dépression sévère avec symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 307,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est actuellement déprimé, comme au cours d’un épisode dépressif d’intensité sévère avec symptômes psychotiques",
      "(F32.3), et a eu, dans le passé, au moins un épisode hypomaniaque, maniaque ou mixte bien documenté.",
      "Trouble affectif bipolaire, épisode actuel de dépression sévère, avec symptômes psychotiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.6": {
    "code": "F31.6",
    "description": "Trouble affectif bipolaire, épisode actuel mixte",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "alternance rapide de symptômes maniaques et dépressifs."
    ],
    "comprend": [],
    "exclusions": [
      "épisode affectif mixte isolé (F38.0)"
    ],
    "clinical_text": [
      "Le sujet a eu, dans le passé, au moins un épisode hypomaniaque, maniaque, dépressif ou mixte bien documenté, et",
      "l’épisode actuel est caractérisé soit par la présence simultanée de symptômes maniaques et dépressifs, soit par une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.7": {
    "code": "F31.7",
    "description": "Trouble affectif bipolaire, actuellement en rémission",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ici."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet a eu, dans le passé, au moins un épisode hypomaniaque, maniaque ou mixte bien documenté, et au moins un",
      "autre épisode affectif (hypomaniaque, maniaque, dépressif ou mixte), mais sans aucune perturbation significative de",
      "l’humeur, ni actuellement, ni au cours des derniers mois. Les rémissions sous traitement prophylactique doivent être classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.8": {
    "code": "F31.8",
    "description": "Autres troubles affectifs bipolaires",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épisodes maniaques récurrents SAI",
      "Trouble bipolaire II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F31.9": {
    "code": "F31.9",
    "description": "Trouble affectif bipolaire, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépression maniaque SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32": {
    "code": "F32",
    "description": "Épisodes dépressifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "épisode dépressif : léger, moyen et sévère."
    ],
    "comprend": [
      "épisodes isolés de : • dépression : • psychogène",
      "• réactionnelle",
      "• réaction dépressive"
    ],
    "exclusions": [
      "associés à un trouble des conduites en F91.– (F92.0)",
      "trouble (de) : • adaptation (F43.2)",
      "• dépressif récurrent (F33.–)"
    ],
    "clinical_text": [
      "Dans les épisodes typiques de chacun des trois degrés de dépression : léger, moyen ou sévère, le sujet présente un",
      "abaissement de l’humeur, une réduction de l’énergie et une diminution de l’activité. Il existe une altération de la capacité à",
      "éprouver du plaisir, une perte d’intérêt, une diminution de l’aptitude à se concentrer, associées couramment à une fatigue",
      "importante, même après un effort minime. On observe habituellement des troubles du sommeil, et une diminution de",
      "l’appétit. Il existe presque toujours une diminution de l’estime de soi et de la confiance en soi et, fréquemment, des idées",
      "de culpabilité ou de dévalorisation, même dans les formes légères. L’humeur dépressive ne varie guère d’un jour à l’autre",
      "ou selon les circonstances, et peut s’accompagner de symptômes dits « somatiques », par exemple d’une perte d’intérêt",
      "ou de plaisir, d’un réveil matinal précoce, plusieurs heures avant l’heure habituelle, d’une aggravation matinale de la",
      "dépression, d’un ralentissement psychomoteur important, d’une agitation, d’une perte d’appétit, d’une perte de poids et",
      "d’une perte de la libido. Le nombre et la sévérité des symptômes permettent de déterminer trois degrés de sévérité d’un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.0": {
    "code": "F32.0",
    "description": "Épisode dépressif léger",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "activités."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Au moins deux ou trois des symptômes cités plus haut sont habituellement présents. Ces symptômes s’accompagnent",
      "généralement d’un sentiment de détresse, mais le sujet reste, le plus souvent, capable de poursuivre la plupart de ses"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.00": {
    "code": "F32.00",
    "description": "Épisode dépressif léger, sans syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.01": {
    "code": "F32.01",
    "description": "Épisode dépressif léger, avec syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.1": {
    "code": "F32.1",
    "description": "Épisode dépressif moyen",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "considérables à poursuivre ses activités usuelles."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Au moins quatre des symptômes cités plus haut sont habituellement présents et le sujet éprouve des difficultés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.10": {
    "code": "F32.10",
    "description": "Épisode dépressif moyen, sans syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.11": {
    "code": "F32.11",
    "description": "Épisode dépressif moyen, avec syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 308,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.2": {
    "code": "F32.2",
    "description": "Épisode dépressif sévère sans symptôme psychotique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• majeure épisode isolé sans symptôme psychotique",
      "• vitale épisode isolé sans symptôme psychotique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épisode dépressif dans lequel plusieurs des symptômes dépressifs mentionnés ci-dessus, concernant typiquement une perte",
      "de l’estime de soi et des idées de dévalorisation ou de culpabilité, sont marqués et pénibles.",
      "Les idées et les gestes suicidaires sont fréquents et plusieurs symptômes « somatiques » sont habituellement présents.",
      "Dépression : • agitée épisode isolé sans symptôme psychotique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.3": {
    "code": "F32.3",
    "description": "Épisode dépressif sévère avec symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• psychotique",
      "• psychose dépressive : • psychogène",
      "• réactionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épisode dépressif correspondant à la description d’un épisode dépressif sévère (F32.2) mais s’accompagnant, par ailleurs,",
      "d’hallucinations, d’idées délirantes, ou d’un ralentissement psychomoteur ou d’une stupeur d’une gravité telle que les",
      "activités sociales habituelles sont impossibles ; il peut exister un danger vital en raison d’un suicide, d’une déshydratation",
      "ou d’une dénutrition. Les hallucinations et les idées délirantes peuvent être congruentes ou non congruentes à l’humeur.",
      "Épisodes isolés de : • dépression : • majeure avec symptômes psychotiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.30": {
    "code": "F32.30",
    "description": "Épisode dépressif sévère, avec symptômes psychotiques congruents à l’humeur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.31": {
    "code": "F32.31",
    "description": "Épisode dépressif sévère, avec symptômes psychotiques non congruents à l’humeur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.8": {
    "code": "F32.8",
    "description": "Autres épisodes dépressifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépression atypique",
      "Épisodes isolés d’une dépression “masquée” SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F32.9": {
    "code": "F32.9",
    "description": "Épisode dépressif, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépression SAI",
      "Trouble dépressif SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33": {
    "code": "F33",
    "description": "Trouble dépressif récurrent",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "traitement antidépresseur.",
      "trouble affectif bipolaire (F31.–).",
      "• réactionnelle",
      "• réaction dépressive",
      "trouble dépressif saisonnier"
    ],
    "comprend": [],
    "exclusions": [
      "épisodes dépressifs récurrents de courte durée (F38.1)"
    ],
    "clinical_text": [
      "Trouble caractérisé par la survenue répétée d’épisodes dépressifs correspondant à la description d’un tel épisode",
      "(F32.–), en l’absence de tout antécédent d’épisodes indépendants d’exaltation de l’humeur et d’augmentation de l’énergie",
      "(manie). Le trouble peut toutefois comporter de brefs épisodes caractérisés par une légère élévation de l’humeur et une",
      "augmentation de l’activité (hypomanie), succédant immédiatement à un épisode dépressif, et parfois déclenchés par un",
      "Les formes graves du trouble dépressif récurrent (F33.2 et F33.3) présentent de nombreux points communs avec des",
      "concepts antérieurs comme ceux de dépression maniaco-dépressive, de mélancolie, de dépression vitale et de dépression",
      "endogène. Le premier épisode peut survenir à n’importe quel âge, de l’enfance à la vieillesse, le début peut être aigu ou",
      "insidieux et la durée peut varier de quelques semaines à de nombreux mois. Le risque de survenue d’un épisode maniaque",
      "ne peut jamais être complètement écarté chez un patient présentant un trouble dépressif récurrent, quel que soit le nombre",
      "d’épisodes dépressifs déjà survenus. Si un tel épisode maniaque se produit, le diagnostic doit être changé pour celui de",
      "C omprend épisodes récurrents de : • dépression : • psychogène"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.0": {
    "code": "F33.0",
    "description": "Trouble dépressif récurrent, épisode actuel léger",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "antécédent de manie."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la survenue répétée d’épisodes dépressifs, l’épisode actuel étant léger (F32.0), en l’absence de tout"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.00": {
    "code": "F33.00",
    "description": "Trouble dépressif récurrent, épisode actuel léger, sans syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.01": {
    "code": "F33.01",
    "description": "Trouble dépressif récurrent, épisode actuel léger, avec syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 309,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.1": {
    "code": "F33.1",
    "description": "Trouble dépressif récurrent, épisode actuel moyen",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "tout antécédent de manie."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la survenue répétée d’épisodes dépressifs, l’épisode actuel étant moyen (F32.1), en l’absence de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.10": {
    "code": "F33.10",
    "description": "Trouble dépressif récurrent, épisode actuel moyen, sans syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.11": {
    "code": "F33.11",
    "description": "Trouble dépressif récurrent, épisode actuel moyen, avec syndrome somatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.2": {
    "code": "F33.2",
    "description": "Trouble dépressif récurrent, épisode actuel sévère sans symptôme psychotique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "(F32.2), en l’absence de tout antécédent de manie.",
      "Dépression : • endogène sans symptôme psychotique",
      "• majeure récurrente, sans symptôme psychotique",
      "• vitale récurrente, sans symptôme psychotique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la survenue répétée d’épisodes dépressifs, l’épisode actuel étant sévère, sans symptôme psychotique",
      "Psychose maniaco-dépressive, forme dépressive, sans symptôme psychotique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.3": {
    "code": "F33.3",
    "description": "Trouble dépressif récurrent, épisode actuel sévère avec symptômes psychotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dépression endogène avec symptômes psychotiques",
      "sévères de : • psychotique",
      "• psychose dépressive : • psychogène",
      "• réactionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la survenue répétée d’épisodes dépressifs, l’épisode actuel étant sévère, avec symptômes",
      "psychotiques (F32.3), en l’absence de tout épisode précédent de manie.",
      "Épisodes récurrents • dépression : • majeure, avec symptômes psychotiques",
      "Psychose maniaco-dépressive, forme dépressive, avec symptômes psychotiques",
      "Trouble dépressif récurrent, épisode actuel sévère, avec symptômes psychotiques congruents à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.4": {
    "code": "F33.4",
    "description": "Trouble dépressif récurrent, actuellement en rémission",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ne présente aucun symptôme dépressif depuis plusieurs mois."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet a eu dans le passé au moins deux épisodes dépressifs répondant aux descriptions données en F33.0–F33.3, mais"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.8": {
    "code": "F33.8",
    "description": "Autres troubles dépressifs récurrents",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F33.9": {
    "code": "F33.9",
    "description": "Trouble dépressif récurrent, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépression unipolaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F34": {
    "code": "F34",
    "description": "Troubles de l’humeur persistants",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "isolés peuvent se surajouter à un état affectif persistant."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles de l’humeur persistants et habituellement fluctuants, dans lesquels la plupart des épisodes individuels ne sont pas",
      "suffisamment sévères pour justifier un diagnostic d’épisode hypomaniaque ou d’épisode dépressif léger. Toutefois, étant",
      "donné qu’ils persistent pendant des années et parfois pendant la plus grande partie de la vie adulte du sujet, ils entraînent",
      "une souffrance et une incapacité considérables. Dans certains cas, des épisodes maniaques ou dépressifs récurrents ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F34.0": {
    "code": "F34.0",
    "description": "Cyclothymie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 310,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Personnalité : • affective",
      "• cycloïde",
      "• cyclothymique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Instabilité persistante de l’humeur, comportant de nombreuses périodes de dépression ou d’exaltation légère (hypomanie),",
      "mais dont aucune n’est suffisamment sévère ou prolongée pour justifier un diagnostic de trouble affectif bipolaire (F31.–)",
      "ou de trouble dépressif récurrent (F33.–). Le trouble se rencontre fréquemment dans la famille de sujets ayant un trouble",
      "affectif bipolaire et certains sujets cyclothymiques sont eux-mêmes atteints ultérieurement d’un trouble affectif bipolaire."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F34.1": {
    "code": "F34.1",
    "description": "Dysthymie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "léger (F33.–).",
      "Dépression : • anxieuse persistante",
      "• névrotique",
      "Névrose dépressive",
      "Personnalité dépressive"
    ],
    "comprend": [],
    "exclusions": [
      "dépression anxieuse (légère ou non persistante) (F41.2)"
    ],
    "clinical_text": [
      "Abaissement chronique de l’humeur, persistant au moins plusieurs années, mais dont la sévérité est insuffisante ou dont la",
      "durée des différents épisodes est trop brève pour justifier un diagnostic de trouble dépressif récurrent, sévère, moyen ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F34.8": {
    "code": "F34.8",
    "description": "Autres troubles de l’humeur persistants",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F34.9": {
    "code": "F34.9",
    "description": "Trouble de l’humeur persistant, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble affectif persistant SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F38": {
    "code": "F38",
    "description": "Autres troubles de l’humeur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tous les autres troubles de l’humeur dont la sévérité ou la durée est insuffisante pour justifier un classement en F30–F34."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F38.0": {
    "code": "F38.0",
    "description": "Autres troubles de l’humeur isolés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F38.00": {
    "code": "F38.00",
    "description": "Épisode affectif mixte isolé",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F38.1": {
    "code": "F38.1",
    "description": "Autres troubles de l’humeur récurrents",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F38.10": {
    "code": "F38.10",
    "description": "Épisodes dépressifs récurrents de courte durée",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F38.8": {
    "code": "F38.8",
    "description": "Autres troubles de l’humeur précisés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Autres troubles affectifs précisés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F39": {
    "code": "F39",
    "description": "Trouble de l’humeur, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 311,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Psychose affective SAI",
      "Trouble affectif SAI",
      "somatoformes (F40–F48)"
    ],
    "comprend": [],
    "exclusions": [
      "associés à un trouble des conduites codé en F91.– (F92.8)"
    ],
    "clinical_text": [
      "Troubles névrotiques, troubles liés à des facteurs de stress et troubles"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40": {
    "code": "F40",
    "description": "Troubles anxieux phobiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Groupe de troubles dans lesquels une anxiété est déclenchée, exclusivement ou essentiellement, par certaines situations",
      "bien précises sans dangerosité actuelle. Ces situations sont de ce fait typiquement évitées ou endurées avec appréhension.",
      "Les préoccupations du sujet peuvent être centrées sur des symptômes individuels tels que des palpitations ou une",
      "impression d’évanouissement et aboutissent souvent à une peur de mourir, de perdre le contrôle de soi ou de devenir fou.",
      "La simple évocation d’une situation phobogène déclenche habituellement une anxiété anticipatoire.",
      "L’anxiété phobique est souvent associée à une dépression. Pour déterminer s’il convient de faire deux diagnostics (anxiété",
      "phobique et épisode dépressif) ou un seul (anxiété phobique ou épisode dépressif), il faut tenir compte de l’ordre de",
      "survenue des troubles et des mesures thérapeutiques au moment de l’examen."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40.0": {
    "code": "F40.0",
    "description": "Agoraphobie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Groupe relativement bien défini de phobies concernant la crainte de quitter son domicile, la peur des magasins, des foules",
      "et des endroits publics, ou la peur de voyager seul en train, en autobus ou en avion. La présence d’un trouble panique est",
      "fréquente au cours des épisodes actuels ou antérieurs d’agoraphobie. Parmi les caractéristiques associées, on retrouve",
      "souvent des symptômes dépressifs ou obsessionnels, ainsi que des phobies sociales.",
      "Les conduites d’évitement sont souvent au premier plan de la symptomatologie et certains agoraphobes n’éprouvent que",
      "peu d’anxiété, car ils parviennent à éviter les situations phobogènes."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40.00": {
    "code": "F40.00",
    "description": "Agoraphobie sans trouble panique (actuel) (antérieur)",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40.01": {
    "code": "F40.01",
    "description": "Agoraphobie avec trouble panique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40.1": {
    "code": "F40.1",
    "description": "Phobies sociales",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anthropophobie",
      "Névrose sociale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Crainte d’être dévisagé par d’autres personnes, entraînant un évitement des situations d’interaction sociale. Les phobies",
      "sociales envahissantes s’accompagnent habituellement d’une perte de l’estime de soi et d’une peur d’être critiqué. Les",
      "phobies sociales peuvent se manifester par un rougissement, un tremblement des mains, des nausées ou un besoin urgent",
      "d’uriner, le patient étant parfois convaincu que l’une ou l’autre de ces manifestations secondaires constitue le problème",
      "primaire. Les symptômes peuvent évoluer vers des attaques de panique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40.2": {
    "code": "F40.2",
    "description": "Phobies spécifiques (isolées)",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrophobie",
      "Claustrophobie",
      "Phobie(s) (des) : • animaux",
      "• simple",
      "2014)"
    ],
    "comprend": [],
    "exclusions": [
      "dysmorphophobie (non délirante) (F45.2)",
      "nosophobie (F45.2)"
    ],
    "clinical_text": [
      "Phobies limitées à des situations spécifiques comme la proximité de certains animaux, les endroits élevés, les orages,",
      "l’obscurité, les voyages en avion, les espaces clos, l’utilisation des toilettes publiques, la prise de certains aliments, les soins",
      "dentaires, le sang ou les blessures. Bien que limitée, la situation phobogène peut déclencher, quand le sujet y est exposé,",
      "un état de panique, comme dans l’agoraphobie ou la phobie sociale.",
      "Phobie scolaire : il est difficile de trancher mais je vous conseille plutôt F40.2 (AGORA - # 99214 le 6 mai"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F40.8": {
    "code": "F40.8",
    "description": "Autres troubles anxieux phobiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome post-chute : le syndrome post-chute associe des signes physiques représentés essentiellement",
      "par des troubles de l’équilibre statique et de la marche, à des signes psychiques : anxiété et phobie de la"
    ],
    "agora_refs": [
      "14115"
    ],
    "cocoa_notes": [
      "station debout. Je vous conseille de coder R26.8 associé à F40.8 (AGORA - # 14115 le 7 mai 2009)"
    ]
  },
  "F40.9": {
    "code": "F40.9",
    "description": "Trouble anxieux phobique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 312,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Etat phobique SAI",
      "Phobie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41": {
    "code": "F41",
    "description": "Autres troubles anxieux",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "manifestement secondaires ou peu sévères."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles caractérisés essentiellement par la présence de manifestations anxieuses qui ne sont pas déclenchées",
      "exclusivement par l’exposition à une situation déterminée. Ils peuvent s’accompagner de symptômes dépressifs ou",
      "obsessionnels, ainsi que de certaines manifestations traduisant une anxiété phobique, ces manifestations étant toutefois"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.0": {
    "code": "F41.0",
    "description": "Trouble panique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "secondaires à la dépression.",
      "Attaque de panique",
      "Etat de panique",
      "Anxiété épisodique paroxystique"
    ],
    "comprend": [],
    "exclusions": [
      "trouble panique avec agoraphobie (F40.0)"
    ],
    "clinical_text": [
      "Les caractéristiques essentielles de ce trouble sont des attaques récurrentes d’anxiété sévère (attaques de panique), ne",
      "survenant pas exclusivement dans une situation particulière ou dans des circonstances déterminées, et dont la survenue",
      "est, de ce fait, imprévisible. Comme dans d’autres troubles anxieux, les symptômes essentiels concernent la survenue brutale",
      "de palpitations, de douleurs thoraciques, de sensations d’étouffement, d’étourdissements et de sentiments d’irréalité",
      "(dépersonnalisation ou déréalisation). Il existe par ailleurs souvent aussi une peur secondaire de mourir, de perdre le",
      "contrôle de soi ou de devenir fou. On ne doit pas faire un diagnostic de trouble panique quand le sujet présente un trouble",
      "dépressif au moment de la survenue des attaques de panique ; les attaques de panique sont, dans ce cas, probablement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.00": {
    "code": "F41.00",
    "description": "Trouble panique moyen",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.01": {
    "code": "F41.01",
    "description": "Trouble panique sévère",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.1": {
    "code": "F41.1",
    "description": "Anxiété généralisée",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "tombe malade ou ait un accident.",
      "État anxieux",
      "Névrose anxieuse",
      "Réaction anxieuse"
    ],
    "comprend": [],
    "exclusions": [
      "neurasthénie (F48.0)"
    ],
    "clinical_text": [
      "Anxiété généralisée et persistante qui ne survient pas exclusivement, ni même de façon préférentielle, dans une situation",
      "déterminée (l’anxiété est « flottante »). Les symptômes essentiels sont variables, mais le patient se plaint de nervosité",
      "permanente, de tremblements, de tension musculaire, de transpiration, d’un sentiment de « tête vide », de palpitations,",
      "d’étourdissements et d’une gêne épigastrique. Par ailleurs, le sujet a souvent peur que lui-même ou l’un de ses proches"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.2": {
    "code": "F41.2",
    "description": "Trouble anxieux et dépressif mixte",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "anxieux et dépressif mixte.",
      "Dépression anxieuse (légère ou non persistante)",
      "Syndrome anxio-dépressif"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cette sous-catégorie doit être utilisée quand le sujet présente à la fois des symptômes anxieux et des symptômes dépressifs,",
      "sans prédominance nette des uns ou des autres et sans que l’intensité des uns ou des autres soit suffisante pour justifier un",
      "diagnostic séparé. Quand des symptômes anxieux et dépressifs sont présents simultanément avec une intensité suffisante",
      "pour justifier des diagnostics séparés, les deux diagnostics doivent être notés et on ne fait pas un diagnostic de trouble"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.3": {
    "code": "F41.3",
    "description": "Autres troubles anxieux mixtes",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Symptôme anxieux s’accompagnant de caractéristiques d’autres troubles cités en F41-F48. Aucun symptôme considéré",
      "séparément n’est suffisamment grave pour justifier un diagnostic."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.8": {
    "code": "F41.8",
    "description": "Autres troubles anxieux précisés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hystérie d’angoisse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F41.9": {
    "code": "F41.9",
    "description": "Trouble anxieux, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 313,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anxiété SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F42": {
    "code": "F42",
    "description": "Trouble obsessionnel-compulsif [TOC]",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 314,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend névrose : • anankastique",
      "• obsessionnelle-compulsive"
    ],
    "comprend": [],
    "exclusions": [
      "personnalité obsessionnelle-compulsive (F60.5)"
    ],
    "clinical_text": [
      "Tro uble caractérisé essentiellement par des idées obsédantes ou des comportements compulsifs récurrents. Les pensées",
      "obsédantes sont des idées, des représentations ou des impulsions faisant intrusion dans la conscience du sujet de façon",
      "répétitive et stéréotypée. En règle générale, elles gênent considérablement le sujet, lequel essaie souvent de leur résister,",
      "mais en vain. Le sujet reconnaît toutefois qu’il s’agit de ses propres pensées, même si celles-ci sont étrangères à sa volonté",
      "et souvent répugnantes. Les comportements et rituels compulsifs sont des activités stéréotypées répétitives. Le sujet ne tire",
      "aucun plaisir direct de la réalisation de ces actes, lesquels, par ailleurs, n’aboutissent pas à la réalisation de tâches utiles en",
      "elles-mêmes. Le comportement compulsif a pour but d’empêcher un événement dont la survenue est objectivement peu",
      "probable, impliquant souvent un malheur pour le sujet ou dont le sujet serait responsable. Le sujet reconnaît habituellement",
      "l’absurdité et l’inutilité de son comportement et fait des efforts répétés pour supprimer celui-ci. Le trouble s’accompagne",
      "presque toujours d’une anxiété. Cette anxiété s’aggrave quand le sujet essaie de résister à son activité compulsive."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F42.0": {
    "code": "F42.0",
    "description": "Trouble obsessionnel-compulsif, avec idées ou ruminations obsédantes au premier plan",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 314,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ou persistent en l’absence d’un épisode dépressif."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il peut s’agir d’idées, de représentations ou d’impulsions qui sont habituellement à l’origine d’un sentiment de détresse.",
      "Parfois il s’agit d’hésitations interminables entre des alternatives qui s’accompagnent souvent d’une impossibilité à prendre",
      "des décisions banales mais nécessaires dans la vie courante. Il existe une relation particulièrement étroite entre ruminations",
      "obsédantes et dépression, et on ne fera un diagnostic de trouble obsessionnel-compulsif que si les ruminations surviennent"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F42.1": {
    "code": "F42.1",
    "description": "Trouble obsessionnel-compulsif, avec comportements compulsifs au premier plan",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 314,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "danger.",
      "Rites obsessionnels"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La plupart des comportements compulsifs concernent la propreté (en particulier le lavage des mains), des vérifications",
      "répétées pour éviter la survenue d’une situation qui pourrait devenir dangereuse ou un souci excessif de l’ordre et du",
      "rangement. Le comportement du sujet est sous-tendu par une crainte consistant habituellement dans l’appréhension d’un",
      "danger encouru ou provoqué par le sujet, et l’activité rituelle constitue un moyen inefficace ou symbolique pour écarter ce",
      "Trouble obsessionnel-compulsif, forme mixte, avec idées obsédantes et comportements"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F42.8": {
    "code": "F42.8",
    "description": "Autres troubles obsessionnels-compulsifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 314,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F42.9": {
    "code": "F42.9",
    "description": "Trouble obsessionnel-compulsif, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 314,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43": {
    "code": "F43",
    "description": "Réaction à un facteur de stress sévère, et troubles de l’adaptation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 315,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "pour expliquer la survenue et la nature du trouble observé."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce tte catégorie est différente des autres dans la mesure où sa définition ne repose pas exclusivement sur les symptômes et",
      "l’évolution, mais également sur l’un ou l’autre des deux facteurs étiologiques suivants : un événement particulièrement",
      "stressant entraînant une réaction aiguë à un facteur de stress, ou un changement particulièrement marquant dans la vie du",
      "sujet, comportant des conséquences désagréables et durables et aboutissant à un trouble de l’adaptation. Des facteurs de",
      "stress psychosociaux relativement peu sévères parmi des événements de la vie (life events) peuvent précipiter la survenue",
      "ou influencer le tableau clinique d’un grand nombre de troubles classés ailleurs dans ce chapitre, mais il est toujours possible",
      "de leur attribuer un rôle étiologique, d’autant plus qu’il faut prendre en considération des facteurs de vulnérabilité, souvent",
      "idiosyncrasiques, propres à chaque individu. En d’autres termes, ces événements de la vie ne sont ni nécessaires ni suffisants",
      "En revanche, on admet que les troubles réunis dans cette catégorie sont toujours la conséquence directe d’un facteur de",
      "stress aigu important ou d’un traumatisme persistant. Les événements stressants ou les troubles réunis dans ce chapitre",
      "peuvent ainsi être considérés comme des réponses inadaptées à un facteur de stress sévère ou persistant dans la mesure",
      "où ils interfèrent avec des mécanismes adaptatifs efficaces et conduisent ainsi à des problèmes dans la fonction sociale."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.0": {
    "code": "F43.0",
    "description": "Réaction aiguë à un facteur de stress",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 315,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "hyperactivité (réaction de fuite ou fugue).",
      "Choc psychique",
      "Etat de crise",
      "Fatigue de combat",
      "Réaction aiguë (au) (de) : • crise",
      "• stress"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble transitoire, survenant chez un individu ne présentant aucun autre trouble mental manifeste, à la",
      "suite d’un facteur de stress physique et psychique exceptionnel et disparaissant habituellement en quelques",
      "heures ou en quelques jours. La survenue et la gravité d’une réaction aiguë à un facteur de stress sont",
      "influencées par des facteurs de vulnérabilité individuels et par la capacité du sujet à faire face à un",
      "traumatisme. La symptomatologie est typiquement mixte et variable et comporte un état d’«hébétude »",
      "caractérisé par un certain rétrécissement du champ de la conscience et de l’attention, une impossibilité à",
      "intégrer des stimuli et une désorientation. Cet état peut être suivi d’un retrait croissant vis-à-vis de",
      "l’environnement (pouvant aller jusqu’à une stupeur dissociative – voir F44.2) ou d’une agitation avec",
      "Le trouble s’accompagne fréquemment des symptômes neurovégétatifs d’une anxiété panique (tachycardie,",
      "transpiration, bouffées de chaleur). Les symptômes se manifestent habituellement dans les minutes suivant",
      "la survenue du stimulus ou de l’événement stressant et disparaissent en l’espace de deux à trois jours",
      "(souvent en quelques heures). Il peut y avoir une amnésie partielle ou complète (F44.0) de l’épisode. Quand",
      "les symptômes persistent, il convient d’envisager un changement de diagnostic."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.00": {
    "code": "F43.00",
    "description": "Réaction aiguë légère à un facteur de stress",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 315,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.01": {
    "code": "F43.01",
    "description": "Réaction aiguë moyenne à un facteur de stress",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 315,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.02": {
    "code": "F43.02",
    "description": "Réaction aiguë sévère à un facteur de stress",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 315,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.1": {
    "code": "F43.1",
    "description": "Etat de stress post-traumatique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 315,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Névrose traumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce trouble constitue une réponse différée ou prolongée à une situation ou à un événement stressant (de courte ou de",
      "longue durée), exceptionnellement menaçant ou catastrophique, et qui provoquerait des symptômes évidents de détresse",
      "chez la plupart des individus. Des facteurs prédisposants, tels certains traits de personnalité (par exemple compulsive,",
      "asthénique) ou des antécédents de type névrotique, peuvent favoriser la survenue du syndrome ou aggraver son évolution ;",
      "ces facteurs ne sont toutefois pas nécessaires ou suffisants pour expliquer la survenue du syndrome. Les symptômes",
      "typiques comprennent la reviviscence répétée de l’événement traumatique, dans des souvenirs envahissants (flashbacks),",
      "des rêves ou des cauchemars ; ils surviennent dans un contexte durable d’« anesthésie psychique » et d’émoussement",
      "émotionnel, de détachement par rapport aux autres, d’insensibilité à l’environnement, d’anhédonie et d’évitement des",
      "activités ou des situations pouvant réveiller le souvenir du traumatisme.",
      "Les symptômes précédents s’accompagnent habituellement d’un hyperéveil neurovégétatif, avec hypervigilance, état de",
      "« qui-vive » et insomnie, associés fréquemment à une anxiété, une dépression ou une idéation suicidaire. La période",
      "séparant la survenue du traumatisme et celle du trouble peut varier de quelques semaines à quelques mois. L’évolution est",
      "fluctuante, mais se fait vers la guérison dans la plupart des cas. Dans certains cas, le trouble peut présenter une évolution",
      "chronique, durer de nombreuses années, et entraîner une modification durable de la personnalité (F62.0)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.2": {
    "code": "F43.2",
    "description": "Troubles de l’adaptation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "dans la poursuite d’un but important, mise à la retraite).",
      "Choc culturel",
      "Hospitalisme chez l’enfant",
      "Réaction de deuil"
    ],
    "comprend": [],
    "exclusions": [
      "angoisse de séparation de l’enfance (F93.0)"
    ],
    "clinical_text": [
      "Etat de détresse et de perturbation émotionnelle, entravant habituellement le fonctionnement et les performances sociales,",
      "survenant au cours d’une période d’adaptation à un changement existentiel important ou à un événement stressant. Le",
      "facteur de stress peut entraver l’intégrité de l’environnement social du sujet (deuil, expériences de séparation) ou son",
      "système global de support social et de valeurs sociales (immigration, statut de réfugié) ; ailleurs, le facteur de stress est en",
      "rapport avec une période de transition ou de crise au cours du développement (scolarisation, naissance d’un enfant, échec",
      "La prédisposition et la vulnérabilité individuelles jouent un rôle important dans la survenue et la symptomatologie d’un",
      "trouble de l’adaptation ; on admet toutefois que le trouble ne serait pas survenu en l’absence du facteur de stress concerné.",
      "Les manifestations, variables, comprennent une humeur dépressive, une anxiété ou une inquiétude (ou l’association de ces",
      "troubles), un sentiment d’impossibilité à faire face, à faire des projets, ou à continuer dans la situation actuelle, ainsi qu’une",
      "certaine altération du fonctionnement quotidien. Elles peuvent s’accompagner d’un trouble des conduites, en particulier",
      "chez les adolescents. La caractéristique essentielle de ce trouble peut consister en une réaction dépressive, de courte ou",
      "de longue durée, ou une autre perturbation des émotions et des conduites."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.20": {
    "code": "F43.20",
    "description": "Réaction dépressive brève",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.21": {
    "code": "F43.21",
    "description": "Réaction dépressive prolongée",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.22": {
    "code": "F43.22",
    "description": "Réaction mixte, anxieuse et dépressive",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.23": {
    "code": "F43.23",
    "description": "Trouble de l’adaptation, avec prédominance d’une perturbation d’autres émotions",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.24": {
    "code": "F43.24",
    "description": "Trouble de l’adaptation, avec prédominance d’une perturbation des conduites",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble de l’adaptation, avec prédominance d’une perturbation mixte des émotions et des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.28": {
    "code": "F43.28",
    "description": "Trouble de l’adaptation, avec prédominance d’une perturbation d’autres symptômes précisés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.8": {
    "code": "F43.8",
    "description": "Autres réactions à un facteur de stress sévère",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F43.9": {
    "code": "F43.9",
    "description": "Réaction à un facteur de stress sévère, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 316,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44": {
    "code": "F44",
    "description": "Trouble dissociatif",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 317,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "somatoformes (F45.0).",
      "l’esprit."
    ],
    "comprend": [
      "hystérie (de conversion)",
      "psychose hystérique",
      "réaction de conversion"
    ],
    "exclusions": [
      "simulateur (Z76.5)"
    ],
    "clinical_text": [
      "Les divers troubles dissociatifs (ou de conversion) ont en commun une perte partielle ou complète des fonctions normales",
      "d’intégration des souvenirs, de la conscience de l’identité ou des sensations immédiates et du contrôle des mouvements",
      "corporels. Toutes les variétés de troubles dissociatifs ont tendance à disparaître après quelques semaines ou mois, en",
      "particulier quand leur survenue est associée à un événement traumatique.",
      "L’évolution peut également se faire vers des troubles plus chroniques, en particulier des paralysies et des anesthésies, quand",
      "la survenue du trouble est liée à des problèmes ou des difficultés interpersonnelles insolubles.",
      "Dans le passé, ces troubles ont été classés comme divers types d’« hystérie de conversion ». On admet qu’ils sont",
      "psychogènes, dans la mesure où ils surviennent en relation temporelle étroite avec des événements traumatiques, des",
      "problèmes insolubles et insupportables ou des relations interpersonnelles difficiles. Les symptômes traduisent souvent l’idée",
      "que se fait le sujet du tableau clinique d’une maladie physique. L’examen médical et les examens complémentaires ne",
      "permettent pas de mettre en évidence un trouble physique (en particulier neurologique) connu. Par ailleurs, on dispose",
      "d’arguments pour penser que la perte d’une fonction est, dans ce trouble, l’expression d’un conflit ou d’un besoin psychique.",
      "Les symptômes peuvent de développer en relation étroite avec un facteur de stress psychologique et ils surviennent souvent",
      "brusquement. Seuls les troubles impliquant soit une perturbation des fonctions physiques normalement sous le contrôle de",
      "la volonté, soit une perte des sensations sont inclus ici. Les troubles impliquant des manifestations douloureuses ou d’autres",
      "sensations physiques complexes faisant intervenir le système nerveux autonome sont classés parmi les troubles",
      "La possibilité de survenue, à une date ultérieure, d’un trouble physique ou psychiatrique grave doit toujours être gardée à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.0": {
    "code": "F44.0",
    "description": "Amnésie dissociative",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 317,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amnésie : • SAI (R41.3)",
      "• antérograde (R41.1)",
      "• post-critique chez les épileptiques (G40.–)",
      "• rétrograde (R41.2)",
      "syndrome amnésique : • induit par l’alcool ou d’autres substances psychoactives",
      "(F10–F19 avec le quatrième caractère .6)",
      "• organique non alcoolique (F04)"
    ],
    "clinical_text": [
      "La caractéristique essentielle est une perte de la mémoire concernant habituellement des événements importants récents,",
      "non due à un trouble mental organique, et trop importante pour être mise sur le compte d’une simple « mauvaise",
      "mémoire » ou d’une fatigue. L’amnésie concerne habituellement des événements traumatisants tels que des accidents ou",
      "des deuils imprévus, et elle est le plus souvent partielle et sélective. Une amnésie complète et généralisée est rare, et elle",
      "accompagne habituellement une fugue (F44.1) ; dans ce cas, on doit faire un diagnostic de fugue. On ne doit pas faire ce",
      "diagnostic en présence d’un trouble cérébral organique, d’une intoxication ou d’une fatigue extrême."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.1": {
    "code": "F44.1",
    "description": "Fugue dissociative",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 317,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "observateurs indépendants."
    ],
    "comprend": [],
    "exclusions": [
      "fugue postcritique chez les épileptiques (G40.–)"
    ],
    "clinical_text": [
      "La fugue dissociative présente toutes les caractéristiques d’une amnésie dissociative et comporte, par ailleurs, un",
      "déplacement, en apparence motivé, dépassant le rayon du déplacement quotidien habituel. Bien qu’il existe une amnésie",
      "pour la période de la fugue, le comportement du sujet au cours de cette dernière peut paraître parfaitement normal à des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.2": {
    "code": "F44.2",
    "description": "Stupeur dissociative",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 317,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "stupeur : • SAI (R40.1)",
      "• catatonique (F20.2)",
      "• dépressive (F31–F33)",
      "• maniaque (F30.2)",
      "trouble catatonique organique (F06.1)"
    ],
    "clinical_text": [
      "Le diagnostic de stupeur repose sur la présence d’une diminution importante ou d’une absence des mouvements",
      "volontaires et d’une réactivité normale à des stimuli externes tels que la lumière, le bruit ou le toucher, mais l’examen",
      "clinique et les examens complémentaires ne mettent en évidence aucun élément en faveur d’une cause physique. Par",
      "ailleurs, on dispose d’arguments en faveur d’une origine psychogène du trouble, dans la mesure où il est possible de mettre",
      "en évidence des événements ou des problèmes stressants récents."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.3": {
    "code": "F44.3",
    "description": "Etats de transe et de possession",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "états associés à : • intoxication aiguë par une substance psychoactive (F10–F19 avec le",
      "quatrième caractère .0)",
      "• schizophrénie (F20.–)",
      "• syndrome post-commotionnel (F07.2)",
      "• trouble organique de la personnalité (F07.0)",
      "• troubles psychotiques aigus et transitoires (F23.–)"
    ],
    "clinical_text": [
      "Troubles caractérisés par une perte transitoire de sa propre identité, associée à une conservation parfaite de la conscience",
      "du milieu environnant. Sont à inclure ici uniquement les états de transe involontaires ou non désirés, survenant en dehors",
      "de situations admises dans le contexte religieux ou culturel du sujet."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.4": {
    "code": "F44.4",
    "description": "Troubles moteurs dissociatifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aphonie psychogène",
      "Dysphonie",
      "Camptocormie hystérique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans les formes les plus fréquentes de ces troubles, il existe une perte de la capacité à bouger une partie ou la totalité d’un",
      "membre ou de plusieurs membres. Les manifestations de ce trouble peuvent ressembler à celles de pratiquement toutes",
      "les formes d’ataxie, d’apraxie, d’akinésie, d’aphonie, de dysarthrie, de dyskinésie, de convulsions ou de paralysie."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.5": {
    "code": "F44.5",
    "description": "Convulsions dissociatives",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les convulsions dissociatives peuvent ressembler très étroitement aux mouvements que l’on observe au cours d’une crise",
      "épileptique ; toutefois, la morsure de la langue, les blessures dues à une chute ou la perte des urines sont rares ; par ailleurs,",
      "le trouble peut s’accompagner de stupeur ou de transe, mais il ne s’accompagne pas d’une perte de la conscience."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.6": {
    "code": "F44.6",
    "description": "Anesthésie dissociative et atteintes sensorielles",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Surdité psychogène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les limites des territoires cutanés anesthésiés correspondent plus aux conceptions personnelles du patient sur le",
      "fonctionnement du corps qu’à des connaissances médicales. Il peut y avoir atteinte de certains types de sensibilité avec",
      "conservation des autres, ne correspondant à aucune lésion neurologique connue. La perte de sensibilité peut",
      "s’accompagner de paresthésies. La perte de la vision ou de l’audition est rarement totale dans les troubles dissociatifs."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.7": {
    "code": "F44.7",
    "description": "Trouble dissociatif mixte",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Association de troubles précisés en F44.0–F44.6",
      "Trouble de conversion mixte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.8": {
    "code": "F44.8",
    "description": "Autres troubles dissociatifs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Confusion psychogène",
      "Etat second",
      "Troubles de conversion autres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.80": {
    "code": "F44.80",
    "description": "Syndrome de Ganser",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.81": {
    "code": "F44.81",
    "description": "Personnalité multiple",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.82": {
    "code": "F44.82",
    "description": "Troubles dissociatifs transitoires survenant dans l’enfance ou dans l’adolescence",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.88": {
    "code": "F44.88",
    "description": "Autres troubles dissociatifs précisés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F44.9": {
    "code": "F44.9",
    "description": "Trouble dissociatif, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 318,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Trouble de conversion SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45": {
    "code": "F45",
    "description": "Troubles somatoformes",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 319,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysfonctionnement sexuel non induit par un trouble ou une maladie organique (F52.–)",
      "facteurs psychologiques ou comportementaux associés à des maladies ou des troubles classés ailleurs",
      "(F54)",
      "habitude de se ronger les ongles (F98.8)",
      "lallation (F80.0)",
      "onychophagie (F98.8)",
      "s’arracher les cheveux (F98.4)",
      "succion du pouce (F98.8)",
      "syndrome de Gilles de la Tourette (F95.2)",
      "tics de l’enfance et de l’adolescence (F95.–)",
      "trichotillomanie (F63.3)",
      "troubles dissociatifs (F44.–)",
      "zézaiement (F80.8)"
    ],
    "clinical_text": [
      "La caractéristique essentielle est l’apparition de symptômes physiques associés à une quête médicale insistante, persistant",
      "en dépit de bilans négatifs répétés et de déclarations faites par les médecins selon lesquelles les symptômes n’ont aucune",
      "base organique. S’il existe un trouble physique authentique, ce dernier ne permet de rendre compte ni de la nature ou de",
      "la gravité des symptômes, ni de la détresse ou des préoccupations du sujet.",
      "de patients sans qu’il soit possible de les confirmer de façon clinique ou para-clinique."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.52 : la catégorie F45 comprend les troubles dits psychogènes, c’est-à-dire ceux qui correspondent à des « récits »"
    ]
  },
  "F45.0": {
    "code": "F45.0",
    "description": "Somatisation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 319,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "négatives.",
      "diagnostic de trouble somatoforme indifférencié (F45.1).",
      "Syndrome de Briquet",
      "Trouble psychosomatique multiple"
    ],
    "comprend": [],
    "exclusions": [
      "simulateur (Z76.5)"
    ],
    "clinical_text": [
      "Les principales caractéristiques sont des symptômes physiques multiples, récurrents et variables dans le temps, persistant",
      "au moins deux ans. Dans la plupart des cas, les sujets entretiennent depuis longtemps des relations complexes avec les",
      "services médicaux, spécialisés et non spécialisés, et ont subi de nombreuses investigations ou interventions exploratrices",
      "Les symptômes peuvent renvoyer à n’importe quel système ou partie du corps. Le trouble a une évolution chronique et",
      "fluctuante, et s’accompagne souvent d’une altération du comportement social, interpersonnel et familial. Quand le trouble",
      "est de durée plus brève (moins de deux ans) ou quand il se caractérise par des symptômes moins évidents, on doit faire un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.1": {
    "code": "F45.1",
    "description": "Trouble somatoforme indifférencié",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 319,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Trouble psychosomatique indifférencié"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le diagnostic d’un trouble somatoforme indifférencié doit être envisagé devant des plaintes somatoformes multiples,",
      "variables dans le temps, persistantes, mais ne répondant pas au tableau clinique complet et typique d’une somatisation."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.2": {
    "code": "F45.2",
    "description": "Trouble hypocondriaque",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 319,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dysmorphophobie (non délirante)",
      "Hypocondrie",
      "Névrose hypocondriaque",
      "Nosophobie",
      "Peur d’une dysmorphie corporelle"
    ],
    "comprend": [],
    "exclusions": [
      "dysmorphophobie délirante (F22.8)",
      "idées délirantes stables concernant le fonctionnement ou la forme du corps (F22.–)"
    ],
    "clinical_text": [
      "La caractéristique principale de ce trouble est une préoccupation persistante concernant la présence éventuelle d’un ou de",
      "plusieurs troubles somatiques graves et évolutifs, se traduisant par des plaintes somatiques persistantes ou par une",
      "préoccupation durable concernant l’apparence physique. Des sensations et des signes physiques normaux ou anodins sont",
      "souvent interprétés par le sujet comme étant anormaux ou pénibles.",
      "L’attention du sujet se concentre habituellement sur un ou deux organes ou systèmes. Il existe souvent une dépression et",
      "une anxiété importantes, pouvant justifier un diagnostic supplémentaire."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.3": {
    "code": "F45.3",
    "description": "Dysfonctionnement neurovégétatif somatoforme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "somatique.",
      "à un système spécifique."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le patient attribue ses symptômes au trouble somatique d’un système ou d’un organe innervé et contrôlé, en grande partie",
      "ou entièrement, par le système neurovégétatif : système cardiovasculaire, gastro-intestinal, respiratoire, et urogénital. Les",
      "symptômes sont habituellement de deux types, aucun des deux n’évoquant un trouble somatique de l’organe ou du",
      "système concerné. Le premier type concerne des plaintes en rapport avec des signes objectifs d’un hyperfonctionnement",
      "neurovégétatif, par exemple des palpitations, une transpiration, des bouffées de chaleur ou de froid, des tremblements,",
      "ainsi que des manifestations traduisant une crainte et un sentiment de détresse quant à la présence possible d’un trouble",
      "Le deuxième type concerne des plaintes subjectives non spécifiques et variables, par exemple des douleurs vagues, des",
      "sensations de brûlure, de lourdeur, d’oppression, de gonflement ou d’étirement, attribuées par le patient à un organe ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.30": {
    "code": "F45.30",
    "description": "Dysfonctionnement neurovégétatif d’expression circulatoire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asthénie neurocirculatoire",
      "Névrose cardiaque",
      "Syndrome de Da Costa"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.31": {
    "code": "F45.31",
    "description": "Dysfonctionnement neurovégétatif d’expression œsogastrique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Formes psychogènes de : • aérophagie",
      "• dyspepsie",
      "• hoquet",
      "• spasme du pylore",
      "Névrose gastrique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.32": {
    "code": "F45.32",
    "description": "Dysfonctionnement neurovégétatif d’expression intestinale",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Formes psychogènes de : • ballonnement",
      "• « côlon irritable »",
      "• diarrhée",
      "• flatulence"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.33": {
    "code": "F45.33",
    "description": "Dysfonctionnement neurovégétatif d’expression respiratoire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Formes psychogènes de : • hyperventilation",
      "• toux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.34": {
    "code": "F45.34",
    "description": "Dysfonctionnement neurovégétatif d’expression génito-urinaire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Formes psychogènes de : • dysurie",
      "• mictions fréquentes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.38": {
    "code": "F45.38",
    "description": "Dysfonctionnement neurovégétatif d’expression autre",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 320,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "facteurs psychologiques et comportementaux associés à des maladies ou des troubles",
      "classés ailleurs (F54)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.4": {
    "code": "F45.4",
    "description": "Syndrome douloureux somatoforme persistant",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 321,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "doit pas être classée ici.",
      "Céphalées psychogène(s)",
      "Dorsalgie psychogène",
      "Douleur somatoforme",
      "Psychalgie"
    ],
    "comprend": [],
    "exclusions": [
      "céphalée de tension (G44.2)",
      "douleur : • SAI (R52.9)",
      "• aiguë (R52.0)",
      "• chronique (R52.2)",
      "• irréductible (R52.1)",
      "mal de dos SAI (M54.9)"
    ],
    "clinical_text": [
      "La plainte essentielle concerne une douleur persistante, intense, s’accompagnant d’un sentiment de détresse, non expliquée",
      "entièrement par un processus physiologique ou un trouble physique et survenant dans un contexte de conflits émotionnels",
      "et de problèmes psychosociaux suffisamment importants pour constituer la cause essentielle du trouble selon le clinicien.",
      "Le trouble assure habituellement au patient une aide et une sollicitude accrues de la part de son entourage et des médecins.",
      "Une douleur considérée comme psychogène mais survenant au cours d’un trouble dépressif ou d’une schizophrénie ne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.8": {
    "code": "F45.8",
    "description": "Autres troubles somatoformes",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 321,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysménorrhée psychogène",
      "Dysphagie, y compris la « boule hystérique » psychogène",
      "Prurit psychogène",
      "Torticolis psychogène",
      "Grincement des dents psychogène",
      "Bruxisme psychogène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tous les autres troubles des sensations, des fonctions et du comportement, non dus à un trouble physique, qui ne sont pas",
      "sous l’influence du système neurovégétatif, qui se rapportent à des systèmes ou à des parties du corps spécifiques et qui",
      "sont étroitement liés d’un point de vue chronologique avec des événements ou des problèmes stressants."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F45.9": {
    "code": "F45.9",
    "description": "Trouble somatoforme, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 321,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble psychosomatique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F48": {
    "code": "F48",
    "description": "Autres troubles névrotiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 321,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F48.0": {
    "code": "F48.0",
    "description": "Neurasthénie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 321,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de la nuit ou une hypersomnie.",
      "Syndrome asthénique"
    ],
    "comprend": [],
    "exclusions": [
      "asthénie SAI (R53)",
      "malaise ou fatigue (R53)",
      "psychasthénie (F48.8)",
      "surmenage (Z73.0)",
      "syndrome de fatigue post-virale (G93.3)"
    ],
    "clinical_text": [
      "Il existe des variations culturelles importantes dans les manifestations de ce trouble, qui comporte deux types essentiels,",
      "ayant de nombreux points communs. Dans le premier type, la caractéristique essentielle est une plainte concernant une",
      "fatigue accrue après des efforts mentaux, souvent associée à une certaine diminution des performances professionnelles et",
      "des capacités à faire face aux tâches quotidiennes. La fatigabilité mentale est décrite typiquement comme une distractibilité",
      "due à une intrusion désagréable d’associations et de souvenirs, une difficulté de concentration ou une pensée globalement",
      "inefficace. Dans le deuxième type, l’accent est mis sur des sensations de faiblesse corporelle ou physique et un sentiment",
      "d’épuisement après des efforts minimes, associés à des courbatures, des douleurs musculaires et une difficulté à se",
      "détendre. Les deux types comportent habituellement plusieurs autres sensations physiques désagréables, telles que des",
      "sensations vertigineuses, des céphalées de tension et une impression d’instabilité globale. Il existe par ailleurs souvent une",
      "inquiétude concernant une dégradation de la santé mentale et physique, une irritabilité, une anhédonie et des degrés",
      "variables de dépression et d’anxiété mineures. Il existe souvent une insomnie d’endormissement, une insomnie du milieu",
      "Utiliser, au besoin, un code supplémentaire pour identifier une maladie somatique antérieure."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F48.1": {
    "code": "F48.1",
    "description": "Syndrome de dépersonnalisation-déréalisation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "cas, le diagnostic doit être celui du trouble principal."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble rare au cours duquel le sujet se plaint spontanément d’une altération qualitative de son activité mentale, de son",
      "corps et de son environnement, ceux-ci étant perçus comme irréels, lointains ou « robotisés ». Les plaintes concernant",
      "une perte des émotions et une impression d’étrangeté ou de détachement par rapport à ses pensées, à son corps ou le",
      "monde réel constituent les plus fréquentes des multiples manifestations caractérisant ce trouble. En dépit de la nature",
      "dramatique de ce genre d’expérience, le sujet est conscient de la non-réalité du changement. L’orientation est normale,",
      "et les capacités d’expression émotionnelle intactes. Des symptômes de dépersonnalisation-déréalisation peuvent survenir",
      "dans le contexte d’un trouble schizophrénique, dépressif, phobique ou obsessionnel-compulsif identifiable. Dans de tels"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F48.8": {
    "code": "F48.8",
    "description": "Autres troubles névrotiques précisés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névrose : • professionnelle",
      "• psychasthénique",
      "Psychasthénie",
      "Syncope psychogène",
      "Syndrome de Dhat"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F48.9": {
    "code": "F48.9",
    "description": "Trouble névrotique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névrose SAI",
      "facteurs physiques (F50–F59)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndromes comportementaux associés à des perturbations physiologiques et à des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50": {
    "code": "F50",
    "description": "Troubles de l’alimentation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anorexie SAI (R63.0)",
      "difficultés nutritionnelles et nutrition inadaptée (R63.3)",
      "polyphagie (R63.2)",
      "troubles de l’alimentation du nourrisson et de l’enfant (F98.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.0": {
    "code": "F50.0",
    "description": "Anorexie mentale",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "perte d’appétit (R63.0)",
      "• psychogène (F50.8)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une perte de poids intentionnelle, induite et maintenue par le patient. Il survient habituellement",
      "chez une adolescente ou une jeune femme, mais il peut également survenir chez un adolescent ou un jeune homme, tout",
      "comme un enfant proche de la puberté ou une femme plus âgée jusqu’à la ménopause. Le trouble est associé à une",
      "psychopathologie spécifique qui consiste en l’intrusion persistante d’une idée surinvestie : la peur de grossir et d’avoir un",
      "corps flaque. Les sujets s’imposent à eux-mêmes un poids faible. Il existe habituellement une dénutrition de gravité variable",
      "s’accompagnant de modifications endocriniennes et métaboliques secondaires et de perturbations des fonctions",
      "physiologiques. Les symptômes comprennent une restriction des choix alimentaires, une pratique excessive d’exercices",
      "physiques, des vomissements provoqués et l’utilisation de laxatifs, de coupe-faim et de diurétiques."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.1": {
    "code": "F50.1",
    "description": "Anorexie mentale atypique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles qui comportent certaines caractéristiques de l’anorexie mentale, mais dont le tableau clinique global ne justifie",
      "pas ce diagnostic. Exemple : l’un des symptômes-clés, telle une aménorrhée ou une peur importante de grossir, peut",
      "manquer alors qu’il existe une perte de poids nette et un comportement visant à réduire le poids. On ne doit pas faire ce",
      "diagnostic quand un trouble somatique connu pour entraîner une perte de poids est associé."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.2": {
    "code": "F50.2",
    "description": "Boulimie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 322,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "plusieurs années plus tôt.",
      "Boulimie SAI",
      "Hyperorexia nervosa",
      "Bulimia nervosa"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome caractérisé par des accès répétés d’hyperphagie et une préoccupation excessive du contrôle du poids corporel,",
      "conduisant à une alternance d’hyperphagie et de vomissements ou d’utilisation de laxatifs. Ce trouble comporte de",
      "nombreuses caractéristiques de l’anorexie mentale, par exemple une préoccupation excessive par les formes corporelles et",
      "le poids. Les vomissements répétés peuvent provoquer des perturbations électrolytiques et des complications somatiques.",
      "Dans les antécédents, on retrouve souvent, mais pas toujours, un épisode d’anorexie mentale survenu de quelques mois à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.3": {
    "code": "F50.3",
    "description": "Boulimie atypique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles qui comportent certaines caractéristiques de la boulimie, mais dont le tableau clinique global ne justifie pas ce",
      "diagnostic. Exemple : accès hyperphagiques récurrents et utilisation excessive de laxatifs sans changement significatif de",
      "poids ou sans préoccupation excessive des formes ou du poids corporel."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.4": {
    "code": "F50.4",
    "description": "Hyperphagie associée à d’autres perturbations psychologiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperphagie psychogène"
    ],
    "comprend": [],
    "exclusions": [
      "obésité (E66.–)"
    ],
    "clinical_text": [
      "Hyperphagie due à des événements stressants tels que deuil, accident, accouchement, etc."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.5": {
    "code": "F50.5",
    "description": "Vomissements associés à d’autres perturbations psychologiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vomissements psychogènes",
      "de la grossesse."
    ],
    "comprend": [],
    "exclusions": [
      "nausées (R11)",
      "vomissements SAI (R11)"
    ],
    "clinical_text": [
      "Vomissements répétés survenant au cours d’un trouble dissociatif (F44.–) et d’une hypochondrie (F45.2), et qui ne sont pas",
      "exclusivement imputables à une des affections classées en dehors de ce chapitre.",
      "Utiliser, au besoin, un code supplémentaire (O21.-) pour identifier des vomissements incoercibles au cours"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F50.8": {
    "code": "F50.8",
    "description": "Autres troubles de l’alimentation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perte de l’appétit psychogène",
      "Pica de l’adulte"
    ],
    "comprend": [],
    "exclusions": [
      "pica du nourrisson et de l’enfant (F98.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.52 : comprend la potomanie (ce code peut être précisé par R63.1)"
    ]
  },
  "F50.9": {
    "code": "F50.9",
    "description": "Trouble de l’alimentation, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51": {
    "code": "F51",
    "description": "Troubles du sommeil non organiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "pas les troubles du sommeil imputables à des troubles somatiques identifiables classés ailleurs."
    ],
    "exclusions": [
      "trouble du sommeil d’origine organique (G47.–)"
    ],
    "clinical_text": [
      "Dans de nombreux cas, une perturbation du sommeil est l’un des symptômes d’un autre trouble mental ou physique. Savoir",
      "si, chez un patient donné, un trouble du sommeil est une perturbation indépendante ou simplement l’une des manifestations",
      "d’un autre trouble classé soit dans ce chapitre, soit dans d’autres chapitres doit être précisé sur la base des éléments cliniques",
      "et de l’évolution, aussi bien qu’à partir de considérations et de priorités thérapeutiques au moment de la consultation.",
      "En règle générale, ce code doit être utilisé conjointement à d’autres diagnostics pertinents décrivant la psychopathologie et",
      "la physiopathologie impliquées dans un cas donné, quand la perturbation du sommeil est une des plaintes prépondérantes",
      "et quand elle est ressentie comme une affection en elle-même.",
      "Cette catégorie comprend uniquement les troubles du sommeil qui sont imputables à des facteurs émotionnels. Il ne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.0": {
    "code": "F51.0",
    "description": "Insomnie non organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "insomnie organique (G47.0)"
    ],
    "clinical_text": [
      "Affection dans laquelle la durée et la qualité du sommeil ne sont pas satisfaisantes, qui persiste pendant une période",
      "prolongée ; il peut s’agir d’une difficulté d’endormissement, d’une difficulté à rester endormi ou d’un réveil matinal précoce.",
      "L’insomnie est un symptôme commun à de nombreux troubles mentaux ou physiques ; elle ne doit être classée ici,",
      "parallèlement au diagnostic principal, que lorsqu’elle domine le tableau clinique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.1": {
    "code": "F51.1",
    "description": "Hypersomnie non organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 323,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "habituellement attribuable à un trouble mental."
    ],
    "comprend": [],
    "exclusions": [
      "hypersomnie organique (G47.1)",
      "narcolepsie (G47.4)"
    ],
    "clinical_text": [
      "L’hypersomnie est un état défini soit par une somnolence diurne excessive et des attaques de sommeil (non expliquées par",
      "une durée inadéquate du sommeil), soit par des périodes de transition prolongées lors du réveil, entre le sommeil et l’état",
      "de veille complet. En l’absence d’un facteur organique expliquant la survenue d’une hypersomnie, cet état est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.2": {
    "code": "F51.2",
    "description": "Trouble du rythme veille-sommeil non dû à une cause organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Inversion psychogène du rythme • circadien",
      "(du) : • nycthéméral",
      "• sommeil"
    ],
    "comprend": [],
    "exclusions": [
      "troubles du cycle veille-sommeil d’origine organique (G47.2)"
    ],
    "clinical_text": [
      "Absence de synchronisme entre l’horaire veille-sommeil propre à un individu et l’horaire veille-sommeil approprié à son",
      "environnement, le sujet se plaignant soit d’insomnie, soit d’hypersomnie."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.3": {
    "code": "F51.3",
    "description": "Somnambulisme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "aucun souvenir de l’épisode."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Altération de l’état de conscience tenant à la fois du sommeil et de la veille. Durant un épisode de somnambulisme, l’individu",
      "de lève du lit, habituellement au cours du premier tiers du sommeil nocturne et il déambule ; ces manifestations",
      "correspondent à un niveau réduit de vigilance, de réactivité et d’habileté motrice. Au réveil, le sujet ne garde habituellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.4": {
    "code": "F51.4",
    "description": "Terreurs nocturnes",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Elles constituent des épisodes nocturnes au cours desquels une terreur et une panique extrêmes sont associées à une",
      "vocalisation intense, à une agitation motrice et à un hyperfonctionnement neurovégétatif. L’individu s’assied ou se lève,",
      "habituellement durant le premier tiers du sommeil nocturne, avec un cri de terreur. Assez souvent, il court jusqu’à la porte",
      "comme s’il essayait de s’échapper ; en fait il ne quitte que rarement sa chambre. Le souvenir de l’événement, s’il existe, est",
      "très limité (se réduisant habituellement à une ou deux images mentales fragmentaires)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.5": {
    "code": "F51.5",
    "description": "Cauchemars",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rêves d’angoisse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Expérience de rêve chargée d’anxiété ou de peur s’accompagnant d’un souvenir très détaillé du contenu du rêve. Cette",
      "expérience de rêve est très intense et comporte habituellement comme thèmes des menaces pour l’existence, la sécurité",
      "et l’estime de soi. Assez souvent, les cauchemars ont tendance à se répéter avec des thèmes identiques ou similaires. Les",
      "épisodes typiques comportent un certain degré de décharge neurovégétative, mais pas d’activité verbale ou motrice",
      "notable. Au réveil, le sujet devient assez rapidement alerte et bien orienté."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.8": {
    "code": "F51.8",
    "description": "Autres troubles du sommeil non organiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F51.9": {
    "code": "F51.9",
    "description": "Trouble du sommeil non organique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble émotionnel du sommeil SAI",
      "organique"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Dhat (F48.8)"
    ],
    "clinical_text": [
      "Dysfonctionnement sexuel, non dû à un trouble ou à une maladie",
      "Les dysfonctionnements sexuels regroupent les différents types de difficulté à avoir une relation sexuelle du type souhaité.",
      "La réponse sexuelle est un processus psychosomatique et, le plus souvent, des processus à la fois psychologiques et",
      "somatiques interviennent dans le déclenchement d’un trouble de la fonction sexuelle."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.0": {
    "code": "F52.0",
    "description": "Absence ou perte de désir sexuel",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "d’érection ou une dyspareunie.",
      "Baisse du désir sexuel",
      "Frigidité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La perte du désir sexuel est le problème principal et n’est pas secondaire à d’autres difficultés sexuelles comme un défaut"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.1": {
    "code": "F52.1",
    "description": "Aversion sexuelle et manque de plaisir sexuel",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de plaisir approprié (absence de plaisir sexuel)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soit la perspective d’une relation sexuelle déclenche une peur ou une anxiété telle que toute activité sexuelle est évitée",
      "(aversion sexuelle) soit les réponses sexuelles surviennent normalement et l’orgasme est ressenti mais il existe une absence"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.10": {
    "code": "F52.10",
    "description": "Aversion sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.11": {
    "code": "F52.11",
    "description": "Manque de plaisir sexuel",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 324,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anhédonie (sexuelle)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.2": {
    "code": "F52.2",
    "description": "Echec de la réponse génitale",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "manque de lubrification.",
      "Impuissance psychogène",
      "Trouble de : • érection chez l’homme",
      "• réponse sexuelle chez la femme"
    ],
    "comprend": [],
    "exclusions": [
      "impuissance d’origine organique (N48.4)"
    ],
    "clinical_text": [
      "Le problème principal chez les hommes est un trouble des fonctions érectiles (difficulté à développer ou à maintenir une",
      "érection adéquate pour un rapport satisfaisant). Chez les femmes, le problème principal est une sécheresse vaginale ou un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.3": {
    "code": "F52.3",
    "description": "Dysfonctionnement orgasmique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "L’orgasme ne survient pas ou est nettement retardé.",
      "Anorgasmie psychogène",
      "Inhibition de l’orgasme chez la femme ou chez l’homme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.4": {
    "code": "F52.4",
    "description": "Ejaculation précoce",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "sexuels."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Impossibilité de contrôler suffisamment l’éjaculation pour que les deux partenaires trouvent du plaisir dans les rapports"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.5": {
    "code": "F52.5",
    "description": "Vaginisme non organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "L’intromission est impossible ou douloureuse.",
      "Vaginisme psychogène"
    ],
    "comprend": [],
    "exclusions": [
      "vaginisme organique (N94.2)"
    ],
    "clinical_text": [
      "Spasme des muscles du plancher pelvien qui entourent le vagin, provoquant l’occlusion de l’ouverture vaginale."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.6": {
    "code": "F52.6",
    "description": "Dyspareunie non organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(par exemple un vaginisme ou une sécheresse vaginale).",
      "Dyspareunie psychogène"
    ],
    "comprend": [],
    "exclusions": [
      "dyspareunie organique (N94.1)"
    ],
    "clinical_text": [
      "La dyspareunie (ou douleur durant les relations sexuelles) survient tant chez la femme que chez l’homme. Elle peut souvent",
      "être attribuée à une cause pathologique locale et doit alors être classée dans la catégorie de l’affection pathologique en",
      "cause. Cette sous-catégorie doit être utilisée uniquement lorsqu’il n’y a pas un autre dysfonctionnement sexuel primaire"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.7": {
    "code": "F52.7",
    "description": "Activité sexuelle excessive",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nymphomanie",
      "Satyriasis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.8": {
    "code": "F52.8",
    "description": "Autres dysfonctionnements sexuels non dus à un trouble ou à une maladie organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F52.9": {
    "code": "F52.9",
    "description": "Dysfonctionnement sexuel non dû à un trouble ou à une maladie organique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles mentaux et du comportement associés à la puerpéralité, non",
      "Classer ici uniquement les troubles mentaux associés à la puerpéralité qui apparaissent durant les six premières semaines",
      "après l’accouchement et qui ne répondent pas aux critères d’un autre trouble classé ailleurs dans ce chapitre, soit parce",
      "que les informations disponibles ne sont pas suffisantes, soit parce qu’ils présentent des caractéristiques cliniques",
      "supplémentaires particulières ne permettant pas de les classer ailleurs de façon appropriée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F53.0": {
    "code": "F53.0",
    "description": "Troubles mentaux et du comportement légers associés à la puerpéralité, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépression (du) : • après un accouchement SAI",
      "• post partum SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F53.1": {
    "code": "F53.1",
    "description": "Troubles mentaux et du comportement sévères associés à la puerpéralité, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Psychose puerpérale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F53.8": {
    "code": "F53.8",
    "description": "Autres troubles mentaux et du comportement associés à la puerpéralité, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F53.9": {
    "code": "F53.9",
    "description": "Trouble mental de la puerpéralité, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 325,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ou des troubles classés ailleurs",
      "décrites dans ce chapitre.",
      "Facteurs psychologiques influençant une affection physique",
      "association avec le code de la maladie organique.",
      "Exemples d’utilisation • asthme F54 et J45.–",
      "de cette catégorie : • ulcère gastrique F54 et K25.–",
      "• rectocolite hémorragique F54 et K51.–",
      "• syndrome de l’intestin irritable F54 et K58.-",
      "• dermite F54 et L23–L25",
      "• urticaire F54 et L50.–"
    ],
    "comprend": [],
    "exclusions": [
      "céphalée dite de tension (G44.2)"
    ],
    "clinical_text": [
      "Facteurs psychologiques et comportementaux associés à des maladies",
      "Cette catégorie doit être utilisée pour enregistrer la présence de facteurs psychologiques ou comportementaux supposés",
      "avoir joué un rôle majeur dans la survenue d’un trouble physique classable dans l’un des autres chapitres. Les perturbations",
      "psychiques attribuables à ces facteurs sont habituellement légères mais souvent persistantes (par exemple, une inquiétude,",
      "un conflit émotionnel, une appréhension) et leur présence ne justifie pas un diagnostic de l’une quelconque des catégories",
      "d’autres chapitres. En conséquence, cette catégorie ne devrait jamais être utilisée seule, mais toujours en",
      "Utiliser, au besoin, un code supplémentaire pour identifier un trouble physique associé."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.52 : la catégorie F54 permet de coder la part psychologique de certaines maladies classées dans"
    ]
  },
  "F55": {
    "code": "F55",
    "description": "Abus de substances n’entraînant pas de dépendance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 326,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "particulièrement importants :",
      "b) les laxatifs",
      "Syndromes comportementaux non précisés associés à des",
      "perturbations physiologiques et à des facteurs physiques",
      "Dysfonctionnement physiologique psychogène SAI"
    ],
    "comprend": [],
    "exclusions": [
      "abus de substances psychoactives (F10–F19)"
    ],
    "clinical_text": [
      "Des spécialités pharmaceutiques et des remèdes populaires très divers peuvent être impliqués. Trois groupes sont",
      "a) des médicaments psychotropes n’entraînant pas de dépendance tels les antidépresseurs,",
      "c) des analgésiques pouvant être achetés sans prescription médicale, tels que l’aspirine ou le paracétamol.",
      "L’utilisation persistante de ces substances entraîne fréquemment des contacts excessifs avec des professionnels de la santé",
      "ou leurs équipes, et s’accompagne parfois d’effets somatiques nocifs induits par les substances.",
      "Les sujets s’opposent souvent aux tentatives faites pour déconseiller ou interdire l’utilisation du produit ; en ce qui concerne",
      "les laxatifs et les analgésiques, les sujets peuvent ne pas tenir compte des avertissements relatifs aux complications",
      "somatiques telles qu’un dysfonctionnement rénal ou des perturbations électrolytiques (voire à la survenue de celles-ci).",
      "Alors que le patient a habituellement une appétence manifeste pour la substance, il ne présente pas de symptôme de",
      "dépendance ou de sevrage comme dans le cas de substances psychoactives précisées en F10–F19.",
      "Ce groupe comprend divers états et types de comportement significatifs qui ont tendance à persister et qui sont l’expression",
      "de la manière caractéristique de vivre de l’individu et de sa façon d’établir des rapports avec lui-même et avec autrui. Certains",
      "de ces états et types de comportements apparaissent précocement au cours du développement individuel sous l’influence",
      "conjointe de facteurs constitutionnels et sociaux, tandis que d’autres sont acquis plus tard dans la vie. Les troubles spécifiques",
      "de la personnalité (F60.–), les troubles mixtes et autres troubles de la personnalité (F61) et les modifications durables de la",
      "personnalité (F62.–) représentent des modalités de comportement profondément enracinées et durables, consistant en des",
      "réactions inflexibles à des situations personnelles et sociales de nature très variée. Ces troubles représentent des déviations",
      "soit extrêmes soit significatives des perceptions, des pensées des sensations et particulièrement des relations avec autrui par",
      "rapport à celles d’un individu moyen d’une culture donnée. De tels types de comportement sont généralement stables et",
      "englobent de multiples domaines du comportement et du fonctionnement psychologique. Ils sont souvent, mais pas",
      "toujours, associés à une souffrance subjective et à une altération du fonctionnement social d’intensité variable."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60": {
    "code": "F60",
    "description": "Troubles spécifiques de la personnalité",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 327,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il s’agit de perturbations sévères de la personnalité et des tendances comportementales de l’individu non directement",
      "imputables à une maladie, une lésion ou une autre atteinte cérébrale, ou à un trouble psychiatrique.",
      "Ces perturbations concernent habituellement plusieurs secteurs de la personnalité ; elles s’accompagnent en général d’un",
      "bouleversement durant l’enfance ou l’adolescence et persistent pendant tout l’âge adulte."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.0": {
    "code": "F60.0",
    "description": "Personnalité paranoïaque",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 327,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Personnalité : • fanatique",
      "• paranoïaque (expansive) (sensitive)",
      "• quérulente"
    ],
    "comprend": [],
    "exclusions": [
      "état paranoïaque (F22.0)",
      "paranoïa (F22.0)",
      "• quérulente (F22.8)",
      "psychose paranoïaque (F22.0)",
      "schizophrénie paranoïde (F20.0)"
    ],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par une sensibilité excessive aux rebuffades, un refus de pardonner les insultes, un",
      "caractère soupçonneux, une tendance à fausser les événements en interprétant les actions impartiales ou amicales d’autrui",
      "comme hostiles ou méprisantes, une suspicion répétée sans justification en ce qui concerne la fidélité de son conjoint ou",
      "partenaire sexuel, et un sens tenace et agressif de ses propres droits. Il peut exister une tendance à une surévaluation de",
      "sa propre importance et souvent une référence excessive à sa propre personne."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.1": {
    "code": "F60.1",
    "description": "Personnalité schizoïde",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 327,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "schizophrénie (F20.–)",
      "syndrome d’Asperger (F84.5)",
      "trouble : • délirant (F22.0)",
      "• schizoïde de l’enfance (F84.5)",
      "• schizotypique (F21)"
    ],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par un retrait des contacts (sociaux, affectifs ou autres), une préférence pour la",
      "fantaisie, les activités solitaires et l’introspection. Il existe une limitation à exprimer ses sentiments et à éprouver du plaisir."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.2": {
    "code": "F60.2",
    "description": "Personnalité dyssociale",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "expériences vécues, y compris par les sanctions.",
      "des rationalisations plausibles.",
      "Personnalité : • amorale",
      "• antisociale",
      "• asociale",
      "• psychopathique",
      "• sociopathique"
    ],
    "comprend": [],
    "exclusions": [
      "personnalité émotionnellement labile (F60.3)",
      "trouble des conduites (F91)"
    ],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par un mépris des obligations sociales et une indifférence froide pour autrui. Il y a un",
      "écart considérable entre le comportement et les normes sociales établies. Le comportement n’est guère modifié par les",
      "Il existe une faible tolérance à la frustration et un abaissement du seuil de décharge de l’agressivité y compris de la violence ;",
      "il y a une tendance à blâmer autrui ou à justifier un comportement amenant le sujet à entrer en conflit avec la société par"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.3": {
    "code": "F60.3",
    "description": "Personnalité émotionnellement labile",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "des gestes suicidaires."
    ],
    "comprend": [],
    "exclusions": [
      "personnalité dyssociale (F60.2)"
    ],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par une tendance nette à agir de façon impulsive et sans considération pour les",
      "conséquences possibles, une humeur imprévisible et capricieuse, une tendance aux explosions émotionnelles et une",
      "difficulté à contrôler les comportements impulsifs, une tendance à adopter un comportement querelleur et à entrer en",
      "conflit avec les autres, particulièrement lorsque les actes impulsifs sont contrariés ou empêchés. Deux types peuvent être",
      "distingués : le type impulsif, caractérisé principalement par une instabilité émotionnelle et un manque de contrôle des",
      "impulsions, et le type borderline, caractérisé en outre par des perturbations de l’image de soi, de l’établissement de projets",
      "et des préférences personnelles, par un sentiment chronique de vide intérieur, par des relations interpersonnelles intenses",
      "et instables et par une tendance à adopter un comportement auto-destructeur, comprenant des tentatives de suicide et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.30": {
    "code": "F60.30",
    "description": "Personnalité émotionnellement labile, de type impulsif",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Personnalité : • agressive",
      "• explosive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.31": {
    "code": "F60.31",
    "description": "Personnalité émotionnellement labile, de type borderline",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.4": {
    "code": "F60.4",
    "description": "Personnalité histrionique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "apprécié et d’être l’objet d’attention.",
      "Personnalité : • hystérique",
      "• psycho-infantile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par une affectivité superficielle et labile, une dramatisation, un théâtralisme, une",
      "expression exagérée des émotions, une suggestibilité, un égocentrisme, une auto-complaisance, un manque de",
      "considération pour autrui, une tendance à être facilement blessé, un besoin d’excitation et un désir permanent d’être"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.5": {
    "code": "F60.5",
    "description": "Personnalité anankastique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Personnalité : • compulsive",
      "• obsessionnelle",
      "• obsessionnelle-compulsive"
    ],
    "comprend": [],
    "exclusions": [
      "trouble obsessionnel-compulsif (F42.–)"
    ],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par un sentiment de doute, un perfectionnisme, une scrupulosité, des vérifications et",
      "des préoccupations pour les détails, un entêtement, une prudence et une rigidité excessives. Le trouble peut s’accompagner",
      "de pensées ou d’impulsions répétitives et intrusives n’atteignant pas la sévérité d’un trouble obsessionnel-compulsif."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.6": {
    "code": "F60.6",
    "description": "Personnalité anxieuse",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 328,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "banales.",
      "Personnalité évitante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par un sentiment de tension et d’appréhension, d’insécurité et d’infériorité. Il existe",
      "un désir perpétuel d’être aimé et accepté, une hypersensibilité à la critique et au rejet, une réticence à nouer des relations",
      "et une tendance à éviter certaines activités en raison d’une exagération des dangers ou des risques potentiels de situations"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.7": {
    "code": "F60.7",
    "description": "Personnalité dépendante",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 329,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Personnalité : • à conduite d’échec",
      "• asthénique",
      "• inadéquate",
      "• passive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble de la personnalité caractérisé par une tendance systématique à laisser passivement autrui prendre les décisions",
      "importantes ou mineures le concernant, par une crainte d’être abandonné, des sentiments d’impuissance et",
      "d’incompétence, une soumission passive à la volonté d’autrui (par exemple des personnes plus âgées) et une difficulté à",
      "faire face aux exigences de la vie quotidienne. Un manque d’énergie peut se manifester dans le domaine intellectuel ou",
      "émotionnel ; il existe souvent une tendance à rejeter la responsabilité sur autrui."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.8": {
    "code": "F60.8",
    "description": "Autres troubles spécifiques de la personnalité",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 329,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Personnalité : • de type « haltlose »",
      "• excentrique",
      "• immature",
      "• narcissique",
      "• passive-agressive",
      "• psychonévrotique",
      "État hyporelationnel",
      "Personnalité psycho-rigide",
      "Syndrome de Diogène",
      "Mégalomanie",
      "Psychorigidité",
      "Troubles caractériels interprétatifs",
      "Personnalité hypocondriaque",
      "Mégalomaniaque",
      "Medcode.ch 2025"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F60.9": {
    "code": "F60.9",
    "description": "Trouble de la personnalité, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 329,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Névrose de caractère SAI",
      "Personnalité pathologique SAI",
      "Troubles mixtes de la personnalité et autres troubles de la",
      "2 personnalité",
      "souvent des difficultés.",
      "de faire un diagnostic plus spécifique",
      "une maladie cérébrales",
      "la survenue de l’événement pathogène.",
      "mental antérieur."
    ],
    "comprend": [],
    "exclusions": [
      "accentuation de certains traits de la personnalité (Z73.1)",
      "troubles spécifiques de la personnalité (F60.–)",
      "modification durable de la personnalité non attribuable à une lésion et une maladie",
      "cérébrales (F62.–)",
      "trouble de la personnalité et du comportement dû à une affection, une lésion et un dysfonctionnement",
      "cérébraux (F07.–)"
    ],
    "clinical_text": [
      "Cette catégorie concerne des troubles de la personnalité souvent gênants, mais ne présentant pas les caractéristiques",
      "symptomatiques spécifiques de l’un quelconque des troubles décrits en F60.–. De ce fait, le diagnostic de ces troubles soulève",
      "Exemples : • modifications gênantes de la personnalité non classables en F60.– ou F62.–, et considérées comme",
      "accessoires comparativement à un diagnostic de trouble affectif ou anxieux concomitant",
      "• troubles mixtes de la personnalité avec présence de caractéristiques appartenant à plusieurs des",
      "troubles décrits en F60.–, mais sans prédominance d’un groupe déterminé de symptômes permettant",
      "Modification durable de la personnalité non attribuable à une lésion et",
      "Cette catégorie concerne des anomalies de la personnalité et du comportement chez l’adulte, survenant en l’absence de",
      "troubles préalables de la personnalité et faisant suite à un facteur de stress, soit catastrophique, soit excessif et prolongé, ou",
      "à une maladie psychiatrique sévère. Ce diagnostic ne doit être porté que dans les cas où on a la preuve d’un changement",
      "manifeste et durable des modes de perception, de relation ou de pensée concernant l’environnement ou soi-même. La",
      "modification de la personnalité doit être significative et être associée à un comportement rigide et mal adapté, absent avant",
      "La modification ne doit pas être la manifestation directe d’un autre trouble mental ni un symptôme résiduel d’un trouble"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F62.0": {
    "code": "F62.0",
    "description": "Modification durable de la personnalité après une expérience de catastrophe",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 330,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "peut précéder ce type de modification de la personnalité.",
      "personnalité après : • désastres",
      "• expériences de camp de concentration",
      "comme le fait d’être victime du terrorisme",
      "• torture"
    ],
    "comprend": [],
    "exclusions": [
      "état de stress post-traumatique (F43.1)"
    ],
    "clinical_text": [
      "Modification durable de la personnalité, persistant au moins deux ans, à la suite de l’exposition à un facteur de stress",
      "catastrophique. Le facteur de stress doit être d’une intensité telle qu’il n’est pas nécessaire de se référer à une vulnérabilité",
      "personnelle pour expliquer son effet profond sur la personnalité. Le trouble se caractérise par une attitude hostile ou",
      "méfiante envers le monde, un retrait social, des sentiments de vide ou de désespoir, par l’impression permanente d’être «",
      "sous tension » comme si on était constamment menacé et par un détachement. Un état de stress post-traumatique (F43.1)",
      "Modification de la • captivité prolongée avec risque d’être tué à tout moment",
      "• exposition prolongée à des situations représentant un danger vital,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F62.1": {
    "code": "F62.1",
    "description": "Modification durable de la personnalité après une maladie psychiatrique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 330,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "fonctionnement social et professionnel."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Modification de la personnalité persistant au moins deux ans, imputable à l’expérience traumatique d’une maladie",
      "psychiatrique sévère. Le changement ne peut pas s’expliquer par un trouble antérieur de la personnalité et doit être",
      "différencié d’une schizophrénie résiduelle et d’autres états morbides consécutifs à la guérison incomplète d’un trouble",
      "mental antérieur. Ce trouble se caractérise par une dépendance et une attitude de demande excessives vis-à-vis des autres,",
      "par la conviction d’avoir été transformé ou marqué par la maladie au point de ne pas parvenir à établir ou maintenir des",
      "relations interpersonnelles étroites et confiantes et de s’isoler socialement, par une passivité, une perte des intérêts et un",
      "engagement moindre dans les activités de loisir, par des plaintes persistantes de se sentir souffrant, parfois associées à des",
      "plaintes hypocondriaques et à un comportement de malade, par une humeur dysphorique ou labile non due à un trouble",
      "mental actuel ni aux symptômes affectifs résiduels d’un trouble mental antérieur et par des problèmes à long terme du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F62.8": {
    "code": "F62.8",
    "description": "Autres modifications durables de la personnalité",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 330,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble de la personnalité lié à un syndrome algique chronique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F62.9": {
    "code": "F62.9",
    "description": "Modification durable de la personnalité, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 330,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63": {
    "code": "F63",
    "description": "Troubles des habitudes et des impulsions",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 331,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "caractéristiques importantes."
    ],
    "comprend": [],
    "exclusions": [
      "consommation abusive habituelle d’alcool ou de substances psychoactives (F10–F19)",
      "troubles des habitudes et des impulsions concernant le comportement sexuel (F65.–)"
    ],
    "clinical_text": [
      "Cette catégorie comprend certains troubles du comportement qui ne peuvent pas être classés sous d’autres catégories. Ils",
      "sont caractérisés par des actes répétés, sans motivation rationnelle claire, incontrôlables, et qui vont généralement à",
      "l’encontre des intérêts du sujet lui-même et de ceux d’autres personnes. Le sujet indique que son comportement est sous",
      "l’emprise d’impulsions à agir. La cause de ces troubles n’est pas connue.",
      "Ils ont été regroupés en raison de certaines similitudes dans leur tableau clinique, non parce qu’ils ont en commun d’autres"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63.0": {
    "code": "F63.0",
    "description": "Jeu pathologique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 331,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Jeu compulsif"
    ],
    "comprend": [],
    "exclusions": [
      "jeu : • chez des personnalités dyssociales (F60.2)",
      "• et pari SAI (Z72.6)",
      "• excessif chez des patients maniaques (F30.–)"
    ],
    "clinical_text": [
      "Trouble consistant en des épisodes répétés et fréquents de jeu qui dominent la vie du sujet au détriment des valeurs et",
      "des obligations sociales, professionnelles, matérielles et familiales."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63.1": {
    "code": "F63.1",
    "description": "Tendance pathologique à allumer des incendies",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 331,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pyromanie",
      "• schizophrénie (F20.–)",
      "• trouble mental organique (F00–F09)",
      "• suivi d’une mise en observation pour suspicion de trouble",
      "mental non confirmé (Z03.2)"
    ],
    "comprend": [],
    "exclusions": [
      "incendie volontaire : • associé à des troubles des conduites (F91.–)",
      "• au cours de :",
      "• intoxication par l’alcool ou des substances psychoactives F10–"
    ],
    "clinical_text": [
      "Trouble caractérisé par des actes ou tentatives multiples visant à mettre le feu aux objets et aux biens sans motif",
      "apparent, associé à des préoccupations idéiques persistantes concernant le feu ou l’incendie. Ce comportement",
      "s’accompagne souvent d’un état de tension croissante avant l’acte et d’une excitation intense immédiatement après.",
      "• par des adultes présentant une personnalité dyssociale (F60.2)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63.2": {
    "code": "F63.2",
    "description": "Tendance pathologique à commettre des vols",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 331,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kleptomanie"
    ],
    "comprend": [],
    "exclusions": [
      "mise en observation pour suspicion de trouble mental à la suite d’un vol, non confirmé",
      "(Z03.2)",
      "vol au cours d’un trouble : • dépressif (F31–F33)",
      "• trouble mental organique (F00–F09)"
    ],
    "clinical_text": [
      "Trouble caractérisé par des impossibilités répétées à résister aux impulsions de vol d’objets. Les objets ne sont pas volés",
      "pour leur utilité immédiate ou leur valeur monétaire ; le sujet peut, au contraire, soit les jeter, soit les donner, soit encore",
      "les entasser. Ce comportement s’accompagne habituellement d’un état de tension croissante avant l’acte et d’un sentiment",
      "de satisfaction pendant et immédiatement après la réalisation de celui-ci."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63.3": {
    "code": "F63.3",
    "description": "Trichotillomanie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 331,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "s’arracher les cheveux."
    ],
    "comprend": [],
    "exclusions": [
      "mouvements stéréotypés avec arrachage des cheveux (F98.4)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une perte visible des cheveux, causée par une impossibilité répétée de résister aux impulsions à",
      "L’arrachage des cheveux est habituellement précédé par une sensation croissante de tension et suivi d’un sentiment de",
      "soulagement ou de satisfaction. On ne porte pas ce diagnostic quand le sujet présente une affection inflammatoire du cuir",
      "chevelu, ou quand il s’arrache les cheveux à la suite d’idées délirantes ou d’hallucinations."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63.8": {
    "code": "F63.8",
    "description": "Autres troubles des habitudes et des impulsions",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 331,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Trouble explosif intermittent"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres variétés de comportements inadaptés persistants et répétés, non secondaires à un syndrome psychiatrique reconnu.",
      "Le sujet ne parvient pas, de façon répétitive, à résister à des impulsions le poussant à adopter ce comportement, avec une",
      "période prodromique de tension suivie d’un sentiment de soulagement lors de la réalisation de l’acte."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F63.9": {
    "code": "F63.9",
    "description": "Trouble des habitudes et des impulsions, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F64": {
    "code": "F64",
    "description": "Troubles de l’identité sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F64.0": {
    "code": "F64.0",
    "description": "Transsexualisme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il s’agit d’un désir de vivre et d’être accepté en tant que personne appartenant au sexe opposé. Ce désir s’accompagne",
      "habituellement d’un sentiment de malaise ou d’inadaptation par rapport à son sexe anatomique et du souhait de subir une",
      "intervention chirurgicale ou un traitement hormonal afin de rendre son corps aussi conforme que possible au sexe désiré."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F64.1": {
    "code": "F64.1",
    "description": "Travestisme bivalent",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "travestisme fétichiste (F65.1)"
    ],
    "clinical_text": [
      "Ce terme désigne le fait de porter des vêtements du sexe opposé pendant une partie de son existence de façon à se",
      "satisfaire de l’expérience d’appartenir au sexe opposé, mais sans désir de changement de sexe plus permanent moyennant",
      "une transformation chirurgicale ; le changement de vêtements ne s’accompagne d’aucune excitation sexuelle.",
      "Trouble de l’identité sexuelle chez l’adulte ou l’adolescent, type non transsexuel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F64.2": {
    "code": "F64.2",
    "description": "Trouble de l’identité sexuelle de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "sexe (ou d’une affirmation d’en faire partie)."
    ],
    "comprend": [],
    "exclusions": [
      "orientation sexuelle égodystonique (F66.1)",
      "trouble de la maturation sexuelle (F66.0)"
    ],
    "clinical_text": [
      "Trouble se manifestant habituellement pour la première fois dans la première enfance (et toujours avant la puberté),",
      "caractérisé par une souffrance intense et persistante relative au sexe assigné, accompagné d’un désir d’appartenir à l’autre",
      "Les vêtements et les activités propres au sexe opposé et un rejet de son propre sexe sont des préoccupations persistantes.",
      "Il faut qu’il existe une perturbation profonde de l’identité sexuelle normale pour porter ce diagnostic ; il ne suffit pas qu’une",
      "fille soit simplement un « garçon manqué » ou qu’un garçon soit une « fille manquée ». Les troubles de l’identité sexuelle",
      "chez les individus pubères ou prépubères ne doivent pas être classés ici mais en F66.–."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F64.8": {
    "code": "F64.8",
    "description": "Autres troubles de l’identité sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F64.9": {
    "code": "F64.9",
    "description": "Trouble de l’identité sexuelle, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble du rôle sexuel SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65": {
    "code": "F65",
    "description": "Troubles de la préférence sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "paraphilies"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.0": {
    "code": "F65.0",
    "description": "Fétichisme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utilisation d’objets inanimés comme stimulus de l’excitation et de la satisfaction sexuelle. De nombreux fétiches sont des",
      "prolongements du corps, comme des vêtements ou des chaussures. D’autres exemples courants concernent une texture",
      "particulière comme le caoutchouc, le plastique ou le cuir. Les objets fétiches varient dans leur importance d’un individu à",
      "l’autre. Dans certains cas, ils servent simplement à renforcer l’excitation sexuelle, atteinte par ailleurs dans des conditions",
      "normales (par exemple le fait d’avoir un partenaire qui porte un vêtement particulier)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.1": {
    "code": "F65.1",
    "description": "Travestisme fétichiste",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fétichisme avec travestisme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Port de vêtements du sexe opposé, principalement dans le but d’obtenir une excitation sexuelle et de créer l’apparence",
      "d’une personne du sexe opposé. Le travestisme fétichiste se distingue du travestisme transsexuel par sa nette association",
      "avec une excitation sexuelle et par le besoin de se débarrasser des vêtements une fois l’orgasme atteint et l’excitation",
      "sexuelle retombée. Il peut survenir en tant que phase précoce du développement d’un transsexualisme."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.2": {
    "code": "F65.2",
    "description": "Exhibitionnisme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tendance récurrente ou persistante à exposer les organes génitaux à des étrangers (en général du sexe opposé) ou à des",
      "gens dans des endroits publics, sans désirer ou solliciter un contact plus étroit. Il y a habituellement, mais non constamment,",
      "excitation sexuelle au moment de l’exhibition et l’acte est suivi, en général, de masturbation."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.3": {
    "code": "F65.3",
    "description": "Voyeurisme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 332,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "sexuelle et à une masturbation."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tendance récurrente ou persistante à observer des personnes qui se livrent à des activités sexuelles ou intimes comme le",
      "déshabillage. Cela survient sans que la personne observée sache qu’elle l’est et conduit généralement à une excitation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.4": {
    "code": "F65.4",
    "description": "Pédophilie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "d’âge prépubère ou au début de la puberté."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Préférence sexuelle pour les enfants, qu’il s’agisse de garçons, de filles ou de sujets de l’un ou l’autre sexe, généralement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.5": {
    "code": "F65.5",
    "description": "Sadomasochisme",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Masochisme",
      "Sadisme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Préférence pour une activité sexuelle qui implique douleur, humiliation ou asservissement. Si le sujet préfère être l’objet",
      "d’une telle stimulation, on parle de masochisme ; s’il préfère en être l’exécutant, il s’agit de sadisme.",
      "Souvent, un sujet obtient l’excitation sexuelle par des comportements à la fois sadiques et masochistes."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.6": {
    "code": "F65.6",
    "description": "Troubles multiples de la préférence sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Parfois, une personne présente plusieurs anomalies de la préférence sexuelle sans qu’aucune d’entre elles soit au premier",
      "plan. L’association la plus fréquente regroupe le fétichisme, le travestisme et le sadomasochisme."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.8": {
    "code": "F65.8",
    "description": "Autres troubles de la préférence sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Frotteurisme",
      "Nécrophilie",
      "Zoophilie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Diverses autres modalités de la préférence et du comportement sexuel tels que le fait de dire des obscénités au téléphone,",
      "de se frotter à autrui dans des endroits publics combles à la recherche d’une stimulation sexuelle, l’activité sexuelle avec un",
      "animal, l’emploi de la strangulation ou de l’anoxie pour augmenter l’excitation sexuelle."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F65.9": {
    "code": "F65.9",
    "description": "Trouble de la préférence sexuelle, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déviation sexuelle SAI",
      "Problèmes psychologiques et comportementaux associés au",
      "développement sexuel et à son orientation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note : L’orientation sexuelle n’est pas, en elle-même, à considérer comme un trouble."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F66.0": {
    "code": "F66.0",
    "description": "Trouble de la maturation sexuelle",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le sujet est incertain quant à son identité sexuelle ou son orientation sexuelle et sa souffrance est responsable d’anxiété ou",
      "de dépression. La plupart du temps, cela survient chez des adolescents qui ne sont pas certains de leur orientation,",
      "homosexuelle, hétérosexuelle ou bisexuelle, ou chez des sujets qui, après une période d’orientation sexuelle apparemment",
      "stable (souvent dans une relation de longue durée), éprouvent un changement dans leur orientation sexuelle."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F66.1": {
    "code": "F66.1",
    "description": "Orientation sexuelle égodystonique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il n’existe pas de doute quant à l’identité ou la préférence sexuelle (hétérosexualité, homosexualité, bisexualité ou préférence",
      "pour les enfants), mais le sujet désire modifier cette identité ou cette préférence en raison de troubles psychologiques et",
      "du comportement associés, et il peut chercher à se faire traiter pour changer."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F66.2": {
    "code": "F66.2",
    "description": "Problème sexuel relationnel",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’identité ou l’orientation sexuelle (hétérosexuelle, homosexuelle ou bisexuelle) entraîne des difficultés dans",
      "l’établissement et le maintien de relations sexuelles avec un partenaire."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F66.8": {
    "code": "F66.8",
    "description": "Autres troubles du développement psychosexuel",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F66.9": {
    "code": "F66.9",
    "description": "Trouble du développement psychosexuel, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F68": {
    "code": "F68",
    "description": "Autres troubles de la personnalité et du comportement chez l’adulte",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F68.0": {
    "code": "F68.0",
    "description": "Majoration des symptômes physiques pour des raisons psychologiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 333,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "douleur.",
      "Névrose de compensation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Symptômes physiques compatibles avec – et initialement dus à – un trouble, une maladie ou une incapacité physique, mais",
      "amplifiés ou entretenus par l’état psychique du patient. Le sujet réagit habituellement par un sentiment de détresse à la",
      "douleur ou à l’incapacité et redoute, parfois à juste titre, une persistance ou une aggravation de son incapacité ou de sa",
      "Production intentionnelle ou simulation de symptômes ou d’une incapacité, soit physique soit"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F68.8": {
    "code": "F68.8",
    "description": "Autres troubles précisés de la personnalité et du comportement chez l’adulte",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 334,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble : • caractériel SAI",
      "• relationnel SAI",
      "précision",
      "compétent.",
      "comportement :",
      ".0 Déficience du comportement absent ou minime",
      ".8 Autres déficiences du comportement",
      ".9 Sans mention d’une déficience du comportement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles de la personnalité et du comportement chez l’adulte, sans",
      "Arrêt ou développement incomplet du fonctionnement mental, caractérisé essentiellement par une altération, durant la période du",
      "développement, des facultés qui déterminent le niveau global d’intelligence, c’est-à-dire des fonctions cognitives, du langage, de la",
      "motricité et des capacités sociales. Le retard mental peut accompagner un autre trouble mental ou physique ou survenir isolément.",
      "Les degrés de retard mental sont habituellement déterminés par des tests d’intelligence normalisés. Ces derniers peuvent",
      "s’accompagner d’échelles évaluant l’adaptation sociale à un milieu donné. Ces mesures fournissent une estimation approximative du",
      "degré de retard mental. Le diagnostic dépendra également de l’évaluation globale des fonctions intellectuelles par un médecin",
      "Les capacités intellectuelles et l’adaptation sociale peuvent changer et, même si elles sont très médiocres, être améliorées par une",
      "formation et une rééducation appropriées. Le diagnostic doit être basé sur les niveaux fonctionnels constatés.",
      "Les subdivisions suivantes doivent être utilisées comme quatrième caractère pour identifier la gravité de la déficience du",
      ".1 Déficience du comportement significatif, nécessitant une surveillance ou un traitement",
      "Utiliser, au besoin, un code supplémentaire pour noter les affections associées, par exemple un autisme, un autre trouble du",
      "développement, une épilepsie, un trouble des conduites ou un désavantage physique grave."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F70": {
    "code": "F70",
    "description": "Retard mental léger",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 334,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "bonnes relations sociales et de s’intégrer à la société."
    ],
    "comprend": [
      "arriération mentale légère"
    ],
    "exclusions": [],
    "clinical_text": [
      "Q.I. de 50 à 69 (chez les adultes, âge mental de 9 à moins de 12 ans).",
      "Aboutira vraisemblablement à des difficultés scolaires. Beaucoup d’adultes seront capables de travailler et de maintenir de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F71": {
    "code": "F71",
    "description": "Retard mental moyen",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 334,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "arriération mentale moyenne"
    ],
    "exclusions": [],
    "clinical_text": [
      "Q.I. de 35 à 49 (chez les adultes, âge mental de 6 à moins de 9 ans).",
      "Aboutira vraisemblablement à d’importants retards de développement dans l’enfance, mais beaucoup peuvent acquérir",
      "des aptitudes scolaires et un certain degré d’indépendance et les capacités suffisantes pour communiquer. Les adultes",
      "auront besoin d’un soutien de niveaux variés pour travailler et vivre dans la communauté."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F72": {
    "code": "F72",
    "description": "Retard mental grave",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 335,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Aboutira vraisemblablement à un besoin prolongé de soutien."
    ],
    "comprend": [
      "arriération mentale grave",
      "Le code F72.1 fait partie de la Liste 1 « déficiences mentales ou psychiatriques sévères » permettant l’identification des",
      "polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 6"
    ],
    "exclusions": [],
    "clinical_text": [
      "Q.I. de 20 à 35 (chez les adultes, âge mental de 3 à moins de 6 ans)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F73": {
    "code": "F73",
    "description": "Retard mental profond",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 335,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "communiquer et de se déplacer."
    ],
    "comprend": [
      "arriération mentale grave",
      "Les codes F73.- font partie de la Liste 1 « déficiences mentales ou psychiatriques sévères » permettant l’identification des",
      "polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 6"
    ],
    "exclusions": [],
    "clinical_text": [
      "Q.I. au-dessous de 20 (chez les adultes, âge mental en dessous de 3 ans).",
      "Aboutit à une limitation très marquée des capacités à prendre soin de soi-même, de contrôler ses besoins naturels, de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F78": {
    "code": "F78",
    "description": "Autres formes de retard mental",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 335,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F79": {
    "code": "F79",
    "description": "Retard mental, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 335,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[vo ir en début de groupe pour les subdivisions]",
      "Les troubles classés dans ce groupe ont en commun :",
      "central ;"
    ],
    "comprend": [
      "arriération mentale grave",
      "débilité mentale SAI"
    ],
    "exclusions": [],
    "clinical_text": [
      "a) un début obligatoirement dans la première ou la seconde enfance ;",
      "b) une altération ou un retard du développement de fonctions étroitement liées à la maturation biologique du système nerveux",
      "c) une évolution continue sans rémission ni rechute. Dans la plupart des cas, les fonctions atteintes concernent le langage, le repérage",
      "visuo-spatial et la coordination motrice. Habituellement, le retard ou le déficit était présent dès qu’il pouvait être mis en évidence",
      "avec certitude et il diminue progressivement avec l’âge (des déficits légers peuvent toutefois persister à l’âge adulte)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80": {
    "code": "F80",
    "description": "Troubles spécifiques du développement de la parole et du langage",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 336,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "troubles du comportement."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles dans lesquels les modalités normales d’acquisition du langage sont altérées dès les premiers stades du",
      "développement. Ces troubles ne sont pas directement attribuables à des anomalies neurologiques, des anomalies",
      "anatomiques de l’appareil phonatoire, des altérations sensorielles, un retard mental ou des facteurs de l’environnement. Les",
      "troubles spécifiques du développement de la parole et du langage s’accompagnent souvent de problèmes associés tels des",
      "difficultés de la lecture et de l’orthographe, une perturbation des relations interpersonnelles, des troubles émotionnels et des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80.0": {
    "code": "F80.0",
    "description": "Trouble spécifique de l’acquisition de l’articulation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 336,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mental, mais avec un niveau linguistique normal.",
      "Dyslalie",
      "Lallation",
      "Trouble : • du développement (de) : • l’articulation",
      "• phonologique",
      "• fonctionnel de l’articulation"
    ],
    "comprend": [],
    "exclusions": [
      "altération de l’articulation • aphasie SAI (R47.0)",
      "(associée à) (due à) : • apraxie (R48.2)",
      "• perte de l’audition (H90–H91)",
      "• retard mental (F70–F79)",
      "• trouble de l’acquisition du • de type expressif (F80.1)",
      "langage : • de type réceptif (F80.2)"
    ],
    "clinical_text": [
      "Trouble spécifique dans lequel l’utilisation par l’enfant des phonèmes est inférieure au niveau correspondant à son âge"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80.1": {
    "code": "F80.1",
    "description": "Trouble de l’acquisition du langage, de type expressif",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 336,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysphasie ou aphasie de développement, de type expressif"
    ],
    "comprend": [],
    "exclusions": [
      "aphasie acquise avec épilepsie (F80.3)",
      "aphasie de Landau–Kleffner (F80.3)",
      "dysphasie et aphasie : • SAI (R47.0)",
      "• de développement, de type réceptif (F80.2)",
      "mutisme électif (F94.0)",
      "retard mental (F70–F79)",
      "troubles envahissants du développement (F84.–)"
    ],
    "clinical_text": [
      "Trouble spécifique du développement dans lequel les capacités de l’enfant à utiliser le langage oral sont nettement",
      "inférieures au niveau correspondant à son âge mental, mais dans lequel la compréhension du langage se situe dans les",
      "limites de la normale. Le trouble peut s’accompagner ou non d’une perturbation de l’articulation."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80.2": {
    "code": "F80.2",
    "description": "Trouble de l’acquisition du langage, de type réceptif",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 337,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aphasie de développement, de type Wernicke",
      "Dysphasie ou aphasie de développement, de type réceptif",
      "Surdité verbale",
      "Trouble réceptif auditif congénital"
    ],
    "comprend": [],
    "exclusions": [
      "aphasie acquise avec épilepsie (F80.3)",
      "aphasie de Landau–Kleffner (F80.3)",
      "autisme (F84.0–F84.1)",
      "dysphasie et aphasie : • SAI (R47.0)",
      "• de développement, de type expressif (F80.1)",
      "mutisme électif (F94.0)",
      "retard (de) : • acquisition du langage secondaire à une perte de l’audition (H90–H91)",
      "• mental (F70–F79)"
    ],
    "clinical_text": [
      "Trouble spécifique du développement dans lequel les capacités de l’enfant à comprendre le langage sont inférieures au",
      "niveau correspondant à son âge mental. En fait, dans la plupart des cas, le versant expressif est, lui aussi, nettement altéré",
      "et il existe habituellement des perturbations de l’articulation."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80.3": {
    "code": "F80.3",
    "description": "Aphasie acquise avec épilepsie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 337,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aphasie de Landau–Kleffner"
    ],
    "comprend": [],
    "exclusions": [
      "aphasie (due à) : • autisme (F84.0–F84.1)",
      "• troubles désintégratifs de l’enfance (F84.2–F84.3)",
      "dysphasie et aphasie SAI (R47.1)"
    ],
    "clinical_text": [
      "Trouble dans lequel l’enfant, dont le langage s’est auparavant développé normalement, perd ses acquisitions de langage,",
      "à la fois sur le versant expressif et réceptif, tout en gardant une intelligence normale. La survenue du trouble s’accompagne",
      "d’anomalies paroxystiques à l’EEG et, dans la plupart des cas, de crises d’épilepsie. Le trouble apparaît habituellement entre",
      "trois et sept ans, avec perte du langage en quelques jours ou quelques semaines. La succession dans le temps, entre le",
      "début des crises épileptiques et la perte du langage, est assez variable, l’une des deux manifestations précédant l’autre (ou",
      "inversement) de quelques mois à deux ans. Ce trouble pourrait être dû à un processus encéphalitique inflammatoire. Dans",
      "environ deux tiers des cas, les sujets gardent un déficit plus ou moins important du langage (de type réceptif)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80.8": {
    "code": "F80.8",
    "description": "Autres troubles du développement de la parole et du langage",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 337,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Zézaiement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F80.9": {
    "code": "F80.9",
    "description": "Trouble du développement de la parole et du langage, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 337,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81": {
    "code": "F81",
    "description": "Troubles spécifiques du développement des acquisitions scolaires",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 337,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles dans lesquels les modalités habituelles d’apprentissage sont altérées dès les premières étapes du développement.",
      "L’altération n’est pas seulement la conséquence d’un manque d’occasions d’apprentissage ou d’un retard mental et elle",
      "n’est pas due à un traumatisme cérébral ou à une atteinte cérébrale acquise."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81.0": {
    "code": "F81.0",
    "description": "Trouble spécifique de la lecture",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 337,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "l’âge scolaire.",
      "Dyslexie de développement",
      "Retard spécifique de lecture"
    ],
    "comprend": [],
    "exclusions": [
      "alexie SAI (R48.0)",
      "difficultés de lecture secondaires à des troubles émotionnels (F93.–)",
      "dyslexie SAI (R48.0)"
    ],
    "clinical_text": [
      "La caractéristique essentielle est une altération spécifique et significative de l’acquisition de la lecture non imputable",
      "exclusivement à un âge mental bas, à des troubles de l’acuité visuelle ou à une scolarisation inadéquate.",
      "Les capacités de compréhension de la lecture, la reconnaissance des mots, la lecture orale et les performances dans les",
      "tâches nécessitant la lecture peuvent toutes être atteintes. Le trouble spécifique de la lecture s’accompagne fréquemment",
      "de difficultés en orthographe, persistant souvent à l’adolescence, même quand l’enfant a pu faire quelques progrès en",
      "lecture. Les enfants présentant un trouble spécifique de la lecture ont souvent des antécédents de troubles de la parole ou",
      "du langage. Le trouble s’accompagne souvent de troubles émotionnels et de perturbations du comportement pendant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81.1": {
    "code": "F81.1",
    "description": "Trouble spécifique de l’acquisition de l’orthographe",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 338,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mots sont toutes deux affectées."
    ],
    "comprend": [],
    "exclusions": [
      "agraphie SAI (R48.8)",
      "difficulté d’orthographe : • associées à un trouble de la lecture (F81.0)",
      "• dues à un enseignement inadéquat (Z55.8)"
    ],
    "clinical_text": [
      "La caractéristique essentielle est une altération spécifique et significative du développement des performances en",
      "orthographe, en l’absence d’antécédents d’un trouble spécifique de la lecture et non imputable à un âge mental bas, à des",
      "troubles de l’acuité visuelle ou à une scolarisation inadéquate. Les capacités à épeler oralement et à écrire correctement les",
      "Retard spécifique de l’orthographe (sans trouble de la lecture)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81.2": {
    "code": "F81.2",
    "description": "Trouble spécifique de l’acquisition de l’arithmétique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 338,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "scolarisation inadéquate.",
      "ou le calcul différentiel et intégral).",
      "Acalculie de développement",
      "Syndrome de Gerstmann",
      "Trouble de l’acquisition de l’arithmétique"
    ],
    "comprend": [],
    "exclusions": [
      "acalculie SAI (R48.8)",
      "difficultés en arithmétique : • associées à un trouble de la lecture ou de l’orthographe",
      "(F81.3)",
      "• dues à un enseignement inadéquat (Z55.8)"
    ],
    "clinical_text": [
      "Altération spécifique des performances en arithmétique non imputable exclusivement à un retard mental global ou à une",
      "L’altération concerne la maîtrise des éléments de base du calcul : addition, soustraction, multiplication et division (c’est-à-",
      "dire, n’est pas limitée aux capacités mathématiques plus abstraites impliquées dans l’algèbre, la trigonométrie, la géométrie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81.3": {
    "code": "F81.3",
    "description": "Trouble mixte des acquisitions scolaires",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 338,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles spécifiques de l’acquisition de : • arithmétique (F81.2)",
      "• lecture (F81.0)",
      "• orthographe (F81.1)"
    ],
    "clinical_text": [
      "Catégorie résiduelle mal définie de troubles dans lesquels il existe à la fois une altération significative du calcul et de la",
      "lecture ou de l’orthographe, non imputable exclusivement à un retard mental global ou une scolarisation inadéquate. Cette",
      "sous-catégorie doit être utilisée pour des troubles répondant à la fois aux critères de F81.2 et de F81.0 ou de F81.1."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81.8": {
    "code": "F81.8",
    "description": "Autres troubles du développement des acquisitions scolaires",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 338,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble de l’acquisition de l’expression écrite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F81.9": {
    "code": "F81.9",
    "description": "Trouble du développement des acquisitions scolaires, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 338,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Incapacité (de) : • apprentissage SAI",
      "• concernant l’acquisition des connaissances SAI",
      "Trouble de l’apprentissage SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F82": {
    "code": "F82",
    "description": "Trouble spécifique du développement moteur",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 338,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "coordination motrice fine et globale.",
      "Débilité motrice de l’enfant",
      "Dyspraxie de développement",
      "Trouble de l’acquisition de la coordination"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies de la démarche et de la motilité (R26.–)",
      "manque de coordination (R27)",
      "• secondaire à un retard mental (F70–F79)"
    ],
    "clinical_text": [
      "Altération sévère du développement de la coordination motrice non imputable exclusivement à un retard mental global ou à une",
      "affection neurologique spécifique congénitale ou acquise. Dans la plupart des cas, un examen clinique détaillé permet toutefois de",
      "mettre en évidence des signes traduisant une immaturité significative du développement neurologique, par exemple des mouvements",
      "choréiformes des membres, des syncinésies d’imitation et d’autres signes moteurs associés, ainsi que des perturbations de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F83": {
    "code": "F83",
    "description": "Troubles spécifiques mixtes du développement",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Catégorie résiduelle de troubles dans lesquels il existe à la fois des signes d’un trouble spécifique du développement, de la",
      "parole et du langage, des acquisitions scolaires et des fonctions motrices, mais sans qu’aucun élément ne prédomine",
      "suffisamment pour constituer le diagnostic principal. Cette catégorie, mixte, doit être réservée à des cas où il existe un",
      "chevauchement important de chacun de ces troubles spécifiques du développement. Ces troubles s’accompagnent",
      "habituellement, mais pas toujours, d’un certain degré d’altération des fonctions cognitives. Cette catégorie doit être utilisée",
      "pour des perturbations répondant aux critères d’au moins deux des catégories F80.–, F81.– et F82."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84": {
    "code": "F84",
    "description": "Troubles envahissants du développement",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Groupe de troubles caractérisés par des altérations qualitatives des interactions sociales réciproques et des modalités de",
      "communication, ainsi que par un répertoire d’intérêts et d’activités restreint, stéréotypé et répétitif. Ces anomalies",
      "qualitatives constituent une caractéristique envahissante du fonctionnement du sujet en toutes situations.",
      "Utiliser, au besoin, un code supplémentaire pour identifier toute affection médicale associée, de même que le retard mental."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.0": {
    "code": "F84.0",
    "description": "Autisme infantile",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble envahissant du développement caractérisé par :",
      "Autisme de la petite enfance",
      "Psychose",
      "Syndrome de Kanner",
      "Trouble autistique"
    ],
    "comprend": [],
    "exclusions": [
      "psychopathie autistique (F84.5)"
    ],
    "clinical_text": [
      "a) un développement anormal ou altéré, manifeste avant l’âge de trois ans,",
      "b) une perturbation caractéristique du fonctionnement dans chacun des trois domaines psychologiques suivants :",
      "interactions sociales réciproques, communication, comportement (au caractère restreint, stéréotypé et répétitif).",
      "Par ailleurs, le trouble s’accompagne souvent de nombreuses autres manifestations non spécifiques, par exemple des",
      "phobies, des perturbations du sommeil et de l’alimentation, des crises de colère et des gestes auto-agressifs."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.1": {
    "code": "F84.1",
    "description": "Autisme atypique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "type réceptif.",
      "Psychose infantile atypique",
      "Retard mental avec caractéristiques autistiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble envahissant du développement qui diffère de l’autisme infantile par l’âge de survenue ou parce qu’il ne répond",
      "pas à l’ensemble des trois groupes de critères diagnostiques d’un autisme infantile. Cette sous-catégorie doit être utilisée",
      "pour classer un développement anormal ou altéré, se manifestant après l’âge de trois ans et ne présentant pas des",
      "manifestations pathologiques suffisantes dans un ou deux des trois domaines psychopathologiques nécessaires pour le",
      "diagnostic d’autisme (interactions sociales réciproques, communication, comportement restreint, stéréotypé et répétitif) ; il",
      "existe toutefois des anomalies caractéristiques dans l’un ou l’autre de ces domaines. L’autisme atypique survient le plus",
      "souvent chez les enfants ayant un retard mental profond et un trouble spécifique sévère de l’acquisition du langage, de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.10": {
    "code": "F84.10",
    "description": "Autisme atypique en raison de l’âge de survenue",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.11": {
    "code": "F84.11",
    "description": "Autisme atypique en raison de la symptomatologie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.12": {
    "code": "F84.12",
    "description": "Autisme atypique en raison de l’âge de survenue et de la symptomatologie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.2": {
    "code": "F84.2",
    "description": "Syndrome de Rett",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 339,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble décrit jusqu’ici uniquement chez les filles, caractérisé par un développement apparemment normal, suivi d’une",
      "perte partielle ou complète du langage, de la marche et de l’usage des mains, associé à un ralentissement du",
      "développement crânien et survenant habituellement entre 7 et 24 mois. La perte des mouvements volontaires des mains,",
      "les mouvements stéréotypés de torsion des mains et une hyperventilation sont caractéristiques de ce trouble. Le",
      "développement social et le développement du jeu sont arrêtés, alors que l’intérêt social reste habituellement conservé. Une",
      "ataxie du tronc et une apraxie se manifestent à partir de l’âge de quatre ans, suivies souvent par des mouvements choréo-",
      "athétosiques. Le trouble entraîne presque toujours un retard mental sévère."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.3": {
    "code": "F84.3",
    "description": "Autre trouble désintégratif de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Démence infantile",
      "Psychose : • désintégrative",
      "• symbiotique",
      "Syndrome de Heller"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Rett (F84.2)"
    ],
    "clinical_text": [
      "Trouble envahissant du développement caractérisé par une période de développement tout à fait normale avant la",
      "survenue du trouble, cette période étant suivie d’une perte manifeste, en quelques mois, des performances antérieurement",
      "acquises dans plusieurs domaines du développement. Ces manifestations s’accompagnent typiquement d’une perte globale",
      "de l’intérêt vis-à-vis de l’environnement, de conduites motrices stéréotypées, répétitives et maniérées et d’une altération de",
      "type autistique de l’interaction sociale et de la communication. Dans certains cas, on peut démontrer que le trouble est dû",
      "à une encéphalopathie, mais le diagnostic doit reposer sur les anomalies du comportement.",
      "Utiliser, au besoin, un code supplémentaire pour identifier une éventuelle affection neurologique associée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.4": {
    "code": "F84.4",
    "description": "Hyperactivité associée à un retard mental et à des mouvements stéréotypés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble mal défini dont la validité nosologique reste incertaine. Cette Sous-catégorie concerne des enfants ayant un retard",
      "mental prononcé (Q.I. inférieur à 34) associé à une hyperactivité importante, une perturbation majeure de l’attention et des",
      "comportements stéréotypés. Les médicaments stimulants sont habituellement inefficaces (alors qu’ils peuvent être efficaces",
      "chez les enfants ayant un Q.I. normal) et peuvent provoquer une réaction dysphorique sévère (accompagnée parfois d’un",
      "ralentissement psychomoteur). A l’adolescence, l’hyperactivité fait souvent place à une hypoactivité (ce qui n’est",
      "habituellement pas le cas chez les enfants hyperkinétiques d’intelligence normale). Ce syndrome s’accompagne par ailleurs",
      "souvent de divers retards du développement, spécifiques ou globaux. On ne sait pas dans quelle mesure le syndrome",
      "comportemental est la conséquence du retard mental ou d’une lésion cérébrale organique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.5": {
    "code": "F84.5",
    "description": "Syndrome d’Asperger",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "adulte.",
      "Psychopathie autistique",
      "Trouble schizoïde de l’enfance"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble de validité nosologique incertaine, caractérisé par une altération qualitative des interactions sociales réciproques,",
      "semblable à celle observée dans l’autisme, associée à un répertoire d’intérêts et d’activités restreint, stéréotypé et répétitif.",
      "Il se différencie de l’autisme essentiellement par le fait qu’il ne s’accompagne pas d’un déficit ou trouble du langage, ou du",
      "développement cognitif. Les sujets présentant ce trouble sont habituellement très malhabiles. Les anomalies persistent",
      "souvent à l’adolescence et à l’âge adulte. Le trouble s’accompagne parfois d’épisodes psychotiques au début de l’âge"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.8": {
    "code": "F84.8",
    "description": "Autres troubles envahissants du développement",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F84.9": {
    "code": "F84.9",
    "description": "Trouble envahissant du développement, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F88": {
    "code": "F88",
    "description": "Autres troubles du développement psychologique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Agnosie du développement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F89": {
    "code": "F89",
    "description": "Trouble du développement psychologique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 340,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Trouble du développement SAI",
      "durant l’enfance et l’adolescence (F90–F98)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles du comportement et troubles émotionnels apparaissant habituellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F90": {
    "code": "F90",
    "description": "Troubles hyperkinétiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "réflexion plus que d’une opposition délibérée."
    ],
    "comprend": [],
    "exclusions": [
      "schizophrénie (F20.–)",
      "troubles (de) : • anxieux (F41.–)",
      "• envahissants du développement (F84.–)",
      "• humeur (F30–F39)"
    ],
    "clinical_text": [
      "Groupe de troubles caractérisés par un début précoce (habituellement au cours des cinq premières années de la vie), un",
      "manque de persévérance dans les activités qui exigent une participation cognitive et une tendance à passer d’une activité",
      "à l’autre sans en finir aucune, associés à une activité globale désorganisée, incoordonnée et excessive. Les troubles peuvent",
      "s’accompagner d’autres anomalies. Les enfants hyperkinétiques sont souvent imprudents et impulsifs, sujets aux accidents,",
      "et ont souvent des problèmes avec la discipline à cause d’un manque de respect des règles, résultat d’une absence de",
      "Leurs relations avec les adultes sont souvent marquées par une absence d’inhibition sociale, de réserve et de retenue. Ils",
      "sont mal acceptés par les autres enfants et peuvent devenir socialement isolés. Ces troubles s’accompagnent souvent d’une",
      "altération des fonctions cognitives et d’un retard spécifique du développement de la motricité et du langage. Ils peuvent",
      "entraîner un comportement dyssocial ou une perte de l’estime de soi."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F90.0": {
    "code": "F90.0",
    "description": "Perturbation de l’activité et de l’attention",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Altération de l’attention : • syndrome avec hyperactivité",
      "• trouble avec hyperactivité"
    ],
    "comprend": [],
    "exclusions": [
      "trouble hyperkinétique associé à un trouble des conduites (F90.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F90.1": {
    "code": "F90.1",
    "description": "Trouble hyperkinétique et trouble des conduites",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble hyperkinétique associé à un trouble des conduites"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F90.8": {
    "code": "F90.8",
    "description": "Autres troubles hyperkinétiques",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F90.9": {
    "code": "F90.9",
    "description": "Trouble hyperkinétique, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Réaction hyperkinétique de l’enfance ou de l’adolescence SAI",
      "Syndrome hyperkinétique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91": {
    "code": "F91",
    "description": "Troubles des conduites",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "éventualité, ce dernier diagnostic doit être codé.",
      "d’actes dyssociaux isolés ne l’est pas."
    ],
    "comprend": [],
    "exclusions": [
      "schizophrénie (F20.–)",
      "troubles (de) (des) : • conduites associés à des troubles :",
      "• émotionnels (F92.–)",
      "• hyperkinétiques (F90.1)",
      "• envahissants du développement (F84.–)",
      "• humeur (F30–F39)"
    ],
    "clinical_text": [
      "Troubles caractérisés par un ensemble de conduites dyssociales, agressives ou provocatrices, répétitives et persistantes,",
      "dans lesquelles sont bafouées les règles sociales correspondant à l’âge de l’enfant. Ces troubles dépassent ainsi largement",
      "le cadre des « mauvaises blagues » ou « mauvais tours » des enfants et les attitudes habituelles de rébellion de l’adolescent.",
      "Ils impliquent par ailleurs la notion d’un mode de fonctionnement persistant (pendant au moins six mois). Les",
      "caractéristiques d’un trouble des conduites peuvent être symptomatiques d’une autre affection psychiatrique ; dans cette",
      "Le diagnostic repose sur la présence de conduites du type suivant : manifestations excessives de bagarres et de tyrannie,",
      "cruauté envers des personnes ou des animaux, destruction de biens d’autrui, conduites incendiaires, vols, mensonges",
      "répétés, école buissonnière et fugues, crises de colère et désobéissance anormalement fréquentes et graves. La présence",
      "de manifestations nettes de l’un des groupes de conduites précédents est suffisante pour le diagnostic, alors que la survenue"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91.0": {
    "code": "F91.0",
    "description": "Trouble des conduites limité au milieu familial",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 341,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble des conduites caractérisé par la présence d’un comportement dyssocial ou agressif (non limité à un comportement",
      "oppositionnel, provocateur ou perturbateur), se manifestant exclusivement, ou presque exclusivement, à la maison et dans",
      "les relations avec les membres de la famille nucléaire ou les personnes habitant sous le même toit. Pour un diagnostic",
      "positif, le trouble doit répondre par ailleurs aux critères généraux cités sous F91.– ; la présence d’une perturbation, même",
      "sévère, des relations parents-enfants n’est pas suffisante en elle-même pour ce diagnostic."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91.1": {
    "code": "F91.1",
    "description": "Trouble des conduites, type mal socialisé",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble (des) : • agressif, type mal socialisé",
      "• conduites, type solitaire-agressif"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la présence d’un comportement dyssocial ou agressif persistant (répondant aux critères généraux",
      "cités en F91.– et non limité à un comportement oppositionnel, provocateur ou perturbateur), associé à une altération",
      "significative et globale des relations avec les autres enfants."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91.2": {
    "code": "F91.2",
    "description": "Trouble des conduites, type socialisé",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "habituellement bien intégrés dans leur groupe d’âge.",
      "Délinquance « de groupe »",
      "Délits commis en bande",
      "Ecole buissonnière",
      "Troubles des conduites, type « en groupe »",
      "Vols en groupe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la présence d’un comportement dyssocial ou agressif (répondant aux critères généraux cités en"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91.3": {
    "code": "F91.3",
    "description": "Trouble oppositionnel avec provocation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "provocateur, désobéissant ou perturbateur."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble des conduites se manifestant habituellement chez de jeunes enfants, caractérisé essentiellement par un",
      "comportement provocateur, désobéissant ou perturbateur et non accompagné de comportements délictueux ou de",
      "conduites agressives ou dyssociales graves. Pour qu’un diagnostic positif puisse être porté, le trouble doit répondre aux",
      "critères généraux cités en F91.– ; les « mauvaises blagues » ou « mauvais tours », et les perturbations même sévères",
      "observées chez des enfants ne justifient pas en eux-mêmes ce diagnostic. Cette sous-catégorie doit être utilisée avec",
      "prudence, en particulier chez les enfants plus âgés, étant donné que les troubles des conduites présentant une signification",
      "clinique s’accompagnent habituellement de comportements dyssociaux ou agressifs dépassant le cadre d’un comportement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91.8": {
    "code": "F91.8",
    "description": "Autres troubles des conduites",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F91.9": {
    "code": "F91.9",
    "description": "Trouble des conduites, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble (des) (du) : • comportement chez l’enfant SAI",
      "• conduites chez l’enfant SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F92": {
    "code": "F92",
    "description": "Troubles mixtes des conduites et troubles émotionnels",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Groupe de troubles caractérisés par la présence d’un comportement agressif, dyssocial ou provocateur, associé à des signes",
      "patents et marqués de dépression, d’anxiété ou d’autres troubles émotionnels. Pour un diagnostic positif, le trouble doit",
      "répondre à la fois aux critères d’un trouble des conduites de l’enfant (F91.–) et d’un troublé émotionnel de l’enfant (F93.–)",
      "ou d’un trouble névrotique de l’adulte (F40–F48) ou d’un trouble de l’humeur (F30–F39)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F92.0": {
    "code": "F92.0",
    "description": "Troubles des conduites avec dépression",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "perturbation du sommeil ou de l’appétit."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la présence d’un trouble des conduites (F91.–), associé à une humeur dépressive marquée et",
      "persistante (F32.–), se traduisant par des symptômes tels que tristesse (l’enfant se sent très malheureux), perte d’intérêt et",
      "de plaisir pour les activités usuelles, sentiment de culpabilité et perte d’espoir. Le trouble peut s’accompagner d’une",
      "Trouble des conduites en F91.– associé à un trouble dépressif en F32.–"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F92.8": {
    "code": "F92.8",
    "description": "Autres troubles mixtes des conduites et troubles émotionnels",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• névrotique en F40–F48"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Groupe de troubles caractérisés par la présence d’un trouble des conduites (F91.–), associé à des perturbations",
      "émotionnelles persistantes et marquées, par exemple une anxiété, des obsessions ou des compulsions, une",
      "dépersonnalisation ou une déréalisation, des phobies ou une hypochondrie.",
      "Trouble des conduites en F91.– associé à un trouble : • émotionnel en F93.–"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F92.9": {
    "code": "F92.9",
    "description": "Trouble mixte des conduites et troubles émotionnels, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 342,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93": {
    "code": "F93",
    "description": "Troubles émotionnels apparaissant spécifiquement dans l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles émotionnels associés à un trouble des conduites (F92.–)"
    ],
    "clinical_text": [
      "Exacerbation de tendances normales du développement plus que des phénomènes qualitativement anormaux en eux-",
      "mêmes. C’est essentiellement sur le caractère approprié au développement que repose la différenciation entre troubles",
      "émotionnels apparaissant spécifiquement dans l’enfance et troubles névrotiques (F40–F48)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.0": {
    "code": "F93.0",
    "description": "Angoisse de séparation de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "fonctionnement social."
    ],
    "comprend": [],
    "exclusions": [
      "anxiété sociale de l’enfance (F93.2)",
      "trouble(s) (de) : • anxieux phobique de l’enfance (F93.1)",
      "• humeurs (F30–F39)",
      "• affectifs (F30–F39)",
      "• névrotiques (F40–F48)"
    ],
    "clinical_text": [
      "Trouble dans lequel l’anxiété est focalisée sur une crainte concernant la séparation, survenant pour la première fois au cours",
      "des premières années de l’enfance. Il se distingue de l’angoisse de séparation normale par son intensité, à l’évidence",
      "excessive, ou par sa persistance au-delà de la petite enfance, et par son association à une perturbation significative du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.1": {
    "code": "F93.1",
    "description": "Trouble anxieux phobique de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anxiété généralisée (F41.1)"
    ],
    "clinical_text": [
      "Trouble caractérisé par la présence de craintes de l’enfance, hautement spécifiques d’une phase de développement, et",
      "survenant (à un certain degré) chez la plupart des enfants, mais dont l’intensité est anormale. Les autres craintes qui",
      "surviennent dans l’enfance mais qui ne font pas partie du développement psychosocial normal (par exemple une",
      "agoraphobie) doivent être classées dans la sous-catégorie appropriée de la section F40– F48."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.2": {
    "code": "F93.2",
    "description": "Anxiété sociale de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "social.",
      "Évitement de l’enfance et de l’adolescence"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par une attitude de réserve vis-à-vis des étrangers et par une crainte ou une peur concernant les",
      "situations nouvelles, inhabituelles ou inquiétantes. Cette catégorie ne doit être utilisée que lorsque de telles craintes",
      "apparaissent dans la petite enfance, sont à l’évidence excessives et s’accompagnent d’une perturbation du fonctionnement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.3": {
    "code": "F93.3",
    "description": "Rivalité dans la fratrie",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "fonctionnement social.",
      "Jalousie dans la fratrie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La plupart des jeunes enfants sont perturbés par la naissance d’un frère ou d’une sœur. On ne doit faire le diagnostic de",
      "rivalité dans la fratrie que lorsque la réaction est à l’évidence excessive et s’accompagne d’une perturbation du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.8": {
    "code": "F93.8",
    "description": "Autres troubles émotionnels de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyper-anxiété",
      "Trouble de l’identité"
    ],
    "comprend": [],
    "exclusions": [
      "trouble de l’identité sexuelle de l’enfance (F64.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.80": {
    "code": "F93.80",
    "description": "Anxiété généralisée de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F93.9": {
    "code": "F93.9",
    "description": "Trouble émotionnel de l’enfance, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 343,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "durant l’enfance et l’adolescence",
      "un rôle étiologique primordial."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles du fonctionnement social apparaissant spécifiquement",
      "Groupe relativement hétérogène de troubles caractérisés par la présence d’une perturbation du fonctionnement social,",
      "survenant durant l’enfance, mais qui ne présentent pas les caractéristiques d’une difficulté ou d’une altération sociale,",
      "apparemment constitutionnelle, envahissant tous les domaines du fonctionnement (à l’encontre de troubles envahissants",
      "du développement). Dans de nombreux cas, des perturbations ou des carences de l’environnement jouent probablement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F94.0": {
    "code": "F94.0",
    "description": "Mutisme électif",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 344,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Mutisme sélectif"
    ],
    "comprend": [],
    "exclusions": [
      "mutisme transitoire accompagnant une angoisse de séparation chez de jeunes enfants",
      "(F93.0)",
      "schizophrénie (F20.–)",
      "troubles : • envahissants du développement (F84.–)",
      "• spécifiques du développement de la parole et du langage (F80.–)"
    ],
    "clinical_text": [
      "Trouble caractérisé par un refus, lié à des facteurs émotionnels, de parler dans certaines situations déterminées. L’enfant",
      "est capable de parler dans certaines situations, mais refuse de parler dans d’autres situations (déterminées). Le trouble",
      "s’accompagne habituellement d’une accentuation nette de certains traits de personnalité, par exemple d’une anxiété sociale,",
      "d’un retrait social, d’une hypersensibilité ou d’une opposition."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F94.1": {
    "code": "F94.1",
    "description": "Trouble réactionnel de l’attachement de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 344,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "des parents.",
      "associé."
    ],
    "comprend": [],
    "exclusions": [
      "sévices sexuels ou physiques infligés à un enfant, entraînant des problèmes psychosociaux",
      "(Z61.4–Z61.6)",
      "syndrome d’Asperger (F84.5)",
      "syndromes dus à de mauvais traitements (T74.–)",
      "trouble de l’attachement de l’enfance avec désinhibition (F94.2)",
      "variation normale du mode d’attachement sélectif"
    ],
    "clinical_text": [
      "Trouble apparaissant au cours des cinq premières années de la vie, caractérisé par la présence d’anomalies",
      "persistantes du mode de relations sociales de l’enfant, associées à des perturbations émotionnelles et se",
      "manifestant à l’occasion de changements dans l’environnement (par exemple par une inquiétude et une",
      "hypervigilance, une réduction des interactions sociales avec les autres enfants, une auto-agressivité ou une",
      "hétéro-agressivité, une tristesse et, dans certains cas, un retard de croissance). La survenue du syndrome est",
      "probablement liée directement à une carence évidente, à des abus ou à des mauvais traitements de la part",
      "Utiliser, au besoin, un code supplémentaire pour identifier un retard de développement ou de croissance"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F94.2": {
    "code": "F94.2",
    "description": "Trouble de l’attachement de l’enfance avec désinhibition",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 344,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "l’environnement.",
      "Psychopathie de privation affective",
      "Syndrome institutionnel"
    ],
    "comprend": [],
    "exclusions": [
      "hospitalisme chez l’enfant (F43.2)",
      "syndrome d’Asperger (F84.5)",
      "trouble(s) : • hyperkinétiques (F90.–)",
      "• réactionnel de l’attachement de l’enfance (F94.1)"
    ],
    "clinical_text": [
      "Trouble caractérisé par un mode particulier de fonctionnement social anormal, apparaissant durant les cinq",
      "premières années de la vie, persistant habituellement en dépit de modifications importantes de",
      "Exemples : conduites d’attachement généralisé et non sélectif, demandes d’affection et sociabilité non",
      "discriminatives, interactions peu différenciées avec les autres enfants ; des perturbations émotionnelles et",
      "d’autres troubles du comportement peuvent enfin être associés, variables selon les circonstances."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F94.8": {
    "code": "F94.8",
    "description": "Autres troubles du fonctionnement social de l’enfance",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 344,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F94.9": {
    "code": "F94.9",
    "description": "Trouble du fonctionnement social de l’enfance, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 344,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F95": {
    "code": "F95",
    "description": "Tics",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "(palilalie)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndromes caractérisés par la présence, au premier plan, d’un tic. Un tic est un mouvement moteur ou une vocalisation",
      "involontaire, rapide, récurrent et non rythmique (impliquant habituellement des groupes musculaires déterminés),",
      "survenant brusquement et sans but apparent. Les tics sont habituellement ressentis comme étant irrépressibles, mais",
      "peuvent en général être supprimés durant une période de temps variable. Ils sont souvent exacerbés par le stress et",
      "disparaissent durant le sommeil. Les tics moteurs simples banals comportent le clignement des yeux, les mouvements",
      "brusques du cou, les haussements d’épaules et les grimaces. Les tics vocaux simples banals comportent le raclement de",
      "gorge, l’« aboiement », le reniflement et le sifflement. Les tics moteurs complexes banals concernent le fait de se frapper,",
      "de sauter et de sautiller. Les tics vocaux complexes banals complexes comprennent la répétition de mots particuliers avec",
      "parfois emploi de mots socialement réprouvés, souvent obscènes (coprolalie) et la répétition de ses propres sons ou mots"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F95.0": {
    "code": "F95.0",
    "description": "Tic transitoire",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tic répondant aux critères généraux d’un tic, mais ne persistant pas plus de douze mois. Il s’agit habituellement d’un",
      "clignement des yeux, de mimiques faciales ou de mouvements brusques de la tête."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F95.1": {
    "code": "F95.1",
    "description": "Tic moteur ou vocal chronique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tic répondant aux critères généraux d’un tic, caractérisé par la présence soit de tics moteurs soit de tics vocaux, mais pas",
      "des deux à la fois. Il peut s’agir d’un tic isolé ou, plus fréquemment, de tics multiples, persistant pendant plus d’un an."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F95.2": {
    "code": "F95.2",
    "description": "Forme associant tics vocaux et tics moteurs",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Gilles de la Tourette"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé à un moment quelconque au cours de la maladie, mais pas nécessairement de façon simultanée, par",
      "des tics moteurs multiples et par un ou plusieurs tics vocaux. Le trouble s’aggrave habituellement pendant l’adolescence et",
      "persiste souvent à l’âge adulte. Les tics vocaux sont souvent multiples, avec des vocalisations, des raclements de gorge, des",
      "grognements explosifs et répétés, et parfois une émission de mots ou de phrases obscènes associés, dans certains cas, à",
      "une échopraxie gestuelle pouvant également être obscène (copropraxie)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F95.8": {
    "code": "F95.8",
    "description": "Autre tic",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F95.9": {
    "code": "F95.9",
    "description": "Tic, sans précision",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Autres troubles du comportement et troubles émotionnels",
      "inclus dans d’autres syndromes."
    ],
    "comprend": [],
    "exclusions": [
      "spasme du sanglot (R06.8)",
      "syndrome de Kleine–Levin (G47.8)",
      "trouble(s) (de) : • identité sexuelle de l’enfance (F64.2)",
      "• obsessionnel-compulsif (F42.–)",
      "• sommeil dus à des causes émotionnelles (F51.–)"
    ],
    "clinical_text": [
      "apparaissant habituellement durant l’enfance et l’adolescence",
      "Groupe hétérogène de troubles qui ont en commun la caractéristique d’un début dans l’enfance, mais qui diffèrent par",
      "ailleurs sur de nombreux points. Certains constituent des syndromes nettement définis, alors que d’autres ne sont que de",
      "simples associations de symptômes ; ces derniers doivent toutefois être répertoriés, d’une part en raison de leur fréquence",
      "et de leur association avec une altération du fonctionnement psychosocial, d’autre part parce qu’ils ne peuvent pas être"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.0": {
    "code": "F98.0",
    "description": "Enurésie non organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Énurésie : • fonctionnelle",
      "• (primaire) (secondaire) d’origine non organique",
      "• psychogène",
      "Incontinence urinaire d’origine non organique"
    ],
    "comprend": [],
    "exclusions": [
      "énurésie SAI (R32)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une miction involontaire, diurne et nocturne, anormale compte tenu de l’âge mental de l’enfant et",
      "qui n’est pas lié à un trouble du contrôle vésical d’origine neurologique, à des crises épileptiques ou à une anomalie",
      "organique de l’arbre urinaire. L’énurésie peut exister de façon continue depuis l’enfance ou être précédée d’une période",
      "de contrôle de la fonction vésicale. Elle peut s’accompagner d’un trouble plus global des émotions ou du comportement."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.00": {
    "code": "F98.00",
    "description": "Enurésie non organique uniquement nocturne",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.01": {
    "code": "F98.01",
    "description": "Enurésie non organique uniquement diurne",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 345,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.02": {
    "code": "F98.02",
    "description": "Enurésie non organique nocturne et diurne",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.1": {
    "code": "F98.1",
    "description": "Encoprésie non organique",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Encoprésie : • fonctionnelle",
      "• psychogène",
      "Incontinence fécale d’origine non organique"
    ],
    "comprend": [],
    "exclusions": [
      "encoprésie SAI (R15)"
    ],
    "clinical_text": [
      "Trouble caractérisé par une émission fécale répétée, involontaire ou volontaire, habituellement de consistance normale ou",
      "quasi-normale, dans des lieux inappropriés à cet usage, compte tenu du contexte socioculturel du sujet. Il peut s’agir de la",
      "persistance anormale de l’incontinence infantile physiologique eu de la perte du contrôle sphinctérien survenant après une",
      "période continence fécale, ou encore d’une émission fécale délibérée dans des lieux non appropriés en dépit d’un contrôle",
      "sphinctérien normal. L’encoprésie peut constituer un trouble isolé, monosymptomatique, ou faire partie d’un autre trouble,",
      "en particulier un trouble émotionnel (F93.–) ou un trouble des conduites (F91.–).",
      "Utiliser, au besoin, un code supplémentaire pour identifier la cause d’une constipation associée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.10": {
    "code": "F98.10",
    "description": "Encoprésie non organique par échec de l’acquisition de la maîtrise sphinctérienne",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encoprésie non organique avec contrôle sphinctérien adéquat et émission de selles normales"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.12": {
    "code": "F98.12",
    "description": "Encoprésie non organique avec souillure associée à des selles trop liquides",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Encoprésie par débordement secondaire à une rétention fécale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.2": {
    "code": "F98.2",
    "description": "Trouble de l’alimentation du nourrisson et de l’enfant",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mérycisme de l’enfance"
    ],
    "comprend": [],
    "exclusions": [
      "anorexie mentale et autres troubles de l’alimentation (F50.–)",
      "difficultés nutritionnelles et nutrition inadaptée (R63.3)",
      "pica du nourrisson et de l’enfant (F98.3)",
      "problèmes alimentaires du nouveau-né (P92.–)"
    ],
    "clinical_text": [
      "Trouble de l’alimentation caractérisé par des manifestations variées, habituellement spécifiques de la première et de la",
      "deuxième enfance. Il implique en général un refus alimentaire et des caprices alimentaires excessifs alors que la nourriture",
      "est appropriée, que l’entourage est adéquat et qu’il n’y a pas de maladie organique. Le trouble peut s’accompagner d’une",
      "rumination (d’une régurgitation répétée de nourriture non accompagnée de nausées ou d’une maladie gastro-intestinale)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.3": {
    "code": "F98.3",
    "description": "Pica du nourrisson et de l’enfant",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "constituer le diagnostic principal (F70–F79)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Trouble caractérisé par la consommation persistante de substances non nutritives (par exemple, de la terre, des bouts de",
      "peinture, etc.). Il peut faire partie d’un trouble psychiatrique plus global (tel un autisme) ou constituer un comportement",
      "psychopathologique relativement isolé. C’est seulement dans ce dernier cas que l’on fait le diagnostic de pica. Ce",
      "comportement s’observe surtout chez des enfants présentant un retard mental ; dans ce dernier cas, le retard mental doit"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.4": {
    "code": "F98.4",
    "description": "Mouvements stéréotypés",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 346,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "trouble, seul ce dernier doit être noté.",
      "l’aide du code somatique approprié.",
      "Stéréotypies / comportements répétitifs"
    ],
    "comprend": [],
    "exclusions": [
      "mouvements involontaires anormaux (R25.–)",
      "se mettre les doigts dans le nez (F98.8)",
      "onychophagie (F98.8)",
      "stéréotypies faisant partie d’un trouble psychiatrique identifié (F00–F95)",
      "succion du pouce (F98.8)",
      "tics (F95.–)",
      "trichotillomanie (F63.3)",
      "troubles de la motricité d’origine organique (G20–G25)"
    ],
    "clinical_text": [
      "Trouble caractérisé par des mouvements intentionnels, répétitifs, stéréotypés, dépourvus de finalité (et souvent rythmés),",
      "non lié à un trouble psychiatrique ou neurologique identifié. Lorsque ces mouvements surviennent dans le cadre d’un autre",
      "Ces mouvements peuvent ne pas avoir de composante auto-mutilatrice ; ils comprennent : un balancement du corps, un",
      "balancement de la tête, le fait de s’arracher les cheveux, de se tordre les cheveux, de claquer des doigts et de battre des",
      "mains. Les comportements stéréotypés auto-mutilateurs comprennent : le fait de se cogner la tête, de se gifler, de se mettre",
      "le doigt dans l’œil, de se mordre les mains, les lèvres ou d’autres parties du corps.",
      "L’ensemble de ces mouvements stéréotypés surviennent le plus souvent chez des enfants présentant un retard mental",
      "(dans ce cas, les deux diagnostics doivent être notés). Quand le fait de s’enfoncer le doigt dans l’œil survient chez un enfant",
      "présentant un déficit visuel, les deux diagnostics doivent être notés : le premier dans cette sous-catégorie et le deuxième à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.40": {
    "code": "F98.40",
    "description": "Mouvements stéréotypés sans auto-mutilation",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 347,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.41": {
    "code": "F98.41",
    "description": "Mouvements stéréotypés avec auto-mutilations",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 347,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.42": {
    "code": "F98.42",
    "description": "Mouvements stéréotypés mixtes",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 347,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.5": {
    "code": "F98.5",
    "description": "Bégaiement",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 347,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "perturbation gêne de façon marquée la fluence verbale."
    ],
    "comprend": [],
    "exclusions": [
      "bredouillement (F98.6)",
      "tics (F95.–)"
    ],
    "clinical_text": [
      "Le bégaiement est caractérisé par des répétitions ou des prolongations fréquentes de sons, de syllabes ou de mots, ou par",
      "des hésitations ou des pauses fréquentes perturbant la fluence verbale. On ne parlera de trouble que si l’intensité de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "F98.6": {
    "code": "F98.6",
    "description": "Bredouillement",
    "dagger_star": "",
    "chapter": "Troubles mentaux et du comportement",
    "page": 347,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Langage précipité"
    ],
    "comprend": [],
    "exclusions": [
      "bégaiement (F98.5)",
      "tics (F95.–)"
    ],
    "clinical_text": [
      "Le langage précipité est caractérisé par un débit verbal anormalement rapide et un rythme irrégulier, mais sans répétition",
      "ou hésitation, suffisamment intense pour entraver l’intelligibilité. Le langage est irrégulier et mal rythmé, consistant en des",
      "émissions verbales rapides et saccadées avec, habituellement, des formes syntaxiques erronées.",
      "Autres troubles précisés du comportement et troubles émotionnels apparaissant habituellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G01": {
    "code": "G01",
    "description": "* Méningite au cours d’affections bactériennes classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": true,
    "severity": 4,
    "synonyms": [
      "Mé ningite (au cours de) : • charbonneuse (A22.8 †)",
      "• fièvre typhoïde (A01.0 †)",
      "• gonococcique (A54.8 †)",
      "• infection à Salmonella (A02.2 †)",
      "• leptospirose (A27.- †)",
      "• listérienne (A32.1 †)",
      "• maladie de Lyme (A69.2 †)",
      "• méningococcique (A39.0 †)",
      "• neurosyphilis (A52.1 †)",
      "• syphilitique : • congénitale (A50.4 †)",
      "• secondaire (A51.4 †)",
      "• tuberculeuse (A17.0 †)"
    ],
    "comprend": [],
    "exclusions": [
      "méningo-encéphalite et méningomyélite au cours d’affections bactériennes classées ailleurs (G05.0 *)"
    ],
    "clinical_text": [
      "Méningite au cours d’autres maladies infectieuses et parasitaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G02": {
    "code": "G02",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "méningo-encéphalite et méningomyélite au cours d’autres maladies infectieuses et parasitaires",
      "classées ailleurs (G05.1-G05.2 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G05": {
    "code": "G05",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend méningo-encéphalite et méningomyélite au cours d’affections classées ailleurs"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G07": {
    "code": "G07",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "4 d’affections classées ailleurs",
      "Abcès du cerveau : • amibien (A06.6 †)",
      "• gonococcique (A54.8 †)",
      "• tuberculeux (A17.8 †)",
      "Granulome schistosomien du cerveau (B65.- †)",
      "Tuberculome : • cérébral (A17.8 †)",
      "• méningé (A17.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G13": {
    "code": "G13",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "système nerveux central au cours d’affections classées ailleurs"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G22": {
    "code": "G22",
    "description": "* Syndrome parkinsonien au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": true,
    "severity": 9,
    "synonyms": [
      "Parkinsonisme syphilitique (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G22 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G26": {
    "code": "G26",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": true,
    "severity": 9,
    "synonyms": [
      "2 d’affections classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G26 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G32": {
    "code": "G32",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": true,
    "severity": 9,
    "synonyms": [
      "d’affections classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes G32.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-",
      "Dégénérescence combinée subaiguë de la moelle épinière au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46": {
    "code": "G46",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cérébrovasculaires (I60-I67 †)",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 79"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les syndromes des artères cérébrales (G46) : la CIM–10 réserve les codes G46.0 à G46.2 Syndromes de l’artère cérébrale",
      "moyenne, antérieure, postérieure, à l’enregistrement de syndromes neurologiques résultant d’une insuffisance circulatoire",
      "sans infarctus (voir le titre de la catégorie dague correspondante I66). Ainsi, G46.0, G46.1 et G46.2 ne peuvent pas être",
      "associés à un code d’infarctus cérébral, alors que cette association est possible pour les codes G46.3 à G46.8.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.54 : la catégorie G46 comprend les manifestations des accidents vasculaires cérébraux [AVC] constitués (installés)."
    ]
  },
  "G53": {
    "code": "G53",
    "description": "* Affections des nerfs crâniens au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G55": {
    "code": "G55",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G59": {
    "code": "G59",
    "description": "Mononévrite au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63": {
    "code": "G63",
    "description": "* Polynévrite au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73": {
    "code": "G73",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G94": {
    "code": "G94",
    "description": "Autres affections du cerveau au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G99": {
    "code": "G99",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Neuropathie du système nerveux autonome au cours de maladies endocriniennes et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00": {
    "code": "G00",
    "description": "Méningite bactérienne, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend arachnoïdite bactérienne",
      "leptoméningite bactérienne",
      "méningite bactérienne",
      "pachyméningite bactérienne"
    ],
    "comprend": [],
    "exclusions": [
      "méningo-encéphalite bactérienne (G04.2)",
      "méningomyélite bactérienne (G04.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00.0": {
    "code": "G00.0",
    "description": "Méningite à Haemophilus",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Méningite à Haemophilus influenzae"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00.1": {
    "code": "G00.1",
    "description": "Méningite à pneumocoques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00.2": {
    "code": "G00.2",
    "description": "Méningite à streptocoques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00.3": {
    "code": "G00.3",
    "description": "Méningite à staphylocoques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00.8": {
    "code": "G00.8",
    "description": "Autres méningites bactériennes",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Méningite à : • bacille de Friedlander",
      "• Escherichia coli",
      "• Klebsiella"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G00.9": {
    "code": "G00.9",
    "description": "Méningite bactérienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 350,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Méningite : • purulente SAI",
      "• pyogène SAI",
      "• suppurée SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G02.0": {
    "code": "G02.0",
    "description": "Méningite au cours d’infections virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningite (au cours de) • adénovirus (A87.1 †)",
      "(consécutive à) (due à) : • entérovirus (A87.0 †)",
      "• mononucléose infectieuse (B27.- †)",
      "• rougeole (B05.1 †)",
      "• rubéole (B06.0 †)",
      "• varicelle (B01.1 †)",
      "• virus (de) : • herpès simplex (B00.3 †)",
      "• ourlien (B26.1 †)",
      "• zona (B02.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G02.1": {
    "code": "G02.1",
    "description": "Méningite au cours de mycoses classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Méningite à : • Candida (B37.5 †)",
      "• coccidioïdomycose (B38.4 †)",
      "• cryptocoques (B45.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G02.8": {
    "code": "G02.8",
    "description": "Méningite au cours d’autres maladies infectieuses et parasitaires précisées classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Méningite due à : • maladie de Chagas (chronique) (B57.4 †)",
      "• trypanosomiase africaine (B56.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G03": {
    "code": "G03",
    "description": "Méningite due à des causes autres et non précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "leptoméningite due à des causes autres et non précisées",
      "méningite due à des causes autres et non précisées",
      "pachyméningite due à des causes autres et non précisées"
    ],
    "comprend": [],
    "exclusions": [
      "méningo-encéphalite (G04.-)",
      "méningomyélite (G04.-)"
    ],
    "clinical_text": [
      "C omprend arachnoïdite due à des causes autres et non précisées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G03.0": {
    "code": "G03.0",
    "description": "Méningite à liquide clair",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningite non suppurée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G03.1": {
    "code": "G03.1",
    "description": "Méningite chronique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G03.2": {
    "code": "G03.2",
    "description": "Méningite récurrente bénigne",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Méningite de Mollaret"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G03.8": {
    "code": "G03.8",
    "description": "Méningite due à d’autres causes précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G03.9": {
    "code": "G03.9",
    "description": "Méningite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 351,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arachnoïdite (spinale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G04": {
    "code": "G04",
    "description": "Encéphalite, myélite et encéphalomyélite",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend méningo-encéphalite",
      "méningomyélite",
      "myélite ascendante aiguë"
    ],
    "comprend": [],
    "exclusions": [
      "encéphalomyélite myalgique (G93.3)",
      "encéphalopathie : • SAI (G93.4)",
      "• alcoolique (G31.2)",
      "• toxique (G92)",
      "myélite : • nécrosante subaiguë (G37.4)",
      "• transverse aiguë (G37.3)",
      "sclérose en plaques (G35)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G04.0": {
    "code": "G04.0",
    "description": "Encéphalite aiguë disséminée",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalomyélopathie post-vaccinale",
      "Encéphalopathie post-vaccinale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le vaccin."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G04.1": {
    "code": "G04.1",
    "description": "Myélopathies associées au virus HTLV-1",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paraplégie spastique tropicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G04.2": {
    "code": "G04.2",
    "description": "Méningo-encéphalite et méningomyélite bactériennes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G04.8": {
    "code": "G04.8",
    "description": "Autres encéphalites, myélites et encéphalomyélites",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalite et encéphalomyélite post-infectieuses SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G04.9": {
    "code": "G04.9",
    "description": "Encéphalite, myélite et encéphalomyélite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ventriculite (cérébrale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encéphalite, myélite et encéphalomyélite au cours d’affections classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G05.0": {
    "code": "G05.0",
    "description": "Encéphalite, myélite et encéphalomyélite au cours d’infections bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalite, myélite ou • listérienne (A32.1 †)",
      "encéphalomyélite : • méningococcique (A39.8 †)",
      "• syphilitique : • congénitale (A50.4 †)",
      "• tardive (A52.1 †)",
      "• tuberculeuse (A17.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G05.1": {
    "code": "G05.1",
    "description": "Encéphalite, myélite et encéphalomyélite au cours d’infections virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 352,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalite, myélite ou • adénovirus (A85.1 †)",
      "encéphalomyélite (au cours de) • cytomégalovirus (B25.8 †)",
      "(consécutive à) (due à) : • entérovirus (A85.0 †)",
      "• grippe à : • virus grippal saisonnier identifié (J10.8 †)",
      "• virus grippal zoonotique ou pandémique",
      "identifié (J09 †)",
      "• virus non identifié (J11.8 †)",
      "• rougeole (B05.0 †)",
      "• rubéole (B06.0 †)",
      "• varicelle (B01.0 †)",
      "• virus de : • herpès simplex (B00.4 †)",
      "• ourlien (B26.2 †)",
      "• zona (B02.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encéphalite, myélite et encéphalomyélite au cours d’autres maladies infectieuses et parasitaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G05.8": {
    "code": "G05.8",
    "description": "Encéphalite, myélite et encéphalomyélite au cours d’autres affections classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encéphalite au cours d’un lupus érythémateux disséminé (M32.1 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G06": {
    "code": "G06",
    "description": "Abcès et granulome intra-crâniens et intra-rachidiens",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G06.0": {
    "code": "G06.0",
    "description": "Abcès et granulome intra-crâniens",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Abcès (embolique) (du) : • cérébelleux",
      "• cérébral",
      "• cerveau (toute région)",
      "• otogène",
      "Abcès ou granulome intra-crânien : • épidural",
      "• extra-dural",
      "• sous-dural"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G06.1": {
    "code": "G06.1",
    "description": "Abcès et granulome intra-rachidiens",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Abcès (embolique) de la moelle épinière (toute localisation)",
      "Abcès ou granulome intra-rachidien : • épidural",
      "• extra-dural",
      "• sous-dural",
      "épidurite infectieuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G06.2": {
    "code": "G06.2",
    "description": "Abcès extra-dural et sous-dural, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Abcès et granulome intra-crâniens et intra-rachidiens au cours"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G08": {
    "code": "G08",
    "description": "Phlébite et thrombophlébite intra-crâniennes et intra-rachidiennes",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 353,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "• grossesse, accouchement et puerpéralité (O22.5, O87.3)",
      "• d’origine non pyogène (I67.6)"
    ],
    "comprend": [],
    "exclusions": [
      "phlébite et thrombophlébite intra-crâniennes :",
      "• compliquant : • avortement, grossesse extra-utérine ou molaire (O00-"
    ],
    "clinical_text": [
      "Embolie septique des sinus veineux et veines intra-crâniens ou intra-rachidiens",
      "Endophlébite septique des sinus veineux et veines intra-crâniens ou intra-rachidiens",
      "Phlébite septique des sinus veineux et veines intra-crâniens ou intra-rachidiens",
      "Thrombophlébite septique des sinus veineux et veines intra-crâniens ou intra-rachidiens",
      "Thrombose septique des sinus veineux et veines intra-crâniens ou intra-rachidiens",
      "phlébite et thrombophlébite intra-rachidiennes, d’origine non pyogène (G95.1)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G09": {
    "code": "G09",
    "description": "Séquelles d’affections inflammatoires du système nerveux central",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 354,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "évolutives.",
      "SÉQUELLES DE MALADIES ET DE LÉSIONS TRAUMATIQUES",
      "phase active » (volume 2 page 28 ou 33).",
      "on en donnera l’origine [...] ».",
      "cause au décès.",
      "Exemples :",
      "associe la séquelle de tuberculose : N97.1, B90.1 ;",
      "associe la séquelle de poliomyélite : G83.1, B91 ;",
      "cérébral : G40.–, I69.3.",
      "Exemple :"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note La catégorie G09 doit être utilisée pour définir des affections classées à l’origine en G00-G08 (c’est-à-dire à",
      "l’exclusion de celles marquées d’un astérisque *) comme causes de séquelles, ces dernières pouvant être",
      "classées ailleurs. Le terme « séquelles » comprend des états précisés comme tels ou comme effets tardifs, ou",
      "présents une année ou plus après le début de l’affection causale. Pour l’utilisation de cette catégorie, se référer",
      "aux règles et instructions du Volume 2 concernant la morbidité et la mortalité.",
      "Cette catégorie ne doit pas être utilisée pour signaler les maladies inflammatoires chroniques du système",
      "nerveux central. Coder ces affections comme des maladies inflammatoires du système nerveux central",
      "La CIM–10 définit les séquelles comme des « états pathologiques stables, conséquences d’affections qui ne sont plus en",
      "Elle précise (ibid. page 101 ou 132) : « Si un épisode de soins se rapporte au traitement ou aux examens entrepris pour une",
      "affection résiduelle (séquelle) d’une maladie qui n’existe plus, on décrira la nature de la séquelle de manière exhaustive et",
      "Page 106 ou 138 : « La CIM–10 fournit un certain nombre de catégories intitulées « Séquelles de... » (B90-B94, E64.–, E68,",
      "et de la puerpéralité, du fait de la mise à jour de 2003 (se reporter au site Internet de l’ATIH). Celles-ci peuvent être utilisées",
      "pour coder les conséquences des affections qui ne sont pas elles-mêmes présentes lors de l’épisode de soins, comme",
      "causes du problème justifiant les soins ou les examens. Le code retenu pour « affection principale » doit être celui qui",
      "désigne la nature des séquelles elles-mêmes, auquel on peut ajouter le code « Séquelles de… ».",
      "Un délai « d’un an ou plus après le début de la maladie » est cité dans les notes propres à certaines catégories (G09, I69,",
      "indiqué aux pages 75 ou 101 du volume 2. Les situations concernées sont celles dans lesquelles il n’est pas identifié d’autre",
      "La notion de séquelle doit être retenue et codée chaque fois qu’elle est explicitement mentionnée. Il n’appartient pas au",
      "responsable de l’information médicale ni au codeur de trancher entre le codage d’une maladie présente ou d’un état",
      "séquellaire. Ce diagnostic est de la compétence du médecin qui a dispensé les soins au patient.",
      "Pour le codage d’une séquelle, conformément à la consigne de la CIM–10, on donne la priorité au code qui correspond à",
      "sa nature. Le code de séquelle est mentionné comme un diagnostic associé (se reporter au point 2 du chapitre précédent).",
      "– salpingite tuberculeuse dix ans auparavant, responsable d’une stérilité : on code d’abord la stérilité et on lui",
      "– monoplégie d’un membre inférieur séquellaire d’une poliomyélite : on code d’abord la monoplégie et on lui",
      "– épilepsie séquellaire d’un infarctus cérébral : on code d’abord l’épilepsie et on lui associe la séquelle d’infarctus",
      "Les catégories Y85–Y89 (chapitre XX de la CIM–10) permettent de coder des circonstances d’origine des séquelles. Il est",
      "recommandé de les utiliser, en position de diagnostic associé, chaque fois qu’on dispose de l’information nécessaire.",
      "épilepsie séquellaire d’un traumatisme intra-crânien dû à un accident de voiture ; le codage associe G40.–, T90.5 et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y85.0": {
    "code": "Y85.0",
    "description": "Séquelles d’un accident de véhicule à moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G10": {
    "code": "G10",
    "description": "Chorée de Huntington",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G10 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11": {
    "code": "G11",
    "description": "Ataxie héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "neuropathie héréditaire et idiopathique (G60.-)",
      "paralysie cérébrale (G80.-)",
      "troubles du métabolisme (E70-E90)"
    ],
    "clinical_text": [
      "Les codes G11.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.0": {
    "code": "G11.0",
    "description": "Ataxie congénitale non progressive",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.1": {
    "code": "G11.1",
    "description": "Ataxie cérébelleuse à début précoce",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Note Début habituellement avant l’âge de 20 ans",
      "• persistance des réflexes tendineux",
      "• tremblement essentiel",
      "• Friedreich (autosomique récessive)",
      "• spino-cérébelleuse récessive liée au chromosome X"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ataxie (de) : • cérébelleuse précoce avec : • myoclonies [Ramsay-Hunt]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.2": {
    "code": "G11.2",
    "description": "Ataxie cérébelleuse tardive",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Note Début habituellement après l’âge de 20 ans"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.3": {
    "code": "G11.3",
    "description": "Ataxie cérébelleuse avec défaut de réparation de l’ADN",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ataxie télangiectasique [Louis-Bar]"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Cockayne (Q87.1)",
      "xeroderma pigmentosum (Q82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.4": {
    "code": "G11.4",
    "description": "Paraplégie spastique héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Strumpell-Lorrain"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.8": {
    "code": "G11.8",
    "description": "Autres ataxies héréditaires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G11.9": {
    "code": "G11.9",
    "description": "Ataxie héréditaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 355,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ataxie SAI cérébelleuse héréditaire",
      "Dégénérescence cérébelleuse héréditaire",
      "Maladie cérébelleuse héréditaire",
      "Syndrome cérébelleux héréditaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ataxie cérébelleuse d’origine indéterminée et syndrome cérébelleux cinétique : R27.0 Ataxie, sans précision",
      "pourrait correspondre, cela convient aussi à la description des troubles de l'équilibre et de la marche du"
    ],
    "agora_refs": [
      "253741"
    ],
    "cocoa_notes": [
      "syndrome cérébelleux cinétique (AGORA – # 253741 le 5 octobre 2023)"
    ]
  },
  "G12": {
    "code": "G12",
    "description": "Amyotrophie spinale et syndromes apparentés",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes G12.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G12.0": {
    "code": "G12.0",
    "description": "Amyotrophie spinale infantile, type I [Werdnig-Hoffman]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G12.1": {
    "code": "G12.1",
    "description": "Autres amyotrophies spinales héréditaires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Amyotrophie spinale (de) : • adulte",
      "•distale",
      "• enfant, type II",
      "• forme juvénile, type III [Kugelberg-Welander]",
      "• forme scapulo-péronière",
      "Paralysie bulbaire progressive de l’enfant [Fazio-Londe]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G12.2": {
    "code": "G12.2",
    "description": "Maladies du neurone moteur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Amyotrophie spinale progressive",
      "Dégénérescence familiale du neurone moteur",
      "Paralysie bulbaire progressive",
      "Maladie de Kennedy",
      "Maladie de Charcot",
      "Sclérose latérale : • amyotrophique [SLA]",
      "• primitive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G12.8": {
    "code": "G12.8",
    "description": "Autres amyotrophies spinales et syndromes apparentés",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G12.9": {
    "code": "G12.9",
    "description": "Amyotrophie spinale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections dégénératives systémiques affectant principalement le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G14": {
    "code": "G14",
    "description": "Syndrome post-poliomyélitique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 356,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Syndrome post-polio"
    ],
    "comprend": [],
    "exclusions": [
      "séquelle de poliomyélite (B91)"
    ],
    "clinical_text": [
      "Le code G14 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars2022 – liste 2 pp. 7-9"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G20": {
    "code": "G20",
    "description": "Maladie de Parkinson",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Hémiparkinsonisme",
      "Paralysie agitante",
      "Syndrome parkinsonien ou maladie de Parkinson : • SAI",
      "• idiopathique",
      "• primitif(ve)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G20 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars2022 – liste 2 pp. 7-9"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21": {
    "code": "G21",
    "description": "Syndrome parkinsonien secondaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes G21.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.0": {
    "code": "G21.0",
    "description": "Syndrome malin des neuroleptiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.1": {
    "code": "G21.1",
    "description": "Autres syndromes secondaires parkinsoniens dus à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.2": {
    "code": "G21.2",
    "description": "Syndrome parkinsonien secondaire dû à d’autres agents externes",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent externe."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.3": {
    "code": "G21.3",
    "description": "Syndrome parkinsonien post-encéphalitique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.4": {
    "code": "G21.4",
    "description": "Syndrome parkinsonien vasculaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.8": {
    "code": "G21.8",
    "description": "Autres syndromes parkinsoniens secondaires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G21.9": {
    "code": "G21.9",
    "description": "Syndrome parkinsonien secondaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G23": {
    "code": "G23",
    "description": "Autres maladies dégénératives des noyaux gris centraux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes G23.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [
      "146353"
    ],
    "cocoa_notes": [
      "atrophie multi-systématisée : cette affection est désormais codée avec la catégorie G23 (AGORA - # 146353 le 2 mai 2017)"
    ]
  },
  "G23.0": {
    "code": "G23.0",
    "description": "Maladie de Hallervorden-Spatz",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dégénérescence pallidale pigmentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G23.1": {
    "code": "G23.1",
    "description": "Ophtalmoplégie supra-nucléaire progressive",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie supra-nucléaire progressive",
      "Maladie de Steele-Richardson-Olszewski"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G23.2": {
    "code": "G23.2",
    "description": "Atrophie multi-systématisée de type parkinsonien [AMS-P] [MSA-P]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G23.3": {
    "code": "G23.3",
    "description": "Atrophie multi-systématisée de type cérébelleux [AMS-C] [MSA-C]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 357,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G23.8": {
    "code": "G23.8",
    "description": "Autres maladies dégénératives précisées des noyaux gris centraux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Calcification des noyaux gris centraux",
      "Hypotension orthostatique neurogène [Shy–Drager]"
    ],
    "comprend": [],
    "exclusions": [
      "hypotension orthostatique SAI (I95.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G23.9": {
    "code": "G23.9",
    "description": "Maladie dégénérative des noyaux gris centraux, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24": {
    "code": "G24",
    "description": "Dystonie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend dyskinésie"
    ],
    "comprend": [],
    "exclusions": [
      "paralysie cérébrale athétosique (G80.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.0": {
    "code": "G24.0",
    "description": "Dystonie médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.1": {
    "code": "G24.1",
    "description": "Dystonie idiopathique familiale",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystonie idiopathique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.2": {
    "code": "G24.2",
    "description": "Dystonie idiopathique non familiale",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G24.2 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.3": {
    "code": "G24.3",
    "description": "Torticolis spasmodique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "torticolis SAI (M43.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.4": {
    "code": "G24.4",
    "description": "Dystonie bucco-faciale idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dyskinésie bucco-faciale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.5": {
    "code": "G24.5",
    "description": "Blépharospasme",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.8": {
    "code": "G24.8",
    "description": "Autres dystonies",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G24.9": {
    "code": "G24.9",
    "description": "Dystonie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dyskinésie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25": {
    "code": "G25",
    "description": "Autres syndromes extra-pyramidaux et troubles de la motricité",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.0": {
    "code": "G25.0",
    "description": "Tremblement essentiel",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tremblement familial"
    ],
    "comprend": [],
    "exclusions": [
      "tremblements SAI (R25.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.1": {
    "code": "G25.1",
    "description": "Tremblement dû à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.2": {
    "code": "G25.2",
    "description": "Autres formes précisées de tremblement",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 358,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tremblement intentionnel",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.3": {
    "code": "G25.3",
    "description": "Myoclonie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": false,
    "severity": 9,
    "synonyms": [
      "Myoclonie médicamenteuse",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [
      "épilepsie myoclonique (G40.-)",
      "myokymies faciales (G51.4)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement",
      "opsoclonus myoclonus : ce syndrome n’est en effet pas décrit dans la CIM. Vous coderez les manifestations",
      "présentées par le patient : opsoclonie (H51.8), myoclonie (G25.3), troubles du sommeil, du comportement...",
      "Le code G25.3 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [
      "72297"
    ],
    "cocoa_notes": [
      "(selon le type). (AGORA - # 72297 le 5 décembre 2012)"
    ]
  },
  "G25.4": {
    "code": "G25.4",
    "description": "Chorée médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.5": {
    "code": "G25.5",
    "description": "Autres chorées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": false,
    "severity": 9,
    "synonyms": [
      "Chorée SAI"
    ],
    "comprend": [],
    "exclusions": [
      "chorée (de) : • SAI avec atteinte cardiaque (I02.0)",
      "• Huntington (G10)",
      "• rhumatismale (I02.-)",
      "• Sydenham (I02.-)"
    ],
    "clinical_text": [
      "Le code G25.5 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.6": {
    "code": "G25.6",
    "description": "Tics médicamenteux et autres tics d’origine organique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Gilles de la Tourette (F95.2)",
      "tic SAI (F95.9)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G25.8": {
    "code": "G25.8",
    "description": "Autres syndromes précisés extra-pyramidaux et troubles de la motricité",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Akathisie médicamenteuse",
      "Syndrome de (l’) (de la) (des) : • homme raide",
      "• jambes sans repos",
      "• personne raide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "144655"
    ],
    "cocoa_notes": [
      "maladie de Willis Ekbom (AGORA - # 144655 le 28 mars 2017)"
    ]
  },
  "G25.9": {
    "code": "G25.9",
    "description": "Syndrome extra-pyramidal et trouble de la motricité, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 359,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndromes extra-pyramidaux et troubles de la motricité au cours"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G30": {
    "code": "G30",
    "description": "Maladie d’Alzheimer",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "formes sénile et présénile"
    ],
    "exclusions": [
      "dégénérescence cérébrale sénile NCA (G31.1)",
      "démence sénile SAI (F03)",
      "sénilité SAI (R54)",
      "Penser à coder la démence en sus (F00.- *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G30.0": {
    "code": "G30.0",
    "description": "Maladie d’Alzheimer à début précoce",
    "dagger_star": "†",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Note début habituellement avant l’âge de 65 ans"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G30.1": {
    "code": "G30.1",
    "description": "Maladie d’Alzheimer à début tardif",
    "dagger_star": "†",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Note début habituellement après l’âge de 65 ans"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G30.8": {
    "code": "G30.8",
    "description": "Autres formes de la maladie d’Alzheimer",
    "dagger_star": "†",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G30.9": {
    "code": "G30.9",
    "description": "Maladie d’Alzheimer, sans précision",
    "dagger_star": "†",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Reye (G93.7)"
    ],
    "clinical_text": [
      "Autres affections dégénératives du système nerveux, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G31.0": {
    "code": "G31.0",
    "description": "Atrophie cérébrale circonscrite",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aphasie progressive isolée",
      "Démence fronto-temporale [DFT]",
      "Maladie de Pick † (penser à coder la démence en sus F02.0 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "77918"
    ],
    "cocoa_notes": [
      "Démence fronto temporale [DFT] : coder F02.8 et G31.0 (AGORA - # 77918 le 12 avril 2013)"
    ]
  },
  "G31.1": {
    "code": "G31.1",
    "description": "Dégénérescence cérébrale sénile, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome pseudo-bulbaire"
    ],
    "comprend": [],
    "exclusions": [
      "maladie d’Alzheimer (G30.-)",
      "sénilité SAI (R54)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G31.2": {
    "code": "G31.2",
    "description": "Dégénérescence du système nerveux liée à l’alcool",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 360,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Ataxie cérébelleuse alcoolique",
      "Dégénérescence cérébelleuse alcoolique",
      "Dégénérescence cérébrale alcoolique",
      "Dysautonomie alcoolique",
      "Encéphalopathie alcoolique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G35": {
    "code": "G35",
    "description": "Sclérose en plaques [SEP]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Sclérose en plaques (de) : • SAI",
      "• disséminée",
      "• généralisée",
      "• moelle épinière",
      "• tronc cérébral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G36": {
    "code": "G36",
    "description": "Autres affections démyélinisantes aiguës disséminées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "encéphalite et encéphalomyélite post-infectieuses SAI (G04.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G36.0": {
    "code": "G36.0",
    "description": "Neuromyélite optique [Devic]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Démyélinisation au cours d’une névrite optique"
    ],
    "comprend": [],
    "exclusions": [
      "névrite optique SAI (H46)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G36.1": {
    "code": "G36.1",
    "description": "Leuco-encéphalite hémorragique aiguë et subaiguë [Hurst]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G36.8": {
    "code": "G36.8",
    "description": "Autres affections démyélinisantes aiguës disséminées précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G36.9": {
    "code": "G36.9",
    "description": "Affection démyélinisante aiguë disséminée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37": {
    "code": "G37",
    "description": "Autres affections démyélinisantes du système nerveux central",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes G37.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.0": {
    "code": "G37.0",
    "description": "Sclérose diffuse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalite périaxiale",
      "Maladie de Schilder"
    ],
    "comprend": [],
    "exclusions": [
      "adrénoleucodystrophie [Addison-Schilder] (E71.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.1": {
    "code": "G37.1",
    "description": "Démyélinisation centrale du corps calleux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de Marchiafava-Bignami"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.2": {
    "code": "G37.2",
    "description": "Myélinolyse centropontine",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.3": {
    "code": "G37.3",
    "description": "Myélite transverse aiguë au cours d’affections démyélinisantes du système nerveux central",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myélite transverse aiguë SAI"
    ],
    "comprend": [],
    "exclusions": [
      "neuromyélite optique [Devic] (G36.0)",
      "sclérose en plaques (G35)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.4": {
    "code": "G37.4",
    "description": "Myélite nécrosante subaiguë",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 361,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.5": {
    "code": "G37.5",
    "description": "Sclérose concentrique [Balo]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 362,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G37.8": {
    "code": "G37.8",
    "description": ", I67.8 ou I67.3 selon les précisions sur le mécanisme vasculaire et un code de démence vasculaire si",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "elle est présente. Si ce terme ne correspond qu’à un résultat anormal d’imagerie on emploie alors R90.0"
    ],
    "agora_refs": [
      "38419"
    ],
    "cocoa_notes": [
      "(AGORA - # 38419 le 21 décembre 2010)"
    ]
  },
  "G37.9": {
    "code": "G37.9",
    "description": "Affection démyélinisante du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 362,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40": {
    "code": "G40",
    "description": "Épilepsie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 362,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "crise (convulsive) SAI (R56.8)",
      "état de mal épileptique (G41.-)",
      "paralysie de Todd (G83.8)",
      "syndrome de Landau-Kleffner (F80.3)"
    ],
    "clinical_text": [
      "Épilepsie et syndromes épileptiques idiopathiques définis par leur localisation (focale, partielle)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.3": {
    "code": "G40.3",
    "description": "Épilepsie et syndromes épileptiques généralisés idiopathiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 362,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Convulsions néonatales bénignes (familiales)",
      "Crises non spécifiques : • atoniques",
      "• cloniques",
      "• myocloniques",
      "• tonico-cloniques",
      "• toniques",
      "Épilepsie (avec) : • absences de l’adolescence",
      "• absences de l’enfance",
      "• pyknolepsie",
      "• crises au réveil",
      "• grand mal",
      "• myoclonique bénigne de l’enfance",
      "• myoclonique juvénile",
      "• petit mal impulsif",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.4": {
    "code": "G40.4",
    "description": "Autres épilepsies et syndromes épileptiques généralisés",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Encéphalopathie myoclonique précoce symptomatique",
      "Épilepsie avec : • absences myocloniques",
      "• crises astato-myocloniques",
      "• Syndrome de Doose",
      "Spasmes infantiles",
      "Syndrome de : • Lennox-Gastaut",
      "• West",
      "Tic de Salaam"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.5": {
    "code": "G40.5",
    "description": "Syndromes épileptiques particuliers",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crises épileptiques dues • alcool",
      "aux facteurs suivants : • médicaments",
      "• modifications hormonales",
      "• privation de sommeil",
      "• stress",
      "Épilepsie partielle continue [Kojevnikov]",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.6": {
    "code": "G40.6",
    "description": "Crise de grand mal, sans précision (avec ou sans petit mal)",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.7": {
    "code": "G40.7",
    "description": "Petit mal, sans crises de grand mal, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.8": {
    "code": "G40.8",
    "description": "Autres épilepsies",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épilepsies et syndromes épileptiques non précisés comme focaux ou généralisés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G40.9": {
    "code": "G40.9",
    "description": "Épilepsie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Convulsions épileptiques SAI",
      "Crises épileptiques SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G41": {
    "code": "G41",
    "description": "État de mal épileptique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G41.0": {
    "code": "G41.0",
    "description": "État de grand mal épileptique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "État de mal épileptique tonico-clonique"
    ],
    "comprend": [],
    "exclusions": [
      "épilepsie partielle continue [Kojevnikov] (G40.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G41.1": {
    "code": "G41.1",
    "description": "État de petit mal épileptique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "État d’absences épileptiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G41.2": {
    "code": "G41.2",
    "description": "État de mal épileptique partiel complexe",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G41.8": {
    "code": "G41.8",
    "description": "Autres états de mal épileptique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G41.9": {
    "code": "G41.9",
    "description": "État de mal épileptique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43": {
    "code": "G43",
    "description": "Migraine",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "céphalée SAI (R51)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43.0": {
    "code": "G43.0",
    "description": "Migraine sans aura",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 363,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Migraine commune",
      "[…]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43.1": {
    "code": "G43.1",
    "description": "Migraine avec aura",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Migraine classique",
      "Équivalents migraineux",
      "Prodromes neurologiques sans céphalée",
      "Migraine : • aura, sans céphalée",
      "• avec : • aura prolongée",
      "• aura typique",
      "• installation aiguë de l’aura",
      "• basilaire",
      "• familiale, hémiplégique",
      "Migraine accompagnée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43.2": {
    "code": "G43.2",
    "description": "État de mal migraineux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43.3": {
    "code": "G43.3",
    "description": "Migraine compliquée",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43.8": {
    "code": "G43.8",
    "description": "Autres migraines",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Migraine : • ophtalmoplégique",
      "• rétinienne",
      "après 14 à 35 jours"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Migraine • syndrome stroke-like migraine attacks after radiation therapy [SMART] (coder",
      "« stroke-like » également Y84.2 et les autres symptômes). Il consiste en l’apparition, habituellement",
      "au cours de : subaiguë, de céphalées de type migraine accompagnées de déficits neurologiques",
      "(tels que des convulsions, hémiplégie, hemianopia, aphasie) ou des états",
      "confusionnels chez les patients ayant subi une radiothérapie du cerveau des années",
      "auparavant. Les résultats de l’IRM cérébrale consistent en un hypersignal cortical",
      "dans les longues séquences TR (principalement insulaires, temporales, pariétales ou",
      "occipitales), avec une captation de l’agent de contraste. Ils se produisent 2 à 7 jours",
      "après l’apparition des symptômes, avec une normalisation habituelle de l’image",
      "• syndrome de MELAS (G71.3) avec manifestations de type « stroke-like »"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G43.9": {
    "code": "G43.9",
    "description": "Migraine, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44": {
    "code": "G44",
    "description": "Autres syndromes d’algies céphaliques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "algie faciale atypique (G50.1)",
      "céphalée SAI (R51)",
      "névralgie du trijumeau (G50.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44.0": {
    "code": "G44.0",
    "description": "Syndrome d’algie vasculaire de la face",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Algie vasculaire de la face : • chronique",
      "• épisodique",
      "Céphalée histaminique de Horton",
      "Hémicrânie paroxystique chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44.1": {
    "code": "G44.1",
    "description": "Céphalée vasculaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Céphalée vasculaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44.2": {
    "code": "G44.2",
    "description": "Céphalée dite de tension",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Céphalée (de) : • chronique dite de tension",
      "• tension : • SAI",
      "• épisodique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44.3": {
    "code": "G44.3",
    "description": "Céphalée chronique post-traumatique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 364,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44.4": {
    "code": "G44.4",
    "description": "Céphalée médicamenteuse, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G44.8": {
    "code": "G44.8",
    "description": "Autres syndromes précisés d’algies céphaliques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accidents ischémiques cérébraux transitoires et syndromes",
      "apparentés [AIT]",
      "catégories : AIT probable, AIT possible.",
      "l’accident ischémique transitoire de l’adulte – mai 2004."
    ],
    "comprend": [],
    "exclusions": [
      "ischémie cérébrale néonatale (P91.0)"
    ],
    "clinical_text": [
      "Une nouvelle définition a été proposée par le « TIA working group » : « Un AIT est un épisode bref de dysfonction",
      "neurologique dû à une ischémie focale cérébrale ou rétinienne, dont les symptômes cliniques durent typiquement moins",
      "d’une heure, sans preuve d’infarctus aigu. » […] En pratique, les épisodes durant plus d’une heure et sans preuve d’infarctus",
      "aigu restent des AIT dans cette définition. […] Le corollaire étant que tout symptôme neurologique persistant ou",
      "s’accompagnant de signes d’ischémie sur les examens neuroradiologiques est considéré comme un AVC.",
      "Le diagnostic d’AIT peut être difficile du fait de la diversité des symptômes, des nombreux diagnostics différentiels et de",
      "son caractère rétrospectif. […] Il est proposé de classer les symptômes compatibles avec le diagnostic d’AIT en deux",
      "In ANAES - RECOMMANDATIONS POUR LA PRATIQUE CLINIQUE Prise en charge diagnostique et traitement immédiat de",
      "En pratique, le diagnostic d’AIT est un diagnostic d’élimination, non de certitude ; en conséquence, le terme de « probable »",
      "ou de « possible » autorise l’utilisation du code G45.-, contrairement aux consignes habituelles du guide de codage. Un",
      "élément d’appréciation complémentaire peut-être apporté par la mise en œuvre d’un traitement anti-agrégant."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.0": {
    "code": "G45.0",
    "description": "Syndrome vertébro-basilaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Drop-attack"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.1": {
    "code": "G45.1",
    "description": "Syndrome carotidien (hémisphérique)",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.2": {
    "code": "G45.2",
    "description": "Accident ischémique transitoire de territoires artériels précérébraux multiples et bilatéraux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.3": {
    "code": "G45.3",
    "description": "Amaurose fugace",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.4": {
    "code": "G45.4",
    "description": "Amnésie globale transitoire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ictus amnésique"
    ],
    "comprend": [],
    "exclusions": [
      "amnésie SAI (R41.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.8": {
    "code": "G45.8",
    "description": "Autres accidents ischémiques cérébraux transitoires et syndromes apparentés",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de vasoconstriction cérébrale réversible [SVCR]",
      "Syndrome de Call-Fleming",
      "Angiopathie bénigne du système nerveux",
      "Angiopathie du post partum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G45.9": {
    "code": "G45.9",
    "description": "Accident ischémique cérébral transitoire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 365,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ischémie cérébrale transitoire SAI",
      "Spasme de l’artère cérébrale",
      "août 2021)",
      "Syndromes vasculaires cérébraux au cours de maladies"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le vasospasme / angiospasme cérébral est indexé avec le G45.9 dans la CIM-10 (AGORA - # 219719 le 10"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.0": {
    "code": "G46.0",
    "description": "Syndrome de l’artère cérébrale moyenne (I66.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.1": {
    "code": "G46.1",
    "description": "Syndrome de l’artère cérébrale antérieure (I66.1 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.2": {
    "code": "G46.2",
    "description": "Syndrome de l’artère cérébrale postérieure (I66.2 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.3": {
    "code": "G46.3",
    "description": "Syndromes vasculaires du tronc cérébral (I60-I67 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de : • Benedikt",
      "• Claude",
      "• Foville",
      "• Millard-Gubler",
      "• Wallenberg",
      "• Weber"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.4": {
    "code": "G46.4",
    "description": "Syndrome cérébelleux vasculaire (I60-I67 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.5": {
    "code": "G46.5",
    "description": "Syndrome lacunaire moteur pur (I60-I67 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.6": {
    "code": "G46.6",
    "description": "Syndrome lacunaire sensitif pur (I60-I67 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.7": {
    "code": "G46.7",
    "description": "Autres syndromes lacunaires (I60-I67 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G46.8": {
    "code": "G46.8",
    "description": "Autres syndromes vasculaires cérébraux au cours de maladies cérébrovasculaires (I60-I67 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47": {
    "code": "G47",
    "description": "Troubles du sommeil",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cauchemars (F51.5)",
      "noctambulisme (F51.3)",
      "terreurs nocturnes (F51.4)",
      "troubles du sommeil non organiques (F51.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.0": {
    "code": "G47.0",
    "description": "Troubles de l’endormissement et du maintien du sommeil",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insomnies"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.1": {
    "code": "G47.1",
    "description": "Troubles du sommeil par somnolence excessive",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypersomnies"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.2": {
    "code": "G47.2",
    "description": "Troubles du cycle veille-sommeil",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Irrégularité du rythme veille-sommeil",
      "Syndrome de retard des phases du sommeil"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.3": {
    "code": "G47.3",
    "description": "Apnée du sommeil [SAS]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apnée du sommeil : • centrale",
      "• obstructive"
    ],
    "comprend": [],
    "exclusions": [
      "apnée du sommeil chez le nouveau-né (P28.3)",
      "syndrome de Pickwick (E66.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.4": {
    "code": "G47.4",
    "description": "Narcolepsie et cataplexie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 366,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.8": {
    "code": "G47.8",
    "description": "Autres troubles du sommeil",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Kleine-Levin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G47.9": {
    "code": "G47.9",
    "description": "Trouble du sommeil, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections traumatiques récentes des nerfs et des racines et plexus nerveux - voir lésion des nerfs selon",
      "les localisations anatomiques",
      "névralgie SAI (M79.2)",
      "névrite SAI (M79.2)",
      "névrite périphérique liée à la grossesse (O26.8)",
      "radiculite SAI (M54.1)",
      "apparaissent également dans la catégorie M54 du chapitre XIII. Mais on réservera cette dernière aux cas dans lesquels on",
      "a la certitude ou une forte présomption que les entités morbides qu’elle comprend trouvent leur origine au niveau du",
      "rachis. En d’autres termes, le codage des névrites et des radiculopathies d’origine rachidienne ou présumées d’origine",
      "rachidienne ne fait pas appel au groupe G50-G59 mais à la catégorie M54."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.54 : les notions d’affection des racines, de névrite, et de mononévrite comprises dans le groupe G50 à G59"
    ]
  },
  "G50": {
    "code": "G50",
    "description": "Affections du nerf trijumeau",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend affections du nerf crânien V"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G50.0": {
    "code": "G50.0",
    "description": "Névralgie du trijumeau",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névralgie faciale paroxystique",
      "Tic douloureux de la face de Trousseau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G50.1": {
    "code": "G50.1",
    "description": "Algie faciale atypique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G50.8": {
    "code": "G50.8",
    "description": "Autres affections du nerf trijumeau",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Frey",
      "Hypersudation gustative",
      "Syndrome auriculo – temporal",
      "Orphanet : https://www.orpha.net/fr/disease/detail/662240"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G50.9": {
    "code": "G50.9",
    "description": "Affection du nerf trijumeau, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51": {
    "code": "G51",
    "description": "Affections du nerf facial",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend affections du nerf crânien VII"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51.0": {
    "code": "G51.0",
    "description": "Paralysie faciale a frigore",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie faciale (de) : • Bell",
      "• idiopathique",
      "• due à une lésion du neurone moteur inférieur [NMI] [MNI]",
      "• périphérique",
      "• SAI"
    ],
    "comprend": [],
    "exclusions": [
      "paralysie faciale centrale (G83.6)",
      "paralysie faciale due à une lésion du neurone moteur supérieur [NMS] [MNS] (G83.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51.1": {
    "code": "G51.1",
    "description": "Atteinte du ganglion géniculé",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteinte post-herpétique du ganglion géniculé (B02.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51.2": {
    "code": "G51.2",
    "description": "Syndrome de Melkersson-Rosenthal",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51.3": {
    "code": "G51.3",
    "description": "Hémispasme facial clonique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51.4": {
    "code": "G51.4",
    "description": "Myokymies faciales",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 367,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G51.8": {
    "code": "G51.8",
    "description": "Autres affections du nerf facial",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémi-atrophie faciale [Romberg]",
      "Paralysie faciale centrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La liste analytique de la CIM10 2019 a été publiée le 30 novembre. Le document de présentation qui",
      "accompagne cette publication comprend toutes les modifications introduites pour 2019. La paralysie faciale"
    ],
    "agora_refs": [
      "172284"
    ],
    "cocoa_notes": [
      "centrale sera codée G83.6 à partir de 2019. (AGORA - # 172284 le 14 décembre 2018)"
    ]
  },
  "G51.9": {
    "code": "G51.9",
    "description": "Affection du nerf facial, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52": {
    "code": "G52",
    "description": "Affections des autres nerfs crâniens",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections du nerf : • auditif [VIII] (H93.3)",
      "• optique [II] (H46, H47.0)",
      "strabisme paralytique dû à paralysie des nerfs (H49.0-H49.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.0": {
    "code": "G52.0",
    "description": "Affections du nerf olfactif",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Affection du premier nerf crânien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.1": {
    "code": "G52.1",
    "description": "Affections du nerf glossopharyngien",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Affection du nerf crânien IX",
      "Névralgie du nerf glossopharyngien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.2": {
    "code": "G52.2",
    "description": "Affections du nerf vagal",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection du nerf pneumogastrique [X]",
      "Affection du nerf phrénique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.3": {
    "code": "G52.3",
    "description": "Affections du nerf grand hypoglosse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Affection du nerf crânien XII"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.7": {
    "code": "G52.7",
    "description": "Affections de plusieurs nerfs crâniens",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Polynévrite crânienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.8": {
    "code": "G52.8",
    "description": "Affections d’autres nerfs crâniens précisés",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G52.9": {
    "code": "G52.9",
    "description": "Affection des nerfs crâniens, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G53.0": {
    "code": "G53.0",
    "description": "Névralgie post-zostérienne (B02.2 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atteinte post-herpétique du ganglion géniculé",
      "Névralgie trigéminée post-herpétique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Paralysie de plusieurs nerfs crâniens au cours de maladies infectieuses et parasitaires classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G53.2": {
    "code": "G53.2",
    "description": "Paralysie de plusieurs nerfs crâniens au cours de sarcoïdose (D86.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G53.8": {
    "code": "G53.8",
    "description": "Autres affections des nerfs crâniens au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 368,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54": {
    "code": "G54",
    "description": "Affections des racines et des plexus nerveux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections traumatiques récentes des racines et des plexus nerveux - voir lésions des nerfs selon les",
      "localisations anatomiques",
      "atteintes d’un disque intervertébral (M50-M51)",
      "névralgie et névrite SAI (M79.2)",
      "névrite ou radiculite : • brachiale SAI (M54.1)",
      "• lombaire SAI (M54.1)",
      "• lombo-sacrée SAI (M54.1)",
      "• thoracique SAI (M54.1)",
      "radiculopathie SAI (M54.1)",
      "spondylarthrose (M47.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.0": {
    "code": "G54.0",
    "description": "Affections du plexus brachial",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de traversée thoraco-brachiale",
      "Syndrome du défilé cervico-thoraco-brachial",
      "Syndrome de compression du défilé costo-claviculaire",
      "Syndrome du défilé scalénique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.1": {
    "code": "G54.1",
    "description": "Affections du plexus lombo-sacré",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.2": {
    "code": "G54.2",
    "description": "Affections radiculaires cervicales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "cervicale, son code est M47.2 ou l’une de ses subdivisions facultatives"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.56 : névralgie occipitale d’Arnold en l’absence de notion étiologique. Si elle est due à une arthrose"
    ]
  },
  "G54.3": {
    "code": "G54.3",
    "description": "Affections radiculaires thoraciques, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.4": {
    "code": "G54.4",
    "description": "Affections radiculaires lombo-sacrées, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.5": {
    "code": "G54.5",
    "description": "Névralgie amyotrophique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névrite scapulaire",
      "Syndrome de Parsonage-Turner"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.6": {
    "code": "G54.6",
    "description": "Syndrome douloureux du membre fantôme",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.7": {
    "code": "G54.7",
    "description": "Syndrome du membre fantôme sans élément douloureux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome du membre fantôme SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.8": {
    "code": "G54.8",
    "description": "Autres affections des racines et des plexus nerveux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G54.9": {
    "code": "G54.9",
    "description": "Affection des racines et des plexus nerveux, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Compression des racines et des plexus nerveux au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G55.2": {
    "code": "G55.2",
    "description": "Compression des racines et des plexus nerveux au cours de spondylarthroses (M47.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Compression des racines et des plexus nerveux au cours d’autres dorsopathies (M45-M46 †,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G55.8": {
    "code": "G55.8",
    "description": "Compression des racines et des plexus nerveux au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 369,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56": {
    "code": "G56",
    "description": "Mononévrite du membre supérieur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections traumatiques récentes des nerfs - voir lésions des nerfs selon les localisations anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56.0": {
    "code": "G56.0",
    "description": "Syndrome du canal carpien",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56.1": {
    "code": "G56.1",
    "description": "Autres lésions du nerf médian",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56.2": {
    "code": "G56.2",
    "description": "Lésion du nerf cubital",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Paralysie lente du nerf cubital"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56.3": {
    "code": "G56.3",
    "description": "Lésion du nerf radial",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56.8": {
    "code": "G56.8",
    "description": "Autres mononévrites du membre supérieur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Névrome interdigital du membre supérieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G56.9": {
    "code": "G56.9",
    "description": "Mononévrite du membre supérieur, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57": {
    "code": "G57",
    "description": "Mononévrite du membre inférieur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections traumatiques récentes des nerfs - voir lésions des nerfs selon les localisations anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.0": {
    "code": "G57.0",
    "description": "Lésion du nerf sciatique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [
      "sciatique : • SAI (M54.3)",
      "• due à une discopathie intervertébrale (M51.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.1": {
    "code": "G57.1",
    "description": "Méralgie paresthésique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome du nerf fémoro-cutané"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.2": {
    "code": "G57.2",
    "description": "Lésion du nerf fémoral",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.56 : Cruralgie"
    ]
  },
  "G57.3": {
    "code": "G57.3",
    "description": "Lésion du nerf sciatique poplité externe",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie du nerf péronier"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.4": {
    "code": "G57.4",
    "description": "Lésion du nerf sciatique poplité interne",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie du nerf tibial postérieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.5": {
    "code": "G57.5",
    "description": "Syndrome du canal tarsien",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.6": {
    "code": "G57.6",
    "description": "Lésion du nerf plantaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Métatarsalgie de Morton"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.8": {
    "code": "G57.8",
    "description": "Autres mononévrites du membre inférieur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névrome interdigital du membre inférieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G57.9": {
    "code": "G57.9",
    "description": "Mononévrite du membre inférieur, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G58": {
    "code": "G58",
    "description": "Autres mononévrites",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G58.0": {
    "code": "G58.0",
    "description": "Névrite intercostale",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névralgie intercostale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G58.7": {
    "code": "G58.7",
    "description": "Mononévrite de sièges multiples",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G58.8": {
    "code": "G58.8",
    "description": "Autres mononévrites précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G58.9": {
    "code": "G58.9",
    "description": "Mononévrite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 370,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G59.0": {
    "code": "G59.0",
    "description": "Mononévrite diabétique (E10-E14 † avec le quatrième chiffre .4)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G59.8": {
    "code": "G59.8",
    "description": "Autres mononévrites au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "névralgie SAI (M79.2)",
      "névrite : • SAI (M79.2)",
      "• périphérique liée à la grossesse (O26.8)",
      "radiculite SAI (M54.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60": {
    "code": "G60",
    "description": "Neuropathie héréditaire et idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes G60.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60.0": {
    "code": "G60.0",
    "description": "Neuropathie héréditaire motrice et sensorielle",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amyotrophie péronière (type axonal) (type hypertrophique)",
      "Maladie de : • Charcot-Marie-Tooth",
      "• Dejerine-Sottas",
      "• hypertrophique de l’enfant",
      "Syndrome de Roussy-Lévy"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Neuropathie : • héréditaire motrice et sensorielle, types I-IV"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60.1": {
    "code": "G60.1",
    "description": "Maladie de Refsum",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Maladie de Refsum(-Thiébaut) infantile",
      "Maladie de Refsum(-Thiébaut), forme classique de l’adulte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.8 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60.2": {
    "code": "G60.2",
    "description": "Neuropathie associée à une ataxie héréditaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60.3": {
    "code": "G60.3",
    "description": "Neuropathie progressive idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60.8": {
    "code": "G60.8",
    "description": "Autres neuropathies héréditaires et idiopathiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Maladie de Morvan",
      "Neuropathie sensitive héréditaire • dominante",
      "à transmission : • récessive",
      "Syndrome de Nélaton"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G60.9": {
    "code": "G60.9",
    "description": "Neuropathie héréditaire et idiopathique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G61": {
    "code": "G61",
    "description": "Polynévrites inflammatoires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G61.0": {
    "code": "G61.0",
    "description": "Syndrome de Guillain-Barré",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Polyradiculonévrite aiguë (post-)infectieuse",
      "Syndrome de Miller-Fisher"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G61.1": {
    "code": "G61.1",
    "description": "Neuropathie sérique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G61.8": {
    "code": "G61.8",
    "description": "Autres polynévrites inflammatoires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G61.9": {
    "code": "G61.9",
    "description": "Polynévrite inflammatoire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 371,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G62": {
    "code": "G62",
    "description": "Autres polynévrites",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G62.0": {
    "code": "G62.0",
    "description": "Polynévrite médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G62.1": {
    "code": "G62.1",
    "description": "Polynévrite alcoolique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G62.2": {
    "code": "G62.2",
    "description": "Polynévrite due à d’autres agents toxiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G62.8": {
    "code": "G62.8",
    "description": "Autres polynévrites précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Polynévrite due à une irradiation",
      "Neuropathie de réanimation.",
      "1. G62.8 : neuropathie périphérique,",
      "2. G72.8 : la myopathie,",
      "3. les troubles moteurs (tétraplégie G82.- ou autre),",
      "4. Y95 : facteurs nosocomiaux,"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "5. T81.8 : autres complications d'un acte à visée diagnostique ou thérapeutique non classé ailleurs",
      "Donc 5 codes dont 2 pour la pathologie, 1 pour le symptôme et 2 pour signifier la complication de séjour",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [
      "171654"
    ],
    "cocoa_notes": [
      "en réanimation. (AGORA - # 171654 le 30 novembre 2018 et # 239210 le 13 janvier 2023)"
    ]
  },
  "G62.9": {
    "code": "G62.9",
    "description": "Polynévrite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Neuropathie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63.0": {
    "code": "G63.0",
    "description": "Polynévrite au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polynévrite (au cours de) : • diphtérie (A36.8 †)",
      "• lèpre (A30.- †)",
      "• maladie de Lyme (A69.2 †)",
      "• mononucléose infectieuse (subdivisions de B27 †)",
      "• oreillons (B26.8 †)",
      "• post-herpétique (B02.2 †)",
      "• syphilis, tardive (A52.1 †)",
      "• syphilis, congénitale (A50.4 †)",
      "• tuberculeuse (A17.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63.2": {
    "code": "G63.2",
    "description": "Polynévrite diabétique (E10-E14 † avec le quatrième chiffre .4)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "21745 le 25 novembre 2009)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Après réexamen, nous donnons la consigne suivante pour coder le mal perforant plantaire d’origine",
      "diabétique : code principal L97, codes associés G63.2 et code du diabète avec 4e caractère .4. (AGORA - #",
      "Polynévrite au cours d’autres maladies endocriniennes et métaboliques (E00-E07 †, E15-E16 †,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63.4": {
    "code": "G63.4",
    "description": "Polynévrite par carence nutritionnelle (E40-E64 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63.5": {
    "code": "G63.5",
    "description": "Polynévrite au cours d’affections disséminées du tissu conjonctif (M30-M35 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Polynévrite au cours d’autres affections ostéo-articulaires et des muscles (M00-M25 †, M40-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G63.8": {
    "code": "G63.8",
    "description": "Polynévrite au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 372,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Neuropathie urémique (N18.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G64": {
    "code": "G64",
    "description": "Autres affections du système nerveux périphérique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Affection du système nerveux périphérique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G70": {
    "code": "G70",
    "description": "Myasthénie et autres affections neuro-musculaires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "botulisme (A05.l)",
      "myasthénie transitoire néonatale (P94.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G70.0": {
    "code": "G70.0",
    "description": "Myasthénie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G70.1": {
    "code": "G70.1",
    "description": "Affections neuro-musculaires toxiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G70.2": {
    "code": "G70.2",
    "description": "Myasthénie congénitale et au cours du développement",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G70.8": {
    "code": "G70.8",
    "description": "Autres affections neuro-musculaires précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G70.9": {
    "code": "G70.9",
    "description": "Affection neuro-musculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G71": {
    "code": "G71",
    "description": "Affections musculaires primitives",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthrogrypose multiple congénitale (Q74.3)",
      "myosite (M60.-)",
      "troubles du métabolisme (E70-E90)"
    ],
    "clinical_text": [
      "Les codes G71.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-9"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G71.0": {
    "code": "G71.0",
    "description": "Dystrophie musculaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 373,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• bénigne [Becker]",
      "• des ceintures",
      "• distale",
      "• facio-scapulo-humérale",
      "• oculaire",
      "• oculo-pharyngée",
      "• scapulo-péronière : • SAI",
      "• bénigne avec contractures précoces",
      "[Emery-Dreifuss]",
      "• sévère [Duchenne]"
    ],
    "comprend": [],
    "exclusions": [
      "dystrophie musculaire • SAI (G71.2)",
      "congénitale : • avec anomalies morphologiques spécifiques des fibres",
      "musculaires (G71.2)"
    ],
    "clinical_text": [
      "Dystrophie musculaire : • autosomique récessive, infantile, de type Duchenne ou Becker"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G71.1": {
    "code": "G71.1",
    "description": "Affections myotoniques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystrophie myotonique [Steinert]",
      "Myotonie : • chondrodystrophique",
      "• congénitale : • SAI",
      "• dominante [Thomsen]",
      "• récessive [Becker]",
      "• médicamenteuse",
      "• symptomatique",
      "Neuromyotonie [Isaacs]",
      "Paramyotonie congénitale",
      "Pseudomyotonie",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G71.2": {
    "code": "G71.2",
    "description": "Myopathies congénitales",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Disproportion des types de fibres",
      "Dystrophie musculaire • SAI",
      "congénitale :",
      "Myopathie : • à axe central",
      "• à bâtonnets [némaline]",
      "• de type : • « mini-core »",
      "• « multi-core »",
      "• myotubulaire (centro-nucléaire)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "• avec anomalies morphologiques spécifiques des fibres musculaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G71.3": {
    "code": "G71.3",
    "description": "Myopathie mitochondriale, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Autres myopathies mitochondriales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "selon Orphanet « le syndrome de MELAS associe Myopathie mitochondriale, Encéphalopathie, Acidose",
      "Lactique et des tableaux neurologiques aigus ressemblant à des accidents ischémiques cérébraux » [stroke-",
      "like] (G43.8). Il n’existe pas de code unique pour ce syndrome. La myopathie est codée G71.3. Vous coderez",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV – p.9 - Créé le 5 janvier 2009"
    ],
    "agora_refs": [
      "100167"
    ],
    "cocoa_notes": [
      "les différents éléments pris en charge de manière isolée. (AGORA - # 100167 le 16 mai 2014)"
    ]
  },
  "G71.8": {
    "code": "G71.8",
    "description": "Autres affections musculaires primitives",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G71.9": {
    "code": "G71.9",
    "description": "Affection musculaire primitive, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Myopathie héréditaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G72": {
    "code": "G72",
    "description": "Autres myopathies",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthrogrypose multiple congénitale (Q74.3)",
      "dermatopolymyosite (M33.-)",
      "infarcissement ischémique musculaire (M62.2)",
      "myosite (M60.-)",
      "polymyosite (M33.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G72.0": {
    "code": "G72.0",
    "description": "Myopathie médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G72.1": {
    "code": "G72.1",
    "description": "Myopathie alcoolique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G72.2": {
    "code": "G72.2",
    "description": "Myopathie due à d’autres agents toxiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 374,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G72.3": {
    "code": "G72.3",
    "description": "Paralysies périodiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie périodique • hyperkaliémique",
      "(familiale) :",
      "• hypokaliémique",
      "• myotonique",
      "• normokaliémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G72.4": {
    "code": "G72.4",
    "description": "Myopathie inflammatoire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La myosite à inclusions est une neuromyopathie dégénérative (appartient aux maladies de la jonction",
      "neuromusculaire), classée dans les catégories G70-G73 du Chapitre VI : Maladies du système nerveux"
    ],
    "agora_refs": [
      "154624"
    ],
    "cocoa_notes": [
      "(AGORA - # 154624 le 10 novembre 2017)"
    ]
  },
  "G72.8": {
    "code": "G72.8",
    "description": "Autres myopathies précisées",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Neuropathie de réanimation.",
      "1. G62.8 : neuropathie périphérique,",
      "2. G72.8 : la myopathie,",
      "3. les troubles moteurs (tétraplégie G82.- ou autre),",
      "4. Y95 : facteurs nosocomiaux,"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "5. T81.8 : autres complications d'un acte à visée diagnostique ou thérapeutique non classé ailleurs",
      "Donc 5 codes dont 2 pour la pathologie, 1 pour le symptôme et 2 pour signifier la complication de séjour"
    ],
    "agora_refs": [
      "171654"
    ],
    "cocoa_notes": [
      "en réanimation. (AGORA - # 171654 le 30 novembre 2018 et # 239210 le 13 janvier 2023)"
    ]
  },
  "G72.9": {
    "code": "G72.9",
    "description": "Myopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections musculaires et neuro-musculaires au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.0": {
    "code": "G73.0",
    "description": "Syndrome myasthénique au cours de maladies endocriniennes",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "au cours de : • thyréotoxicose (E05.- †)",
      "• hyperthyroïdie (E05.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome myasthénique • amyotrophie diabétique (E10-E14 † avec le quatrième chiffre .4)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.3": {
    "code": "G73.3",
    "description": "Syndrome myasthénique au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.4": {
    "code": "G73.4",
    "description": "Myopathie au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.5": {
    "code": "G73.5",
    "description": "Myopathie au cours de maladies endocriniennes",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myopathie au • hyperparathyroïdie (E21.0-E21.3 †)",
      "cours de : • hypoparathyroïdie (E20.- †)",
      "Myopathie thyréotoxique (E05.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.6": {
    "code": "G73.6",
    "description": "Myopathie au cours de maladies métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myopathie au cours d’anomalies • glycogène (E74.0 †)",
      "de stockage (du) (des) : • lipides (E75.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G73.7": {
    "code": "G73.7",
    "description": "Myopathie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 375,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myopathie au • lupus érythémateux disséminé (M32.1 †)",
      "cours de : • polyarthrite rhumatoïde (M05-M06 †)",
      "• sclérodermie (M34.8 †)",
      "• syndrome de Gougerot-Sjögren (M35.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "complètes ou non. Les catégories de ce groupe codent donc aussi bien les paralysies que les parésies."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.56 : le groupe G80-G83 est fait pour coder les paralysies au sens de « syndromes paralytiques », qu’elles soient"
    ]
  },
  "G80": {
    "code": "G80",
    "description": "Paralysie cérébrale",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": true,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "paraplégie spastique héréditaire (G11.4)"
    ],
    "clinical_text": [
      "Les codes G80.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.56 : G80 est la catégorie de l’infirmité motrice cérébrale [IMC], pour les enfants comme pour les adultes."
    ]
  },
  "G80.0": {
    "code": "G80.0",
    "description": "Paralysie cérébrale spastique quadriplégique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Paralysie spastique tétraplégique congénitale (cérébrale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G80.1": {
    "code": "G80.1",
    "description": "Paralysie cérébrale spastique diplégique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Paralysie cérébrale spastique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie de Little, syndrome de Little (en cas de quadriplégie, coder à G80.0)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G80.2": {
    "code": "G80.2",
    "description": "Paralysie cérébrale spastique hémiplégique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G80.3": {
    "code": "G80.3",
    "description": "Paralysie cérébrale dyskinétique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Paralysie cérébrale dystonique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G80.4": {
    "code": "G80.4",
    "description": "Paralysie cérébrale ataxique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G80.8": {
    "code": "G80.8",
    "description": "Autres paralysies cérébrales",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Syndromes mixtes de paralysie cérébrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G80.9": {
    "code": "G80.9",
    "description": "Paralysie cérébrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 376,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie cérébrale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G81": {
    "code": "G81",
    "description": "Hémiplégie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "d’hémiplégie résultant d’une cause quelle qu’elle soit."
    ],
    "comprend": [
      "hémiparésie"
    ],
    "exclusions": [
      "paralysies cérébrales congénitales (G80.-)"
    ],
    "clinical_text": [
      "N ote Cette catégorie ne doit être utilisée comme cause principale de codage que lorsque l’hémiplégie (complète)",
      "(incomplète) est mentionnée sans autre précision ou est définie comme ancienne ou de longue durée mais de",
      "cause non précisée. Cette catégorie peut être aussi utilisée en codage multiple pour identifier les types"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G81.0": {
    "code": "G81.0",
    "description": "Hémiplégie flasque",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Manifestations cliniques des accidents vasculaires cérébraux",
      "et leur évolution :",
      "dans les catégories G81 à G83 […]",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 78",
      "- paralysie faciale seule : G83.6",
      "- paralysie facio-brachiale : G83.6 + G83.2",
      "- paralysie membre supérieur seul : G83.2",
      "- paralysie membre inférieur seul : G83.1",
      "- paralysie membre supérieur + inférieur : G81.0-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les manifestations les plus fréquentes sont l’hémiplégie, le plus souvent flasque à la phase initiale (G81 Hémiplégie) et",
      "l’aphasie (R47 Troubles du langage, non classés ailleurs). À l’initiative de la Société française neurovasculaire, ces deux",
      "catégories ont fait l’objet d’extensions par l’ATIH en 2007 afin de distinguer les symptômes selon leur moment d’apparition",
      "• G81.0 Hémiplégie flasque est subdivisé en : G81.00 Hémiplégie flasque récente, persistante au-delà de 24 heures, G81.01",
      "Hémiplégie flasque récente, régressive dans les 24 heures et G81.08 Hémiplégie flasque, autre et sans précision ; on emploie",
      "les mêmes codes pour les parésies et les paralysies (—plégies) car ce sont des syndromes paralytiques que la CIM–10 classe",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Pour un patient admis pour un AVC au stade aigu et qui présente un déficit, qu'il soit complet (-plégie) ou incomplet (-",
      "parésie), quel code doit-on utiliser selon la localisation du déficit ?"
    ],
    "agora_refs": [
      "270598"
    ],
    "cocoa_notes": [
      "(AGORA - # 270598 le 9 janvier 2025)"
    ]
  },
  "G81.00": {
    "code": "G81.00",
    "description": "Hémiplégie flasque récente, persistant au-delà de 24 heures",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G81.01": {
    "code": "G81.01",
    "description": "Hémiplégie flasque récente, régressive dans les 24 heures",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G81.08": {
    "code": "G81.08",
    "description": "Hémiplégie flasque, autre et sans autre précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": false,
    "severity": 9,
    "synonyms": [
      "Hémiplégie flasque ancienne ou résiduelle de longue durée",
      "Hémiplégie flasque SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G81.08 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G81.1": {
    "code": "G81.1",
    "description": "Hémiplégie spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": false,
    "severity": 9,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G81.1 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G81.9": {
    "code": "G81.9",
    "description": "Hémiplégie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 377,
    "is_category": false,
    "severity": 9,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code G81.9 appartient à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82": {
    "code": "G82",
    "description": "Paraplégie et tétraplégie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": true,
    "severity": 9,
    "synonyms": [
      "et tétraplégie résultant d’une cause quelle qu’elle soit.",
      "supplémentaire avec les sous-catégories G82.-",
      "Scale), associé ou non à une atteinte sensitive :",
      "0 complète motrice",
      "1 incomplète motrice"
    ],
    "comprend": [
      "paraparésie",
      "tétraparésie"
    ],
    "exclusions": [
      "paralysies cérébrales congénitales (G80.-)"
    ],
    "clinical_text": [
      "Note Cette catégorie ne doit être utilisée comme cause principale de codage que lorsque les affections ci-dessous",
      "sont mentionnées sans autre précision ou sont définies comme anciennes ou de longue durée mais de cause",
      "non précisée. Cette catégorie peut être aussi utilisée en codage multiple pour identifier les types de paraplégie",
      "Les codes G82.- appartiennent à la Liste 2 « troubles moteurs » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022 – liste 2 pp. 7-",
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisées comme cinquième caractère",
      "Elles décrivent le caractère complet ou incomplet de l’atteinte médullaire selon les grades AIS (ASIA Impairment",
      "9 sans précision relative au caractère complet ou incomplet de l’atteinte médullaire"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.0": {
    "code": "G82.0",
    "description": "Paraplégie flasque",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.00": {
    "code": "G82.00",
    "description": "Paraplégie flasque complète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.01": {
    "code": "G82.01",
    "description": "Paraplégie flasque incomplète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Paraplégie flasque sans précision relative au caractère complet ou incomplet de l’atteinte"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.1": {
    "code": "G82.1",
    "description": "Paraplégie spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.10": {
    "code": "G82.10",
    "description": "Paraplégie spastique complète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.11": {
    "code": "G82.11",
    "description": "Paraplégie spastique incomplète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Paraplégie spastique sans précision relative au caractère complet ou incomplet de l’atteinte"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.2": {
    "code": "G82.2",
    "description": "Paraplégie, sans précision relative au caractère flasque ou spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie des deux membres inférieurs SAI",
      "Paraplégie (inférieure) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.20": {
    "code": "G82.20",
    "description": "Paraplégie complète motrice, sans précision relative au caractère flasque ou spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie complète motrice des deux membres inférieurs SAI",
      "Paraplégie complète motrice (inférieure) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.21": {
    "code": "G82.21",
    "description": "Paraplégie incomplète motrice, sans précision relative au caractère flasque ou spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie incomplète motrice des deux membres inférieurs SAI",
      "Paraplégie incomplète motrice (inférieure) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.3": {
    "code": "G82.3",
    "description": "Tétraplégie flasque",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.30": {
    "code": "G82.30",
    "description": "Tétraplégie flasque complète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.31": {
    "code": "G82.31",
    "description": "Tétraplégie flasque incomplète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tétraplégie flasque sans précision relative au caractère complet ou incomplet de l’atteinte"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.4": {
    "code": "G82.4",
    "description": "Tétraplégie spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.40": {
    "code": "G82.40",
    "description": "Tétraplégie spastique complète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.41": {
    "code": "G82.41",
    "description": "Tétraplégie spastique incomplète motrice",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 378,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tétraplégie spastique sans précision relative au caractère complet ou incomplet de l’atteinte"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.5": {
    "code": "G82.5",
    "description": "Tétraplégie, sans précision relative au caractère flasque ou spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Quadriplégie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.50": {
    "code": "G82.50",
    "description": "Tétraplégie complète motrice, sans précision relative au caractère flasque ou spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G82.51": {
    "code": "G82.51",
    "description": "Tétraplégie incomplète motrice, sans précision relative au caractère flasque ou spastique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83": {
    "code": "G83",
    "description": "Autres syndromes paralytiques",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cause quelle qu’elle soit."
    ],
    "comprend": [
      "paralysie (complète) (incomplète) non classée en G80-G82"
    ],
    "exclusions": [],
    "clinical_text": [
      "Note Cette catégorie ne doit être utilisée comme cause principale de codage que lorsque les affections ci-dessous",
      "sont mentionnées sans autre précision ou sont définies comme anciennes ou de longue durée mais de cause",
      "non précisée. Cette catégorie peut être aussi utilisée en codage multiple pour identifier les états résultant d’une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83.0": {
    "code": "G83.0",
    "description": "Diplégie des membres supérieurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Diplégie supérieure",
      "Paralysie des deux membres supérieurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83.1": {
    "code": "G83.1",
    "description": "Monoplégie d’un membre inférieur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie d’un membre inférieur",
      "- paralysie faciale seule : G83.6",
      "- paralysie facio-brachiale : G83.6 + G83.2",
      "- paralysie membre supérieur seul : G83.2",
      "- paralysie membre inférieur seul : G83.1",
      "- paralysie membre supérieur + inférieur : G81.0-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pour un patient admis pour un AVC au stade aigu et qui présente un déficit, qu'il soit complet (-plégie) ou",
      "incomplet (-parésie), quel code doit-on utiliser selon la localisation du déficit ?"
    ],
    "agora_refs": [
      "270598"
    ],
    "cocoa_notes": [
      "(AGORA - # 270598 le 9 janvier 2025)"
    ]
  },
  "G83.2": {
    "code": "G83.2",
    "description": "Monoplégie d’un membre supérieur",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Paralysie d’un membre supérieur",
      "- paralysie faciale seule : G83.6",
      "- paralysie facio-brachiale : G83.6 + G83.2",
      "- paralysie membre supérieur seul : G83.2",
      "- paralysie membre inférieur seul : G83.1",
      "- paralysie membre supérieur + inférieur : G81.0-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pour un patient admis pour un AVC au stade aigu et qui présente un déficit, qu'il soit complet (-plégie) ou",
      "incomplet (-parésie), quel code doit-on utiliser selon la localisation du déficit ?"
    ],
    "agora_refs": [
      "270598"
    ],
    "cocoa_notes": [
      "(AGORA - # 270598 le 9 janvier 2025)"
    ]
  },
  "G83.3": {
    "code": "G83.3",
    "description": "Monoplégie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83.4": {
    "code": "G83.4",
    "description": "Syndrome de la queue de cheval",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Vessie neurogène due au syndrome de la queue de cheval"
    ],
    "comprend": [],
    "exclusions": [
      "vessie automatique SAI (G95.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83.5": {
    "code": "G83.5",
    "description": "Syndrome de déefférentation motrice [Locked-in syndrome] [LIS]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 379,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Syndrome de verrouillage",
      "polyhandicaps lourds.",
      "– liste 2 pp. 7-9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dit aussi syndrome de verrouillage, d’enfermement, de désafférentation",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025 - p. 78",
      "Le code G83.5 (ex G83.8+0) appartient à la Liste 2 « troubles moteurs » permettant le repérage des",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83.6": {
    "code": "G83.6",
    "description": "Paralysie faciale du neurone moteur supérieur [NMS] [MNS]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie (parésie) faciale centrale",
      "- paralysie faciale seule : G83.6",
      "- paralysie facio-brachiale : G83.6 + G83.2",
      "- paralysie membre supérieur seul : G83.2",
      "- paralysie membre inférieur seul : G83.1",
      "- paralysie membre supérieur + inférieur : G81.0-"
    ],
    "comprend": [],
    "exclusions": [
      "Paralysie faciale (de) • Bell (G51.0)",
      "(due à une) : • lésion du neurone moteur inférieur [NMI] [MNI] (G51.0)",
      "• périphérique (G51.0)"
    ],
    "clinical_text": [
      "Paralysie (parésie) faciale due à une lésion du neurone moteur supérieur",
      "Pour un patient admis pour un AVC au stade aigu et qui présente un déficit, qu'il soit complet (-plégie) ou",
      "incomplet (-parésie), quel code doit-on utiliser selon la localisation du déficit ?"
    ],
    "agora_refs": [
      "270598"
    ],
    "cocoa_notes": [
      "(AGORA - # 270598 le 9 janvier 2025)"
    ]
  },
  "G83.8": {
    "code": "G83.8",
    "description": "+8 Autres syndromes paralytiques précisés non classés ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie de Todd (post-critique) (post-épileptique)",
      "Syndrome de Brown-Sequard"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G83.9": {
    "code": "G83.9",
    "description": "Syndrome paralytique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90": {
    "code": "G90",
    "description": "Affections du système nerveux autonome",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysautonomie alcoolique (G31.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.0": {
    "code": "G90.0",
    "description": "Neuropathie autonome périphérique idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syncope par hyperexcitabilité du sinus carotidien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.1": {
    "code": "G90.1",
    "description": "Dysautonomie familiale [Riley-Day]",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.2": {
    "code": "G90.2",
    "description": "Syndrome de Claude Bernard-Horner",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pupille de Horner"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.4": {
    "code": "G90.4",
    "description": "Dysréflexie autonome",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.5": {
    "code": "G90.5",
    "description": "Syndrome douloureux régional complexe de type I",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Dystrophie sympathique réflexe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.6": {
    "code": "G90.6",
    "description": "Syndrome douloureux régional complexe de type II ou autre",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Causalgie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.7": {
    "code": "G90.7",
    "description": "Syndrome douloureux régional complexe sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G90.8": {
    "code": "G90.8",
    "description": "Autres affections du système nerveux autonome",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "87880"
    ],
    "cocoa_notes": [
      "Neuropathie post-ganglionnaire (AGORA - # 87880 le 18 octobre 2013)"
    ]
  },
  "G90.9": {
    "code": "G90.9",
    "description": "Affection du système nerveux autonome, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 380,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystonie neuro-végétative",
      "Dystonie vago-sympathique",
      "Dysautonomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91": {
    "code": "G91",
    "description": "Hydrocéphalie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend hydrocéphalie acquise"
    ],
    "comprend": [],
    "exclusions": [
      "hydrocéphalie : • congénitale (Q03.-)",
      "• due à toxoplasmose congénitale (P37.1)",
      "• acquise, du nouveau-né (P91.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91.0": {
    "code": "G91.0",
    "description": "Hydrocéphalie communicante",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91.1": {
    "code": "G91.1",
    "description": "Hydrocéphalie obstructive (non communicante)",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91.2": {
    "code": "G91.2",
    "description": "Hydrocéphalie à pression normale",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91.3": {
    "code": "G91.3",
    "description": "Hydrocéphalie post-traumatique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91.8": {
    "code": "G91.8",
    "description": "Autres hydrocéphalies",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G91.9": {
    "code": "G91.9",
    "description": "Hydrocéphalie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G92": {
    "code": "G92",
    "description": "Encéphalopathie toxique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": true,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93": {
    "code": "G93",
    "description": "Autres affections du cerveau",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.0": {
    "code": "G93.0",
    "description": "Kystes cérébraux",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste : • arachnoïdien",
      "• porencéphalique, acquis"
    ],
    "comprend": [],
    "exclusions": [
      "kystes : • cérébraux congénitaux (Q04.6)",
      "• périventriculaires acquis du nouveau-né (P91.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.1": {
    "code": "G93.1",
    "description": "Lésion cérébrale anoxique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [
      "anoxie néonatale (P21.9)",
      "compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)",
      "• grossesse, travail ou accouchement (O29.2, O74.3, O89.2)",
      "• soins chirurgicaux et médicaux (T80-T88)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.2": {
    "code": "G93.2",
    "description": "Hypertension intra-crânienne bénigne",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "encéphalopathie hypertensive (I67.4)"
    ],
    "clinical_text": [
      "Dans le volume 3 le terme « bénigne » est entre parenthèses ce qui signifie que la CIM classe toutes les",
      "hypertensions intracrâniennes dans G93.2. L’index alphabétique de la CIM-10 reste inchangé pour cette"
    ],
    "agora_refs": [
      "157905"
    ],
    "cocoa_notes": [
      "consigne. L’exclusion doit être respectée.(AGORA - # 157905 le 26 février 2018)"
    ]
  },
  "G93.3": {
    "code": "G93.3",
    "description": "Syndrome de fatigue post-virale",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Encéphalomyélite myalgique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.4": {
    "code": "G93.4",
    "description": "Encéphalopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 381,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "encéphalopathie : • alcoolique (G31.2)",
      "• toxique (G92)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.5": {
    "code": "G93.5",
    "description": "Compression du cerveau",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Compression du cerveau (tronc cérébral)",
      "Hernie du cerveau (tronc cérébral)",
      "Engagement cérébral"
    ],
    "comprend": [],
    "exclusions": [
      "compression traumatique cérébrale (diffuse) (S06.2)",
      "• en foyer (S06.3)"
    ],
    "clinical_text": [
      "Un scanner cérébral objective un hématome sous-dural, avec effet de masse. Peut-on coder, outre",
      "l’hématome sous-dural, l’effet de masse avec le code G93.5 compression du cerveau ? Le radiologue que j’ai",
      "contacté me répond qu’on peut considérer qu’un effet de masse est synonyme d’une compression cérébrale",
      "Coder G93.5 Compression du cerveau dès lors qu'il y a engagement cérébral (signe d'une augmentation de"
    ],
    "agora_refs": [
      "86943",
      "268757"
    ],
    "cocoa_notes": [
      "(AGORA - # 86943 le 27 septembre 2013)",
      "la pression intracrânienne). (AGORA - # 268757 le 29 octobre 2024)"
    ]
  },
  "G93.6": {
    "code": "G93.6",
    "description": "Œdème cérébral",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "72259 le 4 décembre 2012)"
    ],
    "comprend": [],
    "exclusions": [
      "œdème cérébral : • dû à un traumatisme obstétrical (P11.0)",
      "• traumatique (S06.1)"
    ],
    "clinical_text": [
      "PRES syndrome ou syndrome d’encéphalopathie postérieure réversible - après discussion avec des cliniciens,",
      "il apparait que ce syndrome, bien que très souvent dû à l’hypertension, peut relever d’autres causes. I67.4",
      "ne peut donc pas convenir pour le décrire et G93.6 reste le code approprié à l’heure actuelle. (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.7": {
    "code": "G93.7",
    "description": "Syndrome de Reye",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G93.8": {
    "code": "G93.8",
    "description": "Autres affections précisées du cerveau",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Encéphalopathie post-radiothérapie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [
      "227074"
    ],
    "cocoa_notes": [
      "La pneumatocèle intra-crânienne post-traumatique se code bien G93.8 (AGORA - # 227074 le 13 avril 2022)"
    ]
  },
  "G93.9": {
    "code": "G93.9",
    "description": "Affection du cerveau, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G94.0": {
    "code": "G94.0",
    "description": "Hydrocéphalie au cours de maladies infectieuses et parasitaires classées ailleurs (A00-B99 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G94.2": {
    "code": "G94.2",
    "description": "Hydrocéphalie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G94.3": {
    "code": "G94.3",
    "description": "Encéphalopathie au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G94.8": {
    "code": "G94.8",
    "description": "Autres affections précisées du cerveau au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 382,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G95": {
    "code": "G95",
    "description": "Autres affections de la moelle épinière",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myélite (G04.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G95.0": {
    "code": "G95.0",
    "description": "Syringomyélie et syringobulbie",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G95.1": {
    "code": "G95.1",
    "description": "Myélopathies vasculaires",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hématomyélie",
      "Myélopathie nécrotique subaiguë [Foix-Alajouanine]",
      "Œdème de la moelle épinière",
      "Thrombose artérielle de la moelle épinière",
      "Accident vasculaire (ischémique) médullaire",
      "Claudication intermittente médullaire"
    ],
    "comprend": [],
    "exclusions": [
      "phlébite et thrombophlébite intra-rachidiennes, sauf d’origine non pyogène (G08)"
    ],
    "clinical_text": [
      "Infarctus aigu de la moelle épinière (embolique) (non embolique)",
      "Phlébite et thrombophlébite intra-rachidiennes, d’origine non pyogène"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G95.2": {
    "code": "G95.2",
    "description": "Compression médullaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G95.8": {
    "code": "G95.8",
    "description": "Autres affections précisées de la moelle épinière",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myélopathie : • médicamenteuse",
      "• post-radiothérapie",
      "Vessie automatique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "dysfonctionnement neuro-musculaire de la vessie sans mention de lésion de la moelle",
      "épinière (N31.-)",
      "vessie neurogène : • SAI (N31.9)",
      "• due au syndrome de la queue de cheval (G83.4)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent externe."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G95.9": {
    "code": "G95.9",
    "description": "Affection de la moelle épinière, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myélopathie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G96": {
    "code": "G96",
    "description": "Autres affections du système nerveux central",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G96.0": {
    "code": "G96.0",
    "description": "Ecoulement du liquide céphalorachidien",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "après rachicentèse (G97.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G96.1": {
    "code": "G96.1",
    "description": "Affection des méninges, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences méningées (cérébrales) (rachidiennes)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G96.8": {
    "code": "G96.8",
    "description": "Autres affections précisées du système nerveux central",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G96.9": {
    "code": "G96.9",
    "description": "Affection du système nerveux central, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thérapeutique, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections du système nerveux après un acte à visée diagnostique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G97.0": {
    "code": "G97.0",
    "description": "Écoulement du liquide céphalo-rachidien après rachicentèse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Écoulement de LCR après ponction lombaire [PL]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G97.1": {
    "code": "G97.1",
    "description": "Autre réaction secondaire à une rachicentèse",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Autre réaction après PL"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G97.2": {
    "code": "G97.2",
    "description": "Hypotension intra-crânienne suite à un pontage ventriculaire",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 383,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G97.8": {
    "code": "G97.8",
    "description": "Autres affections du système nerveux après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perforation et déchirure accidentelle des méninges après un acte à visée diagnostique ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G97.80": {
    "code": "G97.80",
    "description": ". (AGORA - # 214444 le 30 avril 2021)",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perforation et déchirure accidentelle d’un autre organe du système nerveux après un acte à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G98": {
    "code": "G98",
    "description": "Autres affections du système nerveux, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend Affection du système nerveux SAI",
      "Arthropathie de Charcot • SAI (M14.6 *)",
      "• non syphilitique (M14.6 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections du système nerveux au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G99.1": {
    "code": "G99.1",
    "description": "Autres affections du système nerveux autonome au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "G99.8": {
    "code": "G99.8",
    "description": "Autres affections précisées du système nerveux au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système nerveux",
    "page": 384,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie urémique ou encéphalopathie urémique (N18.5 †)",
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "certaines maladies infectieuses et parasitaires (A00-B99)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H03": {
    "code": "H03",
    "description": "* Affections de la paupière au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H06": {
    "code": "H06",
    "description": "* Affections de l’appareil lacrymal et de l’orbite au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "",
    "page": 385,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H13": {
    "code": "H13",
    "description": "* Affections de la conjonctive au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H19": {
    "code": "H19",
    "description": "* Affections de la sclérotique et de la cornée au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "",
    "page": 385,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H22": {
    "code": "H22",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H28": {
    "code": "H28",
    "description": "* Cataracte et autres affections du cristallin au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "",
    "page": 385,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H32": {
    "code": "H32",
    "description": "* Affections choriorétiniennes au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H36": {
    "code": "H36",
    "description": "* Affections rétiniennes au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H42": {
    "code": "H42",
    "description": "* Glaucome au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H45": {
    "code": "H45",
    "description": "* Affections du corps vitré et du globe oculaire au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "",
    "page": 385,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H48": {
    "code": "H48",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H58": {
    "code": "H58",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H00": {
    "code": "H00",
    "description": "Orgelet et chalazion",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H00.0": {
    "code": "H00.0",
    "description": "Orgelet et autres inflammations profondes de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès de la paupière",
      "Furoncle de la paupière",
      "Compère-loriot"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H00.1": {
    "code": "H00.1",
    "description": "Chalazion",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H01": {
    "code": "H01",
    "description": "Autres inflammations de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H01.0": {
    "code": "H01.0",
    "description": "Blépharite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "blépharo-conjonctivite (H10.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H01.1": {
    "code": "H01.1",
    "description": "Dermatoses non infectieuses de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite : • allergique de la paupière",
      "• de contact de la paupière",
      "• eczémateuse de la paupière",
      "Lupus érythémateux discoïde de la paupière",
      "Xérodermie de la paupière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H01.8": {
    "code": "H01.8",
    "description": "Autres inflammations précisées de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H01.9": {
    "code": "H01.9",
    "description": "Inflammation de la paupière, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02": {
    "code": "H02",
    "description": "Autres affections des paupières",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de la paupière (Q10.0-Q10.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.0": {
    "code": "H02.0",
    "description": "Entropion et trichiasis de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.1": {
    "code": "H02.1",
    "description": "Ectropion palpébral",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.2": {
    "code": "H02.2",
    "description": "Lagophtalmie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.3": {
    "code": "H02.3",
    "description": "Blépharochalasis",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermatochalasis",
      "Dermatochalazis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.4": {
    "code": "H02.4",
    "description": "Ptosis de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.5": {
    "code": "H02.5",
    "description": "Autres troubles affectant la fonction palpébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ankyloblépharon",
      "Atrophie de la paupière",
      "Blépharophimosis"
    ],
    "comprend": [],
    "exclusions": [
      "blépharospasme (G24.5)",
      "tic : • SAI (F95.9)",
      "• d’origine organique (G25.6)",
      "• psychogène (F95.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.6": {
    "code": "H02.6",
    "description": "Xanthélasma de la paupière",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 386,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.7": {
    "code": "H02.7",
    "description": "Autres affections dégénératives des paupières et de la région péri-oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chloasma de la paupière",
      "Madarosis de la paupière",
      "Vitiligo de la paupière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.8": {
    "code": "H02.8",
    "description": "Autres affections précisées des paupières",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrichose des paupières",
      "Rétention de corps étranger dans la paupière",
      "# 66083 le 21 juin 2012)",
      "2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Code préconisé en DP des prises en charge pour canthoplastie sur séquelles de paralysie faciale (AGORA -",
      "La kératose séborrhéique de la paupière se code en H02.8 et non en L82 (AGORA - # 69878 le 27 septembre",
      "code proposé pour le Floppy Eyelid Syndrom (FES) ou syndrome de flaccidité de la paupière. Ce syndrome",
      "est dû à une atonie de la paupière dont le mécanisme exact n’est pas élucidé. Il convient d’en coder les",
      "manifestations lorsqu’elles sont précisées : ectropion (H02.1), conjonctivite chronique (H10.4), kératite",
      "ponctuée superficielle (H16.2). Ce syndrome est souvent diagnostiqué chez des patients masculins obèses",
      "(E66.-) et/ou atteints d’un syndrome d’apnée du sommeil (G47.3)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H02.9": {
    "code": "H02.9",
    "description": "Affection des paupières, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H03.0": {
    "code": "H03.0",
    "description": "Infection parasitaire de la paupière au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite de la paupière due à Demodex (B88.0 †)",
      "Infection parasitaire de la • leishmaniose (B55.- †)",
      "paupière au cours de : • loase (B74.3 †)",
      "• onchocercose (B73 †)",
      "• phtiriase (B85.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H03.1": {
    "code": "H03.1",
    "description": "Atteinte de la paupière au cours d’autres maladies infectieuses classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• lèpre (A30.- †)",
      "• molluscum contagiosum (B08.1 †)",
      "• pian (A66.- †)",
      "• tuberculose (A18.4 †)",
      "• zona (B02.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteinte de la paupière au cours de : • infection due au virus de l’herpès simplex (B00.5 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H03.8": {
    "code": "H03.8",
    "description": "Atteinte de la paupière au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atteinte de la paupière au cours d’impétigo (L01.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04": {
    "code": "H04",
    "description": "Affections de l’appareil lacrymal",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de l’appareil lacrymal (Q10.4-Q10.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.0": {
    "code": "H04.0",
    "description": "Dacryoadénite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrophie chronique de la glande lacrymale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.1": {
    "code": "H04.1",
    "description": "Autres affections des glandes lacrymales",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie de la glande lacrymale",
      "Kyste de la glande lacrymale",
      "Dacryops",
      "Syndrome des yeux secs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.2": {
    "code": "H04.2",
    "description": "Épiphora",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 387,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.3": {
    "code": "H04.3",
    "description": "Inflammation aiguë et sans précision des voies lacrymales",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canaliculite lacrymale aiguë subaiguë ou non précisée",
      "Dacryocystite (phlegmoneuse) aiguë subaiguë ou non précisée",
      "Dacryopéricystite aiguë subaiguë ou non précisée"
    ],
    "comprend": [],
    "exclusions": [
      "dacryocystite néonatale (P39.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.4": {
    "code": "H04.4",
    "description": "Inflammation chronique des voies lacrymales",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canaliculite lacrymale chronique",
      "Dacryocystite chronique",
      "Mucocèle du sac lacrymal chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.5": {
    "code": "H04.5",
    "description": "Sténose et insuffisance des voies lacrymales",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dacryolithe",
      "Éversion du point lacrymal",
      "Sténose du : • canal lacrymal, lacrymo-nasal",
      "• canalicule lacrymal, lacrymo-nasal",
      "• sac lacrymal, lacrymo-nasal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.6": {
    "code": "H04.6",
    "description": "Autres lésions des voies lacrymales",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule lacrymale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.8": {
    "code": "H04.8",
    "description": "Autres affections de l’appareil lacrymal",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H04.9": {
    "code": "H04.9",
    "description": "Affection de l’appareil lacrymal, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05": {
    "code": "H05",
    "description": "Affections de l’orbite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malformation congénitale de l’orbite (Q10.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.0": {
    "code": "H05.0",
    "description": "Inflammation aiguë de l’orbite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès de l’orbite",
      "Cellulite de l’orbite",
      "Ostéomyélite de l’orbite",
      "Périostite de l’orbite",
      "Ténonite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.1": {
    "code": "H05.1",
    "description": "Affections inflammatoires chroniques de l’orbite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Granulome de l’orbite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.2": {
    "code": "H05.2",
    "description": "Exophtalmie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déplacement (latéral) du globe SAI",
      "Hémorragie de l’orbite",
      "Œdème de l’orbite"
    ],
    "comprend": [],
    "exclusions": [
      "exophtalmie thyréotoxique (H06.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.3": {
    "code": "H05.3",
    "description": "Déformation de l’orbite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie de l’orbite",
      "Exostose de l’orbite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.4": {
    "code": "H05.4",
    "description": "Enophtalmie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.5": {
    "code": "H05.5",
    "description": "Rétention (ancienne) de corps étranger secondaire à une plaie pénétrante de l’orbite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 388,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Corps étranger rétro-oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.8": {
    "code": "H05.8",
    "description": "Autres affections de l’orbite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste de l’orbite",
      "12 janvier 2016)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pneumorbite : ce syndrome également appelé emphysème orbitaire se code H05.8 (AGORA - # 124868 le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H05.9": {
    "code": "H05.9",
    "description": "Affection de l’orbite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections de l’appareil lacrymal et de l’orbite au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H06.0": {
    "code": "H06.0",
    "description": "Affections de l’appareil lacrymal au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H06.1": {
    "code": "H06.1",
    "description": "Infection parasitaire de l’orbite au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection de l’orbite due à Echinococcus (B67.- †)",
      "Myiase de l’orbite (B87.2 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H06.2": {
    "code": "H06.2",
    "description": "Exophtalmie thyréotoxique (E05.- †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H06.3": {
    "code": "H06.3",
    "description": "Autres affections de l’orbite au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10": {
    "code": "H10",
    "description": "Conjonctivite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kératoconjonctivite (H16.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.0": {
    "code": "H10.0",
    "description": "Conjonctivite mucopurulente",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.1": {
    "code": "H10.1",
    "description": "Conjonctivite atopique aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.2": {
    "code": "H10.2",
    "description": "Autres conjonctivites aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.3": {
    "code": "H10.3",
    "description": "Conjonctivite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ophtalmie du nouveau-né SAI (P39.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.4": {
    "code": "H10.4",
    "description": "Conjonctivite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.5": {
    "code": "H10.5",
    "description": "Blépharo-conjonctivite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.8": {
    "code": "H10.8",
    "description": "Autres conjonctivites",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H10.9": {
    "code": "H10.9",
    "description": "Conjonctivite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11": {
    "code": "H11",
    "description": "Autres affections de la conjonctive",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kératoconjonctivite (H16.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.0": {
    "code": "H11.0",
    "description": "Ptérygion",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pseudo-ptérygion (H11.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.1": {
    "code": "H11.1",
    "description": "Dépôts et affections dégénératives de la conjonctive",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Argyrose de la conjonctive",
      "Argyrie de la conjonctive",
      "Calcification de la conjonctive",
      "Pigmentation de la conjonctive",
      "Xérosis SAI de la conjonctive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.2": {
    "code": "H11.2",
    "description": "Cicatrices de la conjonctive",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 389,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Symblépharon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.3": {
    "code": "H11.3",
    "description": "Hémorragie conjonctivale",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie sous-conjonctivale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.4": {
    "code": "H11.4",
    "description": "Autres troubles vasculaires et kystes de la conjonctive",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme de la conjonctive",
      "Congestion de la conjonctive",
      "Œdème de la conjonctive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.8": {
    "code": "H11.8",
    "description": "Autres affections précisées de la conjonctive",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pseudo-ptérygion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H11.9": {
    "code": "H11.9",
    "description": "Affection de la conjonctive, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H13.0": {
    "code": "H13.0",
    "description": "Parasitose filarienne de la conjonctive (B74.- †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H13.1": {
    "code": "H13.1",
    "description": "Conjonctivite au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite (à) (de) : • Acanthamoeba (B60.1 †)",
      "• Chlamydia (A74.0 †)",
      "• diphtérique (A36.8 †)",
      "• folliculaire (aiguë) à adénovirus (B30.1 †)",
      "• gonococcique (A54.3 †)",
      "• hémorragique (aiguë) (épidémique) (B30.3 †)",
      "• méningococcique (A39.8 †)",
      "• Newcastle (B30.8 †)",
      "• virale herpétique à herpès simplex (B00.5 †)",
      "• zostérienne (B02.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H13.2": {
    "code": "H13.2",
    "description": "Conjonctivite au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H13.3": {
    "code": "H13.3",
    "description": "Pemphigoïde oculaire (L12.- †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H13.8": {
    "code": "H13.8",
    "description": "Autres affections de la conjonctive au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 390,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H15": {
    "code": "H15",
    "description": "Affections de la sclérotique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H15.0": {
    "code": "H15.0",
    "description": "Sclérite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H15.1": {
    "code": "H15.1",
    "description": "Episclérite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H15.8": {
    "code": "H15.8",
    "description": "Autres affections de la sclérotique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sclérectasie",
      "Staphylome équatorial"
    ],
    "comprend": [],
    "exclusions": [
      "myopie dégénérative (H44.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H15.9": {
    "code": "H15.9",
    "description": "Affection de la sclérotique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16": {
    "code": "H16",
    "description": "Kératite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.0": {
    "code": "H16.0",
    "description": "Ulcère de la cornée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ulcère de (la) : • cornée : • SAI",
      "• annulaire",
      "• avec hypopyon",
      "• central",
      "• marginal",
      "• perforé",
      "• Mooren"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.1": {
    "code": "H16.1",
    "description": "Autres kératites superficielles sans conjonctivite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kératite : • annulaire",
      "• filamenteuse",
      "• nummulaire",
      "• ponctuée superficielle",
      "• stellaire",
      "• striée",
      "Ophtalmie des neiges",
      "Photokératite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.2": {
    "code": "H16.2",
    "description": "Kératoconjonctivite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kératite superficielle avec conjonctivite",
      "Kératoconjonctivite : • SAI",
      "• d’exposition",
      "• neurotrophique",
      "• phlycténulaire",
      "Ophtalmia nodosa"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.3": {
    "code": "H16.3",
    "description": "Kératite interstitielle et profonde",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès de la cornée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.4": {
    "code": "H16.4",
    "description": "Néovascularisation cornéenne",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Néovaisseaux (de la cornée)",
      "Pannus (de la cornée)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.8": {
    "code": "H16.8",
    "description": "Autres kératites",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H16.9": {
    "code": "H16.9",
    "description": "Kératite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 391,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H17": {
    "code": "H17",
    "description": "Cicatrices et opacités cornéennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H17.0": {
    "code": "H17.0",
    "description": "Leucome adhérent",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H17.1": {
    "code": "H17.1",
    "description": "Autres opacités cornéennes centrales",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H17.8": {
    "code": "H17.8",
    "description": "Autres cicatrices et opacités cornéennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H17.9": {
    "code": "H17.9",
    "description": "Cicatrice et opacité cornéennes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18": {
    "code": "H18",
    "description": "Autres affections de la cornée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.0": {
    "code": "H18.0",
    "description": "Pigmentation et dépôts cornéens",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anneau de Kayser-Fleischer",
      "Faisceaux de Krukenberg",
      "Hématocornée",
      "Ligne de Stahli",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.1": {
    "code": "H18.1",
    "description": "Kératopathie bulleuse",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kératopathie bulleuse du pseudophake (H59.0)",
      "kératopathie (bulleuse de l’aphake) après chirurgie de la cataracte (H59.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.2": {
    "code": "H18.2",
    "description": "Autre œdème de la cornée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.3": {
    "code": "H18.3",
    "description": "Lésions des membranes cornéennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Plis de la membrane de Descemet",
      "Rupture de la membrane de Descemet"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Quel code utiliser pour un décollement de la membrane de Descemet ? Je vous conseille de coder H18.3"
    ],
    "agora_refs": [
      "101344"
    ],
    "cocoa_notes": [
      "avec la validation du clinicien (AGORA - # 101344 le 28 mai 2014)"
    ]
  },
  "H18.4": {
    "code": "H18.4",
    "description": "Dégénérescence de la cornée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arc sénile",
      "Kératopathie en bandelettes"
    ],
    "comprend": [],
    "exclusions": [
      "ulcère de Mooren (H16.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.5": {
    "code": "H18.5",
    "description": "Dystrophies cornéennes héréditaires",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystrophie de (la) • épithéliale",
      "cornée : • granuleuse",
      "• grillagée en réseau",
      "• maculaire",
      "Dystrophie de Fuchs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.6": {
    "code": "H18.6",
    "description": "Kératocône",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.7": {
    "code": "H18.7",
    "description": "Autres déformations de la cornée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ectasie de la cornée",
      "Staphylome de la cornée",
      "Descemétocèle"
    ],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de la cornée (Q13.3-Q13.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.8": {
    "code": "H18.8",
    "description": "Autres affections précisées de la cornée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 392,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anesthésie de la cornée",
      "Erosion récidivante de la cornée",
      "Hypoesthésie de la cornée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H18.9": {
    "code": "H18.9",
    "description": "Affection de la cornée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections de la sclérotique et de la cornée au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H19.0": {
    "code": "H19.0",
    "description": "Sclérite et épisclérite au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Episclérite : • syphilitique (A52.7 †)",
      "• tuberculeuse (A18.5 †)",
      "Sclérite zostérienne (B02.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H19.1": {
    "code": "H19.1",
    "description": "Kératite et kératoconjonctivite dues au virus de l’herpès (B00.5 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kératite dendritique et disciforme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Kératite et kératoconjonctivite au cours d’autres maladies infectieuses et parasitaires classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H19.3": {
    "code": "H19.3",
    "description": "Kératite et kératoconjonctivite au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Kératoconjonctivite sèche (M35.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H19.8": {
    "code": "H19.8",
    "description": "Autres affections de la sclérotique et de la cornée au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kératocône au cours du syndrome de Down (Q90.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H20": {
    "code": "H20",
    "description": "Iridocyclite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H20.0": {
    "code": "H20.0",
    "description": "Iridocyclite aiguë et subaiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cyclite aiguë, subaiguë ou à répétition",
      "Iritis aiguë, subaiguë ou à répétition",
      "Uvéite antérieure aiguë, subaiguë ou à répétition"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H20.1": {
    "code": "H20.1",
    "description": "Iridocyclite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H20.2": {
    "code": "H20.2",
    "description": "Iridocyclite due aux lentilles de contact",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H20.8": {
    "code": "H20.8",
    "description": "Autres iridocyclites",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H20.9": {
    "code": "H20.9",
    "description": "Iridocyclite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21": {
    "code": "H21",
    "description": "Autres affections de l’iris et du corps ciliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "uvéite sympathique (H44.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.0": {
    "code": "H21.0",
    "description": "Hyphéma",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyphéma traumatique (S05.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.1": {
    "code": "H21.1",
    "description": "Autres affections vasculaires de l’iris et du corps ciliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 393,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néovascularisation de l’iris ou du corps ciliaire",
      "Rubéose de l’iris"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.2": {
    "code": "H21.2",
    "description": "Affections dégénératives de l’iris et du corps ciliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie de l’iris (essentielle) (progressive)",
      "Dégénérescence de : • iris (pigmentaire)",
      "• rebord pupillaire",
      "Iridoschisis",
      "Kyste pupillaire miotique",
      "Translucidité de l’iris"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.3": {
    "code": "H21.3",
    "description": "Kystes de l’iris, du corps ciliaire et de la chambre antérieure de l’œil",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste de l’iris, du corps ciliaire et de • SAI",
      "la chambre antérieure de l’œil : • après implant",
      "• exsudatif",
      "• parasitaire"
    ],
    "comprend": [],
    "exclusions": [
      "kyste pupillaire miotique (H21.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.4": {
    "code": "H21.4",
    "description": "Membranes pupillaires",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Iris bombé",
      "Occlusion pupillaire",
      "Séclusion pupillaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.5": {
    "code": "H21.5",
    "description": "Autres adhérences et perturbations de l’iris et du corps ciliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Goniosynéchies",
      "Iridodialyse",
      "Récession de l’angle iridocornéen",
      "Synéchies (iris) : • SAI",
      "• antérieures",
      "• postérieures"
    ],
    "comprend": [],
    "exclusions": [
      "corectopie (Q13.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.8": {
    "code": "H21.8",
    "description": "Autres affections précisées de l’iris et du corps ciliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H21.9": {
    "code": "H21.9",
    "description": "Affection de l’iris et du corps ciliaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections de l’iris et du corps ciliaire au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H22.0": {
    "code": "H22.0",
    "description": "Iridocyclite au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• herpétique à herpès simplex (B00.5 †)",
      "• zostérienne (B02.3 †)",
      "• syphilis (secondaire) (A51.4 †)",
      "• tuberculose (A18.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Iridocyclite au cours de : • infection : • gonococcique (A54.3 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H22.1": {
    "code": "H22.1",
    "description": "Iridocyclite au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Iridocyclite au cours de : • sarcoïdose (D86.8 †)",
      "• spondylarthrite ankylosante (M45 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H22.8": {
    "code": "H22.8",
    "description": "Autres affections de l’iris et du corps ciliaire au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 394,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H25": {
    "code": "H25",
    "description": "Cataracte sénile",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "glaucome capsulaire avec pseudo-exfoliation cristallinienne (H40.1)"
    ],
    "clinical_text": [
      "Note l’usage du terme « cataracte sénile » suppose un âge de 65 ans ou plus pour l’algorithme de groupage en PMSI MCO."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H25.0": {
    "code": "H25.0",
    "description": "Cataracte incipiente sénile",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cataracte sénile : • coronaire",
      "• corticale",
      "• polaire sous-capsulaire (antérieure) (postérieure)",
      "• punctiforme",
      "Water clefts (fentes)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H25.1": {
    "code": "H25.1",
    "description": "Cataracte sénile nucléaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cataracte brunescente",
      "Sclérose nucléaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H25.2": {
    "code": "H25.2",
    "description": "Cataracte sénile, de type Morgagni",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cataracte sénile hypermûre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H25.8": {
    "code": "H25.8",
    "description": "Autres cataractes séniles",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Formes combinées de cataracte sénile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H25.9": {
    "code": "H25.9",
    "description": "Cataracte sénile, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26": {
    "code": "H26",
    "description": "Autres cataractes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cataracte congénitale (Q12.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.0": {
    "code": "H26.0",
    "description": "Cataracte infantile, juvénile et présénile",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.1": {
    "code": "H26.1",
    "description": "Cataracte traumatique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.2": {
    "code": "H26.2",
    "description": "Cataracte compliquée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cataracte (au cours de) : • iridocyclite chronique",
      "• secondaire à des affections oculaires",
      "Opacités glaucomateuses (sous-capsulaires)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.3": {
    "code": "H26.3",
    "description": "Cataracte médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.4": {
    "code": "H26.4",
    "description": "Séquelles de cataracte",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anneau de Sœmmering",
      "Cataracte secondaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.8": {
    "code": "H26.8",
    "description": "Autres cataractes précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H26.9": {
    "code": "H26.9",
    "description": "Cataracte, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H27": {
    "code": "H27",
    "description": "Autres affections du cristallin",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications mécaniques d’une lentille intra-oculaire (T85.2)",
      "malformations congénitales du cristallin (Q12.-)",
      "pseudophakie (Z96.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H27.0": {
    "code": "H27.0",
    "description": "Aphakie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 395,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H27.1": {
    "code": "H27.1",
    "description": "Luxation du cristallin",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H27.8": {
    "code": "H27.8",
    "description": "Autres affections précisées du cristallin",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H27.9": {
    "code": "H27.9",
    "description": "Affection du cristallin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cataracte et autres affections du cristallin au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H28.0": {
    "code": "H28.0",
    "description": "Cataracte diabétique (E10-E14 † avec le quatrième chiffre .3)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H28.1": {
    "code": "H28.1",
    "description": "Cataracte au cours d’autres maladies endocriniennes, nutritionnelles et métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cataracte au cours de : • hypoparathyroïdie (E20.- †)",
      "• malnutrition-déshydratation (E40-E46 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H28.2": {
    "code": "H28.2",
    "description": "Cataracte au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cataracte myotonique (G71.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H28.8": {
    "code": "H28.8",
    "description": "Autres affections du cristallin au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H30": {
    "code": "H30",
    "description": "Choriorétinite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H30.0": {
    "code": "H30.0",
    "description": "Choriorétinite en foyer",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choroïdite en foyer",
      "Rétinite en foyer",
      "Rétinochoroïdite en foyer"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H30.1": {
    "code": "H30.1",
    "description": "Choriorétinite disséminée",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choroïdite disséminée",
      "Rétinite disséminée",
      "Rétinochoroïdite disséminée"
    ],
    "comprend": [],
    "exclusions": [
      "rétinopathie exsudative (H35.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H30.2": {
    "code": "H30.2",
    "description": "Cyclite postérieure",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Inflammation de la zone postérieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H30.8": {
    "code": "H30.8",
    "description": "Autres choriorétinites",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Harada"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H30.9": {
    "code": "H30.9",
    "description": "Choriorétinite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choroïdite SAI",
      "Rétinite SAI",
      "Rétinochoroïdite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31": {
    "code": "H31",
    "description": "Autres affections de la choroïde",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.0": {
    "code": "H31.0",
    "description": "Cicatrices choriorétiniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétinopathie solaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cicatrice (post-inflammatoire) (post-traumatique) de la macula (pôle postérieur)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.1": {
    "code": "H31.1",
    "description": "Dégénérescence choroïdienne",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 396,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie de la choroïde",
      "Sclérose de la choroïde"
    ],
    "comprend": [],
    "exclusions": [
      "stries angioïdes (H35.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.2": {
    "code": "H31.2",
    "description": "Dystrophie héréditaire de la choroïde",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophia gyrata chorioidae et retinae",
      "Choroïdérémie"
    ],
    "comprend": [],
    "exclusions": [
      "ornithinémie (E72.4)"
    ],
    "clinical_text": [
      "Dystrophie choroïdienne (aréolaire centrale) (généralisée) (péripapillaire)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.3": {
    "code": "H31.3",
    "description": "Hémorragie et rupture de la choroïde",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie choroïdienne : • SAI",
      "• expulsive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.4": {
    "code": "H31.4",
    "description": "Décollement de la choroïde",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.8": {
    "code": "H31.8",
    "description": "Autres affections précisées de la choroïde",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néovascularisation de la choroïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H31.9": {
    "code": "H31.9",
    "description": "Affection de la choroïde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H32.0": {
    "code": "H32.0",
    "description": "Affections choriorétiniennes au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H32.00": {
    "code": "H32.00",
    "description": "Rétinite à cytomégalovirus (B25.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H32.01": {
    "code": "H32.01",
    "description": "Rétinite à toxoplasma (B58.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections choriorétiniennes au cours d’autres maladies infectieuses et parasitaires classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H32.8": {
    "code": "H32.8",
    "description": "Autres affections choriorétiniennes au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétinite : • albuminurique (N18.5 †)",
      "• rénale (N18.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33": {
    "code": "H33",
    "description": "Décollement et déchirure de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "décollement de l’épithélium pigmentaire rétinien (H35.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33.0": {
    "code": "H33.0",
    "description": "Décollement de la rétine avec déchirure rétinienne",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Décollement de la rétine rhegmatogène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33.1": {
    "code": "H33.1",
    "description": "Rétinoschisis et kystes rétiniens",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste (de) : • ora serrata",
      "• parasitaire de la rétine SAI",
      "Pseudokyste de la rétine"
    ],
    "comprend": [],
    "exclusions": [
      "dégénérescence rétinienne microcystoïde (H35.4)",
      "rétinoschisis congénital (Q14.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33.2": {
    "code": "H33.2",
    "description": "Décollement séreux de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 397,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Décollement de la rétine : • SAI",
      "• sans anomalie rétinienne"
    ],
    "comprend": [],
    "exclusions": [
      "choriorétinopathie séreuse centrale (H35.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33.3": {
    "code": "H33.3",
    "description": "Déchirures rétiniennes sans décollement",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure en fer à cheval de la rétine sans décollement",
      "Trou rond de la rétine sans décollement",
      "Déchirure rétinienne SAI",
      "Opercule"
    ],
    "comprend": [],
    "exclusions": [
      "cicatrices choriorétiniennes après traitement chirurgical du décollement (H59.8)",
      "dégénérescence périphérique de la rétine sans déchirure (H35.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33.4": {
    "code": "H33.4",
    "description": "Décollement par traction de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "juin 2015)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Vitréo-rétinopathie proliférante avec décollement de la rétine",
      "Le décollement de la rétine n’est pas systématiquement présent au cours de la rétinopathie diabétique.",
      "Il est donc licite de le coder en association avec H36.0 et le code du diabète (AGORA - # 119404 le 26"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H33.5": {
    "code": "H33.5",
    "description": "Autres décollements rétiniens",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H34": {
    "code": "H34",
    "description": "Occlusions vasculaires rétiniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amaurose fugace (G45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H34.0": {
    "code": "H34.0",
    "description": "Occlusion transitoire de l’artère de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H34.1": {
    "code": "H34.1",
    "description": "Occlusion de l’artère centrale de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H34.2": {
    "code": "H34.2",
    "description": "Autres occlusions de l’artère de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Micro-embolie rétinienne",
      "Occlusion artérielle • branche",
      "rétinienne (d’une) : • partielle",
      "Plaque d’Hollenhorst"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H34.8": {
    "code": "H34.8",
    "description": "Autres occlusions vasculaires rétiniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Occlusion de la veine • branche",
      "de la rétine (d’une) : • centrale",
      "• débutante",
      "• partielle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H34.9": {
    "code": "H34.9",
    "description": "Occlusion vasculaire rétinienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 398,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le 11 août 2010)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Susac : il n'existe pas de code spécifique de cette affection décrite ainsi dans Orphanet :",
      "« Maladie systémique ou rhumatologique rare caractérisée par la triade : atteinte du système nerveux",
      "central (SNC), occlusion des branches de l'artère centrale de la rétine et surdité neurosensorielle liées à",
      "une vasculopathie des microvaisseaux cérébraux, rétinien et de l'oreille interne, d'origine autoimmune »",
      "Vous devez donc coder isolément les signes ou symptômes présentés par le patient : I67.7, H34.9",
      "(occlusion artère centrale de la rétine), H90.5 (surdité neurosensorielle), céphalées ...) (AGORA - # 33829"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35": {
    "code": "H35",
    "description": "Autres affections rétiniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.0": {
    "code": "H35.0",
    "description": "Autres rétinopathies et altérations vasculaires rétiniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Altérations vasculaires de la rétine",
      "Gaine vasculaire rétinienne",
      "Micro-anévrisme rétinien",
      "Néovascularisation rétinienne",
      "Périvascularite rétinienne",
      "Varices rétiniennes",
      "Vascularite rétinienne",
      "Rétinopathie (avec) (de) : • SAI",
      "• antécédents SAI",
      "• Coats",
      "• exsudative",
      "• hypertensive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.1": {
    "code": "H35.1",
    "description": "Rétinopathie de la prématurité",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Fibroplasie rétrocristallinienne ou rétrolentale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.2": {
    "code": "H35.2",
    "description": "Autres rétinopathies proliférantes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vitréo-rétinopathie proliférante"
    ],
    "comprend": [],
    "exclusions": [
      "vitréo-rétinopathie proliférante avec décollement de la rétine (H33.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.3": {
    "code": "H35.3",
    "description": "Dégénérescence de la macula et du pôle postérieur",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dégénérescence maculaire liée à l’âge [DMLA]",
      "Dégénérescence (de) : • Junius-Kuhnt",
      "• maculaire sénile (atrophique) (exsudative)",
      "Druses (dégénératives) de la macula",
      "Kyste de la macula",
      "Plis de la macula",
      "Stries angioïdes de la macula",
      "Trou de la macula",
      "Maculopathie toxique",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement",
      "Syndrome de Charles Bonnet : sous réserve de confirmation par le contexte clinique, ce syndrome",
      "correspond à des hallucinations visuelles liées à une DMLA (dégénérescence maculaire liée à l’âge). Vous"
    ],
    "agora_refs": [
      "72213"
    ],
    "cocoa_notes": [
      "coderez R44.1 et H35.3 (AGORA - # 72213 le 4 décembre 2012)"
    ]
  },
  "H35.4": {
    "code": "H35.4",
    "description": "Dégénérescence rétinienne périphérique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dégénérescence • SAI",
      "rétinienne : • en palissade",
      "• entrecroisée",
      "• microcystoïde",
      "• pavimenteuse",
      "• réticulaire"
    ],
    "comprend": [],
    "exclusions": [
      "avec déchirure rétinienne (H33.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.5": {
    "code": "H35.5",
    "description": "Dystrophie rétinienne héréditaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 399,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• tapéto-rétinienne",
      "• vitréo-rétinienne",
      "Maladie de Stargardt",
      "Rétinite pigmentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dystrophie : • rétinienne (pigmentaire) (ponctuée albescente) (vitelliforme)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.6": {
    "code": "H35.6",
    "description": "Hémorragie rétinienne",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.7": {
    "code": "H35.7",
    "description": "Décollement des couches de la rétine",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choriorétinopathie séreuse centrale",
      "Décollement de l’épithélium pigmentaire rétinien",
      "Épithéliopathie rétinienne diffuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.8": {
    "code": "H35.8",
    "description": "Autres affections rétiniennes précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H35.9": {
    "code": "H35.9",
    "description": "Affection rétinienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H36.0": {
    "code": "H36.0",
    "description": "Rétinopathie diabétique (E10-E14 † avec le quatrième chiffre .3)",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2015)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le décollement de la rétine n’est pas systématiquement présent au cours de la rétinopathie diabétique. Il",
      "est donc licite de le coder en association avec H36.0 et le code du diabète (AGORA - # 119404 le 26 juin"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H36.8": {
    "code": "H36.8",
    "description": "Autres affections rétiniennes au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rétinopathie : • athéroscléreuse (I70.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dystrophie rétinienne au cours des anomalies du stockage des lipides (E75.- †)",
      "• proliférante au cours de l’anémie à hématies falciformes (D57.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40": {
    "code": "H40",
    "description": "Glaucome",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "glaucome : • absolu (H44.5)",
      "• congénital (Q15.0)",
      "• traumatique dû à un traumatisme obstétrical (P15.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.0": {
    "code": "H40.0",
    "description": "Glaucome limite",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertension oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.1": {
    "code": "H40.1",
    "description": "Glaucome primitif à angle ouvert",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glaucome (primitif) (résiduel) : • à tension basse",
      "• capsulaire avec pseudo-exfoliation cristallinienne",
      "• chronique simple",
      "• pigmentaire",
      "ouvert), c’est-à-dire le glaucome chronique SAI."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.58 : l’index alphabétique indique que H40.1 comprend le glaucome chronique (simple) (à angle"
    ]
  },
  "H40.2": {
    "code": "H40.2",
    "description": "Glaucome primitif à angle étroit",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glaucome à angle fermé • aigu",
      "(primitif) (résiduel) : • chronique",
      "• intermittent"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.3": {
    "code": "H40.3",
    "description": "Glaucome secondaire à un traumatisme oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire, pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.4": {
    "code": "H40.4",
    "description": "Glaucome secondaire à une inflammation de l’œil",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire, pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.5": {
    "code": "H40.5",
    "description": "Glaucome secondaire à d’autres affections oculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 400,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire, pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.6": {
    "code": "H40.6",
    "description": "Glaucome médicamenteux",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.8": {
    "code": "H40.8",
    "description": "Autres glaucomes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H40.9": {
    "code": "H40.9",
    "description": "Glaucome, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H42.0": {
    "code": "H42.0",
    "description": "Glaucome au cours de maladies endocriniennes, nutritionnelles et métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glaucome au cours de : • amylose (E85.- †)",
      "• syndrome de Lowe (E72.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H42.8": {
    "code": "H42.8",
    "description": "Glaucome au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glaucome au cours d’onchocercose (B73 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43": {
    "code": "H43",
    "description": "Affections du corps vitré",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43.0": {
    "code": "H43.0",
    "description": "Prolapsus du corps vitré",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome du corps vitré après intervention pour cataracte (H59.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43.1": {
    "code": "H43.1",
    "description": "Hémorragie du corps vitré",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43.2": {
    "code": "H43.2",
    "description": "Opacités cristallines du corps vitré",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43.3": {
    "code": "H43.3",
    "description": "Autres opacités du corps vitré",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Membranes et fibres hyaloïdes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43.8": {
    "code": "H43.8",
    "description": "Autres affections du corps vitré",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Décollement du corps vitré",
      "Dégénérescence du corps vitré"
    ],
    "comprend": [],
    "exclusions": [
      "vitréo-rétinopathie proliférante avec décollement de la rétine (H33.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H43.9": {
    "code": "H43.9",
    "description": "Affection du corps vitré, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44": {
    "code": "H44",
    "description": "Affections du globe oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend les affections de plusieurs structures de l’œil"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.0": {
    "code": "H44.0",
    "description": "Endophtalmie purulente",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès du corps vitré",
      "Panophtalmie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.1": {
    "code": "H44.1",
    "description": "Autres endophtalmies",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Endophtalmie parasitaire SAI",
      "Uvéite sympathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.2": {
    "code": "H44.2",
    "description": "Myopie dégénérative",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.3": {
    "code": "H44.3",
    "description": "Autres affections dégénératives du globe oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chalcose",
      "Sidérose de l’œil"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.4": {
    "code": "H44.4",
    "description": "Hypotonie de l’œil",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 401,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.5": {
    "code": "H44.5",
    "description": "Dégénérescence du globe oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie du globe oculaire",
      "Glaucome absolu",
      "Phtisie du globe oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.6": {
    "code": "H44.6",
    "description": "Rétention (ancienne) intra-oculaire de corps étranger magnétique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétention (ancienne) de corps • chambre antérieure de l’œil",
      "étranger magnétique dans : • corps : • vitré",
      "• ciliaire",
      "• cristallin",
      "• iris",
      "• paroi postérieure du globe oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.7": {
    "code": "H44.7",
    "description": "Rétention (ancienne) intra-oculaire de corps étranger non magnétique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétention (ancienne) de corps • chambre antérieure de l’œil",
      "étranger non magnétique dans : • corps : • vitré",
      "• ciliaire",
      "• cristallin",
      "• iris",
      "• paroi postérieure du globe oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H44.8": {
    "code": "H44.8",
    "description": "Autres affections du globe oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémophtalmie",
      "Luxation du globe oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome toxique du segment antérieur – TASS suite à une opération de la cataracte : je vous propose de",
      "coder H44.8 du fait de l'absence de code précis et de code réservé à la chambre antérieure de l’œil. T81.8"
    ],
    "agora_refs": [
      "124785"
    ],
    "cocoa_notes": [
      "est exact en association. (AGORA - # 124785 le 8 janvier 2016)"
    ]
  },
  "H44.9": {
    "code": "H44.9",
    "description": "Affections du globe oculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections du corps vitré et du globe oculaire au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H45.0": {
    "code": "H45.0",
    "description": "Hémorragie du corps vitré au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H45.1": {
    "code": "H45.1",
    "description": "Endophtalmie au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Endophtalmie au cours de : • cysticercose (B69.1 †)",
      "• onchocercose (B73 †)",
      "• toxocarose (B83.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H45.8": {
    "code": "H45.8",
    "description": "Autres affections du corps vitré et du globe oculaire au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 402,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H46": {
    "code": "H46",
    "description": "Névrite optique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Neuropathie optique, non ischémique",
      "Névrite rétrobulbaire SAI",
      "Papillite optique"
    ],
    "comprend": [],
    "exclusions": [
      "neuromyélite optique (G36.0)",
      "Maladie de Devic (G36.0)",
      "neuropathie optique ischémique (H47.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47": {
    "code": "H47",
    "description": "Autres affections du nerf [II] et des voies optiques",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.0": {
    "code": "H47.0",
    "description": "Affections du nerf optique, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Compression du nerf optique",
      "Hémorragie de la gaine du nerf optique",
      "Neuropathie optique ischémique",
      "Syndrome de (Foster-)Kennedy"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.1": {
    "code": "H47.1",
    "description": "Œdème papillaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.2": {
    "code": "H47.2",
    "description": "Atrophie optique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pâleur temporale de la papille optique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.3": {
    "code": "H47.3",
    "description": "Autres affections de la papille optique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Druses de la papille optique",
      "Pseudo-œdème papillaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.4": {
    "code": "H47.4",
    "description": "Affections du chiasma optique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.5": {
    "code": "H47.5",
    "description": "Affections des autres voies optiques",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections des voies optiques, des corps genouillés et des radiations optiques de Gratiolet"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.6": {
    "code": "H47.6",
    "description": "Affections du cortex visuel",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H47.7": {
    "code": "H47.7",
    "description": "Affection des voies optiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections du nerf [II] et des voies optiques au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H48.0": {
    "code": "H48.0",
    "description": "Atrophie optique au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie optique au cours de syphilis tardive (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H48.1": {
    "code": "H48.1",
    "description": "Névrite rétrobulbaire au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• sclérose en plaques (G35 †)",
      "• syphilis tardive (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Névrite rétrobulbaire au cours de : • infection à méningocoques (A39.8 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H48.8": {
    "code": "H48.8",
    "description": "Autres affections du nerf et des voies optiques au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 403,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "et de la réfraction (H49-H52)"
    ],
    "comprend": [],
    "exclusions": [
      "nystagmus et autres anomalies des mouvements oculaires (H55)"
    ],
    "clinical_text": [
      "Affections des muscles oculaires, des mouvements binoculaires, de l’accommodation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49": {
    "code": "H49",
    "description": "Strabisme paralytique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ophtalmoplégie : • interne (H52.5)",
      "• internucléaire (H51.2)",
      "• supra-nucléaire progressive (G23.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.0": {
    "code": "H49.0",
    "description": "Paralysie du nerf moteur oculaire commun (III)",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.1": {
    "code": "H49.1",
    "description": "Paralysie du nerf pathétique (IV)",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.2": {
    "code": "H49.2",
    "description": "Paralysie du nerf moteur oculaire externe (VI)",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.3": {
    "code": "H49.3",
    "description": "Ophtalmoplégie totale (externe)",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.4": {
    "code": "H49.4",
    "description": "Ophtalmoplégie externe progressive",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.8": {
    "code": "H49.8",
    "description": "Autres strabismes paralytiques",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ophtalmoplégie externe SAI",
      "Syndrome de Kearns et Sayre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H49.9": {
    "code": "H49.9",
    "description": "Strabisme paralytique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50": {
    "code": "H50",
    "description": "Autres strabismes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.0": {
    "code": "H50.0",
    "description": "Strabisme convergent concomitant",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Esotropie (alternante) (monoculaire) non intermittente"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.1": {
    "code": "H50.1",
    "description": "Strabisme divergent concomitant",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Exotropie (alternante) (monoculaire) non intermittente"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.2": {
    "code": "H50.2",
    "description": "Strabisme vertical",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertropie",
      "Hypotropie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.3": {
    "code": "H50.3",
    "description": "Hétérotropie intermittente",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Esotropie intermittente (alternante) (monoculaire)",
      "Exotropie intermittente (alternante) (monoculaire)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.4": {
    "code": "H50.4",
    "description": "Hétérotropies, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cyclotropie",
      "Microtropie",
      "Strabisme concomitant SAI",
      "Syndrome de monofixation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.5": {
    "code": "H50.5",
    "description": "Hétérophorie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Esophorie",
      "Exophorie",
      "Hyperphorie alternante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.6": {
    "code": "H50.6",
    "description": "Strabisme mécanique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 404,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Limitation traumatique des mouvements des muscles oculaires",
      "Strabisme dû à des adhérences",
      "Syndrome de Brown"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.8": {
    "code": "H50.8",
    "description": "Autres strabismes précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Stilling-Turk-Duane"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H50.9": {
    "code": "H50.9",
    "description": "Strabisme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H51": {
    "code": "H51",
    "description": "Autres anomalies des mouvements binoculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H51.0": {
    "code": "H51.0",
    "description": "Paralysie de la conjugaison du regard",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H51.1": {
    "code": "H51.1",
    "description": "Excès et insuffisance de convergence",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H51.2": {
    "code": "H51.2",
    "description": "Ophtalmoplégie internucléaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H51.8": {
    "code": "H51.8",
    "description": "Autres anomalies précisées des mouvements binoculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Opsoclonie - opsoclonus myoclonus : ce syndrome n’est en effet pas décrit dans la CIM. Vous coderez les",
      "manifestations présentées par le patient : opsoclonie (H51.8), myoclonie (G25.3), troubles du sommeil, du"
    ],
    "agora_refs": [
      "72297"
    ],
    "cocoa_notes": [
      "comportement... (selon le type) (AGORA - # 72297 le 5 décembre 2012)"
    ]
  },
  "H51.9": {
    "code": "H51.9",
    "description": "Anomalie des mouvements binoculaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52": {
    "code": "H52",
    "description": "Vices de réfraction et troubles de l’accommodation",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.0": {
    "code": "H52.0",
    "description": "Hypermétropie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.1": {
    "code": "H52.1",
    "description": "Myopie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myopie dégénérative (H44.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.2": {
    "code": "H52.2",
    "description": "Astigmatisme",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.3": {
    "code": "H52.3",
    "description": "Anisométrie et aniséiconie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.4": {
    "code": "H52.4",
    "description": "Presbytie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.5": {
    "code": "H52.5",
    "description": "Troubles de l’accommodation",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ophtalmoplégie interne (complète) (totale)",
      "Parésie de l’accommodation",
      "Spasme de l’accommodation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.6": {
    "code": "H52.6",
    "description": "Autres vices de réfraction",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H52.7": {
    "code": "H52.7",
    "description": "Vice de réfraction, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 405,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53": {
    "code": "H53",
    "description": "Troubles de la vision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.0": {
    "code": "H53.0",
    "description": "Amblyopie ex anopsia",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amblyopie : • anisométrique",
      "• avec strabisme",
      "• par défaut d’usage"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.1": {
    "code": "H53.1",
    "description": "Troubles subjectifs de la vision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asthénopie",
      "Cécité diurne",
      "Halos visuels",
      "Métamorphopsie",
      "Nyctalopie",
      "Perte subite de la vision",
      "Photophobie",
      "Scotome scintillant"
    ],
    "comprend": [],
    "exclusions": [
      "hallucinations visuelles (R44.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.2": {
    "code": "H53.2",
    "description": "Diplopie",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vision double"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.3": {
    "code": "H53.3",
    "description": "Autres troubles de la vision binoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalies de la correspondance rétinienne",
      "Disparition de la vision binoculaire",
      "Fusion avec anomalie de la vision stéréoscopique",
      "Perception simultanée sans fusion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.4": {
    "code": "H53.4",
    "description": "Anomalies du champ visuel",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anopsie d’un quadrant",
      "Élargissement de la tache aveugle",
      "Hémianopsie (hétéronyme) (homonyme)",
      "Rétrécissement généralisé du champ visuel",
      "Scotome (de) : • annulaire",
      "• arciforme",
      "• Bjerrum",
      "• central"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.5": {
    "code": "H53.5",
    "description": "Troubles de la vision des couleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Achromatopsie",
      "Daltonisme",
      "Deutéranomalie",
      "Deutéranopie",
      "Incapacité acquise de la vision des couleurs",
      "Protanomalie",
      "Protanopie",
      "Tritanomalie",
      "Tritanopie"
    ],
    "comprend": [],
    "exclusions": [
      "cécité diurne (H53.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.6": {
    "code": "H53.6",
    "description": "Cécité nocturne",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 406,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "due à une avitaminose A (E50.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.8": {
    "code": "H53.8",
    "description": "Autres troubles de la vision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H53.9": {
    "code": "H53.9",
    "description": "Trouble de la vision, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54": {
    "code": "H54",
    "description": "Déficience visuelle incluant la cécité (binoculaire ou monoculaire)",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "vision."
    ],
    "comprend": [],
    "exclusions": [
      "amaurose fugace (G45.3)"
    ],
    "clinical_text": [
      "Note Pour la définition de la catégorie des atteintes visuelles, se reporter au tableau ci-après.",
      "Sous l’expression déficience visuelle employée dans la catégorie H54, on désigne l’ensemble des catégories 0",
      "(déficience visuelle légère ou absente), 1 (déficience visuelle modérée), 2 (déficience sévère), 3, 4 et 5 (cécité) et",
      "9 (déficience non précisée). L’expression baisse de la vision employée dans l’édition précédente a été remplacée",
      "par les catégories 1 et 2 actuelles afin d’éviter la confusion avec les cas nécessitant des soins pour baisse de la",
      "Note Le tableau ci-après présente une classification de la sévérité de la déficience visuelle suivant les",
      "recommandations de la résolution de l’International Council of Ophthalmology (2002) et celles de la consultation",
      "OMS sur Élaboration de standards pour caractériser la perte de vision et la fonction visuelle (Sept 2003).",
      "Pour caractériser une déficience visuelle avec les codes H54.0 à H54.3, l’acuité visuelle doit être mesurée les",
      "deux yeux ouverts avec la correction portée si elle existe. Pour caractériser une déficience visuelle avec les codes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.4": {
    "code": "H54.4",
    "description": "Cécité monoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficience visuelle de catégorie 3, 4, 5 pour un œil et de catégorie 0, 1, 2 ou 9 pour l’autre œil"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.0": {
    "code": "H54.0",
    "description": "Cécité binoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficience visuelle des deux yeux de catégorie 3, 4, 5",
      "Aveugle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.1": {
    "code": "H54.1",
    "description": "Déficience visuelle sévère, binoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déficience visuelle de catégorie 2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.2": {
    "code": "H54.2",
    "description": "Déficience visuelle modérée, binoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficience visuelle de catégorie 1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.3": {
    "code": "H54.3",
    "description": "Déficience visuelle légère ou absente, binoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 407,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficience visuelle de catégorie 0"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.5": {
    "code": "H54.5",
    "description": "Déficience visuelle sévère, monoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficience visuelle de catégorie 2 pour un œil et de catégorie 0, 1 ou 9 pour l’autre œil"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.6": {
    "code": "H54.6",
    "description": "Déficience visuelle modérée, monoculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déficience visuelle de catégorie 1 pour un œil et de catégorie 0 ou 9 pour l’autre œil"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H54.9": {
    "code": "H54.9",
    "description": "Déficience visuelle non précisée (binoculaire)",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déficience visuelle de catégorie 9",
      "Malvoyant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H55": {
    "code": "H55",
    "description": "Nystagmus et autres anomalies des mouvements oculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Nystagmus (de) : • SAI",
      "• congénital",
      "• défaut d’usage",
      "• dissocié",
      "• latent"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H57": {
    "code": "H57",
    "description": "Autres affections de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H57.0": {
    "code": "H57.0",
    "description": "Anomalies fonctionnelles de la pupille",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H57.1": {
    "code": "H57.1",
    "description": "Douleur oculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H57.8": {
    "code": "H57.8",
    "description": "Autres affections précisées de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H57.9": {
    "code": "H57.9",
    "description": "Affection de l’œil et de ses annexes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections de l’œil et de ses annexes au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H58.0": {
    "code": "H58.0",
    "description": "Anomalies fonctionnelles de la pupille au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Signe d’Argyll Robertson (syphilitique) (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H58.1": {
    "code": "H58.1",
    "description": "Troubles de la vue au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H58.8": {
    "code": "H58.8",
    "description": "Autres affections précisées de l’œil et de ses annexes au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 408,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• tardive (A50.3 †)",
      "• précoce (secondaire) (A51.4 †)",
      "• tardive (A52.7 †)",
      "et thérapeutique, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "complication mécanique de : • lentille intra-oculaire (T85.2)",
      "• autres prothèses, implants et greffes oculaires (T85.3)",
      "pseudophakie (Z96.1)"
    ],
    "clinical_text": [
      "Affection de l’œil d’origine thyroïdienne (thyréotoxique) (E05.- †)",
      "Oculopathie syphilitique NCA : • congénitale : • précoce (A50.0 †)",
      "Affections de l’œil et de ses annexes après un acte à visée diagnostique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H59.0": {
    "code": "H59.0",
    "description": "Kératopathie bulleuse du pseudophake après chirurgie de la cataracte",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 409,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome du corps vitré",
      "Syndrome kératovitréen"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H59.8": {
    "code": "H59.8",
    "description": "Autres affections de l’œil et de ses annexes après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies de l’œil et de ses annexes",
    "page": 409,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Endophtalmie associée à une bulle de filtration",
      "Infection post-opératoire de bulle de filtration"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cicatrices choriorétiniennes après traitement chirurgical du décollement",
      "Affection de l’œil et de ses annexes après un acte à visée diagnostique et thérapeutique, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62": {
    "code": "H62",
    "description": "* Affections de l’oreille externe au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H67": {
    "code": "H67",
    "description": "* Otite moyenne au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H75": {
    "code": "H75",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cours de maladies classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H82": {
    "code": "H82",
    "description": "* Syndromes vertigineux au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H94": {
    "code": "H94",
    "description": "* Autres affections de l’oreille au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60": {
    "code": "H60",
    "description": "Otite externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.0": {
    "code": "H60.0",
    "description": "Abcès de l’oreille externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anthrax de l’oreille ou du conduit auditif externe",
      "Furoncle de l’oreille ou du conduit auditif externe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.1": {
    "code": "H60.1",
    "description": "Cellulite phlegmoneuse de l’oreille externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cellulite phlegmoneuse du : • conduit auditif externe",
      "• pavillon de l’oreille"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.2": {
    "code": "H60.2",
    "description": "Otite externe maligne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.3": {
    "code": "H60.3",
    "description": "Autres otites externes infectieuses",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Oreille du nageur",
      "Otite externe : • diffuse",
      "• hémorragique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.4": {
    "code": "H60.4",
    "description": "Cholestéatome de l’oreille externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kératose obturante de l’oreille externe (conduit)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.5": {
    "code": "H60.5",
    "description": "Otite externe aiguë, non infectieuse",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite aiguë externe : • SAI",
      "• actinique",
      "• chimique",
      "• de contact",
      "• eczématoïde",
      "• réactionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.8": {
    "code": "H60.8",
    "description": "Autres otites externes",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite chronique externe SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H60.9": {
    "code": "H60.9",
    "description": "Otite externe, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61": {
    "code": "H61",
    "description": "Autres affections de l’oreille externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61.0": {
    "code": "H61.0",
    "description": "Périchondrite de l’oreille externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chondrodermite nodulaire chronique de l’hélix",
      "Périchondrite du pavillon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61.1": {
    "code": "H61.1",
    "description": "Affections non infectieuses du pavillon de l’oreille",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déformation acquise du pavillon",
      "Othématome (cf. Index alphabétique)"
    ],
    "comprend": [],
    "exclusions": [
      "oreilles « en chou-fleur » (M95.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61.2": {
    "code": "H61.2",
    "description": "Bouchon de cérumen",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61.3": {
    "code": "H61.3",
    "description": "Sténose acquise du conduit auditif externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement du conduit auditif externe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61.8": {
    "code": "H61.8",
    "description": "Autres affections précisées de l’oreille externe",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Exostose du conduit auditif externe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H61.9": {
    "code": "H61.9",
    "description": "Affection de l’oreille externe, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 412,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62.0": {
    "code": "H62.0",
    "description": "Otite externe au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite externe au cours d’érysipèle (A46 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62.1": {
    "code": "H62.1",
    "description": "Otite externe au cours de maladies virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• herpès simplex (B00.1 †)",
      "• zona (B02.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Otite externe au cours de : • infection due au virus de l’herpès (B00.1 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62.2": {
    "code": "H62.2",
    "description": "Otite externe au cours de mycoses",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite externe au cours de : • aspergillose (B44.8 †)",
      "• candidose (B37.2 †)",
      "Otomycose SAI (B36.9 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62.3": {
    "code": "H62.3",
    "description": "Otite externe au cours d’autres maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62.4": {
    "code": "H62.4",
    "description": "Otite externe au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite externe au cours d’impétigo (L01.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H62.8": {
    "code": "H62.8",
    "description": "Autres affections de l’oreille externe au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65": {
    "code": "H65",
    "description": "Otite moyenne non suppurée",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "avec myringite",
      "Utiliser, au besoin, un code supplémentaire pour identifier la perforation du tympan (H72.–)."
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65.0": {
    "code": "H65.0",
    "description": "Otite moyenne séreuse aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Écoulement aigu et subaigu de l’oreille moyenne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65.1": {
    "code": "H65.1",
    "description": "Autres otites moyennes aiguës, non suppurées",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• muqueuse",
      "• non suppurée SAI",
      "• sanglante",
      "• séromuqueuse"
    ],
    "comprend": [],
    "exclusions": [
      "otite : • barotraumatique (T70.0)",
      "• moyenne (aiguë) SAI (H66.9)"
    ],
    "clinical_text": [
      "Otite moyenne, aiguë et subaiguë : • allergique (muqueuse) (sanglante) (séreuse)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65.2": {
    "code": "H65.2",
    "description": "Otite moyenne séreuse chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 413,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Catarrhe tubo-tympanique chronique",
      "sous anesthésie générale, pour otite chronique ?",
      "de sens, acte CBLD001 ; GHM 23C02J ?",
      "1er juillet 2014)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comment coder un séjour en ambulatoire (pour un moins de 18 ans) pour pose d’aérateur trans-tympanique",
      "- DP : H65.2 Otite moyenne séreuse chronique, acte CBLD001 ; GHM 03C14J",
      "- DP : Z46.2 Mise en place et ajustement d’autres appareils en rapport avec le système nerveux et les organes",
      "Si l’hospitalisation pour la pose d’un drain trans-tympanique est motivée par la présence d’une otite",
      "séromuqueuse chronique, c’est cette affection qui est le diagnostic principal selon la règle T3 : « dans la",
      "situation de traitement unique chirurgical, le DP est en général la maladie opérée ». (AGORA - # 103753 le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65.3": {
    "code": "H65.3",
    "description": "Otite moyenne mucoïde chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne chronique : • muqueuse",
      "• sécrétoire",
      "• transsudative",
      "Otite mucoïde"
    ],
    "comprend": [],
    "exclusions": [
      "maladie adhésive de l’oreille moyenne (H74.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65.4": {
    "code": "H65.4",
    "description": "Autres otites moyennes chroniques, non suppurées",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne chronique : • allergique",
      "• avec épanchement (non purulent)",
      "• exsudative",
      "• non suppurée SAI",
      "• séro-muqueuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H65.9": {
    "code": "H65.9",
    "description": "Otite moyenne non suppurée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne : • allergique",
      "• avec épanchement (non purulent)",
      "• catarrhale",
      "• exsudative",
      "• muqueuse",
      "• sécrétoire",
      "• séreuse",
      "• séro-muqueuse",
      "• trans-sudative"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H66": {
    "code": "H66",
    "description": "Otite moyenne suppurée et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend avec myringite",
      "catégorie H66"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la perforation du tympan (H72.–)."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.60 : les otites SAI se codent comme des otites moyennes : l’index alphabétique renvoie en effet pour « otite » à la"
    ]
  },
  "H66.0": {
    "code": "H66.0",
    "description": "Otite moyenne aiguë suppurée",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H66.1": {
    "code": "H66.1",
    "description": "Otite moyenne suppurée chronique tubo-tympanique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie chronique tubo-tympanique",
      "Otite moyenne suppurée chronique bénigne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H66.2": {
    "code": "H66.2",
    "description": "Otite moyenne chronique attico-antrale suppurée",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie attico-antrale chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H66.3": {
    "code": "H66.3",
    "description": "Autres otites moyennes suppurées chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne suppurée chronique SAI",
      "Otite mucopurulente chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H66.4": {
    "code": "H66.4",
    "description": "Otite moyenne suppurée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne purulente SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H66.9": {
    "code": "H66.9",
    "description": "Otite moyenne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 414,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne : • SAI",
      "• aiguë SAI",
      "• chronique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H67.0": {
    "code": "H67.0",
    "description": "Otite moyenne au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne au cours de : • scarlatine (A38 †)",
      "• tuberculose (A18.6 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H67.1": {
    "code": "H67.1",
    "description": "Otite moyenne au cours de maladies virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• virus grippal zoonotique ou pandémique",
      "identifié (J09 †)",
      "• virus non identifié (J11.8 †)",
      "• rougeole (B05.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Otite moyenne au cours de la: • grippe : • virus grippal saisonnier identifié (J10.8 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H67.8": {
    "code": "H67.8",
    "description": "Otite moyenne au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H68": {
    "code": "H68",
    "description": "Salpingite et obstruction de la trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H68.0": {
    "code": "H68.0",
    "description": "Salpingite de la trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H68.1": {
    "code": "H68.1",
    "description": "Obstruction de la trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Compression de la trompe d’Eustache",
      "Rétrécissement de la trompe d’Eustache",
      "Sténose de la trompe d’Eustache"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H69": {
    "code": "H69",
    "description": "Autres affections de la trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H69.0": {
    "code": "H69.0",
    "description": "Distension de la trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H69.8": {
    "code": "H69.8",
    "description": "Autres affections précisées de la trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H69.9": {
    "code": "H69.9",
    "description": "Affection de la trompe d’Eustache, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H70": {
    "code": "H70",
    "description": "Mastoïdite et affections apparentées",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H70.0": {
    "code": "H70.0",
    "description": "Mastoïdite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès de la mastoïde",
      "Empyème mastoïdien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H70.1": {
    "code": "H70.1",
    "description": "Mastoïdite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fistule de la mastoïde",
      "Nécrose de la mastoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H70.2": {
    "code": "H70.2",
    "description": "Apexite",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pétrosite",
      "Inflammation du rocher (aiguë) (chronique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H70.8": {
    "code": "H70.8",
    "description": "Autres mastoïdites et affections apparentées",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H70.9": {
    "code": "H70.9",
    "description": "Mastoïdite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H71": {
    "code": "H71",
    "description": "Cholestéatome de l’oreille moyenne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 415,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Cholestéatome du tympan"
    ],
    "comprend": [],
    "exclusions": [
      "cholestéatome (de) : • oreille externe (H60.4)",
      "• récidivant après mastoïdectomie (H95.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H72": {
    "code": "H72",
    "description": "Perforation du tympan",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend perforation du tympan : • post-inflammatoire",
      "• post-traumatique persistante"
    ],
    "comprend": [],
    "exclusions": [
      "rupture traumatique du tympan (S09.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H72.0": {
    "code": "H72.0",
    "description": "Perforation centrale du tympan",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H72.1": {
    "code": "H72.1",
    "description": "Perforation du tympan, partie attique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perforation de la pars flaccida"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H72.2": {
    "code": "H72.2",
    "description": "Autres perforations marginales du tympan",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H72.8": {
    "code": "H72.8",
    "description": "Autres perforations du tympan",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perforation(s) : • multiples du tympan",
      "• totale du tympan"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H72.9": {
    "code": "H72.9",
    "description": "Perforation du tympan, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "29 août 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Code préconisé pour les perforations tympaniques post-inflammatoires SAI. Une otite moyenne chronique",
      "avec perforation du tympan se code en H65.4 associé à un code de la catégorie H72 (AGORA - # 68882 le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H73": {
    "code": "H73",
    "description": "Autres affections du tympan",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H73.0": {
    "code": "H73.0",
    "description": "Myringite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Myringite bulleuse",
      "Tympanite aiguë"
    ],
    "comprend": [],
    "exclusions": [
      "avec otite moyenne (H65-H66)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H73.1": {
    "code": "H73.1",
    "description": "Myringite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tympanite chronique"
    ],
    "comprend": [],
    "exclusions": [
      "avec otite moyenne (H65-H66)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H73.8": {
    "code": "H73.8",
    "description": "Autres affections précisées du tympan",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.60 : comprend les hématotympans ou hémotympans non traumatiques."
    ]
  },
  "H73.9": {
    "code": "H73.9",
    "description": "Affection du tympan, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74": {
    "code": "H74",
    "description": "Autres affections de l’oreille moyenne et de l’apophyse mastoïde",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.0": {
    "code": "H74.0",
    "description": "Tympanosclérose",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.1": {
    "code": "H74.1",
    "description": "Maladie adhésive de l’oreille moyenne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite adhésive"
    ],
    "comprend": [],
    "exclusions": [
      "otite mucoïde (H65.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.2": {
    "code": "H74.2",
    "description": "Dissociation et dislocation des osselets",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.3": {
    "code": "H74.3",
    "description": "Autres anomalies acquises des osselets",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ankylose des osselets",
      "Perte partielle des osselets"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.4": {
    "code": "H74.4",
    "description": "Polype de l’oreille moyenne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.8": {
    "code": "H74.8",
    "description": "Autres affections précisées de l’oreille moyenne et de l’apophyse mastoïde",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H74.9": {
    "code": "H74.9",
    "description": "Affection de l’oreille moyenne et de l’apophyse mastoïde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 416,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections de l’oreille moyenne et de l’apophyse mastoïde au"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H75.0": {
    "code": "H75.0",
    "description": "Mastoïdite au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tuberculose mastoïdienne (A18.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections précisées de l’oreille moyenne et de l’apophyse mastoïde au cours de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H80": {
    "code": "H80",
    "description": "Otosclérose",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "otospongiose"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H80.0": {
    "code": "H80.0",
    "description": "Otosclérose intéressant la fenêtre ovale, non oblitérante",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H80.1": {
    "code": "H80.1",
    "description": "Otosclérose intéressant la fenêtre ovale, oblitérante",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H80.2": {
    "code": "H80.2",
    "description": "Otosclérose cochléaire",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otosclérose intéressant la : • capsule labyrinthique",
      "• fenêtre ronde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H80.8": {
    "code": "H80.8",
    "description": "Autres otoscléroses",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H80.9": {
    "code": "H80.9",
    "description": "Otosclérose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81": {
    "code": "H81",
    "description": "Atteintes des fonctions vestibulaires",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vertige : • SAI (R42)",
      "• épidémique (A88.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.0": {
    "code": "H81.0",
    "description": "Maladie de Ménière",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hydrolabyrinthe",
      "Syndrome ou vertiges de Ménière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.1": {
    "code": "H81.1",
    "description": "Vertige bénin paroxystique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.2": {
    "code": "H81.2",
    "description": "Neuronite vestibulaire",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.3": {
    "code": "H81.3",
    "description": "Autres vertiges périphériques",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Lermoyez",
      "Vertige : • auriculaire",
      "• otogène",
      "• périphérique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.4": {
    "code": "H81.4",
    "description": "Vertige d’origine centrale",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nystagmus central"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.8": {
    "code": "H81.8",
    "description": "Autres atteintes des fonctions vestibulaires",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H81.9": {
    "code": "H81.9",
    "description": "Atteinte des fonctions vestibulaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 417,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome vertigineux SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H83": {
    "code": "H83",
    "description": "Autres maladies de l’oreille interne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H83.0": {
    "code": "H83.0",
    "description": "Labyrinthite",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H83.1": {
    "code": "H83.1",
    "description": "Fistule labyrinthique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "59401 le 24 février 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pneumolabyrinthe : le pneumolabyrinthe est habituellement le signe d’une fistule labyrinthique (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H83.2": {
    "code": "H83.2",
    "description": "Troubles des fonctions labyrinthiques",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypersensibilité du labyrinthe",
      "Hypofonction du labyrinthe",
      "Perte de la fonction du labyrinthe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H83.3": {
    "code": "H83.3",
    "description": "Conséquences du bruit sur l’oreille interne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perte auditive due au bruit",
      "Traumatisme acoustique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H83.8": {
    "code": "H83.8",
    "description": "Autres maladies précisées de l’oreille interne",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.60 : comprend le syndrome otolithique et la cupulolithiase."
    ]
  },
  "H83.9": {
    "code": "H83.9",
    "description": "Maladie de l’oreille interne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90": {
    "code": "H90",
    "description": "Surdité de transmission et neurosensorielle",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend surdité congénitale"
    ],
    "comprend": [],
    "exclusions": [
      "perte de l’audition : • SAI (H91.9)",
      "• due au bruit (H83.3)",
      "• par ototoxicité (H91.0)",
      "• soudaine (idiopathique) (H91.2)",
      "surdi-mutité NCA (H91.3)",
      "surdité SAI (H91.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.0": {
    "code": "H90.0",
    "description": "Surdité bilatérale de transmission",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.1": {
    "code": "H90.1",
    "description": "Surdité unilatérale de transmission sans altération de l’audition de l’autre oreille",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.2": {
    "code": "H90.2",
    "description": "Surdité de transmission, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perte de l’audition par conduction SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.3": {
    "code": "H90.3",
    "description": "Surdité neurosensorielle bilatérale",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.4": {
    "code": "H90.4",
    "description": "Surdité neurosensorielle unilatérale sans altération de l’audition de l’autre oreille",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 418,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.5": {
    "code": "H90.5",
    "description": "Surdité neurosensorielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perte de l’audition neurosensorielle SAI",
      "Surdité (de) : • centrale SAI",
      "• congénitale SAI",
      "• nerveuse SAI",
      "• perception SAI",
      "• sensorielle SAI",
      "août 2010)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Susac : il n'existe pas de code spécifique de cette affection décrite ainsi dans Orphanet :",
      "« Maladie systémique ou rhumatologique rare caractérisée par la triade : atteinte du système nerveux",
      "central (SNC), occlusion des branches de l'artère centrale de la rétine et surdité neurosensorielle liées à",
      "une vasculopathie des microvaisseaux cérébraux, rétinien et de l'oreille interne, d'origine autoimmune. »",
      "Vous devez donc coder isolément les signes ou symptômes présentés par le patient : I67.7, H34.9",
      "occlusion artère centrale de la rétine, H90.5 surdité neurosensorielle, céphalées ...) (AGORA - # 33829 le 11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.6": {
    "code": "H90.6",
    "description": "Surdité bilatérale mixte de transmission et neurosensorielle",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Surdité unilatérale mixte de transmission et neurosensorielle sans altération de l’audition de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H90.8": {
    "code": "H90.8",
    "description": "Surdité mixte de transmission et neurosensorielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91": {
    "code": "H91",
    "description": "Autres pertes de l’audition",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bouchon de cérumen (H61.2)",
      "perception auditive anormale (H93.2)",
      "perte auditive due au bruit (H83.3)",
      "surdité : • classée en H90.-",
      "• ischémique transitoire (H93.0)",
      "• psychogène (F44.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91.0": {
    "code": "H91.0",
    "description": "Perte de l’audition par ototoxicité",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91.1": {
    "code": "H91.1",
    "description": "Presbyacousie",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91.2": {
    "code": "H91.2",
    "description": "Perte auditive soudaine idiopathique",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Perte auditive brutale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91.3": {
    "code": "H91.3",
    "description": "Surdi-mutité, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91.8": {
    "code": "H91.8",
    "description": "Autres pertes précisées de l’audition",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H91.9": {
    "code": "H91.9",
    "description": "Perte de l’audition, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 419,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Surdité (pour) : • SAI",
      "• fréquences basses",
      "• fréquences hautes",
      "Hypoacousie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.60 : inclut la cophose"
    ]
  },
  "H92": {
    "code": "H92",
    "description": "Otalgie et écoulement par l’oreille",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H92.0": {
    "code": "H92.0",
    "description": "Otalgie",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H92.1": {
    "code": "H92.1",
    "description": "Otorrhée",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "écoulement de liquide céphalo-rachidien (G96.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H92.2": {
    "code": "H92.2",
    "description": "Otorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "otorragie traumatique - coder selon le type du traumatisme"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H93": {
    "code": "H93",
    "description": "Autres affections de l’oreille, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H93.0": {
    "code": "H93.0",
    "description": "Affections vasculaires et dégénératives de l’oreille",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Surdité ischémique transitoire"
    ],
    "comprend": [],
    "exclusions": [
      "presbyacousie (H91.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.60 : inclut les troubles vaso-moteurs auriculaires."
    ]
  },
  "H93.1": {
    "code": "H93.1",
    "description": "Acouphènes",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H93.2": {
    "code": "H93.2",
    "description": "Autres perceptions auditives anormales",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diplacousie",
      "Hyperacousie",
      "Modification temporaire du seuil auditif",
      "Recrutement auditif"
    ],
    "comprend": [],
    "exclusions": [
      "hallucinations auditives (R44.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.60 : inclut la paracousie."
    ]
  },
  "H93.3": {
    "code": "H93.3",
    "description": "Affections du nerf auditif",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection du nerf crânien VIII"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H93.8": {
    "code": "H93.8",
    "description": "Autres affections précisées de l’oreille",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H93.9": {
    "code": "H93.9",
    "description": "Affection de l’oreille, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H94.0": {
    "code": "H94.0",
    "description": "Névrite acoustique au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névrite acoustique au cours de la syphilis (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H94.8": {
    "code": "H94.8",
    "description": "Autres affections précisées de l’oreille au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "diagnostique et thérapeutique non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections de l’oreille et de l’apophyse mastoïde après un acte à visée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H95.0": {
    "code": "H95.0",
    "description": "Cholestéatome récidivant après mastoïdectomie",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "H95.1": {
    "code": "H95.1",
    "description": "Autres affections survenant après mastoïdectomie",
    "dagger_star": "",
    "chapter": "Maladies de l’oreille et de l’apophyse mastoïde",
    "page": 420,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Granulome après mastoïdectomie",
      "Inflammation chronique après mastoïdectomie",
      "Kyste muqueux après mastoïdectomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections de l’oreille et de l’apophyse mastoïde après un acte à visée diagnostique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I32": {
    "code": "I32",
    "description": "* Péricardite au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I39": {
    "code": "I39",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs",
      "(à) (au cours de) : • Candida (B37.6 †)",
      "• gonococcique (A54.8 †)",
      "• maladie de Libman-Sacks (M32.1 †)",
      "• méningococcique (A39.5 †)",
      "• syphilitique (A52.0 †)",
      "• tuberculeuse (A18.8 †)",
      "• typhoïdique (A01.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend atteinte de l’endocarde • arthrite rhumatoïde (M05.3 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I41": {
    "code": "I41",
    "description": "* Myocardite au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I43": {
    "code": "I43",
    "description": "Cardiomyopathie au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I52": {
    "code": "I52",
    "description": "* Autres cardiopathies au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 448,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles cardio-vasculaires SAI au cours de maladies classées ailleurs (subdivisions de I98 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I68": {
    "code": "I68",
    "description": "* Troubles cérébrovasculaires au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I79": {
    "code": "I79",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I98": {
    "code": "I98",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "troubles classés à d’autres catégories avec astérisques dans ce chapitre"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I00": {
    "code": "I00",
    "description": "Rhumatisme articulaire aigu, sans mention d’atteinte cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Arthrite rhumatismale aiguë ou subaiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I01": {
    "code": "I01",
    "description": "Rhumatisme articulaire aigu, avec atteinte cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladies chroniques dues au rhumatisme articulaire (I05-I09) à moins qu’un processus rhumatismal ne",
      "soit aussi présent ou d’une recrudescence de l’activité de ce processus. Si, au moment du décès, il existe",
      "un doute quant à l’activité rhumatismale, se référer aux règles et instructions du Volume 2 concernant",
      "la mortalité."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I01.0": {
    "code": "I01.0",
    "description": "Péricardite rhumatismale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péricardite rhumatismale (aiguë)",
      "Tout état classé en I00, avec péricardite"
    ],
    "comprend": [],
    "exclusions": [
      "non précisée d’origine rhumatismale (I30.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I01.1": {
    "code": "I01.1",
    "description": "Endocardite rhumatismale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Valvulite rhumatismale aiguë",
      "Tout état classé en I00, avec endocardite ou valvulite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I01.2": {
    "code": "I01.2",
    "description": "Myocardite rhumatismale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tout état classé en I00, avec myocardite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I01.8": {
    "code": "I01.8",
    "description": "Autres cardiopathies rhumatismales aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pancardite rhumatismale aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tout état classé en I00, avec atteintes cardiaques, autres ou multiples"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I01.9": {
    "code": "I01.9",
    "description": "Cardiopathie rhumatismale aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiopathie aiguë ou évolutive",
      "Cardite aiguë rhumatismale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tout état classé en I00, avec atteinte cardiaque, sans précision"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I02": {
    "code": "I02",
    "description": "Chorée rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chorée de Sydenham"
    ],
    "comprend": [],
    "exclusions": [
      "chorée (de) : • SAI (G25.5)",
      "• Huntington (G10)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I02.0": {
    "code": "I02.0",
    "description": "Chorée rhumatismale, avec atteinte cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chorée : • SAI, avec atteinte cardiaque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "• rhumatismale, avec atteinte cardiaque de tout type classée en I01.-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I02.9": {
    "code": "I02.9",
    "description": "Chorée rhumatismale, sans atteinte cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 422,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chorée rhumatismale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I05": {
    "code": "I05",
    "description": "Maladies rhumatismales de la valvule mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "précisées d’origine non rhumatismale (I34.-)"
    ],
    "clinical_text": [
      "C omprend affections classées en I05.0 et I05.2-I05.9 précisées ou non d’origine rhumatismale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I05.0": {
    "code": "I05.0",
    "description": "Sténose mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement (rhumatismal) de la valvule mitrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I05.1": {
    "code": "I05.1",
    "description": "Insuffisance mitrale rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Reflux mitral rhumatismal",
      "Régurgitation mitrale rhumatismale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I05.2": {
    "code": "I05.2",
    "description": "Sténose mitrale avec insuffisance",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose mitrale avec insuffisance ou régurgitation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I05.8": {
    "code": "I05.8",
    "description": "Autres maladies de la valvule mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I05.9": {
    "code": "I05.9",
    "description": "Maladie de la valvule mitrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atteinte (valvulaire) mitrale (chronique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I06": {
    "code": "I06",
    "description": "Maladies rhumatismales de la valvule aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "non précisées d’origine rhumatismale (I35.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I06.0": {
    "code": "I06.0",
    "description": "Sténose aortique rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement rhumatismal (de la valvule) aortique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I06.1": {
    "code": "I06.1",
    "description": "Insuffisance aortique rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Reflux aortique rhumatismal",
      "Régurgitation aortique rhumatismale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I06.2": {
    "code": "I06.2",
    "description": "Sténose aortique rhumatismale avec insuffisance",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose aortique rhumatismale avec insuffisance ou reflux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I06.8": {
    "code": "I06.8",
    "description": "Autres maladies rhumatismales de la valvule aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I06.9": {
    "code": "I06.9",
    "description": "Maladie rhumatismale de la valvule aortique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie aortique (valvulaire) rhumatismale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I07": {
    "code": "I07",
    "description": "Maladies rhumatismales de la valvule tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "précisées d’origine non rhumatismale (I36.-)"
    ],
    "clinical_text": [
      "C omprend précisées d’origine rhumatismale ou d’origine non précisée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I07.0": {
    "code": "I07.0",
    "description": "Sténose tricuspidienne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose (de la valvule) tricuspide (rhumatismale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I07.1": {
    "code": "I07.1",
    "description": "Insuffisance tricuspidienne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance (de la valvule) tricuspide (rhumatismale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I07.2": {
    "code": "I07.2",
    "description": "Sténose tricuspidienne avec insuffisance",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I07.8": {
    "code": "I07.8",
    "description": "Autres maladies de la valvule tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I07.9": {
    "code": "I07.9",
    "description": "Maladie de la valvule tricuspide, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 423,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atteinte de la valvule tricuspide SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08": {
    "code": "I08",
    "description": "Maladies de plusieurs valvules",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "endocardite : • rhumatismale, valvule non précisée (I09.1)",
      "• valvule non précisée (I38)",
      "maladies de plusieurs valvules d’origine précisée autre que rhumatismale (I34–I38, Q22–Q23, Q24.8)"
    ],
    "clinical_text": [
      "C omprend précisées d’origine rhumatismale ou d’origine non précisée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08.0": {
    "code": "I08.0",
    "description": "Atteintes des valvules mitrale et aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions des valvules mitrale et aortique, précisées ou non d’origine rhumatismale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08.1": {
    "code": "I08.1",
    "description": "Atteintes des valvules mitrale et tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08.2": {
    "code": "I08.2",
    "description": "Atteintes des valvules aortique et tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08.3": {
    "code": "I08.3",
    "description": "Atteintes des valvules mitrale, aortique et tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08.8": {
    "code": "I08.8",
    "description": "Autres maladies valvulaires multiples",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I08.9": {
    "code": "I08.9",
    "description": "Maladie de plusieurs valvules, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I09": {
    "code": "I09",
    "description": "Autres cardiopathies rhumatismales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I09.0": {
    "code": "I09.0",
    "description": "Myocardite rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myocardite non précisée d’origine rhumatismale (I51.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I09.1": {
    "code": "I09.1",
    "description": "Endocardite rhumatismale, valvule non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Endocardite (chronique) rhumatismale",
      "Valvulite (chronique) rhumatismale"
    ],
    "comprend": [],
    "exclusions": [
      "endocardite, valvule non précisée (I38)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I09.2": {
    "code": "I09.2",
    "description": "Péricardite rhumatismale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérence du péricarde, rhumatismale",
      "Médiastino-péricardite rhumatismale chronique",
      "Myopéricardite rhumatismale chronique"
    ],
    "comprend": [],
    "exclusions": [
      "non précisée d’origine rhumatismale (I31.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I09.8": {
    "code": "I09.8",
    "description": "Autres cardiopathies rhumatismales précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie rhumatismale de la valvule pulmonaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I09.9": {
    "code": "I09.9",
    "description": "Cardiopathie rhumatismale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 424,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardite rhumatismale",
      "Insuffisance cardiaque rhumatismale"
    ],
    "comprend": [],
    "exclusions": [
      "cardite rhumatoïde (M05.3)",
      "cardiopathies ischémiques (I20-I25)",
      "compliquant la grossesse, l’accouchement et la puerpéralité (O10-O11, O13-O16)",
      "hypertension : • néonatale (P29.2)",
      "• pulmonaire : • primaire (I27.0)",
      "• secondaire (I27.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I10": {
    "code": "I10",
    "description": "Hypertension essentielle (primitive)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Tension artérielle élevée"
    ],
    "comprend": [],
    "exclusions": [
      "avec : • maladies cérébrovasculaires (I60-I69)",
      "• rétinopathies vasculaires (H35.0)"
    ],
    "clinical_text": [
      "Hypertension (artérielle) (bénigne) (essentielle) (maligne) (primitive) (systémique)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I11": {
    "code": "I11",
    "description": "Cardiopathie hypertensive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend tout état classé en I50.-, I51.4-I51.9 dû à l’hypertension"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I11.0": {
    "code": "I11.0",
    "description": "Cardiopathie hypertensive, avec insuffisance cardiaque (congestive)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance cardiaque hypertensive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cardiopathie hypertensive, avec insuffisance cardiaque (congestive), avec fraction d’éjection"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I11.9": {
    "code": "I11.9",
    "description": "Cardiopathie hypertensive, sans insuffisance cardiaque congestive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiopathie hypertensive SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I12": {
    "code": "I12",
    "description": "Néphropathie hypertensive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend artériosclérose du rein",
      "néphrite artérioscléreuse (chronique) (interstitielle)",
      "néphropathie hypertensive",
      "néphrosclérose"
    ],
    "comprend": [],
    "exclusions": [
      "hypertension secondaire (I15.-)"
    ],
    "clinical_text": [
      "tout état classé en N00-N07, N18.-, N19.- ou N26.- associé à tout état classé en I10 dû à l’hypertension."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I12.0": {
    "code": "I12.0",
    "description": "Néphropathie hypertensive, avec insuffisance rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance rénale hypertensive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I12.9": {
    "code": "I12.9",
    "description": "Néphropathie hypertensive, sans insuffisance rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 425,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néphropathie hypertensive SAI",
      "Néphroangiosclérose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I13": {
    "code": "I13",
    "description": "Cardionéphropathie hypertensive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend maladie : • cardio-rénale",
      "• cardio-vasculo-rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "tout état classé en I11.- associé à tout état classé en I12.-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I13.0": {
    "code": "I13.0",
    "description": "Cardionéphropathie hypertensive, avec insuffisance cardiaque (congestive)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cardionéphropathie hypertensive, avec insuffisance cardiaque (congestive), avec fraction"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I13.1": {
    "code": "I13.1",
    "description": "Cardionéphropathie hypertensive, avec insuffisance rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I13.2": {
    "code": "I13.2",
    "description": "Cardionéphropathie hypertensive, avec insuffisance cardiaque (congestive) et rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cardionéphropathie hypertensive, avec insuffisance cardiaque (congestive) et rénale, avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I13.9": {
    "code": "I13.9",
    "description": "Cardionéphropathie hypertensive, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I15": {
    "code": "I15",
    "description": "Hypertension secondaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec : • maladies cérébrovasculaires (I60-169)",
      "• rétinopathies vasculaires (H35.0)",
      "codage de l’affection causale, notamment rénale ou endocrinienne."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.64 : les codes de la catégorie I15 sont des codes de sens astérisque que nous vous conseillons de compléter par le"
    ]
  },
  "I15.0": {
    "code": "I15.0",
    "description": "Hypertension vasculo-rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I15.1": {
    "code": "I15.1",
    "description": "Hypertension secondaire à d’autres atteintes rénales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I15.2": {
    "code": "I15.2",
    "description": "Hypertension secondaire à des atteintes endocriniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I15.8": {
    "code": "I15.8",
    "description": "Autres hypertensions secondaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I15.9": {
    "code": "I15.9",
    "description": "Hypertension secondaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 426,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mort.",
      "DÉFINITIONS",
      "clinicien qui le mentionnera dans le dossier du patient.",
      "1 - Syndrome coronarien aigu (SCA)",
      "évolution de la douleur, sensibilité aux dérivés nitrés.",
      "• Angor instable ou angine de poitrine instable",
      "des efforts de moins en moins importants.",
      "marqueur de l’infarctus.",
      "• Infarctus du myocarde",
      "de mouvements pariétaux ventriculaires.",
      "Les infarctus sont répartis en 2 classes :",
      "infarction) en anglais ;",
      "myocardial infarction) en anglais.",
      "segment ST à l’ECG (Infarctus ST-).",
      "de SCA est alors posé sur les autres éléments paracliniques.",
      "• Infarctus du myocarde de type 2",
      "la souffrance myocardique en cours.",
      "de l’ECG.",
      "• Infarctus du myocarde ancien",
      "cause non ischémique ;",
      "- signes anatomopathologiques d’infarctus du myocarde.",
      "2 - Angor stable ou angine de poitrine stable",
      "[…]",
      "3 - Ischémie myocardique silencieuse",
      "- des modifications transitoires du segment ST à l’ECG,",
      "4 - Élévation de la troponine cardiaque (Troponine +)",
      "care. Europ.Heart J, Volume 31, Issue 18, 1 September 2010).",
      "que le dosage lui-même.",
      "antécédents :",
      "Suspicion de SCA non confirmée",
      "Deux situations peuvent conduire à la suspicion d’un SCA :",
      "l’information à coder. [….] »."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note : Pour la morbidité, le laps de temps dont il est fait mention en I21, I22, I24 et I25 est l’intervalle entre le début de l’épisode",
      "ischémique et l’admission pour soins. Pour la mortalité, le laps de temps est l’intervalle entre le début de cet épisode et la",
      "Utiliser, au besoin, un code supplémentaire pour identifier l’existence d’hypertension.",
      "Ces définitions sont présentées pour donner quelques repères sémiologiques mais le diagnostic des différentes situations revient au",
      "(Guideline for the management of patients with non-ST-elevation acute coronary syndromes: executive summary: a report of the",
      "American College of Cardiology/American Heart Association Task Force on Practice Guidelines. AHA/ACC, 2014)",
      "Le syndrome coronarien aigu (SCA) est un ensemble de symptômes provoqués par une réduction soudaine de l’apport sanguin au",
      "cœur. Le sang ne passant plus librement dans les artères coronaires, les tissus ne sont plus convenablement oxygénés.",
      "Le terme SCA regroupe l’angor instable et l’infarctus du myocarde. Ces syndromes sont caractérisés le plus souvent par une douleur",
      "angineuse : médiothoracique, rétrosternale, en barre irradiant dans les épaules, les bras, la mâchoire inférieure, constrictive, à type",
      "d’oppression et de serrement. Ils se différencient par l’électrocardiographie (ECG), la concentration de Troponine et la clinique :",
      "Classiquement, on parle d’angor instable dans trois situations : lorsque la douleur est présente au repos, en cas d’apparition",
      "d’une symptomatologie angineuse nouvelle, ou intensification soudaine d’un angor préexistant telle que la survenue pour",
      "Sa durée est toujours brève et inférieure à 30 minutes. Il est soulagé en moins d’une minute par les dérivés nitrés. L’angor",
      "n’est jamais accompagné de sus-décalage du segment ST à l’ECG et la troponine est en dessous du seuil décrit comme",
      "Les infarctus du myocarde ont les mêmes caractéristiques cliniques que l’angor instable mais les symptômes durent souvent",
      "plus longtemps, résistent aux dérivés nitrés et s’accompagnent toujours d’une élévation de la troponine et/ou d’anomalies",
      "- infarctus avec sus-décalage du segment ST à l’ECG ; ou infarctus ST+ ou encore STEMI (ST segment elevation myocardial",
      "- infarctus sans sus-décalage du segment ST à l’ECG ; ou infarctus ST- ou encore NSTEMI (non ST segment elevation",
      "Lorsque l’ECG n’est pas interprétable, comme cela peut être parfois observé chez certains patients porteurs de pacemaker",
      "ou présentant des troubles du rythme, l’infarctus est considéré par convention comme un infarctus sans sus-décalage du",
      "Lorsque le patient ne peut pas exprimer sa douleur : patient inconscient, affection mentale ou neurologique, etc., le diagnostic",
      "Ils sont définis comme une nécrose myocardique due à un déséquilibre en oxygène entre les apports et les demandes du",
      "myocarde. Ils ne résultent pas d’une rupture et/ou complication d’une plaque d’athérome mais d’affections telles que :",
      "anémie, tachycardie, bradycardie, arythmie, insuffisance respiratoire, hypotension et hypertension avec ou sans hypertrophie",
      "ventriculaire gauche (Thygesen K, Alpert J.S, Jaffe A.S and coll. Third Universal Definition of Myocardial Infarction. ESC Clinical",
      "Practice Guidelines, European Heart Journal 2012 ;33:2551-2567. Voir également le site de cardiologie francophone). Les",
      "coronaires peuvent être saines ou présenter des rétrécissements mais ces derniers ne sont pas directement responsables de",
      "Cette souffrance myocardique est révélée par une élévation de la troponine qui peut être accompagnée d’une modification",
      "Le diagnostic d’un infarctus ancien du myocarde est établi soit sur l’histoire clinique, soit sur au moins un des critères suivants",
      "(Thygesen K, Alpert J.S, Jaffe A.S and coll. Third Universal Definition of Myocardial Infarction. ESC Clinical Practice Guidelines,",
      "European Heart Journal 2012 ; 33:2551-2567. Voir également le site de cardiologie francophone) :",
      "- ondes Q pathologiques à l’ECG, avec ou sans symptômes, en l’absence de cause non ischémique ;",
      "- présence, à l’imagerie, d’une région de perte de myocarde viable avec amincissement et akinésie pariétale, en l’absence de",
      "C’est une douleur angineuse qui débute le plus souvent avec l’effort, surtout au froid et cède à l’arrêt de l’effort. L’angor stable est le",
      "plus souvent sensible aux dérivés nitrés et ne présente habituellement pas de sus-décalage persistant du segment ST.",
      "L’ischémie myocardique silencieuse est définie (Helft J, Metzger JP.Ischémie myocardique silencieuse. EMC 11-030-C-10) par la présence",
      "d’une ischémie myocardique sans douleur thoracique angineuse ou équivalents angineux. Elle est attestée par :",
      "- un déficit réversible de perfusion myocardique à la scintigraphie myocardique,",
      "- ou des anomalies réversibles de mouvements pariétaux régionaux ventriculaires à l’échographie ou l’IRM.",
      "Les troponines sont des protéines qui régulent la contraction musculaire. La troponine cardiaque (cTn) est le biomarqueur de choix",
      "dans le diagnostic des SCA car c’est le plus sensible et spécifique. Il existe deux types de Troponine en usage : la troponine I (cTnI) et",
      "la troponine T (cTnT). Aujourd’hui le dosage de la troponine est l’unique marqueur biologique recommandé par la Société européenne",
      "de cardiologie (Thygesen K, Mair J, Katus H and coll. Recommendations for the use of cardiac troponin measurement in acute cardiac",
      "Lorsque le muscle cardiaque est endommagé, la présence de troponine cardiaque est détectée dans le sang. On parle d’élévation de",
      "la troponine lorsque le dosage de troponine se situe au-dessus du seuil de normalité retenu par le laboratoire de biochimie. Cependant",
      "ce dosage nécessite une interprétation médicale car, dans certaines situations, le dosage peut être élevé sans traduire pour autant un",
      "infarctus du myocarde. De plus, dans d’autres situations, la cinétique de ce dosage - le cycle de la troponine - peut-être plus importante",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.3-4",
      "Figure A : Algorithme général de codage des SCA en fonction des examens complémentaires, du mode de prise en charge et des",
      "1. la localisation de la lésion de l’infarctus transmural aigu du myocarde sera précisée par le 4e caractère matérialisé par le tiret - :",
      ".0 paroi antérieure ; .1 paroi inférieure ; .2 autre localisation précisée ; .3 non précisé.",
      "2. ajouter un « 0 » en 6e caractère si la prise en charge débute moins de 24h après le début des symptômes",
      "3. la localisation de la lésion de l’infarctus du myocarde à répétition sera précisée par le 4e caractère matérialisé par le tiret - :",
      ".0 paroi antérieure ; .1 paroi inférieure ; .8 autre localisation précisée ; .9 non précisé.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.13",
      "- l’exploration de symptômes tels que douleur thoracique, malaise …, sans cause retrouvée : dans ce cas le symptôme sera codé en",
      "affection principale [règle D2 du Guide Méthodologique et règle (a) de l’introduction du chapitre XVIII de la CIM–10] ;",
      "- la découverte d’une anomalie isolée de l’électrocardiogramme sans symptômes ni élévation de la troponine ; on code alors R94.3",
      "Résultats anormaux d’explorations fonctionnelles cardio-vasculaires, sauf si un code plus précis existe par ailleurs dans la CIM–10.",
      "Remarque : Comme l’indique le paragraphe relatif aux catégories Z03 et Z04 du guide méthodologique (BO n°22, 1er août 2024, pp.",
      "93-94), le code Z03.4 Mise en observation pour suspicion d’infarctus du myocarde doit être évité dans la mesure du possible dès lors",
      "qu’il y a un symptôme ou une élévation de troponine : « La règle générale est : le meilleur code est le plus précis par rapport à",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.12"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I20": {
    "code": "I20",
    "description": "Angine de poitrine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 429,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "69961 le 4 septembre 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le syndrome X cardiaque est un syndrome angineux à coronaires saines. Il utilise les codes de la catégorie I20 (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I20.0": {
    "code": "I20.0",
    "description": "+0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 429,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "myocardiques",
      "Autres formes d’angor que l’angor instable",
      "L’angor stable se code I20.8.",
      "vérifié.",
      "avec la catégorie I21."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le codage de l’angor diffère selon son mécanisme et fait appel à la catégorie I20.",
      "L’angor dû à un spasme coronaire, dont l’angor de Prinzmétal, est codé I20.1 Angine de poitrine avec spasme coronaire",
      "Les angors dus à un autre mécanisme sont codés I20.8 Autres formes d’angine de poitrine.",
      "Une douleur angineuse avec élévation des enzymes myocardiques doit être codée comme un infarctus aigu du myocarde",
      "Le code I20.9 Angine de poitrine, sans précision doit être évité car moins précis.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I20.1": {
    "code": "I20.1",
    "description": "Angine de poitrine avec spasme coronaire vérifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 429,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine de poitrine (de) : • angio-spastique",
      "• due à un spasme",
      "• Prinzmetal",
      "• variable"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I20.8": {
    "code": "I20.8",
    "description": "Autres formes d’angine de poitrine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 429,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine d’effort",
      "Sténocardie",
      "Angine stable",
      "Coronary slow flow syndrome",
      "20 novembre 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un angor stable se code en I20.8 car une précision est fournie sur la forme de l’angor (AGORA - # 71770 le",
      "Comment codez-vous un INOCA ((Ischemia with Non Obstructive Coronary Artery disease) ? Le code le",
      "plus proche est probablement celui de l'angor stable en I20.8 (AGORA # 236210 le 29 septembre 2022)"
    ],
    "agora_refs": [
      "69162"
    ],
    "cocoa_notes": [
      "L’angor fonctionnel se code en I20.8 (AGORA - # 69162 le 4 septembre 2012)"
    ]
  },
  "I20.9": {
    "code": "I20.9",
    "description": "Angine de poitrine, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 430,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine de poitrine : • SAI",
      "• cardiaque",
      "Douleur thoracique ischémique",
      "Syndrome angineux",
      "Infarctus du myocarde de Type 2",
      "code infarctus de 24 heures ou moins : I21.000.",
      "Dans tous les autres cas on ajoute le 5ème caractère « 8 »."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Par convention, les infarctus de type 2 sont codés comme les autres types d’infarctus même si leur physiopathologie est différente.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.10",
      "Modalités et délais de prise en charge du SCA : 5ème et 6ème caractères du code CIM–10",
      "Les 5e et 6e caractères des codes des catégories I21 et I22 correspondent au mode de prise en charge des infarctus. Ces extensions",
      "ont été créées en 2002 par l’ATIH. Elles ne sont présentes que dans la CIM10–FR à usage PMSI.",
      "Lorsque le séjour hospitalier correspond à la prise en charge thérapeutique initiale de l’infarctus visant la reperfusion coronaire, que",
      "celle-ci soit médicale, interventionnelle ou chirurgicale, le 5ème caractère « 0 » doit être utilisé.",
      "Si cette prise en charge de l’infarctus débute moins de 24 heures après le début des symptômes, on ajoute un 6ème caractère « 0 ».",
      "Exemple : Infarctus transmural aigu du myocarde de la paroi antérieure, prise en charge initiale par thrombolyse à la 5ème heure se",
      "Exemple : Infarctus transmural aigu du myocarde de la paroi antérieure, prise en charge symptomatique code I21.08 qui signifie Infarctus",
      "(transmural) aigu du myocarde de la (paroi) antérieure, autre prise en charge.",
      "Il faut noter cependant, comme l’indiquent la note située sous le titre du groupe des cardiopathies ischémiques et l’index alphabétique",
      "(volume 3) de la CIM–10, qu’un infarctus ne peut pas être codé comme aigu lorsqu’il est pris en charge plus de 28 jours après le début",
      "des symptômes. Au-delà de ce délai, l’infarctus est considéré comme ancien et se code I25.2 Infarctus du myocarde, ancien.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.7-8"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21": {
    "code": "I21",
    "description": "Infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 430,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "début",
      "Syndrome coronarien aigu avec modification de l’ECG",
      "Syndrome coronarien aigu ST+",
      "Syndrome coronarien aigu sans modification de l’ECG",
      "Syndrome coronarien aigu ST-",
      "(plus de 28 jours) depuis le début ()",
      "syndrome post-infarctus du myocarde (I24.1)"
    ],
    "comprend": [],
    "exclusions": [
      "certaines complications récentes d’un infarctus aigu du myocarde (I23.-)",
      "infarctus du myocarde : • ancien (I25.2)",
      "• à répétition (I22.-)",
      "• précisé comme chronique ou d’une durée de plus de 4 semaines au moins"
    ],
    "clinical_text": [
      "C omprend infarctus du myocarde précisé comme aigu ou d’une durée de 4 semaines (28 jours) ou moins depuis le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.0": {
    "code": "I21.0",
    "description": "Infarctus transmural aigu du myocarde, de la paroi antérieure",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 430,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome coronarien aigu avec sus-décalage du segment ST",
      "SCA STEMI",
      "Infarctus transmural (aigu) : • antérieur (paroi) SAI",
      "• antéro-apical",
      "• antéro-latéral",
      "• antéro-septal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.00": {
    "code": "I21.00",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 430,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 de 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.08": {
    "code": "I21.08",
    "description": "Infarctus transmural aigu du myocarde, de la paroi antérieure, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 430,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.1": {
    "code": "I21.1",
    "description": "Infarctus transmural aigu du myocarde, de la paroi inférieure (STEMI)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infarctus transmural (aigu) (de) : • inférieur (paroi) SAI",
      "• inféro-latéral",
      "• paroi diaphragmatique",
      "• postéro-inférieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.10": {
    "code": "I21.10",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 de 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.18": {
    "code": "I21.18",
    "description": "Infarctus transmural aigu du myocarde, de la paroi inférieure, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.2": {
    "code": "I21.2",
    "description": "Infarctus transmural aigu du myocarde d’autres localisations (STEMI)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infarctus transmural (aigu) : • latéral haut",
      "• latéral (paroi) SAI",
      "• latéro-apical",
      "• latéro-basal",
      "• postérieur (vrai)",
      "• postéro-basal",
      "• postéro-latéral",
      "• postéro-septal",
      "• septal SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.20": {
    "code": "I21.20",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 de 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.28": {
    "code": "I21.28",
    "description": "Infarctus transmural aigu du myocarde d’autres localisations, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.3": {
    "code": "I21.3",
    "description": "Infarctus transmural aigu du myocarde, de localisation non précisée (STEMI)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infarctus transmural du myocarde SAI."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.30": {
    "code": "I21.30",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 infarctus de 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.38": {
    "code": "I21.38",
    "description": "Infarctus transmural aigu du myocarde, de localisation non précisée, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.4": {
    "code": "I21.4",
    "description": "- décrivent les SCA classiques. (AGORA - # 232123 le 29 juin 2022)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.40": {
    "code": "I21.40",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.48": {
    "code": "I21.48",
    "description": "Infarctus sous-endocardique aigu du myocarde, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 431,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ATIH - Modifications de la CIM–10 introduites en 2016 - p.2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sur ce dernier point la consigne correspondante est de coder I21.4- tous les infarctus aigus du myocarde",
      "sans sus-décalage de ST quelle que soit leur localisation, et d’utiliser les autres codes de la catégorie I21",
      "pour les infarctus aigus du myocarde avec sus-décalage de ST."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.9": {
    "code": "I21.9",
    "description": "Infarctus aigu du myocarde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infarctus du myocarde (aigu) SAI."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "MINOCA ((Myocardial Infarction with Non Obstructive Coronary Artery disease). Utiliser plutôt le I21.9. Les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.90": {
    "code": "I21.90",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I21.98": {
    "code": "I21.98",
    "description": "Infarctus aigu du myocarde, sans précision, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Thrombose intra-stent",
      "Séjour pour récidive d’infarctus et infarctus ancien",
      "de l’infarctus à sa phase aiguë.",
      "Exemples :"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’occlusion d’un stent coronaire responsable d’un infarctus se code comme un infarctus du myocarde, ce cas de figure ne justifie pas",
      "l’utilisation des codes d’infarctus répétés de la catégorie I22.",
      "On y associe les codes T82.8 Autres complications précisées de prothèses, implants et greffes cardiaques et vasculaires, Y84.0",
      "Cathétérisme cardiaque et Z95.5 Présence d’implant et de greffe vasculaires coronaires.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.11",
      "Une récidive d’infarctus de type ST+ ou ST-, dont le premier épisode relève de la catégorie I21, doit être codée avec la catégorie I22",
      "Infarctus du myocarde à répétition si elle se produit dans un délai de 28 jours. Comme I21, la catégorie I22 est donc destinée au codage",
      "Le codage de l’infarctus ancien, c’est à dire datant de plus de 28 jours, est I25.2 Infarctus du myocarde, ancien.",
      "- Patient hospitalisé pour la prise en charge d’un infarctus inaugural à J1, puis hospitalisé à nouveau pour un second infarctus 10 jours",
      "après la survenue du premier : le premier séjour code I21.–, le deuxième séjour code I22.– ;",
      "- Patient hospitalisé pour la prise en charge d’un infarctus inaugural à J1 ; puis hospitalisé à nouveau pour un second infarctus 40 jours",
      "après. Le premier séjour code I21.–. Le deuxième séjour code également I21– car il survient plus de 28 jours après le 1er épisode ;",
      "l’infarctus de J1 est alors codé I25.2. en diagnostic associé significatif.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.10"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22": {
    "code": "I22",
    "description": "Infarctus aigu du myocarde à répétition",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend infarctus du • récidivant",
      "myocarde",
      "• extensif",
      "réinfarctus"
    ],
    "comprend": [],
    "exclusions": [
      "précisé comme chronique ou d’une durée de 4 semaines au moins (plus de 28 jours) depuis le début",
      "(I25.8)"
    ],
    "clinical_text": [
      "Note pour le codage de la morbidité, cette catégorie doit être utilisée pour les infarctus de tous sites, survenant",
      "pendant 4 semaines (28 jours) à partir du précédent infarctus"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.0": {
    "code": "I22.0",
    "description": "Infarctus du myocarde à répétition, de la paroi antérieure (STEMI)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infarctus répété (aigu) : • antérieur (paroi) SAI",
      "• antéro-apical",
      "• antéro-latéral",
      "• antéro-septal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.00": {
    "code": "I22.00",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.08": {
    "code": "I22.08",
    "description": "Infarctus du myocarde à répétition, de la paroi antérieure, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 432,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.1": {
    "code": "I22.1",
    "description": "Infarctus du myocarde à répétition, de la paroi inférieure",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SCA STEMI",
      "Infarctus répété (aigu) (de) : • inférieur (paroi) SAI",
      "• inféro-latéral",
      "• paroi diaphragmatique",
      "• postéro-inférieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.10": {
    "code": "I22.10",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.18": {
    "code": "I22.18",
    "description": "Infarctus du myocarde à répétition, de la paroi inférieure, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.8": {
    "code": "I22.8",
    "description": "Infarctus du myocarde à répétition d’autres localisations (STEMI)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infarctus du myocarde, à répétition (aigu) : • latéral haut",
      "• latéral (paroi) SAI",
      "• latéro-apical",
      "• latéro-basal",
      "• postérieur (vrai)",
      "• postéro-basal",
      "• postéro-latéral",
      "• postéro-septal",
      "• septal SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.80": {
    "code": "I22.80",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.88": {
    "code": "I22.88",
    "description": "Infarctus du myocarde à répétition d’autres localisations, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.9": {
    "code": "I22.9",
    "description": "Infarctus du myocarde à répétition, de localisation non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.90": {
    "code": "I22.90",
    "description": "0",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 infarctus de 24 heures ou moins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I22.98": {
    "code": "I22.98",
    "description": "Infarctus du myocarde à répétition, de localisation non précisée, autres prises en charge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 433,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Complications des infarctus",
      "sont codées avec la catégorie I23.",
      "de complication (catégorie I23).",
      "Exemples :",
      "d’un infarctus aigu du myocarde ;"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les complications récentes des infarctus de type ST+ ou ST-, c’est-à-dire survenant moins de 29 jours après le début de l’infarctus,",
      "La note d’exclusion de la version originale de la CIM–10 précise que les codes de cette catégorie ne sont pas à utiliser lorsque ces",
      "complications coexistent, au cours du même séjour par exemple, avec la survenue de l’infarctus. Cette note d’exclusion n’est pas à",
      "respecter dans le cadre du PMSI où il est possible de coder dans le même séjour le code d’infarctus (catégories I21 et I22) et le code",
      "Si le lien causal entre l’affection suspectée d’être une complication et l’infarctus n’est pas affirmé, l’affection doit être codée avec les",
      "codes habituels autres que ceux de la catégorie I23, notamment ceux des catégories I31 et I51.",
      "Il en est de même si la complication survient plus de 28 jours après l’infarctus.",
      "- Patient hospitalisé pour infarctus ; apparition le 3e jour de son hospitalisation d’une insuffisance mitrale due à une rupture des",
      "cordages de la valve : code des catégories I21 ou I22, associé à I23.4 Rupture des cordages tendineux comme complication récente",
      "- Patient hospitalisé pour un hémopéricarde survenant 30 jours après un infarctus ST+ : I31.2 Hémopéricarde, non classé ailleurs.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.9-10"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23": {
    "code": "I23",
    "description": "Certaines complications récentes d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "états suivants : • coexistant avec un infarctus aigu du myocarde (I21-I22)",
      "• non précisés comme complication récente d’un infarctus aigu du myocarde (I31.-,"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23.0": {
    "code": "I23.0",
    "description": "Hémopéricarde comme complication récente d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23.1": {
    "code": "I23.1",
    "description": "Communication interauriculaire comme complication récente d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23.2": {
    "code": "I23.2",
    "description": "Communication interventriculaire comme complication récente d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rupture de la paroi cardiaque sans hémopéricarde comme complication récente d’un infarctus"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23.4": {
    "code": "I23.4",
    "description": "Rupture des cordages tendineux comme complication récente d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23.5": {
    "code": "I23.5",
    "description": "Rupture du muscle papillaire comme complication récente d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Thrombose de l’oreillette, de l’auricule et du ventricule comme complication récente d’un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I23.8": {
    "code": "I23.8",
    "description": "Autres complications récentes d’un infarctus aigu du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I24": {
    "code": "I24",
    "description": "Autres cardiopathies ischémiques aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "angine de poitrine (I20.-)",
      "ischémie transitoire du myocarde du nouveau-né (P29.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I24.0": {
    "code": "I24.0",
    "description": "Thrombose coronaire n’entraînant pas un infarctus du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Thrombose intra-stent",
      "vasculaires coronaires."
    ],
    "comprend": [],
    "exclusions": [
      "précisée comme chronique ou d’une durée de 4 semaines au moins (plus de 28 jours)",
      "depuis le début (I25.8)"
    ],
    "clinical_text": [
      "Embolie coronaire (artère) (veine) n’entraînant pas un infarctus du myocarde",
      "Occlusion coronaire (artère) (veine) n’entraînant pas un infarctus du myocarde",
      "Thrombo-embolie coronaire (artère) (veine) n’entraînant pas un infarctus du myocarde",
      "L’occlusion de stent coronaire sans infarctus, se code : I24.0 Thrombose coronaire n’entraînant pas un",
      "infarctus du myocarde et on y associe les codes T82.8 Autres complications précisées de prothèses, implants",
      "et greffes cardiaques et vasculaires, Y84.0 Cathétérisme cardiaque et Z95.5 Présence d’implant et de greffe",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I24.1": {
    "code": "I24.1",
    "description": "Syndrome de Dressler",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 434,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome post-infarctus du myocarde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I24.8": {
    "code": "I24.8",
    "description": "Autres formes de cardiopathies ischémiques aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance coronaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I24.9": {
    "code": "I24.9",
    "description": "Cardiopathie ischémique aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cardiopathie ischémique (chronique) SAI (I25.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25": {
    "code": "I25",
    "description": "Cardiopathie ischémique chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie cardio-vasculaire SAI (I51.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.64 : nous vous recommandons d’utiliser la catégorie I25 pour coder « insuffisance coronaire » sans autre précision."
    ]
  },
  "I25.0": {
    "code": "I25.0",
    "description": "Athérosclérose cardio-vasculaire, décrite ainsi",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "coronarographie."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.64 : permet de coder les sténoses coronaires, en particulier quand il s’agit d’un résultat de"
    ]
  },
  "I25.1": {
    "code": "I25.1",
    "description": "Cardiopathie artérioscléreuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Athérome des (artères) coronaires",
      "Athérosclérose des (artères) coronaires",
      "Maladie des (artères) coronaires",
      "Sclérose des (artères) coronaires",
      "Occlusion ou sténose coronaire chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code d’une occlusion ou d’une sténose chronique des artères coronaires est I25.1 Cardiopathie",
      "artérioscléreuse, y compris si celle-ci entraîne une pose de stent.",
      "Exemple : les sténoses artérielles révélées au cours d’un bilan préopératoire de greffe rénale se codent I25.1.",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25.2": {
    "code": "I25.2",
    "description": "Infarctus du myocarde, ancien",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "asymptomatique au moment de l’examen",
      "• guéri",
      "ancien."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infarctus du myocarde : • ancien découvert par ECG ou autre moyen d’investigation, mais",
      "Le codage de l’infarctus ancien, c’est à dire datant de plus de 28 jours, est I25.2 Infarctus du myocarde,",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.10"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25.3": {
    "code": "I25.3",
    "description": "Anévrisme du cœur",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme : • pariétal",
      "• ventriculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25.4": {
    "code": "I25.4",
    "description": "Anévrisme et dissection d’une artère coronaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule artérioveineuse coronaire, acquise",
      "Dissection d’artère coronaire (voir ajout OMS I72.-)"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme congénital (de l’artère) coronaire (Q24.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25.5": {
    "code": "I25.5",
    "description": "Cardiomyopathie ischémique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25.6": {
    "code": "I25.6",
    "description": "Ischémie myocardique asymptomatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "d’effort ou du Holter.",
      "Ischémie myocardique silencieuse",
      "isolé du segment ST : code I25.6."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les ischémies silencieuses définies au point I se codent. I25.6 Ischémie myocardique asymptomatique.",
      "Exemple : patient diabétique présentant plusieurs facteurs de risque cardio-vasculaire, hospitalisé pour bilan",
      "cardio-vasculaire dans le cadre d’un diabète. Lors de l’épreuve d’effort le patient présente un sous-décalage",
      "ATIH – Fascicule de codage pour le PMSI – Syndromes coronariens – Avril 2017 - p.11"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.64 : comprend l’ischémie myocardique silencieuse, notamment celle décelée lors de l’épreuve"
    ]
  },
  "I25.8": {
    "code": "I25.8",
    "description": "Autres formes de cardiopathie ischémique chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 435,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de 28 jours) depuis le début"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tout état classé en I21-I22 et I24.- précisé comme chronique ou d’une durée de 4 semaines au moins (plus"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I25.9": {
    "code": "I25.9",
    "description": "Cardiopathie ischémique chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie ischémique du cœur (chronique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I26": {
    "code": "I26",
    "description": "Embolie pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend infarctus (d’une artère) (d’une veine) pulmonaire",
      "thromboembolie (d’une artère) (d’une veine) pulmonaire",
      "thrombose (d’une artère) (d’une veine) pulmonaire"
    ],
    "comprend": [],
    "exclusions": [
      "compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.2)",
      "• grossesse, accouchement et puerpéralité (O88.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I26.0": {
    "code": "I26.0",
    "description": "Embolie pulmonaire, avec mention de cœur pulmonaire aigu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Cœur pulmonaire aigu SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I26.9": {
    "code": "I26.9",
    "description": "Embolie pulmonaire, sans mention de cœur pulmonaire aigu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Embolie pulmonaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I27": {
    "code": "I27",
    "description": "Autres affections cardio-pulmonaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I27.0": {
    "code": "I27.0",
    "description": "Hypertension pulmonaire (primitive)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I27.1": {
    "code": "I27.1",
    "description": "Cardiopathie due à cyphoscoliose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I27.2": {
    "code": "I27.2",
    "description": "Autres hypertensions pulmonaires secondaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "HTAP"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la cause initiale.",
      "Une hypertension pulmonaire post-embolique se code en I27.2 en « Autres hypertensions pulmonaires"
    ],
    "agora_refs": [
      "71143"
    ],
    "cocoa_notes": [
      "secondaires » (AGORA - # 71143 le 2 novembre 2012)"
    ]
  },
  "I27.8": {
    "code": "I27.8",
    "description": "Autres affections cardio-pulmonaires précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cardiopathie congénitale d’Eisenmenger (Q21.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I27.9": {
    "code": "I27.9",
    "description": "Affection cardio-pulmonaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cœur pulmonaire (chronique) SAI",
      "Maladie cardio-pulmonaire chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code ad hoc pour « cœur pulmonaire chronique décompensé » est bien I27.9 et non I27.8 car l’axe de"
    ],
    "agora_refs": [
      "64030"
    ],
    "cocoa_notes": [
      "description de la catégorie I27 est un axe étiologique qu’il faut respecter (AGORA - # 64030 le 14 mai 2012)"
    ]
  },
  "I28": {
    "code": "I28",
    "description": "Autres maladies des vaisseaux pulmonaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I28.0": {
    "code": "I28.0",
    "description": "Fistule artérioveineuse des vaisseaux pulmonaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I28.1": {
    "code": "I28.1",
    "description": "Anévrisme de l’artère pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I28.8": {
    "code": "I28.8",
    "description": "Autres maladies précisées des vaisseaux pulmonaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement des vaisseaux pulmonaires",
      "Rupture des vaisseaux pulmonaires",
      "Sténose des vaisseaux pulmonaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I28.9": {
    "code": "I28.9",
    "description": "Maladie des vaisseaux pulmonaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 436,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I30": {
    "code": "I30",
    "description": "Péricardite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend épanchement péricardique aigu"
    ],
    "comprend": [],
    "exclusions": [
      "péricardite rhumatismale (aiguë) (I01.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I30.0": {
    "code": "I30.0",
    "description": "Péricardite idiopathique aiguë non spécifique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I30.1": {
    "code": "I30.1",
    "description": "Péricardite infectieuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Péricardite : • pneumococcique",
      "• purulente",
      "• staphylococcique",
      "• streptococcique",
      "• virale",
      "Pyopéricardite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I30.8": {
    "code": "I30.8",
    "description": "Autres formes de péricardite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I30.9": {
    "code": "I30.9",
    "description": "Péricardite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31": {
    "code": "I31",
    "description": "Autres maladies du péricarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications récentes d’un infarctus aigu du myocarde (I23.-)",
      "précisées comme rhumatismales (I09.2)",
      "syndrome post-cardiotomie (I97.0)",
      "traumatiques (S26.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31.0": {
    "code": "I31.0",
    "description": "Péricardite adhésive chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Accretio cordis",
      "Adhérence du péricarde",
      "Médiastino-péricardite adhésive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31.1": {
    "code": "I31.1",
    "description": "Péricardite constrictive chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Calcification du péricarde",
      "Concretio cordis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31.2": {
    "code": "I31.2",
    "description": "Hémopéricarde, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31.3": {
    "code": "I31.3",
    "description": "Épanchement péricardique (non inflammatoire)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Chylopéricarde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31.8": {
    "code": "I31.8",
    "description": "Autres maladies précisées du péricarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Adhérences localisées du péricarde",
      "Plaques épicardiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I31.9": {
    "code": "I31.9",
    "description": "Maladie du péricarde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Péricardite (chronique) SAI",
      "Tamponnade cardiaque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I32.0": {
    "code": "I32.0",
    "description": "Péricardite au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 437,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Péricardite : • gonococcique (A54.8 †)",
      "• méningococcique (A39.5 †)",
      "• syphilitique (A52.0 †)",
      "• tuberculeuse (A18.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I32.1": {
    "code": "I32.1",
    "description": "Péricardite au cours d’autres maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I32.8": {
    "code": "I32.8",
    "description": "Péricardite au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• rhumatoïde (M05.3 †)",
      "• urémique (N18.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Péricardite (au cours de) : • lupus érythémateux disséminé (M32.1 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I33": {
    "code": "I33",
    "description": "Endocardite aiguë et subaiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "endocardite : • aiguë rhumatismale (I01.1)",
      "• SAI (I38)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I33.0": {
    "code": "I33.0",
    "description": "Endocardite infectieuse aiguë et subaiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Endocardite (aiguë) (subaiguë) : • bactérienne",
      "• infectieuse SAI",
      "• lente",
      "• maligne",
      "• septique",
      "• ulcéreuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I33.9": {
    "code": "I33.9",
    "description": "Endocardite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Endocardite aiguë ou subaiguë",
      "Myo-endocardite aiguë ou subaiguë",
      "Péri-endocardite aiguë ou subaiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I34": {
    "code": "I34",
    "description": "Atteintes non rhumatismales de la valvule mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "insuffisance (I05.8) (de la valvule) mitrale",
      "maladie (I05.9) (de la valvule) mitrale",
      "sténose (I05.0) (de la valvule) mitrale",
      "atteintes de la valvule mitrale précisées comme congénitales (Q23.2–Q23.9)",
      "atteintes de la valvule mitrale précisées comme rhumatismales (I05.-)",
      "atteintes de la valvule mitrale sans cause • maladie de la valvule aortique (I08.0)",
      "précisée mais avec mention de : • sténose ou rétrécissement mitral(e) (I05.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I34.0": {
    "code": "I34.0",
    "description": "Insuffisance (de la valvule) mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Reflux (de la valvule) mitral(e) SAI ou de cause précisée, sauf rhumatismale",
      "Régurgitation (de la valvule) mitral(e) SAI ou de cause précisée, sauf rhumatismale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I34.1": {
    "code": "I34.1",
    "description": "Prolapsus (de la valvule) mitral(e)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Barlow"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Marfan (Q87.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I34.2": {
    "code": "I34.2",
    "description": "Sténose non rhumatismale (de la valvule) mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I34.8": {
    "code": "I34.8",
    "description": "Autres atteintes non rhumatismales de la valvule mitrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I34.9": {
    "code": "I34.9",
    "description": "Atteinte non rhumatismale de la valvule mitrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 438,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I35": {
    "code": "I35",
    "description": "Atteintes non rhumatismales de la valvule aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cause non précisée mais avec mention de lésions de la valvule mitrale (I08.0)",
      "atteintes de la valvule aortique précisées comme congénitales (Q23.0, Q23.1, Q23.4–Q23.9)",
      "atteintes de la valvule aortique précisées comme rhumatismales (I06.-)",
      "sténose subaortique hypertrophique (I42.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I35.0": {
    "code": "I35.0",
    "description": "Sténose (de la valvule) aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement aortique SAI",
      "Rétrécissement aortique calcifié",
      "RAC"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I35.1": {
    "code": "I35.1",
    "description": "Insuffisance (de la valvule) aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Reflux (de la valvule) aortique SAI ou de cause précisée, sauf rhumatismale",
      "Régurgitation (de la valvule) aortique SAI ou de cause précisée, sauf rhumatismale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I35.2": {
    "code": "I35.2",
    "description": "Sténose (de la valvule) aortique avec insuffisance",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I35.8": {
    "code": "I35.8",
    "description": "Autres atteintes de la valvule aortique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I35.9": {
    "code": "I35.9",
    "description": "Atteinte de la valvule aortique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I36": {
    "code": "I36",
    "description": "Atteintes non rhumatismales de la valvule tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cause non précisée (I07.-)",
      "atteintes de la valvule tricuspide précisées comme congénitales (Q22.4, Q22.8, Q22.9)",
      "atteintes de la valvule tricuspide précisées comme rhumatismales (I07.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I36.0": {
    "code": "I36.0",
    "description": "Sténose non rhumatismale (de la valvule) tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I36.1": {
    "code": "I36.1",
    "description": "Insuffisance non rhumatismale (de la valvule) tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Reflux (de la valvule) tricuspide, de cause précisée, sauf rhumatismale",
      "Régurgitation (de la valvule) tricuspide, de cause précisée, sauf rhumatismale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I36.2": {
    "code": "I36.2",
    "description": "Sténose non rhumatismale (de la valvule) tricuspide avec insuffisance",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I36.8": {
    "code": "I36.8",
    "description": "Autres atteintes non rhumatismales de la valvule tricuspide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I36.9": {
    "code": "I36.9",
    "description": "Atteinte non rhumatismale de la valvule tricuspide, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I37": {
    "code": "I37",
    "description": "Atteintes de la valvule pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteintes de la valvule pulmonaire précisées comme congénitales (Q22.1, Q22.2, Q22.3)",
      "atteintes de la valvule pulmonaire précisées comme rhumatismales (I09.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I37.0": {
    "code": "I37.0",
    "description": "Sténose de la valvule pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I37.1": {
    "code": "I37.1",
    "description": "Insuffisance de la valvule pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Reflux de la valvule pulmonaire SAI ou de cause précisée, sauf rhumatismale",
      "Régurgitation de la valvule pulmonaire SAI ou de cause précisée, sauf rhumatismale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I37.2": {
    "code": "I37.2",
    "description": "Sténose de la valvule pulmonaire avec insuffisance",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I37.8": {
    "code": "I37.8",
    "description": "Autres atteintes de la valvule pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I37.9": {
    "code": "I37.9",
    "description": "Atteinte de la valvule pulmonaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 439,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I38": {
    "code": "I38",
    "description": "Endocardite, valvule non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "catégorie I33.",
      "Endocardite (chronique) SAI",
      "Valvulopathie, valve non précisée"
    ],
    "comprend": [],
    "exclusions": [
      "fibroélastose endocardique (I42.4)",
      "insuffisance congénitale de valvule cardiaque non précisée (Q24.8)",
      "précisée comme rhumatismale (I09.1)",
      "sténose congénitale de valvule cardiaque non précisée (Q24.8)"
    ],
    "clinical_text": [
      "dans l’acception courante du terme, correspond à une affection d’une valve cardiaque et se code avec la",
      "Insuffisance valvule non précisée SAI ou de cause précisée, sauf rhumatismale",
      "Reflux valvule non précisée SAI ou de cause précisée, sauf rhumatismale",
      "Régurgitation valvule non précisée SAI ou de cause précisée, sauf rhumatismale",
      "Sténose valvule non précisée SAI ou de cause précisée, sauf rhumatismale",
      "Valvulite (chronique) valvule non précisée SAI ou de cause précisée, sauf rhumatismale",
      "Endocardite et atteintes valvulaires cardiaques au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.64 : Le titre de la catégorie I38 a le sens de « valvulopathie, valvule non précisée ». Une endocardite,"
    ]
  },
  "I39.0": {
    "code": "I39.0",
    "description": "Atteintes de la valvule mitrale au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I39.1": {
    "code": "I39.1",
    "description": "Atteintes de la valvule aortique au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I39.2": {
    "code": "I39.2",
    "description": "Atteintes de la valvule tricuspide au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I39.3": {
    "code": "I39.3",
    "description": "Atteintes de la valvule pulmonaire au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I39.4": {
    "code": "I39.4",
    "description": "Atteintes valvulaires multiples au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I39.8": {
    "code": "I39.8",
    "description": "Endocardite, valvule non précisée, au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I40": {
    "code": "I40",
    "description": "Myocardite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I40.0": {
    "code": "I40.0",
    "description": "Myocardite infectieuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myocardite septique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I40.1": {
    "code": "I40.1",
    "description": "Myocardite isolée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I40.8": {
    "code": "I40.8",
    "description": "Autres myocardites aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I40.9": {
    "code": "I40.9",
    "description": "Myocardite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 440,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I41.0": {
    "code": "I41.0",
    "description": "Myocardite au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myocardite : • diphtérique (A36.8 †)",
      "• gonococcique (A54.8 †)",
      "• méningococcique (A39.5 †)",
      "• syphilitique (A52.0 †)",
      "• tuberculeuse (A18.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I41.1": {
    "code": "I41.1",
    "description": "Myocardite au cours de maladies virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• due à virus non identifié (J11.8 †)",
      "• ourlienne (B26.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Myocardite : • grippale • due à virus grippal saisonnier identifié (J10.8 †)",
      "(aiguë) • due à virus grippal zoonotique ou pandémique identifié (J09 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I41.2": {
    "code": "I41.2",
    "description": "Myocardite au cours d’autres maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• aiguë (B57.0 †)",
      "• toxoplasmose (B58.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Myocardite au cours de : • maladie de Chagas (chronique) (B57.2 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I41.8": {
    "code": "I41.8",
    "description": "Myocardite au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myocardite (au cours de) : • rhumatoïde (M05.3 †)",
      "• sarcoïdose (D86.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42": {
    "code": "I42",
    "description": "Cardiomyopathie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myocardiopathie : • compliquant : • grossesse (O99.4)",
      "• puerpéralité (O90.3)",
      "• ischémique (I25.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.0": {
    "code": "I42.0",
    "description": "Cardiomyopathie avec dilatation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie congestive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.64 : comprend la cardiomyopathie non obstructive [CMNO]."
    ]
  },
  "I42.1": {
    "code": "I42.1",
    "description": "Cardiomyopathie obstructive hypertrophique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose subaortique hypertrophique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.2": {
    "code": "I42.2",
    "description": "Autres cardiomyopathies hypertrophiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie hypertrophique non obstructive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.3": {
    "code": "I42.3",
    "description": "Maladie endomyocardique (éosinophilique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Endocardite de Loffler",
      "Fibrose endomyocardique (tropicale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.4": {
    "code": "I42.4",
    "description": "Fibroélastose endocardique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.5": {
    "code": "I42.5",
    "description": "Autres cardiomyopathies restrictives",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie constrictive SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.6": {
    "code": "I42.6",
    "description": "Cardiomyopathie alcoolique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.7": {
    "code": "I42.7",
    "description": "Cardiomyopathie due à des médicaments et d’autres causes externes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 441,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I42.8": {
    "code": "I42.8",
    "description": "Autres cardiomyopathies",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "complications mécaniques si elles se manifestent."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Tako-Tsubo, myocardite de stress : nous conseillons le code I42.8 pour cette affection. Le",
      "« La cardiomyopathie takotsubo (CT) est une insuffisance cardiaque aiguë récemment décrite qui se",
      "manifeste comme un infarctus aigu du myocarde et se caractérise par des symptômes ischémiques, une",
      "élévation du segment ST à l’électrocardiogramme, et des marqueurs de pathologie cardiaque élevés. [...] Le",
      "diagnostic différentiel inclut les SCA et les autres types de défaillance ventriculaire transitoire. » (Orphanet).",
      "Nous conseillons de coder les arythmies auriculaires et ventriculaires, l’insuffisance cardiaque et les"
    ],
    "agora_refs": [
      "13687"
    ],
    "cocoa_notes": [
      "code F43.0 peut y être associé si le lien avec le stress est confirmé (AGORA - # 13687 le 27 avril 2009)"
    ]
  },
  "I42.9": {
    "code": "I42.9",
    "description": "Cardiomyopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie (primitive) (secondaire) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I43.0": {
    "code": "I43.0",
    "description": "Cardiomyopathie au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie diphtérique (A36.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I43.1": {
    "code": "I43.1",
    "description": "Cardiomyopathie au cours de maladies métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amylose cardiaque (E85.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I43.2": {
    "code": "I43.2",
    "description": "Cardiomyopathie au cours de maladies nutritionnelles",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardiomyopathie nutritionnelle (E63.9 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I43.8": {
    "code": "I43.8",
    "description": "Cardiomyopathie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tophus goutteux du cœur (M10.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cardiomyopathie d’origine thyroïdienne (thyréotoxique) (E05.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44": {
    "code": "I44",
    "description": "Bloc de branche gauche et auriculo-ventriculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.0": {
    "code": "I44.0",
    "description": "Bloc auriculo-ventriculaire du premier degré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "BAV 1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.1": {
    "code": "I44.1",
    "description": "Bloc auriculo-ventriculaire du second degré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "BAV 2",
      "Bloc (de) (du) : • auriculo-ventriculaire, type I et II",
      "• Mobitz, type I et II",
      "• second degré, type I et II",
      "• Wenckebach"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.2": {
    "code": "I44.2",
    "description": "Bloc auriculo-ventriculaire complet",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "BAV 3",
      "Bloc (du) : • cardiaque complet SAI",
      "• troisième degré"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.3": {
    "code": "I44.3",
    "description": "Blocs auriculo-ventriculaires, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloc auriculo-ventriculaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.4": {
    "code": "I44.4",
    "description": "Bloc fasciculaire antérieur gauche",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémibloc antérieur gauche",
      "HBAG"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.5": {
    "code": "I44.5",
    "description": "Bloc fasciculaire postérieur gauche",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 442,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémibloc postérieur gauche",
      "HBPG"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.6": {
    "code": "I44.6",
    "description": "Blocs fasciculaires, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémibloc de branche gauche SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I44.7": {
    "code": "I44.7",
    "description": "Bloc de branche gauche, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "BBG SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45": {
    "code": "I45",
    "description": "Autres troubles de la conduction",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.0": {
    "code": "I45.0",
    "description": "Bloc fasciculaire droit",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.1": {
    "code": "I45.1",
    "description": "Blocs de branche droit, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloc de branche droit SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.2": {
    "code": "I45.2",
    "description": "Bloc bifasciculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.3": {
    "code": "I45.3",
    "description": "Bloc trifasciculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.4": {
    "code": "I45.4",
    "description": "Bloc ventriculaire non spécifique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloc de branche SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.5": {
    "code": "I45.5",
    "description": "Autre bloc cardiaque précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bloc : • sino-atrial",
      "• sino-auriculaire"
    ],
    "comprend": [],
    "exclusions": [
      "bloc cardiaque SAI (I45.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.6": {
    "code": "I45.6",
    "description": "Syndrome de pré-excitation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conduction auriculo-ventriculaire : • accélérée",
      "• accessoire",
      "• pré-excitée",
      "Excitation auriculo-ventriculaire anormale",
      "Syndrome de : • Lown-Ganong-Levine",
      "• Wolff-Parkinson-White"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.8": {
    "code": "I45.8",
    "description": "Autres troubles précisés de la conduction",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dissociation : • auriculo-ventriculaire [AV]",
      "• interférente"
    ],
    "comprend": [],
    "exclusions": [
      "allongement de l’espace QT (R94.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I45.9": {
    "code": "I45.9",
    "description": "Trouble de la conduction, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 443,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloc cardiaque SAI",
      "Maladie d’Adams-Stokes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I46": {
    "code": "I46",
    "description": "Arrêt cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "choc cardiogénique (R57.0)",
      "compliquant : • acte de chirurgie obstétricale ou acte à visée diagnostique et thérapeutique (O75.4)",
      "• avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)"
    ],
    "clinical_text": [
      "Un arrêt cardio-respiratoire se code en R09.2 (volume 3 alphabétique de la CIM10). Un arrêt cardiaque se code en I46 et"
    ],
    "agora_refs": [
      "72560"
    ],
    "cocoa_notes": [
      "un arrêt respiratoire se code en R09.2 (AGORA - # 72560 le 12 décembre 2012)"
    ]
  },
  "I46.0": {
    "code": "I46.0",
    "description": "Arrêt cardiaque réanimé avec succès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I46.1": {
    "code": "I46.1",
    "description": "Mort cardiaque subite, décrite ainsi",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mort subite : • SAI (subdivisions de R96)",
      "• avec : • infarctus du myocarde (I21-I22)",
      "• trouble de la conduction (I44-I45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I46.9": {
    "code": "I46.9",
    "description": "Arrêt cardiaque, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I47": {
    "code": "I47",
    "description": "Tachycardie paroxystique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant : • acte de chirurgie obstétricale ou acte à visée diagnostique et thérapeutique",
      "(O75.4)",
      "• avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)",
      "tachycardie : • SAI (R00.0)",
      "• sinoauriculaire (R00.0)",
      "• sinusale (R00.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I47.0": {
    "code": "I47.0",
    "description": "Arythmie ventriculaire de réentrée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I47.1": {
    "code": "I47.1",
    "description": "Tachycardie supra-ventriculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tachycardie paroxystique : • atriale",
      "[AV] : • SAI",
      "• jonctionnelle",
      "• nodale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "• auriculo-ventriculaire • par réentrée (intra-nodale) [TRIN]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I47.2": {
    "code": "I47.2",
    "description": "Tachycardie ventriculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Torsade de pointe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I47.9": {
    "code": "I47.9",
    "description": "Tachycardie paroxystique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Bouveret(-Hoffmann)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I48": {
    "code": "I48",
    "description": "Fibrillation et flutter auriculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "entrecoupées d’épisodes en rythme sinusal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "pour la FA nous conseillons de suivre les définitions utilisées par la HAS :",
      "- FA paroxystique récidivante : se termine spontanément en moins de 7 jours, généralement en 48h, avec récidives",
      "- FA persistante récurrente : nécessite un choc électrique ou un traitement pharmacologique pour être réduite, avec des",
      "récurrences (<7jours) entrecoupées d’épisodes en rythme sinusal",
      "- FA permanente : la cardioversion est inefficace ou non envisagée",
      "Pour le flutter : la forme typique étant la plus fréquente, nous conseillons l’emploi de ce code lorsque le clinicien ne donne"
    ],
    "agora_refs": [
      "97087"
    ],
    "cocoa_notes": [
      "pas de précision. (AGORA - # 97087 le 9 avril 2014)"
    ]
  },
  "I48.0": {
    "code": "I48.0",
    "description": "Fibrillation auriculaire paroxystique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I48.1": {
    "code": "I48.1",
    "description": "Fibrillation auriculaire persistante",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I48.2": {
    "code": "I48.2",
    "description": "Fibrillation auriculaire chronique permanente",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 444,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I48.3": {
    "code": "I48.3",
    "description": "Flutter auriculaire typique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Flutter auriculaire de type I (commun)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I48.4": {
    "code": "I48.4",
    "description": "Flutter auriculaire atypique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Flutter auriculaire de type II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I48.9": {
    "code": "I48.9",
    "description": "Fibrillation et flutter auriculaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49": {
    "code": "I49",
    "description": "Autres arythmies cardiaques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arythmie cardiaque néonatale (P29.1)",
      "bradycardie : • SAI (R00.1)",
      "• sino-atriale (R00.1)",
      "• sinusale (R00.1)",
      "• vagale (R00.1)",
      "compliquant : • acte de chirurgie obstétricale ou acte à visée diagnostique et thérapeutique (O75.4)",
      "• avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.0": {
    "code": "I49.0",
    "description": "Fibrillation et flutter ventriculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.1": {
    "code": "I49.1",
    "description": "Dépolarisation auriculaire prématurée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Extra-systoles auriculaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.2": {
    "code": "I49.2",
    "description": "Dépolarisation jonctionnelle prématurée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.3": {
    "code": "I49.3",
    "description": "Dépolarisation ventriculaire prématurée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.4": {
    "code": "I49.4",
    "description": "Dépolarisations prématurées, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arythmie extra-systolique",
      "Battements cardiaques SAI prématurés",
      "Extra-systoles SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.5": {
    "code": "I49.5",
    "description": "Syndrome de dysfonctionnement sinusal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de tachycardie-bradycardie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.8": {
    "code": "I49.8",
    "description": "Autres arythmies cardiaques précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trouble du rythme (du) : • ectopique",
      "• nodal",
      "• sinus coronaire",
      "Syndrome (de) (du) : • Brugada",
      "• QT long",
      "avril 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le STOP (Syndrome de Tachycardie Orthostatique Posturale) associe I49.8 et G90.8 (AGORA - # 61601 le 5"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I49.9": {
    "code": "I49.9",
    "description": "Arythmie cardiaque, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 445,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arythmie (cardiaque) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I50": {
    "code": "I50",
    "description": "Insuffisance cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 446,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "après chirurgie cardiaque ou due à la présence d’une prothèse cardiaque (I97.1)",
      "compliquant : • acte de chirurgie obstétricale ou acte à visée diagnostique et thérapeutique (O75.4)",
      "• avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)",
      "due à l’hypertension (I11.0)",
      "avec néphropathie (I13.-)",
      "insuffisance cardiaque néonatale (P29.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I50.9": {
    "code": "I50.9",
    "description": "Insuffisance cardiaque, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 446,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Insuffisance cardiaque ou myocardique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51": {
    "code": "I51",
    "description": "Complications de cardiopathies et maladies cardiaques mal définies",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "tout état classé en I51.4-I51.9 dû à l’hypertension (I11.-)",
      "avec néphropathie (I13.-)"
    ],
    "comprend": [],
    "exclusions": [
      "complications récentes d’un infarctus aigu du myocarde (I23.-) précisées comme rhumatismales (I00-"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.0": {
    "code": "I51.0",
    "description": "Anomalie d’un septum cardiaque, acquise",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie acquise du septum (ancienne) : • auriculaire",
      "• ventriculaire",
      "Anévrisme du Septum Inter-Auriculaire",
      "ASIA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.1": {
    "code": "I51.1",
    "description": "Rupture des cordages tendineux, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.2": {
    "code": "I51.2",
    "description": "Rupture du muscle papillaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.3": {
    "code": "I51.3",
    "description": "Thrombose intra-cardiaque, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Thrombose (ancienne) : • apicale",
      "• auriculaire",
      "• ventriculaire",
      "Thrombus de l’oreillette"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.4": {
    "code": "I51.4",
    "description": "Myocardite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fibrose myocardiaque",
      "Myocardite : • SAI",
      "• chronique (interstitielle)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.5": {
    "code": "I51.5",
    "description": "Dégénérescence du myocarde",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dégénérescence du cœur • graisseuse",
      "ou du myocarde : • sénile",
      "Maladie du myocarde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.6": {
    "code": "I51.6",
    "description": "Maladie cardio-vasculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident cardio-vasculaire SAI"
    ],
    "comprend": [],
    "exclusions": [
      "athérosclérose cardio-vasculaire, décrite ainsi (I25.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.7": {
    "code": "I51.7",
    "description": "Cardiomégalie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dilatation cardiaque",
      "Hypertrophie cardiaque",
      "Dilatation ventriculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.8": {
    "code": "I51.8",
    "description": "Autres cardiopathies mal définies",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardite (aiguë) (chronique)",
      "Pancardite (aiguë) (chronique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I51.9": {
    "code": "I51.9",
    "description": "Cardiopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 447,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I52.0": {
    "code": "I52.0",
    "description": "Autres cardiopathies au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 448,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardite à méningocoques NCA (A39.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I52.1": {
    "code": "I52.1",
    "description": "Autres cardiopathies au cours d’autres maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 448,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection cardio-pulmonaire au cours de schistosomiase (B65.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I52.8": {
    "code": "I52.8",
    "description": "Autres cardiopathies au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 448,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardite rhumatoïde (M05.3 †)",
      "ACCIDENTS VASCULAIRES CÉRÉBRAUX",
      "séquelles et les antécédents.",
      "Les types d’accidents vasculaires cérébraux [AVC]",
      "• I61 Hémorragie intra-cérébrale ;",
      "apparentés.",
      "Manifestations cliniques des AVC",
      "Étiologies, séquelles, antécédents d’AVC",
      "maladies cérébro-vasculaires.",
      "séquelle fonctionnelle.",
      "Règles de codage des accidents vasculaires cérébraux",
      "1 - AIT ou AVC constitué, à la phase aiguë",
      "lors qu’il a quitté ce champ.",
      "précis.",
      "du même séjour.",
      "aphasie : se reporter au point 2 supra).",
      "vasculaire…",
      "traitement",
      "4 - Séjour pour récidive d’AVC",
      "5 - Séjour pour surveillance (suivi) au long cours d’un AVC",
      "(DR).",
      "6 - Soins palliatifs",
      "7 - Séjour pour répit de la famille ou des aidants",
      "et odontologie – BO du 17 juillet 2025, pp. 78-81",
      "AVC survenant après 28 jours (chez l’enfant) :",
      "• les codes à utiliser sont les mêmes que ceux de l’adulte",
      "• la démence vasculaire ne se code pas",
      "• absence d’imagerie rarissime : pas de code I64",
      "néonatale est imprécis et son usage est déconseillé",
      "• plusieurs cas de figure selon date de survenue :",
      "est codée en DP avec un code de séquelle (I69.3) en DAS",
      "Hémorragie intra-crânienne de l’enfant :",
      "nouveau-né",
      "obstétrical",
      "spontanée."
    ],
    "comprend": [
      "avec mention d’hypertension (états classés en I10 et I15.-)",
      "Accidents vasculaires cérébraux",
      "AVC",
      "Utiliser, au besoin, un code supplémentaire pour identifier l’existence d’hypertension."
    ],
    "exclusions": [
      "accidents ischémiques cérébraux transitoires et syndromes apparentés (subdivisions de G45)",
      "démence vasculaire (F01.-)",
      "hémorragie intra-crânienne traumatique (S06.-)"
    ],
    "clinical_text": [
      "La CIM–10 permet le codage des différents types d’accidents ainsi que certaines étiologies particulières, les manifestations cliniques, les",
      "Le codage des AVC constitués fait appel, à la phase aiguë, aux catégories I60 à I63 qui excluent les lésions traumatiques.",
      "Le codage des AVC hémorragiques utilise les catégories suivantes :",
      "• I60 Hémorragie sous-arachnoïdienne ; cette catégorie inclut la rupture d’anévrisme d’artère cérébrale ;",
      "• I62 Autres hémorragies intra-crâniennes non traumatiques ; cette catégorie inclut l’hémorragie sous-durale et extra-durale.",
      "Les AVC par infarctus cérébral ou AVC ischémiques – embolie, thrombose, bas débit – sont codés avec la catégorie I63 Infarctus cérébral.",
      "La catégorie I64 Accident vasculaire cérébral, non précisé comme étant hémorragique ou par infarctus n’est employée qu’en l’absence",
      "d’examen d’imagerie diagnostique, par exemple, si le patient décède avant toute investigation.",
      "Les accidents ischémiques transitoires (AIT) sont codés avec la catégorie G45 Accidents ischémiques cérébraux transitoires et syndromes",
      "Les manifestations les plus fréquentes sont l’hémiplégie, le plus souvent flasque à la phase initiale (G81 Hémiplégie) et l’aphasie (R47",
      "Troubles du langage, non classés ailleurs). À l’initiative de la Société française neurovasculaire, ces deux catégories ont fait l’objet",
      "d’extensions par l’ATIH en 2007 afin de distinguer les symptômes selon leur moment d’apparition et leur évolution :",
      "• G81.0 Hémiplégie flasque est subdivisé en : G81.00 Hémiplégie flasque récente, persistante au-delà de 24 heures, G81.01 Hémiplégie",
      "flasque récente, régressive dans les 24 heures et Hémiplégie flasque, autre et sans précision ; on emploie les mêmes codes pour les",
      "parésies et les paralysies (–plégies) car ce sontG81.08 des syndromes paralytiques que la CIM–10 classe dans les catégories G81 à",
      "• R47.0 Dysphasie et aphasie est subdivisé en : R47.00 Aphasie récente, persistante au-delà de 24 heures, R47.01 Aphasie récente,",
      "régressive dans les 24 heures, R47.02 Aphasie autre et sans précision, R47.03 Dysphasie.",
      "D’autres manifestations peuvent être observées : troubles de la conscience (catégorie R40 Somnolence, stupeur et coma), de la sensibilité",
      "(R20 Troubles de la sensibilité cutanée), visuels (H51 Autres anomalies des mouvements binoculaires, H53 Troubles de la vision), locked-",
      "in syndrome (G83.5) dit aussi syndrome de verrouillage, d’enfermement, de désafférentation.",
      "Les syndromes des artères cérébrales (G46) : la CIM–10 réserve les codes G46.0 à G46.2 Syndromes de l’artère cérébrale moyenne,",
      "antérieure, postérieure, à l’enregistrement de syndromes neurologiques résultant d’une insuffisance circulatoire sans infarctus (voir le titre",
      "de la catégorie dague correspondante I66). Ainsi, G46.0, G46.1 et G46.2 ne peuvent pas être associés à un code d’infarctus cérébral, alors",
      "que cette association est possible pour les codes G46.3 à G46.8.",
      "Les étiologies des AVC sont classées dans des catégories diverses de la CIM–10 ; par exemple la fibrillation auriculaire (I48), les",
      "malformations congénitales vasculaires cérébrales (Q28.–), l’athérosclérose cérébrale (), l’encéphalopathie hI67.2ypertensive (I67.4), etc…",
      "La CIM–10 définit les séquelles comme des « états pathologiques, stables, conséquences d’affections qui ne sont plus en phase active ».",
      "Leur codage donne la priorité aux manifestations cliniques observées, auxquelles on associe un code de la catégorie I69 Séquelles de",
      "Par construction de la CIM–10, la notion d’antécédent d’AVC., codée Z86.70, exclut celle de séquelle. Le code Z86.70 Antécédents",
      "personnels de maladies cérébro-vasculaires doit être employé dès que l’AVC est considéré comme ancien et qu’il ne persiste aucune",
      "Lors du séjour initial de prise en charge, le codage du diagnostic principal (DP) emploie :",
      "• pour un AIT, la catégorie G45 ; ses codes précisent la topographie ou la forme de l’accident, par exemple G45.3 Amaurose fugace ;",
      "• pour un AVC constitué, un code I60.–, I61.–, I62.– ou I63.– .",
      "Les codes I60.–, I61.–, I62.– et I63.– sont employés pendant l’ensemble de la première prise en charge de l’AVC en médecine, chirurgie,",
      "obstétrique (MCO). Si plusieurs unités (mutations) ou établissements (transferts) successifs de MCO sont fréquentés pendant cette",
      "première prise en charge, ces codes sont employés par les unités médicales successives. En revanche, en cas de ré-hospitalisation en",
      "MCO après un retour à domicile ou après un séjour en soins de suite ou de réadaptation, l’AVC initial est codé comme une séquelle. Il",
      "importe que le dossier médical soit en accord avec cette règle. Ainsi, un AVC est considéré comme étant dans sa phase initiale aiguë tant",
      "que le malade n’a pas quitté le champ d’activité de MCO où l’a amené la survenue de son AVC. Il est considéré comme séquellaire dès",
      "Le code I64 ne doit être employé qu’en l’absence d’examen de neuro-imagerie et ne doit pas l’être en association avec un code plus",
      "Les manifestations cliniques de l’AVC sont codées comme diagnostics associés significatifs (DAS) si elles en respectent la définition. Il",
      "importe de les coder le plus précisément possible et d’employer les extensions prévues pour certains codes (hémiplégie, dysphasie et",
      "Les codes G46.0 Syndrome de l’artère cérébrale moyenne, G46.1 Syndrome de l’artère cérébrale antérieure, G46.2 Syndrome de l’artère",
      "cérébrale postérieure, ceux des catégories I65 Occlusion et sténose des artères précérébrales, n’entraînant pas un infarctus cérébral, I66",
      "Occlusion et sténose des artères cérébrales, n’entraînant pas un infarctus cérébral, les codes I67.0 Dissection d’artères cérébrales, non",
      "rompue et I67.1 Anévrisme cérébral, (non rompu), ne doivent pas être employés en association avec un code I60–I64 pour décrire l’artère",
      "atteinte ou le mécanisme de l’accident. La CIM–10 exclut en effet l’usage de ces catégories en cas d’infarctus cérébral.",
      "L’étiologie ne peut être codée comme diagnostic associé que si elle en respecte la définition.",
      "Les complications sont codées comme DAS si elles en respectent la définition, par exemple, inhalation, épilepsie, escarre, démence",
      "2 - Séjour pour poursuite des soins dans une autre unité médicale ou dans un autre établissement",
      "Par exemple, en cas de transfert dans un autre établissement de MCO après sortie d’unité neuro-vasculaire, l’AVC peut être codé comme",
      "DP dans l’autre établissement dès lors qu’il continue d’être le sujet des soins (situation clinique de traitement unique partagé)",
      "3 - Séjour pour prise en charge d’une aggravation d’un état neurologique consécutif à un AVC, ou d’une complication d’un AVC ou de son",
      "Il s’agit ici de séjours distincts de celui où a eu lieu la prise en charge initiale. La manifestation ou la complication prise en charge est codée",
      "comme DP. Les exemples les plus fréquents sont les troubles de la marche ou l’aggravation de la spasticité (catégorie R26 Anomalies de",
      "la démarche et de la motilité), le syndrome dépressif (catégorie F32 Épisodes dépressifs), l’épilepsie (catégories G40 Épilepsie et G41 État",
      "de mal épileptique), la démence vasculaire (catégorie F01 Démence vasculaire). Un code de séquelle d’AVC (I69) est placé en DAS.",
      "Une récidive d’AVC, à la condition qu’elle soit confirmée par l’imagerie, doit être codée comme un AVC à la phase aiguë.",
      "La situation est celle d’un patient atteint d’un AVC déjà diagnostiqué et traité, hospitalisé pour la surveillance des suites de celui-ci.",
      "S’il n’est pas découvert d’affection nouvelle, le code du DP appartient au chapitre XXI de la CIM–10 (se reporter aux consignes de codage",
      "de la situation clinique de surveillance négative). Un code de séquelle d’AVC (I69) est placé en DR et les manifestations séquellaires",
      "éventuelles sont codées comme DAS si elles en respectent la définition.",
      "En l’absence de séquelles le DP est Z86.70 Antécédents personnels de maladies cérébro-vasculaires, on ne code pas de diagnostic relié",
      "Si une affection nouvelle liée à l’AVC, c’est-à-dire une complication de celui-ci ou de son traitement, est découverte (surveillance dite",
      "positive), cette affection est le DP. Les éventuelles manifestations séquellaires respectant la définition d’un DAS, complétées par un code",
      "de séquelle I69.–, sont enregistrées en position de diagnostics associés.",
      "Le DP est codé Z51.5 Soins palliatifs. Le code de l’AVC est enregistré en position de DR : soit un code d’AVC aigu lorsqu’il s’agit de la prise",
      "en charge initiale, qu’elle se fasse au sein d’un même établissement ou d’établissements différents (voir ci-dessus séjour pour poursuite",
      "des soins), soit un code de séquelle d’AVC si ce dernier a été pris en charge lors d’un précédent séjour.",
      "Le DP est codé Z74.2 Besoin d’assistance à domicile, aucun autre membre du foyer n’étant capable d’assurer les soins ou Z75.5 Prise en",
      "charge pendant les vacances. Un code de séquelle de maladie cérébro-vasculaire (I69.-) est saisi en position de DAS.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "• les séquelles cognitives se codent en F70.- Retard mental et F80.- Troubles du développement psychologique",
      "• les AIT sont très rares : G45.– à ne coder qu’après bilan étiologique extensif.",
      "Infarctus cérébral artériel périnatal : forme la plus fréquente de l’AVC de l’enfant.",
      "• définition : interruption focale du flux sanguin cérébral due à une thrombose artérielle ou à une embolie survenant entre la 22ème",
      "semaine de vie fœtale et le 28ème jour postnatal, confirmée par imagerie cérébrale ou études neuro-pathologiques.",
      "• à distinguer de l’encéphalopathie hypoxique ischémique du nouveau-né (P91.6) ; de même le code P91.0 Ischémie cérébrale",
      "- diagnostic avant la naissance chez mort-né : P95 en DP et code d’infarctus cérébral (I63.–) en DAS",
      "- symptomatologie et diagnostic pendant la période néonatale : code d’infarctus cérébral (I63.–)",
      "- infarctus présumé périnatal mais diagnostiqué chez des enfants de plus de 28 jours : la symptomatologie à l’origine du séjour",
      "• si origine durant la période périnatale, codage avec catégorie P52 Hémorragie intra-crânienne non traumatique du fœtus et du",
      "• si hémorragie survenue après 28 jours révolus de vie, utilisation des mêmes codes que chez l’adulte",
      "• si due à un traumatisme obstétrical, codage avec catégorie P10 Déchirure et hémorragie intra-crânienne dues à un traumatisme",
      "• si traumatique, codage avec catégorie S06 Lésion traumatique intra-crânienne ; attention aux traumatismes inavoués d’apparence",
      "EMOIS - Atelier codage - Laurence DURIF, Olivier GUYE, 4 avril 2014"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60": {
    "code": "I60",
    "description": "Hémorragie sous-arachnoïdienne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Co mprend AVC hémorragique"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles d’hémorragie sous-arachnoïdienne (I69.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.0": {
    "code": "I60.0",
    "description": "Hémorragie sous-arachnoïdienne de la bifurcation et du siphon carotidien",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.1": {
    "code": "I60.1",
    "description": "Hémorragie sous-arachnoïdienne de l’artère cérébrale moyenne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.2": {
    "code": "I60.2",
    "description": "Hémorragie sous-arachnoïdienne de l’artère communicante antérieure",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.3": {
    "code": "I60.3",
    "description": "Hémorragie sous-arachnoïdienne de l’artère communicante postérieure",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.4": {
    "code": "I60.4",
    "description": "Hémorragie sous-arachnoïdienne de l’artère basilaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.5": {
    "code": "I60.5",
    "description": "Hémorragie sous-arachnoïdienne de l’artère vertébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.6": {
    "code": "I60.6",
    "description": "Hémorragie sous-arachnoïdienne d’autres artères intra-crâniennes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atteinte de plusieurs artères intra-crâniennes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.7": {
    "code": "I60.7",
    "description": "Hémorragie sous-arachnoïdienne d’une artère intra-crânienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anévrisme sacciforme rompu (congénital) SAI",
      "Hémorragie sous-arachnoïdienne • cérébrale SAI",
      "d’une artère : • communicante SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.8": {
    "code": "I60.8",
    "description": "Autres hémorragies sous-arachnoïdiennes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémorragie méningée",
      "Rupture d’une malformation artérioveineuse cérébrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I60.9": {
    "code": "I60.9",
    "description": "Hémorragie sous-arachnoïdienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 450,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61": {
    "code": "I61",
    "description": "Hémorragie intra-cérébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Co mprend AVC hémorragique"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles d’hémorragie intra-cérébrale (I69.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.0": {
    "code": "I61.0",
    "description": "Hémorragie intra-cérébrale hémisphérique, sous-corticale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Hémorragie intra-cérébrale profonde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.1": {
    "code": "I61.1",
    "description": "Hémorragie intra-cérébrale hémisphérique, corticale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hémorragie (du) : • intra-cérébrale superficielle",
      "• lobe cérébral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.2": {
    "code": "I61.2",
    "description": "Hémorragie intra-cérébrale hémisphérique, non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.3": {
    "code": "I61.3",
    "description": "Hémorragie intra-cérébrale du tronc cérébral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.4": {
    "code": "I61.4",
    "description": "Hémorragie intra-cérébrale cérébelleuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.5": {
    "code": "I61.5",
    "description": "Hémorragie intra-cérébrale intra-ventriculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.6": {
    "code": "I61.6",
    "description": "Hémorragie intra-cérébrale, localisations multiples",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.8": {
    "code": "I61.8",
    "description": "Autres hémorragies intra-cérébrales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I61.9": {
    "code": "I61.9",
    "description": "Hémorragie intra-cérébrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I62": {
    "code": "I62",
    "description": "Autres hémorragies intra-crâniennes non traumatiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Co mprend AVC hémorragique"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles d’hémorragie intra-crânienne (I69.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I62.0": {
    "code": "I62.0",
    "description": "Hémorragie sous-durale non traumatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un hématome sous-dural chronique (non précisé comme étant traumatique) se code en I62.0, la mention"
    ],
    "agora_refs": [
      "21760"
    ],
    "cocoa_notes": [
      "« aiguë » étant entre parenthèses (AGORA - # 21760 le 25 novembre 2009)"
    ]
  },
  "I62.1": {
    "code": "I62.1",
    "description": "Hémorragie extra-durale non traumatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hémorragie épidurale non traumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I62.9": {
    "code": "I62.9",
    "description": "Hémorragie intra-crânienne (non traumatique), sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63": {
    "code": "I63",
    "description": "Infarctus cérébral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "entraînant un infarctus cérébral",
      "AVC ischémique"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles d’infarctus cérébral (I69.3)"
    ],
    "clinical_text": [
      "C omprend occlusion et sténose des artères cérébrales et précérébrales (incluant le tronc artériel brachiocéphalique),"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.0": {
    "code": "I63.0",
    "description": "Infarctus cérébral dû à une thrombose dans les artères précérébrales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.1": {
    "code": "I63.1",
    "description": "Infarctus cérébral dû à une embolie dans les artères précérébrales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infarctus cérébral dû à une occlusion ou sténose des artères précérébrales, de mécanisme non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.3": {
    "code": "I63.3",
    "description": "Infarctus cérébral dû à une thrombose dans les artères cérébrales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.4": {
    "code": "I63.4",
    "description": "Infarctus cérébral dû à une embolie dans les artères cérébrales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 451,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infarctus cérébral dû à une occlusion ou sténose des artères cérébrales, de mécanisme non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.6": {
    "code": "I63.6",
    "description": "Infarctus cérébral dû à une thrombose veineuse cérébrale, non pyogène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infarctus cérébral dû à une thrombose veineuse d’origine septique (G08)"
    ],
    "clinical_text": [
      "EMOIS - Atelier codage - Laurence DURIF, Olivier GUYE, 4 avril 2014"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.8": {
    "code": "I63.8",
    "description": "Autres infarctus cérébraux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I63.9": {
    "code": "I63.9",
    "description": "Infarctus cérébral, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "2 ou par infarctus",
      "Accident cérébrovasculaire SAI",
      "AVC SAI",
      "infarctus cérébral"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles d’accident vasculaire cérébral (I69.4)",
      "entraînant un infarctus cérébral (I63.-)"
    ],
    "clinical_text": [
      "SAI (nous vous déconseillons d’utiliser le code G93.8 donné par l’index alphabétique pour ce dernier).",
      "Accident vasculaire cérébral, non précisé comme étant hémorragique",
      "Occlusion et sténose des artères précérébrales, n’entraînant pas un",
      "C omprend embolie des artères basilaires, carotides et vertébrales n’entraînant pas un infarctus cérébral",
      "obstruction (complète) (partielle) des artères basilaires, carotides et vertébrales n’entraînant pas un",
      "sténose des artères basilaires, carotides et vertébrales n’entraînant pas un infarctus cérébral",
      "thrombose des artères basilaires, carotides et vertébrales n’entraînant pas un infarctus cérébral"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.65 : comprend accident vasculaire cérébral ischémique, sauf transitoire, et ramollissement cérébral"
    ]
  },
  "I65.0": {
    "code": "I65.0",
    "description": "Occlusion et sténose de l’artère vertébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I65.1": {
    "code": "I65.1",
    "description": "Occlusion et sténose de l’artère basilaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I65.2": {
    "code": "I65.2",
    "description": "Occlusion et sténose de l’artère carotide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I65.3": {
    "code": "I65.3",
    "description": "Occlusion et sténose des artères précérébrales, multiples et bilatérales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I65.8": {
    "code": "I65.8",
    "description": "Occlusion et sténose d’une autre artère précérébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I65.9": {
    "code": "I65.9",
    "description": "Occlusion et sténose d’une artère précérébrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Artère précérébrale SAI",
      "infarctus cérébral",
      "n’entraînant pas un infarctus cérébral"
    ],
    "comprend": [],
    "exclusions": [
      "entraînant un infarctus cérébral (I63.-)"
    ],
    "clinical_text": [
      "Occlusion et sténose des artères cérébrales, n’entraînant pas un",
      "C omprend embolie des artères cérébrales moyennes, antérieures et postérieures et des artères cérébelleuses,",
      "Obstruction (complète) (partielle) des artères cérébrales moyennes, antérieures et postérieures et des",
      "artères cérébelleuses, n’entraînant pas un infarctus cérébral",
      "sténose des artères cérébrales moyennes, antérieures et postérieures et des artères cérébelleuses,",
      "thrombose des artères cérébrales moyennes, antérieures et postérieures et des artères cérébelleuses,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.0": {
    "code": "I66.0",
    "description": "Occlusion et sténose de l’artère cérébrale moyenne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.1": {
    "code": "I66.1",
    "description": "Occlusion et sténose de l’artère cérébrale antérieure",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.2": {
    "code": "I66.2",
    "description": "Occlusion et sténose de l’artère cérébrale postérieure",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.3": {
    "code": "I66.3",
    "description": "Occlusion et sténose des artères cérébelleuses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 452,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.4": {
    "code": "I66.4",
    "description": "Occlusion et sténose des artères cérébrales, multiples et bilatérales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.8": {
    "code": "I66.8",
    "description": "Occlusion et sténose d’une autre artère cérébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Occlusion et sténose d’une artère perforante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I66.9": {
    "code": "I66.9",
    "description": "Occlusion et sténose d’une artère cérébrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67": {
    "code": "I67",
    "description": "Autres maladies cérébrovasculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séquelles des états mentionnés (I69.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.0": {
    "code": "I67.0",
    "description": "Dissection d’artères cérébrales, non rompue",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "artères cérébrales rompues (I60.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.1": {
    "code": "I67.1",
    "description": "Anévrisme cérébral, non rompu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme cérébral SAI",
      "Fistule artérioveineuse cérébrale, acquise"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme cérébral : •congénital, non rompu (Q28.-)",
      "• rompu (I60.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.2": {
    "code": "I67.2",
    "description": "Athérosclérose cérébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Athérome d’artères cérébrales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.3": {
    "code": "I67.3",
    "description": "Leuco-encéphalopathie vasculaire progressive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Binswanger"
    ],
    "comprend": [],
    "exclusions": [
      "démence vasculaire sous-corticale (F01.2)"
    ],
    "clinical_text": [
      "Syndrome CADASIL (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and",
      "Leukoencephalopathy) – coder en plus les migraines et les autres troubles notamment démentiels (F01.1)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.4": {
    "code": "I67.4",
    "description": "Encéphalopathie hypertensive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le 4 décembre 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un PRES syndrome ou syndrome d’encéphalopathie postérieure réversible se code en G93.6 et non en I67.4.",
      "En effet l’encéphalopathie hypertensive décrite par le code I67.4 n’est pas une cause exclusive du PRES",
      "syndrome. Si elle est responsable de ce syndrome, le code I67.4 s’associe au code G93.6. (AGORA - # 72259"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.5": {
    "code": "I67.5",
    "description": "Maladie de Moyamoya",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.6": {
    "code": "I67.6",
    "description": "Thrombose non pyogène du système veineux intra-crânien",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Thrombose non • sinus veineux intra-crânien",
      "pyogène de : • veine cérébrale",
      "Thrombophlébite cérébrale non pyogène"
    ],
    "comprend": [],
    "exclusions": [
      "entraînant un infarctus (I63.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.7": {
    "code": "I67.7",
    "description": "Artérite cérébrale, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 453,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Susac : il n'existe pas de code spécifique de cette affection décrite ainsi dans Orphanet :",
      "« Maladie systémique ou rhumatologique rare caractérisée par la triade : atteinte du système nerveux",
      "central (SNC), occlusion des branches de l'artère centrale de la rétine et surdité neurosensorielle liées à",
      "une vasculopathie des microvaisseaux cérébraux, rétinien et de l'oreille interne, d'origine auto-immune. »",
      "Vous devez donc coder isolément les signes ou symptômes présentés par le patient : H34.9 occlusion"
    ],
    "agora_refs": [
      "67074",
      "33829"
    ],
    "cocoa_notes": [
      "Une vascularite cérébrale, sans plus de précision, se code en I67.7 (AGORA - # 67074 le 11 juillet 2012)",
      "artère centrale de la rétine, H90.5 surdité neurosensorielle, céphalées ...). (AGORA - # 33829 le 11 août 2010)"
    ]
  },
  "I67.8": {
    "code": "I67.8",
    "description": "Autres maladies cérébrovasculaires précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance cérébrovasculaire aiguë SAI",
      "Ischémie cérébrale (chronique)",
      "janvier 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Code proposé pour « bas débit cérébral » en l’absence d’étiologie mentionnée. (AGORA - # 57236 le 20",
      "Leucoaraïose - cette affection est une atteinte du système nerveux d’origine vasculaire, provoquant",
      "généralement une démence. Son codage précis (selon les conclusions diagnostiques du clinicien) associe"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.65 : comprend l’insuffisance circulatoire cérébrale du sujet âgé."
    ]
  },
  "R90.0": {
    "code": "R90.0",
    "description": "et l’étiologie si elle est connue. (AGORA - # 66534 le 29 juin 2012)",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Leucoaraiose - cette affection est une atteinte du système nerveux d’origine vasculaire, provoquant",
      "généralement une démence. Son codage précis (selon les conclusions diagnostiques du clinicien) associe"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I67.9": {
    "code": "I67.9",
    "description": "Maladie cérébrovasculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I68.0": {
    "code": "I68.0",
    "description": "Angiopathie amyloïde cérébrale (E85.- †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I68.1": {
    "code": "I68.1",
    "description": "Artérite cérébrale au cours de maladies infectieuses et parasitaires",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Artérite cérébrale au cours de : • listériose (A32.8 †)",
      "• syphilis (A52.0 †)",
      "• tuberculose (A18.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I68.2": {
    "code": "I68.2",
    "description": "Artérite cérébrale au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Artérite cérébrale au cours d’un lupus érythémateux disséminé (M32.1 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I68.8": {
    "code": "I68.8",
    "description": "Autres troubles cérébrovasculaires au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Apoplexie urémique dans la maladie rénale (N18.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I69": {
    "code": "I69",
    "description": "Séquelles de maladies cérébro-vasculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "affections avec les catégories I60-I67."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note La catégorie I69 doit être utilisée pour les états antérieurs classés en I60-I67.1 et I67.4-I67.9 en tant que cause",
      "de séquelles, elles-mêmes étant codées ailleurs. Les séquelles comprennent les maladies précisées comme",
      "telles ou comme conséquences tardives ou existantes un an ou plus après le début de la maladie.",
      "Cette catégorie ne doit pas être utilisée pour signaler les maladies cérébrovasculaires chroniques. Coder ces"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I69.0": {
    "code": "I69.0",
    "description": "Séquelles d’hémorragie sous-arachnoïdienne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I69.1": {
    "code": "I69.1",
    "description": "Séquelles d’hémorragie intra-cérébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I69.2": {
    "code": "I69.2",
    "description": "Séquelles d’autres hémorragies intra-crâniennes non traumatiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I69.8": {
    "code": "I69.8",
    "description": "Séquelles de maladies cérébrovasculaires, autres et non précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 454,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70": {
    "code": "I70",
    "description": "Athérosclérose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend artériolosclérose",
      "artériosclérose",
      "artérite sénile",
      "athérome",
      "dégénérescence : • artérielle",
      "• artériovasculaire",
      "• vasculaire",
      "endartérite : • déformante ou oblitérante",
      "• sénile",
      "maladie vasculaire artériosclérotique",
      "avec les sous-catégories appropriées en I70 :",
      "0 sans gangrène",
      "1 avec gangrène"
    ],
    "comprend": [],
    "exclusions": [
      "cérébrale (I67.2)",
      "coronaire (I25.1)",
      "mésentérique (K55.1)",
      "pulmonaire (I27.0)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme caractère supplémentaire pour indiquer la présence ou l’absence de gangrène"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.0": {
    "code": "I70.0",
    "description": "Athérosclérose de l’aorte",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.00": {
    "code": "I70.00",
    "description": "Athérosclérose de l’aorte, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.01": {
    "code": "I70.01",
    "description": "Athérosclérose de l’aorte, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.1": {
    "code": "I70.1",
    "description": "Athérosclérose de l’artère rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rein de Goldblatt"
    ],
    "comprend": [],
    "exclusions": [
      "athérosclérose des artérioles rénales (I12.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.2": {
    "code": "I70.2",
    "description": "Athérosclérose des artères distales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gangrène par athérosclérose",
      "Sclérose de Monckeberg (de la media)",
      "Artérite des membres inférieurs",
      "Artériopathie oblitérante des membres inférieurs [AOMI]",
      "Claudication intermittente"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "66539"
    ],
    "cocoa_notes": [
      "Un ulcère artériel sur une AOMI associe le code L97 au code I70.2 (AGORA - # 66539 le 29 juin 2012)"
    ]
  },
  "I70.20": {
    "code": "I70.20",
    "description": "Athérosclérose des artères distales, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Athérosclérose des artères distales de stade 1 à 3 selon la classification de Leriche et Fontaine"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.21": {
    "code": "I70.21",
    "description": "Athérosclérose des artères distales, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 455,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "ATHÉROSCLÉROSE AVEC GANGRÈNE"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Athérosclérose des artères distales de stade 4 selon la classification de Leriche et Fontaine",
      "Nous confirmons la possibilité d’employer I70.21 pour les formes d’artérite classées en stade 4 de Leriche",
      "Des subdivisions ont été créées par l’OMS en 2013 avec les sous-catégories appropriées en I70",
      "Athérosclérose pour indiquer la présence ou l’absence de gangrène. Le code I70.21 Athérosclérose des artères",
      "distales, avec gangrène comporte intrinsèquement la notion de gangrène. De ce fait, lorsqu’il est utilisé",
      "comme diagnostic principal, I70.21 ne devrait pas permettre de codage supplémentaire pour décrire la",
      "gangrène associée. Ainsi, la note accompagnant le code R02 Gangrène non classée ailleurs dans le volume",
      "1 de la CIM-10 précise que ce code est à utiliser « à l’exclusion de gangrène au cours d’athérosclérose",
      "(I70.2). ». Toutefois, à titre d’exception, l’utilisation en diagnostic associé, du code R02 lorsque I70.21 est codé",
      "en DP, est autorisée. En effet, porter le code R02 en diagnostic associé est actuellement le seul moyen de",
      "discriminer les prises en charge avec gangrène lors du groupage en GHM.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 83"
    ],
    "agora_refs": [
      "125470"
    ],
    "cocoa_notes": [
      "mais sans gangrène. Dans ce cas R02 ne sera pas associé. (AGORA - # 125470, le 29 janvier 2016)"
    ]
  },
  "I70.8": {
    "code": "I70.8",
    "description": "Athérosclérose d’autres artères",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.80": {
    "code": "I70.80",
    "description": "Athérosclérose d’autres artères, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.81": {
    "code": "I70.81",
    "description": "Athérosclérose d’autres artères, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.9": {
    "code": "I70.9",
    "description": "Athérosclérose généralisée et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.90": {
    "code": "I70.90",
    "description": "Athérosclérose généralisée et sans précision, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I70.91": {
    "code": "I70.91",
    "description": "Athérosclérose généralisée et sans précision, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71": {
    "code": "I71",
    "description": "Anévrisme aortique et dissection",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.0": {
    "code": "I71.0",
    "description": "Dissection de l’aorte toute localisation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anévrisme disséquant de l’aorte (rompu) toute localisation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un hématome intra-mural spontané de l’aorte descendante se code comme « une dissection aortique"
    ],
    "agora_refs": [
      "62958"
    ],
    "cocoa_notes": [
      "atypique » : en I71.0 (AGORA - # 62958 le 25 avril 2012)"
    ]
  },
  "I71.1": {
    "code": "I71.1",
    "description": "Anévrisme aortique thoracique, rompu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.2": {
    "code": "I71.2",
    "description": "Anévrisme aortique thoracique, sans mention de rupture",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.3": {
    "code": "I71.3",
    "description": "Anévrisme aortique abdominal, rompu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.4": {
    "code": "I71.4",
    "description": "Anévrisme aortique abdominal, sans mention de rupture",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.5": {
    "code": "I71.5",
    "description": "Anévrisme aortique thoraco-abdominal, rompu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.6": {
    "code": "I71.6",
    "description": "Anévrisme aortique thoraco-abdominal, sans mention de rupture",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.8": {
    "code": "I71.8",
    "description": "Anévrisme aortique de localisation non précisée, rompu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rupture de l’aorte SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I71.9": {
    "code": "I71.9",
    "description": "Anévrisme aortique de localisation non précisée, sans mention de rupture",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme de l’aorte",
      "Dilatation de l’aorte",
      "Nécrose hyaline de l’aorte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72": {
    "code": "I72",
    "description": "Autres anévrismes et dissections",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend anévrisme (cirsoïde) (faux) (rompu)"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme (de) : • aorte (I71.-)",
      "• artère pulmonaire (I28.1)",
      "• artérioveineux SAI (Q27.3)",
      "• acquis (I77.0)",
      "• cardiaque (I25.3)",
      "• cérébral (non rompu) (I67.1)",
      "• rompu (I60.-)",
      "• coronaire (I25.4)",
      "• rétinien (H35.0)",
      "• variqueux (I77.0)",
      "dissection d’artère : • coronaire (I25.4)",
      "• précérébrale, congénitale (non rompue) (Q28.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.0": {
    "code": "I72.0",
    "description": "Anévrisme et dissection de l’artère carotide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.1": {
    "code": "I72.1",
    "description": "Anévrisme et dissection des artères du membre supérieur",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.2": {
    "code": "I72.2",
    "description": "Anévrisme et dissection des artères rénales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 456,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.3": {
    "code": "I72.3",
    "description": "Anévrisme et dissection de l’artère iliaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un faux anévrisme sur prothèse artérielle iliaque infectieuse utilise le code I72.3. Les codes d’anévrismes",
      "incluent les faux anévrismes. Dans ce cas particulier, la notion d’infection, sans plus de précision, peut être"
    ],
    "agora_refs": [
      "55009"
    ],
    "cocoa_notes": [
      "renseignée en ajoutant le code T82.7 (AGORA - # 55009 le 23 novembre 2011)"
    ]
  },
  "I72.4": {
    "code": "I72.4",
    "description": "Anévrisme et dissection des artères du membre inférieur",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.5": {
    "code": "I72.5",
    "description": "Anévrisme et dissection d’autres artères précérébrales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anévrisme et dissection de l’artère ou du tronc basilaire"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme et dissection : • de l’artère carotide (I72.0)",
      "• vertébrale (I72.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.6": {
    "code": "I72.6",
    "description": "Anévrisme et dissection de l’artère vertébrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.8": {
    "code": "I72.8",
    "description": "Anévrisme et dissection d’autres artères précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I72.9": {
    "code": "I72.9",
    "description": "Anévrisme et dissection de localisation non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I73": {
    "code": "I73",
    "description": "Autres maladies vasculaires périphériques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "engelures (T69.1)",
      "gelures (T33-T35)",
      "main ou pied d’immersion (T69.0)",
      "spasme de l’artère cérébrale (G45.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I73.0": {
    "code": "I73.0",
    "description": "Syndrome de Raynaud",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gangrène de Raynaud",
      "Maladie de Raynaud",
      "Phénomène (secondaire) de Raynaud"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I73.1": {
    "code": "I73.1",
    "description": "Thrombo-angéite oblitérante",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Buerger"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I73.8": {
    "code": "I73.8",
    "description": "Autres maladies vasculaires périphériques précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrocyanose",
      "Acroparesthésie : • simple [type Schultze]",
      "• vasomotrice [type Nothnagel]",
      "Érythrocyanose",
      "Érythromélalgie",
      "Érythermalgie",
      "Autres acrosyndromes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I73.9": {
    "code": "I73.9",
    "description": "Maladie vasculaire périphérique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 457,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Claudication intermittente",
      "codée I70.2.",
      "Spasme artériel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "symptôme qui témoigne, en général, d’une artériopathie des membres inférieurs. Cette dernière doit être"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.66 : nous vous déconseillons l’utilisation du code I73.9 pour la claudication intermittente. Il s’agit d’un"
    ]
  },
  "I74": {
    "code": "I74",
    "description": "Embolie et thrombose artérielles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "infarctus : • embolique",
      "• thrombotique",
      "occlusion : • embolique",
      "• thrombotique"
    ],
    "exclusions": [
      "embolie et • basilaires (I63.0-I63.2, I65.1)",
      "thrombose : • carotidiennes (I63.0-I63.2, I65.2)",
      "• cérébrales (I63.3-I63.5, I66.9)",
      "• compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O07,"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.66 : La catégorie I74 comprend les ischémies aiguës, notamment celles des membres."
    ]
  },
  "O08.2": {
    "code": "O08.2",
    "description": "Embolie consécutive à un avortement, une grossesse extra-utérine et molaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 658,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• gazeuse survenant après les états classés en O00-O07",
      "• pulmonaire survenant après les états classés en O00-O07",
      "• pyohémique survenant après les états classés en O00-O07",
      "• savon survenant après les états classés en O00-O07"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Embolie (due à) : • SAI survenant après les états classés en O00-O07",
      "• caillot sanguin survenant après les états classés en O00-O07",
      "• liquide amniotique survenant après les états classés en O00-O07",
      "• septique ou septicopyohémique survenant après les états classés en O00-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.0": {
    "code": "I74.0",
    "description": "Embolie et thrombose de l’aorte abdominale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de (la) : • bifurcation aortique",
      "• Leriche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.1": {
    "code": "I74.1",
    "description": "Embolie et thrombose de parties de l’aorte, autres et non précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.2": {
    "code": "I74.2",
    "description": "Embolie et thrombose des artères des membres supérieurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ischémie aiguë des membres supérieurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une thrombose de fistule artérioveineuse se code en I74.2 si la thrombose siège sur la partie artérielle de la",
      "FAV (cas le plus fréquent) ou en I80.8 si elle siège sur la partie veineuse de la FAV. On associe les codes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.8": {
    "code": "T82.8",
    "description": "Autres complications précisées de prothèses, implants et greffes cardiaques et vasculaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Douleur due à prothèses, implants et greffes cardiaques et vasculaires",
      "Embolie due à prothèses, implants et greffes cardiaques et vasculaires",
      "Fibrose due à prothèses, implants et greffes cardiaques et vasculaires",
      "Hémorragie due à prothèses, implants et greffes cardiaques et vasculaires",
      "Sténose due à prothèses, implants et greffes cardiaques et vasculaires",
      "Thrombose due à prothèses, implants et greffes cardiaques et vasculaires",
      "Complication d’une prothèse, d’un implant et d’une greffe cardiaques et vasculaires, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.3": {
    "code": "I74.3",
    "description": "Embolie et thrombose des artères des membres inférieurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ischémie aiguë des membres inférieurs",
      "Elle se code en I74.3 (AGORA # 68045 le 2 août 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’ischémie des membres inférieurs (sauf cas contraire) est due à une embolie ou une thrombose artérielle."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.4": {
    "code": "I74.4",
    "description": "Embolie et thrombose des artères distales, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Embolie artérielle périphérique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.5": {
    "code": "I74.5",
    "description": "Embolie et thrombose de l’artère iliaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.8": {
    "code": "I74.8",
    "description": "Embolie et thrombose d’autres artères",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I74.9": {
    "code": "I74.9",
    "description": "Embolie et thrombose d’artères non précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 458,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77": {
    "code": "I77",
    "description": "Autres atteintes des artères et artérioles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "angéite d’hypersensibilité (M31.0)",
      "artère pulmonaire (I28.-)",
      "maladies (vasculaires) du collagène (M30-M36)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.0": {
    "code": "I77.0",
    "description": "Fistule artérioveineuse, acquise",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme : • artérioveineux, acquis",
      "• variqueux"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme artérioveineux SAI (Q27.3)",
      "cérébrale (I67.1)",
      "coronaire (I25.4)",
      "traumatique - voir traumatisme, vaisseau sanguin, par région anatomique"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.1": {
    "code": "I77.1",
    "description": "Sténose d’une artère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une sténose d’une fistule artérioveineuse (et non une thrombose) sur le versant artériel de la fistule associe",
      "les codes I77.1, T82.8 et Y83.2 (AGORA - Laurence DURIF le 23 novembre 2012)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.2": {
    "code": "I77.2",
    "description": "Rupture d’une artère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Fistule artérielle"
    ],
    "comprend": [],
    "exclusions": [
      "rupture artérielle traumatique - voir traumatisme, vaisseau sanguin, par région",
      "anatomique"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.3": {
    "code": "I77.3",
    "description": "Dysplasie fibromusculaire artérielle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.4": {
    "code": "I77.4",
    "description": "Syndrome de compression de l’artère cœliaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.5": {
    "code": "I77.5",
    "description": "Nécrose d’une artère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.6": {
    "code": "I77.6",
    "description": "Artérite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aortite SAI",
      "Endartérite SAI"
    ],
    "comprend": [],
    "exclusions": [
      "artérite ou endartérite • à cellules géantes (M31.5-M31.6)",
      "(de) : • cérébrale NCA (I67.7)",
      "• coronaire (I25.8)",
      "• crosse aortique [Takayasu] (M31.4)",
      "• déformante (I70.-)",
      "• oblitérante (I70.-)",
      "• sénile (I70.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.8": {
    "code": "I77.8",
    "description": "Autres atteintes précisées des artères et artérioles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Érosion",
      "artérielle",
      "Ulcération"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I77.9": {
    "code": "I77.9",
    "description": "Atteinte des artères et artérioles, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 459,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I78": {
    "code": "I78",
    "description": "Maladies des capillaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I78.0": {
    "code": "I78.0",
    "description": "Télangiectasie hémorragique héréditaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Rendu-Osler-Weber"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I78.1": {
    "code": "I78.1",
    "description": "Nævus, non néoplasique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nævus : • arachnéen",
      "• stellaire"
    ],
    "comprend": [],
    "exclusions": [
      "nævus (à) (en) : • SAI (D22.-)",
      "• bleu (D22.-)",
      "• flammeus (Q82.5)",
      "• fraise (Q82.5)",
      "• mélanocytes (D22.-)",
      "• pigmentaire (D22.-)",
      "• pileux (D22.-)",
      "• sanguin (Q82.5)",
      "• tache de vin (Q82.5)",
      "• vasculaire SAI (Q82.5)",
      "• verruqueux (Q82.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I78.8": {
    "code": "I78.8",
    "description": "Autres maladies des capillaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I78.9": {
    "code": "I78.9",
    "description": "Maladie des capillaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes des artères, artérioles et capillaires au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I79.0": {
    "code": "I79.0",
    "description": "Anévrisme de l’aorte au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme syphilitique de l’aorte (A52.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I79.1": {
    "code": "I79.1",
    "description": "Aortite au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aortite syphilitique (A52.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I79.2": {
    "code": "I79.2",
    "description": "Angiopathie périphérique au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Angiopathie périphérique diabétique (E10-E14 † avec le quatrième chiffre .5)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I79.8": {
    "code": "I79.8",
    "description": "Autres atteintes des artères, artérioles et capillaires au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 460,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs (I80-I89)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladies des veines, des vaisseaux et des ganglions lymphatiques, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I80": {
    "code": "I80",
    "description": "Phlébite et thrombophlébite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend endophlébite",
      "inflammation veineuse",
      "périphlébite",
      "phlébite suppurée"
    ],
    "comprend": [],
    "exclusions": [
      "phlébite et • compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08,",
      "thrombophlébite O08.7)",
      "(de) : • grossesse, accouchement et puerpéralité (O22.-, O87.-)",
      "• intra-crâniennes et intra-rachidiennes, pyogènes ou SAI (G08)",
      "• intra-crâniennes, non pyogènes (I67.6)",
      "• intra-rachidiennes, non pyogènes (G95.1)",
      "• veine porte (K75.1)",
      "syndrome post-phlébitique (I87.0)",
      "thrombophlébite migratrice (I82.1)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament",
      "Les embolies septiques se codent dans le chapitre des maladies de l'appareil circulatoire (codes en I), en",
      "dehors du système veineux intracrânien avec G08 comme pour les exclusions spécifiques précisées en note"
    ],
    "agora_refs": [
      "272296"
    ],
    "cocoa_notes": [
      "du I80 et du I74. (AGORA - # 272296 le 26 Février 2025)"
    ]
  },
  "I80.0": {
    "code": "I80.0",
    "description": "Phlébite et thrombophlébite des veines superficielles des membres inférieurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I80.1": {
    "code": "I80.1",
    "description": "Phlébite et thrombophlébite de la veine fémorale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I80.2": {
    "code": "I80.2",
    "description": "Phlébite et thrombophlébite d’autres vaisseaux profonds des membres inférieurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Thrombose veineuse profonde SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I80.3": {
    "code": "I80.3",
    "description": "Phlébite et thrombophlébite des membres inférieurs, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Embolie ou thrombose d’un membre inférieur SAl"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I80.8": {
    "code": "I80.8",
    "description": "Phlébite et thrombophlébite d’autres localisations",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "juillet 2022)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Veinite due la vancomycine administrée par voie veineuse : I80.8 + T80.1 + Y40.8 (AGORA - # 233650 le 28"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I80.9": {
    "code": "I80.9",
    "description": "Phlébite et thrombophlébite de localisation non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I81": {
    "code": "I81",
    "description": "Thrombose de la veine porte",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 461,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Obstruction de la veine porte"
    ],
    "comprend": [],
    "exclusions": [
      "phlébite de la veine porte (K75.1)"
    ],
    "clinical_text": [
      "Le cavernome portal est défini comme une circulation collatérale que l’OMS code I99, interdit pour le PMSI."
    ],
    "agora_refs": [
      "97091"
    ],
    "cocoa_notes": [
      "La seule solution est de coder la thrombose porte I81 (AGORA - # 97091 le 9 avril 2014)"
    ]
  },
  "I82": {
    "code": "I82",
    "description": "Autres embolies et thromboses veineuses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• grossesse, accouchement et puerpéralité (O22.-, O87.-)",
      "• coronaires (I21-I25)",
      "• intracrâniennes, non pyogènes (I67.6)",
      "• intrarachidiennes, non pyogènes (G95.1)",
      "• membres inférieurs (I80.-)",
      "• mésentérique (K55.0)",
      "• portales (I81)",
      "• pulmonaires (I26.-)"
    ],
    "comprend": [],
    "exclusions": [
      "embolie et thrombose • cérébrales (I63.6, I67.6)",
      "veineuse (de) : • compliquant : • avortement, grossesse extra-utérine ou molaire (O00-"
    ],
    "clinical_text": [
      "• intracrâniennes et intrarachidiennes, pyogènes ou SAI (G08)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I82.0": {
    "code": "I82.0",
    "description": "Syndrome de Budd-Chiari",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I82.1": {
    "code": "I82.1",
    "description": "Thrombophlébite migratrice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I82.2": {
    "code": "I82.2",
    "description": "Embolie et thrombose de la veine cave",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I82.3": {
    "code": "I82.3",
    "description": "Embolie et thrombose de la veine rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I82.8": {
    "code": "I82.8",
    "description": "Embolie et thrombose d’autres veines précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I82.9": {
    "code": "I82.9",
    "description": "Embolie et thrombose d’une veine non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Embolie veineuse SAI",
      "Thrombose (veineuse) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I83": {
    "code": "I83",
    "description": "Varices des membres inférieurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant : • grossesse (O22.0)",
      "• puerpéralité (O87.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I83.0": {
    "code": "I83.0",
    "description": "Varices ulcérées des membres inférieurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ulcère variqueux (membres inférieurs, toute localisation)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tout état classé en I83.9 avec ulcère ou précisé comme étant ulcéré"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I83.1": {
    "code": "I83.1",
    "description": "(AGORA – # 261525 le 22 avril 2024)",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 771,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comment coder un mal perforant plantaire nécrosé dont la nécrose nécessite l'amputation ? vous associerez"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I83.2": {
    "code": "I83.2",
    "description": "Varices des membres inférieurs, avec ulcère et inflammation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Tout état classé en I83.9 avec ulcère et inflammation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I83.9": {
    "code": "I83.9",
    "description": "Varices des membres inférieurs sans ulcère ou inflammation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 462,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Phlébectasie des membres inférieurs toute localisation ou de localisation non précisée",
      "Varices des membres inférieurs toute localisation ou de localisation non précisée",
      "Veines variqueuses des membres inférieurs toute localisation ou de localisation non précisée",
      "Suppression de la catégorie I84 Hémorroïdes et création de la catégorie K64 Hémorroïdes et thrombose veineuse anale",
      "La catégorie I84 Hémorroïdes est supprimée dans le chapitre des maladies de l’appareil circulatoire (Chapitre IX) et une nouvelle",
      "catégorie K64 Hémorroïdes et thrombose veineuse anale est créée dans le chapitre des maladies de l’appareil digestif (Chapitre XI) et",
      "subdivisée en 8 sous-catégories en intégrant notamment la classification en 4 stades des hémorroïdes.",
      "ATIH - notice technique n°CIM-MF-1213-3-2013 du 13 décembre 2013 – p.13"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I85": {
    "code": "I85",
    "description": "Varices œsophagiennes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I85.0": {
    "code": "I85.0",
    "description": "Varices œsophagiennes hémorragiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "au cours de maladies classées ailleurs (I98.3 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I85.9": {
    "code": "I85.9",
    "description": "Varices œsophagiennes, non hémorragiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Varices œsophagiennes SAI"
    ],
    "comprend": [],
    "exclusions": [
      "au cours de maladies classées ailleurs (I98.2 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I86": {
    "code": "I86",
    "description": "Varices d’autres localisations",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• rétiniennes (H35.0)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "À l ’exclusion de varices (de) : • localisation non précisée (I83.9)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I86.0": {
    "code": "I86.0",
    "description": "Varices sublinguales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I86.1": {
    "code": "I86.1",
    "description": "Varices scrotales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Varicocèle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I86.2": {
    "code": "I86.2",
    "description": "Varices pelviennes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I86.3": {
    "code": "I86.3",
    "description": "Varices vulvaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant : • accouchement et puerpéralité (O87.8)",
      "• grossesse (O22.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I86.4": {
    "code": "I86.4",
    "description": "Varices gastriques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Vous coderez l'ectasie veineuse antrale, I86.4 (et non K31.8 selon ancienne réponse AGORA # 67686)"
    ],
    "agora_refs": [
      "68315"
    ],
    "cocoa_notes": [
      "(AGORA - # 68315 le 13 août 2012)"
    ]
  },
  "I86.8": {
    "code": "I86.8",
    "description": "Varices d’autres localisations précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ulcère variqueux de la cloison nasale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I87": {
    "code": "I87",
    "description": "Autres atteintes veineuses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I87.0": {
    "code": "I87.0",
    "description": "Syndrome post-thrombotique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome post-phlébitique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I87.1": {
    "code": "I87.1",
    "description": "Compression veineuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement veineux",
      "Syndrome de la veine cave (inférieure) (supérieure)"
    ],
    "comprend": [],
    "exclusions": [
      "pulmonaire (I28.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I87.2": {
    "code": "I87.2",
    "description": "Insuffisance veineuse (chronique) (périphérique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I87.8": {
    "code": "I87.8",
    "description": "Autres atteintes veineuses précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I87.9": {
    "code": "I87.9",
    "description": "Atteinte veineuse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 463,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I88": {
    "code": "I88",
    "description": "Lymphadénite non spécifique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "adénopathie SAI (R59.-)",
      "lymphadénite aiguë, sauf mésentérique (L04.-)",
      "maladie due au virus de l’immunodéficience humaine [VIH] avec lymphadénopathie généralisée (B23.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I88.0": {
    "code": "I88.0",
    "description": "Lymphadénite mésentérique non spécifique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphadénite mésentérique (aiguë) (chronique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I88.1": {
    "code": "I88.1",
    "description": "Lymphadénite chronique, sauf mésentérique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adénite chronique, de tout ganglion autre que mésentérique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lymphadénite chronique, de tout ganglion autre que mésentérique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I88.8": {
    "code": "I88.8",
    "description": "Autres lymphadénites non spécifiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I88.9": {
    "code": "I88.9",
    "description": "Lymphadénite non spécifique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphadénite SAI",
      "lymphatiques"
    ],
    "comprend": [],
    "exclusions": [
      "adénopathie SAI (R59.-)",
      "chylocèle (de la) : • filarienne (B74.-)",
      "• tunique vaginale (non filarienne) SAI (N50.8)",
      "lymphœdème : • après mastectomie (I97.2)",
      "• héréditaire (Q82.0)"
    ],
    "clinical_text": [
      "Autres atteintes non infectieuses des vaisseaux et des ganglions"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I89.0": {
    "code": "I89.0",
    "description": "Lymphœdème, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymphangiectasie",
      "Éléphantiasis des vaisseaux lymphatiques"
    ],
    "comprend": [],
    "exclusions": [
      "lymphœdème après mastectomie (I97.2)",
      "au cours de filariose (B74.-)",
      "de la paupière (H02.8)",
      "post-opératoire (I97.8)",
      "de la vulve (vulvaire) (N90.8)"
    ],
    "clinical_text": [
      "Le volume 3 classe en I89.0 les lymphœdèmes primitifs mais aussi secondaires. C’est bien ce code qui"
    ],
    "agora_refs": [
      "144660"
    ],
    "cocoa_notes": [
      "convient pour un lymphœdème après curage associé au code T81.7. (AGORA - # 144660 le 28 mars 2017)"
    ]
  },
  "I89.1": {
    "code": "I89.1",
    "description": "Lymphangite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lymphangite : • SAI",
      "• chronique",
      "• subaiguë"
    ],
    "comprend": [],
    "exclusions": [
      "lymphangite aiguë (L03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I89.8": {
    "code": "I89.8",
    "description": "Autres atteintes non infectieuses précisées des vaisseaux et des ganglions lymphatiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Chylocèle (non filarienne)",
      "Réticulose lipomélanique",
      "août 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’écoulement lymphatique sur cicatrice post-opératoire associe les codes I89.8 et T81.8. Un code en Y est",
      "également associé dans le respect des règles de codage des complications d’actes (AGORA - # 68525 le 21"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I89.9": {
    "code": "I89.9",
    "description": "Atteinte non infectieuse des vaisseaux et des ganglions lymphatiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 464,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie des vaisseaux lymphatiques SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I95": {
    "code": "I95",
    "description": "Hypotension",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "HYPOTENSION ET BAISSE DE LA TENSION ARTÉRIELLE",
      "intra-artérielle (R03.0).",
      "obstétrique et odontologie – BO du 17 juillet 2025, p 104"
    ],
    "comprend": [],
    "exclusions": [
      "collapsus cardio-vasculaire (R57.9)",
      "constatation d’une baisse non spécifique de la tension artérielle SAI (R03.1)",
      "syndrome d’hypotension maternelle (O26.5)"
    ],
    "clinical_text": [
      "La CIM-10 distingue deux modalités de codage des baisses de la pression intra-artérielle [tension artérielle]. Elles",
      "correspondent à deux conditions très différentes de diagnostic.",
      "Une baisse de la pression intra-artérielle peut être un signe d’accompagnement de diverses maladies ou une « découverte",
      "fortuite isolée », qui ne permet pas de porter le diagnostic de maladie hypotensive chronique. Dans les deux circonstances,",
      "cette chute tensionnelle est qualifiée par la CIM-10 de « non spécifique » : elle doit alors être codée R03.1 Constatation",
      "d’une baisse non spécifique de la tension artérielle. Elle répond en effet aux critères qui conduisent à utiliser le chapitre XVIII",
      "qui contient les signes et symptômes « a) […] pour lesquels aucun diagnostic plus précis n’a pu être porté, même après",
      "examen de tous les faits s’y rapportant ; b) […] existant lors de la première consultation, qui se sont avérés être transitoires",
      "et dont les causes n’ont pu être déterminées ; c) [se rapportant] aux diagnostics provisoires chez un malade qui n’est pas",
      "revenu pour d’autres investigations ou soins […] ». L’utilisation du code R03.1 suit ainsi la logique exposée dans la note",
      "placée sous le libellé Constatation d’une élévation de la tension artérielle, sans diagnostic d’hypertension (R03.0) : par",
      "analogie, on doit considérer que « cette catégorie [R03.1] doit être utilisée pour enregistrer soit un épisode [hypotensif]",
      "chez un malade pour lequel aucun diagnostic formel d’[hypotension] n’a été porté, soit une découverte fortuite isolée. »",
      "A contrario, l’hypotension artérielle qualifiée d’idiopathique ou d’orthostatique est une maladie chronique invalidante,",
      "nécessitant habituellement un traitement prolongé. Son diagnostic repose sur la constatation répétée d’une baisse des",
      "pressions diastolique et systolique, mesurées dans des conditions rigoureuses. Les codes I95.0, I95.1 et I95.8 ne doivent être",
      "employés que devant un diagnostic établi de maladie hypotensive chronique (sauf si elle s’intègre dans un ensemble de",
      "troubles neurovégétatifs et neurologiques, constituant alors le syndrome de Shy et Drager, code G23.8).",
      "La même argumentation conduit à distinguer la maladie hypertensive (I10) et l’élévation « non spécifique » de la pression",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I95.0": {
    "code": "I95.0",
    "description": "Hypotension idiopathique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I95.1": {
    "code": "I95.1",
    "description": "Hypotension orthostatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hypotension posturale"
    ],
    "comprend": [],
    "exclusions": [
      "hypotension orthostatique neurogène [Shy-Drager] (G23.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I95.2": {
    "code": "I95.2",
    "description": "Hypotension médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I95.8": {
    "code": "I95.8",
    "description": "Autres hypotensions",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypotension chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I95.9": {
    "code": "I95.9",
    "description": "Hypotension, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thérapeutique, non classés ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "choc post-opératoire (T81.1)"
    ],
    "clinical_text": [
      "Troubles de l’appareil circulatoire après un acte à visée diagnostique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I97.0": {
    "code": "I97.0",
    "description": "Syndrome post-cardiotomie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I97.1": {
    "code": "I97.1",
    "description": "Autres troubles fonctionnels après chirurgie cardiaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Défaillance cardiaque après chirurgie cardiaque ou due à la présence d’une prothèse cardiaque",
      "Insuffisance cardiaque après chirurgie cardiaque ou due à la présence d’une prothèse cardiaque"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I97.2": {
    "code": "I97.2",
    "description": "Lymphœdème après mastectomie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 465,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Éléphantiasis dû (due) à une mastectomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Oblitération des vaisseaux lymphatiques dû (due) à une mastectomie",
      "Autres troubles de l’appareil circulatoire après un acte à visée diagnostique et thérapeutique,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I98.0": {
    "code": "I98.0",
    "description": "Syphilis cardio-vasculaire",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syphilis cardio-vasculaire : • SAI (A52.0 †)",
      "• congénitale tardive (A50.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles cardio-vasculaires au cours d’autres maladies infectieuses et parasitaires classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I98.2": {
    "code": "I98.2",
    "description": "Varices œsophagiennes non hémorragiques au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SAI au cours de : • schistosomiase (B65.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Varices œsophagiennes (non hémorragiques) • maladies du foie (K70-K71 †, K74.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I98.20": {
    "code": "I98.20",
    "description": "Varices œsophagiennes au cours de maladies classées ailleurs, hémorragiques",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Varices œsophagiennes au cours de maladies classées ailleurs, non hémorragiques ou sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I98.3": {
    "code": "I98.3",
    "description": "Varices œsophagiennes hémorragiques au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "au cours de : • schistosomiase (B65.– †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Varices œsophagiennes hémorragiques • maladies du foie (K70-K71 †, K74.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I98.8": {
    "code": "I98.8",
    "description": "Autres troubles précisés de l’appareil circulatoire au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "I99": {
    "code": "I99",
    "description": "Troubles autres et non précisés de l’appareil circulatoire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil circulatoire",
    "page": 466,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "certaines maladies infectieuses et parasitaires (A00-B99)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "Note : Lorsqu’une maladie est décrite comme ayant plus d’une localisation et n’est pas spécifiquement codée, elle est",
      "classée à la localisation la plus basse (par exemple : trachéo-bronchite à bronchite en J40).",
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J17": {
    "code": "J17",
    "description": "* Pneumopathie au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J91": {
    "code": "J91",
    "description": "* Épanchement pleural au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": true,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Aucune règle n’interdit de rajouter le code J91 pour toute découverte d’un épanchement pleural quelle que",
      "soit son abondance et accompagnant une pathologie autre que celles codées en J, à partir du moment où",
      "il est bien mentionné dans le dossier. Son diagnostic par un examen d’imagerie suffit à en faire un diagnostic"
    ],
    "agora_refs": [
      "64986"
    ],
    "cocoa_notes": [
      "associé significatif (AGORA - # 64986 le 30 mai 2012)"
    ]
  },
  "J99": {
    "code": "J99",
    "description": "* Troubles respiratoires au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J00": {
    "code": "J00",
    "description": "Rhino-pharyngite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "R hume banal",
      "Coryza (aigu)",
      "Rhinite : • aiguë",
      "• infectieuse",
      "Rhino-pharyngite : • SAI",
      "• infectieuse SAI",
      "Rhinorrhée aiguë"
    ],
    "comprend": [],
    "exclusions": [
      "angine : • SAI (J02.9)",
      "• aiguë (J02.-)",
      "• chronique (J31.2)",
      "pharyngite : • SAI (J02.9)",
      "• aiguë (J02.-)",
      "• chronique (J31.2)",
      "rhinite : • SAI (J31.0)",
      "• allergique (J30.1-J30.4)",
      "• chronique (J31.0)",
      "• vasomotrice (J30.0)",
      "rhino-pharyngite chronique (J31.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01": {
    "code": "J01",
    "description": "Sinusite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend abcès aigu(ë), d’un sinus de la face",
      "empyème aigu d’un sinus de la face",
      "infection aiguë d’un sinus de la face",
      "inflammation aiguë d’un sinus de la face",
      "suppuration aiguë d’un sinus de la face"
    ],
    "comprend": [],
    "exclusions": [
      "sinusite, chronique ou SAI (J32.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.0": {
    "code": "J01.0",
    "description": "Sinusite maxillaire aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Antrite aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.1": {
    "code": "J01.1",
    "description": "Sinusite frontale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.2": {
    "code": "J01.2",
    "description": "Sinusite ethmoïdale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.3": {
    "code": "J01.3",
    "description": "Sinusite sphénoïdale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.4": {
    "code": "J01.4",
    "description": "Pansinusite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.8": {
    "code": "J01.8",
    "description": "Autres sinusites aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Sinusite aiguë de plus d’un sinus mais sans pansinusite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J01.9": {
    "code": "J01.9",
    "description": "Sinusite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 468,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J02": {
    "code": "J02",
    "description": "Pharyngite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend angine aiguë",
      "mal de gorge aigu"
    ],
    "comprend": [],
    "exclusions": [
      "abcès : • pharyngé (J39.1)",
      "• rétro-pharyngé (J39.0)",
      "angine phlegmoneuse (J36)",
      "laryngo-pharyngite aiguë (J06.0)",
      "pharyngite chronique (J31.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J02.0": {
    "code": "J02.0",
    "description": "Pharyngite à streptocoques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine à streptocoques"
    ],
    "comprend": [],
    "exclusions": [
      "scarlatine (A38)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J02.8": {
    "code": "J02.8",
    "description": "Pharyngite aiguë due à d’autres micro-organismes précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pharyngite (due à) : • mononucléose infectieuse (B27.-)",
      "• vésiculaire due à un entérovirus (B08.5)",
      "• virus de l’herpès simplex (B00.2)",
      "• virus grippal : • identifié (J09, J10.1)",
      "• non identifié (J11.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J02.9": {
    "code": "J02.9",
    "description": "Pharyngite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine (aiguë) SAI",
      "Mal de gorge (aigu) SAI",
      "Pharyngite (aiguë) : • SAI",
      "• gangréneuse",
      "• infectieuse SAI",
      "• suppurée",
      "• ulcéreuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J03": {
    "code": "J03",
    "description": "Amygdalite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "angine (à) : • SAI (J02.9)",
      "• aiguë (J02.-)",
      "• phlegmoneuse (J36)",
      "• streptocoques (J02.0)",
      "l’OMS considère qu’une amygdalite est une atteinte inflammatoire limitée aux amygdales, alors que l’atteinte de l’angine",
      "inclut, en sus, le pharynx et l’isthme du gosier. C’est bien cette dernière dont le code est une des subdivisions de J02."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.71 : la CIM indique différents codes pour l’angine (J02.-) et pour l’amygdalite (J03.-). Cela s’explique par le fait que"
    ]
  },
  "J03.0": {
    "code": "J03.0",
    "description": "Amygdalite à streptocoques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J03.8": {
    "code": "J03.8",
    "description": "Amygdalite aiguë due à d’autres micro-organismes précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pharyngo-amygdalite due au virus de l’herpès simplex (B00.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J03.9": {
    "code": "J03.9",
    "description": "Amygdalite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 469,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amygdalite (aiguë) : • SAI",
      "• folliculaire",
      "• gangréneuse",
      "• infectieuse",
      "• ulcéreuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J04": {
    "code": "J04",
    "description": "Laryngite et trachéite aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "laryngisme (striduleux) (J38.5)",
      "laryngite obstructive aiguë, croup et épiglottite aiguë (J05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J04.0": {
    "code": "J04.0",
    "description": "Laryngite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Laryngite (aiguë) : • SAI",
      "• œdémateuse",
      "• sous-glottique",
      "• suppurée",
      "• ulcéreuse"
    ],
    "comprend": [],
    "exclusions": [
      "laryngite : • chronique (J37.0)",
      "• grippale, virus grippal :",
      "• identifié (J09, J10.1)",
      "• non identifié (J11.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J04.1": {
    "code": "J04.1",
    "description": "Trachéite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trachéite (aiguë) : • SAI",
      "• catarrhale"
    ],
    "comprend": [],
    "exclusions": [
      "trachéite chronique (J42)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J04.2": {
    "code": "J04.2",
    "description": "Laryngo-trachéite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Laryngo-trachéite SAI",
      "Trachéite (aiguë) avec laryngite (aiguë)"
    ],
    "comprend": [],
    "exclusions": [
      "laryngo-trachéite chronique (J37.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J05": {
    "code": "J05",
    "description": "Laryngite obstructive aiguë et épiglottite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J05.0": {
    "code": "J05.0",
    "description": "Laryngite obstructive aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "croup",
      "Laryngite obstructive SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J05.1": {
    "code": "J05.1",
    "description": "Épiglottite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épiglottite SAI",
      "multiples et non précisées"
    ],
    "comprend": [],
    "exclusions": [
      "infection respiratoire aiguë SAI (J22)",
      "infection respiratoire SAI (J98.7)",
      "virus grippal : • identifié (J09, J10.1)",
      "• non identifié (J11.1)"
    ],
    "clinical_text": [
      "Infections aiguës des voies respiratoires supérieures, à localisations"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J06.0": {
    "code": "J06.0",
    "description": "Laryngo-pharyngite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J06.8": {
    "code": "J06.8",
    "description": "Autres infections aiguës des voies respiratoires supérieures, à localisations multiples",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J06.9": {
    "code": "J06.9",
    "description": "Infection des voies respiratoires supérieures, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 470,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection aiguë des voies respiratoires supérieures",
      "Infection SAI des voies respiratoires supérieures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J09": {
    "code": "J09",
    "description": "Grippe, à virus grippal zoonotique ou pandémique identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "l’homme ou transmission interhumaine.",
      "contre la grippe de l’OMS",
      "Grippe • A/H1N1 pandémique 2009 : grippe porcine",
      "• H5N1 épidémique : grippe aviaire",
      "des sous-catégories J11.",
      "Grippe",
      "A/H1N1 et la grippe H5N1."
    ],
    "comprend": [],
    "exclusions": [
      "• infection SAI (A49.2) à Haemophilus influenzae",
      "• méningite (G00.0)",
      "• pneumopathie (J14)",
      "grippe à virus grippal saisonnier identifié (J10.-)"
    ],
    "clinical_text": [
      "Gri ppe causée par des souches virales d’importance épidémiologique particulière avec transmission de l’animal à",
      "Note : pour l’utilisation de cette catégorie, il faut se référer aux recommandations du programme mondial de lutte",
      "Utiliser, au besoin, un code supplémentaire pour identifier la pneumopathie ou d’autres manifestations.",
      "Les formes de grippe suspectées d’être à virus A/H1N1 mais sans confirmation virologique doivent être codées avec une",
      "Le code J09 a vu son libellé modifié en 2016. Il s’intitule désormais Grippe, à virus grippal zoonotique ou pandémique identifié.",
      "Il ne peut être utilisé que pour certaines grippes causées par des souches virales spécifiées par l’OMS. Il inclut la grippe",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2021, juin 2021, p. 8"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J10": {
    "code": "J10",
    "description": "Grippe, à virus grippal saisonnier identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend grippe à virus grippal B ou C identifié"
    ],
    "comprend": [],
    "exclusions": [
      "• infection SAI (A49.2) à Haemophilus influenzae",
      "• méningite (G00.0)",
      "• pneumopathie (J14)",
      "grippe à virus grippal zoonotique ou pandémique identifié (J09)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J10.0": {
    "code": "J10.0",
    "description": "Grippe avec pneumopathie, virus grippal saisonnier identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J10.1": {
    "code": "J10.1",
    "description": "Grippe avec d’autres manifestations respiratoires, virus grippal saisonnier identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Grippe à virus grippal saisonnier identifié",
      "Infection grippale à virus grippal saisonnier identifié",
      "Laryngite grippale à virus grippal saisonnier identifié",
      "Pharyngite grippale à virus grippal saisonnier identifié"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épanchement pleural grippal à virus grippal saisonnier identifié",
      "Infection grippale des voies respiratoires supérieures à virus grippal saisonnier identifié"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J10.8": {
    "code": "J10.8",
    "description": "Grippe avec d’autres manifestations, virus grippal saisonnier identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encéphalopathie grippale à virus grippal saisonnier identifié",
      "Gastro-entérite grippale à virus grippal saisonnier identifié",
      "Myocardite (aiguë) grippale à virus grippal saisonnier identifié"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J11": {
    "code": "J11",
    "description": "Grippe, virus non identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "grippe virale - virus spécifique non indiqué comme identifié"
    ],
    "comprend": [],
    "exclusions": [
      "infection SAI (A49.2) à Haemophilus influenzae",
      "méningite (G00.0) à Haemophilus influenzae",
      "pneumopathie (J14) à Haemophilus influenzae"
    ],
    "clinical_text": [
      "C omprend grippe - virus spécifique non indiqué comme identifié"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J11.0": {
    "code": "J11.0",
    "description": "Grippe avec pneumopathie, virus non identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 471,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "(Broncho)pneumopathie virale, sans précision ou virus spécifique non identifié"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J11.1": {
    "code": "J11.1",
    "description": "Grippe avec d’autres manifestations respiratoires, virus non identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Grippe SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épanchement pleural grippal sans précision ou virus spécifique non identifié",
      "Infection grippale des voies respiratoires sans précision ou virus spécifique non identifié",
      "Laryngite grippale sans précision ou virus spécifique non identifié",
      "Pharyngite grippale sans précision ou virus spécifique non identifié"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J11.8": {
    "code": "J11.8",
    "description": "Grippe avec d’autres manifestations, virus non identifié",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Encéphalopathie grippale sans précision ou virus spécifique non identifié",
      "Gastro-entérite grippale sans précision ou virus spécifique non identifié",
      "Myocardite (aiguë) grippale sans précision ou virus spécifique non identifié"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12": {
    "code": "J12",
    "description": "Pneumopathies virales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pneumopathie (par) : • au cours de grippe (J09, J10.0, J11.0)",
      "• due à la rubéole congénitale (P35.0)",
      "• inhalation (de) : • SAI (J69.0)",
      "• substances solides et liquides (J69.–)",
      "• du nouveau-né (P24.9)",
      "• due à une • grossesse (O29.0)",
      "anesthésie au • puerpéralité (O89.0)",
      "cours de : • travail et accouchement (O74.0)",
      "• interstitielle SAI (J84.9)",
      "• virale, congénitale (P23.0)",
      "syndrome respiratoire aigu sévère SRAS (U04.9)",
      "COVID19 (U07.1-)"
    ],
    "clinical_text": [
      "C omprend broncho-pneumopathie due à des virus autres que des virus grippaux"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12.0": {
    "code": "J12.0",
    "description": "Pneumopathie adénovirale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12.1": {
    "code": "J12.1",
    "description": "Pneumopathie due au virus respiratoire syncytial [VRS]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12.2": {
    "code": "J12.2",
    "description": "Pneumopathie due aux virus paragrippaux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12.3": {
    "code": "J12.3",
    "description": "Pneumonie due à métapneumovirus humain",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12.8": {
    "code": "J12.8",
    "description": "Autres pneumopathies virales.",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Consignes de codage COVID-19, 17 décembre 2021, p. 9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J12.9": {
    "code": "J12.9",
    "description": "Pneumopathie virale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J13": {
    "code": "J13",
    "description": "Pneumonie due à Streptococcus pneumoniae",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Bronchopneumonie à S. pneumoniae",
      "Pneumonie franche lobaire aiguë",
      "PFLA",
      "Broncho-pneumopathie à Pneumocoque"
    ],
    "comprend": [],
    "exclusions": [
      "pneumonie : • congénitale due à Streptococcus pneumoniae (P23.6)",
      "• due à d’autres streptocoques (J15.3-J15.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J14": {
    "code": "J14",
    "description": "Pneumopathie due à Haemophilus influenzae",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 472,
    "is_category": true,
    "severity": 4,
    "synonyms": [
      "Broncho-pneumopathie à Haemophilus influenzae"
    ],
    "comprend": [],
    "exclusions": [
      "pneumopathie congénitale due à Haemophilus influenzae (P23.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15": {
    "code": "J15",
    "description": "Pneumopathies bactériennes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "influenzae"
    ],
    "comprend": [],
    "exclusions": [
      "maladie des légionnaires (A48.1)",
      "pneumopathie : • congénitale (P23.-)",
      "• due à Chlamydia (J16.0)"
    ],
    "clinical_text": [
      "C omprend broncho-pneumopathie due à des bactéries autres que Streptococcus pneumoniae et Haemophilus"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.0": {
    "code": "J15.0",
    "description": "Pneumopathie due à Klebsiella pneumoniae",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.1": {
    "code": "J15.1",
    "description": "Pneumopathie due à Pseudomonas",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.2": {
    "code": "J15.2",
    "description": "Pneumopathie due à des staphylocoques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.3": {
    "code": "J15.3",
    "description": "Pneumopathie due à des streptocoques, groupe B",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.4": {
    "code": "J15.4",
    "description": "Pneumopathie due à d’autres streptocoques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pneumonie due à (des) : • Streptococcus pneumoniae (J13)",
      "• streptocoques, groupe B (J15.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.5": {
    "code": "J15.5",
    "description": "Pneumopathie due à Escherichia coli",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.6": {
    "code": "J15.6",
    "description": "Pneumopathie due à d’autres bactéries à Gram négatif",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Pneumopathie due à : • Serratia marcescens",
      "• bactéries (aérobies) à Gram négatif SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.7": {
    "code": "J15.7",
    "description": "Pneumopathie due à Mycoplasma pneumoniae",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.8": {
    "code": "J15.8",
    "description": "Autres pneumopathies bactériennes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J15.9": {
    "code": "J15.9",
    "description": "Pneumopathie bactérienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pneumopathie due à d’autres micro-organismes infectieux, non",
      "classée ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "ornithose (A70)",
      "pneumocystose (B48.5)",
      "pneumopathie : • SAI (J18.9)",
      "• congénitale (P23.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J16.0": {
    "code": "J16.0",
    "description": "Pneumopathie due à Chlamydia",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J16.8": {
    "code": "J16.8",
    "description": "Pneumopathie due à d’autres micro-organismes infectieux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J17.0": {
    "code": "J17.0",
    "description": "Pneumopathie au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 473,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• charbon (A22.1 †)",
      "• coqueluche (A37.- †)",
      "• fièvre typhoïde (A01.0 †)",
      "• gonorrhée (A54.8 †)",
      "• nocardiose (A43.0 †)",
      "• salmonellose (A02.2 †)",
      "• tularémie (A21.2 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pneumopathie (au cours de) (due à) : • actinomycose (A42.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J17.1": {
    "code": "J17.1",
    "description": "Pneumopathie au cours de maladies virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• rougeole (B05.2 †)",
      "• rubéole (B06.8 †)",
      "• varicelle (B01.2 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pneumopathie au cours de : • maladie à cytomégalovirus (B25.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J17.2": {
    "code": "J17.2",
    "description": "Pneumopathie au cours de mycoses",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Pneumopathie au cours de : • aspergillose (B44.0-B44.1 †)",
      "• candidose (B37.1 †)",
      "• coccidioïdomycose (B38.0-B38.2 †)",
      "• histoplasmose (B39.- †)",
      "• pneumocystose (B48.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J17.3": {
    "code": "J17.3",
    "description": "Pneumopathie au cours de maladies parasitaires",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Pneumopathie au cours de : • ascaridiase (B77.8 †)",
      "• schistosomiase (B65.- †)",
      "• toxoplasmose (B58.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J17.8": {
    "code": "J17.8",
    "description": "Pneumopathie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Pneumopathie au cours de : • fièvre Q (A78 †)",
      "• infection à spirochètes NCA (A69.8 †)",
      "• ornithose (A70 †)",
      "• rhumatisme articulaire aigu (I00 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J18": {
    "code": "J18",
    "description": "Pneumopathie à micro-organisme non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "abcès du poumon avec pneumopathie (J85.1)",
      "affections pulmonaires interstitielles médicamenteuses (J70.2-J70.4)",
      "Pneumopathie (par) : • congénitale (P23.9)",
      "• due à des agents externes (J67-J70)",
      "• inhalation (de) : • SAI (J69.0)",
      "• aspiration due à • grossesse (O29.0)",
      "une anesthésie au • puerpéralité (O89.0)",
      "cours de : • travail et accouchement (O74.0)",
      "• huile (J69.1)",
      "• substances solides et liquides (J69.-)",
      "• interstitielle • SAI (J84.9)",
      "• commune (J84.1)",
      "• néonatale d’aspiration (P24.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J18.0": {
    "code": "J18.0",
    "description": "Broncho-pneumopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bronchiolite (J21.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J18.1": {
    "code": "J18.1",
    "description": "Pneumopathie lobaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J18.2": {
    "code": "J18.2",
    "description": "Pneumopathie hypostatique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J18.8": {
    "code": "J18.8",
    "description": "Autres pneumopathies, micro-organisme non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J18.9": {
    "code": "J18.9",
    "description": "Pneumopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 474,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie pulmonaire obstructive • épisodes aigus SAI (J44.1)",
      "chronique avec : • infection aiguë des voies respiratoires inférieures (J44.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20": {
    "code": "J20",
    "description": "Bronchite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend bronchite : • SAI, chez les moins de 15 ans",
      "• aiguë et subaiguë (avec) : • bronchospasme",
      "• fibrineuse",
      "• membraneuse",
      "• purulente",
      "• septique",
      "• trachéite",
      "trachéo-bronchite aiguë",
      "encombrement bronchique"
    ],
    "comprend": [],
    "exclusions": [
      "bronchite : • SAI, chez les plus de 15 ans (J40)",
      "• allergique SAI (J45.0)",
      "• chronique : • SAI (J42)",
      "• mucopurulente (J41.1)",
      "• obstructive (J44.-)",
      "• simple (J41.0)",
      "trachéo-bronchite : • SAI (J40)",
      "• chronique (J42)",
      "• obstructive (J44.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.0": {
    "code": "J20.0",
    "description": "Bronchite aiguë due à Mycoplasma pneumoniae",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.1": {
    "code": "J20.1",
    "description": "Bronchite aiguë due à Haemophilus influenzae",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.2": {
    "code": "J20.2",
    "description": "Bronchite aiguë due à des streptocoques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.3": {
    "code": "J20.3",
    "description": "Bronchite aiguë due au virus Coxsackie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.4": {
    "code": "J20.4",
    "description": "Bronchite aiguë due aux virus paragrippaux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.5": {
    "code": "J20.5",
    "description": "Bronchite aiguë due au virus respiratoire syncytial [VRS]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.6": {
    "code": "J20.6",
    "description": "Bronchite aiguë due à des rhinovirus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.7": {
    "code": "J20.7",
    "description": "Bronchite aiguë due à des virus ECHO",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.8": {
    "code": "J20.8",
    "description": "Bronchite aiguë due à d’autres micro-organismes précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J20.9": {
    "code": "J20.9",
    "description": "Bronchite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J21": {
    "code": "J21",
    "description": "Bronchiolite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend avec bronchospasme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J21.0": {
    "code": "J21.0",
    "description": "Bronchiolite aiguë due au virus respiratoire syncytial [VRS]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J21.1": {
    "code": "J21.1",
    "description": "Bronchiolite aiguë due à métapneumovirus humain",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J21.8": {
    "code": "J21.8",
    "description": "Bronchiolite aiguë due à d’autres micro-organismes précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J21.9": {
    "code": "J21.9",
    "description": "Bronchiolite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 475,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Bronchiolite (aiguë)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J22": {
    "code": "J22",
    "description": "Infection aiguë des voies respiratoires inférieures, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infection (aiguë) des voies respiratoires supérieures (J06.9)",
      "infection respiratoire SAI (J98.7)"
    ],
    "clinical_text": [
      "Infection respiratoire (voies respiratoires inférieures) aiguë SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J30": {
    "code": "J30",
    "description": "Rhinite allergique et vasomotrice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend rhinorrhée spasmodique"
    ],
    "comprend": [],
    "exclusions": [
      "rhinite : • SAI (J31.0)",
      "• allergique avec asthme (J45.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J30.0": {
    "code": "J30.0",
    "description": "Rhinite vasomotrice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J30.1": {
    "code": "J30.1",
    "description": "Rhinite allergique due au pollen",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Allergie SAI due au pollen",
      "Pollinose",
      "Rhume des foins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J30.2": {
    "code": "J30.2",
    "description": "Autres rhinites allergiques saisonnières",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J30.3": {
    "code": "J30.3",
    "description": "Autres rhinites allergiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rhinite allergique persistante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J30.4": {
    "code": "J30.4",
    "description": "Rhinite allergique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J31": {
    "code": "J31",
    "description": "Rhinite, rhino-pharyngite et pharyngite chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J31.0": {
    "code": "J31.0",
    "description": "Rhinite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ozène",
      "Rhinite (chronique) : • SAI",
      "• atrophique",
      "• granulomateuse",
      "• hypertrophique",
      "• obstructive",
      "• purulente",
      "• ulcéreuse"
    ],
    "comprend": [],
    "exclusions": [
      "rhinite : • allergique (J30.1-J30.4)",
      "• vasomotrice (J30.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J31.1": {
    "code": "J31.1",
    "description": "Rhino-pharyngite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rhino-pharyngite, aiguë ou SAI (J00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J31.2": {
    "code": "J31.2",
    "description": "Pharyngite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 476,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angine chronique",
      "Pharyngite (chronique) : • atrophique",
      "• granuleuse",
      "• hypertrophique"
    ],
    "comprend": [],
    "exclusions": [
      "pharyngite, aiguë ou SAI (J02.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32": {
    "code": "J32",
    "description": "Sinusite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend abcès (chronique) d’un sinus (de la face)",
      "empyème (chronique) d’un sinus (de la face)",
      "infection (chronique d’un sinus (de la face)",
      "suppuration (chronique d’un sinus (de la face)"
    ],
    "comprend": [],
    "exclusions": [
      "sinusite aiguë (J01.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.0": {
    "code": "J32.0",
    "description": "Sinusite maxillaire chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antrite de Highmore(chronique)",
      "Sinusite maxillaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.1": {
    "code": "J32.1",
    "description": "Sinusite frontale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sinusite frontale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.2": {
    "code": "J32.2",
    "description": "Sinusite ethmoïdale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sinusite ethmoïdale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.3": {
    "code": "J32.3",
    "description": "Sinusite sphénoïdale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sinusite sphénoïdale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.4": {
    "code": "J32.4",
    "description": "Pansinusite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pansinusite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.8": {
    "code": "J32.8",
    "description": "Autres sinusites chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sinusite (chronique) de plus d’un sinus mais sans pansinusite"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J32.9": {
    "code": "J32.9",
    "description": "Sinusite chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sinusite (chronique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J33": {
    "code": "J33",
    "description": "Polype nasal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "polypes adénomateux (D14.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J33.0": {
    "code": "J33.0",
    "description": "Polype des fosses nasales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polype (des) : • choanes",
      "• rhinopharyngé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "60883"
    ],
    "cocoa_notes": [
      "Code préconisé pour polype hyperplasique des fosses nasales (AGORA - # 60883 le 19 mars 2012)"
    ]
  },
  "J33.1": {
    "code": "J33.1",
    "description": "Polypose rhino-sinusienne déformante",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome ou ethmoïdite de Woakes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J33.8": {
    "code": "J33.8",
    "description": "Autres polypes des sinus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polypes du sinus (de) : • ethmoïdal",
      "• face",
      "• maxillaire",
      "• sphénoïdal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J33.9": {
    "code": "J33.9",
    "description": "Polype nasal, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 477,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J34": {
    "code": "J34",
    "description": "Autres maladies du nez et des sinus du nez",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ulcère variqueux de la cloison nasale (I86.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J34.0": {
    "code": "J34.0",
    "description": "Abcès, furoncle et anthrax du nez",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Phlegmon (de la cloison) nasal(e)",
      "Nécrose (de la cloison) nasal(e)",
      "Ulcération (de la cloison) nasal(e)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J34.1": {
    "code": "J34.1",
    "description": "Kyste et mucocèle du nez et des sinus du nez",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J34.2": {
    "code": "J34.2",
    "description": "Déviation de la cloison nasale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déviation de la cloison (nasale) (acquise)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J34.3": {
    "code": "J34.3",
    "description": "Hypertrophie des cornets du nez",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J34.8": {
    "code": "J34.8",
    "description": "Autres maladies précisées du nez et des sinus du nez",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perforation de la cloison nasale SAI",
      "Rhinolithe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J35": {
    "code": "J35",
    "description": "Maladies chroniques des amygdales et des végétations adénoïdes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J35.0": {
    "code": "J35.0",
    "description": "Amygdalite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amygdalite : • SAI (J03.9)",
      "• aiguë (J03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J35.1": {
    "code": "J35.1",
    "description": "Hypertrophie des amygdales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie des amygdales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J35.2": {
    "code": "J35.2",
    "description": "Hypertrophie des végétations adénoïdes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie des végétations adénoïdes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J35.3": {
    "code": "J35.3",
    "description": "Hypertrophie des amygdales et des végétations adénoïdes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J35.8": {
    "code": "J35.8",
    "description": "Autres maladies chroniques des amygdales et des végétations adénoïdes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amygdalolithe",
      "Cicatrice amygdalienne (et adénoïdienne)",
      "Lambeau amygdalien",
      "Ulcère amygdalien",
      "Végétations adénoïdes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Chute d’escarre après amygdalectomie (coder en plus Y83.6 et T81.0)",
      "le volume 3 indique le code J35.8 pour une hémorragie de la région amygdalienne sans précision sur le"
    ],
    "agora_refs": [
      "33832"
    ],
    "cocoa_notes": [
      "caractère aigu ou chronique (AGORA - # 33832 le 11 août 2010)"
    ]
  },
  "J35.9": {
    "code": "J35.9",
    "description": "Maladie chronique des amygdales et des végétations adénoïdes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 478,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SM J36 Angine phlegmoneuse",
      "Abcès de l’amygdale",
      "Phlegmon péri-amygdalien"
    ],
    "comprend": [],
    "exclusions": [
      "abcès rétropharyngé (J39.0)",
      "amygdalite : • SAI (J03.9)",
      "• aiguë (J03.-)",
      "• chronique (J35.0)"
    ],
    "clinical_text": [
      "Maladie (chronique) des amygdales et des végétations adénoïdes SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J37": {
    "code": "J37",
    "description": "Laryngite et laryngo-trachéite chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J37.0": {
    "code": "J37.0",
    "description": "Laryngite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Laryngite : • atrophique (sèche)",
      "• catarrhale",
      "• hypertrophique"
    ],
    "comprend": [],
    "exclusions": [
      "laryngite : • SAI (J04.0)",
      "• aiguë (J04.0)",
      "• obstructive (aiguë) (J05.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J37.1": {
    "code": "J37.1",
    "description": "Laryngo-trachéite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Laryngite chronique avec trachéite (chronique)",
      "Trachéite chronique avec laryngite"
    ],
    "comprend": [],
    "exclusions": [
      "laryngo-trachéite : • SAI (J04.2)",
      "• aiguë (J04.2)",
      "trachéite : • SAI (J04.1)",
      "• aiguë (J04.1)",
      "• chronique (J42)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38": {
    "code": "J38",
    "description": "Maladies des cordes vocales et du larynx, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "laryngite : • obstructive (aiguë) (J05.0)",
      "• ulcéreuse (J04.0)",
      "sténose sous-glottique après un acte à visée diagnostique et thérapeutique (J95.5)",
      "stridor : • laryngé congénital (P28.8)",
      "• SAI (R06.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.0": {
    "code": "J38.0",
    "description": "Paralysie des cordes vocales et du larynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Laryngoplégie",
      "Paralysie de la glotte",
      "Dysphonie spasmodique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.1": {
    "code": "J38.1",
    "description": "Polype des cordes vocales et du larynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "polypes adénomateux (D14.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.2": {
    "code": "J38.2",
    "description": "Nodules des cordes vocales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cordite (fibrineuse) (nodulaire) (tubéreuse)",
      "Nodules laryngés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.3": {
    "code": "J38.3",
    "description": "Autres maladies des cordes vocales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès des cordes vocales",
      "Granulome des cordes vocales",
      "Leucokératose des cordes vocales",
      "Leucoplasie des cordes vocales",
      "Phlegmon des cordes vocales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.4": {
    "code": "J38.4",
    "description": "Œdème du larynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 479,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Œdème (de la) : • glotte",
      "• sous-glottique",
      "• sus-glottique",
      "29 novembre 2013)"
    ],
    "comprend": [],
    "exclusions": [
      "laryngite : • obstructive aiguë (J05.0)",
      "• croup (J05.0)",
      "• œdémateuse (J04.0)"
    ],
    "clinical_text": [
      "le pseudomyxome décrit une laryngite œdémateuse. Je vous conseille de coder J38.4 (AGORA # 90023 le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.5": {
    "code": "J38.5",
    "description": "Spasme laryngé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Laryngisme (striduleux)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.6": {
    "code": "J38.6",
    "description": "Sténose du larynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J38.7": {
    "code": "J38.7",
    "description": "Autres maladies du larynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès du larynx",
      "Maladie SAI du larynx",
      "Nécrose du larynx",
      "Pachydermie du larynx",
      "Périchondrite du larynx",
      "Phlegmon du larynx",
      "Ulcération du larynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39": {
    "code": "J39",
    "description": "Autres maladies des voies respiratoires supérieures",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infection : • aiguë des voies respiratoires supérieures SAI (J06.9)",
      "• respiratoire aiguë SAI (J22)",
      "inflammation des voies respiratoires supérieures due à des agents chimiques, des émanations, des",
      "fumées ou des gaz (J68.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39.0": {
    "code": "J39.0",
    "description": "Abcès parapharyngé et rétropharyngé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Abcès péripharyngé"
    ],
    "comprend": [],
    "exclusions": [
      "angine phlegmoneuse (J36)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39.1": {
    "code": "J39.1",
    "description": "Autres abcès du pharynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Abcès rhinopharyngé",
      "Phlegmon du pharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39.2": {
    "code": "J39.2",
    "description": "Autres maladies du pharynx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste du pharynx ou du rhino-pharynx",
      "Œdème du pharynx et du rhino-pharynx",
      "le 23 janvier 2015)"
    ],
    "comprend": [],
    "exclusions": [
      "pharyngite : • chronique (J31.2)",
      "• ulcéreuse (J02.9)"
    ],
    "clinical_text": [
      "Le pharyngostome est une fistule du pharynx à la peau que vous coderez J39.2 et T81.8 (AGORA - # 108864"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39.3": {
    "code": "J39.3",
    "description": "Réaction anaphylactique des voies respiratoires supérieures, localisation non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39.8": {
    "code": "J39.8",
    "description": "Autres maladies des voies respiratoires supérieures précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J39.9": {
    "code": "J39.9",
    "description": "Maladie des voies respiratoires supérieures, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 480,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fibrose kystique (E84.-)",
      "infection respiratoire SAI (J98.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J40": {
    "code": "J40",
    "description": "Bronchite, non précisée comme aiguë ou chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "présumée aiguë et doit être classée en J20.-.",
      "Bronchite : • SAI",
      "• avec trachéite SAI",
      "• catarrhale",
      "Trachéo-bronchite SAI"
    ],
    "comprend": [],
    "exclusions": [
      "bronchite : • allergique SAI (J45.0)",
      "• asthmatique SAI (J45.9)",
      "• due à des agents chimiques (aiguë) (J68.0)"
    ],
    "clinical_text": [
      "Note La bronchite, non précisée comme aiguë ou chronique chez un sujet de moins de 15 ans, peut être"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J41": {
    "code": "J41",
    "description": "Bronchite chronique simple et mucopurulente",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bronchite chronique : • SAI (J42)",
      "• obstructive (J44.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J41.0": {
    "code": "J41.0",
    "description": "Bronchite chronique simple",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J41.1": {
    "code": "J41.1",
    "description": "Bronchite chronique mucopurulente",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J41.8": {
    "code": "J41.8",
    "description": "Bronchite chronique simple et mucopurulente",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J42": {
    "code": "J42",
    "description": "Bronchite chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Bronchite chronique SAI",
      "Trachéite chronique",
      "Trachéo-bronchite chronique"
    ],
    "comprend": [],
    "exclusions": [
      "bronchite chronique : • asthmatique (J44.-)",
      "• avec obstruction des voies respiratoires (J44.-)",
      "• emphysémateuse (J44.-)",
      "• simple et mucopurulente (J41.-)",
      "maladie pulmonaire obstructive chronique SAI (J44.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J43": {
    "code": "J43",
    "description": "Emphysème",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bronchite emphysémateuse (obstructive) (J44.-)",
      "emphysème (dû à) : • avec bronchite chronique (obstructive) (J44.-)",
      "• compensateur (J98.3)",
      "• inhalation d’agents chimiques, d’émanations, de fumées ou de gaz (J68.4)",
      "• interstitiel (J98.2)",
      "• néonatal (P25.0)",
      "• médiastinal (J98.2)",
      "• sous-cutané : • d’origine traumatique (T79.7)",
      "• résultant d’un acte à visée diagnostique et thérapeutique",
      "(sous-cutané) (T81.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J43.0": {
    "code": "J43.0",
    "description": "Syndrome de MacLeod",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Emphysème unilatéral",
      "Hyperclarté pulmonaire unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J43.1": {
    "code": "J43.1",
    "description": "Emphysème panlobulaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 481,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Emphysème panacinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J43.2": {
    "code": "J43.2",
    "description": "Emphysème centro-lobulaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J43.8": {
    "code": "J43.8",
    "description": "Autres emphysèmes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J43.9": {
    "code": "J43.9",
    "description": "Emphysème, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bulle d’emphysème pulmonaire",
      "Emphysème (pulmonaire) : • SAI",
      "• bulleux",
      "• vésiculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J44": {
    "code": "J44",
    "description": "Autres maladies pulmonaires obstructives chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend asthme obstructif chronique",
      "bronchite : • asthmatique (obstructive) chronique",
      "• chronique avec obstruction des voies aériennes",
      "• emphysémateuse chronique",
      "• obstructive chronique [BPCO]",
      "trachéo-bronchite obstructive chronique"
    ],
    "comprend": [],
    "exclusions": [
      "asthme (J45.-)",
      "bronchectasie (J47)",
      "bronchite : • asthmatique SAI (J45.9)",
      "• chronique : • SAI (J42)",
      "• simple et mucopurulente (J41.-)",
      "emphysème (J43.-)",
      "maladies du poumon dues à des agents externes (J60-J70)",
      "trachéite chronique (J42)",
      "trachéo-bronchite chronique (J42)"
    ],
    "clinical_text": [
      "Un Overlap Syndrom est l’association d’un syndrome d’apnée du sommeil et d’une BPCO. Il se code en associant la",
      "Maladie pulmonaire obstructive chronique avec infection aiguë des voies respiratoires"
    ],
    "agora_refs": [
      "68175"
    ],
    "cocoa_notes": [
      "catégorie J44 et le code G47.3 (AGORA - # 68175 le 6 août 2012)"
    ]
  },
  "J44.1": {
    "code": "J44.1",
    "description": "Maladie pulmonaire obstructive chronique avec épisodes aigus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Exacerbation de maladie pulmonaire obstructive chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 125"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J44.8": {
    "code": "J44.8",
    "description": "Autres maladies pulmonaires obstructives chroniques précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bronchite : • asthmatique (obstructive) chronique SAI",
      "• emphysémateuse chronique SAI",
      "• obstructive chronique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "avec infection aiguë des voies respiratoires inférieures (J44.0)",
      "avec épisodes aigus (J44.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J44.9": {
    "code": "J44.9",
    "description": "Maladie pulmonaire obstructive chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 482,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie : • chronique obstructive des voies aériennes SAI",
      "• pulmonaire obstructive chronique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J45": {
    "code": "J45",
    "description": "Asthme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "asthme (avec) : • éosinophilie (J82)",
      "• grave aigu (J46)",
      "• obstructif chronique (J44.-)",
      "• cardiaque (I50.1)",
      "bronchite chronique asthmatique (obstructive) (J44.-)",
      "état de mal asthmatique (J46)",
      "maladies du poumon dues à des agents externes (J60-J70)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J45.0": {
    "code": "J45.0",
    "description": "Asthme à prédominance allergique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asthme : • allergique extrinsèque",
      "• atopique",
      "Bronchite allergique SAI",
      "Rhinite allergique avec asthme",
      "Rhume des foins avec asthme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J45.1": {
    "code": "J45.1",
    "description": "Asthme non allergique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asthme : • idiosyncrasique",
      "• intrinsèque non allergique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J45.8": {
    "code": "J45.8",
    "description": "Asthme associé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Association d’états mentionnés en J45.0 et J45.1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J45.9": {
    "code": "J45.9",
    "description": "Asthme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asthme tardif",
      "Bronchite asthmatique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J46": {
    "code": "J46",
    "description": "État de mal asthmatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Asthme grave aigu"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un patient, hospitalisé pour un état de mal asthmatique, a comme diagnostic principal cet état de mal asthmatique qui se",
      "code J46 État de mal asthmatique. Si une insuffisance respiratoire aiguë est constatée au cours du séjour et que celle-ci",
      "correspond aux critères définis dans le guide méthodologique, vous pouvez enregistrer en diagnostic associé une"
    ],
    "agora_refs": [
      "123106"
    ],
    "cocoa_notes": [
      "insuffisance respiratoire aiguë. (AGORA – # 123106 le 19 octobre 2015)"
    ]
  },
  "J47": {
    "code": "J47",
    "description": "Bronchectasie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 483,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Bronchiolectasie",
      "Dilatation des bronches [DDB]"
    ],
    "comprend": [],
    "exclusions": [
      "bronchectasie : • congénitale (Q33.4)",
      "• tuberculeuse (phase active) (A15-A16)",
      "asthme mentionné en J45.-"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J60": {
    "code": "J60",
    "description": "Pneumoconiose des mineurs de charbon",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Anthracose",
      "Anthracosilicose",
      "Poumon des mineurs de charbon"
    ],
    "comprend": [],
    "exclusions": [
      "associée à toutes formes de tuberculose classées en A15-A16 (J65)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J61": {
    "code": "J61",
    "description": "Pneumoconiose due à l’amiante et à d’autres fibres minérales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Asbestose"
    ],
    "comprend": [],
    "exclusions": [
      "associée à toutes formes de tuberculose classées en A15-A16 (J65)",
      "plaque pleurale avec asbestose (J92.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J62": {
    "code": "J62",
    "description": "Pneumoconiose due à la poussière de silice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend fibrose silicotique (massive) du poumon"
    ],
    "comprend": [],
    "exclusions": [
      "associée à toutes formes de tuberculose classées en A15-A16 (J65)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J62.0": {
    "code": "J62.0",
    "description": "Pneumoconiose due à la poussière du talc",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J62.8": {
    "code": "J62.8",
    "description": "Pneumoconiose due à d’autres poussières de silice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Silicose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63": {
    "code": "J63",
    "description": "Pneumoconiose due à d’autres poussières inorganiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associée à toutes formes de tuberculose classées en A15-A16 (J65)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.0": {
    "code": "J63.0",
    "description": "Aluminose (du poumon)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.1": {
    "code": "J63.1",
    "description": "Fibrose (du poumon) due à la bauxite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.2": {
    "code": "J63.2",
    "description": "Bérylliose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.3": {
    "code": "J63.3",
    "description": "Fibrose (du poumon) due au graphite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.4": {
    "code": "J63.4",
    "description": "Sidérose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.5": {
    "code": "J63.5",
    "description": "Stannose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J63.8": {
    "code": "J63.8",
    "description": "Pneumoconiose due à d’autres poussières inorganiques précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 484,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J64": {
    "code": "J64",
    "description": "Pneumoconiose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associée à toutes formes de tuberculose classées en A15-A16 (J65)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J65": {
    "code": "J65",
    "description": "Pneumoconiose associée à la tuberculose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "précisées"
    ],
    "comprend": [],
    "exclusions": [
      "bagassose (J67.1)",
      "pneumopathie par hypersensibilité aux poussières organiques (J67.-)",
      "poumon de fermier (J67.0)",
      "syndrome réactionnel de dysfonction des voies respiratoires (J68.3)"
    ],
    "clinical_text": [
      "Tous les états classés en J60-J64 associés à la tuberculose, toutes formes classées en A15-A16",
      "Affections des voies aériennes dues à des poussières organiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J66.0": {
    "code": "J66.0",
    "description": "Byssinose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection des voies aériennes due aux poussières de coton"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J66.1": {
    "code": "J66.1",
    "description": "Maladie des apprêteurs du lin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J66.2": {
    "code": "J66.2",
    "description": "Cannabinose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J66.8": {
    "code": "J66.8",
    "description": "Affection des voies aériennes due à d’autres poussières organiques précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67": {
    "code": "J67",
    "description": "Pneumopathie par hypersensibilité aux poussières organiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "actinomycètes, ou d’autre origine"
    ],
    "comprend": [],
    "exclusions": [
      "pneumopathie due à l’inhalation d’agents chimiques, d’émanations, de fumées ou de gaz (J68.0)"
    ],
    "clinical_text": [
      "C omprend alvéolite et pneumopathie allergiques dues à l’inhalation de poussières organiques, moisissures,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.0": {
    "code": "J67.0",
    "description": "Poumon de fermier",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie des moisissures de foin",
      "Poumon des : • faneurs",
      "• moissonneurs",
      "• travailleurs du foin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.1": {
    "code": "J67.1",
    "description": "Bagassose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie due à la bagasse",
      "Pneumopathie due à la bagasse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.2": {
    "code": "J67.2",
    "description": "Poumon des oiseleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie ou poumon des éleveurs de : • perruches",
      "• pigeons"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.3": {
    "code": "J67.3",
    "description": "Subérose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie ou poumon des : • manipulateurs de liège",
      "• travailleurs du liège"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.4": {
    "code": "J67.4",
    "description": "Poumon des malteurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alvéolite due à Aspergillus clavatus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.5": {
    "code": "J67.5",
    "description": "Poumon des champignonnistes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.6": {
    "code": "J67.6",
    "description": "Poumon des écorceurs d’érables",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 485,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alvéolite due à Cryptostroma corticale",
      "Cryptostromose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.7": {
    "code": "J67.7",
    "description": "Maladie pulmonaire due aux systèmes de conditionnement et d’humidification de l’air",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 486,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Alvéolite allergique due à des actinomycètes thermophiles, moisissures et autres micro-",
      "organismes se développant dans les systèmes de ventilation ou de climatisation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.8": {
    "code": "J67.8",
    "description": "Pneumopathie par hypersensibilité à d’autres poussières organiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 486,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie due au séquoïa",
      "Poumon des : • fourreurs",
      "• laveurs de fromage",
      "• torréfacteurs de café"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "• travailleurs de préparations alimentaires à base de poissons"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J67.9": {
    "code": "J67.9",
    "description": "Pneumopathie par hypersensibilité aux poussières organiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 486,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alvéolite allergique (extrinsèque) SAI",
      "Pneumopathie par hypersensibilité SAI",
      "d’émanations, de fumées et de gaz"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections respiratoires dues à l’inhalation d’agents chimiques,",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause.",
      "Bronchite et pneumopathie dues à des agents chimiques, des émanations, des fumées et des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J68.1": {
    "code": "J68.1",
    "description": "Œdème du poumon dû à des agents chimiques, des émanations, des fumées et des gaz",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 486,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Œdème (aigu) du poumon dû à des agents chimiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Inflammation des voies respiratoires supérieures due à des agents chimiques, des émanations,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J69": {
    "code": "J69",
    "description": "Pneumopathie due à des substances solides et liquides",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndromes d’aspiration néonatals (P24.-)"
    ],
    "clinical_text": [
      "Uti liser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J69.0": {
    "code": "J69.0",
    "description": "Pneumopathie due à des aliments et des vomissements",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Pneumopathie par aspiration (de) : • SAI",
      "• aliments (régurgités)",
      "• lait",
      "• sécrétions gastriques",
      "• vomissements",
      "Pneumopathie d’inhalation"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Mendelson (J95.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J69.1": {
    "code": "J69.1",
    "description": "Pneumopathie due à des huiles et des essences",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pneumopathie huileuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J69.8": {
    "code": "J69.8",
    "description": "Pneumopathie due à d’autres substances solides et liquides",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Pneumopathie due à l’inhalation de sang"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70": {
    "code": "J70",
    "description": "Affections respiratoires dues à d’autres agents externes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.0": {
    "code": "J70.0",
    "description": "Affections pulmonaires aiguës dues à une irradiation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pneumopathie par irradiation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.1": {
    "code": "J70.1",
    "description": "Affections pulmonaires chroniques et autres dues à une irradiation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fibrose du poumon après irradiation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.2": {
    "code": "J70.2",
    "description": "Affections pulmonaires interstitielles aiguës, médicamenteuses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.3": {
    "code": "J70.3",
    "description": "Affections pulmonaires interstitielles chroniques, médicamenteuses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.4": {
    "code": "J70.4",
    "description": "Affection pulmonaire interstitielle, médicamenteuse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.8": {
    "code": "J70.8",
    "description": "Affections respiratoires dues à d’autres agents externes précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J70.9": {
    "code": "J70.9",
    "description": "Affection respiratoire due à un agent externe, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 487,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J80": {
    "code": "J80",
    "description": "Syndrome de détresse respiratoire aiguë de l’adulte [SDRA]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 488,
    "is_category": true,
    "severity": 4,
    "synonyms": [
      "Maladie des membranes hyalines de l’adulte",
      "pulmonaire.",
      "une insuffisance cardiaque ou une surcharge volémique.",
      "SDRA légers (200 < PaO2/FiO2 ≤ 300 mmHg),",
      "SDRA modérés (100 < PaO2/FiO2 ≤ 200 mmHg) et",
      "SDRA sévères (PaO2/FiO2 ≤ 100 mmHg)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le syndrome de détresse respiratoire aiguë (SDRA) est un processus inflammatoire atteignant les poumons",
      "induisant un œdème pulmonaire non-hydrostatique, riche en protéines. Les conséquences immédiates sont",
      "l’apparition d’une hypoxémie profonde, une diminution de la compliance pulmonaire ainsi qu’une",
      "augmentation du shunt intra-pulmonaire et de l’espace-mort. Sur le plan ultra-structural, on retrouve une",
      "inflammation aiguë de la barrière alvéolo-capillaire, une déplétion en surfactant et une baisse de l’aération",
      "La définition la plus récente du SDRA dite définition de Berlin, a été proposée par un groupe de travail sous",
      "l’égide de l’European Society of Intensive Care Medicine (ESICM) (1). Le SDRA y est défini par la présence",
      "dans les 7 jours suivant une pathologie pulmonaire ou extra-pulmonaire aiguë de l’association d’une",
      "hypoxémie aiguë (PaO2/FiO2 ≤ 300 mmHg) chez un patient ventilé avec une pression expiratoire positive",
      "(PEP) de 5 cmH2O au moins, ainsi que d’infiltrats radiologiques bilatéraux non entièrement expliqués par",
      "La définition de Berlin distingue les SDRA selon le rapport PaO2/FiO2 en :",
      "(1) Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, et al. Acute respiratory distress",
      "syndrome : the Berlin Definition. JAMA. 2012;307(23) : 2526-33",
      "In SRLF - Prise en charge du Syndrome de Détresse Respiratoire Aiguë (SDRA) de l’adulte à la phase initiale -",
      "Texte validé par le conseil d’administration de la SRLF (20/12/2018)",
      "Le J80 peut être codé dès lors que le diagnostic de SDRA est posé même s'il n'est pas traité par ventilation"
    ],
    "agora_refs": [
      "255283"
    ],
    "cocoa_notes": [
      "mécanique. (AGORA - # 255283 le 29 novembre 2023)"
    ]
  },
  "J81": {
    "code": "J81",
    "description": "Œdème pulmonaire lésionnel",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 488,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Congestion pulmonaire (passive)",
      "Œdème pulmonaire aigu",
      "ŒDÈME PULMONAIRE"
    ],
    "comprend": [],
    "exclusions": [
      "Œdème • avec mention de cardiopathie SAI ou d’insuffisance cardiaque (I50.1)",
      "pulmonaire : • dû à des agents : • chimiques (aigu) (J68.1)",
      "• externes (J60-J70)",
      "pneumopathie hypostatique (J18.2)"
    ],
    "clinical_text": [
      "Les dénominations « Œdème pulmonaire », « Œdème aigu pulmonaire », « OAP », correspondent",
      "habituellement à une insuffisance ventriculaire [insuffisance cardiaque] gauche. Dans ce cas, leur code est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J82": {
    "code": "J82",
    "description": "Éosinophilie pulmonaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 488,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Asthme avec éosinophiles",
      "Éosinophilie tropicale (pulmonaire) SAI",
      "Syndrome de Loffler"
    ],
    "comprend": [],
    "exclusions": [
      "due à (des) : • affections disséminées du tissu conjonctif (M30-M36)",
      "• aspergillose (B44.-)",
      "• infection parasitaire précisée (B50-B83)",
      "• médicaments (J70.2-J70.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J84": {
    "code": "J84",
    "description": "Autres affections pulmonaires interstitielles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections pulmonaires interstitielles médicamenteuses (J70.2-J70.4)",
      "emphysème interstitiel (J98.2)",
      "maladies du poumon dues à des agents externes (J60-J70)",
      "pneumopathie lymphoïde interstitielle résultant de la maladie due au virus de l’immunodéficience",
      "humaine [VIH] (B22.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J84.0": {
    "code": "J84.0",
    "description": "Pneumopathies alvéolaires et pariéto-alvéolaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Microlithiase alvéolaire du poumon",
      "Protéinose alvéolaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J84.1": {
    "code": "J84.1",
    "description": "Autres affections pulmonaires interstitielles avec fibrose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Alvéolite fibreuse (cryptogénique)",
      "Fibrose pulmonaire : • diffuse",
      "• idiopathique",
      "Pneumonie intestitielle commune",
      "Syndrome de Hamman-Rich",
      "ou de gaz (J68.4)"
    ],
    "comprend": [],
    "exclusions": [
      "fibrose pulmonaire • après une irradiation (J70.1)"
    ],
    "clinical_text": [
      "(chronique) : • due à l’inhalation d’agents chimiques, d’émanations, de fumées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J84.8": {
    "code": "J84.8",
    "description": "Autres affections pulmonaires interstitielles précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J84.9": {
    "code": "J84.9",
    "description": "Affection pulmonaire interstitielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pneumopathie interstitielle SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J85": {
    "code": "J85",
    "description": "Abcès du poumon et du médiastin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J85.0": {
    "code": "J85.0",
    "description": "Gangrène et nécrose du poumon",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J85.1": {
    "code": "J85.1",
    "description": "Abcès du poumon avec pneumopathie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec pneumopathie due à un micro-organisme précisé (J09-J16)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J85.2": {
    "code": "J85.2",
    "description": "Abcès du poumon sans pneumopathie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Abcès du poumon SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J85.3": {
    "code": "J85.3",
    "description": "Abcès du médiastin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J86": {
    "code": "J86",
    "description": "Pyothorax",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend abcès : • pleural",
      "• thoracique",
      "Empyème",
      "pyopneumothorax"
    ],
    "comprend": [],
    "exclusions": [
      "dû à la tuberculose (A15-A16)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J86.0": {
    "code": "J86.0",
    "description": "Pyothorax avec fistule",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le volume 3 de la CIM10 classe toutes les fistules bronchiques en J86.0. Ce code est donc à utiliser, même"
    ],
    "agora_refs": [
      "56584"
    ],
    "cocoa_notes": [
      "en l’absence de pyothorax associé (AGORA - # 56584 le 6 janvier 2012)"
    ]
  },
  "J86.9": {
    "code": "J86.9",
    "description": "Pyothorax sans fistule",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 489,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Pleurésie purulente"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J90": {
    "code": "J90",
    "description": "Épanchement pleural, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Pleurite avec épanchement"
    ],
    "comprend": [],
    "exclusions": [
      "épanchement (pleural) chyleux (J94.0)",
      "inflammation de la plèvre SAI (R09.1)",
      "tuberculeux (A15-A16)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J92": {
    "code": "J92",
    "description": "Plaque pleurale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend épaississement pleural fibreux",
      "pachypleurite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J92.0": {
    "code": "J92.0",
    "description": "Plaque pleurale avec asbestose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J92.9": {
    "code": "J92.9",
    "description": "Plaque pleurale sans asbestose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Plaque pleurale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J93": {
    "code": "J93",
    "description": "Pneumothorax",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pneumothorax : • au cours de tuberculose (phase active) (A15-A16)",
      "• congénital ou périnatal (P25.1)",
      "• traumatique (S27.0)",
      "pyopneumothorax (J86.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J93.0": {
    "code": "J93.0",
    "description": "Pneumothorax spontané avec pression positive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J93.1": {
    "code": "J93.1",
    "description": "Autres pneumothorax spontanés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J93.8": {
    "code": "J93.8",
    "description": "Autres pneumothorax",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J93.9": {
    "code": "J93.9",
    "description": "Pneumothorax, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J94": {
    "code": "J94",
    "description": "Autres affections pleurales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections pleurales tuberculeuses (phase active) (A15-A16)",
      "hémopneumothorax traumatique (S27.2)",
      "hémothorax traumatique (S27.1)",
      "inflammation de la plèvre SAI (R09.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J94.0": {
    "code": "J94.0",
    "description": "Épanchement chyleux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Épanchement chyliforme",
      "Chylothorax"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J94.1": {
    "code": "J94.1",
    "description": "Fibrothorax",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J94.2": {
    "code": "J94.2",
    "description": "Hémothorax",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hémopneumothorax"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J94.8": {
    "code": "J94.8",
    "description": "Autres affections pleurales précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hydrothorax"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J94.9": {
    "code": "J94.9",
    "description": "Affection pleurale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 490,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Troubles respiratoires après un acte à visée diagnostique et",
      "thérapeutique, non classés ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "affections pulmonaires dues à une irradiation (J70.0-J70.1)",
      "emphysème (sous-cutané) résultant d’un acte à visée diagnostique et thérapeutique (T81.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J95.0": {
    "code": "J95.0",
    "description": "Fonctionnement défectueux d’une trachéostomie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Fistule trachéo-œsophagienne consécutive à une trachéostomie",
      "Hémorragie de l’orifice de la trachéostomie",
      "Infection de l’orifice de la trachéostomie",
      "Obstruction de l’orifice de la trachéostomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La présence d’un bouchon muqueux au niveau de l’orifice d’une trachéotomie utilise bien le code J95.0,"
    ],
    "agora_refs": [
      "61378"
    ],
    "cocoa_notes": [
      "comme le précise la note d’inclusion « obstruction de l’orifice… » (AGORA - # 61378 le 30 mars 2012)"
    ]
  },
  "J95.1": {
    "code": "J95.1",
    "description": "Insuffisance pulmonaire aiguë consécutive à une intervention chirurgicale thoracique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J95.2": {
    "code": "J95.2",
    "description": "Insuffisance pulmonaire aiguë consécutive à une intervention chirurgicale non thoracique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le 30 mars 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La dépendance à une ventilation mécanique en post-opératoire immédiat, suffisamment importante pour",
      "justifier un passage en unité de surveillance continue, se code en J95.2 et non en J96.0 (AGORA - # 61357"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J95.3": {
    "code": "J95.3",
    "description": "Insuffisance pulmonaire chronique consécutive à une intervention chirurgicale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J95.4": {
    "code": "J95.4",
    "description": "Syndrome de Mendelson",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pneumopathie chimique d’inhalation au cours de l’anesthésie"
    ],
    "comprend": [],
    "exclusions": [
      "compliquant : • grossesse (O29.0)",
      "• puerpéralité (O89.0)",
      "• travail et accouchement (O74.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J95.5": {
    "code": "J95.5",
    "description": "Sténose sous-glottique après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres troubles respiratoires après un acte à visée diagnostique et thérapeutique, non classés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J95.9": {
    "code": "J95.9",
    "description": "Trouble respiratoire après un acte à visée diagnostique et thérapeutique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 491,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96": {
    "code": "J96",
    "description": "Insuffisance respiratoire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Type I hypoxique",
      "1 Type II hypercapnique",
      "9 Type non précisé"
    ],
    "comprend": [],
    "exclusions": [
      "insuffisance cardio-pulmonaire (R09.2)",
      "détresse respiratoire du nouveau-né (P22.0)",
      "syndrome de détresse respiratoire aiguë de l’adulte [SDRA] (J80)",
      "troubles respiratoires après un acte à visée diagnostique et thérapeutique (J95.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisées comme 5ème caractère en J96 :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.0": {
    "code": "J96.0",
    "description": "Insuffisance respiratoire aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "INSUFFISANCE RESPIRATOIRE DE L’ADULTE",
      "ou d’une détresse respiratoire ;"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’utilisation du code J96.0 Insuffisance respiratoire aiguë nécessite :",
      "• que le dossier comporte la mention d’une insuffisance respiratoire aiguë ou d’une décompensation,",
      "• et la constatation au cours du séjour d’une saturation artérielle en oxygène (SaO ) inférieure à 90%",
      "ou d’une pression partielle dans le sang artériel (PaO ) inférieure à 60 mm de mercure en air ambiant.",
      "Le critère gazométrique ne s’impose pas en cas de ventilation artificielle.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 106",
      "L’insuffisance respiratoire aiguë n’est pas constante dans l’OAP cardiogénique. Vous pouvez associer son",
      "Les valeurs normales des gaz du sang et notamment de la PaO2, diffèrent selon l’âge. En l’absence de",
      "consignes pour les critères gazométriques de détresse respiratoire chez l’enfant, c’est bien l’avis du"
    ],
    "agora_refs": [
      "97879",
      "152266"
    ],
    "cocoa_notes": [
      "code à celui de l’OAP lorsqu’elle est présente (AGORA - # 97879 le 18 avril 2014)",
      "clinicien qui prime (AGORA - # 152266 le 29 août 2017)"
    ]
  },
  "J96.00": {
    "code": "J96.00",
    "description": "Insuffisance respiratoire aiguë de type I hypoxique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.01": {
    "code": "J96.01",
    "description": "Insuffisance respiratoire aiguë de type II hypercapnique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.09": {
    "code": "J96.09",
    "description": "Insuffisance respiratoire aiguë, type non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.1": {
    "code": "J96.1",
    "description": "+1 Insuffisance respiratoire chronique restrictive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.10": {
    "code": "J96.10",
    "description": "1 Insuffisance respiratoire chronique restrictive de type I hypoxique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.11": {
    "code": "J96.11",
    "description": "1 Insuffisance respiratoire chronique restrictive de type II hypercapnique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.19": {
    "code": "J96.19",
    "description": "1 Insuffisance respiratoire chronique restrictive, type non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 492,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le 9 avril 2014)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "un patient présentant une IRC obstructive hypercapnique est (en général) hypoxémique, doit on coder :",
      "Insuffisance respiratoire chronique obstructive de type II [hypercapnique] seule ou avec Insuffisance",
      "respiratoire chronique obstructive de type I [hypoxique] ? Vous ne pouvez pas coder deux fois l’insuffisance",
      "respiratoire chronique. Vous devez privilégier la forme dominante a priori hypercapnique (AGORA - # 97289"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.9": {
    "code": "J96.9",
    "description": "Insuffisance respiratoire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "des gaz du sang (AGORA # 69691 le 21 septembre 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’hypoxémie non rattachée à une pathologie précise ne se code pas en J96.9 mais en R79.8 pour anomalie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.90": {
    "code": "J96.90",
    "description": "Insuffisance respiratoire sans précision de type I hypoxique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.91": {
    "code": "J96.91",
    "description": "Insuffisance respiratoire sans précision de type II hypercapnique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J96.99": {
    "code": "J96.99",
    "description": "Insuffisance respiratoire sans précision, type non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98": {
    "code": "J98",
    "description": "Autres troubles respiratoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "apnée (du) : • SAI (R06.8)",
      "• nouveau-né (P28.4)",
      "• sommeil (G47.3)",
      "• sommeil du nouveau-né (P28.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.0": {
    "code": "J98.0",
    "description": "Affections des bronches, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Broncholithiase",
      "Calcification des bronches",
      "Sténose des bronches",
      "Ulcère des bronches",
      "Collapsus trachéo-bronchique",
      "Dyskinésie trachéo-bronchique",
      "Polype bronchique",
      "le 30 mars 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code J98.0 est le code préconisé pour renseigner un bronchospasme allergique suite à une anesthésie. Il",
      "doit être différencié du bronchospasme en rapport avec la maladie asthmatique (J45, J46) (AGORA - # 61383",
      "L’hyperréactivité bronchique constatée lors d’explorations fonctionnelles respiratoires se code en R94.2 et",
      "bronchospasme per-anesthésique : J98.0 et T88.5 sont corrects. J95.8 est donc exclu car insuffisamment"
    ],
    "agora_refs": [
      "87250",
      "70141",
      "102458"
    ],
    "cocoa_notes": [
      "Bronchorrhée chronique (AGORA - # 87250 le 3 octobre 2013)",
      "non en J98.0 (AGORA - # 70141 le 4 octobre 2012)",
      "précis (AGORA - # 102458 le 12 juin 2014)"
    ]
  },
  "J98.1": {
    "code": "J98.1",
    "description": "Collapsus pulmonaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atélectasie",
      "Collapsus du poumon"
    ],
    "comprend": [],
    "exclusions": [
      "atélectasie (du) : • au cours de tuberculose (phase active) (A15-A16)",
      "• nouveau-né (P28.0-P28.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.2": {
    "code": "J98.2",
    "description": "Emphysème interstitiel",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Emphysème médiastinal"
    ],
    "comprend": [],
    "exclusions": [
      "emphysème (du) : • SAI (J43.9)",
      "• fœtus et nouveau-né (P25.0)",
      "• résultant d’une intervention chirurgicale (sous-cutané) (T81.8)",
      "• sous-cutané d’origine traumatique (T79.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.3": {
    "code": "J98.3",
    "description": "Emphysème compensateur",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.4": {
    "code": "J98.4",
    "description": "Autres affections pulmonaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 493,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcification du poumon",
      "Lithiase pulmonaire",
      "Maladie (du) : • kystique du poumon (acquise)",
      "• poumon SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "DIPNECH « Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia » [hyperplasie neuroendocrine",
      "pulmonaire diffuse idiopathique] : les avis s’orientent plutôt vers un codage non tumoral. Je vous conseille"
    ],
    "agora_refs": [
      "74637"
    ],
    "cocoa_notes": [
      "de coder J98.4 (AGORA - # 74637 le 30 janvier 2013)"
    ]
  },
  "J98.5": {
    "code": "J98.5",
    "description": "Maladies du médiastin, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Fibrose du médiastin",
      "Hernie du médiastin",
      "Rétraction du médiastin",
      "Médiastinite"
    ],
    "comprend": [],
    "exclusions": [
      "abcès du médiastin (J85.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.6": {
    "code": "J98.6",
    "description": "Maladies du diaphragme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hernie diaphragmatique (K44.-)",
      "• congénitale (Q79.0)",
      "malformation congénitale du diaphragme NCA (Q79.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.60": {
    "code": "J98.60",
    "description": "Paralysie du diaphragme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Relâchement diaphragmatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.68": {
    "code": "J98.68",
    "description": "Autres maladies du diaphragme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diaphragmatite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.7": {
    "code": "J98.7",
    "description": "Infections respiratoires non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.8": {
    "code": "J98.8",
    "description": "Autres troubles respiratoires précisés",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J98.9": {
    "code": "J98.9",
    "description": "Trouble respiratoire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie respiratoire (chronique) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J99.0": {
    "code": "J99.0",
    "description": "Maladie pulmonaire rhumatoïde (M05.1 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J99.1": {
    "code": "J99.1",
    "description": "Troubles respiratoires au cours d’autres affections disséminées du tissu conjonctif",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• granulomatose avec polyangéite (M31.3 †)",
      "• granulomatose de Wegener (M31.3 †)",
      "• lupus érythémateux disséminé (M32.1 †)",
      "• polymyosite (M33.2 †)",
      "• sclérodermie (M34.8 †)",
      "• syndrome de Gougerot-Sjogren (M35.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles respiratoires au cours de : • dermatomyosite (M33.0-M33.1 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "J99.8": {
    "code": "J99.8",
    "description": "Troubles respiratoires au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil respiratoire",
    "page": 494,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• cryoglobulinémie (D89.1 †)",
      "• spondylarthrite ankylosante (M45 †)",
      "• sporotrichose (B42.0 †)",
      "• syphilis (A52.7 †)",
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "certaines maladies infectieuses et parasitaires (A00-B99)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "Troubles respiratoires au cours de : • abcès amibien du poumon (A06.5 †)",
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23": {
    "code": "K23",
    "description": "* Atteintes de l’œsophage au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K67": {
    "code": "K67",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K77": {
    "code": "K77",
    "description": "* Atteintes hépatiques au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K87": {
    "code": "K87",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cours de maladies classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93": {
    "code": "K93",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00": {
    "code": "K00",
    "description": "Troubles de l’odontogénèse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dents incluses et enclavées (K01.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.0": {
    "code": "K00.0",
    "description": "Anodontie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypodontie",
      "Oligodontie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.1": {
    "code": "K00.1",
    "description": "Dents surnuméraires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dents supplémentaires",
      "Distomolaire",
      "Mesiodens",
      "Paramolaire",
      "Quatrième molaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.2": {
    "code": "K00.2",
    "description": "Anomalies de volume et de forme des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Concrescence dentaire",
      "Fusion dentaire",
      "Gémination dentaire",
      "Dens in dente",
      "Dent : • conique",
      "• évaginée",
      "• invaginée",
      "Énamélome",
      "Macrodontie",
      "Microdontie",
      "Taurodontisme",
      "Tubercule paramolaire"
    ],
    "comprend": [],
    "exclusions": [
      "tubercule de Carabelli, qui est considéré comme normal et ne doit pas être codé"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.3": {
    "code": "K00.3",
    "description": "Dents tachetées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Émail tacheté",
      "Fluorose dentaire",
      "Taches de l’émail non associées à la fluorose"
    ],
    "comprend": [],
    "exclusions": [
      "dépôts sur les dents (K03.6)",
      "accrétions sur les dents (K03.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.4": {
    "code": "K00.4",
    "description": "Troubles de la formation des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aplasie et hypoplasie du cément",
      "Dent hypoplasique de Turner",
      "Dislocation du germe dentaire",
      "Hypoplasie de l’émail (néonatale) (postnatale) (prénatale)",
      "Odontodysplasie régionale"
    ],
    "comprend": [],
    "exclusions": [
      "dents tachetées (K00.3)",
      "incisives de Hutchinson et dents de Moser au cours de syphilis congénitale (A50.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.5": {
    "code": "K00.5",
    "description": "Anomalies héréditaires de la structure dentaire, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 496,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amelogenesis imperfecta",
      "Dentinogenesis imperfecta",
      "Odontogenesis imperfecta",
      "Dent en coquille",
      "Dysplasie de la dentine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.6": {
    "code": "K00.6",
    "description": "Troubles de l’éruption dentaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chute prématurée des dents temporaires",
      "Dent : • natale",
      "• néonatale",
      "• précoce",
      "Éruption dentaire prématurée",
      "Rétention dentaire",
      "Dents temporaires persistantes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.7": {
    "code": "K00.7",
    "description": "Syndrome d’éruption dentaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.8": {
    "code": "K00.8",
    "description": "Autres troubles de l’odontogénèse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Changement de couleur pendant la formation de la dent",
      "Pigmentation intrinsèque des dents SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K00.9": {
    "code": "K00.9",
    "description": "Troubles de l’odontogénèse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Troubles du développement des dents SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K01": {
    "code": "K01",
    "description": "Dents incluses et enclavées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dents incluses et enclavées avec position anormale de ces dents ou des dents adjacentes (K07.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K01.0": {
    "code": "K01.0",
    "description": "Dents incluses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une dent incluse est une dent qui n’est pas sortie, sans qu’une autre dent fasse obstacle."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K01.1": {
    "code": "K01.1",
    "description": "Dents enclavées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une dent enclavée est une dent qui n’est pas sortie parce qu’une autre dent fait obstacle à sa sortie."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02": {
    "code": "K02",
    "description": "Caries dentaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.0": {
    "code": "K02.0",
    "description": "Carie limitée à l’émail",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Taches blanches",
      "Caries initiales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.1": {
    "code": "K02.1",
    "description": "Carie de la dentine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.2": {
    "code": "K02.2",
    "description": "Carie du cément",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.3": {
    "code": "K02.3",
    "description": "Carie dentaire stabilisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.4": {
    "code": "K02.4",
    "description": "Odontoclasie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mélanodontie infantile",
      "Mélanodontoclasie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.5": {
    "code": "K02.5",
    "description": "Carie avec exposition de la pulpe",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.8": {
    "code": "K02.8",
    "description": "Autres caries dentaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K02.9": {
    "code": "K02.9",
    "description": "Carie dentaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 497,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03": {
    "code": "K03",
    "description": "Autres maladies des tissus dentaires durs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bruxisme (F45.8)",
      "caries dentaires (K02.-)",
      "grincement des dents SAI (F45.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.0": {
    "code": "K03.0",
    "description": "Attrition excessive des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Usure : • occlusale des dents",
      "• proximale des dents"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.1": {
    "code": "K03.1",
    "description": "Abrasion des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abrasion : • habituelle des dents",
      "• par dentifrice des dents",
      "• professionnelle des dents",
      "• rituelle des dents",
      "• traditionnelle des dents",
      "Anomalie en coin SAI des dents"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.2": {
    "code": "K03.2",
    "description": "Érosion des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Érosion des dents : • SAI",
      "• due à : • médicaments",
      "• régime alimentaire",
      "• vomissements persistants",
      "• idiopathique",
      "• professionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.3": {
    "code": "K03.3",
    "description": "Résorption pathologique des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome pulpaire",
      "Résorption dentaire (externe)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.4": {
    "code": "K03.4",
    "description": "Hypercémentose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie cémentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.5": {
    "code": "K03.5",
    "description": "Ankylose dentaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.6": {
    "code": "K03.6",
    "description": "Dépôts sur les dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accrétions sur les dents",
      "Dépôts sur les dents : • bétel",
      "• materia alba",
      "• noir",
      "• orange",
      "• tabac",
      "• vert",
      "Pigmentation des dents : • SAI",
      "• extrinsèque SAI",
      "Tartre (dentaire) : • sous-gingival",
      "• sus-gingival"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.7": {
    "code": "K03.7",
    "description": "Modification de la teinte des tissus dentaires durs après l’éruption",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 498,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dépôts sur les dents (K03.6)",
      "accrétions sur les dents (K03.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.8": {
    "code": "K03.8",
    "description": "Autres maladies précisées des tissus dentaires durs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Émail irradié",
      "Hypersensibilité de la dentine",
      "l’irradiation."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K03.9": {
    "code": "K03.9",
    "description": "Maladie des tissus dentaires durs, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04": {
    "code": "K04",
    "description": "Maladies de la pulpe et des tissus péri-apicaux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.0": {
    "code": "K04.0",
    "description": "Pulpite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pulpite : • SAI",
      "• aiguë",
      "• chronique (hyperplasique) (ulcérative)",
      "• irréversible",
      "• réversible"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.1": {
    "code": "K04.1",
    "description": "Nécrose pulpaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Gangrène pulpaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.2": {
    "code": "K04.2",
    "description": "Dégénérescence pulpaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcifications pulpaires",
      "Denticules",
      "Pulpolithes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.3": {
    "code": "K04.3",
    "description": "Formation anormale de tissus dentaires durs dans la pulpe",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dentine secondaire ou irrégulière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.4": {
    "code": "K04.4",
    "description": "Périodontite apicale aiguë d’origine pulpaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Périodontite apicale aiguë SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.5": {
    "code": "K04.5",
    "description": "Périodontite apicale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome apical ou périapical",
      "Périodontite apicale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.6": {
    "code": "K04.6",
    "description": "Abcès périapical avec fistule",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès : • dentaire avec fistule",
      "• dento-alvéolaire avec fistule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.7": {
    "code": "K04.7",
    "description": "Abcès périapical sans fistule",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès : • dentaire SAI",
      "• dento-alvéolaire SAI",
      "• périapical SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.8": {
    "code": "K04.8",
    "description": "Kyste radiculaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste : • apical (périodontal)",
      "• périapical",
      "• résiduel radiculaire"
    ],
    "comprend": [],
    "exclusions": [
      "kyste périodontal latéral (K09.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K04.9": {
    "code": "K04.9",
    "description": "Maladies de la pulpe et des tissus périapicaux, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 499,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05": {
    "code": "K05",
    "description": "Gingivite et maladies péri-odontales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.0": {
    "code": "K05.0",
    "description": "Gingivite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gingivite ulcéro-nécrotique aiguë (A69.1)",
      "gingivo-stomatite herpétique à herpès simplex (B00.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.1": {
    "code": "K05.1",
    "description": "Gingivite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gingivite (chronique) : • SAI",
      "• desquamative",
      "• hyperplasique",
      "• marginale simple",
      "• ulcérative"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.2": {
    "code": "K05.2",
    "description": "Péri-odontite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès : • parodontal",
      "• péri-odontal",
      "Péri-coronarite aiguë"
    ],
    "comprend": [],
    "exclusions": [
      "abcès • péri-apical (K04.7)",
      "• avec fistule (K04.6)",
      "Péri-odontite apicale aiguë (K04.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.3": {
    "code": "K05.3",
    "description": "Péri-odontite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péri-coronarite chronique",
      "Péri-odontite : • SAI",
      "• complexe",
      "• simple"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.4": {
    "code": "K05.4",
    "description": "Parodontose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Parodontose juvénile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.5": {
    "code": "K05.5",
    "description": "Autres maladies péri-odontales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K05.6": {
    "code": "K05.6",
    "description": "Maladie péri-odontale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K06": {
    "code": "K06",
    "description": "Autres affections de la gencive et de la crête alvéolaire édentée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atrophie de la crête alvéolaire édentée (K08.2)",
      "gingivite : • SAI (K05.1)",
      "• aiguë (K05.0)",
      "• chronique (K05.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K06.0": {
    "code": "K06.0",
    "description": "Rétraction gingivale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Retrait gingival (généralisé) (localisé) (post-infectieux) (post-opératoire)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K06.1": {
    "code": "K06.1",
    "description": "Hyperplasie gingivale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fibromatose gingivale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K06.2": {
    "code": "K06.2",
    "description": "Lésions gingivales et de la crête alvéolaire édentée, associées à un traumatisme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 500,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyperplasie par irritation de la crête édentée (due à une prothèse)",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K06.8": {
    "code": "K06.8",
    "description": "Autres affections précisées de la gencive et de la crête alvéolaire édentée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crête gingivale flottante",
      "Epulis (à) : • cellules géantes",
      "• fibreux",
      "Granulome : • gingival pyogène",
      "• périphérique à cellules géantes",
      "Gingivorragie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K06.9": {
    "code": "K06.9",
    "description": "Affection de la gencive et de la crête alvéolaire édentée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07": {
    "code": "K07",
    "description": "Anomalies dento-faciales y compris les malocclusions",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atrophie ou hypertrophie hémifaciale (Q67.4)",
      "hyperplasie ou hypoplasie condylienne unilatérale (K10.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.0": {
    "code": "K07.0",
    "description": "Anomalies importantes de dimension des mâchoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie, hypoplasie : • mandibulaire",
      "• maxillaire",
      "Macrognathie (mandibulaire) (maxillaire)",
      "Micrognathie (mandibulaire) (maxillaire)"
    ],
    "comprend": [],
    "exclusions": [
      "acromégalie (E22.0)",
      "syndrome de Robin (Q87.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.1": {
    "code": "K07.1",
    "description": "Anomalies de rapport entre les mâchoires et la base du crâne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asymétrie des mâchoires",
      "Prognathie (mandibulaire) (maxillaire)",
      "Rétrognathie (mandibulaire) (maxillaire)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.2": {
    "code": "K07.2",
    "description": "Anomalies de rapport entre les arcades dentaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Béance occlusale dentaire (antérieure) (postérieure)",
      "Déviation médiane de l’arcade dentaire",
      "Distocclusion",
      "Mésiocclusion",
      "Occlusion linguale postérieure des dents inférieures",
      "Supra-alvéolie (antérieure) (postérieure)",
      "Surocclusion : • horizontale",
      "• profonde",
      "• verticale",
      "Surplomb"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.3": {
    "code": "K07.3",
    "description": "Malposition des dents",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chevauchement",
      "Espacement anormal",
      "Déplacement",
      "d’une ou de plusieurs dents",
      "Diastème",
      "Rotation",
      "Transposition"
    ],
    "comprend": [],
    "exclusions": [
      "dents incluses et enclavées sans malposition (K01.-)"
    ],
    "clinical_text": [
      "Dents incluses ou enclavées avec position anormale de ces dents ou des dents adjacentes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.4": {
    "code": "K07.4",
    "description": "Malocclusion, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 501,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.5": {
    "code": "K07.5",
    "description": "Anomalies dento-faciales fonctionnelles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fermeture anormale des maxillaires",
      "Malocclusion due à : • déglutition anormale",
      "• habitudes impliquant la langue, les lèvres ou les doigts",
      "• respiration buccale"
    ],
    "comprend": [],
    "exclusions": [
      "bruxisme (F45.8)",
      "grincement des dents SAI (F45.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.6": {
    "code": "K07.6",
    "description": "Lésions de l’articulation temporo-mandibulaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Complexe ou syndrome de Costen",
      "Dysfonctionnement de l’articulation temporo-mandibulaire",
      "Mâchoire à ressort"
    ],
    "comprend": [
      "luxation récidivante, arthrose, claquement et autres atteintes du ménisque temporo-",
      "mandibulaire, arthralgie, ankylose, ostéo-arthrite, Syndrome Algo-Dysfonctionnel de",
      "l’Appareil Manducateur (SADMA) (voir exclusions en entête du chapitre 13, codes en M)",
      "outre les inclusions citées sous K07.6, ce code est employé également pour les affections suivantes : articulé",
      "toutes les lésions de l'articulation temporo-mandibulaire sont codées K07.6. La précision de cette articulation"
    ],
    "exclusions": [
      "entorse récente de l’articulation temporo-mandibulaire (S03.4)",
      "luxation récente de l’articulation temporo-mandibulaire (S03.0)"
    ],
    "clinical_text": [
      "Syndrome de dysfonctionnement douloureux de l’articulation temporo-mandibulaire"
    ],
    "agora_refs": [
      "104239",
      "105232"
    ],
    "cocoa_notes": [
      "dentaire défectueux, malocclusion mandibulaire, douleur ATM. (AGORA - # 104239 le 15 juillet 2014)",
      "n'est d'ailleurs pas prévue dans les 5èmes caractère de ce chapitre. (AGORA - # 105232 le 21 août 2014)"
    ]
  },
  "K07.8": {
    "code": "K07.8",
    "description": "Autres anomalies dento-faciales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K07.9": {
    "code": "K07.9",
    "description": "Anomalie dento-faciale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08": {
    "code": "K08",
    "description": "Autres affections des dents et du parodonte",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08.0": {
    "code": "K08.0",
    "description": "Exfoliation dentaire due à des causes générales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08.1": {
    "code": "K08.1",
    "description": "Perte de dents consécutive à accident, extraction ou affection périodontale localisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Édentation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08.2": {
    "code": "K08.2",
    "description": "Atrophie de la crête alvéolaire édentée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08.3": {
    "code": "K08.3",
    "description": "Racine dentaire laissée en place",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08.8": {
    "code": "K08.8",
    "description": "Autres affections précisées des dents et du parodonte",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Algies dentaires SAI",
      "Hypertrophie de la crête alvéolaire SAI",
      "Hypoplasie de la crête alvéolaire",
      "Irrégularité de la crête alvéolaire",
      "Fissure (du processus) alvéolaire",
      "Hémorragie de l’alvéole dentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K08.9": {
    "code": "K08.9",
    "description": "Affection des dents et du parodonte, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 502,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "être codé que K08.9. Il est donc préférable de faire préciser les différentes lésions."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.75 : on rencontre souvent l’expression « mauvais état bucco-dentaire ». Ce libellé imprécis ne peut"
    ]
  },
  "K09": {
    "code": "K09",
    "description": "Kystes de la région buccale, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kyste radiculaire (K04.8)"
    ],
    "clinical_text": [
      "C omprend lésions ayant les caractéristiques histologiques d’un kyste anévrismal et d’une autre lésion fibro-osseuse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K09.0": {
    "code": "K09.0",
    "description": "Kystes dentaires liés au développement (odontogènes)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste : • dentigère",
      "• folliculaire",
      "• gingival",
      "• lié à l’éruption dentaire",
      "• périodontal latéral",
      "• primordial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K09.1": {
    "code": "K09.1",
    "description": "Kystes de la région buccale non liés au développement dentaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste (de) : • canal nasopalatin",
      "• canal incisif",
      "• nasolabial",
      "• nasoalvéolaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K09.2": {
    "code": "K09.2",
    "description": "Autres kystes de la mâchoire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste de la mâchoire : • SAI",
      "• anévrismal",
      "• hémorragique",
      "• traumatique"
    ],
    "comprend": [],
    "exclusions": [
      "kyste (de) : • latent des maxillaires (K10.0)",
      "• Stafne (K10.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K09.8": {
    "code": "K09.8",
    "description": "Autres kystes de la région buccale, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste : • dermoïde de la bouche",
      "• épidermoïde de la bouche",
      "• lympho-épithélial de la bouche",
      "Perles d’Epstein"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K09.9": {
    "code": "K09.9",
    "description": "Kyste de la région buccale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10": {
    "code": "K10",
    "description": "Autres maladies des mâchoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10.0": {
    "code": "K10.0",
    "description": "Maladies liées au développement des mâchoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste (de) : • latent des maxillaires",
      "• Stafne",
      "Torus : • mandibulaire",
      "• palatin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10.1": {
    "code": "K10.1",
    "description": "Granulome à cellules géantes, central",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome à cellules géantes SAI"
    ],
    "comprend": [],
    "exclusions": [
      "granulome périphérique à cellules géantes (K06.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10.2": {
    "code": "K10.2",
    "description": "Affections inflammatoires des mâchoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 503,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ostéite",
      "Ostéomyélite (du nouveau-né)",
      "Ostéo(radio)nécrose (purulente)",
      "Périostite",
      "Séquestre du maxillaire",
      "l’irradiation."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéonécrose (médicamenteuse) (due à une irradiation) de la mâchoire (aiguë) (chronique)",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10.3": {
    "code": "K10.3",
    "description": "Alvéolite des mâchoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Alvéolite sèche",
      "Ostéite alvéolaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10.8": {
    "code": "K10.8",
    "description": "Autres maladies précisées des mâchoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chérubisme",
      "Dysplasie fibreuse de la mâchoire",
      "Exostose de la mâchoire",
      "Hyperplasie condylienne unilatérale",
      "Hypoplasie condylienne unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K10.9": {
    "code": "K10.9",
    "description": "Maladie des mâchoires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11": {
    "code": "K11",
    "description": "Maladies des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.0": {
    "code": "K11.0",
    "description": "Atrophie des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.1": {
    "code": "K11.1",
    "description": "Hypertrophie des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.2": {
    "code": "K11.2",
    "description": "Sialoadénite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Parotidite (chronique) (phlegmoneuse) (suppurente) (aiguë)",
      "Sialadénite"
    ],
    "comprend": [],
    "exclusions": [
      "fièvre uvéo-parotidienne de Heerfordt (D86.8)",
      "parotidite épidémique (B26.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.3": {
    "code": "K11.3",
    "description": "Abcès des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.4": {
    "code": "K11.4",
    "description": "Fistule des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fistule congénitale des glandes salivaires (Q38.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.5": {
    "code": "K11.5",
    "description": "Sialolithiase",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcul des glandes salivaires ou d’un canal excréteur",
      "Lithiase des glandes salivaires ou d’un canal excréteur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.6": {
    "code": "K11.6",
    "description": "Mucocèle des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Grenouillette",
      "Kyste muqueux : • par épanchement des glandes salivaires",
      "• rétentionnel des glandes salivaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.7": {
    "code": "K11.7",
    "description": "Troubles de la sécrétion salivaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypoptyalisme",
      "Ptyalisme",
      "Xérostomie",
      "Hypersialorrhée, hypersialie"
    ],
    "comprend": [],
    "exclusions": [
      "sécheresse de la bouche SAI (R68.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.8": {
    "code": "K11.8",
    "description": "Autres maladies des glandes salivaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 504,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion lympho-épithéliale bénigne des glandes salivaires",
      "Maladie de Mikulicz",
      "Rétrécissement d’un canal salivaire",
      "Sténose d’un canal salivaire",
      "Sialectasie",
      "Sialométaplasie nécrosante"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Gougerot-Sjögren (M35.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K11.9": {
    "code": "K11.9",
    "description": "Maladie des glandes salivaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 505,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sialo-adénopathie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K12": {
    "code": "K12",
    "description": "Stomatites et affections apparentées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 505,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cancrum oris (A69.0)",
      "chéilite (K13.0)",
      "gingivo-stomatite herpétique à herpès simplex (B00.2)",
      "noma (A69.0)",
      "stomatite gangréneuse (A69.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K12.0": {
    "code": "K12.0",
    "description": "Aphtes buccaux récidivants",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 505,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aphtose de Bednar",
      "Périadénite muqueuse nécrotique récidivante",
      "Stomatite : • aphteuse (majeure) (mineure)",
      "• herpétiforme",
      "Ulcération aphteuse récidivante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K12.1": {
    "code": "K12.1",
    "description": "Autres formes de stomatite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 505,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Stomatite : • SAI",
      "• due à une prothèse",
      "• ulcéreuse",
      "• vésiculeuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K12.2": {
    "code": "K12.2",
    "description": "Phlegmon et abcès de la bouche",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 505,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès sous-maxillaire",
      "Phlegmon du plancher de la bouche"
    ],
    "comprend": [],
    "exclusions": [
      "abcès (de) : • glandes salivaires (K11.3)",
      "• langue (K14.0)",
      "• péri-amygdalien (J36)",
      "• périapical (K04.6-K04.7)",
      "• périodontal (K05.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K12.3": {
    "code": "K12.3",
    "description": "Mucite buccale (ulcéreuse)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 505,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Mucite (buccale) (oropharyngée) : • due à une irradiation",
      "• médicamenteuse",
      "• SAI",
      "• virale"
    ],
    "comprend": [],
    "exclusions": [
      "mucite ulcéreuse de : • nez et sinus du nez (J34.8)",
      "• tractus gastro-intestinal (excepté la cavité buccale et",
      "l’oropharynx) (K92.8)",
      "• vagin et vulve (N76.8)"
    ],
    "clinical_text": [
      "Utiliser au besoin un code du chapitre XX pour en préciser la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13": {
    "code": "K13",
    "description": "Autres maladies des lèvres et de la muqueuse buccale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend anomalies de l’épithélium de la langue"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections de la gencive et de la crête alvéolaire édentée (K05-K06)",
      "kystes de la région buccale (K09.-)",
      "maladies de la langue (K14.-)",
      "stomatites et affections apparentées (K12.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.0": {
    "code": "K13.0",
    "description": "Maladies des lèvres",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chéilite : • SAI",
      "• commissurale",
      "• exfoliatrice",
      "• glandulaire",
      "Chéilodynie",
      "Chéilose",
      "Perlèche NCA"
    ],
    "comprend": [],
    "exclusions": [
      "ariboflavinose (E53.0)",
      "chéilite liée à une irradiation (L55-L59)",
      "perlèche due à : • candidose (B37.8)",
      "• carence en riboflavine (E53.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.1": {
    "code": "K13.1",
    "description": "Morsure de la joue et de la lèvre",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.2": {
    "code": "K13.2",
    "description": "Leucoplasie et autres anomalies de l’épithélium buccal, y compris la langue",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Erythroplasie de l’épithélium buccal, y compris la langue",
      "Leuco-Œdème de l’épithélium buccal, y compris la langue",
      "Leucokératose nicotinique du palais",
      "Palais du fumeur"
    ],
    "comprend": [],
    "exclusions": [
      "tricholeucoplasie (K13.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.3": {
    "code": "K13.3",
    "description": "Tricholeucoplasie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.4": {
    "code": "K13.4",
    "description": "Granulome et lésions pseudo-granulomateuses de la muqueuse buccale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome : • éosinophile de la muqueuse buccale",
      "• pyogène de la muqueuse buccale",
      "Xanthome verruqueux de la muqueuse buccale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.5": {
    "code": "K13.5",
    "description": "Fibrose sous-muqueuse de la bouche",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fibrose sous-muqueuse de la langue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.6": {
    "code": "K13.6",
    "description": "Hyperplasie inflammatoire de la muqueuse buccale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyperplasie inflammatoire de la crête édentée (due à une prothèse) (K06.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K13.7": {
    "code": "K13.7",
    "description": "Lésions de la muqueuse buccale, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 506,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mucinose focale orale",
      "hémorragie buccale (de la bouche)",
      "Communication bucco-sinusienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Nécrose du voile du palais : le voile du palais fait partie de l’oropharynx, je vous conseille de coder K13.7",
      "La CIM-10 ne propose pas de codage précis de cette affection. Nous conseillons d’employer K13.7 Lésions",
      "de la muqueuse buccale, autres et sans précision, car les fistules buccales y sont incluses.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.3 - Créé le 15 mars 2008"
    ],
    "agora_refs": [
      "102452"
    ],
    "cocoa_notes": [
      "(AGORA - # 102452 le 12 juin 2014)"
    ]
  },
  "K14": {
    "code": "K14",
    "description": "Maladies de la langue",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "érythroplasie",
      "hyperplasie épithéliale en foyer de la langue (K13.2)",
      "leuco-œdème en foyer de la langue (K13.2)",
      "œdème blanc de la langue (K13.2)",
      "leucoplasie en foyer de la langue (K13.2)",
      "fibrose sous-muqueuse de la langue (K13.5)",
      "macroglossie (congénitale) (Q38.2)",
      "tricholeucoplasie (K13.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.0": {
    "code": "K14.0",
    "description": "Glossite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès de la langue",
      "Ulcération (traumatique) de la langue"
    ],
    "comprend": [],
    "exclusions": [
      "glossite atrophique (K14.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.1": {
    "code": "K14.1",
    "description": "Langue géographique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glossite : • exfoliatrice marginée",
      "• migratoire bénigne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.2": {
    "code": "K14.2",
    "description": "Glossite losangique médiane",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.3": {
    "code": "K14.3",
    "description": "Hypertrophie des papilles linguales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrophie des papilles foliées",
      "Langue : • chargée",
      "• noire villeuse",
      "Hyperkératose linguale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.4": {
    "code": "K14.4",
    "description": "Atrophie des papilles de la langue",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glossite atrophique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.5": {
    "code": "K14.5",
    "description": "Langue plicaturée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Langue : • fissurée",
      "• scrotale",
      "• striée"
    ],
    "comprend": [],
    "exclusions": [
      "fissure congénitale de la langue (Q38.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.6": {
    "code": "K14.6",
    "description": "Glossodynie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glossalgie",
      "Glossopyrosis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.8": {
    "code": "K14.8",
    "description": "Autres maladies de la langue",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie de la langue",
      "Hypertrophie de la langue",
      "Langue crénelée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K14.9": {
    "code": "K14.9",
    "description": "Maladie de la langue, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 507,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glossopathie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "hernie hiatale (K44.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K20": {
    "code": "K20",
    "description": "Œsophagite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Abcès de l’œsophage",
      "Œsophagite : • SAI",
      "• chimique",
      "• peptique"
    ],
    "comprend": [],
    "exclusions": [
      "avec reflux gastro-œsophagien (K21.0)",
      "érosion de l’œsophage (K22.1)",
      "œsophagite par reflux (K21.0)",
      "œsophagite ulcéreuse (K22.1)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [
      "72973",
      "52256"
    ],
    "cocoa_notes": [
      "• disséquante (AGORA - # 72973 le 21 décembre 2012)",
      "• post-radique – coder en plus Y84.2 (AGORA - # 52256 le 10 septembre 2011)"
    ]
  },
  "K21": {
    "code": "K21",
    "description": "Reflux gastro-œsophagien",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K21.0": {
    "code": "K21.0",
    "description": "Reflux gastro-œsophagien avec œsophagite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Œsophagite par reflux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K21.9": {
    "code": "K21.9",
    "description": "Reflux gastro-œsophagien sans œsophagite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Reflux œsophagien SAI",
      "RGO"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22": {
    "code": "K22",
    "description": "Autres maladies de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "varices œsophagiennes (I85.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.0": {
    "code": "K22.0",
    "description": "Achalasie du cardia",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Achalasie SAI",
      "Cardiospasme"
    ],
    "comprend": [],
    "exclusions": [
      "cardiospasme congénital (Q39.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.1": {
    "code": "K22.1",
    "description": "Ulcère de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Érosion de l’œsophage",
      "Ulcère de l’œsophage : • SAI",
      "• dû à l’ingestion de : • médicaments",
      "• produits chimiques",
      "• fongique",
      "• peptique",
      "Œsophagite ulcéreuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.2": {
    "code": "K22.2",
    "description": "Obstruction de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Compression de l’œsophage",
      "Constriction de l’œsophage",
      "Rétrécissement de l’œsophage",
      "Sténose de l’œsophage"
    ],
    "comprend": [],
    "exclusions": [
      "sténose ou rétrécissement congénital(e) de l’œsophage (Q39.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.3": {
    "code": "K22.3",
    "description": "Perforation de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 508,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Rupture de l’œsophage"
    ],
    "comprend": [],
    "exclusions": [
      "perforation traumatique de l’œsophage (partie thoracique) (S27.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.4": {
    "code": "K22.4",
    "description": "Dyskinésie de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Œsophage en tire-bouchon",
      "Spasme (de) : • œsophage",
      "• diffus de l’œsophage"
    ],
    "comprend": [],
    "exclusions": [
      "cardiospasme (K22.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.5": {
    "code": "K22.5",
    "description": "Diverticule acquis de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Poche œsophagienne, acquise"
    ],
    "comprend": [],
    "exclusions": [
      "diverticule (congénital) de l’œsophage (Q39.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.6": {
    "code": "K22.6",
    "description": "Syndrome de dilacération hémorragique gastro-œsophagienne",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Mallory-Weiss"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.7": {
    "code": "K22.7",
    "description": "Endobrachyœsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie ou syndrome ou muqueuse de Barrett"
    ],
    "comprend": [],
    "exclusions": [
      "avec ulcération (K22.1)",
      "ulcère de Barrett (K22.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.8": {
    "code": "K22.8",
    "description": "Autres maladies précisées de l’œsophage",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie de l’œsophage SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K22.9": {
    "code": "K22.9",
    "description": "Maladie de l’œsophage, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23.0": {
    "code": "K23.0",
    "description": "Œsophagite tuberculeuse (A18.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23.1": {
    "code": "K23.1",
    "description": "Méga-œsophage au cours de la maladie de Chagas (B57.3 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23.8": {
    "code": "K23.8",
    "description": "Atteintes de l’œsophage au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23.80": {
    "code": "K23.80",
    "description": "Œsophagite herpétique (B00.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23.81": {
    "code": "K23.81",
    "description": "Œsophagite à candida (B37.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K23.88": {
    "code": "K23.88",
    "description": "Atteintes de l’œsophage au cours de maladies classées ailleurs, autres",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25": {
    "code": "K25",
    "description": "Ulcère de l’estomac",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend érosion (aiguë) de l’estomac",
      "ulcère : • gastrique",
      "• pylorique"
    ],
    "comprend": [],
    "exclusions": [
      "gastrite érosive hémorragique aiguë (K29.0)",
      "ulcère digestif SAI (K27.-)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.0": {
    "code": "K25.0",
    "description": "Ulcère de l’estomac aigu avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.1": {
    "code": "K25.1",
    "description": "Ulcère de l’estomac aigu avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.2": {
    "code": "K25.2",
    "description": "Ulcère de l’estomac aigu avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.3": {
    "code": "K25.3",
    "description": "Ulcère de l’estomac aigu sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.4": {
    "code": "K25.4",
    "description": "Ulcère de l’estomac chronique ou non précisé, avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.5": {
    "code": "K25.5",
    "description": "Ulcère de l’estomac chronique ou non précisé, avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.6": {
    "code": "K25.6",
    "description": "Ulcère de l’estomac chronique ou non précisé, avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 509,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K25.7": {
    "code": "K25.7",
    "description": "Ulcère de l’estomac chronique sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère de l’estomac non précisé comme étant aigu ou chronique, sans hémorragie ni"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26": {
    "code": "K26",
    "description": "Ulcère du duodénum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend érosion (aiguë) du duodénum",
      "ulcère : • duodénal",
      "• post-pylorique",
      "médicament."
    ],
    "comprend": [],
    "exclusions": [
      "ulcère digestif SAI (K27.-)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.0": {
    "code": "K26.0",
    "description": "Ulcère du duodénum aigu avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.1": {
    "code": "K26.1",
    "description": "Ulcère du duodénum aigu avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.2": {
    "code": "K26.2",
    "description": "Ulcère du duodénum aigu avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.3": {
    "code": "K26.3",
    "description": "Ulcère du duodénum aigu sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.4": {
    "code": "K26.4",
    "description": "Ulcère du duodénum chronique ou non précisé, avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.5": {
    "code": "K26.5",
    "description": "Ulcère du duodénum chronique ou non précisé, avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.6": {
    "code": "K26.6",
    "description": "Ulcère du duodénum chronique ou non précisé, avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K26.7": {
    "code": "K26.7",
    "description": "Ulcère du duodénum chronique sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère du duodénum non précisé comme étant aigu ou chronique, sans hémorragie ni"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27": {
    "code": "K27",
    "description": "Ulcère digestif, de siège non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend ulcère gastro-duodénal SAI"
    ],
    "comprend": [],
    "exclusions": [
      "ulcère gastro-duodénal du nouveau-né (P78.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.0": {
    "code": "K27.0",
    "description": "Ulcère digestif, de siège non précisé aigu avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.1": {
    "code": "K27.1",
    "description": "Ulcère digestif, de siège non précisé aigu avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.2": {
    "code": "K27.2",
    "description": "Ulcère digestif, de siège non précisé aigu avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.3": {
    "code": "K27.3",
    "description": "Ulcère digestif, de siège non précisé aigu sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.4": {
    "code": "K27.4",
    "description": "Ulcère digestif, de siège non précisé chronique ou non précisé, avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.5": {
    "code": "K27.5",
    "description": "Ulcère digestif, de siège non précisé chronique ou non précisé, avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.6": {
    "code": "K27.6",
    "description": "Ulcère digestif, de siège non précisé chronique ou non précisé, avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K27.7": {
    "code": "K27.7",
    "description": "Ulcère digestif, de siège non précisé chronique sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 510,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère digestif, de siège non précisé non précisé comme étant aigu ou chronique, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28": {
    "code": "K28",
    "description": "Ulcère gastro-jéjunal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend ulcère (peptique) ou érosion : • anastomotique",
      "• gastro-colique",
      "• gastro-intestinal(e)",
      "• gastro-jéjunal(e)",
      "• jéjunal(e)",
      "• marginal(e)",
      "• stomal(e)",
      "ulcère peptique : • SAI",
      "• post-opératoire"
    ],
    "comprend": [],
    "exclusions": [
      "ulcère primaire de l’intestin grêle (K63.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.0": {
    "code": "K28.0",
    "description": "Ulcère gastro-jéjunal, de siège non précisé aigu avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.1": {
    "code": "K28.1",
    "description": "Ulcère gastro-jéjunal, de siège non précisé aigu avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.2": {
    "code": "K28.2",
    "description": "Ulcère gastro-jéjunal, de siège non précisé aigu avec hémorragie et perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.3": {
    "code": "K28.3",
    "description": "Ulcère gastro-jéjunal, de siège non précisé aigu sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.4": {
    "code": "K28.4",
    "description": "Ulcère gastro-jéjunal, de siège non précisé chronique ou non précisé, avec hémorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.5": {
    "code": "K28.5",
    "description": "Ulcère gastro-jéjunal, de siège non précisé chronique ou non précisé, avec perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère gastro-jéjunal, de siège non précisé chronique ou non précisé, avec hémorragie et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K28.7": {
    "code": "K28.7",
    "description": "Ulcère gastro-jéjunal, de siège non précisé chronique sans hémorragie ni perforation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère gastro-jéjunal, de siège non précisé non précisé comme étant aigu ou chronique, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29": {
    "code": "K29",
    "description": "Gastrite et duodénite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gastrite ou gastro-entérite à éosinophiles (K52.8)",
      "syndrome de Zollinger-Ellison (E16.4)"
    ],
    "clinical_text": [
      "Co mprend antrite au sens inflammation de l’antre de l’estomac"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.0": {
    "code": "K29.0",
    "description": "Gastrite hémorragique aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Gastrite aiguë (érosive) avec hémorragie"
    ],
    "comprend": [],
    "exclusions": [
      "érosion (aiguë) de l’estomac (K25.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.1": {
    "code": "K29.1",
    "description": "Autres gastrites aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.2": {
    "code": "K29.2",
    "description": "Gastrite alcoolique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.3": {
    "code": "K29.3",
    "description": "Gastrite chronique superficielle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.4": {
    "code": "K29.4",
    "description": "Gastrite chronique atrophique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gastrite atrophique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.5": {
    "code": "K29.5",
    "description": "Gastrite chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 511,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gastrite chronique, type : • antral",
      "• fundique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.6": {
    "code": "K29.6",
    "description": "Autres gastrites",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gastrite : • granulomateuse",
      "• hypertrophique géante",
      "Maladie de Ménétrier"
    ],
    "comprend": [],
    "exclusions": [
      "avec gastrite chronique due à Helicobacter pylori (K29.5)",
      "avec reflux gastro-œsophagien (K21.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.7": {
    "code": "K29.7",
    "description": "Gastrite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.8": {
    "code": "K29.8",
    "description": "Duodénite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K29.9": {
    "code": "K29.9",
    "description": "Gastro-duodénite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K30": {
    "code": "K30",
    "description": "Dyspepsie fonctionnelle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Indigestion"
    ],
    "comprend": [],
    "exclusions": [
      "dyspepsie : • SAI (R10.1)",
      "• nerveuse (F45.3)",
      "• névrotique (F45.3)",
      "• psychogène (F45.3)",
      "pyrosis (R12)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31": {
    "code": "K31",
    "description": "Autres maladies de l’estomac et du duodénum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend troubles fonctionnels de l’estomac"
    ],
    "comprend": [],
    "exclusions": [
      "diverticules du duodénum (K57.0-K57.1)",
      "hémorragie gastro-intestinale (K92.0-K92.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.0": {
    "code": "K31.0",
    "description": "Dilatation aiguë de l’estomac",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Distension aiguë de l’estomac"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.1": {
    "code": "K31.1",
    "description": "Sténose pylorique hypertrophique de l’adulte",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Sténose pylorique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "sténose congénitale ou infantile du pylore (Q40.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.2": {
    "code": "K31.2",
    "description": "Estomac en sablier et sténose de l’estomac",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "contraction en sablier de l’estomac (K31.8)",
      "estomac en sablier, congénital (Q40.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.3": {
    "code": "K31.3",
    "description": "Spasme du pylore, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "spasme du pylore : • congénital ou infantile (Q40.0)",
      "• névrotique (F45.3)",
      "• psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.4": {
    "code": "K31.4",
    "description": "Diverticule gastrique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "diverticule congénital de l’estomac (Q40.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.5": {
    "code": "K31.5",
    "description": "Obstruction du duodénum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Constriction du duodénum",
      "Rétrécissement du duodénum",
      "Sténose du duodénum",
      "Iléus duodénal (chronique)"
    ],
    "comprend": [],
    "exclusions": [
      "sténose congénitale du duodénum (Q41.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.6": {
    "code": "K31.6",
    "description": "Fistule de l’estomac et du duodénum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 512,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Fistule : • gastro-colique",
      "• gastro-jéjuno-colique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K31.7": {
    "code": "K31.7",
    "description": "Polype de l’estomac et du duodénum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polypose gastrique",
      "Polypes du tube digestif",
      "segment concerné.",
      "- les polypes de l’estomac et du duodénum (K31.7) ;",
      "- les polypes du côlon (K63.5) ;",
      "- les polypes du rectum (K62.1) ;",
      "- les polypes de l’anus (K62.0).",
      "en 2009 puis en 2012"
    ],
    "comprend": [],
    "exclusions": [
      "polype adénomateux de l’estomac (D13.1)"
    ],
    "clinical_text": [
      "Le codage des polypes du tube digestif est à distinguer selon les compléments d’information fournis.",
      "On les code comme une tumeur bénigne du segment concerné quand ils sont précisés adénomateux. On",
      "utilise alors les catégories D12 Tumeur bénigne du côlon, du rectum, de l’anus et du canal anal ou D13",
      "Tumeurs bénignes de parties autres et mal définies de l’appareil digestif.",
      "S’ils sont le siège d’un cancer (polype dégénéré), ils doivent être codés comme des tumeurs malignes du",
      "Les polypes non tumoraux et ceux dont la nature histologique n’est pas précisée sont décrits par des libellés",
      "particuliers du chapitre XI des maladies de l’appareil digestif. On y trouve en effet :",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – Créé le 15 mars 2008, mise à jour"
    ],
    "agora_refs": [
      "66217"
    ],
    "cocoa_notes": [
      "Polypes fundiques glandulo-kystiques gastriques (AGORA - # 66217 le 25 juin 2012)"
    ]
  },
  "K31.8": {
    "code": "K31.8",
    "description": "Autres maladies précisées de l’estomac et du duodénum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Achlorhydrie",
      "Contraction en sablier de l’estomac",
      "Ptose gastrique",
      "Volvulus gastrique",
      "Gastroparésie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La gastroparésie diabétique associe K31.8 et G99.0 (neuropathie du système nerveux autonome) et le diabète",
      "La classification des angiomes ayant évolué ces dernières années nous réfléchissons à d'éventuelles",
      "adaptations du codage. Dans l'attente je vous conseille de coder les angiodysplasies de l'estomac K31.8 pour",
      "Vous coderez l'ectasie veineuse antrale, I86.4 (et non K31.8 selon ancienne réponse AGORA # 67686)"
    ],
    "agora_refs": [
      "72416",
      "82589",
      "68315",
      "138112"
    ],
    "cocoa_notes": [
      "avec la décimale .4 (complications neurologiques) (AGORA - # 72416 le 7 décembre 2012)",
      "être cohérents avec les formes du côlon. (AGORA - # 82589 le 2 juillet 2013)",
      "(AGORA - # 68315 le 13 août 2012)",
      "La nécrose de l’estomac se code K31.8 (volume 3) (AGORA - # 138112 le 2 septembre 2016)"
    ]
  },
  "K31.9": {
    "code": "K31.9",
    "description": "Maladie de l’estomac et du duodénum, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K35": {
    "code": "K35",
    "description": "Appendicite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K35.2": {
    "code": "K35.2",
    "description": "Appendicite aiguë avec péritonite généralisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Appendicite (aiguë) avec péritonite généralisée (diffuse) après rupture ou perforation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K35.3": {
    "code": "K35.3",
    "description": "Appendicite aiguë avec péritonite localisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Appendicite aiguë avec abcès péritonéal",
      "Appendicite aiguë (avec ou sans rupture • localisée",
      "ou perforation) avec péritonite : • SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K35.8": {
    "code": "K35.8",
    "description": "Appendicites aiguës, autres et non précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Appendicite aiguë sans mention de péritonite localisée ni généralisée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K36": {
    "code": "K36",
    "description": "Autres formes d’appendicite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 513,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Appendicite : • chronique",
      "• récidivante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K37": {
    "code": "K37",
    "description": "Appendicite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38": {
    "code": "K38",
    "description": "Autres maladies de l’appendice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38.0": {
    "code": "K38.0",
    "description": "Hyperplasie de l’appendice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38.1": {
    "code": "K38.1",
    "description": "Concrétions appendiculaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fécalome de l’appendice",
      "Stercolithe de l’appendice"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38.2": {
    "code": "K38.2",
    "description": "Diverticule de l’appendice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38.3": {
    "code": "K38.3",
    "description": "Fistule de l’appendice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38.8": {
    "code": "K38.8",
    "description": "Autres maladies précisées de l’appendice",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Invagination de l’appendice"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K38.9": {
    "code": "K38.9",
    "description": "Maladie de l’appendice, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "hernie : • acquise",
      "• congénitale (sauf diaphragmatique ou hiatale)",
      "• récidivante"
    ],
    "exclusions": [],
    "clinical_text": [
      "Note Hernie avec gangrène et occlusion doit être codée à hernie avec gangrène."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40": {
    "code": "K40",
    "description": "à K46 (chapitre XI).",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40.0": {
    "code": "K40.0",
    "description": "Hernie inguinale bilatérale, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40.1": {
    "code": "K40.1",
    "description": "Hernie inguinale bilatérale, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40.2": {
    "code": "K40.2",
    "description": "Hernie inguinale bilatérale, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie inguinale bilatérale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40.3": {
    "code": "K40.3",
    "description": "Hernie inguinale, unilatérale ou sans précision, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie inguinale (unilatérale) : • étranglée",
      "• irréductible sans gangrène",
      "• provoquant une occlusion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40.4": {
    "code": "K40.4",
    "description": "Hernie inguinale, unilatérale ou sans précision, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie inguinale SAI, avec gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K40.9": {
    "code": "K40.9",
    "description": "Hernie inguinale, unilatérale ou sans précision, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 514,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie inguinale (unilatérale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41": {
    "code": "K41",
    "description": "Hernie crurale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41.0": {
    "code": "K41.0",
    "description": "Hernie crurale bilatérale, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41.1": {
    "code": "K41.1",
    "description": "Hernie crurale bilatérale, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41.2": {
    "code": "K41.2",
    "description": "Hernie crurale bilatérale, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie crurale bilatérale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41.3": {
    "code": "K41.3",
    "description": "Hernie crurale, unilatérale ou sans précision, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie crurale (unilatérale) : • étranglée sans gangrène",
      "• irréductible sans gangrène",
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41.4": {
    "code": "K41.4",
    "description": "Hernie crurale, unilatérale ou sans précision, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K41.9": {
    "code": "K41.9",
    "description": "Hernie crurale, unilatérale ou sans précision, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie crurale (unilatérale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K42": {
    "code": "K42",
    "description": "Hernie ombilicale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend hernie para-ombilicale"
    ],
    "comprend": [],
    "exclusions": [
      "omphalocèle (Q79.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K42.0": {
    "code": "K42.0",
    "description": "Hernie ombilicale avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie ombilicale : • étranglée sans gangrène",
      "• irréductible sans gangrène",
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K42.1": {
    "code": "K42.1",
    "description": "Hernie ombilicale, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hernie ombilicale gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K42.9": {
    "code": "K42.9",
    "description": "Hernie ombilicale, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie ombilicale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43": {
    "code": "K43",
    "description": "Autre hernie de la paroi abdominale antérieure […]. L’éviscération est l’extériorisation des organes abdominaux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "initiale.",
      "puis en 2012"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "provoquée par la désunion d’une plaie opératoire dans les suites immédiates d’une intervention - le plus souvent par",
      "laparotomie. Elle se code T81.30 Éviscération postopératoire associé à un code Y83.- pour préciser la nature de l’intervention",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.9 - Créé le 15 mars 2008, mise à jour en 2009",
      "le code T81.38 ne peut plus être associé aux codes de la catégorie K43 soit parce que le caractère post-opératoire est",
      "précisé dans le libellé (K43.0 à K43.2) soit parce que le caractère post-opératoire n’est pas présent (K43.6, K43.7 et K43.9).",
      "Cette consigne va figurer dans la mise à jour du fascicule d’aide au codage et le guide sera modifié en ce sens."
    ],
    "agora_refs": [
      "96599"
    ],
    "cocoa_notes": [
      "(AGORA - # 96599 le 2 avril 2014)"
    ]
  },
  "K43.0": {
    "code": "K43.0",
    "description": "Éventration post-opératoire, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 515,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Eventration post-opératoire : • étranglée sans gangrène",
      "• irréductible sans gangrène",
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.1": {
    "code": "K43.1",
    "description": "Éventration post-opératoire, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Éventration post-opératoire gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.2": {
    "code": "K43.2",
    "description": "Éventration post-opératoire, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éventration post-opératoire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.3": {
    "code": "K43.3",
    "description": "Hernie péristomiale, avec occlusion sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie péristomiale : • étranglée sans gangrène",
      "• irréductible sans gangrène",
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.4": {
    "code": "K43.4",
    "description": "Hernie péristomiale, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hernie péristomiale gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.5": {
    "code": "K43.5",
    "description": "Hernie péristomiale, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie péristomiale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.6": {
    "code": "K43.6",
    "description": "Hernie de la paroi abdominale antérieure autre et non précisée, avec occlusion sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie (de) : • épigastrique",
      "• hypogastrique • étranglée",
      "• la ligne blanche • irréductible sans gangrène",
      "• sous-xyphoïdienne • provoquant une occlusion",
      "• Spiegel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.7": {
    "code": "K43.7",
    "description": "Hernie de la paroi abdominale antérieure autre et non précisée, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Toute hernie mentionnée en K43.6 précisée comme gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K43.9": {
    "code": "K43.9",
    "description": "Hernie de la paroi abdominale antérieure autre et non précisée, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie abdominale, SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K44": {
    "code": "K44",
    "description": "Hernie diaphragmatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend hernie : • hiatale (œsophagienne) (par glissement)",
      "• para-œsophagienne"
    ],
    "comprend": [],
    "exclusions": [
      "hernie congénitale : • diaphragmatique (Q79.0)",
      "• hiatale (Q40.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K44.0": {
    "code": "K44.0",
    "description": "Hernie diaphragmatique avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie diaphragmatique : • étranglée sans gangrène",
      "• irréductible sans gangrène",
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K44.1": {
    "code": "K44.1",
    "description": "Hernie diaphragmatique, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hernie diaphragmatique gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K44.9": {
    "code": "K44.9",
    "description": "Hernie diaphragmatique, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 516,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie diaphragmatique SAI."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K45": {
    "code": "K45",
    "description": ": • irréductible sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K45.0": {
    "code": "K45.0",
    "description": "Autres hernies abdominales de siège précisé, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toute hernie mentionnée en • étranglée sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K45.1": {
    "code": "K45.1",
    "description": "Autres hernies abdominales précisées, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toute hernie mentionnée en K45, précisée comme gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K45.8": {
    "code": "K45.8",
    "description": "Autres hernies abdominales précisées, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K46": {
    "code": "K46",
    "description": "Hernie abdominale non précisée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend entérocèle",
      "épiplocèle",
      "hernie : • SAI",
      "• interstitielle",
      "• intestinale",
      "• intra-abdominale"
    ],
    "comprend": [],
    "exclusions": [
      "entérocèle vaginale (N81.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K46.0": {
    "code": "K46.0",
    "description": "Hernie abdominale non précisée, avec occlusion, sans gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toute hernie • étranglée sans gangrène",
      "mentionnée en K46 : • irréductible sans gangrène",
      "• provoquant une occlusion sans gangrène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K46.1": {
    "code": "K46.1",
    "description": "Hernie abdominale non précisée, avec gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toute hernie mentionnée en K46, précisée comme gangréneuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K46.9": {
    "code": "K46.9",
    "description": "Hernie abdominale non précisée, sans occlusion ni gangrène",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 517,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hernie abdominale SAI"
    ],
    "comprend": [
      "maladies inflammatoires non infectieuses de l’intestin"
    ],
    "exclusions": [
      "mégacôlon (K59.3)",
      "syndrome de l’intestin irritable (K58.-)",
      "colopathie fonctionnelle (K58.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K50": {
    "code": "K50",
    "description": "Maladie de Crohn",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend entérite granulomateuse",
      "entérite régionale"
    ],
    "comprend": [],
    "exclusions": [
      "recto-colite hémorragique (K51.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K50.0": {
    "code": "K50.0",
    "description": "Maladie de Crohn de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Crohn : • duodénale",
      "• iléale",
      "• jéjunale",
      "Iléite : • régionale",
      "• terminale"
    ],
    "comprend": [],
    "exclusions": [
      "avec maladie de Crohn du gros intestin (K50.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K50.1": {
    "code": "K50.1",
    "description": "Maladie de Crohn du gros intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colite : • granulomateuse",
      "• régionale",
      "Maladie de Crohn du : • côlon",
      "• gros intestin",
      "• rectum"
    ],
    "comprend": [],
    "exclusions": [
      "avec maladie de Crohn de l’intestin grêle (K50.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K50.8": {
    "code": "K50.8",
    "description": "Autres formes de la maladie de Crohn",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Crohn de l’intestin grêle et du gros intestin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K50.9": {
    "code": "K50.9",
    "description": "Maladie de Crohn, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Entérite régionale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51": {
    "code": "K51",
    "description": "Recto-colite hémorragique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "Colite ulécreuse"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.0": {
    "code": "K51.0",
    "description": "Pancolite ulcéreuse (chronique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "iléite de reflux"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.2": {
    "code": "K51.2",
    "description": "Rectite ulcéreuse (chronique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.3": {
    "code": "K51.3",
    "description": "Recto-sigmoïdite ulcéreuse (chronique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.4": {
    "code": "K51.4",
    "description": "Polypes coliques inflammatoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.5": {
    "code": "K51.5",
    "description": "Colite ulcéreuse gauche",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "colite ulcéreuse de l’hémicôlon gauche"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.8": {
    "code": "K51.8",
    "description": "Autres recto-colites hémorragiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K51.9": {
    "code": "K51.9",
    "description": "Recto-colite hémorragique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 518,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Entérite ulcéreuse SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K52": {
    "code": "K52",
    "description": "Autres gastro-entérites et colites non infectieuses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K52.0": {
    "code": "K52.0",
    "description": "est donc correct pour coder un grêle radique associé à Y84.2 (AGORA - # 54979 le 23 novembre 2011)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K52.1": {
    "code": "K52.1",
    "description": "Gastro-entérite et colite toxiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Gastro-entérite et colite médicamenteuse",
      "si d’origine médicamenteuse, ou l’agent toxique."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K52.2": {
    "code": "K52.2",
    "description": "Gastro-entérite et colite allergiques et alimentaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gastro-entérite ou colite par hypersensibilité alimentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K52.3": {
    "code": "K52.3",
    "description": "Colite non infectieuse indéterminée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "colite d’origine non précisée (A09.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K52.8": {
    "code": "K52.8",
    "description": "Autres gastro-entérites et colites non infectieuses précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colite : • collagène",
      "• lymphocytaire",
      "• microscopique",
      "Gastrite ou gastro-entérite à éosinophiles",
      "Colite collagène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La colite collagène est une forme de colite microscopique d’étiologie inconnue. La CIM-10 ne propose pas",
      "de code plus précis que K52.8 Autres gastro-entérites et colites non infectieuses précisées pour cette affection.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008",
      "Les gastro-entérologues utilisent maintenant le terme général de Maladie Inflammatoire Chronique de",
      "l’Intestin [MICI] pour désigner aussi bien la rectocolite hémorragique que la maladie de Crohn. Comment",
      "coder quand les résultats anapath ne nous donnent pas d’autre indication plus précise ? En l’absence de",
      "Code proposé pour le résultat anatomopathologique suivant : lymphocytose intra-épithéliale duodénale"
    ],
    "agora_refs": [
      "64768",
      "60873"
    ],
    "cocoa_notes": [
      "toute précision, codez K52.8. (AGORA – # 64768 – le 25 mai 2012)",
      "pathologique (AGORA - # 60873 le 19 mars 2012)"
    ]
  },
  "K52.9": {
    "code": "K52.9",
    "description": "Gastro-entérite et colite non infectieuses, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 519,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diarrhée précisée non infectieuse",
      "Entérite précisée non infectieuse",
      "Iléite précisée non infectieuse",
      "Jéjunite précisée non infectieuse",
      "Sigmoïdite précisée non infectieuse"
    ],
    "comprend": [],
    "exclusions": [
      "colite, diarrhée, entérite, gastro-entérite : • infectieuse (A09.0)",
      "• non précisée (A09.9)",
      "diarrhée : • fonctionnelle (K59.1)",
      "• néonatale SAI (A09.9)",
      "• néonatale infectieuse (A09.0)",
      "• néonatale non infectieuse (P78.3)",
      "• psychogène (F45.3)"
    ],
    "clinical_text": [
      "Les termes « iléite ulcérée ou ulcéreuse », « iléocolite ulcérée ou ulcéreuse » sans plus de précision sont",
      "L’entérocolite neutropénique post-chimiothérapique (typhlite) associe K52.9 et Y43.1. On peut y adjoindre"
    ],
    "agora_refs": [
      "75220",
      "66126"
    ],
    "cocoa_notes": [
      "codés K52.9 si leur origine n'est pas infectieuse. (AGORA - # 75220 le 7 février 2013)",
      "le code de neutropénie D70 (AGORA - # 66126 le 25 juin 2012)"
    ]
  },
  "K55": {
    "code": "K55",
    "description": "Troubles vasculaires de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "entérocolite nécrosante du nouveau-né (P77)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K55.0": {
    "code": "K55.0",
    "description": "Troubles vasculaires aigus de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Colite ischémique fulminante aigu(ë)",
      "Infarctus de l’intestin aigu(ë)",
      "Ischémie de l’intestin grêle aigu(ë)",
      "Colite ischémique subaiguë",
      "Embolie mésentérique (artère) (veine)",
      "Infarctus mésentérique (artère) (veine)",
      "Thrombose mésentérique (artère) (veine)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K55.1": {
    "code": "K55.1",
    "description": "Troubles vasculaires chroniques de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Athérosclérose mésentérique",
      "Colite ischémique chronique",
      "Entérite ischémique chronique",
      "Entérocolite ischémique chronique",
      "Étranglement ischémique de l’intestin",
      "Insuffisance vasculaire mésentérique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K55.2": {
    "code": "K55.2",
    "description": "Angiodysplasie du côlon",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angiodysplasie du cæcum",
      "Angiodysplasie de l’intestin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K55.3": {
    "code": "K55.3",
    "description": "Angiodysplasie de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K55.8": {
    "code": "K55.8",
    "description": "Autres troubles vasculaires de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K55.9": {
    "code": "K55.9",
    "description": "Trouble vasculaire de l’intestin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 520,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colite ischémique SAI",
      "Entérite ischémique SAI",
      "Entérocolite ischémique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56": {
    "code": "K56",
    "description": "Iléus paralytique et occlusion intestinale sans hernie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec hernie (K40-K46)",
      "étranglement : • congénital ou sténose congénitale de l’intestin (Q41-Q42)",
      "• ischémique de l’intestin (K55.l)",
      "iléus méconial (E84.1)",
      "occlusion (du) : • duodénum (K31.5)",
      "• intestinale post-opératoire (K91.3)",
      "• intestinale du nouveau-né (P75-P76)",
      "sténose de l’anus ou du rectum (K62.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.0": {
    "code": "K56.0",
    "description": "Iléus paralytique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Paralysie de : • côlon",
      "• intestin",
      "# 73517 le 9 janvier 2013)",
      "Discussion sur les iléus post-opératoires :",
      "2024)",
      "- # 265649 le 12 juillet 2024)",
      "le 4 mars 2025)"
    ],
    "comprend": [],
    "exclusions": [
      "iléus : • SAI (K56.7)",
      "• biliaire (K56.3)",
      "• occlusif SAI (K56.6)"
    ],
    "clinical_text": [
      "Syndrome d’Ogilvie : le syndrome d’Ogilvie n’est pas une occlusion mais une dilatation aiguë du côlon. Son",
      "L’iléus réflexe est généralement considéré comme un iléus paralytique. Il se code donc en K56.0 (AGORA -",
      "on parle d'iléus réflexe, d'occlusion fonctionnelle ou d'iléus fonctionnel post-opératoires traités par pose de",
      "SNG. Pourquoi le code K56.0 Iléus paralytique ne conviendrait-il pas en DAS ? (AGORA - # 265622 le 12 juillet",
      "les complications post-opératoires de l'appareil digestif sont codés en K91. Mais comme il ne s'agissait pas",
      "d'une occlusion mécanique (bride, adhérences...etc) dans les cas cités, le K91.3 n'a pas été proposé. (AGORA",
      "Il n'y a pas de nouvelles consignes de codage concernant les iléus post-opératoires. Tant que la relation de",
      "causalité est établie, il conviendra de choisir le code CIM-10 qui décrit le mieux ce lien. (AGORA - # 272500"
    ],
    "agora_refs": [
      "170950"
    ],
    "cocoa_notes": [
      "Aunis p.76 : comprend la colectasie et le syndrome d’Ogilvie.",
      "code est K56.0 (AGORA - # 170950 le 13 novembre 2018)"
    ]
  },
  "K56.1": {
    "code": "K56.1",
    "description": "Invagination",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Invagination de : • côlon",
      "• intestin",
      "• rectum"
    ],
    "comprend": [],
    "exclusions": [
      "invagination de l’appendice (K38.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.2": {
    "code": "K56.2",
    "description": "Volvulus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Étranglement du côlon ou de l’intestin",
      "Torsion du côlon ou de l’intestin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.3": {
    "code": "K56.3",
    "description": "Iléus biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Occlusion de l’intestin par calculs ou lithiases biliaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.4": {
    "code": "K56.4",
    "description": "Autres obstructions de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Entérolithe",
      "Coprolithe",
      "Fécalome",
      "Obstruction (du) : • côlon",
      "• fécale"
    ],
    "comprend": [],
    "exclusions": [
      "fécalome de l’appendice (K38.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.5": {
    "code": "K56.5",
    "description": "Adhérences de l’intestin (brides), avec occlusion",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 521,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Adhérences péritonéales (brides), avec occlusion intestinale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.6": {
    "code": "K56.6",
    "description": "Occlusions intestinales, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Entéro-sténose",
      "Iléus occlusif SAI",
      "Occlusion du côlon ou de l’intestin",
      "Rétrécissement du côlon ou de l’intestin",
      "Sténose du côlon ou de l’intestin",
      "Sub-occlusion"
    ],
    "comprend": [],
    "exclusions": [
      "occlusions intestinales néonatales, autres et sans précision (P76.8, P76.9)"
    ],
    "clinical_text": [
      "La sub-occlusion est une occlusion partielle de l’intestin. Elle se code ainsi que l’indique le volume",
      "alphabétique comme une occlusion (K56.6), sauf si elle est d’origine fonctionnelle. Dans ce cas on emploie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.8": {
    "code": "K59.8",
    "description": "Autres troubles fonctionnels précisés de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atonie du côlon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K56.7": {
    "code": "K56.7",
    "description": "Iléus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57": {
    "code": "K57",
    "description": "Diverticulose de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend diverticule de l’intestin (côlon) (grêle)",
      "diverticulite de l’intestin (côlon) (grêle)",
      "diverticulose de l’intestin (côlon) (grêle)",
      "sigmoïdite diverticulaire",
      "diverticulose sigmoïdienne",
      "Les pièges de K57.-"
    ],
    "comprend": [],
    "exclusions": [
      "diverticule (de) : • appendice (K38.2)",
      "• congénital de l’intestin (Q43.8)",
      "• Meckel (Q43.0)"
    ],
    "clinical_text": [
      "Deux pièges se cachent dans l’utilisation des sous-catégories K57.-.",
      "La catégorie K57 décrit la présence de diverticules intestinaux compliqués ou non, quelle qu’en soit la localisation. La version",
      "d’origine de la CIM-10 y range en effet les diverticules de l’intestin grêle et du gros intestin. Cette dernière locution a été",
      "traduite en français par le terme côlon, plus restrictif. On doit donc employer cette catégorie pour coder les exceptionnels",
      "diverticules du rectum. Cette confusion de traduction se retrouve ailleurs dans la CIM-10 : il faut par exemple remplacer le",
      "terme côlon des libellés de la catégorie Q42 par gros intestin.",
      "La conjonction et est employée dans 2 sens différents dans les sous-catégories K57.-. Elle a le sens de avec dans l’expression",
      "Diverticulose du côlon et de l’intestin grêle : K57.4 et K57.5 ne servent bien à coder que des diverticuloses atteignant à la fois",
      "l’intestin grêle et le gros intestin. Elle a par contre le sens de et/ou dans l’expression avec perforation et abcès. Les quatrièmes",
      "caractères .0, .2, .4 et .8 repèrent les formes compliquées de perforation, d’abcès ou de ces deux phénomènes.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.0": {
    "code": "K57.0",
    "description": "Diverticulose de l’intestin grêle, avec perforation et abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Diverticulose de l’intestin grêle, avec péritonite"
    ],
    "comprend": [],
    "exclusions": [
      "diverticulose du côlon et de l’intestin grêle, avec perforation et abcès (K57.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.1": {
    "code": "K57.1",
    "description": "Diverticulose de l’intestin grêle, sans perforation ni abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticulose de l’intestin grêle SAI"
    ],
    "comprend": [],
    "exclusions": [
      "diverticulose du côlon et de l’intestin grêle, sans perforation ni abcès (K57.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.2": {
    "code": "K57.2",
    "description": "Diverticulose du côlon, avec perforation et abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Diverticulose du côlon, avec péritonite"
    ],
    "comprend": [],
    "exclusions": [
      "diverticulose du côlon et de l’intestin grêle, avec perforation et abcès (K57.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.3": {
    "code": "K57.3",
    "description": "Diverticulose du côlon, sans perforation ni abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticulose du côlon SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "À l’exclusion diverticulose du côlon et de l’intestin grêle, sans perforation ni abcès (K57.5)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.4": {
    "code": "K57.4",
    "description": "Diverticulose du côlon et de l’intestin grêle, avec perforation et abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 522,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Diverticulose du côlon et de l’intestin grêle, avec péritonite"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.5": {
    "code": "K57.5",
    "description": "Diverticulose du côlon et de l’intestin grêle, sans perforation ni abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticulose de l’intestin grêle et du côlon SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.8": {
    "code": "K57.8",
    "description": "Diverticulose de l’intestin, siège non précisé, avec perforation et abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Diverticulose de l’intestin SAI, avec péritonite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K57.9": {
    "code": "K57.9",
    "description": "Diverticulose de l’intestin, siège non précisé, sans perforation ni abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticulose de l’intestin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58": {
    "code": "K58",
    "description": "Syndrome de l’intestin irritable",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend côlon irritable",
      "colopathie fonctionnelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58.0": {
    "code": "K58.0",
    "description": "Syndrome de l’intestin irritable, avec diarrhée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58.9": {
    "code": "K58.9",
    "description": "Syndrome de l’intestin irritable, sans diarrhée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de l’intestin irritable SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58.1": {
    "code": "K58.1",
    "description": "Syndrome de l’intestin irritable, avec diarrhée prédominante [SII-D]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colite spasmodique avec diarrhée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58.2": {
    "code": "K58.2",
    "description": "Syndrome de l’intestin irritable, avec constipation prédominante [SII-C]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58.3": {
    "code": "K58.3",
    "description": "Syndrome de l’intestin irritable, avec troubles du transit mixtes [SII-M]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K58.8": {
    "code": "K58.8",
    "description": "Syndrome de l’intestin irritable, autre et non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de l’intestin irritable SAI",
      "Colite spasmodique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59": {
    "code": "K59",
    "description": "Autres troubles fonctionnels de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malabsorption intestinale (K90.-)",
      "modification du transit intestinal (R19.4)",
      "troubles : • fonctionnels de l’estomac (K31.-)",
      "• intestinaux psychogènes (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.0": {
    "code": "K59.0",
    "description": "Constipation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.1": {
    "code": "K59.1",
    "description": "Diarrhée fonctionnelle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.2": {
    "code": "K59.2",
    "description": "Intestin neurogène, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.3": {
    "code": "K59.3",
    "description": "Mégacôlon, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dilatation du côlon",
      "Mégacôlon toxique",
      "Dolichocôlon",
      "juillet 2012)"
    ],
    "comprend": [],
    "exclusions": [
      "mégacôlon : • au cours de la maladie de : • Chagas (B57.3)",
      "• Hirschsprung (Q43.1)",
      "• congénital (sans ganglion) (Q43.1)",
      "• dû à Clostridium difficile (A04.7)"
    ],
    "clinical_text": [
      "La distension colique est une tension anormale du colon et se code en K63.8. Elle doit être différenciée de",
      "la dilatation colique qui est une augmentation de volume et qui se code en K59.3 (AGORA - # 67106 le 11",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.4": {
    "code": "K59.4",
    "description": "Spasme de l’anus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 523,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Proctalgie fugace"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K59.9": {
    "code": "K59.9",
    "description": "Trouble fonctionnel de l’intestin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60": {
    "code": "K60",
    "description": "Fissure et fistule des régions anale et rectale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec abcès ou phlegmon (K61.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60.0": {
    "code": "K60.0",
    "description": "Fissure anale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60.1": {
    "code": "K60.1",
    "description": "Fissure anale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60.2": {
    "code": "K60.2",
    "description": "Fissure anale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60.3": {
    "code": "K60.3",
    "description": "Fistule anale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60.4": {
    "code": "K60.4",
    "description": "Fistule rectale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Fistule recto-cutanée"
    ],
    "comprend": [],
    "exclusions": [
      "fistule : • recto-vaginale (N82.3)",
      "• vésico-rectale (N32.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K60.5": {
    "code": "K60.5",
    "description": "Fistule ano-rectale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K61": {
    "code": "K61",
    "description": "Abcès des régions anale et rectale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "phlegmon des régions anale et rectale, avec ou sans fistule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend abcès des régions anale et rectale, avec ou sans fistule"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K61.0": {
    "code": "K61.0",
    "description": "Abcès anal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès périanal"
    ],
    "comprend": [],
    "exclusions": [
      "abcès intra-sphinctérien (K61.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K61.1": {
    "code": "K61.1",
    "description": "Abcès rectal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès périrectal"
    ],
    "comprend": [],
    "exclusions": [
      "abcès ischio-rectal (K61.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K61.2": {
    "code": "K61.2",
    "description": "Abcès ano-rectal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K61.3": {
    "code": "K61.3",
    "description": "Abcès ischio-rectal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès de la fosse ischio-rectale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K61.4": {
    "code": "K61.4",
    "description": "Abcès intra-sphinctérien",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 524,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62": {
    "code": "K62",
    "description": "Autres maladies de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend canal anal",
      "Polypes du tube digestif",
      "et mal définies de l’appareil digestif.",
      "- les polypes de l’estomac et du duodénum (K31.7) ;",
      "- les polypes du côlon (K63.5) ;",
      "- les polypes du rectum (K62.1) ;",
      "- les polypes de l’anus (K62.0)."
    ],
    "comprend": [],
    "exclusions": [
      "hémorroïdes (K64.-)",
      "incontinence des matières fécales (R15)",
      "mauvais résultats fonctionnels d’une colostomie et d’une entérostomie (K91.4)",
      "rectite ulcéreuse (K51.2)"
    ],
    "clinical_text": [
      "Le codage des polypes du tube digestif est à distinguer selon les compléments d’information fournis.",
      "On les code comme une tumeur bénigne du segment concerné quand ils sont précisés adénomateux. On utilise alors les",
      "catégories D12 Tumeur bénigne du côlon, du rectum, de l’anus et du canal anal ou D13 Tumeurs bénignes de parties autres",
      "S’ils sont le siège d’un cancer (polype dégénéré), ils doivent être codés comme des tumeurs malignes du segment concerné.",
      "Les polypes non tumoraux et ceux dont la nature histologique n’est pas précisée sont décrits par des libellés particuliers du",
      "chapitre XI des maladies de l’appareil digestif. On y trouve en effet :",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.0": {
    "code": "K62.0",
    "description": "Polype anal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.1": {
    "code": "K62.1",
    "description": "Polype rectal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "polype adénomateux (D12.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.2": {
    "code": "K62.2",
    "description": "Prolapsus anal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus du canal anal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.3": {
    "code": "K62.3",
    "description": "Prolapsus rectal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus de la muqueuse rectale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.4": {
    "code": "K62.4",
    "description": "Sténose de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement de l’anus (sphincter)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.5": {
    "code": "K62.5",
    "description": "Hémorragie de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rectorragie"
    ],
    "comprend": [],
    "exclusions": [
      "hémorragie rectale néonatale (P54.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.6": {
    "code": "K62.6",
    "description": "Ulcère de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Ulcère : • solitaire",
      "• stercoral de l’anus et du rectum"
    ],
    "comprend": [],
    "exclusions": [
      "au cours de recto-colite hémorragique (K51.-)",
      "fissure et fistule de l’anus et du rectum (K60.-)"
    ],
    "clinical_text": [],
    "agora_refs": [
      "38853"
    ],
    "cocoa_notes": [
      "Rectite ulcéreuse hors rectocolite hémorragique : coder K62.6 (AGORA - # 38853 le 7 janvier 2011)"
    ]
  },
  "K62.7": {
    "code": "K62.7",
    "description": "Rectite due à une irradiation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.8": {
    "code": "K62.8",
    "description": "Autres maladies précisées de l’anus et du rectum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rectite SAI",
      "2011)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "comment coder une rectite inflammatoire non ulcéreuse ? K62.8 dans ce cas. (AGORA - # 39158 le 13 janvier"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K62.9": {
    "code": "K62.9",
    "description": "Maladie de l’anus et du rectum, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 525,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63": {
    "code": "K63",
    "description": "Autres maladies de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63.0": {
    "code": "K63.0",
    "description": "Abcès de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "abcès : • appendiculaire (K35.3)",
      "• des régions anale et rectale (K61.-)",
      "avec diverticulose de l’intestin (K57.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63.1": {
    "code": "K63.1",
    "description": "Perforation de l’intestin (non traumatique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec diverticulose de l’intestin (K57.-)",
      "perforation (non traumatique) de : • appendice (K35.2, K35.3)",
      "• duodénum (K26.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63.2": {
    "code": "K63.2",
    "description": "Fistule de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fistule (de) (des) : • appendice (K38.3)",
      "• duodénum (K31.6)",
      "• entéro-génitale chez la femme (N82.2-N82.4)",
      "• entéro-vésicale (N32.1)",
      "• régions anale et rectale (K60.-)"
    ],
    "clinical_text": [
      "Comment coder une fistule jéjuno-pancréatique post-opératoire ? K63.2 est correct. T81.8 y est associé",
      "une complication pour fistule de l’anastomose jéjuno-jéjunale par lâchage des points se code en diagnostics",
      "associés K63.2 Fistule de l'intestin et T81.38 Désunions d'une plaie opératoire non classées ailleurs, autres et"
    ],
    "agora_refs": [
      "95418",
      "105962"
    ],
    "cocoa_notes": [
      "(fistule post-opératoire) (AGORA - # 95418 le 14 mars 2014)",
      "non précisées. (AGORA - # 105962 le 22 septembre 2014)"
    ]
  },
  "K63.3": {
    "code": "K63.3",
    "description": "Ulcère de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ulcère primaire de l’intestin grêle"
    ],
    "comprend": [],
    "exclusions": [
      "recto-colite hémorragique (K51.-)",
      "ulcère (de) : • anus et rectum (K62.6)",
      "• digestif, de siège non précisé (K27.-)",
      "• duodénum (K26.-)",
      "• gastro-intestinal (K28.-)",
      "• gastro-jéjunal (K28.-)",
      "• jéjunal (K28.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63.4": {
    "code": "K63.4",
    "description": "Entéroptose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63.5": {
    "code": "K63.5",
    "description": "+8 Polype du côlon, autre et non précisé",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K63.8": {
    "code": "K63.8",
    "description": "Autres maladies précisées de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "juillet 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La distension colique est une tension anormale du colon et se code en K63.8. Elle doit être différenciée de",
      "la dilatation colique qui est une augmentation de volume et qui se code en K59.3 (AGORA - # 67106 le 11"
    ],
    "agora_refs": [
      "61518"
    ],
    "cocoa_notes": [
      "nodule lymphoïde hyperplasique du colon (AGORA - # 61518 le 3 avril 2012)"
    ]
  },
  "K63.9": {
    "code": "K63.9",
    "description": "Maladie de l’intestin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 526,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64": {
    "code": "K64",
    "description": "Hémorroïdes et thrombose veineuse périanale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "varices de l’anus et du rectum"
    ],
    "exclusions": [
      "compliquant : • l’accouchement et la puerpéralité (O87.2)",
      "• la grossesse (O22.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.0": {
    "code": "K64.0",
    "description": "Hémorroïdes du premier degré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorroïdes de grade/stade I"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorroïdes (avec saignements) sans procidence à l’extérieur du canal anal"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.1": {
    "code": "K64.1",
    "description": "Hémorroïdes du deuxième degré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorroïdes de grade/stade II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorroïdes (avec saignements) avec procidence à l’effort, mais spontanément réductible"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.2": {
    "code": "K64.2",
    "description": "Hémorroïdes du troisième degré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "manuelle",
      "Hémorroïdes de grade/stade III"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorroïdes (avec saignements) avec procidence à l’effort, mais nécessitant une réintroduction"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.3": {
    "code": "K64.3",
    "description": "Hémorroïdes du quatrième degré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus hémorroïdaire",
      "Hémorroïdes de grade/stade IV"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorroïdes (avec saignements) avec procidence non réductible"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.4": {
    "code": "K64.4",
    "description": "Cicatrices hémorroïdaires cutanées résiduelles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrochordon de l’anus ou du rectum",
      "Marisques",
      "Hémorroïdes de Brodie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.5": {
    "code": "K64.5",
    "description": "Thrombose veineuse périanale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématome périanal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.8": {
    "code": "K64.8",
    "description": "Autres hémorroïdes précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K64.9": {
    "code": "K64.9",
    "description": "Hémorroïdes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 527,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorroïdes (avec saignements) : • sans mention de degré",
      "• SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K65": {
    "code": "K65",
    "description": "Péritonite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 528,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• diverticulose de l’intestin (K57.-)",
      "• bénigne paroxystique (E85.0)",
      "• chimique (T81.6)",
      "• due au talc ou à d’autres substances étrangères (T81.6)",
      "• néonatale (P78.0-P78.1)",
      "• pelvienne, chez la femme (N73.3-N73.5)",
      "• pelvipéritonite (N73.3-N73.5)",
      "• périodique familiale (E85.0)",
      "• puerpérale (O85)"
    ],
    "comprend": [],
    "exclusions": [
      "péritonite : • aseptique (T81.6)",
      "• avec ou consécutive à : • appendicite (K35.-)",
      "• avortement, grossesse extra-utérine ou molaire (O00-"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K65.0": {
    "code": "K65.0",
    "description": "Péritonite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 528,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès : • abdomino-pelvien",
      "• épiploïque",
      "• mésentérique",
      "• péritonéal",
      "• rétro-cæcal",
      "• rétro-péritonéal",
      "• sous-diaphragmatique",
      "• sous-hépatique",
      "• sous-phrénique",
      "Péritonite (aiguë) : • généralisée",
      "• pelvienne, chez l’homme",
      "• septique",
      "complications"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pour les pancréatites aiguës, il y a trois principales possibilités de codage en CIM-10 :",
      "1- Une pancréatite aiguë œdémateuse sans nécrose se code K85.-",
      "2- Une pancréatite aiguë avec nécrose (intra ou extrapancréatique) non infectée se code aussi K85.-. La",
      "nécrose est aussi décrite par ce code. En revanche, le niveau de sévérite de cette atteinte, comparé à celui",
      "d’une pancréatite sans nécrose, peut être différencié par les codes associés de défaillances d’organes et de",
      "3- Une pancréatite aiguë avec nécrose (intra ou extrapancréatique) infectée se code K85.- + K65.0 Péritonite",
      "aiguë (comprenant l’abcès rétropéritonéal) + l’agent infectieux retrouvé."
    ],
    "agora_refs": [
      "222230"
    ],
    "cocoa_notes": [
      "(AGORA - # 222230 le 15 novembre 2021)"
    ]
  },
  "K65.8": {
    "code": "K65.8",
    "description": "Autres péritonites",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Nécrose graisseuse mésentérique",
      "Stéato-nécrose mésentérique",
      "Saponification mésentérique",
      "Péritonite (due à) : • bile",
      "• urine",
      "• proliférative chronique",
      "2021)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La mésentérite sclérosante [Mésentérite associée à IgG4] est une maladie rare causant l’inflammation de",
      "tissus adipeux du mésentère. Douleur abdominale, diarrhée, nausée, perte de poids, ballonnement et perte",
      "d’appétit sont couramment associés à cette maladie. Les deux sous-formes de la mésentérite sclérosante",
      "incluent la panniculite mésentérique (lorsque l’inflammation et la nécrose graisseuse sont les caractéristiques",
      "dominantes) et la mésentérite rétractile (lorsque la fibrose et la rétraction dominent). Orphanet",
      "lorsque la nécrose pancréatique envahit la cavité abdominale vers les organes voisins, le K65.8 peut être",
      "codé lorsqu'il décrit l'une des complications. En revanche, selon l'avis des cliniciens, l'expression « coulée de",
      "nécrose » ne traduit pas toujours cette situation. Elle s'utilise pour décrire la nécrose pancréatique. Les",
      "propositions de codage données en # 222230 restent donc valables. (AGORA - # 222552 le 16 novembre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K65.9": {
    "code": "K65.9",
    "description": "Péritonite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K66": {
    "code": "K66",
    "description": "Autres maladies du péritoine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ascite (R18)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K66.0": {
    "code": "K66.0",
    "description": "Adhérences péritonéales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences (de) : • diaphragmatiques",
      "• épiploïques",
      "• gastriques",
      "• intestinales",
      "• mésentériques",
      "• paroi abdominale",
      "• pelviennes, chez l’homme",
      "Brides d’adhérence"
    ],
    "comprend": [],
    "exclusions": [
      "adhérences ou brides : • avec occlusion intestinale (K56.5)",
      "• pelviennes, chez la femme (N73.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K66.1": {
    "code": "K66.1",
    "description": "Hémopéritoine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémopéritoine traumatique (S36.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K66.2": {
    "code": "K66.2",
    "description": "Fibrose rétropéritonéale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie d’Ormond"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K66.8": {
    "code": "K66.8",
    "description": "Autres maladies précisées du péritoine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome péritonéal",
      "Torsion d’un appendice épiploïque",
      "Appendagite",
      "Appendicite épiploïque",
      "le 21 décembre 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Après discussion au sein de l’ATIH, il a été convenu de coder en K66.8 l’infection du liquide de dialyse",
      "péritonéale (sauf péritonite vraie), afin d’être en accord avec la consigne donnée pour l’ascite. Ce code est",
      "choisi bien que le péritoine ne soit pas atteint, par assimilation au codage de l’hémopéritoine qui utilise aussi",
      "cette catégorie. L’ascite en est exclue et reste codée R18. Pour l’infection du liquide de dialyse péritonéale,",
      "Appendagite [Appendalgie] : après discussion avec les cliniciens le code retenu est K66.8 (AGORA - # 72978"
    ],
    "agora_refs": [
      "62713"
    ],
    "cocoa_notes": [
      "on associe au K66.8, le germe et le code T85.7 (AGORA - # 62713 le 24 avril 2012)"
    ]
  },
  "K66.9": {
    "code": "K66.9",
    "description": "Maladie du péritoine, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 529,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes péritonéales au cours de maladies infectieuses classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K67.0": {
    "code": "K67.0",
    "description": "Péritonite à Chlamydia (A74.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K67.1": {
    "code": "K67.1",
    "description": "Péritonite gonococcique (A54.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K67.2": {
    "code": "K67.2",
    "description": "Péritonite syphilitique (A52.7 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K67.3": {
    "code": "K67.3",
    "description": "Péritonite tuberculeuse (A18.3 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K67.8": {
    "code": "K67.8",
    "description": "Autres atteintes péritonéales au cours de maladies infectieuses classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "– ascite : R18",
      "– encéphalopathie hépatique : K72.– ; G94.3 *",
      "– syndrome hépatorénal : K76.7.",
      "Ascite infectée",
      "de gastroentérologie ?",
      "interdiction de coder une péritonite.",
      "2025)",
      "du Guide méthodologique en vigueur.",
      "Hépatosidérose métabolique"
    ],
    "comprend": [],
    "exclusions": [
      "hémochromatose (E83.1)",
      "hépatite virale (B15-B19)",
      "ictère SAI (R17.0)",
      "maladie de Wilson (E83.0)",
      "syndrome de Reye (G93.7)"
    ],
    "clinical_text": [
      "Cirrhose décompensée : décompensation œdémato-ascitique [DOA]",
      "Il n’existe pas de code spécifique pour signaler qu’une cirrhose est décompensée : cette forme se code comme une cirrhose, qu’elle",
      "soit d’origine alcoolique (K70.0, K70.3) ou non. Il est possible de coder les différentes manifestations prises en charge dont les principales",
      "sont les suivantes, en respectant les règles de recueil propres à chaque champ du PMSI :",
      "– hémorragie digestive par rupture de varices œsophagiennes : I98.3",
      "– ulcère gastrique ou duodénal aigu hémorragique : K25.0, K26.0",
      "ATIH – Fascicule de codage pour le PMSI – Maladies de l’appareil digestif - novembre 2015, p.5",
      "La Société nationale française de gastro-entérologie (SNFGE) a proposé de coder R18 (Ascite) les infections du liquide d’ascite ; cette",
      "décision a été validée par l’ATIH. Lorsqu’un germe est mis en évidence, on fait appel aux catégories B95-B96 pour l’identifier.",
      "Il n’est donc pas autorisé d’employer un code de péritonite dans cette situation.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008",
      "Est-il possible de réévaluer cette consigne de codage des ascites infectées, qui date de 2008, par un nouvel avis de la société française",
      "La question a de nouveau été soulevée au sein de notre établissement et la réponse ne semble plus si claire compte tenu des derniers",
      "échanges sur ce fil. Notre cheffe de service de gastro-entérologie m'a confirmé son désaccord quant au fondement médical de cette",
      "Un codage en DP R18 sur des séjours longs et compliqués pour infection du liquide d'ascite conduit toujours dans un GHM unique",
      "07M14Z ne faisant aucune distinction avec une décompensation ascitique simple et sans niveau de sévérité.",
      "Le codage d'une péritonite, même sur avis de notre médecin clinicien, nous expose à un redressement en cas de contrôle par",
      "l'assurance maladie basée sur cette règle présente dans les guides officiels de l'ATIH.",
      "Il n'y a pas encore de validation de la société savante pour la révision de cette consigne de codage. (AGORA - # 277642 le 23 juin",
      "La consigne ci-dessus extraite du fascicule II de 2008 constate de manière explicite l’absence de code pour la « cirrhose décompensée ».",
      "En revanche, aucune indication n’est donnée sur la hiérarchisation des diagnostics décrits. Chacun d’entre eux, ainsi que le code de la",
      "cirrhose elle-même, peut ainsi être placé en position de diagnostic principal après confrontation entre la situation clinique et les règles",
      "Cette affection associe une surcharge en fer hépatique et un syndrome d’insulinorésistance. L’atteinte hépatique est variable et sera",
      "codée selon sa nature : fibrose, sclérose, cirrhose, stéatose. L’anomalie du métabolisme du fer sera signalée par le code E83.1 (Anomalies",
      "du métabolisme du fer). La résistance à l’insuline ne peut se coder autrement que R73.9 (Hyperglycémie, sans précision).",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70": {
    "code": "K70",
    "description": "Maladie alcoolique du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70.0": {
    "code": "K70.0",
    "description": "Cirrhose alcoolique graisseuse du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 530,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Stéatose alcoolique du foie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70.1": {
    "code": "K70.1",
    "description": "Hépatite alcoolique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70.2": {
    "code": "K70.2",
    "description": "Fibrose et sclérose alcooliques du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70.3": {
    "code": "K70.3",
    "description": "Cirrhose alcoolique du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cirrhose alcoolique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70.4": {
    "code": "K70.4",
    "description": "Insuffisance hépatique alcoolique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Insuffisance hépatique alcoolique : • SAI",
      "• aiguë",
      "• avec ou sans coma hépatique",
      "• chronique",
      "• subaiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K70.9": {
    "code": "K70.9",
    "description": "Maladie alcoolique du foie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71": {
    "code": "K71",
    "description": "Maladie toxique du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• toxique (prévisible) médicamenteuse"
    ],
    "comprend": [],
    "exclusions": [
      "maladie alcoolique du foie (K70.-)",
      "syndrome de Budd-Chiari (I82.0)"
    ],
    "clinical_text": [
      "C omprend lésion hépatique : • idiosyncrasique (imprévisible) médicamenteuse",
      "médicamenteux ou autres. Elle est subdivisée selon les lésions histologiques prédominantes.",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.76 : la catégorie K71 est destinée au codage des atteintes hépatiques dues aux agents toxiques"
    ]
  },
  "K71.0": {
    "code": "K71.0",
    "description": ". (AGORA - # 175658 le 8 mars 2019)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstructives ou pures (biologique, sans obstruction).",
      "le 15 avril 2019)"
    ],
    "comprend": [],
    "exclusions": [
      "avec cholélithiase (K80.-)"
    ],
    "clinical_text": [
      "Les codes proposés dans la réponse # 175658 [K83.1 et K71.0] concernent bien le codage des cholestases",
      "Lorsque l'atteinte n'est pas une cholestase (hépatocytaire), il faut employer les nouveaux codes",
      "d'hyperbilirubinémie [R17.-], qui est aussi biologique et s'accompagne ou pas d'ictère. (AGORA - # 177794"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.1": {
    "code": "K71.1",
    "description": "Maladie toxique du foie avec nécrose hépatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Insuffisance hépatique (aiguë) (chronique) médicamenteuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.2": {
    "code": "K71.2",
    "description": "Maladie toxique du foie avec hépatite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.3": {
    "code": "K71.3",
    "description": "Maladie toxique du foie avec hépatite chronique persistante",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.4": {
    "code": "K71.4",
    "description": "Maladie toxique du foie avec hépatite chronique lobulaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.5": {
    "code": "K71.5",
    "description": "Maladie toxique du foie avec hépatite chronique active",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie toxique du foie avec hépatite lupoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.6": {
    "code": "K71.6",
    "description": "Maladie toxique du foie avec hépatite, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.7": {
    "code": "K71.7",
    "description": "Maladie toxique du foie avec fibrose et cirrhose du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.8": {
    "code": "K71.8",
    "description": "Maladie toxique du foie avec d’autres lésions du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 531,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie toxique du foie avec : • granulomes hépatiques",
      "• hyperplasie nodulaire en foyer",
      "• maladie veino-occlusive du foie",
      "• péliose hépatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K71.9": {
    "code": "K71.9",
    "description": "Maladie toxique du foie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K72": {
    "code": "K72",
    "description": "Insuffisance hépatique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend atrophie ou dystrophie jaune du foie",
      "coma hépatique SAI",
      "encéphalopathie hépatique SAI (G94.3 *)",
      "hépatite : • NCA, avec insuffisance hépatique",
      "• fulminante NCA, avec insuffisance hépatique",
      "• maligne NCA, avec insuffisance hépatique",
      "nécrose des hépatocytes avec insuffisance hépatique"
    ],
    "comprend": [],
    "exclusions": [
      "hépatite virale (B15-B19)",
      "ictère du fœtus et du nouveau-né (P55-P59)",
      "insuffisance • alcoolique (K70.4)",
      "hépatique : • avec maladie toxique du foie (K71.1)",
      "• compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)",
      "• grossesse, accouchement et puerpéralité (O26.6)",
      "encéphalopathie alcoolique (G31.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K72.0": {
    "code": "K72.0",
    "description": "Insuffisance hépatique aiguë et subaiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hépatite aiguë non virale SAI",
      "Insuffisance hépatique d’apparition tardive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K72.1": {
    "code": "K72.1",
    "description": "Insuffisance hépatique chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K72.9": {
    "code": "K72.9",
    "description": "Insuffisance hépatique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K73": {
    "code": "K73",
    "description": "Hépatite chronique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hépatite (chronique) : • alcoolique (K70.1)",
      "• granulomateuse NCA (K75.3)",
      "• médicamenteuse (K71.-)",
      "• réactive non spécifique (K75.2)",
      "• virale (B15-B19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K73.0": {
    "code": "K73.0",
    "description": "Hépatite chronique persistante, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K73.1": {
    "code": "K73.1",
    "description": "Hépatite chronique lobulaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K73.2": {
    "code": "K73.2",
    "description": "Hépatite chronique active, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K73.8": {
    "code": "K73.8",
    "description": "Autres hépatites chroniques, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K73.9": {
    "code": "K73.9",
    "description": "Hépatite chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74": {
    "code": "K74",
    "description": "Fibrose et cirrhose du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec maladie toxique du foie (K71.7)",
      "cirrhose (du foie) : • alcoolique (K70.3)",
      "• congénitale (P78.8)",
      "fibrose alcoolique du foie (K70.2)",
      "sclérose du foie d’origine cardiaque (K76.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.0": {
    "code": "K74.0",
    "description": "Fibrose hépatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.1": {
    "code": "K74.1",
    "description": "Sclérose hépatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.2": {
    "code": "K74.2",
    "description": "Fibrose hépatique, avec sclérose hépatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 532,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.3": {
    "code": "K74.3",
    "description": "Cirrhose biliaire primitive",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angiocholite destructive chronique, non suppurée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.4": {
    "code": "K74.4",
    "description": "Cirrhose biliaire secondaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.5": {
    "code": "K74.5",
    "description": "Cirrhose biliaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K74.6": {
    "code": "K74.6",
    "description": "Cirrhoses du foie, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cirrhose (du foie) : • SAI",
      "• cryptogénique",
      "• de type mixte",
      "• macronodulaire",
      "• micronodulaire",
      "• portale",
      "• post-nécrotique",
      "l’hépatite responsable (B18.-)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.76 : le codage de la cirrhose post-hépatitique associe au code K74.6 celui de la forme chronique de"
    ]
  },
  "K75": {
    "code": "K75",
    "description": "Autres maladies inflammatoires du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hépatite : • aiguë ou subaiguë : • non virale (K72.0)",
      "• SAI (B17.9)",
      "• chronique NCA (K73.-)",
      "• virale (B15-B19)",
      "maladie toxique du foie (K71.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.0": {
    "code": "K75.0",
    "description": "Abcès du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès hépatique : • SAI",
      "• angiocholique",
      "• hématogène",
      "• lymphogène",
      "• pyléphlébitique"
    ],
    "comprend": [],
    "exclusions": [
      "abcès amibien du foie (A06.4 †, K77.0 *)",
      "angiocholite sans abcès du foie (K83.0)",
      "pyléphlébite sans abcès du foie (K75.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.1": {
    "code": "K75.1",
    "description": "Phlébite de la veine porte",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pyléphlébite"
    ],
    "comprend": [],
    "exclusions": [
      "abcès pyléphlébitique du foie (K75.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.2": {
    "code": "K75.2",
    "description": "Hépatite réactive non spécifique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.3": {
    "code": "K75.3",
    "description": "Hépatite granulomateuse, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.4": {
    "code": "K75.4",
    "description": "Hépatite auto-immune",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite lupoïde NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.8": {
    "code": "K75.8",
    "description": "Autres maladies inflammatoires précisées du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Stéatohépatite non alcoolique [NASH] [non alcoholic steato-hepatitis]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K75.9": {
    "code": "K75.9",
    "description": "Maladie inflammatoire du foie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 533,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76": {
    "code": "K76",
    "description": "Autres maladies du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dégénérescence amyloïde du foie (E85.-)",
      "hépatomégalie SAI (R16.0)",
      "maladie : • alcoolique du foie (K70.-)",
      "• kystique du foie (congénitale) (Q44.6)",
      "• toxique du foie (K71.-)",
      "thrombose de la veine : • hépatique (I82.0)",
      "• porte (I81)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.0": {
    "code": "K76.0",
    "description": "Dégénérescence graisseuse du foie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Stéatose hépatique non alcoolique [NAFLD]",
      "Foie de choc et foie cardiaque",
      "veineuse centrale (SNFGE). »"
    ],
    "comprend": [],
    "exclusions": [
      "stéatohépatite non alcoolique [NASH] (K75.8)"
    ],
    "clinical_text": [
      "« Le syndrome de nécrose anoxique aiguë du foie (dite aussi « foie de choc ») est défini par l’ensemble des manifestations",
      "hépatiques secondaires à une diminution de l’apport en oxygène aux cellules hépatiques. On peut la rencontrer en cas de",
      "myocardite aiguë ou de trouble du rythme supra-ventriculaire au cours d’une cardiopathie chronique…",
      "Le foie cardiaque congestif est défini par l’ensemble des manifestations hépatiques secondaires à une élévation de la pression",
      "On emploiera K76.2 Nécrose hémorragique centrale du foie pour coder le foie de choc et K76.1 Congestion passive chronique",
      "du foie pour le foie cardiaque. Ce dernier code est toutefois accessoire par rapport celui de l’affection cardiaque causale.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.1": {
    "code": "K76.1",
    "description": "Congestion passive chronique du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Cirrhose du foie (dite) cardiaque",
      "Sclérose du foie d’origine cardiaque",
      "Foie cardiaque (coder également l’affection cardiaque)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.2": {
    "code": "K76.2",
    "description": "Nécrose hémorragique centrale du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Foie de choc"
    ],
    "comprend": [],
    "exclusions": [
      "nécrose du foie (avec insuffisance hépatique) (K72.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.3": {
    "code": "K76.3",
    "description": "Infarctus hépatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.4": {
    "code": "K76.4",
    "description": "Péliose hépatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angiomatose hépatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.5": {
    "code": "K76.5",
    "description": "Maladie veino-occlusive du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de Budd-Chiari (I82.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.6": {
    "code": "K76.6",
    "description": "Hypertension portale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.7": {
    "code": "K76.7",
    "description": "Syndrome hépato-rénal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "consécutif au travail et à l’accouchement (O90.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.8": {
    "code": "K76.8",
    "description": "Autres maladies précisées du foie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatoptose",
      "Hyperplasie hépatique nodulaire focale",
      "Kyste simple du foie",
      "Shunt vasculaire intra-hépatique acquis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K76.9": {
    "code": "K76.9",
    "description": "Maladie du foie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 534,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K77.0": {
    "code": "K77.0",
    "description": "Atteintes hépatiques au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Abcès amibien du foie (A06.4 †)",
      "Hépatite (à) : • cytomégalovirus (B25.1 †)",
      "• herpétique à herpès simplex (B00.8 †)",
      "• toxoplasme (B58.1 †)",
      "Hypertension portale au cours de schistosomiase (B65.- †)",
      "Schistosomiase hépato-splénique (B65.- †)",
      "Syphilis hépatique (A52.7 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K77.8": {
    "code": "K77.8",
    "description": "Atteintes hépatiques au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulomes hépatiques au cours de : • bérylliose (J63.2 †)",
      "• sarcoïdose (D86.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80": {
    "code": "K80",
    "description": "Cholélithiase",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.0": {
    "code": "K80.0",
    "description": "Calcul ou lithiase de la vésicule biliaire avec cholécystite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tout état mentionné en K80.2 avec cholécystite aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.1": {
    "code": "K80.1",
    "description": "Calcul ou lithiase de la vésicule biliaire avec une autre forme de cholécystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cholécystite avec cholélithiase SAI",
      "Tout état mentionné en K80.2 avec cholécystite (chronique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.2": {
    "code": "K80.2",
    "description": "Calcul ou lithiase de la vésicule biliaire sans cholécystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• vésicule biliaire sans précision ou sans cholécystite",
      "Cholécystolithiase sans précision ou sans cholécystite",
      "Cholélithiase sans précision ou sans cholécystite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Calcul (bloqué) de : • canal cystique sans précision ou sans cholécystite",
      "Colique biliaire (récidivante) sans précision ou sans cholécystite"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.3": {
    "code": "K80.3",
    "description": "Calcul ou lithiase des canaux biliaires avec angiocholite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Tout état mentionné en K80.5 avec angiocholite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.4": {
    "code": "K80.4",
    "description": "Calcul ou lithiase des canaux biliaires avec cholécystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tout état mentionné en K80.5 avec cholécystite (avec angiocholite)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.5": {
    "code": "K80.5",
    "description": "Calcul ou lithiase des canaux biliaires sans angiocholite ni cholécystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Calcul (bloqué) d’un canal biliaire SAI sans précision ou sans angiocholite ni cholécystite",
      "Cholélithiase hépatique sans précision ou sans angiocholite ni cholécystite",
      "Colique hépatique (récidivante) sans précision ou sans angiocholite ni cholécystite",
      "Lithiase du canal cholédoque sans précision ou sans angiocholite ni cholécystite"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K80.8": {
    "code": "K80.8",
    "description": "Autres cholélithiases",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 535,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K81": {
    "code": "K81",
    "description": "Cholécystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec cholélithiase (K80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K81.0": {
    "code": "K81.0",
    "description": "Cholécystite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès de la vésicule biliaire sans calcul",
      "Angiocholécystite sans calcul",
      "Cholécystite : • emphysémateuse (aiguë) sans calcul",
      "• gangréneuse sans calcul",
      "• suppurée sans calcul",
      "Empyème de la vésicule biliaire sans calcul",
      "Gangrène de la vésicule biliaire sans calcul"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K81.1": {
    "code": "K81.1",
    "description": "Cholécystite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K81.8": {
    "code": "K81.8",
    "description": "Autres cholécystites",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K81.9": {
    "code": "K81.9",
    "description": "Cholécystite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82": {
    "code": "K82",
    "description": "Autres maladies de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome post-cholécystectomie (K91.5)",
      "vésicule biliaire exclue (R93.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.0": {
    "code": "K82.0",
    "description": "Occlusion de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec cholélithiase (K80.-)"
    ],
    "clinical_text": [
      "Occlusion du canal cystique ou de la vésicule biliaire, sans calcul",
      "Rétrécissement du canal cystique ou de la vésicule biliaire, sans calcul",
      "Sténose du canal cystique ou de la vésicule biliaire, sans calcul"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.1": {
    "code": "K82.1",
    "description": "Hydrocholécyste",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Mucocèle de la vésicule biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.2": {
    "code": "K82.2",
    "description": "Perforation de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Rupture du canal cystique ou de la vésicule biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.3": {
    "code": "K82.3",
    "description": "Fistule de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Fistule cholécysto-colique cholécysto-duodénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.4": {
    "code": "K82.4",
    "description": "Choléstérolose de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vésicule fraise"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.8": {
    "code": "K82.8",
    "description": "Autres maladies précisées de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences du canal cystique ou de la vésicule biliaire",
      "Atrophie du canal cystique ou de la vésicule biliaire",
      "Dyskinésie du canal cystique ou de la vésicule biliaire",
      "Exclusion du canal cystique ou de la vésicule biliaire",
      "Hypertrophie du canal cystique ou de la vésicule biliaire",
      "Kyste du canal cystique ou de la vésicule biliaire",
      "Ulcère du canal cystique ou de la vésicule biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K82.9": {
    "code": "K82.9",
    "description": "Maladie de la vésicule biliaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 536,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83": {
    "code": "K83",
    "description": "Autres maladies des voies biliaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "états mentionnés concernant le canal cystique et la vésicule biliaire (K81-K82)",
      "syndrome post-cholécystectomie (K91.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.0": {
    "code": "K83.0",
    "description": "Angiocholite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cholangite",
      "Angiocholite : • SAI",
      "• ascendante",
      "• primaire",
      "• récidivante",
      "• sclérosante",
      "• secondaire",
      "• sténosante",
      "• suppurée"
    ],
    "comprend": [],
    "exclusions": [
      "abcès angiocholique du foie (K75.0)",
      "angiocholite : • avec lithiase du canal cholédoque (K80.3-K80.4)",
      "• destructive chronique, non suppurée (K74.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.1": {
    "code": "K83.1",
    "description": "Obstruction des voies biliaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Occlusion d’un canal biliaire, sans calcul",
      "Rétrécissement d’un canal biliaire, sans calcul",
      "Sténose d’un canal biliaire, sans calcul"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les cholestases obstructives se codent K83.1. Les cholestases « biologiques », avec ou sans ictère se codent"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.2": {
    "code": "K83.2",
    "description": "Perforation des voies biliaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Rupture d’un canal biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.3": {
    "code": "K83.3",
    "description": "Fistule des voies biliaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Fistule cholédoco-duodénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.4": {
    "code": "K83.4",
    "description": "Spasme du sphincter d’Oddi",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.5": {
    "code": "K83.5",
    "description": "Kyste biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.8": {
    "code": "K83.8",
    "description": "Autres maladies précisées des voies biliaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences d’un canal biliaire",
      "Atrophie d’un canal biliaire",
      "Hypertrophie d’un canal biliaire",
      "Ulcère d’un canal biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K83.9": {
    "code": "K83.9",
    "description": "Maladie des voies biliaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 537,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85": {
    "code": "K85",
    "description": "Pancréatite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Co mprend Abcès du pancréas",
      "Nécrose du pancréas : • aiguë",
      "• infectieuse",
      "Pancréatite : • SAI",
      "• aiguë (récidivante)",
      "• hémorragique",
      "• purulente",
      "• subaiguë",
      "Poussée aiguë de pancréatite chronique",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 125"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85.0": {
    "code": "K85.0",
    "description": "Pancréatite aiguë idiopathique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85.1": {
    "code": "K85.1",
    "description": "Pancréatite aiguë d’origine biliaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pancréatite aiguë secondaire à des calculs ou lithiases biliaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85.2": {
    "code": "K85.2",
    "description": "Pancréatite aiguë alcoolique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85.3": {
    "code": "K85.3",
    "description": "Pancréatite aiguë médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85.8": {
    "code": "K85.8",
    "description": "Autres pancréatites aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K85.9": {
    "code": "K85.9",
    "description": "Pancréatite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pour les pancréatites aiguës, il y a trois principales possibilités de codage en CIM-10 :",
      "1- Une pancréatite aiguë œdémateuse sans nécrose se code K85.-",
      "2- Une pancréatite aiguë avec nécrose (intra ou extrapancréatique) non infectée se code aussi K85.-. La nécrose est aussi",
      "décrite par ce code. En revanche, le niveau de sévérite de cette atteinte, comparé à celui d’une pancréatite sans nécrose,",
      "peut être différencié par les codes associés de défaillances d’organes et de complications",
      "3- Une pancréatite aiguë avec nécrose (intra ou extrapancréatique) infectée se code K85.- + K65.0 Péritonite aiguë",
      "(comprenant l’abcès rétropéritonéal) + l’agent infectieux retrouvé.",
      "lorsque la nécrose pancréatique envahit la cavité abdominale vers les organes voisins, le K65.8 peut être codé lorsqu'il décrit",
      "l'une des complications. En revanche, selon l'avis des cliniciens, l'expression « coulée de nécrose » ne traduit pas toujours",
      "cette situation. Elle s'utilise pour décrire la nécrose pancréatique. Les propositions de codage données en # 222230 restent"
    ],
    "agora_refs": [
      "222230",
      "222552"
    ],
    "cocoa_notes": [
      "(AGORA - # 222230 le 15 novembre 2021)",
      "donc valables. (AGORA - # 222552 le 16 novembre 2021)"
    ]
  },
  "K86": {
    "code": "K86",
    "description": "Autres maladies du pancréas",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie fibrokystique du pancréas (E84.-)",
      "stéatorrhée pancréatique (K90.3)",
      "tumeur à cellules insulaires (du pancréas) (D13.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K86.0": {
    "code": "K86.0",
    "description": "Pancréatite chronique alcoolique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K86.1": {
    "code": "K86.1",
    "description": "+8 Pancréatites chroniques, autres et non précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K86.2": {
    "code": "K86.2",
    "description": "Kyste du pancréas",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 538,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K86.3": {
    "code": "K86.3",
    "description": "Pseudokyste du pancréas",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le pseudokyste du pancréas surinfecté se code en associant K86.3 et le code du germe en l’absence de plus"
    ],
    "agora_refs": [
      "69864"
    ],
    "cocoa_notes": [
      "de précision (AGORA - # 69864 le 27 septembre 2012)"
    ]
  },
  "K86.8": {
    "code": "K86.8",
    "description": "Autres maladies précisées du pancréas",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atrophie du pancréas",
      "Calcul ou lithiase du pancréas",
      "Calcul ou lithiase du canal de Wirsung",
      "Cirrhose du pancréas",
      "Fibrose du pancréas",
      "Nécrose : • SAI du pancréas",
      "• aseptique du pancréas",
      "• graisseuse du pancréas",
      "Infantilisme pancréatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K86.9": {
    "code": "K86.9",
    "description": "Maladie du pancréas, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes de la vésicule biliaire, des voies biliaires et du pancréas au"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K87.0": {
    "code": "K87.0",
    "description": "Atteinte de la vésicule biliaire et des voies biliaires au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K87.00": {
    "code": "K87.00",
    "description": "Cholangite à cytomégalovirus (B25.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K87.08": {
    "code": "K87.08",
    "description": "Atteinte de la vésicule biliaire et des voies biliaires au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K87.1": {
    "code": "K87.1",
    "description": "Atteinte du pancréas au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pancréatite (à) : • cytomégalovirus (B25.2 †)",
      "• ourlienne (B26.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90": {
    "code": "K90",
    "description": "Malabsorption intestinale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "après chirurgie gastro-intestinale (K91.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.0": {
    "code": "K90.0",
    "description": "Maladie cœliaque",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Intolérance au gluten",
      "Sprue non tropicale",
      "Stéatorrhée idiopathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.1": {
    "code": "K90.1",
    "description": "Sprue tropicale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sprue SAI",
      "Stéatorrhée tropicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.2": {
    "code": "K90.2",
    "description": "Syndrome de l’anse borgne, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de l’anse borgne SAI"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de l’anse borgne : • congénital (Q43.8)",
      "• post-chirurgical (K91.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.3": {
    "code": "K90.3",
    "description": "Stéatorrhée pancréatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 539,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance pancréatique exocrine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.4": {
    "code": "K90.4",
    "description": "Malabsorption due à une intolérance, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malabsorption due à une intolérance (à) : • amidon",
      "• glucides",
      "• lipides",
      "• protides"
    ],
    "comprend": [],
    "exclusions": [
      "intolérance au : • gluten (K90.0)",
      "• lactose (E73.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.8": {
    "code": "K90.8",
    "description": "Autres malabsorptions intestinales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Whipple † (M14.8 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K90.9": {
    "code": "K90.9",
    "description": "Malabsorption intestinale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thérapeutique, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "colite (K52.0) due à une irradiation",
      "gastro-entérite (K52.0) due à une irradiation",
      "rectite due à une irradiation",
      "ulcère gastro-jéjunal (K28.-)"
    ],
    "clinical_text": [
      "Atteintes de l’appareil digestif après un acte à visée diagnostique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K91.0": {
    "code": "K91.0",
    "description": "Vomissements consécutifs à une intervention gastro-intestinale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K91.1": {
    "code": "K91.1",
    "description": "Syndromes consécutifs à une intervention gastrique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome (de) : • chasse",
      "• post-gastrectomique",
      "• post-vagotomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K91.2": {
    "code": "K91.2",
    "description": "Malabsorption post-chirurgicale, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome post-chirurgical de l’anse borgne"
    ],
    "comprend": [],
    "exclusions": [
      "ostéomalacie de l’adulte due à une malabsorption (M83.2)",
      "ostéoporose consécutive à une malabsorption post-chirurgicale (M81.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K91.3": {
    "code": "K91.3",
    "description": "Occlusion intestinale post-opératoire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Discussion sur les iléus post-opératoires :",
      "2024)",
      "- # 265649 le 12 juillet 2024)",
      "le 4 mars 2025)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "on parle d'iléus réflexe, d'occlusion fonctionnelle ou d'iléus fonctionnel post-opératoires traités par pose de",
      "SNG. Pourquoi le code K56.0 Iléus paralytique ne conviendrait-il pas en DAS ? (AGORA - # 265622 le 12 juillet",
      "les complications post-opératoires de l'appareil digestif sont codés en K91. Mais comme il ne s'agissait pas",
      "d'une occlusion mécanique (bride, adhérences...etc) dans les cas cités, le K91.3 n'a pas été proposé. (AGORA",
      "Il n'y a pas de nouvelles consignes de codage concernant les iléus post-opératoires. Tant que la relation de",
      "causalité est établie, il conviendra de choisir le code CIM-10 qui décrit le mieux ce lien. (AGORA - # 272500"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K91.4": {
    "code": "K91.4",
    "description": "Mauvais résultats fonctionnels d’une colostomie et d’une entérostomie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K91.5": {
    "code": "K91.5",
    "description": "Syndrome post-cholécystectomie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 540,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres atteintes de l’appareil digestif après un acte à visée diagnostique et thérapeutique, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K92": {
    "code": "K92",
    "description": "Autres maladies du système digestif",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémorragies gastro-intestinales néonatales (P54.0-P54.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K92.0": {
    "code": "K92.0",
    "description": "Hématémèse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K92.1": {
    "code": "K92.1",
    "description": "Melæna [méléna]",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hemoccult® positif",
      "Autres anomalies de matières fécales pour décrire ce signe.",
      "2008"
    ],
    "comprend": [],
    "exclusions": [
      "présence occulte de sang dans les selles (R19.5)",
      "test immunochimique de recherche de sang occulte dans les selles [FIT] positif (R19.5)"
    ],
    "clinical_text": [
      "Le test Hemoccult® vise à rechercher la présence de sang dans les selles. Il est utile en",
      "cas d’absence de saignement cliniquement évident ; sa positivité signe alors la présence",
      "occulte de sang dans les selles. L’OMS a créé une inclusion spécifique au code R19.5",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K92.2": {
    "code": "K92.2",
    "description": "Hémorragie gastro-intestinale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémorragie : • gastrique SAI",
      "• intestinale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "avec ulcère digestif (K25-K28)",
      "gastrite hémorragique aiguë (K29.0)",
      "hémorragie de l’anus et du rectum (K62.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K92.8": {
    "code": "K92.8",
    "description": "Autres maladies précisées du système digestif",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K92.9": {
    "code": "K92.9",
    "description": "Maladie du système digestif, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes d’autres organes de l’appareil digestif au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.0": {
    "code": "K93.0",
    "description": "Atteintes tuberculeuses de l’intestin, du péritoine et des ganglions mésentériques (A18.3 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "péritonite tuberculeuse (K67.3 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.1": {
    "code": "K93.1",
    "description": "Mégacôlon au cours de la maladie de Chagas (B57.3 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.8": {
    "code": "K93.8",
    "description": "Atteintes d’autres organes digestifs précisés au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.80": {
    "code": "K93.80",
    "description": "Atteintes de la cavité buccale au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.81": {
    "code": "K93.81",
    "description": "Atteintes de l’estomac au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.82": {
    "code": "K93.82",
    "description": "8 * Atteintes de l’intestin au cours d’autres maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.83": {
    "code": "K93.83",
    "description": "8 * Atteintes du rectum au cours d’autres maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.84": {
    "code": "K93.84",
    "description": "8 * Atteintes de l’anus au cours d’autres maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "K93.88": {
    "code": "K93.88",
    "description": "Atteintes d’organes digestifs autres, au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil digestif",
    "page": 541,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "affections disséminées du tissu conjonctif (M30-M36)",
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "certaines maladies infectieuses et parasitaires (A00-B99)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "réticulose lipomélanique (I89.8)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L14": {
    "code": "L14",
    "description": "* Dermatoses bulleuses au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": true,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections de la peau et du tissu cellulaire sous-cutané liées à une irradiation (L55-L59)",
      "dermite (de) : • avec peau sèche (L85.3)",
      "• factice (L98.1)",
      "• gangréneuse (L08.0)",
      "• herpétiforme (L13.0)",
      "• périorale (L71.0)",
      "• stase (I83.1-I83.2)",
      "maladie granulomateuse chronique (infantile) (D71)"
    ],
    "clinical_text": [
      "Note : Dans cette catégorie, les termes dermite et eczéma sont utilisés comme synonymes et sont interchangeables."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L45": {
    "code": "L45",
    "description": "* Lésions papulo-squameuses au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "acné rosacée (L71.-)",
      "maladie de Lyme (A69.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L54": {
    "code": "L54",
    "description": "* Érythèmes au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L62": {
    "code": "L62",
    "description": "* Maladies des ongles au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L86": {
    "code": "L86",
    "description": "* Kératodermie au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Kératose folliculaire due à l’avitaminose A (E50.8 †)",
      "Xerodermie due à l’avitaminose A (E50.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L99": {
    "code": "L99",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 568,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "de maladies classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L00": {
    "code": "L00",
    "description": "Syndrome d’épidermolyse staphylococcique du nourrisson",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 544,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Maladie de Ritter von Rittershain",
      "Pemphigus épidémique du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [
      "épidermolyse nécrosante suraiguë [Lyell] (L51.2)"
    ],
    "clinical_text": [
      "C omprend Dermatite exfoliatrice staphylococcique du nourrisson"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L01": {
    "code": "L01",
    "description": "Impétigo",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 544,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "impétigo herpétiforme (L40.1)",
      "pemphigus épidémique du nouveau-né (L00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L01.0": {
    "code": "L01.0",
    "description": "Impétigo [tout microorganisme] [toute localisation]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 544,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "impétigo de toute localisation et de tout micro-organisme",
      "Impétigo de Bockhart"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L01.1": {
    "code": "L01.1",
    "description": "Impétiginisation d’autres dermatoses",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 544,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L02": {
    "code": "L02",
    "description": "Abcès cutané, furoncle et anthrax",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "Clou",
      "Furonculose"
    ],
    "exclusions": [
      "organes génitaux (externes) de : • femme (N76.4)",
      "• homme (N48.2, N49.-)",
      "régions anale et rectale (K61.-)"
    ],
    "clinical_text": [
      "Abcès cervical interne post laminectomie : s’il s’agit d’un abcès des tissus mous cutanés et sous-cutanés vous emploierez"
    ],
    "agora_refs": [
      "138126"
    ],
    "cocoa_notes": [
      "la catégorie L02 associée aux codes des germes et T81.4 (AGORA - # 138126 le 4 septembre 2016)"
    ]
  },
  "L02.0": {
    "code": "L02.0",
    "description": "Abcès cutané, furoncle et anthrax de la face",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bouche (K12.2)",
      "glande lacrymale (H04.0)",
      "nez (J34.0)",
      "orbite (H05.0)",
      "oreille externe (H60.0)",
      "paupière (H00.0)",
      "sous-maxillaire (K12.2)",
      "tête (toute partie autre que la face) (L02.8)",
      "voies lacrymales (H04.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L02.1": {
    "code": "L02.1",
    "description": "Abcès cutané, furoncle et anthrax du cou",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L02.2": {
    "code": "L02.2",
    "description": "Abcès cutané, furoncle et anthrax du tronc",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Aine",
      "Dos [toute partie autre que la fesse]",
      "Ombilic",
      "Paroi : • abdominale",
      "• thoracique",
      "Périnée"
    ],
    "comprend": [],
    "exclusions": [
      "hanche (L02.4)",
      "omphalite du nouveau-né (P38)",
      "sein (N61)"
    ],
    "clinical_text": [
      "Un kyste épidermique surinfecté sous la forme d’un abcès associe L72.0 et L02.2 pour l’abcès. Sans abcès",
      "Un patient présente un écoulement purulent au niveau de sa pompe à insuline, à l’échographie on retrouve",
      "une collection infectieuse et le prélèvement est positif à Staph. Aureus."
    ],
    "agora_refs": [
      "75172",
      "239988"
    ],
    "cocoa_notes": [
      "un kyste épidermique surinfecté associe L72.0 et L08.8 (AGORA - # 75172 le 7 février 2013)",
      "Si abcès cutané à staphylococcus aureus, coder L02.2 et T81.4 et B95.6 (AGORA – # 239988 le 9 février 2023)"
    ]
  },
  "L02.3": {
    "code": "L02.3",
    "description": "Abcès cutané, furoncle et anthrax de la fesse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Région fessière"
    ],
    "comprend": [],
    "exclusions": [
      "sinus pilonidal avec abcès (L05.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L02.4": {
    "code": "L02.4",
    "description": "Abcès cutané, furoncle et anthrax d’un membre",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Aisselle",
      "Épaule",
      "Hanche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Abcès du Scarpa après chirurgie vasculaire : coder l'abcès du membre inférieur en DP associé au code T de"
    ],
    "agora_refs": [
      "269791"
    ],
    "cocoa_notes": [
      "complication. (AGORA - # 269791 le 9 décembre 2024)"
    ]
  },
  "L02.8": {
    "code": "L02.8",
    "description": "Abcès cutané, furoncle et anthrax d’autres localisations",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cuir chevelu",
      "Tête [toute partie autre que la face]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L02.9": {
    "code": "L02.9",
    "description": "Abcès cutané, furoncle et anthrax, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 545,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Furonculose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03": {
    "code": "L03",
    "description": "Phlegmon",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "lymphangite aiguë"
    ],
    "exclusions": [
      "dermatose neutrophile fébrile [Sweet] (L98.2)",
      "lymphangite (chronique) (subaiguë) (I89.1)",
      "phlegmon (à) (de) : • appareil lacrymal (H04.3)",
      "• bouche (K12.2)",
      "• conduit auditif externe (H60.1)",
      "• éosinophiles [Wells] (L98.3)",
      "• nez (J34.0)",
      "• organes génitaux externes de : • homme (N48.2, N49.-)",
      "• femme (N76.4)",
      "• paupière (H00.0)",
      "• régions anale et rectale (K61.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03.0": {
    "code": "L03.0",
    "description": "Phlegmon des doigts et des orteils",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Infection de l’ongle",
      "Onychie",
      "Paronychie",
      "Périonyxis",
      "Panaris"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03.1": {
    "code": "L03.1",
    "description": "Phlegmon d’autres parties d’un membre",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Aisselle",
      "Épaule",
      "Hanche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03.2": {
    "code": "L03.2",
    "description": "Phlegmon de la face",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cellulite faciale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03.3": {
    "code": "L03.3",
    "description": "Phlegmon du tronc",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Aine",
      "Dos [toute partie]",
      "Ombilic",
      "Paroi : • abdominale",
      "• thoracique",
      "Périnée"
    ],
    "comprend": [],
    "exclusions": [
      "omphalite du nouveau-né (P38)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03.8": {
    "code": "L03.8",
    "description": "Phlegmon d’autres localisations",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Cuir chevelu",
      "Tête [toute partie autre que la face]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L03.9": {
    "code": "L03.9",
    "description": "Phlegmon, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 546,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04": {
    "code": "L04",
    "description": "Lymphadénite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "abcès (aigu) tout ganglion lymphatique, sauf mésentérique",
      "lymphadénite aiguë tout ganglion lymphatique, sauf mésentérique"
    ],
    "exclusions": [
      "adénopathies (R59.-)",
      "lymphadénite : • SAI (I88.9)",
      "• chronique ou subaiguë, sauf mésentérique (I88.1)",
      "• mésentérique, non spécifique (I88.0)",
      "maladie due au virus de l’immunodéficience humaine [VIH] à l’origine d’adénopathies généralisées (B23.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04.0": {
    "code": "L04.0",
    "description": "Lymphadénite aiguë de la face, de la tête et du cou",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04.1": {
    "code": "L04.1",
    "description": "Lymphadénite aiguë du tronc",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04.2": {
    "code": "L04.2",
    "description": "Lymphadénite aiguë d’un membre supérieur",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aisselle",
      "Épaule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04.3": {
    "code": "L04.3",
    "description": "Lymphadénite aiguë d’un membre inférieur",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hanche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04.8": {
    "code": "L04.8",
    "description": "Lymphadénite aiguë d’autres localisations",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L04.9": {
    "code": "L04.9",
    "description": "Lymphadénite aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L05": {
    "code": "L05",
    "description": "Sinus pilonidal",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "fistule coccygienne ou pilonidale",
      "kyste coccygien ou pilonidal"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L05.0": {
    "code": "L05.0",
    "description": "Sinus pilonidal avec abcès",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L05.9": {
    "code": "L05.9",
    "description": "Sinus pilonidal sans abcès",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste pilonidal SAI",
      "cutané"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres infections localisées de la peau et du tissu cellulaire sous-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L08.0": {
    "code": "L08.0",
    "description": "Pyodermite",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Dermite : • gangréneuse",
      "• purulente",
      "• septique",
      "• suppurée"
    ],
    "comprend": [],
    "exclusions": [
      "pyodermite gangréneuse (L88)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L08.1": {
    "code": "L08.1",
    "description": "Erythrasma",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L08.8": {
    "code": "L08.8",
    "description": "Autres infections localisées précisées de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un kyste épidermique surinfecté sous la forme d’un abcès associe L72.0 et L02.2 pour l’abcès. Sans abcès,"
    ],
    "agora_refs": [
      "75172",
      "96320"
    ],
    "cocoa_notes": [
      "un kyste épidermique surinfecté associe L72.0 et L08.8 (AGORA - # 75172 le 7 février 2013)",
      "Dermohypodermite : nous conseillons de coder L08.8 cette affection (AGORA - # 96320 le 28 mars 2014)"
    ]
  },
  "L08.9": {
    "code": "L08.9",
    "description": "Infection localisée de la peau et du tissu cellulaire sous-cutané, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 547,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "épidermolyse nécrosante suraiguë [Lyell] (L51.2)",
      "pemphigus bénin familial [Hailey-Hailey] (Q82.8)",
      "syndrome d’épidermolyse staphylococcique du nourrisson (L00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10": {
    "code": "L10",
    "description": "Pemphigus",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pemphigus épidémique du nouveau-né (L00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.0": {
    "code": "L10.0",
    "description": "Pemphigus vulgaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.1": {
    "code": "L10.1",
    "description": "Pemphigus végétant",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.2": {
    "code": "L10.2",
    "description": "Pemphigus foliacé",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.3": {
    "code": "L10.3",
    "description": "Pemphigus brésilien [fogo selvagem]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.4": {
    "code": "L10.4",
    "description": "Pemphigus érythémateux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Senear-Usher"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.5": {
    "code": "L10.5",
    "description": "Pemphigus médicamenteux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.8": {
    "code": "L10.8",
    "description": "Autres formes de pemphigus",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L10.9": {
    "code": "L10.9",
    "description": "Pemphigus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L11": {
    "code": "L11",
    "description": "Autres acantholyses",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L11.0": {
    "code": "L11.0",
    "description": "Kératose folliculaire acquise",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kératose folliculaire (congénitale) [Darier-White] (Q82.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L11.1": {
    "code": "L11.1",
    "description": "Dermatose acantholytique transitoire [Grover]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L11.8": {
    "code": "L11.8",
    "description": "Autres formes précisées d’acantholyse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L11.9": {
    "code": "L11.9",
    "description": "Acantholyse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12": {
    "code": "L12",
    "description": "Pemphigoïde",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "herpès gestationis (O26.4)",
      "impétigo herpétiforme (L40.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12.0": {
    "code": "L12.0",
    "description": "Pemphigoïde bulleux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12.1": {
    "code": "L12.1",
    "description": "Pemphigoïde cicatriciel",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pemphigoïde muqueux bénin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12.2": {
    "code": "L12.2",
    "description": "Maladie chronique bulleuse de l’enfance",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dermatite herpétiforme juvénile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12.3": {
    "code": "L12.3",
    "description": "Épidermolyse bulleuse acquise",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "épidermolyse bulleuse (congénitale) (Q81.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12.8": {
    "code": "L12.8",
    "description": "Autres pemphigoïdes",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L12.9": {
    "code": "L12.9",
    "description": "Pemphigoïde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 548,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L13": {
    "code": "L13",
    "description": "Autres dermatoses bulleuses",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L13.0": {
    "code": "L13.0",
    "description": "Dermite herpétiforme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Duhring-Brocq"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L13.1": {
    "code": "L13.1",
    "description": "Pustulose sous-cornée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Sneddon-Wilkinson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L13.8": {
    "code": "L13.8",
    "description": "Autres dermatoses bulleuses précisées",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "87868"
    ],
    "cocoa_notes": [
      "Pustulose exanthématique aiguë généralisée (AGORA - # 87868 le 18 octobre 2013)"
    ]
  },
  "L13.9": {
    "code": "L13.9",
    "description": "Dermatose bulleuse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L20": {
    "code": "L20",
    "description": "Dermite atopique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "névrodermite circonscrite (L28.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L20.0": {
    "code": "L20.0",
    "description": "Prurigo de Besnier",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L20.8": {
    "code": "L20.8",
    "description": "Autres dermites atopiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Eczéma (de) : • infantile (aigu) (chronique)",
      "• intrinsèque (allergique)",
      "• plis de flexion NCA",
      "Névrodermite : • atopique",
      "• diffuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L20.9": {
    "code": "L20.9",
    "description": "Dermite atopique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L21": {
    "code": "L21",
    "description": "Dermite séborrhéique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite infectée (L30.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L21.0": {
    "code": "L21.0",
    "description": "Séborrhée de la tête",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Croûte de lait"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L21.1": {
    "code": "L21.1",
    "description": "Dermite séborrhéique infantile",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L21.8": {
    "code": "L21.8",
    "description": "Autres dermites séborrhéiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L21.9": {
    "code": "L21.9",
    "description": "Dermite séborrhéique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 549,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L22": {
    "code": "L22",
    "description": "Dermite fessière du nourrisson",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Érythème fessier",
      "Rash fessier psoriasiforme",
      "Rougeurs des fesses"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "162769"
    ],
    "cocoa_notes": [
      "Psoriasis napkin : L22 (AGORA - # 162769 le 14mai 2018)"
    ]
  },
  "L23": {
    "code": "L23",
    "description": "Dermite allergique de contact",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "eczéma allergique de contact"
    ],
    "exclusions": [
      "affections de la peau et du tissu cellulaire sous-cutané liées à une irradiation (L55-L59)",
      "allergie SAI (T78.4)",
      "dermite (de) : • SAI (L30.9)",
      "• contact (de) : • SAI (L25.9)",
      "• irritante (L24.-)",
      "• paupière (H01.1)",
      "• due à des substances prises par voie interne (L27.-)",
      "• fessière du nourrisson (L22)",
      "• périorale (L71.0)",
      "eczéma de l’oreille externe (H60.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.0": {
    "code": "L23.0",
    "description": "Dermite allergique de contact due aux métaux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chrome",
      "Nickel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.1": {
    "code": "L23.1",
    "description": "Dermite allergique de contact due aux adhésifs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.2": {
    "code": "L23.2",
    "description": "Dermite allergique de contact due aux cosmétiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.3": {
    "code": "L23.3",
    "description": "Dermite allergique de contact due à des médicaments en contact avec la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à l’ingestion de médicaments (L27.0-L27.1)",
      "réaction allergique SAI due aux médicaments (T88.7)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.4": {
    "code": "L23.4",
    "description": "Dermite allergique de contact due aux teintures",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.5": {
    "code": "L23.5",
    "description": "Dermite allergique de contact due à d’autres produits chimiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Caoutchouc",
      "Ciment",
      "Insecticides",
      "Plastique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.6": {
    "code": "L23.6",
    "description": "Dermite allergique de contact due à des aliments en contact avec la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à l’ingestion d’aliments (L27.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.7": {
    "code": "L23.7",
    "description": "Dermite allergique de contact due aux végétaux, sauf aliments",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.8": {
    "code": "L23.8",
    "description": "Dermite allergique de contact due à d’autres agents",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L23.9": {
    "code": "L23.9",
    "description": "Dermite allergique de contact, cause non précisée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 550,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Eczéma allergique de contact SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24": {
    "code": "L24",
    "description": "Dermite irritante de contact",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "eczéma irritant de contact"
    ],
    "exclusions": [
      "affections de la peau et du tissu cellulaire sous-cutané liées à une irradiation (L55-L59)",
      "allergie SAI (T78.4)",
      "dermite (de) : • SAI (L30.9)",
      "• allergique de contact (L23.-)",
      "• contact (de) : • SAI (L25.9)",
      "• paupière (H01.1)",
      "• due à des substances prises par voie interne (L27.-)",
      "• fessière du nourrisson (L22)",
      "• périorale (L71.0)",
      "eczéma de l’oreille externe (H60.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.0": {
    "code": "L24.0",
    "description": "Dermite irritante de contact due aux détergents",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.1": {
    "code": "L24.1",
    "description": "Dermite irritante de contact due aux huiles et aux graisses",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.2": {
    "code": "L24.2",
    "description": "Dermite irritante de contact due aux solvants",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Solvants du groupe : • cétones",
      "• composés chlorés",
      "• cyclohexane",
      "• ester",
      "• glycol",
      "• hydrocarbures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.3": {
    "code": "L24.3",
    "description": "Dermite irritante de contact due aux cosmétiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.4": {
    "code": "L24.4",
    "description": "Dermite irritante de contact due à des médicaments en contact avec la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à l’ingestion de médicaments (L27.0-L27.1)",
      "réaction allergique SAI due aux médicaments (T88.7)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.5": {
    "code": "L24.5",
    "description": "Dermite irritante de contact due à d’autres produits chimiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ciment",
      "Insecticides"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.6": {
    "code": "L24.6",
    "description": "Dermite irritante de contact due à des aliments en contact avec la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à l’ingestion d’aliments (L27.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.7": {
    "code": "L24.7",
    "description": "Dermite irritante de contact due aux végétaux, sauf aliments",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.8": {
    "code": "L24.8",
    "description": "Dermite irritante de contact due à d’autres agents",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Teintures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L24.9": {
    "code": "L24.9",
    "description": "Dermite irritante de contact, cause non précisée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 551,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Eczéma irritant de contact SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25": {
    "code": "L25",
    "description": "Dermite de contact, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend eczéma de contact, sans précision"
    ],
    "comprend": [],
    "exclusions": [
      "affections de la peau et du tissu cellulaire sous-cutané liées à une irradiation (L55-L59)",
      "allergie SAI (T78.4)",
      "dermite (de) : • SAI (L30.9)",
      "• allergique de contact (L23.-)",
      "• contact de la paupière (H01.1)",
      "• due à des substances prises par voie interne (L27.-)",
      "• irritante de contact (L24.-)",
      "• périorale (L71.0)",
      "eczéma de l’oreille externe (H60.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.0": {
    "code": "L25.0",
    "description": "Dermite de contact, sans précision, due aux cosmétiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.1": {
    "code": "L25.1",
    "description": "Dermite de contact, sans précision, due à des médicaments en contact avec la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à l’ingestion de médicaments (L27.0-L27.1)",
      "réaction allergique SAI due aux médicaments (T88.7)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.2": {
    "code": "L25.2",
    "description": "Dermite de contact, sans précision, due aux teintures",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.3": {
    "code": "L25.3",
    "description": "Dermite de contact, sans précision, due à d’autres produits chimiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ciment",
      "Insecticides"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.4": {
    "code": "L25.4",
    "description": "Dermite de contact, sans précision, due à des aliments en contact avec la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à l’ingestion d’aliments (L27.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.5": {
    "code": "L25.5",
    "description": "Dermite de contact, sans précision, due aux végétaux, sauf aliments",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.8": {
    "code": "L25.8",
    "description": "Dermite de contact, sans précision, due à d’autres agents",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L25.9": {
    "code": "L25.9",
    "description": "Dermite de contact, sans précision, de cause non précisée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite de contact (professionnelle) SAI",
      "Eczéma de contact (professionnel) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L26": {
    "code": "L26",
    "description": "Dermite exfoliatrice",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Pityriasis rubra (Hebra)"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Ritter von Rittershain (L00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L27": {
    "code": "L27",
    "description": "Dermite due à des substances prises par voie interne",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "allergie SAI (T78.4)",
      "dermite de contact (L23-L25)",
      "effets secondaires (de) : • SAI de médicaments (T88.7)",
      "• denrées alimentaires, sauf dermite (T78.0-T78.1)",
      "réaction : • photo-allergique à un médicament (L56.1)",
      "• photo-toxique à un médicament (L56.0)",
      "urticaire (L50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L27.0": {
    "code": "L27.0",
    "description": "Éruption généralisée due à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.81 : Comprend la toxidermie"
    ]
  },
  "L27.1": {
    "code": "L27.1",
    "description": "Éruption localisée due à des médicaments",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L27.2": {
    "code": "L27.2",
    "description": "Dermite due à l’ingestion d’aliments",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 552,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite due à des aliments en contact avec la peau (L23.6, L24.6, L25.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L27.8": {
    "code": "L27.8",
    "description": "Dermite due à d’autres substances prises par voie interne",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L27.9": {
    "code": "L27.9",
    "description": "Dermite due à une substance non précisée prise par voie interne",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L28": {
    "code": "L28",
    "description": "Lichen simplex chronique et prurigo",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L28.0": {
    "code": "L28.0",
    "description": "Lichen simplex chronique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lichen SAI",
      "Névrodermite circonscrite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L28.1": {
    "code": "L28.1",
    "description": "Prurigo nodulaire de Hyde",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L28.2": {
    "code": "L28.2",
    "description": "Autres formes de prurigo",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Prurigo (de) : • SAI",
      "• Hebra",
      "• mitis",
      "Urticaire papuleuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29": {
    "code": "L29",
    "description": "Prurit",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "excoriation névrotique (L98.1)",
      "prurit psychogène (F45.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29.0": {
    "code": "L29.0",
    "description": "Prurit anal",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29.1": {
    "code": "L29.1",
    "description": "Prurit scrotal",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29.2": {
    "code": "L29.2",
    "description": "Prurit vulvaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29.3": {
    "code": "L29.3",
    "description": "Prurit anogénital, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29.8": {
    "code": "L29.8",
    "description": "Autres prurits",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L29.9": {
    "code": "L29.9",
    "description": "Prurit, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Démangeaison SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30": {
    "code": "L30",
    "description": "Autres dermites",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite (de) : • avec peau sèche (L85.3)",
      "• contact (L23-L25)",
      "• stase (I83.1-I83.2)",
      "para-psoriasis à petites plaques (L41.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.0": {
    "code": "L30.0",
    "description": "Dermite nummulaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.1": {
    "code": "L30.1",
    "description": "Dyshidrose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pompholyx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.2": {
    "code": "L30.2",
    "description": "Auto-sensibilisation cutanée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Candidide",
      "Lévuride",
      "Dermatophytide",
      "Eczématide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.3": {
    "code": "L30.3",
    "description": "Dermite infectée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Dermite eczématoïde infectieuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.4": {
    "code": "L30.4",
    "description": "Intertrigo (érythémateux)",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 553,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Intertrigo candidosique : coder en plus B37.2",
      "Mycose des plis SAI : coder en plus B36.9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.5": {
    "code": "L30.5",
    "description": "Pityriasis alba",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.8": {
    "code": "L30.8",
    "description": "Autres dermites précisées",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L30.9": {
    "code": "L30.9",
    "description": "Dermite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Eczéma SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40": {
    "code": "L40",
    "description": "Psoriasis",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.0": {
    "code": "L40.0",
    "description": "Psoriasis vulgaris",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Psoriasis : • en plaques",
      "• nummulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.1": {
    "code": "L40.1",
    "description": "Psoriasis pustulaire ou pustuleux généralisé",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Impétigo herpétiforme",
      "Maladie de Von Zumbusch"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.2": {
    "code": "L40.2",
    "description": "Acrodermatite continue de Hallopeau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.3": {
    "code": "L40.3",
    "description": "Pustulose palmaire et plantaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.4": {
    "code": "L40.4",
    "description": "Psoriasis en goutte",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.5": {
    "code": "L40.5",
    "description": "Psoriasis arthropathique (M07.0-M07.3 *, M09.0 *)",
    "dagger_star": "†",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.8": {
    "code": "L40.8",
    "description": "Autres psoriasis",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Psoriasis des plis de flexion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L40.9": {
    "code": "L40.9",
    "description": "Psoriasis, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41": {
    "code": "L41",
    "description": "Parapsoriasis",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "poïkilodermie vasculaire atrophiante (L94.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.0": {
    "code": "L41.0",
    "description": "Pityriasis lichénoïde et varioliforme aigu",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Mucha-Habermann"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.1": {
    "code": "L41.1",
    "description": "Pityriasis lichénoïde chronique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.3": {
    "code": "L41.3",
    "description": "Parapsoriasis à petites plaques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.4": {
    "code": "L41.4",
    "description": "Parapsoriasis à grandes plaques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.5": {
    "code": "L41.5",
    "description": "Parapsoriasis rétiforme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.8": {
    "code": "L41.8",
    "description": "Autres parapsoriasis",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L41.9": {
    "code": "L41.9",
    "description": "Parapsoriasis, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L42": {
    "code": "L42",
    "description": "Pityriasis rosé de Gibert",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43": {
    "code": "L43",
    "description": "Lichen plan",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lichen plano-pilaire (L66.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43.0": {
    "code": "L43.0",
    "description": "Lichen plan hypertrophique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43.1": {
    "code": "L43.1",
    "description": "Lichen plan bulleux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 554,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43.2": {
    "code": "L43.2",
    "description": "Réaction lichénoïde médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43.3": {
    "code": "L43.3",
    "description": "Lichen plan subaigu (actif)",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lichen plan tropical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43.8": {
    "code": "L43.8",
    "description": "Autres lichens plans",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L43.9": {
    "code": "L43.9",
    "description": "Lichen plan, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44": {
    "code": "L44",
    "description": "Autres lésions papulo-squameuses",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.0": {
    "code": "L44.0",
    "description": "Pityriasis rubra pilaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.1": {
    "code": "L44.1",
    "description": "Lichen nitidus",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.2": {
    "code": "L44.2",
    "description": "Lichen strié",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.3": {
    "code": "L44.3",
    "description": "Lichen ruber moniliforme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.4": {
    "code": "L44.4",
    "description": "Acrodermatite érythématopapuleuse infantile [Giannotti-Crosti]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.8": {
    "code": "L44.8",
    "description": "Autres lésions papulo-squameuses précisées",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L44.9": {
    "code": "L44.9",
    "description": "Lésion papulo-squameuse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50": {
    "code": "L50",
    "description": "Urticaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite allergique de contact (L23.-)",
      "oedème (de) : • angiomateux héréditaire (D84.1)",
      "• angioneurotique (T78.3)",
      "• Quincke (T78.3)",
      "urticaire (du) : • géante (T78.3)",
      "• nouveau-né (P83.8)",
      "• papuleuse (L28.2)",
      "• pigmentaire (Q82.2)",
      "• sérique (T80.6)",
      "• solaire (L56.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.0": {
    "code": "L50.0",
    "description": "Urticaire allergique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.1": {
    "code": "L50.1",
    "description": "Urticaire idiopathique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.2": {
    "code": "L50.2",
    "description": "Urticaire provoquée par le froid et la chaleur",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.3": {
    "code": "L50.3",
    "description": "Dermographisme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.4": {
    "code": "L50.4",
    "description": "Urticaire provoquée par vibration",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.5": {
    "code": "L50.5",
    "description": "Urticaire cholinergique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.6": {
    "code": "L50.6",
    "description": "Urticaire de contact",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 555,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.8": {
    "code": "L50.8",
    "description": "Autres formes d’urticaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urticaire : • chronique",
      "• récidivante périodique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L50.9": {
    "code": "L50.9",
    "description": "Urticaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L51": {
    "code": "L51",
    "description": "Érythème polymorphe",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L51.0": {
    "code": "L51.0",
    "description": "Érythème polymorphe non bulleux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L51.1": {
    "code": "L51.1",
    "description": "Érythème polymorphe bulleux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Stevens-Johnson"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L51.2": {
    "code": "L51.2",
    "description": "Épidermolyse nécrosante suraiguë [Lyell]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Épidermolyse nécrosante suraiguë [Lyell] avec décollement égal ou supérieur à 30% (de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L51.8": {
    "code": "L51.8",
    "description": "Autres formes d’érythème polymorphe",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L51.9": {
    "code": "L51.9",
    "description": "Érythème polymorphe, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L52": {
    "code": "L52",
    "description": "Érythème noueux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": true,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53": {
    "code": "L53",
    "description": "Autres formes d’érythème",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• feu (L59.0)",
      "intertrigo érythémateux (L30.4)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "À l’exclus ion de érythème dû à (des) : • agents externes en contact avec la peau (L23-L25)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53.0": {
    "code": "L53.0",
    "description": "Érythème toxique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "érythème toxique du nouveau-né (P83.1)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent externe."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53.1": {
    "code": "L53.1",
    "description": "Érythème annulaire centrifuge",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53.2": {
    "code": "L53.2",
    "description": "Érythème marginé discoïde de Besnier",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53.3": {
    "code": "L53.3",
    "description": "Autres formes d’érythème figuré chronique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53.8": {
    "code": "L53.8",
    "description": "Autres formes précisées d’érythème",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L53.9": {
    "code": "L53.9",
    "description": "Érythème, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Érythrodermie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L54.0": {
    "code": "L54.0",
    "description": "Érythème marginé discoïde de Besnier au cours d’un rhumatisme articulaire aigu (I00 †)",
    "dagger_star": "*",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L54.8": {
    "code": "L54.8",
    "description": "Érythème au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 556,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L55": {
    "code": "L55",
    "description": "Coup de soleil",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L55.0": {
    "code": "L55.0",
    "description": "Coup de soleil du premier degré",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L55.1": {
    "code": "L55.1",
    "description": "Coup de soleil du deuxième degré",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L55.2": {
    "code": "L55.2",
    "description": "Coup de soleil du troisième degré",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L55.8": {
    "code": "L55.8",
    "description": "Autres coups de soleil",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L55.9": {
    "code": "L55.9",
    "description": "Coup de soleil, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56": {
    "code": "L56",
    "description": "Autres modifications aiguës de la peau dues aux rayons ultra-violets",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.0": {
    "code": "L56.0",
    "description": "Réaction phototoxique à un médicament",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.1": {
    "code": "L56.1",
    "description": "Réaction photo-allergique à un médicament",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.2": {
    "code": "L56.2",
    "description": "Dermite de photocontact",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite de breloque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.3": {
    "code": "L56.3",
    "description": "Urticaire solaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.4": {
    "code": "L56.4",
    "description": "Lucite polymorphe",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.8": {
    "code": "L56.8",
    "description": "Autres modifications aiguës précisées de la peau dues aux rayons ultra-violets",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L56.9": {
    "code": "L56.9",
    "description": "Modification aiguë de la peau due aux rayons ultra-violets, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Modifications de la peau dues à une exposition chronique aux",
      "rayonnements non ionisants"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L57.0": {
    "code": "L57.0",
    "description": "Kératose actinique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kératose : • SAI",
      "• sénile",
      "• solaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L57.1": {
    "code": "L57.1",
    "description": "Actinoréticulose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L57.2": {
    "code": "L57.2",
    "description": "Cutis rhomboïdalis",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nuque rhomboïdale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L57.3": {
    "code": "L57.3",
    "description": "Poïkilodermie de Civatte",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L57.4": {
    "code": "L57.4",
    "description": "Cutis laxa senilis",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Élastose sénile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L57.5": {
    "code": "L57.5",
    "description": "Granulome actinique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 557,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres modifications de la peau dues à une exposition chronique aux rayonnements non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L58": {
    "code": "L58",
    "description": "Radiodermite",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "M L58.0 Radiodermite aiguë",
      "M L58.1 Radiodermite chronique",
      "M L58.9 Radiodermite, sans précision",
      "une irradiation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections de la peau et du tissu cellulaire sous-cutané liées à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L59.0": {
    "code": "L59.0",
    "description": "Érythème dû au feu",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite due au feu"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L59.8": {
    "code": "L59.8",
    "description": "Autres affections précisées de la peau et du tissu cellulaire sous-cutané liées à une irradiation",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L59.9": {
    "code": "L59.9",
    "description": "Affection de la peau et du tissu cellulaire sous-cutané liée à une irradiation, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de la peau et des phanères (Q84.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60": {
    "code": "L60",
    "description": "Maladies des ongles",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hippocratisme digital (R68.3)",
      "onychie et paronychie (L03.0) [facultatif]"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.0": {
    "code": "L60.0",
    "description": "Ongle incarné",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ongle incarné et infecté : coder L60.0 et L03.0"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.1": {
    "code": "L60.1",
    "description": "Onycholyse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.2": {
    "code": "L60.2",
    "description": "Onychogryphose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.3": {
    "code": "L60.3",
    "description": "Dystrophie des ongles",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.4": {
    "code": "L60.4",
    "description": "Lignes de Beau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.5": {
    "code": "L60.5",
    "description": "Syndrome des ongles jaunes",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.8": {
    "code": "L60.8",
    "description": "Autres maladies des ongles",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L60.9": {
    "code": "L60.9",
    "description": "Maladie des ongles, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L62.0": {
    "code": "L62.0",
    "description": "Pachydermopériostose avec ongle hippocratique (M89.4 †)",
    "dagger_star": "*",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L62.8": {
    "code": "L62.8",
    "description": "Maladies des ongles au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L63": {
    "code": "L63",
    "description": "Pelade",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L63.0": {
    "code": "L63.0",
    "description": "Alopécie totale",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pelade décalvante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L63.1": {
    "code": "L63.1",
    "description": "Pelade diffuse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L63.2": {
    "code": "L63.2",
    "description": "Ophiase",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L63.8": {
    "code": "L63.8",
    "description": "Autres formes de pelade",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 558,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L63.9": {
    "code": "L63.9",
    "description": "Pelade, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L64": {
    "code": "L64",
    "description": "Alopécie androgénique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend alopécie masculine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L64.0": {
    "code": "L64.0",
    "description": "Alopécie androgénique médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L64.8": {
    "code": "L64.8",
    "description": "Autres formes d’alopécie androgénique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L64.9": {
    "code": "L64.9",
    "description": "Alopécie androgénique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L65": {
    "code": "L65",
    "description": "Autres formes non cicatricielles de raréfaction du système pileux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "trichotillomanie (F63.3)"
    ],
    "clinical_text": [
      "Uti liser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L65.0": {
    "code": "L65.0",
    "description": "Télogène",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L65.1": {
    "code": "L65.1",
    "description": "Anagène",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L65.2": {
    "code": "L65.2",
    "description": "Alopécie mucineuse de Pinkus",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L65.8": {
    "code": "L65.8",
    "description": "Autres formes non cicatricielles précisées de raréfaction du système pileux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L65.9": {
    "code": "L65.9",
    "description": "Raréfaction du système pileux non cicatricielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alopécie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament"
    ],
    "agora_refs": [
      "70132"
    ],
    "cocoa_notes": [
      "Une alopécie médicamenteuse sans type précisé se code en L65.9 (AGORA - # 70132 le 4 octobre 2012)"
    ]
  },
  "L66": {
    "code": "L66",
    "description": "Alopécie cicatricielle",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.0": {
    "code": "L66.0",
    "description": "Pseudo-pelade",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.1": {
    "code": "L66.1",
    "description": "Lichen plano-pilaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lichen plan folliculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.2": {
    "code": "L66.2",
    "description": "Folliculite décalvante",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.3": {
    "code": "L66.3",
    "description": "Périfolliculite capitis abscedens",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.4": {
    "code": "L66.4",
    "description": "Folliculite ulérythémateuse réticulée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.8": {
    "code": "L66.8",
    "description": "Autres formes d’alopécie cicatricielle",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L66.9": {
    "code": "L66.9",
    "description": "Alopécie cicatricielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 559,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L67": {
    "code": "L67",
    "description": "Anomalies de la pigmentation et de la gaine capillaires",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "aplasie moniliforme (Q84.1)",
      "pili annulati (Q84.1)",
      "télogène (L65.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L67.0": {
    "code": "L67.0",
    "description": "Trichorrhexie noueuse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L67.1": {
    "code": "L67.1",
    "description": "Anomalies de la couleur des cheveux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canitie",
      "Cheveux gris (prématurément)",
      "Hétérochromie des cheveux",
      "Poliose : • SAI",
      "• circonscrite, acquise"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L67.8": {
    "code": "L67.8",
    "description": "Autres anomalies de la pigmentation et de la gaine capillaires",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fragilité capillaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L67.9": {
    "code": "L67.9",
    "description": "Anomalie de la pigmentation et de la gaine capillaires, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68": {
    "code": "L68",
    "description": "Hypertrichose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "développement excessif du système pileux"
    ],
    "exclusions": [
      "hypertrichose congénitale (Q84.2)",
      "persistance du lanugo (Q84.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68.0": {
    "code": "L68.0",
    "description": "Hirsutisme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68.1": {
    "code": "L68.1",
    "description": "Hypertrichose lanugineuse acquise",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68.2": {
    "code": "L68.2",
    "description": "Hypertrichose localisée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68.3": {
    "code": "L68.3",
    "description": "Polytrichie",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68.8": {
    "code": "L68.8",
    "description": "Autres formes d’hypertrichose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L68.9": {
    "code": "L68.9",
    "description": "Hypertrichose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70": {
    "code": "L70",
    "description": "Acné",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "acné chéloïde (L73.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.0": {
    "code": "L70.0",
    "description": "Acné vulgaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.1": {
    "code": "L70.1",
    "description": "Acné conglobata",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.2": {
    "code": "L70.2",
    "description": "Acné varioliforme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acné miliaire nécrosante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.3": {
    "code": "L70.3",
    "description": "Acné tropicale",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.4": {
    "code": "L70.4",
    "description": "Acné infantile",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.5": {
    "code": "L70.5",
    "description": "Acné excoriée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acné excoriée des jeunes filles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.8": {
    "code": "L70.8",
    "description": "Autres formes d’acné",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 560,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L70.9": {
    "code": "L70.9",
    "description": "Acné, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L71": {
    "code": "L71",
    "description": "Acné rosacée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L71.0": {
    "code": "L71.0",
    "description": "Dermite périorale",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L71.1": {
    "code": "L71.1",
    "description": "Rhinophyma",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L71.8": {
    "code": "L71.8",
    "description": "Autres formes d’acné rosacée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L71.9": {
    "code": "L71.9",
    "description": "Acné rosacée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L72": {
    "code": "L72",
    "description": "Kystes folliculaires de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L72.0": {
    "code": "L72.0",
    "description": "Kyste épidermique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Un kyste épidermique surinfecté sous la forme d’un abcès associe L72.0 et L02.2 pour l’abcès."
    ],
    "agora_refs": [
      "75172"
    ],
    "cocoa_notes": [
      "Sans abcès un kyste épidermique surinfecté associe L72.0 et L08.8 (AGORA - # 75172 le 7 février 2013)"
    ]
  },
  "L72.1": {
    "code": "L72.1",
    "description": "Kyste sébacé",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste pileux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L72.2": {
    "code": "L72.2",
    "description": "Stéato-kystose multiple",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L72.8": {
    "code": "L72.8",
    "description": "Autres formes de kyste folliculaire de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L72.9": {
    "code": "L72.9",
    "description": "Kyste folliculaire de la peau et du tissu cellulaire sous-cutané, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L73": {
    "code": "L73",
    "description": "Autres affections folliculaires",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L73.0": {
    "code": "L73.0",
    "description": "Acné chéloïde",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L73.1": {
    "code": "L73.1",
    "description": "Pseudo-folliculite de la barbe",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L73.2": {
    "code": "L73.2",
    "description": "Hidrosadénite suppurée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L73.8": {
    "code": "L73.8",
    "description": "Autres formes précisées d’affections folliculaires",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sycosis de la barbe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L73.9": {
    "code": "L73.9",
    "description": "Affection folliculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74": {
    "code": "L74",
    "description": "Affections des glandes sudoripares exocrines",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyperhidrose (R61.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.0": {
    "code": "L74.0",
    "description": "Miliaire rouge",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.1": {
    "code": "L74.1",
    "description": "Miliaire cristalline",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.2": {
    "code": "L74.2",
    "description": "Miliaire profonde",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Miliaire tropicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.3": {
    "code": "L74.3",
    "description": "Miliaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.4": {
    "code": "L74.4",
    "description": "Anhidrose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypohidrose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.8": {
    "code": "L74.8",
    "description": "Autres affections des glandes sudoripares exocrines",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 561,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L74.9": {
    "code": "L74.9",
    "description": "Affection des glandes sudoripares exocrines, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection des glandes sudoripares SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L75": {
    "code": "L75",
    "description": "Affections des glandes sudoripares apocrines",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dyshidrose ou pompholyx (L30.1)",
      "hidrosadénite suppurée (L73.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L75.0": {
    "code": "L75.0",
    "description": "Bromhidrose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L75.1": {
    "code": "L75.1",
    "description": "Chromhidrose",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L75.2": {
    "code": "L75.2",
    "description": "Miliaire apocrine",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Fox-Fordyce"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L75.8": {
    "code": "L75.8",
    "description": "Autres affections des glandes sudoripares apocrines",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L75.9": {
    "code": "L75.9",
    "description": "Affection des glandes sudoripares apocrines, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L80": {
    "code": "L80",
    "description": "Vitiligo",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81": {
    "code": "L81",
    "description": "Autres anomalies de la pigmentation",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "envie SAI (Q82.5)",
      "nævus - voir Index alphabétique",
      "syndrome de Peutz-Jeghers (Q85.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.0": {
    "code": "L81.0",
    "description": "Hyperpigmentation post-inflammatoire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.1": {
    "code": "L81.1",
    "description": "Chloasma",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.2": {
    "code": "L81.2",
    "description": "Taches de rousseur",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.3": {
    "code": "L81.3",
    "description": "Taches café au lait",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.4": {
    "code": "L81.4",
    "description": "Autres hyperpigmentations par la mélanine",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lentigo"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.5": {
    "code": "L81.5",
    "description": "Leucodermie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.6": {
    "code": "L81.6",
    "description": "Autres anomalies liées à une diminution de la formation de mélanine",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.7": {
    "code": "L81.7",
    "description": "Dermatose purpurique pigmentée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Angiome serpigineux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.8": {
    "code": "L81.8",
    "description": "Autres anomalies précisées de la pigmentation",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pigmentation : • ferrique",
      "• par tatouage"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L81.9": {
    "code": "L81.9",
    "description": "Anomalie de la pigmentation, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 562,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L82": {
    "code": "L82",
    "description": "Kératose séborrhéique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Dermatose papuleuse noire",
      "Maladie de Leser-Trélat",
      "Verrue séborrhéique",
      "2012)",
      "SM L83 Acanthosis nigricans",
      "Papillomatose confluente et réticulée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La kératose séborrhéique de la paupière se code en H02.8 et non en L82 (AGORA - # 69878 le 27 septembre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L84": {
    "code": "L84",
    "description": "Cors et callosités",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Durillon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85": {
    "code": "L85",
    "description": "Autres épaississements de l’épiderme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections hypertrophiques de la peau (L91.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85.0": {
    "code": "L85.0",
    "description": "Ichtyose acquise",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ichtyose congénitale (Q80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85.1": {
    "code": "L85.1",
    "description": "Kératose palmaire et plantaire acquise",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kératodermie palmaire et plantaire acquise"
    ],
    "comprend": [],
    "exclusions": [
      "kératose palmaire et plantaire héréditaire (Q82.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85.2": {
    "code": "L85.2",
    "description": "Kératose ponctuée (palmaire et plantaire)",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85.3": {
    "code": "L85.3",
    "description": "Xérosis cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dermite avec peau sèche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85.8": {
    "code": "L85.8",
    "description": "Autres formes précisées d’épaississement de l’épiderme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corne cutanée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L85.9": {
    "code": "L85.9",
    "description": "Épaississement de l’épiderme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L87": {
    "code": "L87",
    "description": "Anomalies de l’élimination transépidermique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "granulome annulaire (perforant) (L92.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L87.0": {
    "code": "L87.0",
    "description": "Kératose folliculaire et parafolliculaire pénétrant dans la peau [Kyrle]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperkératose folliculaire pénétrante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L87.1": {
    "code": "L87.1",
    "description": "Collagénome perforant verruciforme",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L87.2": {
    "code": "L87.2",
    "description": "Élastome perforant serpigineux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L87.8": {
    "code": "L87.8",
    "description": "Autres anomalies de l’élimination transépidermique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L87.9": {
    "code": "L87.9",
    "description": "Anomalie de l’élimination transépidermique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 563,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L88": {
    "code": "L88",
    "description": "Pyodermite gangréneuse",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": true,
    "severity": 4,
    "synonyms": [
      "Pyodermite phagédénique"
    ],
    "comprend": [],
    "exclusions": [
      "dermite gangréneuse (L08.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L89": {
    "code": "L89",
    "description": "Ulcère de décubitus et zone de pression",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "escarre (de décubitus)",
      "ulcère par plâtre"
    ],
    "exclusions": [
      "ulcère trophique du col de l’utérus dû à un pessaire (N86)"
    ],
    "clinical_text": [
      "N ote En cas de localisations multiples à différents stades, coder uniquement le stade le plus grave."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L89.0": {
    "code": "L89.0",
    "description": "Zone de pression et ulcère de décubitus de stade I",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ulcère de décubitus ou de pression limité à un érythème",
      "Escarre stade 1",
      "substance cutanée."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note L’ulcère apparaît comme une zone délimitée de rougeur persistante (érythème) sur les peaux claires ; sur les",
      "peaux plus sombres l’ulcère pourra apparaître de teinte persistante rouge, bleue ou violette, sans perte de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L89.1": {
    "code": "L89.1",
    "description": "Ulcère de décubitus de stade II",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Ulcère de décubitus ou • abrasion",
      "derme",
      "• perte de substance cutanée SAI",
      "• phlyctène",
      "Escarre stade 2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "de pression avec : • perte de substance cutanée partielle atteignant l’épiderme et/ou le",
      "Une phlyctène attribuée à la pression d’un pansement utilise le code L89.1 (plus ou moins un code en T, si",
      "le clinicien affirme la responsabilité du soin dans l’apparition de cette phlyctène). La catégorie L89 est",
      "employée pour les ulcères de décubitus (escarres) mais aussi pour les ulcères de pression (pansement,"
    ],
    "agora_refs": [
      "69931"
    ],
    "cocoa_notes": [
      "système de traction) (AGORA - # 69931 le 28 septembre 2012)"
    ]
  },
  "L89.2": {
    "code": "L89.2",
    "description": "Ulcère de décubitus de stade III",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Escarre stade 3"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère de décubitus ou de pression avec perte de substance cutanée complète entraînant une",
      "atteinte ou une nécrose du tissu sous-cutané jusqu’au fascia sous-jacent"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L89.3": {
    "code": "L89.3",
    "description": "Ulcère de décubitus de stade IV",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "(tendon ou capsule articulaire)",
      "Escarre stade 4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcère de décubitus ou de pression avec nécrose des muscles, os et structures de soutien"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L89.9": {
    "code": "L89.9",
    "description": "Ulcère de décubitus et zone de pression, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ulcère de décubitus ou de pression sans mention de stade",
      "Escarre SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90": {
    "code": "L90",
    "description": "Affections atrophiques de la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.0": {
    "code": "L90.0",
    "description": "Lichen scléreux et atrophique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lichen scléreux des organes génitaux externes : • femme (N90.4)",
      "• homme (N48.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.1": {
    "code": "L90.1",
    "description": "Anétodermie de Schweninger-Buzzi",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.2": {
    "code": "L90.2",
    "description": "Anétodermie de Jadassohn-Pellizzari",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.3": {
    "code": "L90.3",
    "description": "Atrophodermie de Pasini et Pierini",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.4": {
    "code": "L90.4",
    "description": "Acrodermatite chronique atrophiante",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 564,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.5": {
    "code": "L90.5",
    "description": "Cicatrices et fibrose cutanées",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cicatrice : • SAI",
      "• adhérente (peau)",
      "Défiguration due à des cicatrices"
    ],
    "comprend": [],
    "exclusions": [
      "cicatrice : • chéloïde (L91.0)",
      "• hypertrophique (L91.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.6": {
    "code": "L90.6",
    "description": "Stries atrophiques",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.8": {
    "code": "L90.8",
    "description": "Autres affections atrophiques de la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L90.9": {
    "code": "L90.9",
    "description": "Affection atrophique de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L91": {
    "code": "L91",
    "description": "Affections hypertrophiques de la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L91.0": {
    "code": "L91.0",
    "description": "Cicatrice hypertrophique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cicatrice chéloïde"
    ],
    "comprend": [],
    "exclusions": [
      "acné chéloïde (L73.0)",
      "cicatrice SAI (L90.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L91.8": {
    "code": "L91.8",
    "description": "Autres affections hypertrophiques de la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L91.9": {
    "code": "L91.9",
    "description": "Affection hypertrophique de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92": {
    "code": "L92",
    "description": "Lésions granulomateuses de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "granulome actinique (L57.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92.0": {
    "code": "L92.0",
    "description": "Granulome annulaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Granulome annulaire perforant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92.1": {
    "code": "L92.1",
    "description": "Nécrobiose lipoïdique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec diabète sucré (E10-E14) [facultatif]"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92.2": {
    "code": "L92.2",
    "description": "Granulome éosinophile de la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92.3": {
    "code": "L92.3",
    "description": "Granulome cutané et sous-cutané dû à la présence d’un corps étranger",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92.8": {
    "code": "L92.8",
    "description": "Autres lésions granulomateuses de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L92.9": {
    "code": "L92.9",
    "description": "Lésion granulomateuse de la peau et du tissu cellulaire sous-cutané, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L93": {
    "code": "L93",
    "description": "Lupus érythémateux",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lupus : • érythémateux disséminé (M32.-)",
      "• exedens (A18.4)",
      "• vulgaire (A18.4)",
      "sclérodermie (M34.-)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L93.0": {
    "code": "L93.0",
    "description": "Lupus érythémateux chronique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lupus érythémateux SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L93.1": {
    "code": "L93.1",
    "description": "Lupus érythémateux cutané subaigu",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L93.2": {
    "code": "L93.2",
    "description": "Autres lupus érythémateux localisés",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 565,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lupus érythémateux profond",
      "Panniculite lupique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94": {
    "code": "L94",
    "description": "Autres affections localisées du tissu conjonctif",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections disséminées du tissu conjonctif (M30-M36)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.0": {
    "code": "L94.0",
    "description": "Sclérodermie localisée [morphée]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sclérodermie circonscrite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.1": {
    "code": "L94.1",
    "description": "Sclérodermie linéaire",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésions en coup de sabre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.2": {
    "code": "L94.2",
    "description": "Calcinose cutanée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.3": {
    "code": "L94.3",
    "description": "Sclérodactylie",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.4": {
    "code": "L94.4",
    "description": "Papules de Gottron",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.5": {
    "code": "L94.5",
    "description": "Poïkilodermie généralisée atrophiante vasculaire type Petges-Cléjat",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.6": {
    "code": "L94.6",
    "description": "Aïnhum",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.8": {
    "code": "L94.8",
    "description": "Autres affections localisées précisées du tissu conjonctif",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L94.9": {
    "code": "L94.9",
    "description": "Affection localisée du tissu conjonctif, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L95": {
    "code": "L95",
    "description": "Vascularite limitée à la peau, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Co mprend angéite limitée à la peau"
    ],
    "comprend": [],
    "exclusions": [
      "angéite d’hypersensibilité (M31.0)",
      "angiome serpigineux (L81.7)",
      "granulomatose avec polyangéite (M31.3)",
      "granulomatose de Wegener (M31.3)",
      "maladie sérique (T80.6)",
      "panniculite : • SAI (M79.3)",
      "• affectant le cou et le dos (M54.0)",
      "• lupique (L93.2)",
      "• récidivante [Weber-Christian] (M35.6)",
      "périartérite noueuse (M30.0)",
      "purpura rhumatoïde [Schönlein-Henoch] (D69.0)",
      "urticaire (L50.-)",
      "vascularite rhumatoïde (M05.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L95.0": {
    "code": "L95.0",
    "description": "Vascularite livédoïde",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atrophie blanche (en plaques)",
      "Angéite livédoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L95.1": {
    "code": "L95.1",
    "description": "Erythema elevatum diutinum",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L95.8": {
    "code": "L95.8",
    "description": "Autres vascularites limitées à la peau",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L95.9": {
    "code": "L95.9",
    "description": "Vascularite limitée à la peau, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 566,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Angéite limitée à la peau SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L97": {
    "code": "L97",
    "description": "Ulcère du membre inférieur, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "2019)",
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "gangrène (R02)",
      "infections : • de la peau (L00-L08)",
      "• spécifiques classées en A00-B99",
      "ulcère (de) : • décubitus et zone de pression (L89.–)",
      "• variqueux (I83.0, I83.2)",
      "avec I70.2 peut coder les ulcères du membre inférieur d’origine artéritique."
    ],
    "clinical_text": [
      "Après réexamen nous donnons la consigne suivante pour coder le mal perforant plantaire d’origine diabétique : code",
      "La nécrose au cours d'un mal perforant codé L97, n'est pas exclue dans les notes de R02. (AGORA - # 188973 le 19 novembre",
      "Angiodermite nécrotique : si l'angiodermite se situe dans le cadre d'une maladie de système vous coderez M31.9 seul, dans",
      "Autres affections de la peau et du tissu cellulaire sous-cutané, non"
    ],
    "agora_refs": [
      "21745",
      "71883"
    ],
    "cocoa_notes": [
      "Aunis p.81 : L97 code les ulcères du membre inférieur, à l’exclusion des ulcères variqueux. Notamment l’association de L97",
      "principal L97, codes associés G63.2 et code du diabète avec 4e caractère .4. (AGORA – # 21745 le 25 novembre 2009)",
      "le cas contraire codez L97 ou L98.4 selon le siège de l'ulcère. (AGORA - # 71883 le 22 novembre 2012)"
    ]
  },
  "L98.0": {
    "code": "L98.0",
    "description": "Granulome pyogénique",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Botriomycome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.1": {
    "code": "L98.1",
    "description": "Dermite factice",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Excoriation névrotique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.2": {
    "code": "L98.2",
    "description": "Dermatose neutrophile fébrile [Sweet]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.3": {
    "code": "L98.3",
    "description": "Phlegmon à éosinophiles [Wells]",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.4": {
    "code": "L98.4",
    "description": "Ulcérations chroniques de la peau, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ulcère : • chronique cutané SAI",
      "• cutané SAI",
      "• tropical SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Angiodermite nécrotique : si l'angiodermite se situe dans le cadre d'une maladie de système vous coderez"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.9": {
    "code": "M31.9",
    "description": "seul, dans le cas contraire (ex. angiodermite nécrotique avec des ulcères nécrotiques à répétition)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "71883"
    ],
    "cocoa_notes": [
      "codez L97 ou L98.4 selon le siège de l’ulcère (AGORA - # 71883 le 22 novembre 2012)"
    ]
  },
  "L98.5": {
    "code": "L98.5",
    "description": "Mucinose cutanée",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Mucinose en foyer",
      "Mucinose réticulée érythémateuse",
      "Myxœdématose lichéniforme"
    ],
    "comprend": [],
    "exclusions": [
      "mucinose focale orale (K13.7)",
      "myxœdème (E03.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.6": {
    "code": "L98.6",
    "description": "Autres lésions infiltrantes de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 567,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyalinose cutanéo-muqueuse (E78.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L98.8": {
    "code": "L98.8",
    "description": "Autres affections précisées de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 568,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "xanthome cutané au niveau du cou : par assimilation au xanthelasma (xanthome des paupières) codé H02.6",
      "Fistule cutanée – associé à T85.8– pour une fistule cutanée sans surinfection évidente, liée à un plaque de"
    ],
    "agora_refs": [
      "89644",
      "86912"
    ],
    "cocoa_notes": [
      "je vous conseille de coder L98.8 (AGORA - # 89644 le 22 novembre 2013)",
      "cure d’éventration (AGORA - # 86912 le 27 septembre 2013)"
    ]
  },
  "L98.9": {
    "code": "L98.9",
    "description": "Affection de la peau et du tissu cellulaire sous-cutané, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 568,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections de la peau et du tissu cellulaire sous-cutané au cours"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "L99.0": {
    "code": "L99.0",
    "description": "Amylose cutanée (E85.- †)",
    "dagger_star": "*",
    "chapter": "Maladies de la peau et du tissu cellulaire sous-cutané",
    "page": 568,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amylose : • lichéniforme",
      "• maculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections précisées de la peau et du tissu cellulaire sous-cutané au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01": {
    "code": "M01",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "parasitaires classées ailleurs",
      "[Voir codage de la localisation ci-dessus]"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie (au cours de) : • post-infectieuse et réactionnelle (M03.- *)",
      "• sarcoïdose (M14.8 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M03": {
    "code": "M03",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs",
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "arthrites infectieuses directes au cours de maladies infectieuses et parasitaires classées ailleurs (M01.- *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07": {
    "code": "M07",
    "description": "* Arthropathies psoriasiques et entéropathiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathies psoriasiques et entéropathiques juvéniles (M09.- *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M09": {
    "code": "M09",
    "description": "* Polyarthrite juvénile au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie au cours de la maladie de Whipple (M14.8 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14": {
    "code": "M14",
    "description": "* Arthropathies au cours d’autres maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthropathie (au cours de) : • affections hématologiques (M36.2-M36.3 *)",
      "• avec réaction d’hypersensibilité (M36.4 *)",
      "• maladies tumorales (M36.1 *)",
      "• psoriasique et entéropathique (M07.- *)",
      "• juvénile (M09.- *)",
      "spondylopathie neurologique (M49.4 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36": {
    "code": "M36",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathies au cours de maladies classées ailleurs (M14.- *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49": {
    "code": "M49",
    "description": "* Spondylopathies au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathies psoriasiques et entéropathiques (subdivisions de M07 * et de M09 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M63": {
    "code": "M63",
    "description": "* Atteintes musculaires au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 594,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myopathies au cours de maladies : • endocriniennes (G73.5 *)",
      "• métaboliques (G73.6 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M68": {
    "code": "M68",
    "description": "* Atteintes de la synoviale et du tendon au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "",
    "page": 569,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M73": {
    "code": "M73",
    "description": "* Affections des tissus mous au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M82": {
    "code": "M82",
    "description": "* Ostéoporose au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90": {
    "code": "M90",
    "description": "* Ostéopathie au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M00": {
    "code": "M00",
    "description": "Arthrites à bactéries pyogènes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation ci-dessus]",
      "91475 le 10 janvier 2014)"
    ],
    "comprend": [],
    "exclusions": [
      "infection et réaction inflammatoire dues à une prothèse articulaire interne (T84.5)"
    ],
    "clinical_text": [
      "Cette exclusion correspond aux consignes de monocodage de l’OMS. On ne doit pas en tenir compte",
      "pour le PMSI. Elle figurera dans la liste des exclusions facultatives en cours de rédaction. (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M00.0": {
    "code": "M00.0",
    "description": "Arthrite et polyarthrite à staphylocoques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M00.1": {
    "code": "M00.1",
    "description": "Arthrite et polyarthrite à pneumocoques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M00.2": {
    "code": "M00.2",
    "description": "Autres arthrites et polyarthrites à streptocoques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M00.8": {
    "code": "M00.8",
    "description": "Arthrite et polyarthrite dues à d’autres bactéries précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M00.9": {
    "code": "M00.9",
    "description": "Arthrite à bactéries pyogènes, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Arthrite infectieuse SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthrites infectieuses directes au cours de maladies infectieuses et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.0": {
    "code": "M01.0",
    "description": "Arthrite méningococcique (A39.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 570,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [
      "arthrite post-méningococcique (M03.0 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.1": {
    "code": "M01.1",
    "description": "Arthrite tuberculeuse (A18.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [
      "colonne vertébrale (M49.0 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.2": {
    "code": "M01.2",
    "description": "Arthrite au cours de la maladie de Lyme (A69.2 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.3": {
    "code": "M01.3",
    "description": "Arthrite au cours d’autres maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "• gonococcique (A54.4 †)",
      "• infection localisée à Salmonella (A02.2 †)",
      "• lèpre ou maladie de Hansen (subdivisions de A30 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthrite (au cours de) : • fièvre typhoïde ou paratyphoïde (A01 - †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.4": {
    "code": "M01.4",
    "description": "Arthrite au cours de la rubéole (B06.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.5": {
    "code": "M01.5",
    "description": "Arthrite au cours d’autres maladies virales classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Arthrite au cours de : • fièvre de O’nyong-nyong (A92.1 †)",
      "• oreillons (B26.8 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.6": {
    "code": "M01.6",
    "description": "Arthrite au cours de mycoses (B35-B49 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M01.8": {
    "code": "M01.8",
    "description": "Arthrite au cours d’autres maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02": {
    "code": "M02",
    "description": "Arthropathies réactionnelles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "rhumatisme articulaire aigu (I00)",
      "syndrome de Behçet (M35.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02.0": {
    "code": "M02.0",
    "description": "Arthropathie après dérivation intestinale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02.1": {
    "code": "M02.1",
    "description": "Arthropathie post-dysentérique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02.2": {
    "code": "M02.2",
    "description": "Arthropathie post-vaccinale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02.3": {
    "code": "M02.3",
    "description": "Syndrome oculo-urétro-synovial [Fiessinger-Leroy-Reiter]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02.8": {
    "code": "M02.8",
    "description": "Autres arthropathies réactionnelles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M02.9": {
    "code": "M02.9",
    "description": "Arthropathie réactionnelle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthropathies post-infectieuses et réactionnelles au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M03.0": {
    "code": "M03.0",
    "description": "Arthrite post-méningococcique (A39.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthrite méningococcique (M01.0 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M03.1": {
    "code": "M03.1",
    "description": "Arthropathie syphilitique post-infectieuse",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Clutton (A50.5 †)"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie tabétique ou de Charcot (M14.6 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M03.2": {
    "code": "M03.2",
    "description": "Autres arthropathies post-infectieuses au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "infectieuse au cours de : • hépatite virale (B15-B19 †)"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathies virales (M01.4-M01.5 *)"
    ],
    "clinical_text": [
      "Arthropathie post- • entérite due à Yersinia enterocolitica (A04.6 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M03.6": {
    "code": "M03.6",
    "description": "Arthropathie réactionnelle au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 571,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthropathie au cours d’endocardite infectieuse (I33.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "des premiers signes de la maladie. Lorsqu’ils sont apparus chez un patient de moins de 16 ans, il faut utiliser les catégories M08 et M09,",
      "quel que soit l’âge au moment du diagnostic pour ces maladies qui évoluent tout au long de la vie."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.86 : les catégories M05, M06, M07 et M45 ne doivent pas être utilisées lorsque le patient avait 16 ans ou plus lors de l’apparition"
    ]
  },
  "M05": {
    "code": "M05",
    "description": "Polyarthrite rhumatoïde séropositive",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "atteinte vertébrale (M45)",
      "polyarthrite rhumatoïde juvénile (M08.-)",
      "rhumatisme articulaire aigu (I00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M05.0": {
    "code": "M05.0",
    "description": "Syndrome de Felty",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Polyarthrite rhumatoïde avec adéno-splénomégalie et leucopénie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M05.1": {
    "code": "M05.1",
    "description": "Maladie pulmonaire rhumatoïde (J99.0 *)",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M05.2": {
    "code": "M05.2",
    "description": "Vascularite rhumatoïde",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M05.3": {
    "code": "M05.3",
    "description": "Polyarthrite rhumatoïde avec atteinte d’autres organes et appareils",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cardite rhumatoïde (I52.8 *)",
      "Endocardite rhumatoïde (I39.- *)",
      "Myocardite rhumatoïde (I41.8 *)",
      "Myopathie rhumatoïde (G73.7 *)",
      "Péricardite rhumatoïde (I32.8 *)",
      "Polynévrite rhumatoïde (G63.6 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M05.8": {
    "code": "M05.8",
    "description": "Autres polyarthrites rhumatoïdes séropositives",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M05.9": {
    "code": "M05.9",
    "description": "Polyarthrite rhumatoïde séropositive, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06": {
    "code": "M06",
    "description": "Autres polyarthrites rhumatoïdes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.0": {
    "code": "M06.0",
    "description": "Polyarthrite rhumatoïde séronégative",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.1": {
    "code": "M06.1",
    "description": "Maladie de Still survenant chez l’adulte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie de Still SAI (M08.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.2": {
    "code": "M06.2",
    "description": "Bursite rhumatoïde",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.3": {
    "code": "M06.3",
    "description": "Nodule rhumatoïde",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.4": {
    "code": "M06.4",
    "description": "Polyarthropathie inflammatoire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "polyarthrite SAI (M13.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.8": {
    "code": "M06.8",
    "description": "Autres polyarthrites rhumatoïdes précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M06.9": {
    "code": "M06.9",
    "description": "Polyarthrite rhumatoïde, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.0": {
    "code": "M07.0",
    "description": "Arthropathie psoriasique distale interphalangienne (L40.5 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.1": {
    "code": "M07.1",
    "description": "Arthrite mutilante (L40.5 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 572,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.2": {
    "code": "M07.2",
    "description": "Spondylite psoriasique (L40.5 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.3": {
    "code": "M07.3",
    "description": "Autres arthropathies psoriasiques (L40.5 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.4": {
    "code": "M07.4",
    "description": "Arthropathie au cours de la maladie de Crohn ou entérite régionale (K50.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.5": {
    "code": "M07.5",
    "description": "Arthropathie au cours de colite ulcéreuse (K51.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M07.6": {
    "code": "M07.6",
    "description": "Autres arthropathies entéropathiques",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08": {
    "code": "M08",
    "description": "Polyarthrites juvéniles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [
      "polyarthrite chez l’enfant, commençant avant 16 ans et durant plus de 3 mois"
    ],
    "exclusions": [
      "dermatomyosite juvénile (M33.0)",
      "syndrome de Felty (M05.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.0": {
    "code": "M08.0",
    "description": "Polyarthrite rhumatoïde juvénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Polyarthrite rhumatoïde juvénile avec ou sans facteur rhumatismal"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.1": {
    "code": "M08.1",
    "description": "Spondylarthrite ankylosante juvénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "spondylarthrite ankylosante de l’adulte (M45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.2": {
    "code": "M08.2",
    "description": "Polyarthrite juvénile avec début systémique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Still SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladie de Still survenant chez l’adulte (M06.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.3": {
    "code": "M08.3",
    "description": "Polyarthrite juvénile (séronégative)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polyarthrite juvénile chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.4": {
    "code": "M08.4",
    "description": "Polyarthrite pauci-articulaire juvénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.8": {
    "code": "M08.8",
    "description": "Autres polyarthrites juvéniles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M08.9": {
    "code": "M08.9",
    "description": "Polyarthrite juvénile, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M09.0": {
    "code": "M09.0",
    "description": "Polyarthrite juvénile au cours de psoriasis (L40.5 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M09.1": {
    "code": "M09.1",
    "description": "Polyarthrite juvénile au cours de la maladie de Crohn ou entérite régionale (K50.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M09.2": {
    "code": "M09.2",
    "description": "Polyarthrite juvénile au cours de colite ulcéreuse (K51.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M09.8": {
    "code": "M09.8",
    "description": "Polyarthrite juvénile au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10": {
    "code": "M10",
    "description": "Goutte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10.0": {
    "code": "M10.0",
    "description": "Goutte idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bursite goutteuse",
      "Goutte primitive",
      "Tophus goutteux du cœur † (I43.8 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10.1": {
    "code": "M10.1",
    "description": "Goutte saturnine",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 573,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10.2": {
    "code": "M10.2",
    "description": "Goutte médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10.3": {
    "code": "M10.3",
    "description": "Goutte due à une altération de la fonction rénale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10.4": {
    "code": "M10.4",
    "description": "Autre goutte secondaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M10.9": {
    "code": "M10.9",
    "description": "Goutte, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M11": {
    "code": "M11",
    "description": "Autres arthropathies dues à des microcristaux",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M11.0": {
    "code": "M11.0",
    "description": "Maladie par dépôt d’hydroxyapatite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M11.1": {
    "code": "M11.1",
    "description": "Chondrocalcinose familiale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M11.2": {
    "code": "M11.2",
    "description": "Autre chondrocalcinose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Chondrocalcinose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M11.8": {
    "code": "M11.8",
    "description": "Autres arthropathies dues à des microcristaux précisés",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M11.9": {
    "code": "M11.9",
    "description": "Arthropathie due à des microcristaux, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12": {
    "code": "M12",
    "description": "Autres arthropathies spécifiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie : • SAI (M13.9)",
      "• crico-aryténoïdienne (J38.7)",
      "arthrose (M15-M19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.0": {
    "code": "M12.0",
    "description": "Arthropathie chronique post-rhumatismale [Jaccoud]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.1": {
    "code": "M12.1",
    "description": "Maladie de Kaschin-Beck",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.2": {
    "code": "M12.2",
    "description": "Synovite villo-nodulaire (pigmentaire)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.3": {
    "code": "M12.3",
    "description": "Rhumatisme palindromique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.4": {
    "code": "M12.4",
    "description": "Hydarthrose intermittente",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.5": {
    "code": "M12.5",
    "description": "Arthropathie traumatique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthrose post- • SAI (M19.1)",
      "traumatique (de) : • genou (M17.2-M17.3)",
      "• hanche (M16.4-M16.5)",
      "• première articulation carpo-métacarpienne (M18.2-M18.3)",
      "• autres articulations uniques (M19.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M12.8": {
    "code": "M12.8",
    "description": "Autres arthropathies spécifiques, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthropathie transitoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M13": {
    "code": "M13",
    "description": "Autres arthrites",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "arthrose (M15-M19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M13.0": {
    "code": "M13.0",
    "description": "Polyarthrite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M13.1": {
    "code": "M13.1",
    "description": "Monoarthrite, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 574,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M13.8": {
    "code": "M13.8",
    "description": "Autres arthrites précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrite allergique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M13.9": {
    "code": "M13.9",
    "description": "Arthrite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthropathie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.0": {
    "code": "M14.0",
    "description": "Arthropathie goutteuse due à un déficit enzymatique et autres troubles héréditaires",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• syndrome de Lesch-Nyhan (E79.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthropathie goutteuse au cours de : • drépanocytose (D57.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.1": {
    "code": "M14.1",
    "description": "Arthropathie à microcristaux au cours d’autres troubles métaboliques classés ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthropathie à microcristaux au cours d’hyperparathyroïdie (E21.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.2": {
    "code": "M14.2",
    "description": "Arthropathie diabétique (E10-E14 † avec le quatrième chiffre .6)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthropathie nerveuse diabétique (M14.6 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.3": {
    "code": "M14.3",
    "description": "Dermato-arthrite lipoïde (E78.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.4": {
    "code": "M14.4",
    "description": "Arthropathie au cours d’amylose (E85.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.5": {
    "code": "M14.5",
    "description": "Arthropathie au cours d’autres maladies endocriniennes, nutritionnelles et métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• hémochromatose (E83.1 †)",
      "• hypothyroïdie (E00-E03 †)",
      "• thyréotoxicose ou hyperthyroïdie] (E05.- †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthropathie au cours de : • acromégalie et gigantisme (E22.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.6": {
    "code": "M14.6",
    "description": "Arthropathie neuropathique",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthropathie de Charcot : • non syphilitique (G98 †)",
      "• syphilitique (tabétique) (A52.1 †)",
      "• SAI (G98 †)",
      "Arthropathie tabétique (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthropathie nerveuse diabétique (E10-E14 avec le quatrième caractère .6 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M14.8": {
    "code": "M14.8",
    "description": "Arthropathie au cours d’autres maladies précisées classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 575,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthropathie au cours de : • érythème : • noueux (L52 †)",
      "• polymorphe (L51.- †)",
      "• maladie de Whipple (K90.8 †)",
      "• sarcoïdose (D86.8 †)",
      "jacente ou déterminante."
    ],
    "comprend": [],
    "exclusions": [
      "arthrose vertébrale (M47.-)"
    ],
    "clinical_text": [
      "Note Dans cette section, le terme ostéo-arthrite est utilisé comme synonyme d’arthrose ou d’ostéo-arthrose. Le",
      "terme \"primaire\" est utilisé dans son sens clinique habituel c’est-à-dire sans identification d’une cause sous-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15": {
    "code": "M15",
    "description": "Polyarthrose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend arthrose avec mention de plus d’une localisation",
      "arthrose diffuse"
    ],
    "comprend": [],
    "exclusions": [
      "atteinte bilatérale d’une articulation (M16-M19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.0": {
    "code": "M15.0",
    "description": "Arthrose primaire généralisée",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéo-arthrose primaire généralisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.1": {
    "code": "M15.1",
    "description": "Nodosités d’Heberden (avec arthropathie)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.2": {
    "code": "M15.2",
    "description": "Nodosités de Bouchard (avec arthropathie)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.3": {
    "code": "M15.3",
    "description": "Arthrose secondaire multiple",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polyarthrose post-traumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.4": {
    "code": "M15.4",
    "description": "Arthrose érosive",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéo-arthrose érosive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.8": {
    "code": "M15.8",
    "description": "Autres polyarthroses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M15.9": {
    "code": "M15.9",
    "description": "Polyarthrose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéo-arthrite généralisée SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16": {
    "code": "M16",
    "description": "Coxarthrose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Arthrose de la hanche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.0": {
    "code": "M16.0",
    "description": "Coxarthrose primaire, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.1": {
    "code": "M16.1",
    "description": "Autres coxarthroses primaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coxarthrose primaire : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.2": {
    "code": "M16.2",
    "description": "Coxarthrose d’origine dysplasique, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.3": {
    "code": "M16.3",
    "description": "Autres coxarthroses dysplasiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coxarthrose dysplasique : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.4": {
    "code": "M16.4",
    "description": "Coxarthrose post-traumatique, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.5": {
    "code": "M16.5",
    "description": "Autres coxarthroses post-traumatiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coxarthrose post-traumatique : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.6": {
    "code": "M16.6",
    "description": "Autres coxarthroses secondaires, bilatérales",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.7": {
    "code": "M16.7",
    "description": "Autres coxarthroses secondaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coxarthrose secondaire : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M16.9": {
    "code": "M16.9",
    "description": "Coxarthrose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 576,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17": {
    "code": "M17",
    "description": "Gonarthrose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Arthrose du genou"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.0": {
    "code": "M17.0",
    "description": "Gonarthrose primaire, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.1": {
    "code": "M17.1",
    "description": "Autres gonarthroses primaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gonarthrose primaire : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.2": {
    "code": "M17.2",
    "description": "Gonarthrose post-traumatique, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.3": {
    "code": "M17.3",
    "description": "Autres gonarthroses post-traumatiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gonarthrose post-traumatique : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.4": {
    "code": "M17.4",
    "description": "Autres gonarthroses secondaires, bilatérales",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.5": {
    "code": "M17.5",
    "description": "Autres gonarthroses secondaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gonarthrose secondaire : • SAI",
      "• unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M17.9": {
    "code": "M17.9",
    "description": "Gonarthrose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18": {
    "code": "M18",
    "description": "Arthrose de la première articulation carpo-métacarpienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.0": {
    "code": "M18.0",
    "description": "Arthrose primaire de la première articulation carpo-métacarpienne, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rhizarthrose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.1": {
    "code": "M18.1",
    "description": "Autres arthroses primaires de la première articulation carpo-métacarpienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrose primaire de la première • SAI",
      "articulation carpo-métacarpienne : • unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.2": {
    "code": "M18.2",
    "description": "Arthrose post-traumatique de la première articulation carpo-métacarpienne, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.3": {
    "code": "M18.3",
    "description": "Autres arthroses post-traumatiques de la première articulation carpo-métacarpienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrose post-traumatique de la première • SAI",
      "articulation carpo-métacarpienne : • unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.4": {
    "code": "M18.4",
    "description": "Autres arthroses secondaires de la première articulation carpo-métacarpienne, bilatérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.5": {
    "code": "M18.5",
    "description": "Autres arthroses secondaires de la première articulation carpo-métacarpienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrose secondaire de la première • SAI",
      "articulation carpo-métacarpienne : • unilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M18.9": {
    "code": "M18.9",
    "description": "Arthrose de la première articulation carpo-métacarpienne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M19": {
    "code": "M19",
    "description": "Autres arthroses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [
      "omarthrose ou arthrose de l’épaule"
    ],
    "exclusions": [
      "arthrose vertébrale (M47.-)",
      "hallux rigidus (M20.2)",
      "polyarthrose (M15.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M19.0": {
    "code": "M19.0",
    "description": "Arthrose primaire d’autres articulations",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 577,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrose primaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M19.1": {
    "code": "M19.1",
    "description": "Arthrose post-traumatique d’autres articulations",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrose post-traumatique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M19.2": {
    "code": "M19.2",
    "description": "Autres arthroses secondaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthrose secondaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M19.8": {
    "code": "M19.8",
    "description": "Autres arthroses précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M19.9": {
    "code": "M19.9",
    "description": "Arthrose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "articulations vertébrales (M40-M54)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20": {
    "code": "M20",
    "description": "Déformations des doigts et des orteils",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "absence : • acquise de doigts et d’orteils (Z89.-)",
      "• congénitale des doigts et des orteils (Q71.3, Q72.3)",
      "malformations congénitales des doigts et des orteils (Q66.-, Q68-Q70, Q74.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20.0": {
    "code": "M20.0",
    "description": "Déformation de(s) doigt(s)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déformation en boutonnière et en col de cygne"
    ],
    "comprend": [],
    "exclusions": [
      "doigt \"à ressort\" (M65.3)",
      "fibromatose de l’aponévrose palmaire [Dupuytren] (M72.0)",
      "hippocratisme digital (R68.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20.1": {
    "code": "M20.1",
    "description": "Hallux valgus (acquis)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Oignon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20.2": {
    "code": "M20.2",
    "description": "Hallux rigidus",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20.3": {
    "code": "M20.3",
    "description": "Autres déformations du gros orteil",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hallux varus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20.4": {
    "code": "M20.4",
    "description": "Autre(s) orteil(s) en marteau (acquis)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M20.5": {
    "code": "M20.5",
    "description": "Autres déformations d’(es) orteil(s)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "76801"
    ],
    "cocoa_notes": [
      "Quintus adductus acquis (Q66.8 si congénital) (AGORA - # 76801 le 21 mars 2013)"
    ]
  },
  "M20.6": {
    "code": "M20.6",
    "description": "Déformation d’(es) orteil(s), sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21": {
    "code": "M21",
    "description": "Autres déformations des membres",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "absence : • acquise de membre (Z89.-)",
      "• congénitale de membres (Q71-Q73)",
      "coxa plana (M91.2)",
      "déformations de doigts et d’orteils (M20.-)",
      "malformations congénitales des membres (Q65-Q66, Q68-Q74)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.0": {
    "code": "M21.0",
    "description": "Déformation en valgus, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "metatarsus valgus (Q66.6)",
      "pied bot talus valgus (Q66.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.1": {
    "code": "M21.1",
    "description": "Déformation en varus, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "metatarsus varus (Q66.2)",
      "tibia vara (M92.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.2": {
    "code": "M21.2",
    "description": "Déformation en flexion",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 578,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.3": {
    "code": "M21.3",
    "description": "Poignet ou pied tombant (acquis)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.4": {
    "code": "M21.4",
    "description": "Pied plat (acquis)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pes planus (acquis)"
    ],
    "comprend": [],
    "exclusions": [
      "pied plat congénital (Q66.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.5": {
    "code": "M21.5",
    "description": "Main et pied bot(e) ou en griffe acquis(e)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pied bot, non précisé comme acquis (Q66.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.6": {
    "code": "M21.6",
    "description": "Autres déformations de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déformations des orteils (M20.1-M20.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.7": {
    "code": "M21.7",
    "description": "Inégalité des membres (acquise)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.8": {
    "code": "M21.8",
    "description": "Autres déformations précisées des membres",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M21.9": {
    "code": "M21.9",
    "description": "Déformation d’un membre, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22": {
    "code": "M22",
    "description": "Lésion de la rotule [patella]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "luxation de la rotule [patella] (S83.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.0": {
    "code": "M22.0",
    "description": "Luxation récidivante de la rotule [patella]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.1": {
    "code": "M22.1",
    "description": "Subluxation récidivante de la rotule [patella]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.2": {
    "code": "M22.2",
    "description": "Lésions fémoro-patellaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.3": {
    "code": "M22.3",
    "description": "Autres déplacements de la rotule [patella]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.4": {
    "code": "M22.4",
    "description": "Rotule [patella] chondromalacique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.8": {
    "code": "M22.8",
    "description": "Autres lésions de la rotule [patella]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M22.9": {
    "code": "M22.9",
    "description": "Lésion de la rotule [patella], sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23": {
    "code": "M23",
    "description": "Lésion interne du genou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "de chapitre.",
      "0 Localisations multiples",
      "5 Corne postérieure du ménisque externe",
      "6 Partie autre et non précisée du ménisque externe",
      "7 Capsule articulaire",
      "9 Ligament, sans précision ou Ménisque, sans précision"
    ],
    "comprend": [],
    "exclusions": [
      "ankylose (M24.6)",
      "déformation du genou (M21.-)",
      "lésion de la rotule [patella] (M22.-)",
      "lésion traumatique récente - voir lésion traumatique du genou et de la jambe (S80-S89)",
      "luxation ou subluxation récidivante (M24.4)",
      "• rotule [patella] (M22.0-M22.1)",
      "ostéochondrite disséquante (M93.2)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes sont données à titre facultatif pour indiquer la localisation de l’atteinte ; voir aussi la note en début",
      "1 Ligament croisé antéro-externe ou Corne antérieure du ménisque interne",
      "2 Ligament croisé postérieur ou Corne postérieure du ménisque interne",
      "3 Ligament interne collatéral ou Partie autre et non précisée du ménisque interne",
      "4 Ligament latéral externe collatéral ou Corne antérieure du ménisque externe"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.0": {
    "code": "M23.0",
    "description": "Kyste du ménisque",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.1": {
    "code": "M23.1",
    "description": "Ménisque discoïde (congénital)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 579,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.2": {
    "code": "M23.2",
    "description": "Lésion d’un ménisque due à une déchirure ou un traumatisme ancien",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure ancienne « en anse de seau »"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.3": {
    "code": "M23.3",
    "description": "Autres atteintes du ménisque",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Blocage du ménisque",
      "Dégénérescence du ménisque",
      "Ménisque détaché",
      "le 7 mars 2013)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code réunit les atteintes dégénératives du ménisque (chondromalacie, chondropathie) AGORA - # 76361"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.4": {
    "code": "M23.4",
    "description": "Souris intra-articulaire du genou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ne pas utiliser les subdivisions de la catégorie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.5": {
    "code": "M23.5",
    "description": "Instabilité chronique du genou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.6": {
    "code": "M23.6",
    "description": "Autres ruptures spontanées de ligament(s) du genou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.8": {
    "code": "M23.8",
    "description": "Autres lésions internes du genou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Genou « à ressort »",
      "Laxité des ligaments du genou"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M23.9": {
    "code": "M23.9",
    "description": "Lésion interne du genou, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24": {
    "code": "M24",
    "description": "Autres lésions articulaires spécifiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "genou \"à ressort\" (M23.8)",
      "kyste (M67.4)",
      "lésions de l’articulation temporo-mandibulaire (K07.6)",
      "lésion traumatique récente - voir lésion traumatique articulaire selon les localisations anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.0": {
    "code": "M24.0",
    "description": "Souris intra-articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "souris intra-articulaire du genou (M23.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.1": {
    "code": "M24.1",
    "description": "Autres atteintes du cartilage articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "calcification métastatique (E83.5)",
      "chondrocalcinose (M11.1-M11.2)",
      "lésion interne du genou (M23.-)",
      "ochronose (E70.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.2": {
    "code": "M24.2",
    "description": "Lésion ligamentaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Instabilité : • ligamentaire SAI",
      "• secondaire à une atteinte ligamentaire ancienne",
      "Laxité ligamentaire SAI"
    ],
    "comprend": [],
    "exclusions": [
      "genou (M23.5-M23.8)",
      "laxité ligamentaire familiale (M35.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.3": {
    "code": "M24.3",
    "description": "Luxation et subluxation pathologiques d’une articulation, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 580,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "luxation ou • congénitale - voir malformations congénitales du système",
      "subluxation d’une ostéo-articulaire et des muscles (Q65-Q79)",
      "articulation : • lésion traumatique récente - voir lésion traumatique des",
      "articulations et des ligaments selon les localisations",
      "anatomiques",
      "• récidivante (M24.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.4": {
    "code": "M24.4",
    "description": "Luxation et subluxation articulaires récidivantes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rotule [patella] (M22.0-M22.1)",
      "subluxation vertébrale (M43.3-M43.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.87 : il serait erroné d’associer à ce code un autre de luxation traumatique provenant du chapitre XIX."
    ]
  },
  "M24.5": {
    "code": "M24.5",
    "description": "Raideur articulaire par contracture",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déformations des membres (M20-M21)",
      "fibromatose de l’aponévrose palmaire [Dupuytren] (M72.0)",
      "rétraction tendineuse (gaine) sans raideur articulaire (M67.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.6": {
    "code": "M24.6",
    "description": "Ankylose articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rachis (M43.2)",
      "raideur articulaire sans ankylose (M25.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.7": {
    "code": "M24.7",
    "description": "Protrusion acétabulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.8": {
    "code": "M24.8",
    "description": "Autres lésions articulaires spécifiques, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de la bandelette de Maissiat ilio-tibiale (M76.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M24.9": {
    "code": "M24.9",
    "description": "Lésion articulaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25": {
    "code": "M25",
    "description": "Autres affections articulaires, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "anomalie de la démarche et de la motilité (R26.-)",
      "calcification de : • bourse (M71.4)",
      "• épaule (M75.3)",
      "• tendon (M65.2)",
      "déformations classées en M20-M21",
      "difficulté à la marche (R26.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.0": {
    "code": "M25.0",
    "description": "Hémarthrose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique récente - voir lésion traumatique selon les",
      "localisations anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.1": {
    "code": "M25.1",
    "description": "Fistule articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.2": {
    "code": "M25.2",
    "description": "Hyperlaxité articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.3": {
    "code": "M25.3",
    "description": "Autres instabilités articulaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "instabilité articulaire secondaire à : • atteinte ligamentaire ancienne (M24.2)",
      "• retrait d’une prothèse articulaire (M96.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.4": {
    "code": "M25.4",
    "description": "Épanchement articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hydarthrose au cours du pian (A66.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.5": {
    "code": "M25.5",
    "description": "Douleur articulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.6": {
    "code": "M25.6",
    "description": "Raideur articulaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.7": {
    "code": "M25.7",
    "description": "Ostéophyte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.8": {
    "code": "M25.8",
    "description": "Autres affections articulaires précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M25.9": {
    "code": "M25.9",
    "description": "Affection articulaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 581,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arthropathie SAI"
    ],
    "comprend": [
      "maladies : • auto-immunes : • SAI",
      "• disséminées",
      "• du collagène (vasculaire) : • SAI",
      "• disséminées"
    ],
    "exclusions": [
      "maladies auto-immunes d’un seul organe ou d’un seul type de cellule (coder à l’affection",
      "correspondante)",
      "Syndrome des anti-phospholipides (D68.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M30": {
    "code": "M30",
    "description": "Périartérite noueuse et affections apparentées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M30.0": {
    "code": "M30.0",
    "description": "Périartérite noueuse [PAN]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M30.1": {
    "code": "M30.1",
    "description": "Périartérite avec atteinte pulmonaire [Churg-Strauss]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Angéite granulomateuse allergique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M30.2": {
    "code": "M30.2",
    "description": "Périartérite juvénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M30.3": {
    "code": "M30.3",
    "description": "Syndrome adéno-cutanéo-muqueux [Kawasaki]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M30.8": {
    "code": "M30.8",
    "description": "Autres affections apparentées à la périartérite noueuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de polyangéite extensive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31": {
    "code": "M31",
    "description": "Autres vasculopathies nécrosantes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.0": {
    "code": "M31.0",
    "description": "Angéite d’hypersensibilité",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Syndrome de Goodpasture"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.1": {
    "code": "M31.1",
    "description": "Microangiopathie thrombotique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Purpura thrombopénique thrombotique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.2": {
    "code": "M31.2",
    "description": "(voir C86.0 Lymphome extra-nodal à cellules NK/T, type nasal)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.3": {
    "code": "M31.3",
    "description": "Granulomatose de Wegener",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• atteinte rénale † (N08.5 *)",
      "Granulomatose respiratoire nécrosante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Granulomatose avec polyangéite avec : • atteinte pulmonaire † (J99.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.4": {
    "code": "M31.4",
    "description": "Syndrome de la crosse aortique [Takayasu]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.5": {
    "code": "M31.5",
    "description": "Artérite à cellules géantes avec polymyalgie rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Horton avec pseudo-polyarthrite rhizomélique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Artérite giganto-cellulaire avec pseudo-polyarthrite rhizomélique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.6": {
    "code": "M31.6",
    "description": "Autres artérites à cellules géantes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Horton SAI",
      "Artérite giganto-cellulaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.7": {
    "code": "M31.7",
    "description": "Micropolyangéite microscopique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Polyartérite microscopique",
      "Vascularite à ANCA"
    ],
    "comprend": [],
    "exclusions": [
      "périartérite noueuse (M30.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M31.8": {
    "code": "M31.8",
    "description": "Autres vasculopathies nécrosantes précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 582,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Vascularite hypocomplémentémique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M32": {
    "code": "M32",
    "description": "Lupus érythémateux disséminé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lupus érythémateux (discoïde) (SAI) (L93.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M32.0": {
    "code": "M32.0",
    "description": "Lupus érythémateux disséminé médicamenteux",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M32.1": {
    "code": "M32.1",
    "description": "Lupus érythémateux disséminé avec atteinte d’organes et d’appareils",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• reins (N08.5 *, N16.4 *)",
      "Maladie de Libman-Sacks (I39.- *)",
      "Péricardite lupique (I32.8 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lupus érythémateux disséminé avec atteinte des : • poumons (J99.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M32.8": {
    "code": "M32.8",
    "description": "Autres formes de lupus érythémateux disséminé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M32.9": {
    "code": "M32.9",
    "description": "Lupus érythémateux disséminé, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M33": {
    "code": "M33",
    "description": "Dermatopolymyosite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M33.0": {
    "code": "M33.0",
    "description": "Dermatomyosite juvénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M33.1": {
    "code": "M33.1",
    "description": "Autres dermatomyosites",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M33.2": {
    "code": "M33.2",
    "description": "Polymyosite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M33.9": {
    "code": "M33.9",
    "description": "Dermatopolymyosite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M34": {
    "code": "M34",
    "description": "Sclérodermie systémique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend sclérodermie",
      "sclérose systémique"
    ],
    "comprend": [],
    "exclusions": [
      "sclérodermie : • localisée (L94.0)",
      "• néonatale (P83.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M34.0": {
    "code": "M34.0",
    "description": "Sclérodermie progressive",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M34.1": {
    "code": "M34.1",
    "description": "Syndrome CREST",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "œsophagienne et de télangiectasie."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Association de calcinose, d’un syndrome de Raynaud, d’une sclérodactylie, d’une hypomotilité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M34.2": {
    "code": "M34.2",
    "description": "Sclérodermie systémique due à des médicaments et des produits chimiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M34.8": {
    "code": "M34.8",
    "description": "Autres formes de sclérodermie systémique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• myopathie † (G73.7 *)",
      "• polynévrite (G63.5 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sclérodermie systémique avec : • atteinte pulmonaire † (J99.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M34.9": {
    "code": "M34.9",
    "description": "Sclérodermie systémique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 583,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35": {
    "code": "M35",
    "description": "Autres atteintes systémiques du tissu conjonctif",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "collagénome perforant verruciforme (L87.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.0": {
    "code": "M35.0",
    "description": "Syndrome de Gougerot-Sjögren",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• kératoconjonctivite † (H19.3 *)",
      "• maladie rénale tubulo-interstitielle † (N16.4 *)",
      "• myopathie † (G73.7 *)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Gougerot-Sjögren avec : • atteinte pulmonaire † (J99.1 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.1": {
    "code": "M35.1",
    "description": "Autres formes de passage",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladies associées du tissu conjonctif",
      "Maladie de Sharp",
      "Connectivite mixte"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de polyangéite extensive (M30.8)"
    ],
    "clinical_text": [
      "l’EMC définit la scléromyosite comme l’association sclérodermie et myosite qui fait partie des syndromes de"
    ],
    "agora_refs": [
      "144654"
    ],
    "cocoa_notes": [
      "chevauchement. Vous coderez donc M35.1 (AGORA - # 144654 le 28 mars 2017)"
    ]
  },
  "M35.2": {
    "code": "M35.2",
    "description": "Syndrome de Behçet",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.3": {
    "code": "M35.3",
    "description": "Polymyalgie rhumatismale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pseudo-polyarthrite rhizomélique",
      "PPR"
    ],
    "comprend": [],
    "exclusions": [
      "polymyalgie rhumatismale avec artérite à cellules géantes (M31.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.4": {
    "code": "M35.4",
    "description": "Fasciite disséminée (à éosinophiles)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.5": {
    "code": "M35.5",
    "description": "Fibrosclérose multiple",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.6": {
    "code": "M35.6",
    "description": "Panniculite récidivante [Weber-Christian]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "panniculite : • SAI (M79.3)",
      "• lupique (L93.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.7": {
    "code": "M35.7",
    "description": "Syndrome d’hypermobilité",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Laxité ligamentaire familiale"
    ],
    "comprend": [],
    "exclusions": [
      "instabilité ligamentaire SAI (M24.2)",
      "syndrome de Ehlers-Danlos (Q79.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.8": {
    "code": "M35.8",
    "description": "Autres atteintes systémiques précisées du tissu conjonctif",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M35.9": {
    "code": "M35.9",
    "description": "Atteinte systémique du tissu conjonctif, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie (du) : • auto-immune (systémique) SAI",
      "• collagène (vasculaire) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes systémiques du tissu conjonctif au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36.1": {
    "code": "M36.1",
    "description": "Arthropathie au cours de maladies tumorales classées ailleurs (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Arthropathie au cours de : • histiocytose maligne (C96.8 †)",
      "• leucémie (C91-C95 †)",
      "• myélome multiple (C90.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36.2": {
    "code": "M36.2",
    "description": "Arthropathie hémophilique (D66-D68 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 584,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36.3": {
    "code": "M36.3",
    "description": "Arthropathie au cours d’autres maladies du sang classées ailleurs (D50-D76 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arthropathie au cours du purpura de Schönlein-Henoch (M36.4 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36.4": {
    "code": "M36.4",
    "description": "Arthropathie au cours de réactions d’hypersensibilité classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arthropathie au cours du purpura de Schönlein-Henoch (D69.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M36.8": {
    "code": "M36.8",
    "description": "Atteintes systémiques du tissu conjonctif au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "conjonctif au cours de : • ochronose (E70.2 †)",
      "0 Localisations vertébrales multiples",
      "1 Région occipito-atloïdo-axoïdienne",
      "2 Région cervicale",
      "3 Région cervico-dorsale",
      "4 Région dorsale",
      "5 Région dorso-lombaire",
      "6 Région lombaire",
      "7 Région lombo-sacrée",
      "8 Région sacrée et sacro-coccygienne",
      "9 Localisation non précisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes systémiques du tissu • hypogammaglobulinémie (D80.- †)",
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisée pour indiquer la localisation avec les catégories",
      "appropriées dans la section dorsopathies, sauf les catégories M50 et M51; voir aussi la note en début de chapitre :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40": {
    "code": "M40",
    "description": "Cyphose et lordose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation ci-dessus]"
    ],
    "comprend": [],
    "exclusions": [
      "cyphoscoliose (M41.-)",
      "cyphose et lordose : • après un acte à visée diagnostique et thérapeutique (M96.-)",
      "• congénitales (Q76.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40.0": {
    "code": "M40.0",
    "description": "Cyphose posturale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ostéochondrite vertébrale (M42.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40.1": {
    "code": "M40.1",
    "description": "Autres cyphoses secondaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40.2": {
    "code": "M40.2",
    "description": "Cyphoses autres et non précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40.3": {
    "code": "M40.3",
    "description": "Syndrome du dos plat",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40.4": {
    "code": "M40.4",
    "description": "Autres lordoses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lordose : • acquise",
      "• posturale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M40.5": {
    "code": "M40.5",
    "description": "Lordose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 585,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41": {
    "code": "M41",
    "description": "Scoliose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [
      "Cyphoscoliose"
    ],
    "exclusions": [
      "après un acte à visée diagnostique et thérapeutique (M96.-)",
      "cardiopathie due à cyphoscoliose (I27.1)",
      "scoliose congénitale : • SAI (Q67.5)",
      "• due à une malformation osseuse (Q76.3)",
      "• posturale (Q67.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.0": {
    "code": "M41.0",
    "description": "Scoliose idiopathique infantile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.1": {
    "code": "M41.1",
    "description": "Scoliose juvénile idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Scoliose de l’adolescent"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.2": {
    "code": "M41.2",
    "description": "Autres scolioses idiopathiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.3": {
    "code": "M41.3",
    "description": "Scoliose par anomalie dorsale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.4": {
    "code": "M41.4",
    "description": "Scoliose neuro-musculaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "neuro-musculaires."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Scoliose consécutive à une paralysie cérébrale, la maladie de Friedreich, la poliomyélite et autres affections"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.5": {
    "code": "M41.5",
    "description": "Autres formes de scoliose secondaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.8": {
    "code": "M41.8",
    "description": "Autres formes de scoliose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M41.9": {
    "code": "M41.9",
    "description": "Scoliose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M42": {
    "code": "M42",
    "description": "Ostéochondrite vertébrale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M42.0": {
    "code": "M42.0",
    "description": "Ostéochondrite vertébrale juvénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de : • Calvé",
      "• Scheuermann"
    ],
    "comprend": [],
    "exclusions": [
      "cyphose posturale (M40.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M42.1": {
    "code": "M42.1",
    "description": "Ostéochondrite vertébrale de l’adulte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M42.9": {
    "code": "M42.9",
    "description": "Ostéochondrite vertébrale, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43": {
    "code": "M43",
    "description": "Autres dorsopathies avec déformation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [],
    "exclusions": [
      "hémivertèbre (Q76.3-Q76.4)",
      "incurvation de la colonne • maladie osseuse de Paget ou ostéite déformante (M88.-)",
      "vertébrale au cours de : • ostéoporose (M80-M81)",
      "lombalisation et sacralisation (Q76.4)",
      "platyspondylie (Q76.4)",
      "spina bifida occulta (Q76.0)",
      "spondylolyse congénitale et spondylolisthésis congénital (Q76.2)",
      "syndrome de Klippel-Feil (Q76.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.0": {
    "code": "M43.0",
    "description": "Spondylolyse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.1": {
    "code": "M43.1",
    "description": "Spondylolisthésis",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 586,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antelisthésis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.2": {
    "code": "M43.2",
    "description": "Autres soudures vertébrales",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ankylose d’articulation vertébrale"
    ],
    "comprend": [],
    "exclusions": [
      "arthrodèse (Z98.1)",
      "pseudarthrose après arthrodèse (M96.0)",
      "spondylarthrite ankylosante (M45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.3": {
    "code": "M43.3",
    "description": "Subluxation récidivante atloïdo-axoïdienne avec myélopathie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.4": {
    "code": "M43.4",
    "description": "Autres subluxations atloïdo-axoïdiennes récidivantes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.5": {
    "code": "M43.5",
    "description": "Autres subluxations vertébrales récidivantes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésions biomécaniques NCA (M99.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.6": {
    "code": "M43.6",
    "description": "Torticolis",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "torticolis : • congénital (sterno-mastoïdien) (Q68.0)",
      "• dû à un traumatisme obstétrical (P15.2)",
      "• dû à lésion traumatique récente - voir lésion traumatique selon les",
      "localisations anatomiques",
      "• psychogène (F45.8)",
      "• spasmodique (G24.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M43.8": {
    "code": "M43.8",
    "description": "Autres dorsopathies avec déformation précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Camptocormie idiopathique (Orphanet)"
    ],
    "comprend": [],
    "exclusions": [
      "cyphose et lordose (M40.-)",
      "scoliose (M41.-)"
    ],
    "clinical_text": [],
    "agora_refs": [
      "71256"
    ],
    "cocoa_notes": [
      "Code proposé pour déficit (défaut) de lordose (AGORA - # 71256 le 6 novembre 2012)"
    ]
  },
  "M43.9": {
    "code": "M43.9",
    "description": "Dorsopathie avec déformation, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Incurvation vertébrale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M45": {
    "code": "M45",
    "description": "Spondylarthrite ankylosante",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]",
      "Atteinte vertébrale au cours de la polyarthrite rhumatoïde",
      "Pelvi-spondylite rhumatismale"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie au cours du syndrome de Reiter (M02.3)",
      "spondylarthrite (ankylosante) juvénile (M08.1)",
      "syndrome de Behçet (M35.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46": {
    "code": "M46",
    "description": "Autres spondylopathies inflammatoires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.0": {
    "code": "M46.0",
    "description": "Enthésopathie spinale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteinte des insertions ligamentaires ou musculaires de la colonne vertébrale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.1": {
    "code": "M46.1",
    "description": "Sacro-iliite, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.2": {
    "code": "M46.2",
    "description": "Ostéomyélite vertébrale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.3": {
    "code": "M46.3",
    "description": "Infection (pyogène) d’un disque intervertébral",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Spondylodiscite",
      "Discospondylite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.4": {
    "code": "M46.4",
    "description": "Discite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 587,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.5": {
    "code": "M46.5",
    "description": "Autres spondylopathies infectieuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "66147"
    ],
    "cocoa_notes": [
      "Spondylite infectieuse (cf. index alphabétique) (AGORA - # 66147 le 21 juin 2012)"
    ]
  },
  "M46.8": {
    "code": "M46.8",
    "description": "Autres spondylopathies inflammatoires précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M46.9": {
    "code": "M46.9",
    "description": "Spondylopathie inflammatoire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M47": {
    "code": "M47",
    "description": "Spondylarthrose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [
      "arthrose ou ostéoarthrite vertébrale",
      "dégénérescence des facettes articulaires",
      "discarthrose",
      "arthrose zygapophysaire",
      "syndesmophytose",
      "cervicarthrose",
      "lombarthrose",
      "Voir également : ostéophyte (M25.7)"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M47.0": {
    "code": "M47.0",
    "description": "Syndromes de compression des artères vertébrale et spinale antérieure (G99.2 *)",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M47.1": {
    "code": "M47.1",
    "description": "Autres spondylarthroses avec myélopathie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "subluxation vertébrale (M43.3-M43.5)"
    ],
    "clinical_text": [
      "Compression de la moelle épinière due à une spondylarthrose † (G99.2 *)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M47.2": {
    "code": "M47.2",
    "description": "Autres spondylarthroses avec radiculopathie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M47.8": {
    "code": "M47.8",
    "description": "Autres spondylarthroses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Spondylarthrose : • cervicale",
      "• lombo-sacrée sans myélopathie ou radiculopathie",
      "• thoracique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M47.9": {
    "code": "M47.9",
    "description": "Spondylarthrose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48": {
    "code": "M48",
    "description": "Autres spondylopathies",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48.0": {
    "code": "M48.0",
    "description": "Rétrécissement du canal médullaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement caudal",
      "Canal lombaire étroit"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48.1": {
    "code": "M48.1",
    "description": "Hyperostose ankylosante [Forestier]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperostose diffuse idiopathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48.2": {
    "code": "M48.2",
    "description": "Arthrose interépineuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie de Baastrup"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48.3": {
    "code": "M48.3",
    "description": "Spondylopathie traumatique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "chapitre XIX."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "code ne doit pas être utilisé dans les suites immédiates d’un traumatisme dont le codage fait appel au"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.86 : l’intitulé « spondylopathie traumatique » doit être compris comme « post-traumatique ». Son"
    ]
  },
  "M48.4": {
    "code": "M48.4",
    "description": "Fracture vertébrale de fatigue",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 588,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fracture vertébrale de stress"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48.5": {
    "code": "M48.5",
    "description": "Tassement vertébral, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tassement vertébral SAI",
      "Vertèbre cunéiforme SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique récente - voir lésion traumatique selon les localisations anatomiques",
      "tassement vertébral ostéoporotique (M80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.86 : tassement vertébral au cours de maladies classées ailleurs"
    ]
  },
  "M48.8": {
    "code": "M48.8",
    "description": "Autres spondylopathies précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ossification du ligament longitudinal postérieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M48.9": {
    "code": "M48.9",
    "description": "Spondylopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.0": {
    "code": "M49.0",
    "description": "Tuberculose vertébrale (A18.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Mal de Pott"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.1": {
    "code": "M49.1",
    "description": "Spondylite au cours de brucellose (A23.- †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.2": {
    "code": "M49.2",
    "description": "Spondylite entérobactérienne (A01-A04 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.3": {
    "code": "M49.3",
    "description": "Spondylopathie au cours d’autres maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "spondylite neurologique au cours de tabès (M49.4 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.4": {
    "code": "M49.4",
    "description": "Spondylopathie neurologique",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• tabès (A52.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Spondylopathie neurologique au cours de : • syringomyélie et syringobulbie (G95.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.5": {
    "code": "M49.5",
    "description": "Tassement vertébral au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Fracture métastatique d’une vertèbre (C79.5 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M49.8": {
    "code": "M49.8",
    "description": "Spondylopathie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "discite SAI (M46.4)",
      "lésion traumatique récente - voir lésion traumatique selon les localisations anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.86 : les compressions des racines et des plexus nerveux au cours des atteintes des disques intervertébraux classées en M50 et"
    ]
  },
  "M51": {
    "code": "M51",
    "description": "Atteintes d’autres disques intervertébraux",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "atteintes de disques dorsaux, dorso-lombaires et lombo-sacrés"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50": {
    "code": "M50",
    "description": "Atteintes des disques cervicaux",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "atteinte des disques : • cervicaux avec cervicalgie",
      "• cervico-dorsaux"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50.0": {
    "code": "M50.0",
    "description": "Atteinte d’un disque cervical avec myélopathie (G99.2 *)",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50.1": {
    "code": "M50.1",
    "description": "Atteinte d’un disque cervical avec radiculopathie (G55.1 *)",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "radiculite brachiale SAI (M54.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50.2": {
    "code": "M50.2",
    "description": "Autre hernie d’un disque cervical",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50.3": {
    "code": "M50.3",
    "description": "Autre détérioration d’un disque cervical",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 589,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50.8": {
    "code": "M50.8",
    "description": "Autres atteintes d’un disque cervical",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M50.9": {
    "code": "M50.9",
    "description": "Atteinte d’un disque cervical, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.0": {
    "code": "M51.0",
    "description": "Atteintes d’un disque lombaire et d’autres disques intervertébraux avec myélopathie (G99.2 *)",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.1": {
    "code": "M51.1",
    "description": "Atteintes d’un disque lombaire et d’autres disques intervertébraux avec radiculopathie (G55.1 *)",
    "dagger_star": "†",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sciatique due à une discopathie intervertébrale"
    ],
    "comprend": [],
    "exclusions": [
      "radiculite lombaire SAI (M54.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.2": {
    "code": "M51.2",
    "description": "Hernie d’un autre disque intervertébral précisé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lumbago dû à une hernie discale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.3": {
    "code": "M51.3",
    "description": "Détérioration d’un autre disque intervertébral précisé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.4": {
    "code": "M51.4",
    "description": "Nodules de Schmorl",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.8": {
    "code": "M51.8",
    "description": "Autres atteintes précisées d’un disque intervertébral",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M51.9": {
    "code": "M51.9",
    "description": "Atteinte d’un disque intervertébral, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53": {
    "code": "M53",
    "description": "Autres dorsopathies, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53.0": {
    "code": "M53.0",
    "description": "Syndrome cervico-céphalique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome sympathique cervical postérieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53.1": {
    "code": "M53.1",
    "description": "Syndrome cervico-brachial",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteintes des disques cervicaux (M50.-)",
      "syndrome de traversée thoracobrachiale (G54.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53.2": {
    "code": "M53.2",
    "description": "Instabilités vertébrales",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53.3": {
    "code": "M53.3",
    "description": "Atteintes sacro-coccygiennes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coccygodynie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53.8": {
    "code": "M53.8",
    "description": "Autres dorsopathies précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M53.9": {
    "code": "M53.9",
    "description": "Dorsopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54": {
    "code": "M54",
    "description": "Dorsalgies",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation des dorsopathies]",
      "Exemple : M54.1 comprend la cruralgie d’origine vertébrale"
    ],
    "comprend": [],
    "exclusions": [
      "psychogènes (F45.4)"
    ],
    "clinical_text": [
      "apparaissent également dans la catégorie M54 du chapitre XIII. Mais on réservera cette dernière aux cas dans lesquels on",
      "a la certitude ou une forte présomption que les entités morbides qu’elle comprend trouvent leur origine au niveau du",
      "rachis. En d’autres termes, le codage des névrites et des radiculopathies d’origine rachidienne ou présumées d’origine",
      "rachidienne ne fait pas appel au groupe G50-G59 mais à la catégorie M54."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.86 : les notions d’affection des racines, de névrite, et de mononévrite comprises dans le groupe G50 à G59"
    ]
  },
  "M54.0": {
    "code": "M54.0",
    "description": "Panniculite affectant le cou et le dos",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 590,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "panniculite : • SAI (M79.3)",
      "• lupique (L93.2)",
      "• récidivante [Weber-Christian] (M35.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.1": {
    "code": "M54.1",
    "description": "Radiculopathie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Névrite ou radiculite : • brachiale SAI",
      "• dorsale SAI",
      "• lombaire SAI",
      "• lombo-sacrée SAI",
      "Radiculite SAI"
    ],
    "comprend": [],
    "exclusions": [
      "névralgie et névrite SAI (M79.2)",
      "radiculopathie avec : • atteinte d’un disque :",
      "• cervical (M50.1)",
      "• lombaire et d’autres disques intervertébraux (M51.1)",
      "• spondylarthrose (M47.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.2": {
    "code": "M54.2",
    "description": "Cervicalgie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cervicalgie due à une atteinte des disques cervicaux (M50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.3": {
    "code": "M54.3",
    "description": "Sciatique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion du nerf sciatique (G57.0)",
      "sciatique : • avec lumbago (M54.4)",
      "• due à une discopathie intervertébrale (M51.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.4": {
    "code": "M54.4",
    "description": "Lumbago avec sciatique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dû à une discopathie intervertébrale (M51.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.5": {
    "code": "M54.5",
    "description": "Lombalgie basse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Douleur lombaire",
      "Lumbago SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lumbago : • avec sciatique (M54.4)",
      "• dû à une hernie discale (M51.2)"
    ],
    "clinical_text": [
      "Un syndrome de Maigne (dérangement intervertébral mineur) peut-il être codé avec M54.5- ? Oui, il n'y a"
    ],
    "agora_refs": [
      "241823"
    ],
    "cocoa_notes": [
      "pas de code plus précis dans la CIM10. (AGORA - # 241823 le 29 mars 2023)"
    ]
  },
  "M54.6": {
    "code": "M54.6",
    "description": "Rachialgies dorsales",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dues à des atteintes des disques intervertébraux (M51.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.8": {
    "code": "M54.8",
    "description": "Autres dorsalgies",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M54.9": {
    "code": "M54.9",
    "description": "Dorsalgie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 591,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mal de dos SAI"
    ],
    "comprend": [],
    "exclusions": [
      "dermatopolymyosite (M33.-)",
      "dystrophies musculaires et myopathies (G71-G72)",
      "myopathie au cours de : • amylose (E85.-)",
      "• lupus érythémateux disséminé (M32.-)",
      "• périartérite noueuse (M30.0)",
      "• polyarthrite rhumatoïde (M05.3)",
      "• sclérodermie (M34.-)",
      "• syndrome de Gougerot-Sjögren (M35.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M60": {
    "code": "M60",
    "description": "Myosite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Vo ir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M60.0": {
    "code": "M60.0",
    "description": "Myosite infectieuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Pyomyosite tropicale",
      "Abcès musculaire",
      "Abcès du psoas"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La CIM-10 classe les abcès musculaires à M60.0 Myosite infectieuse ainsi qu’il est indiqué dans le volume 3.",
      "L’abcès du psoas se code donc M60.0, et un cinquième caractère 5 ou 8 précise la localisation.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2021, juin 2021, p. 8"
    ],
    "agora_refs": [
      "59799"
    ],
    "cocoa_notes": [
      "La fonte musculaire purulente associe M60.0 et M62.5 (AGORA - # 59799 le 1er mars 2012)"
    ]
  },
  "M60.1": {
    "code": "M60.1",
    "description": "Myosite interstitielle",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M60.2": {
    "code": "M60.2",
    "description": "Granulome d’un tissu mou dû à la présence d’un corps étranger, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "granulome de la peau et du tissu cellulaire sous-cutané dû à la présence d’un corps",
      "étranger (L92.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M60.8": {
    "code": "M60.8",
    "description": "Autres myosites",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M60.9": {
    "code": "M60.9",
    "description": "Myosite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61": {
    "code": "M61",
    "description": "Calcification et ossification de muscles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Vo ir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.0": {
    "code": "M61.0",
    "description": "Myosite ossifiante traumatique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.1": {
    "code": "M61.1",
    "description": "Myosite ossifiante progressive",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fibrodysplasie ossifiante progressive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.2": {
    "code": "M61.2",
    "description": "Calcification et ossification paralytique de muscles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myosite ossifiante liée à une tétraplégie ou une paraplégie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.3": {
    "code": "M61.3",
    "description": "Calcification et ossification de muscles associées à des brûlures",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Myosite ossifiante associée à des brûlures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.4": {
    "code": "M61.4",
    "description": "Autres calcifications de muscles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "calcification tendineuse (M65.2)",
      "• épaule (M75.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.5": {
    "code": "M61.5",
    "description": "Autres calcifications de muscles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M61.9": {
    "code": "M61.9",
    "description": "Calcification et ossification de muscles, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 592,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62": {
    "code": "M62",
    "description": "Autres atteintes musculaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Vo ir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "crampe et spasme (R25.2)",
      "myalgie (M79.1)",
      "myopathie : • alcoolique (G72.1)",
      "• médicamenteuse (G72.0)",
      "syndrome de l’homme raide (G25.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.0": {
    "code": "M62.0",
    "description": "Diastasis musculaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "le code M62.0 qu’en l’absence de hernie ou d’éventration. S’il en existe une, utilisez plutôt les catégories"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.86 : pour coder un diastasis musculaire de la paroi abdominale, nous vous conseillons de n’utiliser"
    ]
  },
  "M62.1": {
    "code": "M62.1",
    "description": "Autres déchirures musculaires (non traumatiques)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déchirure (du) : • tendon (M66.-)",
      "• traumatique de muscle - voir lésion traumatique du muscle selon",
      "les localisations anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.2": {
    "code": "M62.2",
    "description": "Infarcissement ischémique musculaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "sur son origine."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "On doit considérer que la note d’inclusion « Syndrome de loge musculaire d’origine non traumatique »",
      "introduite sous ce libellé précise effectivement que le code M62.2 ne peut être utilisé que pour signaler une",
      "affection précisée d’origine non traumatique. Conformément aux indications du volume 3 alphabétique, on",
      "codera T79.6 cette même affection si elle est précisée d’origine traumatique, ou en l’absence de précision",
      "ATIH – Précisions sur certains codes de la CIM10 – note non référencée – J. Bodin, 24 avril 2006 – p.2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.3": {
    "code": "M62.3",
    "description": "Syndrome d’immobilité (paraplégique)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le syndrome d’immobilité est une entité clinique distincte d’origine musculaire, le diagnostic doit être posé",
      "par le clinicien. Il ne s’agit pas seulement d’un état d’immobilisation du patient pour des raisons diverses"
    ],
    "agora_refs": [
      "171757"
    ],
    "cocoa_notes": [
      "(AGORA - # 171757 le 3 décembre 2018)"
    ]
  },
  "M62.4": {
    "code": "M62.4",
    "description": "Contracture musculaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "raideur articulaire par contracture (M24.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.5": {
    "code": "M62.5",
    "description": "Atrophie et fonte musculaires, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie due à l’inactivité NCA",
      "Amyotrophie due à l’inactivité NCA",
      "le 25 juillet 2017)",
      "Sarcopénie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "la sarcopénie, phénomène physiologique lié au vieillissement ne se code pas. En revanche si le phénomène",
      "devient pathologique nécessitant une prise en charge spécifique on peut le coder M62.5 (AGORA - # 25919"
    ],
    "agora_refs": [
      "59799"
    ],
    "cocoa_notes": [
      "La fonte musculaire purulente associe M60.0 et M62.5 (AGORA - # 59799 le 1er mars 2012)"
    ]
  },
  "M62.6": {
    "code": "M62.6",
    "description": "Foulure musculaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 593,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique - voir lésion traumatique du muscle selon les localisations",
      "anatomiques"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.8": {
    "code": "M62.8",
    "description": "-8 Autres atteintes musculaires précisées, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 594,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le siège peut être précisé avec le 5ème caractère (-) au moyen des subdivisions du chapitre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.89": {
    "code": "M62.89",
    "description": "8 Autres atteintes musculaires précisées, non classées ailleurs, siège non précisé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 594,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M62.9": {
    "code": "M62.9",
    "description": "Atteinte musculaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 594,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M63.0": {
    "code": "M63.0",
    "description": "Myosite au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 594,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Myosite au cours de : • lèpre ou maladie de Hansen (A30.- †)",
      "• syphilis (A51.4 †, A52.7 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M63.1": {
    "code": "M63.1",
    "description": "Myosite au cours d’infections parasitaires et à protozoaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 594,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Myosite au cours de : • cysticercose (B69.8 †)",
      "• schistosomiase ou bilharziose (subdivisions de B65 †)",
      "• toxoplasmose (B58.8 †)",
      "• trichinose (B75 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M63.2": {
    "code": "M63.2",
    "description": "Myosite au cours d’autres maladies infectieuses classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Myosite au cours de mycoses (B35-B49 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M63.3": {
    "code": "M63.3",
    "description": "Myosite au cours de sarcoïdose (D86.8 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M63.8": {
    "code": "M63.8",
    "description": "Autres atteintes musculaires au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M65": {
    "code": "M65",
    "description": "Synovite et ténosynovite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "affections des tissus mous liées à une sollicitation excessive de l’articulation (M70.-)",
      "lésion traumatique récente - voir atteinte du ligament ou du tendon selon les localisations",
      "anatomiques",
      "synovite sèche chronique de la main et du poignet (M70.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M65.0": {
    "code": "M65.0",
    "description": "Abcès de la gaine du tendon",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M65.1": {
    "code": "M65.1",
    "description": "Autres ténosynovites infectieuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M65.2": {
    "code": "M65.2",
    "description": "Tendinite calcifiante",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "épaule (M75.3)",
      "tendinites précisées (M75-M77)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M65.3": {
    "code": "M65.3",
    "description": "Doigt « à ressort »",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion tendineuse nodulaire",
      "Mallet Finger"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M65.4": {
    "code": "M65.4",
    "description": "Ténosynovite chronique sténosante du pouce [de Quervain]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "64046"
    ],
    "cocoa_notes": [
      "Tendinite chronique de De Quervain (cf. index alphabétique) (AGORA - # 64046 le 14 mai 2012)"
    ]
  },
  "M65.8": {
    "code": "M65.8",
    "description": "Autres synovites et ténosynovites",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hanche irritable",
      "Coxite transitoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "le rhume de hanche est décrit dans la littérature comme synonyme à la fois de « hanche irritable » et de",
      "« synovite transitoire ». L'OMS ayant placé l'inclusion « hanche irritable » sous le code M65.8 nous avons"
    ],
    "agora_refs": [
      "86954"
    ],
    "cocoa_notes": [
      "choisi ce code. (AGORA - # 86954 le 27 septembre 2013)"
    ]
  },
  "M65.9": {
    "code": "M65.9",
    "description": "Synovite et ténosynovite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66": {
    "code": "M66",
    "description": "Déchirure spontanée de la synoviale et du tendon",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Vo ir codage de la localisation en début de chapitre]"
    ],
    "comprend": [
      "les déchirures spontanées survenant au cours une mise en traction normale et traduisant une résistance",
      "inférieure à la normale."
    ],
    "exclusions": [
      "déchirure traumatique par mise en tension anormale - voir déchirure selon les localisations",
      "anatomiques",
      "syndrome de la coiffe des rotateurs (M75.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66.0": {
    "code": "M66.0",
    "description": "Déchirure d’un kyste poplité",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66.1": {
    "code": "M66.1",
    "description": "Déchirure de la synoviale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déchirure d’un kyste synovial"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure d’un kyste poplité (M66.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66.2": {
    "code": "M66.2",
    "description": "Déchirure spontanée des tendons extenseurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 595,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66.3": {
    "code": "M66.3",
    "description": "Déchirure spontanée des tendons fléchisseurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66.4": {
    "code": "M66.4",
    "description": "Déchirure spontanée d’autres tendons",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M66.5": {
    "code": "M66.5",
    "description": "Déchirure spontanée d’un tendon, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déchirure au niveau de la jonction musculo-tendineuse, non traumatique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67": {
    "code": "M67",
    "description": "Autres atteintes de la synoviale et du tendon",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fibromatose de l’aponévrose palmaire [Dupuytren] (M72.0)",
      "tendinite SAI (M77.9)",
      "xanthomatose tendineuse (E78.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.0": {
    "code": "M67.0",
    "description": "Brièveté du tendon d’Achille (acquise)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.1": {
    "code": "M67.1",
    "description": "Autres rétractions tendineuses (gaine)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec raideur articulaire (M24.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.2": {
    "code": "M67.2",
    "description": "Hypertrophie synoviale, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "synovite villo-nodulaire (pigmentaire) (M12.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.3": {
    "code": "M67.3",
    "description": "Synovite transitoire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Synovite toxique"
    ],
    "comprend": [],
    "exclusions": [
      "rhumatisme palindromique (M12.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.4": {
    "code": "M67.4",
    "description": "Kyste",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste articulaire ou du tendon (gaine)"
    ],
    "comprend": [],
    "exclusions": [
      "kyste (de) : • bourse séreuse (M71.2-M71.3)",
      "• dû au pian (A66.6)",
      "• synovial (M71.2-M71.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.8": {
    "code": "M67.8",
    "description": "Autres atteintes précisées de la synoviale et du tendon",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M67.9": {
    "code": "M67.9",
    "description": "Atteinte de la synoviale et du tendon, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes de la synoviale et du tendon au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M68.0": {
    "code": "M68.0",
    "description": "Synovite et ténosynovite au cours de maladies bactériennes classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Synovite ou ténosynovite : • gonococcique (A54.4 †)",
      "• syphilitique (A52.7 †)",
      "• tuberculeuse (A18.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M68.8": {
    "code": "M68.8",
    "description": "Autres atteintes de la synoviale et du tendon au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 596,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70": {
    "code": "M70",
    "description": "Affections des tissus mous par sollicitation excessive de l’articulation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [
      "affections des tissus mous d’origine professionnelle",
      "Hygroma (professionnel ou d’autres origines par ex. post-traumatique) et non D18.1 qui est la traduction de"
    ],
    "exclusions": [
      "bursite (de) • SAI (M71.9)",
      "• épaule (M75.5)",
      "enthésopathies (M76-M77)",
      "ulcère de décubitus et zone de pression (L89.–)"
    ],
    "clinical_text": [],
    "agora_refs": [
      "64826"
    ],
    "cocoa_notes": [
      "l’anglais pour hygroma kystique (lymphangiome) (AGORA - # 64826 le 29 mai 2012)"
    ]
  },
  "M70.0": {
    "code": "M70.0",
    "description": "Synovite sèche de la main et du poignet",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.1": {
    "code": "M70.1",
    "description": "Bursite de la main",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.2": {
    "code": "M70.2",
    "description": "Bursite olécrânienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hygroma du coude"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.3": {
    "code": "M70.3",
    "description": "Autres bursites du coude",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.4": {
    "code": "M70.4",
    "description": "Bursite pré-patellaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hygroma du genou"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.5": {
    "code": "M70.5",
    "description": "Autres bursites du genou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.6": {
    "code": "M70.6",
    "description": "Bursite trochantérienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tendinite trochantérienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.7": {
    "code": "M70.7",
    "description": "Autres bursites de la hanche",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bursite ischiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M70.8": {
    "code": "M70.8",
    "description": "Autres affections des tissus mous par sollicitation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie de Haglund (ostéochondrite juvénile du tarse) : M92.6 à utiliser si diagnostic confirmé sans tenir",
      "La maladie de Haglund est aussi « la maladie du coureur » ou « pump bump » parce qu’elle consiste en la",
      "croissance d’une bosse derrière le talon causée par la friction répétée de la chaussure sur le calcanéum."
    ],
    "agora_refs": [
      "75163",
      "121787"
    ],
    "cocoa_notes": [
      "compte de l’éventuel test DATIM d’incohérence avec l’âge. (AGORA - # 75163 le 7 février 2013)",
      "Proposition : dans ce cas, coder M70.87 (AGORA - # 121787 le 31 août 2015)"
    ]
  },
  "M70.9": {
    "code": "M70.9",
    "description": "Affections des tissus mous par sollicitation excessive, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71": {
    "code": "M71",
    "description": "Autres bursites",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "bursite par sollicitation excessive (M70.-)",
      "enthésopathies (M76-M77)",
      "oignon (M20.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.0": {
    "code": "M71.0",
    "description": "Abcès des bourses séreuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.1": {
    "code": "M71.1",
    "description": "Autres bursites infectieuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 597,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "comment coder un hygroma du coude secondaire à une plaie non soignée et infecté à staphylocoque",
      "aureus ? en l’absence de précision sur le type d’infection codez M71.1 (M71.0 est licite si un abcès est"
    ],
    "agora_refs": [
      "97310"
    ],
    "cocoa_notes": [
      "mentionné). B95.6 est associé. (AGORA - # 97310 le 11 avril 2014)"
    ]
  },
  "M71.2": {
    "code": "M71.2",
    "description": "Kyste synovial poplité [Baker]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "localisation."
    ],
    "comprend": [],
    "exclusions": [
      "avec déchirure (M66.0)"
    ],
    "clinical_text": [
      "code utilisable pour le kyste poplité, seule l’extension M71.26 (localisation à la jambe) est autorisée mais",
      "facultative ; les autres kystes des bourses séreuses sont codés en M71.3 ou ses subdivisions indiquant la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.3": {
    "code": "M71.3",
    "description": "Autres kystes des bourses séreuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste synovial SAI"
    ],
    "comprend": [],
    "exclusions": [
      "kyste de la synovial avec déchirure (M66.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.4": {
    "code": "M71.4",
    "description": "Dépôts calciques dans une bourse séreuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "épaule (M75.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.5": {
    "code": "M71.5",
    "description": "Autres bursites, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bursite (de) : • SAI (M71.9)",
      "• épaule (M75.5)",
      "• ligament latéral interne du genou [Pellegrini-Stiedal] (M76.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.8": {
    "code": "M71.8",
    "description": "Autres affections précisées des bourses séreuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M71.9": {
    "code": "M71.9",
    "description": "Bursite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72": {
    "code": "M72",
    "description": "Affections fibroblastiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "fibromatose rétropéritonéale (D48.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.0": {
    "code": "M72.0",
    "description": "Fibromatose de l’aponévrose palmaire [Dupuytren]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.1": {
    "code": "M72.1",
    "description": "Coussinet des phalanges",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.2": {
    "code": "M72.2",
    "description": "Fibromatose de l’aponévrose plantaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fasciite plantaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.4": {
    "code": "M72.4",
    "description": "Fibromatose pseudo-sarcomateuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fasciite nodulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.6": {
    "code": "M72.6",
    "description": "Fasciite nécrosante",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "initiale :",
      "autorisé ? pas d'exclusion du chapitre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "gestion des exclusions sur lésion infectieuse cutanée /sous cutanée en cas de complication d'une lésion",
      "exemple 3 : sur terrain de dermite ocre, zone de nécrose se compliquant d'une dermohypodermite. L08.8",
      "Le codage de la lésion nécrosée prime sur la dermohypodermite et l’affection préexistante, le DP pourra",
      "donc être codé, selon la profondeur et la gravité de la nécrose, soit M72.6, A48.0 ou R02. Le L08.8 ne pourra",
      "plus être codé. L'insuffisance veineuse avec inflammation pourra en revanche être codée en DAS avec le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.8": {
    "code": "M72.8",
    "description": "Autres affections fibroblastiques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès d’un fascia"
    ],
    "comprend": [],
    "exclusions": [
      "fasciite : • disséminée à éosinophiles (M35.4)",
      "• nodulaire (M72.4)",
      "• nécrosante (M72.6)",
      "• péri-rénale (K66.2)",
      "• plantaire (M72.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M72.9": {
    "code": "M72.9",
    "description": "Affections fibroblastiques, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 598,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fasciite SAI",
      "Fibromatose SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M73.0": {
    "code": "M73.0",
    "description": "Bursite gonococcique (A54.4 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M73.1": {
    "code": "M73.1",
    "description": "Bursite syphilitique (A52.7 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M73.8": {
    "code": "M73.8",
    "description": "Autres affections des tissus mous au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75": {
    "code": "M75",
    "description": "Lésions de l’épaule",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome épaule-main (M89.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.0": {
    "code": "M75.0",
    "description": "Capsulite rétractile de l’épaule",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épaule bloquée",
      "Périarthrite de l’épaule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.1": {
    "code": "M75.1",
    "description": "Syndrome de la coiffe des rotateurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "comme traumatique",
      "Syndrome sus-épineux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rupture (complète ou incomplète) du sus-épineux ou de la coiffe des rotateurs, non précisée",
      "Le syndrome de Neer ou conflit sous-acromial est le premier stade de l’usure de la coiffe des rotateurs. Il se"
    ],
    "agora_refs": [
      "21154"
    ],
    "cocoa_notes": [
      "code M75.1. (AGORA - # 21154 le 13 novembre 2009)"
    ]
  },
  "M75.2": {
    "code": "M75.2",
    "description": "Tendinite du biceps",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.3": {
    "code": "M75.3",
    "description": "Tendinite calcifiante de l’épaule",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bursite calcifiante de l’épaule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.4": {
    "code": "M75.4",
    "description": "Syndrome d’empiétement de l’épaule",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.5": {
    "code": "M75.5",
    "description": "Bursite de l’épaule",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du labrum ou bourrelet glénoïdien dans l’atteinte dégénérative de l’articulation de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.8": {
    "code": "M75.8",
    "description": "Autres lésions de l’épaule",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M75.9": {
    "code": "M75.9",
    "description": "Lésion de l’épaule, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76": {
    "code": "M76",
    "description": "Enthésopathies du membre inférieur, sauf le pied",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "bursite par sollicitation excessive (M70.-)"
    ],
    "clinical_text": [
      "Note Les termes bursite, capsulite et tendinite ne sont pas vraiment employés de façon spécifique; on a tendance à les",
      "utiliser indifféremment pour des affections diverses des insertions ligamentaires ou musculaires périphériques; la",
      "plupart de ces affections ont été groupées sous le terme générique d’enthésopathies."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.0": {
    "code": "M76.0",
    "description": "Tendinite de la région fessière",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.1": {
    "code": "M76.1",
    "description": "Tendinite du psoas",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.2": {
    "code": "M76.2",
    "description": "Exostose de la crête iliaque",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.3": {
    "code": "M76.3",
    "description": "Syndrome de la bandelette ilio-tibiale de Maissiat",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.4": {
    "code": "M76.4",
    "description": "Bursite du ligament latéral interne du genou [Pellegrini-Stieda]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.5": {
    "code": "M76.5",
    "description": "Tendinite rotulienne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 599,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.6": {
    "code": "M76.6",
    "description": "Tendinite du tendon d’Achille",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bursite du tendon d’Achille"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.7": {
    "code": "M76.7",
    "description": "Tendinite péronière",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.8": {
    "code": "M76.8",
    "description": "Autres enthésopathies du membre inférieur, sauf le pied",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de la loge tibiale antérieure",
      "Tendinite tibiale postérieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M76.9": {
    "code": "M76.9",
    "description": "Enthésopathie du membre inférieur, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77": {
    "code": "M77",
    "description": "Autres enthésopathies",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "bursite : • SAI (M71.9)",
      "• par sollicitation excessive (M70.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.0": {
    "code": "M77.0",
    "description": "Apophysite interne du coude",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.1": {
    "code": "M77.1",
    "description": "Épicondylite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épicondylite des joueurs de tennis",
      "Tennis elbow"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.2": {
    "code": "M77.2",
    "description": "Périarthrite du poignet",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.3": {
    "code": "M77.3",
    "description": "Exostose calcanéenne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épine calcanéenne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.4": {
    "code": "M77.4",
    "description": "Métatarsalgie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "métatarsalgie de Morton (G57.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.5": {
    "code": "M77.5",
    "description": "Autres enthésopathies du pied",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.8": {
    "code": "M77.8",
    "description": "Autres enthésopathies, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M77.9": {
    "code": "M77.9",
    "description": "Enthésopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Capsulite SAI",
      "Exostose SAI",
      "Périarthrite SAI",
      "Tendinite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79": {
    "code": "M79",
    "description": "Autres affections des tissus mous, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "douleur psychogène des tissus mous (F45.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.0": {
    "code": "M79.0",
    "description": "Rhumatisme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fibromyalgie (M79.7)",
      "rhumatisme palindromique (M12.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.1": {
    "code": "M79.1",
    "description": "Myalgie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 600,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myosite (M60.-)"
    ],
    "clinical_text": [
      "Syndrome myofascial (à distinguer de la fibromyalgie en M79.7). les cliniciens que j'ai consultés me disent qu'il",
      "n'y a pas de consensus aujourd’hui pour affirmer le lien entre le syndrome myofascial et la fibromyalgie ce qui"
    ],
    "agora_refs": [
      "72501"
    ],
    "cocoa_notes": [
      "explique ma réponse. (AGORA - # 72501 le 11 décembre 2012)"
    ]
  },
  "M79.2": {
    "code": "M79.2",
    "description": "Névralgie et névrite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mononévrites (G56-G58)",
      "radiculite : • SAI (M54.1)",
      "• brachiale SAI (M54.1)",
      "• lombo-sacrée SAI (M54.1)",
      "sciatique (M54.3-M54.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.3": {
    "code": "M79.3",
    "description": "Panniculite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "panniculite (du) : • cou et dos (M54.0)",
      "• lupique (L93.2)",
      "• récidivante [Weber-Christian] (M35.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.4": {
    "code": "M79.4",
    "description": "Hypertrophie du coussinet graisseux (rotulien)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.5": {
    "code": "M79.5",
    "description": "Corps étranger résiduel dans un tissu mou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "# 97313 le 11 avril 2014)"
    ],
    "comprend": [],
    "exclusions": [
      "granulome dû à la présence • cutané et sous-cutané (L92.3)",
      "d’un corps étranger du tissu : • mou (M60.2)"
    ],
    "clinical_text": [
      "présence d’esquilles osseuses : M96.8 est imprécis, S98.3 désigne une amputation traumatique et si c’était le",
      "cas ici elle correspondrait au précédent séjour, le code de contusion serait plutôt employé pour un hématome.",
      "Bien qu’il ne s’agisse pas à proprement parler d’un corps étranger je vous conseille de coder M79.5 (AGORA -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.6": {
    "code": "M79.6",
    "description": "Douleur au niveau d’un membre",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.7": {
    "code": "M79.7",
    "description": "Fibromyalgie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fibromyosite",
      "Fibrosite",
      "Myofibrosite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.8": {
    "code": "M79.8",
    "description": "Autres affections précisées des tissus mous",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M79.9": {
    "code": "M79.9",
    "description": "Affection des tissus mous, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 601,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80": {
    "code": "M80",
    "description": "Ostéoporose avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]",
      "d’intervention. Elle présente aussi une ostéoporose."
    ],
    "comprend": [
      "tassement vertébral et vertèbre cunéiforme, ostéoporotiques"
    ],
    "exclusions": [
      "fracture pathologique SAI (M84.4)",
      "tassement vertébral SAI (M48.5)",
      "vertèbre cunéiforme SAI (M48.5)"
    ],
    "clinical_text": [
      "Une patiente de 77 ans entre en gériatrie MCO pour fracture iliopubienne et ischiopubienne consécutive à une chute. Pas",
      "- si le praticien considère la fracture liée à la chute c’est la fracture traumatique en DP",
      "- si le praticien considère la fracture plus liée à l’ostéoporose, ce sont les codes M80.- en DP"
    ],
    "agora_refs": [
      "32676"
    ],
    "cocoa_notes": [
      "(AGORA – # 32676 le 14 juillet 2010)"
    ]
  },
  "M80.0": {
    "code": "M80.0",
    "description": "Ostéoporose post-ménopausique avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.1": {
    "code": "M80.1",
    "description": "Ostéoporose post-ovariectomie avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.2": {
    "code": "M80.2",
    "description": "Ostéoporose d’inactivité avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.3": {
    "code": "M80.3",
    "description": "Ostéoporose consécutive à une malabsorption post-chirurgical avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.4": {
    "code": "M80.4",
    "description": "Ostéoporose médicamenteuse avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.5": {
    "code": "M80.5",
    "description": "Ostéoporose idiopathique avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.8": {
    "code": "M80.8",
    "description": "Autres ostéoporoses avec fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M80.9": {
    "code": "M80.9",
    "description": "Ostéoporose avec fracture pathologique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81": {
    "code": "M81",
    "description": "Ostéoporose sans fracture pathologique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "ostéoporose avec fracture pathologique (M80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.0": {
    "code": "M81.0",
    "description": "Ostéoporose post-ménopausique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.1": {
    "code": "M81.1",
    "description": "Ostéoporose post-ovariectomie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.2": {
    "code": "M81.2",
    "description": "Ostéoporose d’inactivité",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atrophie de Sudeck-Lerriche (M89.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.3": {
    "code": "M81.3",
    "description": "Ostéoporose consécutive à une malabsorption post-chirurgicale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.4": {
    "code": "M81.4",
    "description": "Ostéoporose médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.5": {
    "code": "M81.5",
    "description": "Ostéoporose idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.6": {
    "code": "M81.6",
    "description": "Ostéoporose localisée [Lequesne]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atrophie de Sudeck-Leriche (M89.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.8": {
    "code": "M81.8",
    "description": "Autres ostéoporoses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéoporose sénile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M81.9": {
    "code": "M81.9",
    "description": "Ostéoporose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 602,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M82.1": {
    "code": "M82.1",
    "description": "Ostéoporose au cours de maladies endocriniennes (E00-E34 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M82.8": {
    "code": "M82.8",
    "description": "Ostéoporose au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83": {
    "code": "M83",
    "description": "Ostéomalacie de l’adulte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "ostéodystrophie rénale (N25.0)",
      "ostéomalacie : • infantile et juvénile (E35.0)",
      "• résistante à la vitamine D (E83.3)",
      "rachitisme (évolutif) (E55.0) • résistant à la vitamine D (E83.3)",
      "• séquelles (E64.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.0": {
    "code": "M83.0",
    "description": "Ostéomalacie puerpérale",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.1": {
    "code": "M83.1",
    "description": "Ostéomalacie sénile",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.2": {
    "code": "M83.2",
    "description": "Ostéomalacie de l’adulte par malabsorption",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéomalacie de l’adulte consécutive à une malabsorption post-chirurgicale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.3": {
    "code": "M83.3",
    "description": "Ostéomalacie de l’adulte due à une malnutrition",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.4": {
    "code": "M83.4",
    "description": "Maladie osseuse due à l’aluminium",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.5": {
    "code": "M83.5",
    "description": "Autres ostéomalacies médicamenteuses de l’adulte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.8": {
    "code": "M83.8",
    "description": "Autres ostéomalacies de l’adulte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M83.9": {
    "code": "M83.9",
    "description": "Ostéomalacie de l’adulte, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84": {
    "code": "M84",
    "description": "Anomalie de la continuité osseuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.0": {
    "code": "M84.0",
    "description": "Fracture mal consolidée",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.87 : comprend le cal vicieux, car l’intitulé a le sens de « fracture consolidée en mauvaise position »."
    ]
  },
  "M84.1": {
    "code": "M84.1",
    "description": "Fracture non consolidée",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Pseudarthrose"
    ],
    "comprend": [],
    "exclusions": [
      "pseudarthrose après arthrodèse (M96.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.10": {
    "code": "M84.10",
    "description": "Fracture non consolidée – Sièges multiples",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.11": {
    "code": "M84.11",
    "description": "Fracture non consolidée – Région scapulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.12": {
    "code": "M84.12",
    "description": "Fracture non consolidée - Bras",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.13": {
    "code": "M84.13",
    "description": "Fracture non consolidée – Avant-bras",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.15": {
    "code": "M84.15",
    "description": "Fracture non consolidée – Région pelvienne et cuisse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.16": {
    "code": "M84.16",
    "description": "Fracture non consolidée - Jambe",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.17": {
    "code": "M84.17",
    "description": "Fracture non consolidée – Cheville et pied",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 603,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.18": {
    "code": "M84.18",
    "description": "Fracture non consolidée – Autres localisations",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.19": {
    "code": "M84.19",
    "description": "Fracture non consolidée – Siège non précisé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.2": {
    "code": "M84.2",
    "description": "Retard de consolidation d’une fracture",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.3": {
    "code": "M84.3",
    "description": "Fracture par sollicitation excessive, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de marche SAI"
    ],
    "comprend": [],
    "exclusions": [
      "fracture vertébrale de stress (M48.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.4": {
    "code": "M84.4",
    "description": "Fracture pathologique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Fracture pathologique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "fracture pathologique ostéoporotique (M80.-)",
      "tassement vertébral NCA (M48.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.40": {
    "code": "M84.40",
    "description": "Fracture pathologique, non classée ailleurs – Sièges multiples",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.41": {
    "code": "M84.41",
    "description": "Fracture pathologique, non classée ailleurs - Région scapulaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.42": {
    "code": "M84.42",
    "description": "Fracture pathologique, non classée ailleurs - Bras",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.43": {
    "code": "M84.43",
    "description": "Fracture pathologique, non classée ailleurs - Avant-bras",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.44": {
    "code": "M84.44",
    "description": "Fracture pathologique, non classée ailleurs - Main",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.45": {
    "code": "M84.45",
    "description": "Fracture pathologique, non classée ailleurs - Région pelvienne et cuisse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.46": {
    "code": "M84.46",
    "description": "Fracture pathologique, non classée ailleurs - Jambe",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.47": {
    "code": "M84.47",
    "description": "Fracture pathologique, non classée ailleurs - Cheville et pied",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.48": {
    "code": "M84.48",
    "description": "Fracture pathologique, non classée ailleurs - Autres localisations",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.49": {
    "code": "M84.49",
    "description": "Fracture pathologique, non classée ailleurs - Siège non précisé",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.8": {
    "code": "M84.8",
    "description": "Autres anomalies de la continuité osseuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M84.9": {
    "code": "M84.9",
    "description": "Anomalie de la continuité osseuse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85": {
    "code": "M85",
    "description": "Autres anomalies de la densité et de la structure osseuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "dysplasie polyostotique fibreuse (Q78.1)",
      "ostéogenèse imparfaite (Q78.0)",
      "ostéopétrose (Q78.2)",
      "ostéopoïkilose (Q78.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.0": {
    "code": "M85.0",
    "description": "Dysplasie fibreuse (localisée)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysplasie fibreuse de la mâchoire (K10.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.1": {
    "code": "M85.1",
    "description": "Ostéose fluorée",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.2": {
    "code": "M85.2",
    "description": "Hyperostose du crâne",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.3": {
    "code": "M85.3",
    "description": "Ostéite condensante",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.4": {
    "code": "M85.4",
    "description": "Kyste solitaire des os",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kyste solitaire de la mâchoire (K09.1-K09.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.5": {
    "code": "M85.5",
    "description": "Kyste anévrismal des os",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 604,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kyste anévrismal de la mâchoire (K09.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.6": {
    "code": "M85.6",
    "description": "Autres kystes osseux",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kyste de la mâchoire NCA (K09.1-K09.2)",
      "ostéite fibrokystique généralisée (E21.0)",
      "Maladie osseuse de von Recklinghausen (E21.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.8": {
    "code": "M85.8",
    "description": "Autres anomalies précisées de la densité et de la structure osseuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperostose d’os autres que ceux du crâne",
      "Ostéosclérose acquise"
    ],
    "comprend": [],
    "exclusions": [
      "hyperostose diffuse idiopathique (M48.1)",
      "ostéosclérose : • congénitale (Q77.4)",
      "• myélofibreuse (D75.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M85.9": {
    "code": "M85.9",
    "description": "Anomalie de la densité et de la structure osseuses, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ostéopathies après un acte à visée diagnostique et thérapeutique (M96.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86": {
    "code": "M86",
    "description": "Ostéomyélite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [
      "ostéomyélite (de) (due à) : • Salmonella (A01-A02)",
      "• mâchoire (K10.2)",
      "• vertébrale (M46.2)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.0": {
    "code": "M86.0",
    "description": "Ostéomyélite hématogène aiguë",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.1": {
    "code": "M86.1",
    "description": "Autres ostéomyélites aiguës",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.2": {
    "code": "M86.2",
    "description": "Ostéomyélite subaiguë",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.3": {
    "code": "M86.3",
    "description": "Ostéomyélite chronique multiple",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.4": {
    "code": "M86.4",
    "description": "Ostéomyélite chronique avec fistule de drainage",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.5": {
    "code": "M86.5",
    "description": "Autres ostéomyélites hématogènes chroniques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.6": {
    "code": "M86.6",
    "description": "Autres ostéomyélites chroniques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.8": {
    "code": "M86.8",
    "description": "Autres ostéomyélites",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Abcès de Brodie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M86.9": {
    "code": "M86.9",
    "description": "Ostéomyélite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 605,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "Infection de l’os SAI",
      "Périostite SAI",
      "Ostéite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87": {
    "code": "M87",
    "description": "Ostéonécrose",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [
      "ostéonécrose ischémique"
    ],
    "exclusions": [
      "ostéochondropathies (M91-M93)",
      "ostéonécrose de la mâchoire (médicamenteuse) (due à une irradiation) (K10.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87.0": {
    "code": "M87.0",
    "description": "Ostéonécrose aseptique idiopathique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87.1": {
    "code": "M87.1",
    "description": "Ostéonécrose médicamenteuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87.2": {
    "code": "M87.2",
    "description": "Ostéonécrose due à un traumatisme antérieur",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87.3": {
    "code": "M87.3",
    "description": "Autres ostéonécroses secondaires",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87.8": {
    "code": "M87.8",
    "description": "Autres ostéonécroses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M87.9": {
    "code": "M87.9",
    "description": "Ostéonécroses, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M88": {
    "code": "M88",
    "description": "Maladies osseuses de Paget",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]",
      "Ostéite déformante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M88.0": {
    "code": "M88.0",
    "description": "Maladie de Paget du crâne (sauf M88.08)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M88.8": {
    "code": "M88.8",
    "description": "Maladie de Paget d’autres os",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M88.9": {
    "code": "M88.9",
    "description": "Maladie osseuse de Paget, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89": {
    "code": "M89",
    "description": "Autres maladies osseuses",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.0": {
    "code": "M89.0",
    "description": "Algoneurodystrophie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Algodystrophie",
      "Ostéoporose douloureuse post-traumatique",
      "Atrophie de Sudeck-Leriche",
      "Syndrome épaule-main",
      "Syndrome Douloureux Régional Complexe [SDRC]"
    ],
    "comprend": [],
    "exclusions": [
      "dystrophie sympathique réflexe (G90.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.1": {
    "code": "M89.1",
    "description": "Arrêt épiphysaire",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.2": {
    "code": "M89.2",
    "description": "Autres troubles de la croissance et du développement osseux",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.3": {
    "code": "M89.3",
    "description": "Hypertrophie osseuse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.4": {
    "code": "M89.4",
    "description": "Autres ostéo-arthropathies hypertrophiantes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Maladie de Marie-Bamberger",
      "Pachydermopériostose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.5": {
    "code": "M89.5",
    "description": "Ostéolyse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.6": {
    "code": "M89.6",
    "description": "Ostéopathie consécutive à une poliomyélite",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 606,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome post-poliomyélitique (G14)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (B91) pour identifier l’antécédent de poliomyélite."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M89.8": {
    "code": "M89.8",
    "description": "Autres maladies osseuses précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperostoses corticales infantiles",
      "Ossification sous périostique post-traumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "69833"
    ],
    "cocoa_notes": [
      "Synostose radio-ulnaire (AGORA - # 69833 le 27 septembre 2012)"
    ]
  },
  "M89.9": {
    "code": "M89.9",
    "description": "Maladie osseuse, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.0": {
    "code": "M90.0",
    "description": "Tuberculose osseuse (A18.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tuberculose vertébrale (M49.0 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.1": {
    "code": "M90.1",
    "description": "Périostite au cours d’autres maladies infectieuses classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Périostite syphilitique secondaire (A51.4 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.2": {
    "code": "M90.2",
    "description": "Ostéopathie au cours d’autre maladies infectieuses classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ostéomyélite due à : • échinocoques (B67.2 †)",
      "• gonocoques (A54.4 †)",
      "• Salmonella (A02.2 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéopathie ou ostéochondropathie syphilitique (A50.5 †, A52.7 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.3": {
    "code": "M90.3",
    "description": "Ostéonécrose de la maladie des caissons (T70.3 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.4": {
    "code": "M90.4",
    "description": "Ostéonécrose due à une hémoglobinopathie (D50-D64 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.5": {
    "code": "M90.5",
    "description": "Ostéonécrose au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.7": {
    "code": "M90.7",
    "description": "Fracture osseuse au cours de maladies tumorales (C00-D48 †)",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tassement vertébral au cours de maladies tumorales (M49.5 *)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M90.8": {
    "code": "M90.8",
    "description": "Ostéopathie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 607,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéopathie au cours d’ostéodystrophie rénale (N25.0 †)"
    ],
    "comprend": [],
    "exclusions": [
      "chondropathies après un acte à visée diagnostique et thérapeutique (M96.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91": {
    "code": "M91",
    "description": "Ostéochondrite juvénile de la hanche et du bassin",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "épiphysiolyse de la tête fémorale [coxa vara retrosa] (non traumatique) (M93.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91.0": {
    "code": "M91.0",
    "description": "Ostéochondrite juvénile du bassin",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéochondrite juvénile (de) : • acétabulum",
      "• crête iliaque [Buchanan]",
      "• ischio-pubienne [van Neck]",
      "• symphyse pubienne [Pierson]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91.1": {
    "code": "M91.1",
    "description": "Ostéochondrite juvénile de la tête du fémur [Legg-Perthes-Calvé]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91.2": {
    "code": "M91.2",
    "description": "Coxa plana",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déformation de la hanche due à une ostéochondrite juvénile antérieur"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91.3": {
    "code": "M91.3",
    "description": "Pseudocoxalgie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91.8": {
    "code": "M91.8",
    "description": "Autres ostéochondrites juvéniles de la hanche et du bassin",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrite juvénile après réduction d’une luxation congénitale de la hanche"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M91.9": {
    "code": "M91.9",
    "description": "Ostéochondrite juvénile de la hanche et du bassin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92": {
    "code": "M92",
    "description": "Autres ostéochondrites juvéniles",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.0": {
    "code": "M92.0",
    "description": "Ostéochondrite juvénile de l’humérus",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéochondrite (juvénile) de : • condyle huméral [Panner]",
      "• tête de l’humérus [Haas]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.1": {
    "code": "M92.1",
    "description": "Ostéochondrite juvénile du radius et du cubitus",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• tête radiale [Brailsford]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrite (juvénile) de : • épiphyse inférieure du cubitus [Burns]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.2": {
    "code": "M92.2",
    "description": "Ostéochondrite juvénile de la main",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.3": {
    "code": "M92.3",
    "description": "Autres ostéochondrites juvéniles du membre supérieur",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.4": {
    "code": "M92.4",
    "description": "Ostéochondrite juvénile de la rotule [patella]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéochondrite (juvénile) de : • corps patellaire [Köhler]",
      "• pointe de la rotule [patella] [Sinding Larsen]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.5": {
    "code": "M92.5",
    "description": "Ostéochondrite juvénile du tibia et du péroné [fibula]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 608,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• tubercule tibial [Osgood-Schlatter]",
      "Tibia vara"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrite (juvénile) de : • épiphyse supérieur du tibia [Blount]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.6": {
    "code": "M92.6",
    "description": "Ostéochondrite juvénile du tarse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• astragale [Diaz]",
      "• calcanéum [Sever]",
      "• scaphoïde tarsien [Köhler]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrite (juvénile) de : • apophyse tibiale externe [Haglund]",
      "Maladie de Haglund (ostéochondrite juvénile du tarse) : à utiliser si diagnostic confirmé sans tenir compte",
      "La maladie de Haglund est aussi « la maladie du coureur » ou « pump bump » parce qu’elle consiste en la",
      "croissance d’une bosse derrière le talon causée par la friction répétée de la chaussure sur le calcanéum."
    ],
    "agora_refs": [
      "75163",
      "121787"
    ],
    "cocoa_notes": [
      "de l’éventuel test DATIM d’incohérence avec l’âge. (AGORA - # 75163 le 7 février 2013)",
      "Proposition : dans ce cas, coder M70.87 (AGORA - # 121787 le 31 août 2015)"
    ]
  },
  "M92.7": {
    "code": "M92.7",
    "description": "Ostéochondrite juvénile du métatarse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• deuxième métatarsien [Freiberg]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrite (juvénile) de : • cinquième métatarsien [Iselin]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.8": {
    "code": "M92.8",
    "description": "Autres ostéochondrites juvéniles précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M92.9": {
    "code": "M92.9",
    "description": "Ostéochondrite juvénile, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apophysite précisée juvénile, de localisation non précisée",
      "Épiphysite précisée juvénile, de localisation non précisée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrite précisée juvénile, de localisation non précisée",
      "Ostéochondrose précisée juvénile, de localisation non précisée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M93": {
    "code": "M93",
    "description": "Autres ostéochondropathies",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ostéochondrite vertébrale (M42.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M93.0": {
    "code": "M93.0",
    "description": "Épiphysiolyse de la tête fémorale [coxa vara retrosa] (non traumatique)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M93.1": {
    "code": "M93.1",
    "description": "Maladie de Kienböck de l’adulte",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéochondrite du semi-lunaire chez l’adulte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M93.2": {
    "code": "M93.2",
    "description": "Ostéochondrite disséquante",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M93.8": {
    "code": "M93.8",
    "description": "Autres ostéochondropathies précisées",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M93.9": {
    "code": "M93.9",
    "description": "Ostéochondropathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Apophysite non précisée juvénile ou chez l’adulte, de localisation non précisée",
      "Épiphysite non précisée juvénile ou chez l’adulte, de localisation non précisée",
      "Ostéochondrite non précisée juvénile ou chez l’adulte, de localisation non précisée",
      "Ostéochondrose non précisée juvénile ou chez l’adulte, de localisation non précisée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94": {
    "code": "M94",
    "description": "Autres affections du cartilage",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir codage de la localisation en début de chapitre]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94.0": {
    "code": "M94.0",
    "description": "Syndrome des articulations chondro-costales [Tietze]",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chondrite costale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94.1": {
    "code": "M94.1",
    "description": "Polychondrite récidivante",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94.2": {
    "code": "M94.2",
    "description": "Chondromalacie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rotule [patella] chondromalacique (M22.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94.3": {
    "code": "M94.3",
    "description": "Chondrolyse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94.8": {
    "code": "M94.8",
    "description": "Autres affections précisées du cartilage",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 609,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M94.9": {
    "code": "M94.9",
    "description": "Affection du cartilage, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(M95-M99)",
      "tissu conjonctif"
    ],
    "comprend": [],
    "exclusions": [
      "absence acquise de membres et d’organes (Z89-Z99.0)",
      "affections du système ostéo-articulaire et des muscles après un acte à visée diagnostique et",
      "thérapeutique (M96.-)",
      "anomalies dento-faciales y compris les malocclusions (K07.-)",
      "déformations de membres (M20-M21)",
      "dorsopathies avec déformation (M40-M43)",
      "malformations congénitales du système ostéo-articulaire et des muscles (Q65-Q79)"
    ],
    "clinical_text": [
      "Autres maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
      "Autres déformations du système ostéo-articulaire, des muscles et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.0": {
    "code": "M95.0",
    "description": "Déformation du nez",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déviation de la cloison nasale (J34.2)"
    ],
    "clinical_text": [
      "Le bec de corbin est une déformation de la pointe nasale secondaire à une rhinoplastie. Cette anomalie se"
    ],
    "agora_refs": [
      "100166"
    ],
    "cocoa_notes": [
      "code M95.0 associé à T81.8. (AGORA - # 100166 le 16 mai 2014)"
    ]
  },
  "M95.1": {
    "code": "M95.1",
    "description": "Oreille « en chou-fleur »",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "autres déformations acquises de l’oreille (H61.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.2": {
    "code": "M95.2",
    "description": "Autres déformations de la tête",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.3": {
    "code": "M95.3",
    "description": "Déformation du cou",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.4": {
    "code": "M95.4",
    "description": "Déformation du thorax et des côtes",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.5": {
    "code": "M95.5",
    "description": "Déformation du bassin",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "soins à la mère pour dystocie connue ou présumée (O33.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.8": {
    "code": "M95.8",
    "description": "Autres déformations précisées du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M95.9": {
    "code": "M95.9",
    "description": "Déformation du système ostéo-articulaire, des muscles et du tissu conjonctif, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "visée diagnostique et thérapeutique, non classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie après dérivation intestinale (M02.0)",
      "présence d’implants fonctionnels et d’autres appareils (Z95-Z97)",
      "troubles associés à l’ostéoporose (M80-M81)"
    ],
    "clinical_text": [
      "Affections du système ostéo-articulaire et des muscles après un acte à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.0": {
    "code": "M96.0",
    "description": "Pseudarthrose après arthrodèse",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.1": {
    "code": "M96.1",
    "description": "Syndrome post-laminectomie, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.2": {
    "code": "M96.2",
    "description": "Cyphose après irradiation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.3": {
    "code": "M96.3",
    "description": "Cyphose après laminectomie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.4": {
    "code": "M96.4",
    "description": "Lordose après chirurgie",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.5": {
    "code": "M96.5",
    "description": "Scoliose après irradiation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 610,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fracture osseuse après mise en place d’un implant, d’une prothèse articulaire ou d’une plaque"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M96.8": {
    "code": "M96.8",
    "description": "et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Instabilité articulaire après retrait d’une prothèse articulaire",
      "Existe-t-il un code spécifique pour décrire un syndrome jonctionnel rachidien, déformation du rachis",
      "intervenant à la limite inférieure ou supérieure d'une précédente arthrodèse ? Il n'y a pas de code précis",
      "dans la CIM-10 pour le syndrome jonctionnel post chirurgie rachidienne. Le code M96.8 Autres affections du",
      "système ostéo-articulaire et des muscles après un acte à visée diagnostique et thérapeutique pourrait être",
      "Affection du système ostéo-articulaire et des muscles après un acte à visée diagnostique et"
    ],
    "agora_refs": [
      "234302"
    ],
    "cocoa_notes": [
      "ajouté à celui de lombalgie(M54.5). (AGORA – # 234302 le 12 août 2022)"
    ]
  },
  "M99": {
    "code": "M99",
    "description": "Lésions biomécaniques, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "son titre.",
      "0 Tête : occipito-cervicale",
      "1 Région cervicale : cervico-thoracique",
      "2 Région thoracique : thoraco-lombaire",
      "3 Région lombaire : lombo-sacrée",
      "4 Région sacrée : sacro-coccygienne, sacro-iliaque",
      "5 Région pelvienne : hanche, pubis",
      "6 Membre inférieur",
      "9 Abdomen et autre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Cette catégorie ne doit pas être utilisée si la maladie peut être classée ailleurs",
      "La sous-classification suivante, donnée à titre indicatif, peut être utilisée pour indiquer la localisation des lésions avec les",
      "sous-catégories appropriées en M99. Voir aussi la note en début de chapitre.",
      "7 Membre supérieur : acromio-claviculaire, sterno-claviculaire",
      "8 Cage thoracique : costo-chondrale, costo-vertébrale, sterno-chondrale"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.87 : la catégorie M99 ne peut connaître qu’une utilisation exceptionnelle (sinon nulle) du fait de la note placée sous"
    ]
  },
  "M99.0": {
    "code": "M99.0",
    "description": "Dysfonctionnement segmentaire et somatique",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.1": {
    "code": "M99.1",
    "description": "Subluxation complexe (vertébrale)",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.2": {
    "code": "M99.2",
    "description": "Rétrécissement du canal rachidien par subluxation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.3": {
    "code": "M99.3",
    "description": "Rétrécissement osseux du canal rachidien",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.4": {
    "code": "M99.4",
    "description": "Rétrécissement du canal rachidien par tissu conjonctif",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.5": {
    "code": "M99.5",
    "description": "Rétrécissement du canal rachidien par lésion discrète",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.6": {
    "code": "M99.6",
    "description": "Rétrécissement des espaces intervertébraux par ossification et subluxation",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.7": {
    "code": "M99.7",
    "description": "Rétrécissement des espaces intervertébraux par tissu conjonctif et discal",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.8": {
    "code": "M99.8",
    "description": "Autres lésions biomécaniques",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "M99.9": {
    "code": "M99.9",
    "description": "Lésion biomécanique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif",
    "page": 611,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections dont l’origine se situe dans la période périnatale (P00-P96)",
      "certaines maladies infectieuses et parasitaires (A00-B99)",
      "complications de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs (R00-R99)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N99": {
    "code": "N99",
    "description": "Autres affections de l’appareil génito-urinaire",
    "dagger_star": "",
    "chapter": "",
    "page": 613,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories de ce chapitre comprenant des astérisques sont les suivantes :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N08": {
    "code": "N08",
    "description": "* Glomérulopathies au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 616,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladies rénales tubulo-interstitielles au cours de maladies classées ailleurs (N16.- *)"
    ],
    "clinical_text": [
      "C omprend néphropathie au cours de maladies classées ailleurs"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N16": {
    "code": "N16",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie rénale tubulo-interstitielle au cours de maladies infectieuses et parasitaires classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N22": {
    "code": "N22",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N29": {
    "code": "N29",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N33": {
    "code": "N33",
    "description": "* Affections de la vessie au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N37": {
    "code": "N37",
    "description": "* Affections de l’urètre au cours de maladies classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N51": {
    "code": "N51",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74": {
    "code": "N74",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "maladies classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N77": {
    "code": "N77",
    "description": "*",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N00": {
    "code": "N00",
    "description": "Syndrome néphritique aigu",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 614,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions ci-dessus]"
    ],
    "comprend": [
      "glomérulonéphrite aiguë",
      "glomérulopathie aiguë",
      "maladie rénale SAI aiguë",
      "néphrite aiguë",
      "néphropathie aiguë"
    ],
    "exclusions": [
      "néphrite tubulo-interstitielle aiguë (N10)",
      "syndrome néphritique SAI (N05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N01": {
    "code": "N01",
    "description": "Syndrome néphritique d’évolution rapide",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 614,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions ci-dessus]"
    ],
    "comprend": [
      "glomérulonéphrite d’évolution rapide",
      "glomérulopathie d’évolution rapide",
      "néphrite d’évolution rapide"
    ],
    "exclusions": [
      "syndrome néphritique SAI (N05.-)"
    ],
    "clinical_text": [
      "Attention ! Pour les besoins du PMSI l’ATIH a subdivisé la catégorie N01.7 à l’aide d’un 5e caractère :",
      "Syndrome néphritique d’évolution rapide avec glomérulonéphrite diffuse en croissant, avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N02": {
    "code": "N02",
    "description": "Hématurie récidivante et persistante",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions en début de groupe]"
    ],
    "comprend": [
      "hématurie : • avec lésions morphologiques précisées en .0 à .8, en début de groupe",
      "• bénigne (de l’enfance) (familiale)",
      "Maladie de Berger (Orphanet)"
    ],
    "exclusions": [
      "hématurie SAI (R31)"
    ],
    "clinical_text": [
      "Attention ! Pour les besoins du PMSI l’ATIH a subdivisé les catégories N02.0 et N02.1 à l’aide d’un 5e caractère :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N02.00": {
    "code": "N02.00",
    "description": "Hématurie récidivante et persistante avec anomalies glomérulaires mineures, avec dépôts d’IgA",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N02.09": {
    "code": "N02.09",
    "description": "Hématurie récidivante et persistante avec anomalies glomérulaires mineures, autre ou sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hématurie récidivante et persistante avec lésions glomérulaires segmentaires et focales avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N03": {
    "code": "N03",
    "description": "Syndrome néphritique chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions en début de groupe]"
    ],
    "comprend": [
      "glomérulonéphrite chronique",
      "glomérulopathie chronique",
      "néphrite chronique",
      "néphropathie chronique"
    ],
    "exclusions": [
      "glomérulonéphrite sclérosante diffuse (N18.-)",
      "néphrite tubulo-interstitielle chronique (N11.-)",
      "syndrome néphritique SAI (N05.-)"
    ],
    "clinical_text": [
      "Attention ! Pour les besoins du PMSI l’ATIH a subdivisé les catégories N03.1, N03.3 et N03.8 à l’aide d’un 5e caractère :",
      "Syndrome néphritique chronique avec lésions glomérulaires segmentaires et focales, avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N03.80": {
    "code": "N03.80",
    "description": "Syndrome néphritique chronique avec autres lésions, avec dépôts d’IgA",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N03.89": {
    "code": "N03.89",
    "description": "Syndrome néphritique chronique avec autres lésions morphologiques, autre et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N04": {
    "code": "N04",
    "description": "Syndrome néphrotique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions en début de groupe]"
    ],
    "comprend": [
      "néphrose lipoïdique",
      "syndrome néphrotique congénital",
      "Attention ! Pour les besoins du PMSI l’ATIH a subdivisé la catégorie N04.0 à l’aide d’un 5e caractère :"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N04.00": {
    "code": "N04.00",
    "description": "Syndrome néphrotique avec anomalies glomérulaires mineures, avec dépôts d’IgA",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N04.09": {
    "code": "N04.09",
    "description": "Syndrome néphrotique avec anomalies glomérulaires mineures, autre ou sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 615,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N05": {
    "code": "N05",
    "description": "Syndrome néphritique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 616,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions en début de groupe]"
    ],
    "comprend": [
      "glomérulonéphrite SAI",
      "glomérulopathie SAI",
      "néphrite SAI",
      "néphropathie SAI et maladie rénale SAI avec lésions morphologiques précisées en .0 à-.8, en début de",
      "groupe"
    ],
    "exclusions": [
      "maladie rénale SAI, sans lésion morphologique précisée (N28.9)",
      "néphrite tubulo-interstitielle SAI (N12)",
      "néphropathie SAI, sans lésion morphologique précisée (N28.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N06": {
    "code": "N06",
    "description": "Protéinurie isolée avec lésions morphologiques précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 616,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "protéinurie (isolée) (orthostatique) (persistante) avec lésions morphologiques précisées en .0 à .8, en début",
      "de groupe"
    ],
    "exclusions": [
      "protéinurie : • SAI (R80)",
      "• Bence Jones (R80)",
      "• gestationnelle (O12.1)",
      "• isolée SAI (R80)",
      "• orthostatique SAI (N39.2)",
      "• persistante SAI (N39.1)"
    ],
    "clinical_text": [
      "[Voir les subdivisions en début de groupe sauf .9 qui ici est sans objet]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N07": {
    "code": "N07",
    "description": "Néphropathie héréditaire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 616,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions en début de groupe]"
    ],
    "comprend": [],
    "exclusions": [
      "amylose : • hérédofamiliale non neuropathique (E85.0)",
      "• rénale héréditaire (E85.0)",
      "ostéo-onychodysostose (Q87.2)",
      "syndrome d’Alport (Q87.8)"
    ],
    "clinical_text": [
      "(chapitre XVII), lorsqu’un élément constitutif du syndrome motive plus qu’un autre le recours aux soins nous vous conseillons",
      "de l’individualiser en le codant et d’associer le code du syndrome général."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.90 : De façon générale dans le cas des syndromes congénitaux poly-malformatifs classés dans la catégorie Q87"
    ]
  },
  "N08.0": {
    "code": "N08.0",
    "description": "Glomérulopathie au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 616,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• oreillons (B26.8 †)",
      "• paludisme à Plasmodium malariae (B52.0 †)",
      "• schistosomiase ou bilharziose (B65.- †)",
      "• sepsis (A40 à A41 †)",
      "• syphilis (A52.7 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Glomérulopathie au cours de : • anguillulose ou strongyloïdose (subdivisions de B78 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N08.2": {
    "code": "N08.2",
    "description": "Glomérulopathie au cours de maladies du sang et des anomalies du système immunitaire",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 617,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "défibrination (D65 †)",
      "• cryoglobulinémie (D89.1 †)",
      "• maladie à hématies falciformes drépanocytaires (D57.- †)",
      "• purpura rhumatoïde [syndrome de Schönlein-Henoch]",
      "(D69.0 †)",
      "• syndrome hémolytique urémique (D59.3 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Glomérulopathie au cours de : • coagulation intra-vasculaire disséminée ou syndrome de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N08.3": {
    "code": "N08.3",
    "description": "Glomérulopathie au cours du diabète sucré (E10-E14 † avec le quatrième chiffre .2)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 617,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Codage d’une glomérulopathie diabétique : le diagnostic est celui de glomérulopathie diabétique, elle est",
      "donc le DP ; son code N08.3 est un code astérisque, le code dague correspondant, E10.2, doit donc être",
      "enregistré en position de diagnostic associé significatif (guide méthodologique, BO n° 2004/2 bis, chapitre",
      "IV, point 2.2.1.1). Le code N04.2 qui enregistre la symptomatologie qui a motivé la ponction-biopsie rénale",
      "et son résultat anatomopathologique est une donnée associée documentaire. Elle est d’un apport",
      "informationnel certain, N08.3 souffrant du peu de précision qui caractérise la majorité des codes astérisque"
    ],
    "agora_refs": [
      "560"
    ],
    "cocoa_notes": [
      "de la CIM-10. (AGORA - # 560 le 7 octobre 2004)"
    ]
  },
  "N08.4": {
    "code": "N08.4",
    "description": "Glomérulopathie au cours de maladies endocriniennes, nutritionnelles et métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 617,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glomérulopathie au cours de : • amylose (E85.- †)",
      "• déficit en lécithine-cholestérol-acyltransférase (E78.6 †)",
      "• maladie de Fabry(-Anderson) (E75.2 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N08.5": {
    "code": "N08.5",
    "description": "Glomérulopathie au cours d’affections disséminées du tissu conjonctif",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 617,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• purpura thrombocytopénique thrombotique (M31.1 †)",
      "• granulomatose de Wegener (M31.3 †)",
      "• granulomatose avec polyangéite (M31.3 †)",
      "• micropolyangéite microscopique (M31.7 †)",
      "• lupus érythémateux disséminé (M32.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Glomérulopathie au cours de : • syndrome de Goodpasture (M31.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N08.8": {
    "code": "N08.8",
    "description": "Glomérulopathie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 617,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "SM N10 Néphrite tubulo-interstitielle aiguë",
      "Néphrite interstitielle infectieuse aiguë",
      "Pyélite aiguë",
      "Pyélonéphrite aiguë"
    ],
    "comprend": [
      "pyélonéphrite",
      "Utiliser, au besoin, un code supplémentaire pour identifier la maladie rénale chronique associée (N18.–)."
    ],
    "exclusions": [
      "pyélo-urétérite kystique (N28.8)"
    ],
    "clinical_text": [
      "Glomérulopathie au cours d’endocardite bactérienne subaiguë (I33.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N11": {
    "code": "N11",
    "description": "Néphrite tubulo-interstitielle chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 618,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "néphrite interstitielle infectieuse chronique",
      "pyélite chronique",
      "pyélonéphrite chronique"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.90-91 : Lorsqu’une pyélonéphrite obstructive chronique est associée à une lithiase urinaire sans hydronéphrose,"
    ]
  },
  "N11.1": {
    "code": "N11.1",
    "description": "Pyélonéphrite obstructive chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 618,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "associée à : urétérale, ou de l’uretère",
      "urétérale, ou de l’uretère",
      "pyélo-urétérale, ou de l’uretère",
      "E. Coli...), ainsi que la lithiase si elle est persistante."
    ],
    "comprend": [],
    "exclusions": [
      "pyélonéphrite avec calcul (N20.9)",
      "uropathie obstructive (N13.-)"
    ],
    "clinical_text": [
      "Pyélonéphrite (chronique) • anomalie de la jonction pelvi-urétérale, ou de la jonction pyélo-",
      "• coudure de la jonction pelvi-urétérale, ou de la jonction pyélo-",
      "• obstruction de la jonction pelvi-urétérale, ou de la jonction",
      "• rétrécissement de la jonction pelvi-urétérale, ou de la jonction",
      "la pyélonéphrite xanthogranulomateuse est décrite comme une pyélonéphrite chronique le plus souvent",
      "liée à une cause obstructive. Vous emploierez donc la catégorie N11 (N11.1 si l’origine obstructive est",
      "Coder éventuellement le germe à l'origine de la pyelonéphite xanthogranulomateuse s'il est précisé (Proteus,"
    ],
    "agora_refs": [
      "69945"
    ],
    "cocoa_notes": [
      "confirmée) associé à M31.3 (AGORA - # 69945 le 1er octobre 2012)"
    ]
  },
  "N11.0": {
    "code": "N11.0",
    "description": "Pyélonéphrite non obstructive chronique associée à un reflux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 618,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "reflux vésico-urétéral SAI (N13.7)"
    ],
    "clinical_text": [
      "Pyélonéphrite (chronique) associée à un reflux (vésico-urétéral)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N11.8": {
    "code": "N11.8",
    "description": "Autres néphrites tubulo-interstitielles chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 618,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pyélonéphrite chronique non obstructive SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N11.9": {
    "code": "N11.9",
    "description": "Néphrite tubulo-interstitielle chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 618,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néphrite interstitielle SAI chronique",
      "Pyélite SAI chronique",
      "Pyélonéphrite SAI chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N12": {
    "code": "N12",
    "description": "Néphrite tubulo-interstitielle, non précisée comme aiguë ou chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Néphrite interstitielle SAI",
      "Pyélite SAI",
      "Pyélonéphrite SAI"
    ],
    "comprend": [],
    "exclusions": [
      "pyélonéphrite avec lithiase (N20.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13": {
    "code": "N13",
    "description": "Uropathie obstructive et par reflux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies congénitales obstructives du bassinet et de l’uretère (Q62.0 à Q62.3)",
      "lithiase du rein et de l’uretère sans hydronéphrose (N20.-)",
      "pyélonéphrite obstructive (N11.1)",
      "code N11.1 à un code de la catégorie N13. La réciproque est vraie pour la catégorie N13."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : Si une pyélonéphrite chronique est associée à une uropathie obstructive avec hydronéphrose, il est possible d’associer le"
    ]
  },
  "N13.0": {
    "code": "N13.0",
    "description": "Hydronéphrose avec obstruction de la jonction pyélo-urétérale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec infection (N13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.1": {
    "code": "N13.1",
    "description": "Hydronéphrose avec rétrécissement urétéral, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec infection (N13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.2": {
    "code": "N13.2",
    "description": "Hydronéphrose avec obstruction calculeuse rénale et urétérale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec infection (N13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.3": {
    "code": "N13.3",
    "description": "Hydronéphroses, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec infection (N13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.4": {
    "code": "N13.4",
    "description": "Hydro-uretère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec infection (N13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.5": {
    "code": "N13.5",
    "description": "Coudure et rétrécissement urétéral, sans hydronéphrose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec infection (N13.6)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la maladie associée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.6": {
    "code": "N13.6",
    "description": "Pyonéphrose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "États mentionnés en N13.0 à N13.5 avec infection",
      "Uropathie obstructive avec infection",
      "le 27 octobre 2011)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Patiente admise pour pyélonéphrite, diagnostic posé par le clinicien (ECBU + à E. Coli), sur syndrome de",
      "jonction urétéro-pyélo-caliciel, connu et confirmé par une écho : le volume 3 renvoie au code N13.6 pour",
      "le syndrome de jonction avec infection, vous le retiendrez donc en DP. B96.2 est un DAS. (AGORA - # 53774"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.7": {
    "code": "N13.7",
    "description": "Uropathie associée à un reflux vésico-urétéral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Reflux vésico-urétéral : • SAI",
      "• avec cicatrice"
    ],
    "comprend": [],
    "exclusions": [
      "pyélonéphrite associée à un reflux (N11.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.8": {
    "code": "N13.8",
    "description": "Autres uropathies obstructives et par reflux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N13.9": {
    "code": "N13.9",
    "description": "Uropathie obstructive et par reflux, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 619,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Obstruction urinaire SAI",
      "des métaux lourds"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atteintes tubulo-interstitielles et tubulaires dues à des médicaments et",
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent toxique."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : Les codes du groupe N17–N19 peuvent être associés à ceux de la catégorie N14."
    ]
  },
  "N14.0": {
    "code": "N14.0",
    "description": "Néphropathie due à un analgésique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N14.1": {
    "code": "N14.1",
    "description": "Néphropathie due à d’autres médicaments et substances biologiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N14.2": {
    "code": "N14.2",
    "description": "Néphropathie due à un médicament ou une substance biologique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N14.3": {
    "code": "N14.3",
    "description": "Néphropathie due à des métaux lourds",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N14.4": {
    "code": "N14.4",
    "description": "Néphropathie toxique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N15": {
    "code": "N15",
    "description": "Autres maladies rénales tubulo-interstitielles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N15.0": {
    "code": "N15.0",
    "description": "Néphropathie des Balkans",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Néphropathie endémique des Balkans"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N15.1": {
    "code": "N15.1",
    "description": "Abcès rénal et périrénal",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N15.8": {
    "code": "N15.8",
    "description": "Autres maladies rénales tubulo-interstitielles précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N15.9": {
    "code": "N15.9",
    "description": "Maladie rénale tubulo-interstitielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Infection rénale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "infection des voies urinaires SAI (N39.0)"
    ],
    "clinical_text": [
      "Maladies rénales tubulo-interstitielles au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N16.3": {
    "code": "N16.3",
    "description": "Maladie rénale tubulo-interstitielle au cours de maladies métaboliques",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Maladie rénale tubulo- • cystinose (E72.0 †)",
      "interstitielle au cours de : • glycogénose (E74.0 †)",
      "• maladie de Wilson (E83.0 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N16.4": {
    "code": "N16.4",
    "description": "Maladie rénale tubulo-interstitielle au cours d’affections disséminées du tissu conjonctif",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 620,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie rénale tubulo- • lupus érythémateux disséminé (M32.1 †)",
      "interstitielle au cours de : • syndrome de Gougerot-Sjögren (M35.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N16.5": {
    "code": "N16.5",
    "description": "Maladie rénale tubulo-interstitielle au cours d’un rejet de greffe (T86.- †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N16.8": {
    "code": "N16.8",
    "description": "Maladie rénale tubulo-interstitielle au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [
      "atteintes tubulo-interstitielles et tubulaires dues à des médicaments et des métaux lourds (N14.-)",
      "insuffisance rénale : • après un acte à visée diagnostique et thérapeutique (N99.0)",
      "• compliquant avortement, grossesse extra-utérine ou molaire (O00-O08,"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier l’agent externe."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O08.4": {
    "code": "O08.4",
    "description": "Insuffisance rénale consécutive à un avortement, une grossesse extra-utérine et molaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 658,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anurie survenant après les états classés en O00-O07",
      "Oligurie survenant après les états classés en O00-O07",
      "Urémie survenant après les états classés en O00-O07"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Insuffisance rénale (aiguë) survenant après les états classés en O00-O07",
      "Nécrose tubulaire survenant après les états classés en O00-O07"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N17": {
    "code": "N17",
    "description": "Insuffisance rénale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend déficience rénale aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N17.0": {
    "code": "N17.0",
    "description": "Insuffisance rénale aiguë avec nécrose tubulaire Tubulopathie aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Nécrose tubulaire : • SAI",
      "• aiguë",
      "• rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N17.1": {
    "code": "N17.1",
    "description": "Insuffisance rénale aiguë avec nécrose corticale aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Nécrose corticale : • SAI",
      "• aiguë",
      "• rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N17.2": {
    "code": "N17.2",
    "description": "Insuffisance rénale aiguë avec nécrose médullaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Nécrose médullaire ou papillaire : • SAI",
      "• aiguë",
      "• rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N17.8": {
    "code": "N17.8",
    "description": "Autres insuffisances rénales aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "INSUFFISANCE RÉNALE FONCTIONNELLE",
      "de pré-rénale ou d’extra-rénale.",
      "avec atteinte organique du tissu rénal."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’insuffisance rénale fonctionnelle est une altération de la fonction rénale, habituellement passagère et",
      "curable. Conséquence d’une diminution de la perfusion rénale, elle peut être secondaire à une hypovolémie,",
      "une hypotension ou une cause iatrogène. Elle représente une forme particulière d’insuffisance rénale aiguë",
      "dont la cause n’est ni une atteinte organique du rein ni un obstacle sur les voies excrétrices. Elle est qualifiée",
      "Conformément à la note d’exclusion placée dans le volume 1 de la CIM-10 sous le titre du groupe N17–N19",
      "Insuffisance rénale, l’insuffisance rénale fonctionnelle doit donc être codée R39.2 Urémie extra-rénale.",
      "L’absence de lésion du parenchyme rénal invalide la consigne jusqu’ici donnée de la coder N17.8 Autres",
      "insuffisances rénales aiguës. La catégorie N17 doit être réservée au codage des insuffisances rénales aiguës",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 105"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N17.9": {
    "code": "N17.9",
    "description": "Insuffisance rénale aiguë, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 621,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "emploie le code N17.9."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "En cas d’insuffisance rénale aiguë dont la cause, extra-rénale ou par atteinte organique, est incertaine, on",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 106"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18": {
    "code": "N18",
    "description": "Maladie rénale chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 622,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Stade Valeur de DFG Interprétation",
      "3 60 à 30 ml/mn Insuffisance rénale modérée",
      "4 30 à 15 ml/mn Insuffisance rénale sévère",
      "5 < 15 ml/mn Insuffisance rénale terminale",
      "de suppléance soit débuté ou non.",
      "Définition des marqueurs d’atteinte rénale :",
      "• Albuminurie normale < 30 mg/24 heures",
      "• Hématurie pathologique : GR > 10/mm3 ou 10 000/ml",
      "• Leucocyturie pathologique : GB 10/mm3 ou 10 000/ml",
      "polykystiques, néphrocalcinose, calcul, hydronéphrose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Uti liser, au besoin, un code supplémentaire pour identifier une maladie sous-jacente.",
      "Utiliser, au besoin, un code supplémentaire pour identifier la présence d’une hypertension.",
      "Les 5 stades de la maladie rénale (NATIONAL KIDNEY FOUNDATION 2002)",
      "1 > 90 ml/mn avec marqueurs d’atteinte rénale Maladie rénale sans insuffisance rénale",
      "2 > 60 ml/mn avec marqueurs d’atteinte rénale Maladie rénale chronique (MRC)",
      "Débit de Filtration Glomérulaire (DFG) = ((140 – âge) x poids/créatininémie) x K avec DFG en ml/min, âge en années, poids en",
      "kilogrammes, créatininémie en μmol/l et K = 1,23 pour les hommes et 1,04 pour les femmes.",
      "Le caractère terminal de l’insuffisance rénale se définit par une clairance de la créatinine estimée < 15 ml/min/1,73 m², que le traitement",
      "• Microalbuminurie : 20 à 200 μg/min ou 30 à 300 mg/24 heures ou rapport albuminurie sur créatininurie > 2 mg/mmol",
      "• Protéinurie > 300 mg/24 heures ou rapport protéinurie/créatininurie > 200 mg/g",
      "• Anomalies morphologiques à l’échographie rénale : asymétrie de taille, contours bosselés, reins de petites tailles ou gros reins",
      "NB : quel que soit le DFG, la persistance pendant plus de 3 mois de marqueurs d’atteinte rénale témoigne d’une maladie rénale qui",
      "impose un diagnostic étiologique et/ou une surveillance néphrologique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18.1": {
    "code": "N18.1",
    "description": "Maladie rénale chronique, stade 1",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 622,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du rein avec filtration glomérulaire normale ou augmentée (FG égale ou supérieure à 90 ml/min)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18.2": {
    "code": "N18.2",
    "description": "Maladie rénale chronique, stade 2",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 622,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du rein avec filtration glomérulaire légèrement abaissée (FG entre 60 ml/min et 89 ml/min)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18.3": {
    "code": "N18.3",
    "description": "Maladie rénale chronique, stade 3",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 622,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance rénale chronique modérée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du rein avec filtration glomérulaire modérément abaissée (FG entre 30 ml/min et 59 ml/min)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18.4": {
    "code": "N18.4",
    "description": "Maladie rénale chronique, stade 4",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 622,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance rénale chronique sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du rein avec filtration glomérulaire gravement abaissée (FG entre 15 ml/min et 29 ml/min)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18.5": {
    "code": "N18.5",
    "description": "Maladie rénale chronique, stade 5",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 622,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apoplexie urémique † (I68.8 *)",
      "Démence urémique † (F02.8 *)",
      "Neuropathie urémique † (G63.8 *)",
      "Paralysie urémique † (G99.8 *)",
      "Péricardite urémique † (I32.8 *)",
      "Rétinite rénale † (H32.8 *)",
      "Insuffisance rénale chronique terminale",
      "Stade terminal de maladie rénale : • SAI",
      "• après échec de greffe du rein",
      "• avec dialyse",
      "• sans dialyse ou transplantation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du rein avec filtration glomérulaire effondrée (FG inférieure à 15 ml/min)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N18.9": {
    "code": "N18.9",
    "description": "Maladie rénale chronique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glomérulonéphrite diffuse sclérosante SAI",
      "Urémie chronique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N19": {
    "code": "N19",
    "description": "Défaillance du rein, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Insuffisance rénale SAI",
      "Urémie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "défaillance du rein due à une hypertension (I12.0)",
      "urémie du nouveau-né (P96.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N20": {
    "code": "N20",
    "description": "Calcul ou lithiase du rein et de l’uretère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend pyélonéphrite avec lithiase"
    ],
    "comprend": [],
    "exclusions": [
      "avec hydronéphrose (N13.2)"
    ],
    "clinical_text": [
      "Dans la mise à jour 2011 de la CIM l’inclusion « pyélonéphrite avec lithiase » est supprimée du code N20.9 et placée en tête de la"
    ],
    "agora_refs": [
      "46616"
    ],
    "cocoa_notes": [
      "catégorie N20. C’est donc le code précis du calcul qui doit être employé, il inclut la pyélonéphrite. (AGORA - # 46616 le 16 mai 2011)"
    ]
  },
  "N20.0": {
    "code": "N20.0",
    "description": "Calcul ou lithiase du rein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcul ou lithiase : • coralliforme",
      "• intra-rénal",
      "• rénal",
      "Néphrolithiase SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N20.1": {
    "code": "N20.1",
    "description": "Calcul ou lithiase de l’uretère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcul ou lithiase urétéral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N20.2": {
    "code": "N20.2",
    "description": "Calcul ou lithiase du rein avec calcul ou lithiase de l’uretère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N20.9": {
    "code": "N20.9",
    "description": "Calcul ou lithiase urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "calcul."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : Catégorie N21 : si la lithiase coexiste avec une infection, il est possible de coder celle-ci (pyélonéprite, cystite …) en plus du"
    ]
  },
  "N21": {
    "code": "N21",
    "description": "Calcul ou lithiase des voies urinaires inférieures",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend avec cystite et urétrite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N21.0": {
    "code": "N21.0",
    "description": "Calcul ou lithiase de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcul ou lithiase : • dans un diverticule vésical",
      "• vésical"
    ],
    "comprend": [],
    "exclusions": [
      "calcul ou lithiase coralliforme (N20.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N21.1": {
    "code": "N21.1",
    "description": "Calcul ou lithiase de l’urètre",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N21.8": {
    "code": "N21.8",
    "description": "Autres calculs et lithiases des voies urinaires inférieures",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N21.9": {
    "code": "N21.9",
    "description": "Calcul ou lithiase des voies urinaires inférieures, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Calcul ou lithiase des voies urinaires au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N22.0": {
    "code": "N22.0",
    "description": "Calcul ou lithiase urinaire au cours de schistosomiase [bilharziose] (B65.0 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N22.8": {
    "code": "N22.8",
    "description": "Calcul ou lithiase des voies urinaires au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 623,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N23": {
    "code": "N23",
    "description": "Colique néphrétique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec lithiase urinaire (N20-N23)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N25": {
    "code": "N25",
    "description": "Affections dues à une tubulopathie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles métaboliques classés en E70-E90"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N25.0": {
    "code": "N25.0",
    "description": "Ostéodystrophie rénale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance staturale d’origine rénale",
      "Ostéodystrophie azotémique",
      "Rachitisme rénal",
      "Tubulopathies avec fuite phosphatée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N25.1": {
    "code": "N25.1",
    "description": "Diabète insipide néphrogénique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N25.8": {
    "code": "N25.8",
    "description": "Autres affections dues à une tubulopathie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Acidose tubulaire SAI",
      "Hyperparathyroïdie secondaire d’origine rénale",
      "Syndrome de Lightwood-Albright"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N25.9": {
    "code": "N25.9",
    "description": "Affection due à une tubulopathie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N26": {
    "code": "N26",
    "description": "Rein scléreux, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Atrophie rénale (terminale)",
      "Sclérose rénale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "glomérulonéphrite sclérosante diffuse (N18.-)",
      "néphrosclérose hypertensive (artériolaire) (artériosclérosante) (I12.-)",
      "petit rein de cause inconnue (N27.-)",
      "rein scléreux dû à une hypertension (I12.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N27": {
    "code": "N27",
    "description": "Petit rein de cause inconnue",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N27.0": {
    "code": "N27.0",
    "description": "Petit rein unilatéral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N27.1": {
    "code": "N27.1",
    "description": "Petit rein bilatéral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N27.9": {
    "code": "N27.9",
    "description": "Petit rein, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 624,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N28": {
    "code": "N28",
    "description": "Autres affections du rein et de l’uretère, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "coudure et rétrécissement de l’uretère : • avec hydronéphrose (N13.1)",
      "• sans hydronéphrose (N13.5)",
      "hydro-uretère (N13.4)",
      "néphropathie : • aiguë SAI (N00.9)",
      "• chronique SAI (N03.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N28.0": {
    "code": "N28.0",
    "description": "Ischémie et infarctus du rein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Embolie de l’artère rénale",
      "Obstruction de l’artère rénale",
      "Occlusion de l’artère rénale",
      "Thrombose de l’artère rénale",
      "Infarctus rénal"
    ],
    "comprend": [],
    "exclusions": [
      "rein de Goldblatt (I70.1)",
      "sténose (par) : • athérosclérose (I70.1) de l’artère rénale (partie extra-rénale)",
      "• congénitale (Q27.1) de l’artère rénale (partie extra-rénale)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : comprend la néphro-angiosclérose sans hypertension artérielle (avec hypertension artérielle :"
    ]
  },
  "N28.1": {
    "code": "N28.1",
    "description": "Kyste du rein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste du rein (multiple) (solitaire) (acquis)"
    ],
    "comprend": [],
    "exclusions": [
      "maladie kystique du rein (congénitale) (Q61.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N28.8": {
    "code": "N28.8",
    "description": "Autres affections précisées du rein et de l’uretère",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrophie rénale",
      "Méga-uretère",
      "Néphroptose",
      "Pyélite kystique",
      "Urétérite kystique",
      "Urétéro-pyélite kystique",
      "Urétérocèle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N28.9": {
    "code": "N28.9",
    "description": "Affection du rein et de l’uretère, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie rénale SAI",
      "Néphropathie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladie rénale SAI et néphropathie SAI avec lésions morphologiques précisées en .0",
      "à.8, en début de groupe (N05.-)"
    ],
    "clinical_text": [
      "Autres affections du rein et de l’uretère au cours de maladies classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N29.0": {
    "code": "N29.0",
    "description": "Syphilis tardive du rein (A52.7 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections du rein et de l’uretère au cours de maladies infectieuses et parasitaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N29.8": {
    "code": "N29.8",
    "description": "Autres affections du rein et de l’uretère au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 625,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie du stockage de la cystine (E72.0 †)",
      "TERMINOLOGIE",
      "sont :",
      "• les cystites aiguës simples,",
      "• les pyélonéphrites aiguës simples.",
      "• les cystites compliquées,",
      "• les pyélonéphrites compliquées,",
      "• les prostatites.",
      "traiter comme une cystite simple (Accord professionnel).",
      "COMMUNAUTAIRES CHEZ L’ADULTE, 2008"
    ],
    "comprend": [],
    "exclusions": [
      "infection urinaire (compliquant) • avec lithiase urinaire (N20-N23)",
      ": • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.8)",
      "• grossesse, accouchement et puerpéralité (O23.-, O75.3, O86.2)"
    ],
    "clinical_text": [
      "Les termes d’infections urinaires (IU) basses et hautes sont abandonnés (Accord professionnel).",
      "La distinction des IU en IU simples et IU compliquées a pour but de prendre en compte les facteurs de risque de complication qui",
      "• une pathologie organique ou fonctionnelle de l’arbre urinaire (résidu vésical, reflux, lithiase, tumeur, acte récent, …),",
      "• une situation pathologique particulière (diabète, immunodépression, insuffisance rénale, …),",
      "• un terrain physiologique particulier (sujet âgé ayant une comorbidité, grossesse, homme).",
      "Les IU dites simples = IU sans facteur de risque de complication (Accord professionnel) ne concernent que la femme jeune sans",
      "facteur de risque particulier et la femme de plus de 65 ans sans comorbidité. Elles regroupent :",
      "Il est à noter que certaines pyélonéphrites « simples » peuvent être d’évolution sévère, par exemple avec sepsis grave.",
      "Les IU dites compliquées = IU avec un ou plusieurs facteur(s) de risque de complication (Accord professionnel) regroupent :",
      "Par définition, les hommes ne peuvent pas avoir une infection urinaire simple. Toute cystite survenant chez un homme doit être",
      "considérée et traitée comme une prostatite aiguë (sauf cas exceptionnel).",
      "Le sujet âgé est le plus souvent arbitrairement défini par un âge > 65 ans. Cependant, bien plus que l’âge civil, c’est l’âge physiologique",
      "qu’il convient de prendre en compte. La cystite de la femme de plus de 65 ans n’ayant aucune comorbidité est donc à considérer et à",
      "Les espèces bactériennes n’interviennent pas dans cette classification en IU simples ou IU compliquées. E. coli reste toujours la bactérie",
      "la plus souvent isolée, toutes formes cliniques confondues et quels que soient l’âge et le sexe du patient (Grade A).",
      "Les colonisations urinaires (ou bactériuries asymptomatiques selon la terminologie classique encore très usitée notamment pour la",
      "femme enceinte) correspondent aux situations de portage, c’est-à-dire de présence de microorganismes (détectés lors d’un examen",
      "correctement réalisé) sans que ceux-ci ne génèrent de manifestations cliniques.",
      "Recommandations de bonne pratique AFSSAPS, DIAGNOSTIC ET ANTIBIOTHERAPIE DES INFECTIONS URINAIRES BACTERIENNES"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N30": {
    "code": "N30",
    "description": "Cystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 626,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "(Chapitre XX) pour identifier l’agent responsable."
    ],
    "comprend": [],
    "exclusions": [
      "prostato-cystite (N41.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N30.0": {
    "code": "N30.0",
    "description": "Cystite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 626,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Infection urinaire (avec germe documenté)",
      "cytobactériologique urinaire.",
      "code N39.0 Infection des voies urinaires, siège non précisé."
    ],
    "comprend": [],
    "exclusions": [
      "cystite due à une irradiation (N30.4)",
      "trigonite (N30.3)"
    ],
    "clinical_text": [
      "Le diagnostic de cystite aiguë est posé devant l’association :",
      "• de signes fonctionnels de type pollakiurie, douleurs mictionnelles...",
      "• et d’une pyurie sur bandelette urinaire ou d’une pyurie avec bactériurie en cas d’étude",
      "La mention de cystite (aiguë), d’infection vésicale (aiguë) ou d’infection urinaire basse dans le dossier,",
      "appuyée sur ces arguments, permet d’utiliser le code N30.0 Cystite aiguë pour mentionner cette affection.",
      "Quand ces éléments manquent ou devant la présence isolée de germes dans l’uroculture (bactériurie), on",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2021, juin 2021, p. 8",
      "Comment coder une infection d’une néovessie selon Bricker ? Seul l’ECBU est positif. Bien sûr les signes",
      "cliniques habituels de cystite sont absents. Nous vous conseillons de coder également une cystite dans ce"
    ],
    "agora_refs": [
      "86909"
    ],
    "cocoa_notes": [
      "cas. (AGORA - # 86909 le 27 septembre 2013)"
    ]
  },
  "N30.1": {
    "code": "N30.1",
    "description": "Cystite interstitielle (chronique)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 626,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N30.2": {
    "code": "N30.2",
    "description": "Autres cystites chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 626,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N30.3": {
    "code": "N30.3",
    "description": "Trigonite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urétro-trigonite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N30.4": {
    "code": "N30.4",
    "description": "Cystite due à une irradiation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vessie (post-)radique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N30.8": {
    "code": "N30.8",
    "description": "Autres cystites",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abcès de la vessie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : comprend la cystite dite à « urines claires »"
    ]
  },
  "N30.9": {
    "code": "N30.9",
    "description": "Cystite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N31": {
    "code": "N31",
    "description": "Dysfonctionnement neuro-musculaire de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dû à des lésions de la moelle épinière (G95.8)",
      "incontinence urinaire : • SAI (R32)",
      "• précisée (N39.3-N39.4)",
      "vessie: • automatique SAI (G95.8)",
      "• neurogène due au syndrome de la queue de cheval (G83.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N31.0": {
    "code": "N31.0",
    "description": "Vessie neurogène ou neurologique non inhibée, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N31.1": {
    "code": "N31.1",
    "description": "Vessie neurogène ou neurologique réflexe, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N31.2": {
    "code": "N31.2",
    "description": "Vessie neurogène ou neurologique flasque (périphérique), non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Vessie neurogène : • atonique (motrice) (sensorielle)",
      "• autonome",
      "• non-réflexe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N31.8": {
    "code": "N31.8",
    "description": "Autres dysfonctionnements neuro-musculaires de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vessie claquée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N31.9": {
    "code": "N31.9",
    "description": "Dysfonctionnement neuro-musculaire de la vessie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysfonctionnement de la vessie neurogène SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32": {
    "code": "N32",
    "description": "Autres affections de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "calcul de la vessie (N21.0)",
      "cystocèle (N81.1)",
      "hernie ou prolapsus de la vessie chez la femme (N81.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32.0": {
    "code": "N32.0",
    "description": "Obstruction du col de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose du col de la vessie (acquise)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32.1": {
    "code": "N32.1",
    "description": "Fistule vésico-intestinale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Fistule vésico-rectale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32.2": {
    "code": "N32.2",
    "description": "Fistule vésicale, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fistule entre la vessie et le tractus génital de la femme (N82.0 à N82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32.3": {
    "code": "N32.3",
    "description": "Diverticule de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticulite de la vessie",
      "diverticule ."
    ],
    "comprend": [],
    "exclusions": [
      "calcul dans un diverticule vésical (N21.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : Lorsqu’il existe un calcul dans un diverticule vésical, N21.0 peut être associé au code de"
    ]
  },
  "N32.4": {
    "code": "N32.4",
    "description": "Rupture de la vessie, non traumatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 627,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32.8": {
    "code": "N32.8",
    "description": "Autres affections précisées de la vessie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Calcification de la vessie",
      "Vessie spastique",
      "Vessie hyperactive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N32.9": {
    "code": "N32.9",
    "description": "Affection de la vessie, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N33.0": {
    "code": "N33.0",
    "description": "Cystite tuberculeuse (A18.1 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N33.8": {
    "code": "N33.8",
    "description": "Affections de la vessie au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections de la vessie au cours de schistosomiase ou bilharziose (B65.- †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N34": {
    "code": "N34",
    "description": "Urétrite et syndrome urétral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome oculo-urétro-synovial (Fiessinger-Leroy-Reiter) (M02.3)",
      "urétrite au cours de maladies dont le mode de transmission est essentiellement sexuel (A50-A64)",
      "urétro-trigonite (N30.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N34.0": {
    "code": "N34.0",
    "description": "Abcès urétral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès (de) : • glande de : • Cowper",
      "• Littré",
      "• périurétral",
      "• urétral (glande urétrale)"
    ],
    "comprend": [],
    "exclusions": [
      "caroncule urétrale (N36.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N34.1": {
    "code": "N34.1",
    "description": "Urétrite non spécifique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urétrite : • non gonococcique",
      "• non vénérienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N34.2": {
    "code": "N34.2",
    "description": "Autres urétrites",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Méatite urétrale",
      "Ulcère de l’urètre (méat)",
      "Urétrite : • SAI",
      "• post-ménopausique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N34.3": {
    "code": "N34.3",
    "description": "Syndrome urétral, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N35": {
    "code": "N35",
    "description": "Rétrécissement urétral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rétrécissement urétral après un acte à visée diagnostique et thérapeutique (N99.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N35.0": {
    "code": "N35.0",
    "description": "Rétrécissement urétral post-traumatique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• traumatisme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rétrécissement de l’urètre comme séquelle de : • accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N35.1": {
    "code": "N35.1",
    "description": "Rétrécissement urétral post-infectieux, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N35.8": {
    "code": "N35.8",
    "description": "Autres rétrécissements urétraux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N35.9": {
    "code": "N35.9",
    "description": "Rétrécissement urétral, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 628,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Méat en trou d’épingle SAI",
      "Méat sténopéique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36": {
    "code": "N36",
    "description": "Autres affections de l’urètre",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36.0": {
    "code": "N36.0",
    "description": "Fistule urétrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Fausse voie urétrale",
      "Fistule : • urétro-périnéale",
      "• urétro-rectale",
      "• urinaire SAI"
    ],
    "comprend": [],
    "exclusions": [
      "• urétro-scrotale (N50.8)",
      "• urétro-vaginale (N82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36.1": {
    "code": "N36.1",
    "description": "Diverticule urétral",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36.2": {
    "code": "N36.2",
    "description": "Caroncule urétrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36.3": {
    "code": "N36.3",
    "description": "Prolapsus de la muqueuse urétrale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus de l’urètre",
      "Urétrocèle chez l’homme"
    ],
    "comprend": [],
    "exclusions": [
      "urétrocèle : • chez la femme (N81.0)",
      "• congénitale (Q64.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36.8": {
    "code": "N36.8",
    "description": "Autres affections précisées de l’urètre",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N36.9": {
    "code": "N36.9",
    "description": "Affection de l’urètre, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N37.0": {
    "code": "N37.0",
    "description": "Urétrite au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urétrite à Candida (B37.4 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N37.8": {
    "code": "N37.8",
    "description": "Autres affections de l’urètre au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39": {
    "code": "N39",
    "description": "Autres affections de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hématurie : • SAI (R31)",
      "• avec lésions morphologiques précisées (N02.-)",
      "• récidivante et persistante (N02.-)",
      "protéinurie SAI (R80)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.0": {
    "code": "N39.0",
    "description": "et on peut y associer le germe et la résistance. (AGORA - # 91512 le 10 janvier 2014)",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.1": {
    "code": "N39.1",
    "description": "Protéinurie persistante, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec lésions morphologiques précisées (N06.-)",
      "compliquant la grossesse, l’accouchement et la puerpéralité (O11-O15)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.2": {
    "code": "N39.2",
    "description": "Protéinurie orthostatique, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec lésions morphologiques précisées (N06.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.3": {
    "code": "N39.3",
    "description": "Incontinence urinaire d’effort",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 629,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "détrusor."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (N32.8) pour identifier l’hyperactivité de la vessie ou du muscle"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.4": {
    "code": "N39.4",
    "description": "Autres formes d’incontinence urinaire précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Incontinence : • impérieuse",
      "• passive (par regorgement)",
      "• réflexe",
      "détrusor."
    ],
    "comprend": [],
    "exclusions": [
      "énurésie SAI (R32)",
      "incontinence urinaire : • SAI (R32)",
      "• non organique (F98.0)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (N32.8) pour identifier l’hyperactivité de la vessie ou du muscle"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.8": {
    "code": "N39.8",
    "description": "Autres affections précisées de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N39.9": {
    "code": "N39.9",
    "description": "Affection de l’appareil urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N40": {
    "code": "N40",
    "description": "Hyperplasie de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Barre moyenne ou barrière de Mercier (prostatique)",
      "Hyperplasie adénofibromateuse de la prostate",
      "Hyperplasie (bénigne) de la prostate",
      "Hypertrophie (bénigne) de la prostate",
      "Obstruction prostatique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "tumeurs bénignes de la prostate (D29.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41": {
    "code": "N41",
    "description": "Affections inflammatoires de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41.0": {
    "code": "N41.0",
    "description": "Prostatite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "URINAIRES BACTERIENNES COMMUNAUTAIRES CHEZ L’ADULTE, 2008"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Par définition, les hommes ne peuvent pas avoir une infection urinaire simple. Toute cystite survenant chez",
      "un homme doit être considérée et traitée comme une prostatite aiguë (sauf cas exceptionnel).",
      "Recommandations de bonne pratique AFSSAPS, DIAGNOSTIC ET ANTIBIOTHERAPIE DES INFECTIONS"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41.1": {
    "code": "N41.1",
    "description": "Prostatite chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41.2": {
    "code": "N41.2",
    "description": "Abcès de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41.3": {
    "code": "N41.3",
    "description": "Prostato-cystite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41.8": {
    "code": "N41.8",
    "description": "Autres affections inflammatoires de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N41.9": {
    "code": "N41.9",
    "description": "Affection inflammatoire de la prostate, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Prostatite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42": {
    "code": "N42",
    "description": "Autres affections de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42.0": {
    "code": "N42.0",
    "description": "Calcul de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lithiase prostatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42.1": {
    "code": "N42.1",
    "description": "Congestion et hémorragie prostatiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42.2": {
    "code": "N42.2",
    "description": "Atrophie de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 630,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42.3": {
    "code": "N42.3",
    "description": "Dysplasie de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysplasie de bas grade"
    ],
    "comprend": [],
    "exclusions": [
      "dysplasie de haut grade de la prostate (D07.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42.8": {
    "code": "N42.8",
    "description": "Autres affections précisées de la prostate",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N42.9": {
    "code": "N42.9",
    "description": "Affection de la prostate, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N43": {
    "code": "N43",
    "description": "Hydrocèle et spermatocèle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hydrocèle congénitale (P83.5)"
    ],
    "clinical_text": [
      "C omprend hydrocèle du cordon spermatique, du testicule ou de la (tunique) vaginale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N43.0": {
    "code": "N43.0",
    "description": "Hydrocèle enkystée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N43.1": {
    "code": "N43.1",
    "description": "Hydrocèle infectée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N43.2": {
    "code": "N43.2",
    "description": "Autres hydrocèles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N43.3": {
    "code": "N43.3",
    "description": "Hydrocèle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N43.4": {
    "code": "N43.4",
    "description": "Spermatocèle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N44": {
    "code": "N44",
    "description": "Torsion du testicule",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Torsion de : • cordon spermatique",
      "• épididyme",
      "• testicule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "35954"
    ],
    "cocoa_notes": [
      "Torsion de l’hydatide de Morgagni. (AGORA - # 35954 le 13 octobre 2010)"
    ]
  },
  "N45": {
    "code": "N45",
    "description": "Orchite et épididymite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N45.0": {
    "code": "N45.0",
    "description": "Orchite, épididymite et épididymo-orchite, avec abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Abcès de l’épididyme ou du testicule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N45.9": {
    "code": "N45.9",
    "description": "Orchite, épididymite et épididymo-orchite, sans abcès",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épididymite SAI",
      "Orchite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N46": {
    "code": "N46",
    "description": "Stérilité, chez l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Azoospermie SAI",
      "Oligospermie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N47": {
    "code": "N47",
    "description": "Hypertrophie du prépuce, phimosis et paraphimosis",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 631,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Prépuce : • adhérent",
      "• serré"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48": {
    "code": "N48",
    "description": "Autres affections de la verge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.0": {
    "code": "N48.0",
    "description": "Leucoplasie de la verge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kraurosis de la verge"
    ],
    "comprend": [],
    "exclusions": [
      "carcinome in situ de la verge (D07.4)"
    ],
    "clinical_text": [
      "Balanite scléreuse oblitérante [balanitis xerotica obliterans]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.1": {
    "code": "N48.1",
    "description": "Balano-posthite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Balanite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.2": {
    "code": "N48.2",
    "description": "Autres affections inflammatoires de la verge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès des corps caverneux et de la verge",
      "Anthrax des corps caverneux et de la verge",
      "Furoncle des corps caverneux et de la verge",
      "Phlegmon des corps caverneux et de la verge",
      "Cavernite (de la verge)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.3": {
    "code": "N48.3",
    "description": "Priapisme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Érection douloureuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.4": {
    "code": "N48.4",
    "description": "Impuissance d’origine organique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "impuissance psychogène (F52.2)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.5": {
    "code": "N48.5",
    "description": "Ulcère de la verge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.6": {
    "code": "N48.6",
    "description": "Induration plastique des corps caverneux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de La Peyronie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.8": {
    "code": "N48.8",
    "description": "Autres affections précisées de la verge",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie des corps caverneux et de la verge",
      "Hypertrophie des corps caverneux et de la verge",
      "Thrombose des corps caverneux et de la verge"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N48.9": {
    "code": "N48.9",
    "description": "Affection de la verge, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "inflammation de la verge (N48.1-N48.2)",
      "orchite et épididymite (N45.-)"
    ],
    "clinical_text": [
      "Affections inflammatoires des organes génitaux de l’homme, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N49.0": {
    "code": "N49.0",
    "description": "Affections inflammatoires des vésicules séminales",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Vésiculite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections inflammatoires du cordon spermatique, de la tunique vaginale du testicule et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N49.2": {
    "code": "N49.2",
    "description": "Affections inflammatoires du scrotum",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N49.8": {
    "code": "N49.8",
    "description": "Affections inflammatoires d’autres organes génitaux précisés de l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 632,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "le 19 juillet 2010)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Inflammation de localisations multiples des organes génitaux l’homme",
      "Comme l'indique le volume 3, « Fournier, gangrène ou maladie » vous coderez N49.8. (AGORA - # 32874"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N49.9": {
    "code": "N49.9",
    "description": "Affection inflammatoire des organes génitaux non précisés de l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N50": {
    "code": "N50",
    "description": "Autres affections des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "torsion du testicule (N44)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N50.0": {
    "code": "N50.0",
    "description": "Atrophie du testicule",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N50.1": {
    "code": "N50.1",
    "description": "Affections vasculaires des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématocèle SAI des organes génitaux de l’homme",
      "Hémorragie des organes génitaux de l’homme",
      "Thrombose des organes génitaux de l’homme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N50.8": {
    "code": "N50.8",
    "description": "Autres affections précisées des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de la tunique vaginale et des vésicules séminales",
      "la tunique vaginale et des vésicules séminales",
      "Chylocèle de la tunique vaginale (non filarienne) SAI",
      "Kyste de l’épididyme",
      "Fistule urétro-scrotale",
      "Rétrécissement de : • canal déférent",
      "• cordon spermatique",
      "• tunique vaginale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atrophie du canal déférent, du cordon spermatique, du scrotum, du testicule (sauf l’atrophie),",
      "Hypertrophie du canal déférent, du cordon spermatique, du scrotum, du testicule (sauf",
      "l’atrophie), de la tunique vaginale et des vésicules séminales",
      "Œdème du canal déférent, du cordon spermatique, du scrotum, du testicule (sauf l’atrophie), de",
      "Ulcère du canal déférent, du cordon spermatique, du scrotum, du testicule (sauf l’atrophie), de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N50.9": {
    "code": "N50.9",
    "description": "Affection des organes génitaux de l’homme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections des organes génitaux de l’homme au cours de maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N51.0": {
    "code": "N51.0",
    "description": "Affections de la prostate au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Prostatite (à) : • gonococcique (A54.2 †)",
      "• Trichomonas (A59.0 †)",
      "• tuberculeuse (A18.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N51.1": {
    "code": "N51.1",
    "description": "Affections du testicule et de l’épididyme au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Épididymite (A56.1 †) à Chlamydia",
      "Orchite (A56.1 †) à Chlamydia",
      "Épididymite (A54.2 †) gonococcique",
      "Orchite (A54.2 †) gonococcique",
      "Orchite ourlienne (B26.0 †)",
      "Tuberculose de : • épididyme (A18.1 †)",
      "• testicule (A18.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N51.2": {
    "code": "N51.2",
    "description": "Balanite au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Balanite (à) : • amibienne (A06.8 †)",
      "• Candida (B37.4 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N51.8": {
    "code": "N51.8",
    "description": "Autres affections des organes génitaux de l’homme au cours de maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 633,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tuberculose des vésicules séminales (A18.1 †)"
    ],
    "comprend": [],
    "exclusions": [
      "associées à l’accouchement (O91-O92)"
    ],
    "clinical_text": [
      "Chylocèle filarienne de la tunique vaginale du testicule (B74.- †)",
      "Infection de l’appareil génital de l’homme par le virus de l’herpès à herpès simplex (A60.0 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N60": {
    "code": "N60",
    "description": "Dysplasies mammaires bénignes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend mastopathie fibrokystique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N60.0": {
    "code": "N60.0",
    "description": "Kyste solitaire du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste du sein"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N60.1": {
    "code": "N60.1",
    "description": "Mastopathie kystique diffuse",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie kystique du sein"
    ],
    "comprend": [],
    "exclusions": [
      "avec prolifération épithéliale (N60.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N60.2": {
    "code": "N60.2",
    "description": "Adénofibrose du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "adénofibrome du sein (D24)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N60.3": {
    "code": "N60.3",
    "description": "est correct pour la mastose proliférante. Les microcalcifications sont en général un résultat",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "64771"
    ],
    "cocoa_notes": [
      "d'imagerie que vous coderez R92. (AGORA - #64771 le 25 mai 2012)"
    ]
  },
  "N60.4": {
    "code": "N60.4",
    "description": "Ectasie des canaux galactophores",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Kyste galactophorique abcédé rompu : cette affection se code N60.4 sauf en période du post-partum où"
    ],
    "agora_refs": [
      "53306"
    ],
    "cocoa_notes": [
      "vous coderez O91.1. (AGORA - # 53306 le 12 octobre 2011)"
    ]
  },
  "N60.8": {
    "code": "N60.8",
    "description": "Autres dysplasies mammaires bénignes",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N60.9": {
    "code": "N60.9",
    "description": "Dysplasie mammaire bénigne, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N61": {
    "code": "N61",
    "description": "Affections inflammatoires du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Abcès (aigu) (chronique) (non puerpéral) de : • aréole",
      "• sein",
      "Furoncle du sein",
      "Mastite (aiguë) (subaiguë) (non puerpérale) : • SAI",
      "• infectieuse",
      "précisées non puerpérales ou sans précision."
    ],
    "comprend": [],
    "exclusions": [
      "mastite infectieuse néonatale (P39.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.91 : la catégorie N61 ne concerne pas la grossesse. Elle permet de coder les affections inflammatoires du sein"
    ]
  },
  "N62": {
    "code": "N62",
    "description": "Hypertrophie mammaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Gynécomastie",
      "Hypertrophie mammaire : • SAI",
      "• massive de la puberté"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "70587"
    ],
    "cocoa_notes": [
      "Adipomastie. (AGORA - # 70587 le 18 octobre 2012)"
    ]
  },
  "N63": {
    "code": "N63",
    "description": "Tuméfaction mammaire, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 634,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Nodule(s) mammaire(s) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64": {
    "code": "N64",
    "description": "Autres affections du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.0": {
    "code": "N64.0",
    "description": "Fissure et fistule du mamelon",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.1": {
    "code": "N64.1",
    "description": "Cytostéatonécrose du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nécrose adipeuse (segmentaire) du sein"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.2": {
    "code": "N64.2",
    "description": "Atrophie mammaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.3": {
    "code": "N64.3",
    "description": "Galactorrhée sans relation avec un accouchement",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.4": {
    "code": "N64.4",
    "description": "Mastodynie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.5": {
    "code": "N64.5",
    "description": "Autres signes et symptômes observés au niveau du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Écoulement par le mamelon",
      "Induration du sein",
      "Rétraction du mamelon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.8": {
    "code": "N64.8",
    "description": "Autres affections précisées du sein",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Galactocèle",
      "Subinvolution du sein (après lactation)",
      "38846 le 7 janvier 2011)",
      "64763 le 25 mai 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La ptose mammaire pathologique se code N64.8. Si cette affection est le DP d’un séjour au cours duquel",
      "l’acte réalisé n’est pas pris en charge par l’assurance maladie vous devrez coder Z41.1 en DP. (AGORA - #",
      "Hyperplasie canalaire atypique du sein : ces lésions sont considérées soit comme un facteur de risque soit",
      "comme un précurseur de cancer. En l’absence de précision je vous conseille de coder N64.8. (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N64.9": {
    "code": "N64.9",
    "description": "Affection du sein, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 635,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.0)",
      "• grossesse, accouchement et puerpéralité (O23.-, O75.3, O85, O86.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N70": {
    "code": "N70",
    "description": "Salpingite et ovarite",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend abcès (de) : • ovaire",
      "• trompe de Fallope",
      "• tubo-ovarien",
      "affection inflammatoire tubo-ovarienne",
      "pyosalpinx",
      "salpingo-ovarite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N70.0": {
    "code": "N70.0",
    "description": "Salpingite et ovarite aiguës",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N70.1": {
    "code": "N70.1",
    "description": "Salpingite et ovarite chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hydrosalpinx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N70.9": {
    "code": "N70.9",
    "description": "Salpingite et ovarite, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N71": {
    "code": "N71",
    "description": "Affections inflammatoires de l’utérus, à l’exclusion du col",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend abcès utérin",
      "endo(myo)métrite",
      "Métrite",
      "myométrite",
      "pyométrie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N71.0": {
    "code": "N71.0",
    "description": "Affection inflammatoire aiguë de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N71.1": {
    "code": "N71.1",
    "description": "Affection inflammatoire chronique de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N71.9": {
    "code": "N71.9",
    "description": "Affection inflammatoire de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N72": {
    "code": "N72",
    "description": "Affections inflammatoires du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Cervicite avec ou sans érosion ou ectropion",
      "Endocervicite avec ou sans érosion ou ectropion",
      "Exocervicite avec ou sans érosion ou ectropion"
    ],
    "comprend": [],
    "exclusions": [
      "érosion et ectropion du col sans cervicite (N86)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73": {
    "code": "N73",
    "description": "Autres affections inflammatoires pelviennes de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.0": {
    "code": "N73.0",
    "description": "Paramétrite et phlegmon pelvien aigus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès de : • ligament large précisé aigu",
      "• paramètre précisé aigu",
      "Phlegmon pelvien chez la femme précisé aigu"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.1": {
    "code": "N73.1",
    "description": "Paramétrite et phlegmon pelvien chroniques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toute affection classée en N73.0, précisée chronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.2": {
    "code": "N73.2",
    "description": "Paramétrite et phlegmon pelvien, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 636,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Toute affection classée en N73.0, non précisée aiguë ou chronique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.3": {
    "code": "N73.3",
    "description": "Pelvipéritonite aiguë chez la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.4": {
    "code": "N73.4",
    "description": "Pelvipéritonite chronique chez la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.5": {
    "code": "N73.5",
    "description": "Pelvipéritonite chez la femme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.6": {
    "code": "N73.6",
    "description": "Adhérences pelvi-péritonéales chez la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "adhérences pelvi-péritonéales après un acte à visée diagnostique et thérapeutique",
      "(N99.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.8": {
    "code": "N73.8",
    "description": "Autres affections inflammatoires pelviennes précisées de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N73.9": {
    "code": "N73.9",
    "description": "Affection inflammatoire pelvienne de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection ou inflammation pelvienne de la femme SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections inflammatoires pelviennes de la femme, au cours de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74.0": {
    "code": "N74.0",
    "description": "Tuberculose du col de l’utérus (A18.1 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74.1": {
    "code": "N74.1",
    "description": "Affection inflammatoire pelvienne tuberculeuse de la femme (A18.1 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Endométrite tuberculeuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74.2": {
    "code": "N74.2",
    "description": "Affection inflammatoire pelvienne syphilitique de la femme (A51.4 †, A52.7 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74.3": {
    "code": "N74.3",
    "description": "Affection inflammatoire pelvienne gonococcique de la femme (A54.2 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74.4": {
    "code": "N74.4",
    "description": "Affection inflammatoire pelvienne à Chlamydia, de la femme (A56.1 †)",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N74.8": {
    "code": "N74.8",
    "description": "Affections inflammatoires pelviennes de la femme, au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N75": {
    "code": "N75",
    "description": "Affection de la glande de Bartholin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N75.0": {
    "code": "N75.0",
    "description": "Kyste de la glande de Bartholin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N75.1": {
    "code": "N75.1",
    "description": "Abcès de la glande de Bartholin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N75.8": {
    "code": "N75.8",
    "description": "Autres affections de la glande de Bartholin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bartholinite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N75.9": {
    "code": "N75.9",
    "description": "Affection de la glande de Bartholin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76": {
    "code": "N76",
    "description": "Autres inflammations du vagin et de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vaginite sénile (atrophique) (N95.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.0": {
    "code": "N76.0",
    "description": "Vaginite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Vaginite SAI",
      "Vulvo-vaginite : • SAI",
      "• aiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.1": {
    "code": "N76.1",
    "description": "Vaginite subaiguë et chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vulvo-vaginite : • chronique",
      "• subaiguë"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.2": {
    "code": "N76.2",
    "description": "Vulvite aiguë",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 637,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vulvite SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.3": {
    "code": "N76.3",
    "description": "Vulvite subaiguë et chronique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.4": {
    "code": "N76.4",
    "description": "Abcès de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Furoncle de la vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.5": {
    "code": "N76.5",
    "description": "Ulcération du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.6": {
    "code": "N76.6",
    "description": "Ulcération de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N76.8": {
    "code": "N76.8",
    "description": "Autres inflammations précisées du vagin et de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Gangrène ou maladie de Fournier : par assimilation au codage chez l’homme on utilisera N76.8 chez la",
      "Ulcération et inflammation vulvo-vaginales au cours de maladies"
    ],
    "agora_refs": [
      "57292"
    ],
    "cocoa_notes": [
      "femme. (AGORA - # 57292 le 20 janvier 2012)"
    ]
  },
  "N77.0": {
    "code": "N77.0",
    "description": "Ulcération de la vulve au cours de maladies infectieuses et parasitaires classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "au cours de : • tuberculose (A18.1 †)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcération de la vulve • infection due au virus de l’herpès à herpès simplex (A60.0 †)",
      "Vaginite, vulvite et vulvo-vaginite au cours de maladies infectieuses et parasitaires classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N77.8": {
    "code": "N77.8",
    "description": "Ulcération et inflammation vulvo-vaginales au cours d’autres maladies classées ailleurs",
    "dagger_star": "*",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ulcération de la vulve au cours de la maladie de Behçet (M35.2 †)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80": {
    "code": "N80",
    "description": "Endométriose",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.0": {
    "code": "N80.0",
    "description": "Endométriose de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adénomyose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.1": {
    "code": "N80.1",
    "description": "Endométriose de l’ovaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le 1er janvier 2008)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comment doit-on coder en diagnostic le kyste endométriosique de l’ovaire : le volume 3 de la CIM renvoie",
      "au code N80.1 Endométriose de l’ovaire pour kyste endométrial. Ce code est donc suffisant. (AGORA - # 566"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.2": {
    "code": "N80.2",
    "description": "Endométriose de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.3": {
    "code": "N80.3",
    "description": "Endométriose du péritoine pelvien",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.4": {
    "code": "N80.4",
    "description": "Endométriose du septum recto-vaginal et du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.5": {
    "code": "N80.5",
    "description": "Endométriose de l’intestin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.6": {
    "code": "N80.6",
    "description": "Endométriose sur cicatrice cutanée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.8": {
    "code": "N80.8",
    "description": "Autres endométrioses",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Endométriose du thorax"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N80.9": {
    "code": "N80.9",
    "description": "Endométriose, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 638,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81": {
    "code": "N81",
    "description": "Prolapsus génital",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant grossesse, travail ou accouchement (O34.5)",
      "prolapsus de la paroi supérieure du vagin après hystérectomie (N99.3)",
      "prolapsus et hernie de l’ovaire et de la trompe de Fallope (N83.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.0": {
    "code": "N81.0",
    "description": "Urétrocèle chez la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "urétrocèle avec : • cystocèle (N81.1)",
      "• prolapsus de l’utérus (N81.2-N81.4)",
      "congénitale (Q64.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.1": {
    "code": "N81.1",
    "description": "Cystocèle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colpocèle antérieure",
      "Cystocèle avec urétrocèle",
      "Prolapsus vaginal (paroi antérieure) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "cystocèle avec prolapsus de l’utérus (N81.2-N81.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.2": {
    "code": "N81.2",
    "description": "Prolapsus utéro-vaginal partiel",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus (de) : • utérus du : • premier degré",
      "• second degré",
      "• col SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.3": {
    "code": "N81.3",
    "description": "Prolapsus utéro-vaginal complet",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Procidence SAI",
      "Prolapsus utérin du troisième degré"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.4": {
    "code": "N81.4",
    "description": "Prolapsus utéro-vaginal, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus utérin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.5": {
    "code": "N81.5",
    "description": "Entérocèle vaginale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "entérocèle avec prolapsus utérin (N81.2-N81.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.6": {
    "code": "N81.6",
    "description": "Rectocèle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prolapsus vaginal de la paroi postérieure"
    ],
    "comprend": [],
    "exclusions": [
      "prolapsus rectal (K62.3)",
      "rectocèle avec prolapsus utérin (N81.2-N81.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.8": {
    "code": "N81.8",
    "description": "Autres prolapsus génitaux",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure ancienne des muscles du plancher pelvien",
      "Insuffisance périnéale",
      "Elytrocèle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N81.9": {
    "code": "N81.9",
    "description": "Prolapsus génital, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82": {
    "code": "N82",
    "description": "Fistules de l’appareil génital de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fistule vésico-intestinale (N32.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.0": {
    "code": "N82.0",
    "description": "Fistule vésico-vaginale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.1": {
    "code": "N82.1",
    "description": "Autres fistules de l’appareil génito-urinaire de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fistule : • cervico-vésicale",
      "• urétéro-vaginale",
      "• urétro-vaginale",
      "• utéro-urétérale",
      "• utéro-vésicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.2": {
    "code": "N82.2",
    "description": "Fistule du vagin à l’intestin grêle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 639,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.3": {
    "code": "N82.3",
    "description": "Fistule du vagin au côlon",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fistule recto-vaginale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.4": {
    "code": "N82.4",
    "description": "Autres fistules intestino-génitales chez la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fistule intestino-utérine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.5": {
    "code": "N82.5",
    "description": "Fistule génito-cutanée chez la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fistule : • périnéo-vaginale",
      "• utéro-pariétale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.8": {
    "code": "N82.8",
    "description": "Autres fistules de l’appareil génital de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N82.9": {
    "code": "N82.9",
    "description": "Fistule de l’appareil génital de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "du ligament large"
    ],
    "comprend": [],
    "exclusions": [
      "hydrosalpinx (N70.1)"
    ],
    "clinical_text": [
      "Affections non inflammatoires de l’ovaire, de la trompe de Fallope et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.0": {
    "code": "N83.0",
    "description": "Kyste folliculaire de l’ovaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste (de) : • folliculaire hémorragique (de l’ovaire)",
      "• follicule de De Graaf"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.1": {
    "code": "N83.1",
    "description": "Kyste du corps jaune",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste hémorragique du corps jaune"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.2": {
    "code": "N83.2",
    "description": "Kystes de l’ovaire, autres et sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste rétentionnel de l’ovaire",
      "Kyste simple de l’ovaire"
    ],
    "comprend": [],
    "exclusions": [
      "kyste de l’ovaire : • au cours du développement (Q50.1)",
      "• tumoral (D27)",
      "syndrome ovarien polykystique (E28.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.3": {
    "code": "N83.3",
    "description": "Atrophie acquise de l’ovaire et de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.4": {
    "code": "N83.4",
    "description": "Prolapsus et hernie de l’ovaire et de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.5": {
    "code": "N83.5",
    "description": "Torsion de l’ovaire, du pédicule ovarien et de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Torsion (de) : • hydatide de Morgagni (chez la femme)",
      "• trompe surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.6": {
    "code": "N83.6",
    "description": "Hématosalpinx",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hématosalpinx avec : • hématocolpos (N89.7)",
      "• hématométrie (N85.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.7": {
    "code": "N83.7",
    "description": "Hématome du ligament large",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N83.8": {
    "code": "N83.8",
    "description": "Autres affections non inflammatoires de l’ovaire, de la trompe de Fallope et du ligament large",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 640,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de déchirure du ligament large [Allen-Masters]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection non inflammatoire de l’ovaire, de la trompe de Fallope et du ligament large, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84": {
    "code": "N84",
    "description": "Polype de l’appareil génital de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "polype : • adénomateux (D28.-)",
      "• placentaire (O90.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84.0": {
    "code": "N84.0",
    "description": "Polype du corps de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polype de : • endomètre",
      "• utérus SAI"
    ],
    "comprend": [],
    "exclusions": [
      "hyperplasie adénomateuse de l’endomètre (N85.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84.1": {
    "code": "N84.1",
    "description": "Polype du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polype muqueux du col"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84.2": {
    "code": "N84.2",
    "description": "Polype du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84.3": {
    "code": "N84.3",
    "description": "Polype de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polype des lèvres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84.8": {
    "code": "N84.8",
    "description": "Polypes d’autres parties de l’appareil génital de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N84.9": {
    "code": "N84.9",
    "description": "Polype de l’appareil génital de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85": {
    "code": "N85",
    "description": "Autres affections non inflammatoires de l’utérus, sauf le col",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections : • inflammatoires de l’utérus (N71.-)",
      "• non inflammatoires du col de l’utérus sauf malposition (N86-N88)",
      "endométriose (N80.-)",
      "polype du corps de l’utérus (N84.0)",
      "prolapsus utérin (N81.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.0": {
    "code": "N85.0",
    "description": "Hyperplasie glandulaire de l’endomètre",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie de l’endomètre : • SAI",
      "• adénomateuse",
      "• glandulo-kystique",
      "• kystique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.1": {
    "code": "N85.1",
    "description": "Hyperplasie adénomateuse de l’endomètre",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperplasie atypique de l’endomètre (adénomateuse)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.2": {
    "code": "N85.2",
    "description": "Hypertrophie de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gros utérus"
    ],
    "comprend": [],
    "exclusions": [
      "hypertrophie puerpérale de l’utérus (O90.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.3": {
    "code": "N85.3",
    "description": "Subinvolution de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "subinvolution puerpérale de l’utérus (O90.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.4": {
    "code": "N85.4",
    "description": "Malposition de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antéversion de l’utérus",
      "Rétroflexion de l’utérus",
      "Rétroversion de l’utérus"
    ],
    "comprend": [],
    "exclusions": [
      "compliquant grossesse, travail ou accouchement (O34.5, O65.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.5": {
    "code": "N85.5",
    "description": "Inversion de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "due à un traumatisme obstétrical récent (O71.2)",
      "inversion post-partum de l’utérus (O71.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.6": {
    "code": "N85.6",
    "description": "Synéchie utérine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 641,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.7": {
    "code": "N85.7",
    "description": "Hématométrie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématosalpinx avec hématométrie"
    ],
    "comprend": [],
    "exclusions": [
      "hématométrie avec hématocolpos (N89.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.8": {
    "code": "N85.8",
    "description": "Autres affections non inflammatoires précisées de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie acquise de l’utérus",
      "Fibrose de l’utérus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N85.9": {
    "code": "N85.9",
    "description": "Affection non inflammatoire de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection de l’utérus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N86": {
    "code": "N86",
    "description": "Érosion et ectropion du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Éversion du col de l’utérus",
      "Ulcère trophique dû à un pessaire du col de l’utérus"
    ],
    "comprend": [],
    "exclusions": [
      "avec cervicite (N72)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N87": {
    "code": "N87",
    "description": "Dysplasie du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "carcinome in situ du col de l’utérus (D06.-)",
      "le terme CIN correspond au terme NIC (néoplasie intra-épithéliale cervicale) dans la CIM. Un stade CIN I est codé N87.0, le"
    ],
    "clinical_text": [],
    "agora_refs": [
      "68264"
    ],
    "cocoa_notes": [
      "stade CIN II, N87.1. (AGORA - # 68264 le 9 août 2012)"
    ]
  },
  "N87.0": {
    "code": "N87.0",
    "description": "Dysplasie légère du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion malpighienne intra-épithéliale de bas grade [LSIL]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Néoplasie intra-épithéliale du col de l’utérus [NIC], stade I"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N87.1": {
    "code": "N87.1",
    "description": "Dysplasie moyenne du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Néoplasie intra-épithéliale du col de l’utérus [NIC], stade II"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N87.2": {
    "code": "N87.2",
    "description": "Dysplasie sévère du col de l’utérus, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysplasie sévère du col de l’utérus SAI"
    ],
    "comprend": [],
    "exclusions": [
      "néoplasie intra-épithéliale du col de l’utérus [NIC], stade III, avec ou sans mention de",
      "dysplasie sévère (D06.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N87.9": {
    "code": "N87.9",
    "description": "Dysplasie du col de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88": {
    "code": "N88",
    "description": "Autres affections non inflammatoires du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affection inflammatoire du col de l’utérus (N72)",
      "polype du col de l’utérus (N84.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.0": {
    "code": "N88.0",
    "description": "Leucoplasie du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.1": {
    "code": "N88.1",
    "description": "Déchirure ancienne du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences du col de l’utérus"
    ],
    "comprend": [],
    "exclusions": [
      "traumatisme obstétrical récent (O71.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.2": {
    "code": "N88.2",
    "description": "Rétrécissement et sténose du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant le travail (O65.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.3": {
    "code": "N88.3",
    "description": "Béance du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affectant le fœtus ou le nouveau-né (P01.0)",
      "compliquant une grossesse (O34.3)"
    ],
    "clinical_text": [
      "Recherche et soins d’une béance cervicale (soupçonnée) chez une femme non enceinte"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.4": {
    "code": "N88.4",
    "description": "Allongement hypertrophique du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 642,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.8": {
    "code": "N88.8",
    "description": "Autres affections non inflammatoires précisées du col de l’utérus",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "traumatisme obstétrical récent (O71.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N88.9": {
    "code": "N88.9",
    "description": "Affection non inflammatoire du col de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89": {
    "code": "N89",
    "description": "Autres affections non inflammatoires du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "carcinome in situ du vagin (D07.2)",
      "inflammation du vagin (N76.-)",
      "leucorrhée à Trichomonas (A59.0)",
      "vaginite sénile (atrophique) (N95.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.0": {
    "code": "N89.0",
    "description": "Dysplasie légère du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néoplasie intra-épithéliale du vagin [NIVA], stade I"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.1": {
    "code": "N89.1",
    "description": "Dysplasie moyenne du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néoplasie intra-épithéliale du vagin [NIVA], stade II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.2": {
    "code": "N89.2",
    "description": "Dysplasie sévère du vagin, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysplasie sévère du vagin SAI"
    ],
    "comprend": [],
    "exclusions": [
      "néoplasie intra-épithéliale du vagin [NIVA], stade III, avec ou sans mention de dysplasie",
      "sévère (D07.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.3": {
    "code": "N89.3",
    "description": "Dysplasie du vagin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.4": {
    "code": "N89.4",
    "description": "Leucoplasie du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.5": {
    "code": "N89.5",
    "description": "Rétrécissement et atrésie du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences du vagin",
      "Sténose du vagin"
    ],
    "comprend": [],
    "exclusions": [
      "adhérences vaginales post-opératoires (N99.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.6": {
    "code": "N89.6",
    "description": "Anneau hyménal serré",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Orifice hyménal étroit",
      "Rigidité de l’hymen"
    ],
    "comprend": [],
    "exclusions": [
      "imperforation de l’hymen (Q52.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.7": {
    "code": "N89.7",
    "description": "Hématocolpos",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématocolpos avec hématométrie ou hématosalpinx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.8": {
    "code": "N89.8",
    "description": "Autres affections non inflammatoires précisées du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure ancienne du vagin",
      "Leucorrhée SAI",
      "Ulcère du vagin dû à un pessaire"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure ancienne des muscles du plancher pelvien (N81.8)",
      "traumatisme obstétrical récent (O70.-, O71.4, O71.7-O71.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N89.9": {
    "code": "N89.9",
    "description": "Affection non inflammatoire du vagin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 643,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90": {
    "code": "N90",
    "description": "Autres affections non inflammatoires de la vulve et du périnée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "carcinome in situ de la vulve (D07.1)",
      "inflammation de la vulve (N76.-)",
      "traumatisme obstétrical récent (O70.-, O71.7-O71.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.0": {
    "code": "N90.0",
    "description": "Dysplasie légère de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néoplasie intra-épithéliale de la vulve [NIV], stade I"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.1": {
    "code": "N90.1",
    "description": "Dysplasie moyenne de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néoplasie intra-épithéliale de la vulve [NIV], stade II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.2": {
    "code": "N90.2",
    "description": "Dysplasie sévère de la vulve, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysplasie sévère de la vulve SAI"
    ],
    "comprend": [],
    "exclusions": [
      "néoplasie intra-épithéliale de la vulve [NIV], stade III, avec ou sans mention de dysplasie",
      "sévère (D07.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.3": {
    "code": "N90.3",
    "description": "Dysplasie de la vulve, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.4": {
    "code": "N90.4",
    "description": "Leucoplasie de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystrophie de la vulve",
      "Kraurosis de la vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.5": {
    "code": "N90.5",
    "description": "Atrophie de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose de la vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.6": {
    "code": "N90.6",
    "description": "Hypertrophie de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrophie des lèvres"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.7": {
    "code": "N90.7",
    "description": "Kyste de la vulve",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.8": {
    "code": "N90.8",
    "description": "Autres affections non inflammatoires précisées de la vulve et du périnée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences de la vulve",
      "Hypertrophie du clitoris"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N90.9": {
    "code": "N90.9",
    "description": "Affection non inflammatoire de la vulve et du périnée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91": {
    "code": "N91",
    "description": "Aménorrhée, oligoménorrhée et hypoménorrhée",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysfonction ovarienne (E28.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91.0": {
    "code": "N91.0",
    "description": "Aménorrhée primaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de menstruation à la puberté."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91.1": {
    "code": "N91.1",
    "description": "Aménorrhée secondaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Absence de menstruation chez une femme ayant déjà eu des règles."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91.2": {
    "code": "N91.2",
    "description": "Aménorrhée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de menstruation SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91.3": {
    "code": "N91.3",
    "description": "Oligoménorrhée primaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Menstruation peu abondante ou peu fréquente dès le début de la menstruation."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91.4": {
    "code": "N91.4",
    "description": "Oligoménorrhée secondaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "normales."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Menstruation peu abondante et peu fréquente chez une femme ayant déjà eu des règles"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N91.5": {
    "code": "N91.5",
    "description": "Oligoménorrhée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 644,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypoménorrhée SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92": {
    "code": "N92",
    "description": "Ménorragie, polyménorrhée et métrorragie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "saignements post-ménopausiques (N95.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.0": {
    "code": "N92.0",
    "description": "Menstruation trop abondante et trop fréquente avec cycle menstruel régulier",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ménorragie SAI",
      "Polyménorrhée",
      "Règles abondantes SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.1": {
    "code": "N92.1",
    "description": "Menstruation trop abondante et trop fréquente avec cycle menstruel irrégulier",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Intervalles raccourcis et irréguliers entre les règles",
      "Ménométrorragie",
      "Métrorragie",
      "Saignements intermenstruels irréguliers"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.2": {
    "code": "N92.2",
    "description": "Menstruation trop abondante à la puberté",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ménorragie de la puberté",
      "Saignements de la puberté"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.3": {
    "code": "N92.3",
    "description": "Saignements de l’ovulation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Saignement régulier entre les règles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.4": {
    "code": "N92.4",
    "description": "Saignements abondants de la préménopause",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ménorragie ou métrorragie : • climatérique",
      "• ménopausique",
      "• préclimatérique",
      "• préménopausique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.5": {
    "code": "N92.5",
    "description": "Autres irrégularités menstruelles précisées",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N92.6": {
    "code": "N92.6",
    "description": "Irrégularités menstruelles, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Règles irrégulières SAI",
      "Saignements irréguliers SAI"
    ],
    "comprend": [],
    "exclusions": [
      "irrégularités • intervalles allongés ou saignements rares (N91.3-N91.5)",
      "menstruelles avec : • intervalles raccourcis ou saignements trop abondants (N92.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N93": {
    "code": "N93",
    "description": "Autres saignements anormaux de l’utérus et du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fausses règles (P54.6)",
      "hémorragie vaginale néonatale (P54.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N93.0": {
    "code": "N93.0",
    "description": "Saignements post-coïtaux et de contact",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N93.8": {
    "code": "N93.8",
    "description": "Autres saignements anormaux précisés de l’utérus et du vagin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Saignements dysfonctionnels ou fonctionnels de l’utérus ou du vagin SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N93.9": {
    "code": "N93.9",
    "description": "Saignement anormal de l’utérus et du vagin, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "cycle menstruel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Douleurs et autres affections des organes génitaux de la femme et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.0": {
    "code": "N94.0",
    "description": "Douleurs intermenstruelles",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.1": {
    "code": "N94.1",
    "description": "Dyspareunie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dyspareunie psychogène (F52.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.2": {
    "code": "N94.2",
    "description": "Vaginisme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 645,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vaginisme psychogène (F52.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.3": {
    "code": "N94.3",
    "description": "Syndrome de tension prémenstruelle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.4": {
    "code": "N94.4",
    "description": "Dysménorrhée primaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.5": {
    "code": "N94.5",
    "description": "Dysménorrhée secondaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.6": {
    "code": "N94.6",
    "description": "Dysménorrhée, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N94.8": {
    "code": "N94.8",
    "description": "Autres affections précisées des organes génitaux de la femme et du cycle menstruel",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "la douleur pelvienne aiguë ou chronique se code R10.2 chez l’homme et N94.8 chez la femme (voir volume 3)."
    ],
    "agora_refs": [
      "8191"
    ],
    "cocoa_notes": [
      "[…]. (AGORA - # 8191 le 8 décembre 2008)"
    ]
  },
  "N94.9": {
    "code": "N94.9",
    "description": "Affection des organes génitaux de la femme et du cycle menstruel, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95": {
    "code": "N95",
    "description": "Troubles de la ménopause et autres troubles de la périménopause",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ménopause prématurée SAI (E28.3)",
      "ostéoporose post-ménopausique (M81.0)",
      "• avec fracture pathologique (M80.0)",
      "saignements abondants de la préménopause (N92.4)",
      "urétrite post-ménopausique (N34.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95.0": {
    "code": "N95.0",
    "description": "Saignements post-ménopausiques",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associés à une ménopause artificielle (N95.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95.1": {
    "code": "N95.1",
    "description": "Troubles de la ménopause et du climatère féminin",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associés à une ménopause artificielle (N95.3)"
    ],
    "clinical_text": [
      "Symptômes tels que bouffées de chaleur, insomnies, céphalées, inattention, au cours de la ménopause"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95.2": {
    "code": "N95.2",
    "description": "Vaginite atrophique post-ménopausique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vaginite sénile (atrophique)"
    ],
    "comprend": [],
    "exclusions": [
      "associée à une ménopause artificielle (N95.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95.3": {
    "code": "N95.3",
    "description": "Troubles au cours d’une ménopause artificielle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome survenant après une ménopause artificielle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95.8": {
    "code": "N95.8",
    "description": "Autres troubles précisés de la ménopause et de la périménopause",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N95.9": {
    "code": "N95.9",
    "description": "Trouble de la ménopause et de la périménopause, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N96": {
    "code": "N96",
    "description": "Avortements à répétition",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 646,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Examen ou soins chez une femme non enceinte",
      "Stérilité relative",
      "à risque."
    ],
    "comprend": [],
    "exclusions": [
      "avec avortement en cours (O03-O06)",
      "femme actuellement enceinte (O26.2)"
    ],
    "clinical_text": [
      "Le code N96 Avortements à répétition ne doit pas être employé pour coder le séjour au cours duquel a lieu",
      "l’avortement (voir catégories O03–O06) ni chez une femme enceinte présentant des antécédents",
      "d’avortements (voir Z35.1). Il sera utilisé chez une femme en dehors de la grossesse pour signaler ce terrain",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.8 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97": {
    "code": "N97",
    "description": "Stérilité de la femme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend incapacité de mener une grossesse à terme",
      "stérilité de la femme SAI",
      "Stérilité et procréation médicalement assistée (PMA)",
      "affection principale dans ces deux cas."
    ],
    "comprend": [],
    "exclusions": [
      "stérilité relative (N96)"
    ],
    "clinical_text": [
      "Les motifs de prise en charge pour un acte en rapport avec une PMA doivent être codés avec la catégorie Z31. Z31.2 Fécondation in",
      "vitro code le prélèvement (y compris dans le cadre d’un don) ou l’implantation d’ovocytes. Z31.8 Autres mesures procréatives code la",
      "ponction épididymaire pour recueil de sperme. Les codes de la catégorie N97 Stérilité de la femme ne doivent pas être employés en",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.8 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.0": {
    "code": "N97.0",
    "description": "Stérilité associée à une anovulation",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.1": {
    "code": "N97.1",
    "description": "Stérilité d’origine tubaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Associée à une anomalie congénitale des trompes",
      "Imperméabilité tubaire",
      "Occlusion tubaire",
      "Sténose tubaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.2": {
    "code": "N97.2",
    "description": "Stérilité d’origine utérine",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Associée à une anomalie congénitale de l’utérus",
      "Non-implantation de l’œuf"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.3": {
    "code": "N97.3",
    "description": "Stérilité d’origine cervicale",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.4": {
    "code": "N97.4",
    "description": "Stérilité de la femme associée à des facteurs relevant de l’homme",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.8": {
    "code": "N97.8",
    "description": "Stérilité de la femme d’autres origines",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N97.9": {
    "code": "N97.9",
    "description": "Stérilité de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98": {
    "code": "N98",
    "description": "Complications de la fécondation artificielle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98.0": {
    "code": "N98.0",
    "description": "Infection associée à l’insémination artificielle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98.1": {
    "code": "N98.1",
    "description": "Hyperstimulation des ovaires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperstimulation des ovaires : • SAI",
      "• associée à une ovulation induite",
      "Syndrome d’hyperstimulation ovarienne",
      "ovaires."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Si un certain degré d’hyperstimulation biologique est recherché volontairement au cours des procréations",
      "médicalement assistées, l’hyperstimulation clinique est une complication rare mais potentiellement grave",
      "des inductions de l’ovulation. On repère ce syndrome par l’emploi du code N98.1 Hyperstimulation des",
      "Les signes constitutifs de ce tableau sont divers et de gravité variable : épanchement pleural ou péritonéal,",
      "douleurs, vomissements, symptômes cardiovasculaires, insuffisance rénale ou embolie. Chacun de ces",
      "éléments peut être codé distinctement, en suivant les principes du recueil dans le champ concerné.",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.7 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98.2": {
    "code": "N98.2",
    "description": "Complications de tentative d’implantation d’un œuf fécondé après fécondation in vitro",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98.3": {
    "code": "N98.3",
    "description": "Complications de tentative d’implantation d’un embryon en cas de transfert d’embryon",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98.8": {
    "code": "N98.8",
    "description": "Autres complications de la fécondation artificielle",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• donneur [IAD]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Complications de l’insémination artificielle par : • conjoint [IAC]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N98.9": {
    "code": "N98.9",
    "description": "Complications de la fécondation artificielle, sans précision",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 647,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Autres affections de l’appareil génito-urinaire (N99)",
      "diagnostique et thérapeutique, non classés ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "cystite due à une irradiation (N30.4)",
      "ostéoporose après ovariectomie (M81.1)",
      "• avec fracture pathologique (M80.1)",
      "troubles au cours d’une ménopause artificielle (N95.3)"
    ],
    "clinical_text": [
      "Affections de l’appareil génito-urinaire après un acte à visée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N99.0": {
    "code": "N99.0",
    "description": "Insuffisance rénale après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Après discussion au sein de l’ATIH, il a été convenu que le code N99.0 d’une insuffisance rénale survenant",
      "après un acte était imprécis quant à la forme aiguë ou chronique de cette affection mais aussi quant à la",
      "forme organique ou fonctionnelle. En conséquence le choix est laissé à l’établissement d’employer ce code",
      "ou un code des catégories N17 ou N18. Il convient d’employer le code plus précis de l’insuffisance rénale."
    ],
    "agora_refs": [
      "19862"
    ],
    "cocoa_notes": [
      "(AGORA - # 19862 le 19 octobre 2009 et # 105687 le 8 septembre 2014)"
    ]
  },
  "N99.1": {
    "code": "N99.1",
    "description": "Rétrécissement urétral après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétrécissement urétral après sondage",
      "un 2ème temps, radiothérapie complémentaire en février 1999."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malade porteur d’un néoplasme de la prostate depuis janvier 1999, opéré d’une prostatectomie totale. Dans",
      "En avril, une sténose de l’anastomose urétro-vésicale survenue à la suite de la prostatectomie et de",
      "l’irradiation apparaît. Celle-ci est incisée en avril 1999. Le 18 mai, il présente une rétention d’urine après",
      "endoscopie sur sténose connue de l’anastomose urétro-vésicale.",
      "C’est effectivement N99.1 qui doit être utilisé pour coder le rétrécissement urétral. Il s’agit ici d’un code de",
      "complication qui décrit précisément l’affection en cause. Il faut y associer en DA le code Y83.6 Ablation d’un",
      "autre organe (partielle) (totale) et/ou Y84.2 Acte radiologique et radiothérapie pour préciser l’origine de la"
    ],
    "agora_refs": [
      "556"
    ],
    "cocoa_notes": [
      "complication. R33 et C61 sont corrects en DA (AGORA - # 556 le 01 janvier 2008)"
    ]
  },
  "N99.2": {
    "code": "N99.2",
    "description": "Adhérences vaginales post-opératoires",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Bourgeon cicatriciel vaginal suite à une hystérectomie : le volume 3 renvoie au code N99.2 pour les cicatrices",
      "vaginales post-opératoires. Bien que le libellé du code soit plus restrictif, je vous conseille de l’employer dans"
    ],
    "agora_refs": [
      "99215"
    ],
    "cocoa_notes": [
      "votre cas. (AGORA - # 99215 le 6 mai 2014)"
    ]
  },
  "N99.3": {
    "code": "N99.3",
    "description": "Prolapsus de la paroi supérieure du vagin après hystérectomie",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N99.4": {
    "code": "N99.4",
    "description": "Adhérences pelvi-péritonéales après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N99.5": {
    "code": "N99.5",
    "description": "Mauvais fonctionnement de stomie de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "N99.8": {
    "code": "N99.8",
    "description": "Autres affections de l’appareil génito-urinaire après un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Maladies de l’appareil génito-urinaire",
    "page": 648,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome dû à la présence de tissu ovarien résiduel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affection de l’appareil génito-urinaire après un acte à visée diagnostique et thérapeutique, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O00": {
    "code": "O00",
    "description": "Grossesse extra-utérine",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend rupture de grossesse extra-utérine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de la catégorie O08.- pour identifier toute complication."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O00.0": {
    "code": "O00.0",
    "description": "Grossesse abdominale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "accouchement d’un fœtus viable après une grossesse abdominale (O83.3)",
      "soins maternels pour grossesse abdominale avec fœtus viable (O36.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O00.1": {
    "code": "O00.1",
    "description": "Grossesse tubaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avortement tubaire",
      "Grossesse dans une trompe de Fallope",
      "Rupture de la trompe (de Fallope), due à la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O00.2": {
    "code": "O00.2",
    "description": "Grossesse ovarienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O00.8": {
    "code": "O00.8",
    "description": "Autres grossesses extra-utérines",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Grossesse : • angulaire [cornuale]",
      "• cervicale",
      "• interstitielle",
      "• intra-ligamentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O00.9": {
    "code": "O00.9",
    "description": "Grossesse extra-utérine, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O01": {
    "code": "O01",
    "description": "Môle hydatiforme",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "môle hydatiforme maligne (D39.2)"
    ],
    "clinical_text": [
      "Uti liser, au besoin, un code supplémentaire de la catégorie O08.- pour identifier toute complication."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O01.0": {
    "code": "O01.0",
    "description": "Môle hydatiforme classique",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Môle hydatiforme complète"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O01.1": {
    "code": "O01.1",
    "description": "Môle hydatiforme incomplète et partielle",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O01.9": {
    "code": "O01.9",
    "description": "Môle hydatiforme, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie trophoblastique SAI",
      "Môle vésiculaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O02": {
    "code": "O02",
    "description": "Autres produits anormaux de la conception",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fœtus papyracé (O31.0)"
    ],
    "clinical_text": [
      "Uti liser, au besoin, un code supplémentaire de la catégorie O08.- pour identifier toute complication."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O02.0": {
    "code": "O02.0",
    "description": "Œuf clair et môle non hydatiforme",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 651,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Môle : • charnue",
      "• intra-utérine SAI",
      "Œuf pathologique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O02.1": {
    "code": "O02.1",
    "description": "Rétention d’un fœtus mort in utero code la rétention complète des produits de conception avant 22",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 652,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "fœtus après 22 SA."
    ],
    "comprend": [],
    "exclusions": [
      "• avec môle : • hydatiforme (O01.-)",
      "• non hydatiforme (O02.0)",
      "• avec œuf clair (O02.0)"
    ],
    "clinical_text": [
      "semaines d’aménorrhée. Par comparaison, on emploie O36.4 Soins maternels pour mort intra-utérine du",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.2 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O02.8": {
    "code": "O02.8",
    "description": "Autres produits anormaux de la conception, précisés",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 652,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "• avec môle : • hydatiforme (O01.-)",
      "• non hydatiforme (O02.0)",
      "• avec œuf clair (O02.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O02.9": {
    "code": "O02.9",
    "description": "Produit anormal de la conception, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 652,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "motivé par l’avortement.",
      "Avec les états en O08.0",
      ".1 Incomplet, compliqué d’une hémorragie retardée ou sévère",
      "Avec les états en O08.1",
      ".2 Incomplet, compliqué d’une embolie",
      "Avec les états en O08.2",
      ".3 Incomplet, avec complications autres et non précisées",
      "Avec les états en O08.3-O08.9",
      ".4 Incomplet, sans complication",
      ".7 Complet ou sans précision, compliqué d’une embolie",
      ".9 Complet ou sans précision, sans complication",
      "INTERRUPTION DE LA GROSSESSE",
      "Par « interruption de la grossesse » on entend :",
      "et suivants, R. 2213-1 et suivants du CSP.",
      "1. Codage de l’IVG",
      "1.1 IVG non compliquée",
      "Par ailleurs, la date des dernières règles est enregistrée.",
      "1.2 IVG compliquée",
      "est enregistrée.",
      "- la date des dernières règles est enregistrée ;",
      "1.3 Échec d’IVG",
      "• le code Z64.0 est porté en position de DA ;",
      "• la date des dernières règles est enregistrée.",
      "2. Codage de l’IMG",
      "2.1 IMG avant vingt-deux semaines révolues d’aménorrhée.",
      "On code un avortement :",
      "• DP O04.1 ou O04.2 ou O04.3",
      "l’IVG] ;",
      "• date des dernières règles.",
      "[…]",
      "Si la cause est une anomalie fœtale :",
      "• DP : un code de la catégorie O35 ;",
      "• acte d’accouchement ;",
      "• âge gestationnel et date des dernières règles.",
      "Si la cause de l’interruption est maternelle :",
      "et odontologie – BO du 17 juillet 2025, pp. 106-108"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes des catégories O03–O06 ne peuvent être utilisés que pour des expulsions partielles ou totales des produits de conception",
      "survenant avant 22 SA. Elles peuvent se produire spontanément (O03), être effectuées sous contrôle médical (O04) ou résulter d’un",
      "avortement clandestin (O05). L’emploi des codes O06.– Avortement, sans précision doit être évité en raison de leur imprécision : il",
      "signifie que l’on ignore s’il s’agit d’un avortement spontané, d’un avortement médical ou d’un avortement clandestin.",
      "L’ajout d’un quatrième caractère, commun aux catégories O03–O06 et présenté en tête de celles-ci, est obligatoire. Il précise le",
      "caractère complet ou non de l’avortement ainsi que la présence de complications immédiates, c’est-à-dire constatées lors du séjour",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.2 - Créé le 15 janvier 2009",
      "Les subdivisions suivantes doivent être utilisées comme quatrième chiffre avec les catégories O03-O06 :",
      "Note Avortement incomplet comprend la rétention des produits de conception après un avortement.",
      ".0 Incomplet, compliqué d’une infection de l’appareil génital et des organes pelviens",
      ".5 Complet ou sans précision, compliqué d’une infection de l’appareil génital et des organes pelviens",
      ".6 Complet ou sans précision, compliqué d’une hémorragie retardée ou sévère",
      ".8 Complet ou sans précision, avec complications autres et non précisées",
      "• d’une part l’interruption volontaire (IVG) : articles L. 2212-1 et suivants, R. 2212-1 et suivants du code de la santé publique (CSP) ;",
      "• d’autre part l’interruption pour motif médical (IMG) [dite aussi interruption thérapeutique de grossesse (ITG)] : articles L. 2213-1",
      "Le codage des IVG non compliquées repose sur la présence en DP de l’un des 3 codes suivants :",
      "• O04.90 Interruption volontaire de grossesse (IVG dans le cadre légal), complet ou sans précision, sans complication",
      "• O07.4 Echec d’une tentative d’avortement médical sans complication",
      "• O07.9 Echec d’une tentative d’avortement, autres et sans précision, sans complication",
      "Le code Z64.0 Difficultés liées à une grossesse non désirée ne sera plus recherché pour l’orientation dans la racine 14Z08Z.",
      "L’acte enregistré est, selon le cas, JNJD002 Évacuation d'un utérus gravide par aspiration et/ou curetage, au 1er trimestre de la grossesse",
      "ou JNJP001 Évacuation d'un utérus gravide par moyen médicamenteux, au 1er trimestre de la grossesse.",
      "Même si le libellé de l’acte semble en restreindre l’utilisation au premier trimestre de la grossesse, l’acte JNJD002 Évacuation d’un utérus",
      "gravide par aspiration et/ou curetage, au 1er trimestre de la grossesse doit continuer à être codé en cas de technique chirurgicale pour",
      "une grossesse de plus de 14SA et de moins de 16SA, car il permet l’orientation des séjours dans les forfaits ad-hoc.",
      "Dans le cas de l’IVG médicamenteuse, on rappelle qu’un résumé d’unité médicale (RUM) unique doit être produit. Il doit mentionner",
      "par convention des dates d’entrée et de sortie égales à la date de la consultation de délivrance du médicament abortif, que la prise en",
      "charge ait été limitée à la consultation de prise du médicament abortif ou qu’elle ait compris l’ensemble des étapes (consultation de",
      "délivrance du médicament abortif, prise de prostaglandine et surveillance de l’expulsion, consultation de contrôle).",
      "1°) Lorsqu’une complication survient au cours du séjour même de l’IVG, celle-ci est codée par le quatrième caractère du code O04.–.",
      "Le cas échéant, un code de la catégorie O08 Complications consécutives à un avortement, une grossesse extra-utérine et molaire en",
      "position de diagnostic associé peut identifier la nature de la complication (CIM–10, volume 2 p.123 ou 158). La date des dernières règles",
      "2°) Lorsqu’une complication donne lieu à une ré-hospitalisation après le séjour d’IVG, deux cas doivent être distingués :",
      "• s’il s’agit d’un avortement incomplet avec rétention simple - non compliquée - de produits de la conception :",
      "- le DP est codé O04.4 Avortement médical incomplet, sans complication,",
      "- l’acte enregistré est JNMD001 Révision de la cavité de l’utérus après avortement ;",
      "• s’il s’agit d’un avortement incomplet avec rétention compliquée de produits de la conception, ou d’une autre complication :",
      "- le DP est un code de la catégorie O08 Complications consécutives à un avortement, une grossesse extra-utérine et molaire ;",
      "- l’acte ou les actes réalisés pour le traitement de la complication sont enregistrés.",
      "Lorsque les soins de la complication donnent lieu à une ré-hospitalisation, le code Z64.0 ne doit pas figurer dans le RUM de celle-ci.",
      "On parle d’échec d’IVG devant le constat d’une poursuite de la grossesse. Ce cas est généralement observé après une IVG",
      "médicamenteuse. Il conduit à pratiquer une IVG instrumentale. Le RUM doit être codé comme suit :",
      "• le DP est un code de la catégorie O07 Échec d’une tentative d’avortement ;",
      "• l’acte enregistré est JNJD002 Évacuation d’un utérus gravide par aspiration et/ou curetage, au 1er trimestre de la grossesse ;",
      "Il diffère selon la durée de la gestation au moment de l’interruption [Voir les informations données dans la Note technique constituant",
      "l’annexe II de l’instruction du 26 octobre 2011 relative à la mortinatalité].",
      "• DA : on enregistre le motif de l’IMG ; selon qu’il est classé dans le chapitre XV de la CIM–10 ou dans un autre chapitre, on choisit",
      "le code ad hoc du chapitre XV (en particulier dans la catégorie O35 Soins maternels pour anomalies et lésions fœtales, connues",
      "ou présumées [la note d’inclusion placée sous son titre dans le volume 1 de la CIM–10 ne s’oppose pas à sa mention dans le",
      "résumé de sortie, conjointement à un code d’avortement] ou un code des catégories O98 ou O99, précisé si besoin par un code",
      "des chapitres I à XVII et XIX [Voir dans le volume 1 de la CIM–10 les notes figurant en tête des catégories O98 et O99] ;",
      "• acte d’interruption de grossesse [l’absence du code Z64.0 Difficultés liées à une grossesse non désirée fait la différence avec",
      "2.2 IMG à partir de vingt-deux semaines révolues d’aménorrhée.",
      "C’est un accouchement. Le codage diffère selon que le motif de l’interruption est fœtal ou maternel.",
      "• DA : on enregistre par convention un code étendu de la catégorie Z37 Résultat de l’accouchement (en général Z37.11 Naissance",
      "unique, enfant mort-né, à la suite d’une interruption de la grossesse pour motif médical [Code Z37.1 de la CIM–10 étendu pour la",
      "circonstance à compter de la version 11c (2011) de la classification des GHM] ;",
      "• DP : selon que la cause est classée dans le chapitre XV de la CIM–10 ou dans un autre chapitre, on choisit le code ad hoc du",
      "chapitre XV ou un code des catégories O98 ou O99 ; pas de DR ;",
      "• DA : on enregistre par convention un code de la catégorie Z37 (en général Z37.11 Naissance unique, enfant mort-né, à la suite",
      "d’une interruption de la grossesse pour motif médical) ; si besoin, un code des chapitres I à XVII précise le DP [Voir dans le volume",
      "1 de la CIM–10 les notes figurant en tête des catégories O98 et O99] ;",
      "Les produits d’IMG à partir de vingt-deux semaines révolues d’aménorrhée ou d’un poids d’au moins cinq cents grammes donnent",
      "lieu à la production d’un RUM par convention, le DP est codé P95.-.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O03": {
    "code": "O03",
    "description": "Avortement spontané",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 654,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[voir subdivisions en début de catégorie]"
    ],
    "comprend": [
      "fausse-couche",
      "Mort fœtale in utero : avant 22 semaines ce sont bien les codes O00 à O08 qui doivent être utilisés. La modalité habituelle",
      "de l’avortement est bien à coder O03.9. Dans les rares cas où une rétention serait présente elle se coderait O02.1. […] après"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "62972"
    ],
    "cocoa_notes": [
      "22 semaines c’est le code O36.4 qu’il faut coder en cas de mort fœtale in utero (AGORA - # 62972 le 25 avril 2012)"
    ]
  },
  "O04": {
    "code": "O04",
    "description": "Avortement médical",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 654,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[voir subdivisions en début de catégorie]",
      "L’interruption volontaire de grossesse :",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 70",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 134",
      "rétention simple non compliquée (O04.4).",
      "charge pour interruption de grossesse (O08.-).",
      "[…]"
    ],
    "comprend": [
      "avortement thérapeutique",
      "interruption de grossesse : • légale avec intervention d’un professionnel de santé",
      "• thérapeutique"
    ],
    "exclusions": [
      "avortement clandestin : (subdivisions de O05)"
    ],
    "clinical_text": [
      "A compter de la V2023, le code Z64.0 n’est plus l’élément permettant d’orienter un séjour en racine d’IVG. Cette orientation",
      "est désormais réalisée à partir du DP en O04.-, codes dont les extensions permettent de différencier l’IVG de l’ITG",
      "Le produit d’une interruption médicale de grossesse : à partir de vingt-deux semaines révolues d’aménorrhée ou d’un poids",
      "d’au moins cinq-cents grammes, il donne lieu à la production d’un RUM, dans lequel on enregistre la cause de la mort.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "L’interruption volontaire de grossesse : le DP du séjour d’IVG est codé avec la catégorie O04 de la CIM–10 interruption",
      "médicale volontaire de grossesse en position de diagnostic principal (DP). Lorsqu’une complication survient au cours du",
      "séjour même de l’IVG, celle-ci est codée par le quatrième caractère du code O04.–.",
      "L’interruption médicale de grossesse : avant vingt-deux semaines révolues d’aménorrhée : le DP du séjour d’IMG est codé",
      "avec la catégorie O04 O04.-1 ; O04.-2 ou O04.-3 interruption médicale de grossesse ; à partir de vingt-deux semaines",
      "révolues d’aménorrhée le DP du séjour d’IMG est la cause fœtale ou maternelle de l’IMG.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Une réduction embryonnaire à 8 SA est un avortement et doit être codé comme tel. DP : O04.- et en DAS le motif de",
      "Cette catégorie décrit les complications au cours de la prise en charge d’une interruption de grossesse, y compris la",
      "La rétention suppose la preuve anatomo-pathologique pour rétention de débris placentaires. Sinon, il s’agit d’une rétention",
      "hématique, qui est une complication hémorragique qui est en général diagnostiquée à distance du séjour de prise en",
      "Avortement médical incomplet, compliqué d’une infection de l’appareil génital et des organes"
    ],
    "agora_refs": [
      "44165"
    ],
    "cocoa_notes": [
      "l’interruption (AGORA - # 44165 le 8 avril 2011)"
    ]
  },
  "O04.1": {
    "code": "O04.1",
    "description": "Avortement médical incomplet, compliqué d’une hémorragie retardée ou sévère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 655,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], incomplète, compliquée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.2": {
    "code": "O04.2",
    "description": "Avortement médical incomplet, compliqué d’une embolie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 655,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], incomplète, compliquée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.3": {
    "code": "O04.3",
    "description": "Avortement médical incomplet, avec complications autres et non précisées",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 655,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], incomplète, avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.4": {
    "code": "O04.4",
    "description": "Avortement médical incomplet, sans complication",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 655,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], incomplète, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.53": {
    "code": "O04.53",
    "description": "complète ou sans précision, compliquée d’une infection de l’appareil génital et des organes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 656,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "pelviens"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Avortement médical complet ou sans précision, compliqué d’une hémorragie retardée ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.7": {
    "code": "O04.7",
    "description": "Avortement médical complet ou sans précision, compliqué d’une embolie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 656,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], complète ou sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.8": {
    "code": "O04.8",
    "description": "Avortement médical complet ou sans précision, avec complications autres et non précisées",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 656,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], complète ou sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O04.9": {
    "code": "O04.9",
    "description": "Avortement médical complet ou sans précision, sans complication",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 656,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Interruption médicale volontaire de grossesse [IVG dans le cadre légal], complète ou sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O05": {
    "code": "O05",
    "description": "Autres formes d’avortement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[voir subdivisions en début de catégorie]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.95 : comprend les avortements clandestins."
    ]
  },
  "O06": {
    "code": "O06",
    "description": "Avortement, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[voir subdivisions en début de catégorie]"
    ],
    "comprend": [
      "avortement provoqué SAI"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07": {
    "code": "O07",
    "description": "Échec d’une tentative d’avortement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avortement incomplet (O03-O06)"
    ],
    "clinical_text": [
      "Un échec d’avortement est la poursuite d’une grossesse en dépit des manœuvres abortives. Il survient généralement après",
      "administration d’un agent pharmacologique destiné à provoquer l’avortement et correspond à une absence totale",
      "d’expulsion des produits de conception. On emploie la catégorie O07 pour coder ce phénomène.",
      "Cette situation est donc à distinguer des avortements incomplets, à l’issue desquels la grossesse est arrêtée en dépit d’une",
      "expulsion partielle. On se reportera à l’article Complication d’avortement pour leur codage.",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.3 - Créé le 15 janvier 2009",
      "Échec d’une tentative d’avortement médical, compliqué d’une infection de l’appareil génital et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07.1": {
    "code": "O07.1",
    "description": "Échec d’une tentative d’avortement médical, compliqué d’une hémorragie retardée ou sévère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avec les états en O08.1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07.2": {
    "code": "O07.2",
    "description": "Échec d’une tentative d’avortement médical, compliqué d’une embolie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avec les états en O08.2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07.3": {
    "code": "O07.3",
    "description": "Échec d’une tentative d’avortement médical, avec complications autres et non précisées",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avec les états en O08.3-O08.9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07.4": {
    "code": "O07.4",
    "description": "Échec d’une tentative d’avortement médical, sans complication",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Échec d’une tentative d’avortement médical SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Échecs d’une tentative d’avortement, autres et sans précision, compliqués d’une infection de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07.7": {
    "code": "O07.7",
    "description": "Échecs d’une tentative d’avortement, autres et sans précision, compliqués d’une embolie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avec les états en O08.2"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Échecs d’une tentative d’avortement, autres et sans précision, avec complications autres et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O07.9": {
    "code": "O07.9",
    "description": "Échecs d’une tentative d’avortement, autres et sans précision, sans complication",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 657,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Échec d’une tentative d’avortement SAI",
      "utérine et molaire",
      "grossesse (y compris la rétention compliquée)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Complications consécutives à un avortement, une grossesse extra-",
      "Note : Cette catégorie est utilisée quand il convient de coder les causes de morbidité. Se référer aux",
      "règles et instructions du Volume 2 pour le codage de la morbidité.",
      "Cette catégorie concerne les complications lors d’une ré-hospitalisation après prise en charge d’une interruption de",
      "Infection de l’appareil génital et des organes pelviens consécutive à un avortement, une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O08.3": {
    "code": "O08.3",
    "description": "Choc consécutif à un avortement, une grossesse extra-utérine et molaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 658,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "choc septique (R57.2)"
    ],
    "clinical_text": [
      "Choc (post-opératoire) survenant après les états classés en O00-O07",
      "Collapsus vasculaire survenant après les états classés en O00-O07"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O08.5": {
    "code": "O08.5",
    "description": "Troubles du métabolisme consécutifs à un avortement, une grossesse extra-utérine et molaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 658,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déséquilibre électrolytique survenant après les états classés en O00-O07",
      "Lésions des organes et tissus pelviens consécutives à un avortement, une grossesse extra-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O08.8": {
    "code": "O08.8",
    "description": "Autres complications consécutives à un avortement, une grossesse extra-utérine et molaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 659,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arrêt cardiaque survenant après les états classés en O00-O07"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection des voies urinaires survenant après les états classés en O00-O07",
      "Complication consécutive à un avortement, une grossesse extra-utérine et molaire, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O11": {
    "code": "O11",
    "description": "Prééclampsie surajoutée à une hypertension chronique",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "États mentionnés en O10.- compliqués par une prééclampsie",
      "Prééclampsie surajoutée à : • Hypertension préexistante",
      "• Hypertension SAI",
      "Œdème et protéinurie gestationnels liés à la grossesse sans",
      "hypertension"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O12.0": {
    "code": "O12.0",
    "description": "Œdème gestationnel",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O12.1": {
    "code": "O12.1",
    "description": "Protéinurie gestationnelle",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O12.2": {
    "code": "O12.2",
    "description": "Œdème gestationnel avec protéinurie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O13": {
    "code": "O13",
    "description": "Hypertension gestationnelle liée à la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ANT",
      "Hypertension gestationnelle SAI",
      "Hypertension liée à la grossesse SAI",
      "Hypertension transitoire de la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O14": {
    "code": "O14",
    "description": "Prééclampsie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "prééclampsie surajoutée (O11)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O14.0": {
    "code": "O14.0",
    "description": "Prééclampsie légère à modérée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O14.1": {
    "code": "O14.1",
    "description": "Prééclampsie sévère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O14.2": {
    "code": "O14.2",
    "description": "HELLP syndrome",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Syndrome HELLP",
      "fonction du champ concerné.",
      "1er mars 2011"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Association d’une hémolyse, d’une cytolyse hépatique et d’une thrombopénie",
      "Le syndrome HELLP est une complication de la grossesse qui associe une hémolyse (Hemolysis), une cytolyse",
      "hépatique (Elevated Liver enzymes) et une thrombopénie (Low Platelets). En 1999 l’OMS préconisait de coder",
      "ce syndrome O14.1 Prééclampsie sévère. En 2008 elle approuve la création d’un nouveau code O14.2",
      "Syndrome HELLP applicable au 1er janvier 2010. En France la date d’application dans le cadre du PMSI est",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – Créé le 1er mars 2010 – Mise à jour le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O14.9": {
    "code": "O14.9",
    "description": "Prééclampsie, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O15": {
    "code": "O15",
    "description": "Éclampsie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend convulsions avec hypertension préexistante ou gestationnelle"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O15.0": {
    "code": "O15.0",
    "description": "Éclampsie au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O15.1": {
    "code": "O15.1",
    "description": "Éclampsie au cours du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O15.2": {
    "code": "O15.2",
    "description": "Éclampsie au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O15.9": {
    "code": "O15.9",
    "description": "Éclampsie, sans précision quant à la période",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Éclampsie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O16": {
    "code": "O16",
    "description": "Hypertension de la mère, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 660,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ANT",
      "l’accouchement ou la puerpéralité."
    ],
    "comprend": [],
    "exclusions": [
      "maladies de la mère classées ailleurs mais compliquant la grossesse, le travail et l’accouchement, et la",
      "puerpéralité (O98-O99)",
      "soins maternels liés au fœtus et à la cavité amniotique, et problèmes possibles posés par l’accouchement",
      "(O30-O48)"
    ],
    "clinical_text": [
      "Note : Les catégories O24.- et O25 comprennent les états mentionnés même si ces derniers surviennent pendant",
      "Le principe général est de toujours employer le code le plus précis. Ainsi les codes O24.0, O25 et O22.4 décrivent à la fois l’affection et",
      "sa survenue chez une femme enceinte. On les préférera donc au code d’un autre chapitre. Inversement une fracture chez une femme",
      "enceinte sera codée plus précisément avec le chapitre XIX. Les catégories intitulées « Complications... de la grossesse » incluent les",
      "affections « au cours de la grossesse ». En effet dans la version originale anglaise c’est le terme « in pregnancy » qui est employé."
    ],
    "agora_refs": [
      "68262"
    ],
    "cocoa_notes": [
      "(AGORA - # 68262 le 9 août 2012)"
    ]
  },
  "O20": {
    "code": "O20",
    "description": "Hémorragie du début de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "grossesse avec avortement (O00-O08)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O20.0": {
    "code": "O20.0",
    "description": "Menace d’avortement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Hémorragie due à une menace d’avortement",
      "22 SA."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La modification du col est un signe de menace d’avortement ou d’accouchement prématuré. Si elle justifie",
      "une prise en charge en rapport avec ces situations vous coderez O20.0 avant 22 SA et un code O60 après",
      "Des contractions utérines avant 22 SA dans les mêmes conditions de prise en charge sont codées O20.0."
    ],
    "agora_refs": [
      "26229"
    ],
    "cocoa_notes": [
      "(AGORA - # 26229 le 26 février 2010)"
    ]
  },
  "O20.8": {
    "code": "O20.8",
    "description": "Autres hémorragies du début de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O20.9": {
    "code": "O20.9",
    "description": "Hémorragie du début de la grossesse, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O21": {
    "code": "O21",
    "description": "Vomissements incoercibles au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la cause."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O21.0": {
    "code": "O21.0",
    "description": "Hyperémèse gravidique bénigne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "semaine de gestation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyperémèse gravidique, bénigne ou sans précision, commençant avant la fin de la 22ème"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O21.1": {
    "code": "O21.1",
    "description": "Hyperémèse gravidique avec troubles métaboliques",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "avec troubles métaboliques tels que : • déshydratation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hyperémèse gravidique, commençant avant • déplétion des hydrates de carbone",
      "la fin de la 22ème semaine de gestation, • déséquilibre électrolytique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O21.2": {
    "code": "O21.2",
    "description": "Vomissements tardifs de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Vomissements importants commençant après la fin de la 22ème semaine de gestation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O21.8": {
    "code": "O21.8",
    "description": "Autres vomissements compliquant la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Vomissements dus à des maladies classées ailleurs, compliquant la grossesse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O21.9": {
    "code": "O21.9",
    "description": "Vomissements de la grossesse, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22": {
    "code": "O22",
    "description": "Complications veineuses et hémorroïdes de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "embolie pulmonaire obstétricale (O88.-)",
      "les états mentionnés • accouchement et puerpéralité (O87.-)",
      "compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O07, O08.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.0": {
    "code": "O22.0",
    "description": "Varices des membres inférieurs au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 661,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Varices SAI au cours de la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.1": {
    "code": "O22.1",
    "description": "Varices des organes génitaux au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Varices de : • périnée au cours de la grossesse",
      "• vagin au cours de la grossesse",
      "• vulve au cours de la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.2": {
    "code": "O22.2",
    "description": "Thrombophlébite superficielle au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Thrombophlébite des membres inférieurs au cours de la grossesse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.3": {
    "code": "O22.3",
    "description": "Phlébothrombose profonde au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Thrombose veineuse profonde, avant l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.4": {
    "code": "O22.4",
    "description": "Hémorroïdes au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.5": {
    "code": "O22.5",
    "description": "Thrombose veineuse cérébrale au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Thrombose du sinus veineux cérébral au cours de la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.8": {
    "code": "O22.8",
    "description": "Autres complications veineuses de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O22.9": {
    "code": "O22.9",
    "description": "Complication veineuse de la grossesse, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Phlébite gestationnelle SAI",
      "Phlébopathie gestationnelle SAI",
      "Thrombose gestationnelle SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23": {
    "code": "O23",
    "description": "Infections de l’appareil génito-urinaire au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infections avec mode de transmission essentiellement sexuel SAI (O98.3)",
      "infections gonococciques (O98.2) compliquant la grossesse,",
      "maladie vénérienne SAI (O98.3) l’accouchement ou la",
      "syphilis (O98.1) puerpéralité",
      "tuberculose du système génito-urinaire (O98.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.0": {
    "code": "O23.0",
    "description": "Infections rénales au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.1": {
    "code": "O23.1",
    "description": "Infections vésicales au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.2": {
    "code": "O23.2",
    "description": "Infections urétrales au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.3": {
    "code": "O23.3",
    "description": "Infections d’autres parties de l’appareil urinaire au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.4": {
    "code": "O23.4",
    "description": "Infection non précisée de l’appareil urinaire au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.5": {
    "code": "O23.5",
    "description": "Infections de l’appareil génital au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O23.9": {
    "code": "O23.9",
    "description": "Infections de l’appareil génito-urinaire au cours de la grossesse, autres et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection de l’appareil génito-urinaire au cours de la grossesse SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24": {
    "code": "O24",
    "description": "Diabète sucré au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend au cours de l’accouchement et de la puerpéralité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24.0": {
    "code": "O24.0",
    "description": "Diabète sucré préexistant, de type 1",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24.1": {
    "code": "O24.1",
    "description": "Diabète sucré préexistant, de type 2",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24.2": {
    "code": "O24.2",
    "description": "Diabète sucré préexistant lié à la malnutrition",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24.3": {
    "code": "O24.3",
    "description": "Diabète sucré préexistant, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 662,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24.4": {
    "code": "O24.4",
    "description": "Diabète sucré survenant au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Diabète sucré gestationnel SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O24.9": {
    "code": "O24.9",
    "description": "Diabète sucré au cours de la grossesse, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O25": {
    "code": "O25",
    "description": "Malnutrition au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malnutrition au cours de l’accouchement et de la puerpéralité",
      "Soins maternels pour d’autres affections liées principalement à la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.0": {
    "code": "O26.0",
    "description": "Prise de poids excessive au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "Œdème gestationnel (O12.0, O12.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.1": {
    "code": "O26.1",
    "description": "Faible prise de poids au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.2": {
    "code": "O26.2",
    "description": "Soins au cours de la grossesse pour avortement à répétition",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "au cours d’un avortement (O03-O06)",
      "sans grossesse en cours (N96)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.3": {
    "code": "O26.3",
    "description": "Rétention d’un stérilet au cours d’une grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.4": {
    "code": "O26.4",
    "description": "Herpès gestationis",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.5": {
    "code": "O26.5",
    "description": "Syndrome d’hypotension maternelle",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Syndrome hypotensif en position couchée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.6": {
    "code": "O26.6",
    "description": "Affections hépatiques au cours de la grossesse, de l’accouchement et de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Cholestase (intra-hépatique) au cours de la grossesse",
      "Cholestase obstétricale"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome hépato-rénal consécutif au travail et à l’accouchement (O90.4)"
    ],
    "clinical_text": [
      "Subluxation de la symphyse (pubienne) au cours de la grossesse, de l’accouchement et de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.8": {
    "code": "O26.8",
    "description": "Autres affections précisées liées à la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Épuisement et fatigue lié(e) à la grossesse",
      "Maladie rénale lié(e) à la grossesse",
      "Névrite périphérique lié(e) à la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O26.9": {
    "code": "O26.9",
    "description": "Affection liée à la grossesse, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Résultats anormaux constatés au cours de l’examen prénatal",
      "systématique de la mère"
    ],
    "comprend": [],
    "exclusions": [
      "résultats diagnostiques classés ailleurs - voir Index alphabétique",
      "soins maternels liés au fœtus et à la cavité amniotique, et problèmes possibles posés par",
      "l’accouchement (O30-O48)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O28.0": {
    "code": "O28.0",
    "description": "Résultats hématologiques anormaux au cours de l’examen prénatal systématique de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O28.1": {
    "code": "O28.1",
    "description": "Résultats biochimiques anormaux au cours de l’examen prénatal systématique de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O28.2": {
    "code": "O28.2",
    "description": "Résultats cytologiques anormaux au cours de l’examen prénatal systématique de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O28.3": {
    "code": "O28.3",
    "description": "Résultats échographiques anormaux au cours de l’examen prénatal systématique de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 663,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O28.4": {
    "code": "O28.4",
    "description": "Résultats radiologiques anormaux au cours de l’examen prénatal systématique de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Résultats chromosomiques et génétiques anormaux au cours de l’examen prénatal"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O28.8": {
    "code": "O28.8",
    "description": "Autres résultats anormaux au cours de l’examen prénatal systématique de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Résultat anormal constaté au cours de l’examen prénatal systématique de la mère, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29": {
    "code": "O29",
    "description": "Complications d’une anesthésie au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "complications maternelles dues à l’administration d’un anesthésique général ou local, d’un analgésique",
      "ou autre sédatif au cours de la grossesse"
    ],
    "exclusions": [
      "complications d’une • avortement, grossesse extra-utérine ou molaire (O00-O08)",
      "anesthésie au cours de : • puerpéralité (O89.-)",
      "• travail et accouchement (O74.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29.0": {
    "code": "O29.0",
    "description": "Complications pulmonaires d’une anesthésie au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Collapsus pulmonaire par compression dû à une anesthésie au cours de la grossesse",
      "Inhalation du contenu ou de sécrétions gastrique(s) SAI due à une anesthésie au cours de la",
      "Pneumopathie chimique d’inhalation due à une anesthésie au cours de la grossesse",
      "Pneumopathie d’inhalation due à une anesthésie au cours de la grossesse",
      "Syndrome de Mendelson dû à une anesthésie au cours de la grossesse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29.1": {
    "code": "O29.1",
    "description": "Complications cardiaques d’une anesthésie au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Arrêt cardiaque dû à une anesthésie au cours de la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Insuffisance cardiaque due à une anesthésie au cours de la grossesse",
      "Complications impliquant le système nerveux central dues à une anesthésie au cours de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29.3": {
    "code": "O29.3",
    "description": "Réaction toxique au cours d’une anesthésie locale au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Céphalée provoquée par une rachianesthésie et une anesthésie épidurale au cours de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29.6": {
    "code": "O29.6",
    "description": "Échec ou difficulté d’intubation au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29.8": {
    "code": "O29.8",
    "description": "Autres complications d’une anesthésie au cours de la grossesse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O29.9": {
    "code": "O29.9",
    "description": "Complication d’une anesthésie au cours de la grossesse, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 664,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "posés par l’accouchement (O30-O48)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels liés au fœtus et à la cavité amniotique, et problèmes possibles"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O30": {
    "code": "O30",
    "description": "Grossesse multiple",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications spécifiques à une grossesse multiple (O31.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O30.0": {
    "code": "O30.0",
    "description": "Jumeaux",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O30.1": {
    "code": "O30.1",
    "description": "Triplés",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O30.2": {
    "code": "O30.2",
    "description": "Quadruplés",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O30.8": {
    "code": "O30.8",
    "description": "Autres grossesses multiples",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O30.9": {
    "code": "O30.9",
    "description": "Grossesse multiple, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Gestation multiple SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O31": {
    "code": "O31",
    "description": "Complications spécifiques à une grossesse multiple",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "accouchement retardé du deuxième jumeau, triplé, etc. (O63.2)",
      "jumeaux soudés entraînant une disproportion (O33.7)",
      "présentation anormale d’un ou plusieurs fœtus (O32.5)",
      "• avec dystocie (O64-O66)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O31.0": {
    "code": "O31.0",
    "description": "Fœtus papyracé",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Fœtus compressus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O31.1": {
    "code": "O31.1",
    "description": "Poursuite de la grossesse après avortement d’un ou plusieurs fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.96 : comprend la « réduction embryonnaire »"
    ]
  },
  "O31.2": {
    "code": "O31.2",
    "description": "Poursuite de la grossesse après mort intra-utérine d’un ou plusieurs fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O31.8": {
    "code": "O31.8",
    "description": "Autres complications spécifiques à une grossesse multiple",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "fœtus",
      "début du travail"
    ],
    "comprend": [],
    "exclusions": [
      "les états mentionnés avec dystocie (O64.-)"
    ],
    "clinical_text": [
      "des séjours d’accouchement, en particulier lorsqu’une indication de césarienne programmée a été posée avant le travail.",
      "En revanche, s’il existe une dystocie secondaire aux états mentionnés dans les catégories précédentes, ce sont les codes",
      "Soins maternels pour présentation anormale connue ou présumée du",
      "C omprend lorsqu’il y a mise en observation, hospitalisation ou soins obstétricaux, y compris une césarienne avant le"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.96 : les catégories O32-O34 sont destinées au codage de séjours de l’ante-partum. Mais elles peuvent aussi coder"
    ]
  },
  "O32.0": {
    "code": "O32.0",
    "description": "Soins maternels pour position instable",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.1": {
    "code": "O32.1",
    "description": "Soins maternels pour présentation du siège",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.2": {
    "code": "O32.2",
    "description": "Soins maternels pour position transverse et oblique",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Présentation : • oblique",
      "• transverse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.3": {
    "code": "O32.3",
    "description": "Soins maternels pour présentation de la face, du front et du menton",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.4": {
    "code": "O32.4",
    "description": "Soins maternels pour tête haute à terme",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Non-engagement de la tête"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.5": {
    "code": "O32.5",
    "description": "Soins maternels pour grossesse multiple avec présentation anormale d’un ou plusieurs fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 665,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.6": {
    "code": "O32.6",
    "description": "Soins maternels pour présentation complexe",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.8": {
    "code": "O32.8",
    "description": "Soins maternels pour d’autres présentations anormales du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O32.9": {
    "code": "O32.9",
    "description": "Soins maternels pour présentation anormale du fœtus, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour disproportion fœto-pelvienne connue ou",
      "présumée",
      "début du travail"
    ],
    "comprend": [],
    "exclusions": [
      "les états mentionnés avec dystocie (O65-O66)"
    ],
    "clinical_text": [
      "C omprend lorsqu’il y a mise en observation, hospitalisation ou soins obstétricaux, y compris une césarienne avant le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.0": {
    "code": "O33.0",
    "description": "Soins maternels pour disproportion due à une malformation du bassin de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Malformation du bassin entraînant une disproportion SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.1": {
    "code": "O33.1",
    "description": "Soins maternels pour disproportion due à un bassin maternel généralement rétréci",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Bassin rétréci SAI entraînant une disproportion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels pour disproportion due à un rétrécissement du détroit supérieur du bassin"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.3": {
    "code": "O33.3",
    "description": "Soins maternels pour disproportion due à un rétrécissement du détroit inférieur",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "• détroit inférieur (bassin) entraînant une disproportion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rétrécissement de : • cavité médiane (bassin) entraînant une disproportion"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.4": {
    "code": "O33.4",
    "description": "Soins maternels pour disproportion fœto-pelvienne d’origine mixte, maternelle et fœtale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.5": {
    "code": "O33.5",
    "description": "Soins maternels pour disproportion due à un fœtus anormalement gros",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Disproportion : • d’origine fœtale avec fœtus normal",
      "• fœtale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.6": {
    "code": "O33.6",
    "description": "Soins maternels pour disproportion due à un fœtus hydrocéphale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.7": {
    "code": "O33.7",
    "description": "Soins maternels pour disproportion due à d’autres anomalies du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Ascite du fœtus entraînant une disproportion",
      "Hydropisie du fœtus entraînant une disproportion",
      "Jumeaux soudés",
      "Méningomyélocèle du fœtus entraînant une disproportion",
      "Tumeur du fœtus entraînant une disproportion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Tératome sacro-coccygien du fœtus entraînant une disproportion"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.8": {
    "code": "O33.8",
    "description": "Soins maternels pour disproportion d’autres origines",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O33.9": {
    "code": "O33.9",
    "description": "Soins maternels pour disproportion, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Disproportion : • céphalo-pelvienne SAI",
      "• fœto-pelvienne SAI",
      "Soins maternels pour anomalie connue ou présumée des organes",
      "pelviens",
      "début du travail"
    ],
    "comprend": [],
    "exclusions": [
      "les états mentionnés avec dystocie (O65.5)"
    ],
    "clinical_text": [
      "C omprend lorsqu’il y a mise en observation, hospitalisation ou soins obstétricaux, y compris une césarienne avant le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.0": {
    "code": "O34.0",
    "description": "Soins maternels pour malformation congénitale de l’utérus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 666,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour utérus : • bicorne",
      "• double"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.1": {
    "code": "O34.1",
    "description": "Soins maternels pour tumeur du corps de l’utérus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour : • fibrome de l’utérus",
      "• polype du corps de l’utérus"
    ],
    "comprend": [],
    "exclusions": [
      "soins maternels pour tumeur du col de l’utérus (O34.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.2": {
    "code": "O34.2",
    "description": "Soins maternels pour cicatrice utérine due à une intervention chirurgicale antérieure",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "accouchement par voie vaginale après une césarienne antérieure SAI (O75.7)"
    ],
    "clinical_text": [
      "Soins maternels pour cicatrice due à une césarienne antérieure"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.3": {
    "code": "O34.3",
    "description": "Soins maternels pour béance du col",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels pour : • cerclage avec ou sans mention de béance du col",
      "• opération de Shirodkar avec ou sans mention de béance du col"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.4": {
    "code": "O34.4",
    "description": "Soins maternels pour d’autres anomalies du col",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "• polype du col",
      "• rétrécissement ou sténose du col",
      "• tumeur du col"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels pour : • intervention chirurgicale antérieure sur le col"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.5": {
    "code": "O34.5",
    "description": "Soins maternels pour d’autres anomalies de l’utérus gravide",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour : • incarcération de l’utérus gravide",
      "• prolapsus de l’utérus gravide",
      "• rétroversion de l’utérus gravide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.6": {
    "code": "O34.6",
    "description": "Soins maternels pour anomalies du vagin",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour : • cloisonnement du vagin",
      "• intervention chirurgicale antérieure sur le vagin",
      "• rétrécissement du vagin",
      "• sténose du vagin (acquise) (congénitale)",
      "• tumeur du vagin"
    ],
    "comprend": [],
    "exclusions": [
      "soins maternels pour varices du vagin au cours de la grossesse (O22.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.7": {
    "code": "O34.7",
    "description": "Soins maternels pour anomalies de la vulve et du périnée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour : • fibrose du périnée",
      "• périnée rigide",
      "• tumeur de la vulve"
    ],
    "comprend": [],
    "exclusions": [
      "soins maternels pour varices de la vulve et du périnée au cours de la grossesse (O22.1)"
    ],
    "clinical_text": [
      "• intervention chirurgicale antérieure sur le périnée ou la vulve"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.8": {
    "code": "O34.8",
    "description": "Soins maternels pour d’autres anomalies des organes pelviens",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "• colpocèle",
      "• plancher pelvien : • cicatriciel",
      "• rigide",
      "• rectocèle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels pour : • abdomen penduleux (ventre en besace)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O34.9": {
    "code": "O34.9",
    "description": "Soins maternels pour anomalie d’un organe pelvien, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 667,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "le codage associe O35.1 et Z37.11",
      "Soins maternels pour anomalie et lésion fœtales, connues ou",
      "présumées",
      "grossesse",
      "IMG après 22 semaines, modifications à partir de 2011",
      "accouchement."
    ],
    "comprend": [],
    "exclusions": [
      "soins maternels pour disproportion fœto-pelvienne connue ou présumée (O33.-)"
    ],
    "clinical_text": [
      "de l’affection fœtale. Après 22 SA, l’interruption thérapeutique de grossesse est considérée comme un accouchement, nous",
      "vous conseillons donc d’associer un code de la catégorie Z37.",
      "Exemple : patiente hospitalisée pour interruption de grossesse à 24 SA en raison d’une anomalie chromosomique fœtale ;",
      "C omprend lorsqu’il y a mise en observation, hospitalisation ou soins obstétricaux, y compris une interruption de la",
      "Une interruption médicale de grossesse pratiquée après 22 semaines de gestation doit être codée comme un",
      "Si le motif de l’interruption est une anomalie fœtale, le DP est choisi dans la catégorie O35 Soins maternels pour anomalies",
      "et lésions fœtales, connues ou présumées et on enregistre un code de la catégorie Z37 comme pour tout accouchement.",
      "Si le motif de l’interruption est d’origine maternelle, on utilise en position de DP soit le code du chapitre XV qui correspond",
      "au libellé décrivant le plus exactement ce motif, soit un code des catégories O98 (Maladies infectieuses et parasitaires de la",
      "mère classées ailleurs mais compliquant la grossesse, l’accouchement et la puerpéralité) ou O99 (Autres maladies de la mère",
      "classées ailleurs mais compliquant la grossesse, l’accouchement et la puerpéralité). Un code des chapitres I à XVII peut être",
      "ajouté au code O98.– ou O99.– utilisé pour préciser le DP. Dans tous les cas, on place en DA un code de la catégorie Z37.",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.6 - Créé le 1er mars 2011"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.96-97 : les catégories O35 et O36 peuvent en particulier être utilisées lorsqu’il y a interruption de grossesse en raison"
    ]
  },
  "O35.0": {
    "code": "O35.0",
    "description": "Soins maternels pour malformation (présumée) du système nerveux central du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour : • anencéphalie (présumé(e)) du fœtus",
      "• spina bifida (présumé(e)) du fœtus"
    ],
    "comprend": [],
    "exclusions": [
      "anomalie chromosomique du fœtus (O35.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.1": {
    "code": "O35.1",
    "description": "Soins maternels pour anomalie chromosomique (présumée) du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.2": {
    "code": "O35.2",
    "description": "Soins maternels pour maladie héréditaire (présumée) du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "anomalie chromosomique du fœtus (O35.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.3": {
    "code": "O35.3",
    "description": "Soins maternels pour lésions fœtales (présumées) résultant d’une maladie virale de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels pour lésions fœtales (présumées) • cytomégalovirus",
      "à la suite d’une infection de la mère par : • virus de la rubéole"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.4": {
    "code": "O35.4",
    "description": "Soins maternels pour lésions fœtales (présumées) dues à l’alcoolisme maternel",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.5": {
    "code": "O35.5",
    "description": "Soins maternels pour lésions fœtales (présumées) médicamenteuses",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "détresse fœtale au cours du travail et de l’accouchement, due à l’administration de",
      "médicaments (O68.-)"
    ],
    "clinical_text": [
      "Soins maternels pour lésions fœtales (présumées) résultant de toxicomanie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.6": {
    "code": "O35.6",
    "description": "Soins maternels pour lésions fœtales (présumées) dues à une irradiation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.7": {
    "code": "O35.7",
    "description": "Soins maternels pour lésions fœtales (présumées) dues à d’autres actes à visée diagnostique et",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "thérapeutique",
      "Soins maternels pour lésions fœtales • amniocentèse",
      "(présumées) résultant de : • biopsie",
      "• dispositif intra-utérin",
      "• examens hématologiques",
      "• intervention chirurgicale intra-utérine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.8": {
    "code": "O35.8",
    "description": "Soins maternels pour d’autres anomalies et lésions fœtales (présumées)",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Soins maternels pour lésions fœtales • listériose",
      "(présumées) résultant de : • toxoplasmose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O35.9": {
    "code": "O35.9",
    "description": "Soins maternels pour anomalie et lésion fœtale (présumées), sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 668,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "fœtus",
      "grossesse"
    ],
    "comprend": [],
    "exclusions": [
      "syndromes de transfusion placentaire (O43.0)",
      "travail et accouchement compliqués d’une détresse fœtale (O68.-)"
    ],
    "clinical_text": [
      "Soins maternels pour d’autres affections connues ou présumées du",
      "C omprend lorsqu’il y a mise en observation, hospitalisation ou soins obstétricaux, y compris une interruption de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.0": {
    "code": "O36.0",
    "description": "Soins maternels pour iso-immunisation anti-Rh",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Anticorps anti-D [Rh]",
      "Incompatibilité Rh (avec anasarque fœto-placentaire)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.1": {
    "code": "O36.1",
    "description": "Soins maternels pour une autre iso-immunisation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Iso-immunisation : • SAI (avec anasarque fœto-placentaire)",
      "• ABO"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.2": {
    "code": "O36.2",
    "description": "Soins maternels pour anasarque fœto-placentaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Anasarque fœto-placentaire : • SAI",
      "• non associée à une iso-immunisation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.3": {
    "code": "O36.3",
    "description": "Soins maternels pour signes d’hypoxie fœtale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.4": {
    "code": "O36.4",
    "description": "Soins maternels pour mort intra-utérine du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "rétention d’un fœtus mort in utero (O02.1)"
    ],
    "clinical_text": [
      "Mort fœtale in utero : avant 22 semaines ce sont bien les codes O00 à O08 qui doivent être utilisés. La",
      "modalité habituelle de l’avortement est bien à coder O03.9. Dans les rares cas où une rétention serait",
      "présente elle se coderait O02.1. […] après 22 semaines c’est le code O36.4 qu’il faut coder en cas de mort"
    ],
    "agora_refs": [
      "62972"
    ],
    "cocoa_notes": [
      "fœtale in utero (AGORA - # 62972 le 25 avril 2012)"
    ]
  },
  "O36.5": {
    "code": "O36.5",
    "description": "Soins maternels pour croissance insuffisante du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "• insuffisance du placenta",
      "Retard de croissance intra-utérin [RCIU]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins maternels pour cause • fœtus léger pour l’âge gestationnel",
      "connue ou présumée de : • fœtus petit pour l’âge gestationnel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.6": {
    "code": "O36.6",
    "description": "Soins maternels pour croissance excessive du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.7": {
    "code": "O36.7",
    "description": "Soins maternels pour grossesse abdominale avec fœtus viable",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.8": {
    "code": "O36.8",
    "description": "Soins maternels pour d’autres affections précisées du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O36.9": {
    "code": "O36.9",
    "description": "Soins maternels pour affection du fœtus, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O40": {
    "code": "O40",
    "description": "Hydramnios",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O41": {
    "code": "O41",
    "description": "Autres anomalies du liquide amniotique et des membranes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rupture prématurée des membranes (O42.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O41.0": {
    "code": "O41.0",
    "description": "Oligoamnios",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Oligoamnios, sans mention de rupture des membranes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O41.1": {
    "code": "O41.1",
    "description": "Infection du sac amniotique et des membranes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Amniotite",
      "Chorio-amniotite",
      "Membranite",
      "Placentite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O41.8": {
    "code": "O41.8",
    "description": "Autres anomalies précisées du liquide amniotique et des membranes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 669,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O41.9": {
    "code": "O41.9",
    "description": "Anomalie du liquide amniotique et des membranes, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O42": {
    "code": "O42",
    "description": "Rupture prématurée des membranes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Je [vous] confirme que la définition donnée dans le guide AUNIS est fausse [...] Je pense qu’il y a confusion sur le terme",
      "« prématuré ». Dans le libellé du code O42 ce terme s’applique au délai entre la rupture des membranes et le début de",
      "l’accouchement. Si la rupture des membranes survient avant le début du travail, alors elle est prématurée quel que soit le",
      "terme.[...] Si le travail ne survient pas dans les 24h on emploie O42.1 et non O62.0 qui ne conserve pas la notion de RPM.",
      "Par contre si la RPM a lieu avant terme, ce qui est incontestablement un facteur de gravité, on ajoutera un code de la"
    ],
    "agora_refs": [
      "14120"
    ],
    "cocoa_notes": [
      "catégorie O60 (AGORA - # 14120 le 7 mai 2009, # 34927 le 14 septembre 2010, # 53400 le 17 octobre 2011)"
    ]
  },
  "O42.0": {
    "code": "O42.0",
    "description": "Rupture prématurée des membranes, avec début du travail dans les 24 heures",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O42.1": {
    "code": "O42.1",
    "description": "Rupture prématurée des membranes, avec début du travail au-delà de 24 heures",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [
      "avec travail retardé par traitement (O42.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O42.2": {
    "code": "O42.2",
    "description": "Rupture prématurée des membranes, travail retardé par traitement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O42.9": {
    "code": "O42.9",
    "description": "Rupture prématurée des membranes, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O43": {
    "code": "O43",
    "description": "Anomalies du placenta",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "décollement prématuré du placenta (O45.-)",
      "hématome rétro-placentaire (O45.-)",
      "placenta prævia (O44.-)",
      "soins maternels pour croissance insuffisante du fœtus due à une insuffisance du placenta (O36.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O43.0": {
    "code": "O43.0",
    "description": "Syndromes de transfusion placentaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Transfusion (de) : • fœto-maternelle",
      "• jumeau à jumeau",
      "• materno-fœtale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O43.1": {
    "code": "O43.1",
    "description": "Malformation du placenta",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Placenta : • anormal SAI",
      "• circumvallata"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O43.2": {
    "code": "O43.2",
    "description": "Placenta adhérent pathologique",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Placenta : • accreta",
      "• increta",
      "• percreta",
      "• rétention du placenta sans hémorragie (O73.0)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code • hémorragie de la délivrance (O72.0)",
      "supplémentaire pour identifier toute : • hémorragie de la troisième période (O72.0)",
      "Rétention de placenta accreta suivi d’anomalies de la coagulation conduisant à une hystérectomie :",
      "dans la CIM-10 nous avons bien en note d'utilisation du O73.0 la possibilité d'utiliser les codes O43.2 au",
      "besoin pour identifier le placenta adhérent pathologique préexistant.",
      "Il n'est donc pas interdit pour cet exemple précis de rétention de tout le placenta sans hémorragie, d'associer",
      "le O43.2 Placenta adhérent pathologique au O73.0 Rétention du placenta sans hémorragie. Les anomalies"
    ],
    "agora_refs": [
      "266534"
    ],
    "cocoa_notes": [
      "de la coagulation sont à coder en plus. (AGORA - # 266534 le 9 août 2024)"
    ]
  },
  "O43.8": {
    "code": "O43.8",
    "description": "Autres anomalies du placenta",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Dysfonctionnement du placenta",
      "Infarctus placentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O43.9": {
    "code": "O43.9",
    "description": "Anomalie du placenta, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 670,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O44": {
    "code": "O44",
    "description": "Placenta prævia",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O44.0": {
    "code": "O44.0",
    "description": "Placenta prævia précisé sans hémorragie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Implantation basse du placenta, précisée sans hémorragie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O44.1": {
    "code": "O44.1",
    "description": "Placenta prævia avec hémorragie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Implantation basse du placenta, SAI ou avec hémorragie",
      "Placenta prævia : • marginal SAI ou avec hémorragie",
      "• partiel",
      "• total"
    ],
    "comprend": [],
    "exclusions": [
      "travail et accouchement compliqués d’une insertion vélamenteuse du cordon (O69.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O45": {
    "code": "O45",
    "description": "Décollement prématuré du placenta",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "Hématome rétro-placentaire"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O45.0": {
    "code": "O45.0",
    "description": "Décollement prématuré du placenta avec anomalie de la coagulation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Hématome rétro-placentaire avec • afibrinogénémie",
      "• hyperfibrinolyse",
      "• hypofibrinogénémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "hémorragie (importante) associée à : • coagulation intra-vasculaire disséminée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O45.8": {
    "code": "O45.8",
    "description": "Autres décollements prématurés du placenta",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O45.9": {
    "code": "O45.9",
    "description": "Décollement prématuré du placenta, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Hématome rétro-placentaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O46": {
    "code": "O46",
    "description": "Hémorragie précédant l’accouchement, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "décollement prématuré du placenta [hématome rétro-placentaire] (O45.-)",
      "hémorragie (du) : • début de la grossesse (O20.-),",
      "• durant l’accouchement NCA (O67.-)",
      "placenta prævia (O44.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O46.0": {
    "code": "O46.0",
    "description": "Hémorragie précédant l’accouchement avec anomalie de la coagulation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Hémorragie (importante) • afibrinogénémie,",
      "associée à : • hyperfibrinolyse,",
      "• hypofibrinogénémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "précédant l’accouchement • coagulation intra-vasculaire disséminée,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O46.8": {
    "code": "O46.8",
    "description": "Autres hémorragies précédant l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O46.9": {
    "code": "O46.9",
    "description": "Hémorragie précédant l’accouchement, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O47": {
    "code": "O47",
    "description": "Faux travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O47.0": {
    "code": "O47.0",
    "description": "Faux travail avant 37 semaines entières de gestation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O47.1": {
    "code": "O47.1",
    "description": "Faux travail à ou après la 37ème semaine entière de gestation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O47.9": {
    "code": "O47.9",
    "description": "Faux travail, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O48": {
    "code": "O48",
    "description": "Grossesse prolongée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 671,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ANT",
      "Naissance après terme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O60": {
    "code": "O60",
    "description": "Travail et accouchement prématuré avant terme",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Accouchement et travail prématurés",
      "modifications du col de l’utérus."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend Début (spontané) de l’accouchement avant 37 semaines complètes de gestation",
      "L’OMS a publié une modification du code O60 Accouchement avant terme, introduite le 1er janvier 2006 pour l’usage dans",
      "le PMSI. Cette catégorie sert désormais à signaler la survenue du travail avant le terme de la grossesse, fixé à 37 semaines",
      "complètes d’aménorrhée, que la conclusion en soit un accouchement ou non.",
      "Voici les recommandations d’emploi des subdivisions de la catégorie O60 fournies alors:",
      "– travail prématuré sans accouchement : O60.0. Ce code correspond à ce qui est appelé communément « menace",
      "d’accouchement prématuré » [MAP]. Elle est caractérisée par des contractions utérines avec modifications du col",
      "cliniques ou échographiques : le col se raccourcit (longueur en échographie inférieure à 25-30 mm) ou s’ouvre. Ce",
      "code sera employé dans la situation où la femme n’accouche pas au terme d’un séjour pour MAP dans l’unité médicale.",
      "Cet état doit être distingué du faux travail (O47) au cours duquel les contractions ne s’accompagnent pas de",
      "– travail prématuré avec accouchement prématuré : O60.1. Ce code sera employé chaque fois que la femme hospitalisée",
      "pour MAP accouche prématurément, lors du même séjour dans la même unité médicale (ou lorsqu’il n’y a pas de",
      "précision sur le caractère prématuré ou non de l’accouchement).",
      "– travail prématuré avec accouchement à terme : O60.2. On portera ce code chaque fois que la femme hospitalisée pour",
      "MAP accouche à terme lors du même séjour dans la même unité médicale.",
      "Ces modifications rendaient impossible l’enregistrement avec la CIM-10 d’un accouchement prématuré sans travail préalable",
      ": par exemple, accouchement par césarienne en urgence pour risque maternel ou fœtal. La notion de naissance prématurée",
      "est, elle, toujours possible à mentionner dans le dossier du nouveau-né avec le code adéquat du chapitre XVI.",
      "Un nouveau remaniement de cette catégorie – désormais intitulée Travail et accouchement prématurés – a été l’occasion",
      "de l’ajout d’un code de sous-catégorie. L’introduction du libellé Accouchement prématuré sans travail spontané (O60.3)",
      "pallie désormais la carence de codage mentionnée dans l’alinéa ci-dessus, sans modifier les consignes d’emploi des codes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O60.0": {
    "code": "O60.0",
    "description": "Travail prématuré sans accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O60.1": {
    "code": "O60.1",
    "description": "Travail prématuré spontané avec accouchement prématuré",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Travail prématuré avec accouchement SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Travail prématuré spontané avec accouchement prématuré par césarienne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O60.2": {
    "code": "O60.2",
    "description": "Travail prématuré spontané avec accouchement à terme",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Travail prématuré spontané avec accouchement à terme par césarienne"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O60.3": {
    "code": "O60.3",
    "description": "Accouchement prématuré sans travail spontané",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• déclenchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Accouchement prématuré par : • césarienne sans travail spontané"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O61": {
    "code": "O61",
    "description": "Échec du déclenchement du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O61.0": {
    "code": "O61.0",
    "description": "Échec du déclenchement médical du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Échec du déclenchement (du travail) (par) : ocytocique, prostaglandines"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O61.1": {
    "code": "O61.1",
    "description": "Échec du déclenchement instrumental du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Échec du déclenchement (du travail) par : chirurgie, moyens mécaniques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O61.8": {
    "code": "O61.8",
    "description": "Autres échecs du déclenchement du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O61.9": {
    "code": "O61.9",
    "description": "Échec du déclenchement du travail, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 672,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62": {
    "code": "O62",
    "description": "Anomalies de la contraction utérine et de la dilatation du col",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.0": {
    "code": "O62.0",
    "description": "Contractions initiales insuffisantes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Dilatation insuffisante du col",
      "Hypotonie utérine primitive",
      "Inertie utérine pendant la phase de latence du travail"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.1": {
    "code": "O62.1",
    "description": "Inertie utérine secondaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arrêt de la phase active du travail",
      "Hypotonie utérine secondaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.2": {
    "code": "O62.2",
    "description": "Autres formes d’inertie utérine",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atonie de l’utérus au cours du travail",
      "Faibles contractions",
      "Hypotonie utérine SAI",
      "Inertie utérine SAI",
      "Travail irrégulier"
    ],
    "comprend": [],
    "exclusions": [
      "hémorragie du post-partum par atonie utérine (O72.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.3": {
    "code": "O62.3",
    "description": "Travail trop rapide",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.4": {
    "code": "O62.4",
    "description": "Contractions utérines hypertoniques, non coordonnées et prolongées",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystocie (de) (par) : anneau de contraction, utérus SAI",
      "Hypertonie utérine",
      "Travail incoordonné"
    ],
    "comprend": [],
    "exclusions": [
      "dystocie (fœtale) (maternelle) SAI (O66.9)"
    ],
    "clinical_text": [
      "Contractions : en sablier de l’utérus, non coordonnées de l’utérus, tétaniques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.8": {
    "code": "O62.8",
    "description": "Autres anomalies des forces en jeu au cours du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O62.9": {
    "code": "O62.9",
    "description": "Anomalie des forces en jeu au cours du travail, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O63": {
    "code": "O63",
    "description": "Travail prolongé",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O63.0": {
    "code": "O63.0",
    "description": "Prolongation de la première période [dilatation]",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O63.1": {
    "code": "O63.1",
    "description": "Prolongation de la deuxième période [expulsion]",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O63.2": {
    "code": "O63.2",
    "description": "Accouchement retardé du deuxième jumeau, triplé, etc.",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O63.9": {
    "code": "O63.9",
    "description": "Travail prolongé, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lenteur du travail SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64": {
    "code": "O64",
    "description": "Dystocie due à une position et une présentation anormales du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.0": {
    "code": "O64.0",
    "description": "Dystocie due à une rotation incomplète de la tête du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arrêt en profondeur en position transverse",
      "• occipito-postérieure,",
      "• occipito-sacrée,",
      "• occipito-transverse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dystocie due à la persistance en position : • occipito-iliaque,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.1": {
    "code": "O64.1",
    "description": "Dystocie due à une présentation du siège",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.2": {
    "code": "O64.2",
    "description": "Dystocie due à une présentation de la face",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 673,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présentation du menton"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.3": {
    "code": "O64.3",
    "description": "Dystocie due à une présentation du front",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.4": {
    "code": "O64.4",
    "description": "Dystocie due à une présentation de l’épaule",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Procidence d’un bras"
    ],
    "comprend": [],
    "exclusions": [
      "dystocie des épaules (O66.0)",
      "épaule engagée (O66.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.5": {
    "code": "O64.5",
    "description": "Dystocie due à une présentation complexe",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.8": {
    "code": "O64.8",
    "description": "Dystocie due à d’autres positions et présentations anormales",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O64.9": {
    "code": "O64.9",
    "description": "Dystocie due à une position et une présentation anormales, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65": {
    "code": "O65",
    "description": "Dystocie due à une anomalie pelvienne de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.0": {
    "code": "O65.0",
    "description": "Dystocie due à une déformation pelvienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.1": {
    "code": "O65.1",
    "description": "Dystocie due à un bassin généralement rétréci",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.2": {
    "code": "O65.2",
    "description": "Dystocie due à un rétrécissement du détroit supérieur",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.3": {
    "code": "O65.3",
    "description": "Dystocie due à un rétrécissement du détroit inférieur et de la cavité moyenne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.4": {
    "code": "O65.4",
    "description": "Dystocie due à une disproportion fœto-pelvienne, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dystocie due à une anomalie fœtale (O66.2-O66.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.5": {
    "code": "O65.5",
    "description": "Dystocie due à une anomalie des organes pelviens de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystocie due aux états mentionnés en O34.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.8": {
    "code": "O65.8",
    "description": "Dystocie due à d’autres anomalies pelviennes de la mère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O65.9": {
    "code": "O65.9",
    "description": "Dystocie due à une anomalie pelvienne de la mère, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66": {
    "code": "O66",
    "description": "Autres dystocies",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.0": {
    "code": "O66.0",
    "description": "Dystocie due à une dystocie des épaules",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Épaule engagée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.1": {
    "code": "O66.1",
    "description": "Dystocie gémellaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "jumeaux soudés (O66.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.2": {
    "code": "O66.2",
    "description": "Dystocie due à un fœtus anormalement gros",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.3": {
    "code": "O66.3",
    "description": "Dystocie due à d’autres anomalies fœtales",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystocie due à : • ascite du fœtus,",
      "• hydropisie du fœtus,",
      "• myéloméningocèle du fœtus,",
      "• tératome sacro-coccygien du fœtus,",
      "• tumeur du fœtus,",
      "• fœtus hydrocéphale, jumeaux soudés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.4": {
    "code": "O66.4",
    "description": "Échec de l’épreuve de travail, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Échec de l’épreuve de travail, suivi d’une césarienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.5": {
    "code": "O66.5",
    "description": "Échec de l’application d’une ventouse et d’un forceps, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 674,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "forceps ou par césarienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Application d’une ventouse ou d’un forceps suivie respectivement d’un accouchement par"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.8": {
    "code": "O66.8",
    "description": "Autres dystocies précisées",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O66.9": {
    "code": "O66.9",
    "description": "Dystocie, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dystocie : • SAI,",
      "• fœtale SAI,",
      "• maternelle SAI",
      "ailleurs",
      "septembre 2011)"
    ],
    "comprend": [],
    "exclusions": [
      "décollement prématuré du placenta (O45.-)",
      "hématome rétro-placentaire (O45.-)",
      "hémorragie (du) : • post-partum (O72.-),",
      "• précédant l’accouchement NCA (O46.-)",
      "placenta prævia (O44.-)"
    ],
    "clinical_text": [
      "Travail et accouchement compliqués d’une hémorragie, non classée",
      "Prise en charge pour pré-rupture utérine découverte à l’incision lors d’une césarienne : si l’hémorragie est conséquente",
      "vous pouvez employer la catégorie O67. Dans le cas contraire ce phénomène ne se code pas (AGORA - # 52437 le 14"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O67.0": {
    "code": "O67.0",
    "description": "Hémorragie pendant l’accouchement avec anomalie de la coagulation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie pendant l’accouchement • afibrinogénémie,",
      "• hyperfibrinolyse,",
      "• hypofibrinogénémie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "(importante) associée à : • coagulation intra-vasculaire disséminée,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O67.8": {
    "code": "O67.8",
    "description": "Autres hémorragies pendant l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie importante pendant l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O67.9": {
    "code": "O67.9",
    "description": "Hémorragie pendant l’accouchement, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O68": {
    "code": "O68",
    "description": "Travail et accouchement compliqués d’une détresse fœtale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend détresse fœtale au cours du travail ou de l’accouchement due à l’administration de médicaments"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O68.0": {
    "code": "O68.0",
    "description": "Travail et accouchement compliqués d’une anomalie du rythme cardiaque du fœtus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bradycardie fœtale",
      "Irrégularité du rythme cardiaque fœtale",
      "Tachycardie fœtale"
    ],
    "comprend": [],
    "exclusions": [
      "présence de méconium dans le liquide amniotique (O68.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O68.1": {
    "code": "O68.1",
    "description": "Travail et accouchement compliqués de la présence de méconium dans le liquide amniotique",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalie du rythme cardiaque du fœtus (O68.2)"
    ],
    "clinical_text": [
      "Travail et accouchement compliqués d’une anomalie du rythme cardiaque du fœtus avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O68.3": {
    "code": "O68.3",
    "description": "Travail et accouchement compliqués de signes biochimiques de détresse fœtale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acidémie fœtale",
      "Anomalie de l’équilibre acido-basique fœtale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O68.8": {
    "code": "O68.8",
    "description": "Travail et accouchement compliqués d’autres signes de détresse fœtale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Signes de détresse fœtale : échographiques, électrocardiographiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O68.9": {
    "code": "O68.9",
    "description": "Travail et accouchement compliqués d’une détresse fœtale, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 675,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69": {
    "code": "O69",
    "description": "Travail et accouchement compliqués d’anomalies du cordon ombilical",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.0": {
    "code": "O69.0",
    "description": "Travail et accouchement compliqués d’un prolapsus du cordon",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.1": {
    "code": "O69.1",
    "description": "Travail et accouchement compliqués d’une circulaire du cordon, avec compression",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Travail et accouchement compliqués d’une autre forme d’enchevêtrement du cordon, avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.3": {
    "code": "O69.3",
    "description": "Travail et accouchement compliqués d’une brièveté du cordon",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.4": {
    "code": "O69.4",
    "description": "Travail et accouchement compliqués par une insertion vélamenteuse du cordon",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie due à une insertion vélamenteuse du cordon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.5": {
    "code": "O69.5",
    "description": "Travail et accouchement compliqués de lésions vasculaires du cordon",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contusion du cordon",
      "Hématome du cordon",
      "Thrombose des vaisseaux ombilicaux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.8": {
    "code": "O69.8",
    "description": "Travail et accouchement compliqués d’autres anomalies du cordon ombilical",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Circulaire du cordon sans compression"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O69.9": {
    "code": "O69.9",
    "description": "Travail et accouchement compliqués d’une anomalie du cordon ombilical, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O70": {
    "code": "O70",
    "description": "Déchirure obstétricale du périnée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend épisiotomie agrandie par déchirure"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure obstétricale vaginale haute (O71.4)",
      "déchirure du sillon vaginal (O71.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O70.0": {
    "code": "O70.0",
    "description": "Déchirure obstétricale du périnée, du premier degré",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure ou rupture • fourchette",
      "périnéale (intéressant) : • légère",
      "• lèvres",
      "• peau au cours de l’accouchement",
      "• tissu péri-urétral",
      "• vagin, partie basse",
      "• vulve"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure péri-urétrale avec atteinte urétrale (O71.5)",
      "déchirure de la paroi vaginale haute (partie moyenne) (tiers supérieur) (O71.4)",
      "déchirure du sillon vaginal (O71.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O70.1": {
    "code": "O70.1",
    "description": "Déchirure obstétricale du périnée, du deuxième degré",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 676,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure ou rupture périnéale • muscles du : • périnée",
      "au cours de",
      "comme en O70.0, intéressant aussi : • vagin",
      "l’accouchement",
      "• plancher pelvien"
    ],
    "comprend": [],
    "exclusions": [
      "intéressant le sphincter anal (O70.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O70.2": {
    "code": "O70.2",
    "description": ", intéressant aussi la muqueuse : • rectale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O70.3": {
    "code": "O70.3",
    "description": "Déchirure obstétricale du périnée, du quatrième degré",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure ou rupture périnéale comme en • anale",
      "au cours de l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O70.9": {
    "code": "O70.9",
    "description": "Déchirure obstétricale du périnée, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71": {
    "code": "O71",
    "description": "Autres traumatismes obstétricaux",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend lésions par manœuvre instrumentale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.0": {
    "code": "O71.0",
    "description": "Rupture de l’utérus avant le début du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.1": {
    "code": "O71.1",
    "description": "Rupture de l’utérus pendant le travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rupture de l’utérus non précisée comme survenant avant le début du travail"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.2": {
    "code": "O71.2",
    "description": "Inversion post-partum de l’utérus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.3": {
    "code": "O71.3",
    "description": "Déchirure obstétricale du col de l’utérus",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Décollement annulaire du col de l’utérus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.4": {
    "code": "O71.4",
    "description": "Déchirure obstétricale vaginale haute",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• partie moyenne ou tiers supérieur de la paroi vaginale",
      "• sillon vaginal"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure de la partie basse du vagin (O70.−)"
    ],
    "clinical_text": [
      "Déchirure de : • la paroi vaginale, sans mention de déchirure périnéale",
      "perforation de la vessie par le praticien lors d’une césarienne : nous vous conseillons de coder à la fois O71.4",
      "et les codes qui précisent davantage la prise en charge : la plaie vésicale (S37.21) et Y60.0. Le code T81.2 ne"
    ],
    "agora_refs": [
      "57435"
    ],
    "cocoa_notes": [
      "peut être codé car il exclut la catégorie O71. (AGORA - # 57435 le 24 janvier 2012)"
    ]
  },
  "O71.5": {
    "code": "O71.5",
    "description": "Autres lésions obstétricales des organes pelviens",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion obstétricale de : • urètre",
      "• vessie"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure (mineure) intéressant uniquement le tissu périurétral (O70.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.6": {
    "code": "O71.6",
    "description": "Lésions obstétricales intéressant les articulations et les ligaments pelviens",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion du coccyx obstétrical(e)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arrachement du cartilage interne de la symphyse (pubienne) obstétricale",
      "Écartement traumatique de la symphyse (pubienne) obstétrical(e)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.7": {
    "code": "O71.7",
    "description": "Hématome pelvien d’origine obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématome obstétrical de : • périnée",
      "• vagin",
      "• vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.8": {
    "code": "O71.8",
    "description": "Autres traumatismes obstétricaux précisés",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O71.9": {
    "code": "O71.9",
    "description": "Traumatisme obstétrical, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 677,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72": {
    "code": "O72",
    "description": "Hémorragie du post-partum",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "hémorragie après expulsion du fœtus",
      "Quelle que soit la voie d’accouchement, l’hémorragie du post-partum (HPP) est définie comme une perte sanguine ≥ 500",
      "ml après l’accouchement, et l’HPP sévère comme une perte sanguine ≥ 1000 ml (Collège National des Gynécologues et",
      "Obstétriciens Français, 2014 - http://www.cngof.asso.fr/data/RCP/CNGOF_2014_HPP.pdf)",
      "Pour rappel, Il existe 2 types d'HPP et 2 temps d'apparition de ces HPP :",
      "1er type d'HPP > 500ml de perte sanguine",
      "2ème type : les HPP sévères > 1000ml de perte sanguine",
      "1er temps : d'ordre primaire = soit l'HPP survient dans les 24h suivant l'accouchement.",
      "2ème temps : d'ordre secondaire = soit l'HPP survient entre 25h et 42 jours de post-partum, après l'accouchement.",
      "Description de la sévérité des hémorragies du postpartum par l’inscription d’une nouvelle extension pour les trois codes",
      "existants d’hémorragie immédiate et tardive du postpartum.",
      "Ces extensions de codes seront accompagnées de notes d’aide au codage.",
      "ATIH - Notice technique PMSI n° ATIH-497-5-2024 du 11 décembre 2024, pp.8-9"
    ],
    "exclusions": [],
    "clinical_text": [
      "Note L’hémorragie sévère du postpartum est définie par la perte d’au moins 1000mL de sang après un",
      "accouchement par voie basse ou après une césarienne (cf. Recommandations de la CNGOF). L’HPP sévère",
      "peut être : immédiate et survenir lors de la délivrance, immédiate et survenir avant 24h du postpartum, ou",
      "tardive et survenir au-delà des 24h jusqu’à 42 jours du postpartum."
    ],
    "agora_refs": [
      "252265"
    ],
    "cocoa_notes": [
      "(AGORA - # 252265 le 8 septembre 2023)"
    ]
  },
  "O72.0": {
    "code": "O72.0",
    "description": "Hémorragie de la délivrance (troisième période)",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétention du placenta SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie associée à la rétention, l’incarcération ou l’adhérence du placenta",
      "Utiliser, au besoin, un code supplémentaire pour identifier un placenta adhérent pathologique (O43.2)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.00": {
    "code": "O72.00",
    "description": "Hémorragie de la délivrance [troisième période], sévère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.08": {
    "code": "O72.08",
    "description": "Hémorragie de la délivrance [troisième période], autre et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conditions pour coder un O72.00 plutôt que le O72.08"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "On parle de tableau d’HPP sévère lorsque le volume sanguin perdu est supérieur ou égal à 1000 ml ou",
      "On parle de tableau d’HPP sévère lorsque le volume sanguin perdu est inférieur à 1000 ml qui est mal tolérée et qui est",
      "associée à un ou plusieurs facteurs de gravité : pose de Ballon de Bakri (tamponnement), transfusion sanguine, ligatures",
      "artérielles, embolisation artérielle, hystérectomie, passage en unité de réanimation, sutures utérines ..."
    ],
    "agora_refs": [
      "272960"
    ],
    "cocoa_notes": [
      "(AGORA - # 272960 le 14 mars 2025)"
    ]
  },
  "O72.1": {
    "code": "O72.1",
    "description": "Autres hémorragies immédiates du post-partum",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie (du) : • consécutive à la délivrance",
      "• post-partum (atonie utérine) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.10": {
    "code": "O72.10",
    "description": "Autres hémorragies immédiates du post-partum, sévères",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.18": {
    "code": "O72.18",
    "description": "Autres hémorragies immédiates du post-partum et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.2": {
    "code": "O72.2",
    "description": "Hémorragie du post-partum, tardive et secondaire",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie associée à la rétention partielle du placenta ou des membranes",
      "Rétention de produits de la conception SAI, après l’accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.20": {
    "code": "O72.20",
    "description": "Hémorragie du postpartum, tardive et secondaire, sévère",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.28": {
    "code": "O72.28",
    "description": "Hémorragie du postpartum, tardive et secondaire, autre et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O72.3": {
    "code": "O72.3",
    "description": "Anomalie de la coagulation au cours du post-partum",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 678,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Afibrinogénémie du post-partum",
      "Fibrinolyse du post-partum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O73": {
    "code": "O73",
    "description": "Rétention du placenta et des membranes, sans hémorragie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O73.0": {
    "code": "O73.0",
    "description": "Rétention du placenta sans hémorragie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier un placenta adhérent pathologique (O43.2).",
      "Rétention de placenta accreta suivi d’anomalies de la coagulation conduisant à une hystérectomie :",
      "dans la CIM-10 nous avons bien en note d'utilisation du O73.0 la possibilité d'utiliser les codes O43.2 au",
      "besoin pour identifier le placenta adhérent pathologique préexistant.",
      "Il n'est donc pas interdit pour cet exemple précis de rétention de tout le placenta sans hémorragie, d'associer",
      "le O43.2 Placenta adhérent pathologique au O73.0 Rétention du placenta sans hémorragie. Les anomalies"
    ],
    "agora_refs": [
      "266534"
    ],
    "cocoa_notes": [
      "de la coagulation sont à coder en plus. (AGORA - # 266534 le 9 août 2024)"
    ]
  },
  "O73.1": {
    "code": "O73.1",
    "description": "Rétention partielle du placenta et des membranes, sans hémorragie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rétention de produits de la conception après l’accouchement, sans hémorragie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74": {
    "code": "O74",
    "description": "Complications de l’anesthésie au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "autre sédatif au cours du travail et de l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend complications maternelles dues à l’administration d’un anesthésique général ou local, d’un analgésique ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.0": {
    "code": "O74.0",
    "description": "Pneumopathie par aspiration due à une anesthésie au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "et de l’accouchement",
      "l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Inhalation du contenu ou de sécrétions gastrique(s) SAI due à une anesthésie au cours du travail",
      "Pneumopathie chimique d’inhalation due à une anesthésie au cours du travail et de",
      "Syndrome de Mendelson dû à une anesthésie au cours du travail et de l’accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.1": {
    "code": "O74.1",
    "description": "Autres complications pulmonaires de l’anesthésie au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Collapsus pulmonaire par compression dû à une anesthésie au cours du travail et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.2": {
    "code": "O74.2",
    "description": "Complications cardiaques de l’anesthésie au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arrêt cardiaque dû à une anesthésie au cours du travail et de l’accouchement",
      "Insuffisance cardiaque due à une anesthésie au cours du travail et de l’accouchement",
      "Complications intéressant le système nerveux central dues à l’anesthésie au cours du travail et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.4": {
    "code": "O74.4",
    "description": "Réaction toxique à une anesthésie locale au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Céphalée provoquée par une rachianesthésie et une anesthésie épidurale au cours du travail et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.7": {
    "code": "O74.7",
    "description": "Échec ou difficulté d’intubation au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.8": {
    "code": "O74.8",
    "description": "Autres complications de l’anesthésie au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O74.9": {
    "code": "O74.9",
    "description": "Complication de l’anesthésie au cours du travail et de l’accouchement, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 679,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "infection (O86.-) puerpérale",
      "sepsis (O85) puerpéral"
    ],
    "clinical_text": [
      "Autres complications du travail et de l’accouchement, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.0": {
    "code": "O75.0",
    "description": "Épuisement maternel au cours du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.1": {
    "code": "O75.1",
    "description": "Choc pendant ou après le travail et l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choc obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.2": {
    "code": "O75.2",
    "description": "Pyrexie au cours du travail, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.3": {
    "code": "O75.3",
    "description": "Autres infections au cours du travail",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sepsis au cours du travail"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres complications d’un acte de chirurgie obstétricale et d’un acte à visée diagnostique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.5": {
    "code": "O75.5",
    "description": "Accouchement retardé après rupture artificielle des membranes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.6": {
    "code": "O75.6",
    "description": "Accouchement retardé après rupture spontanée ou non précisée des membranes",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "rupture spontanée prématurée des membranes (O42.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.7": {
    "code": "O75.7",
    "description": "Accouchement par voie vaginale après une césarienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Césarienne antérieure et utérus cicatriciel",
      "précédente.",
      "ou « aidée » par l’application de ventouse ou de forceps.",
      "due à une anomalie des organes pelviens de la mère."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il existe plusieurs circonstances au cours desquelles on peut être amené à mentionner le fait qu’une",
      "parturiente est porteuse d’un utérus cicatriciel, du fait d’une césarienne ou de toute autre intervention",
      "Dans tous les cas où l’accouchement se déroule par voie basse chez une femme antérieurement césarisée,",
      "on porte le code O75.7 Accouchement par voie vaginale après une césarienne, que l’expulsion soit spontanée",
      "Si la décision est prise d’une césarienne préventive, on a recours au code O34.2 Soins maternels pour cicatrice",
      "utérine due à une intervention chirurgicale antérieure – la césarienne étant codée en acte.",
      "Si la décision de réaliser une césarienne était prise en cours de travail, il faudrait faire appel à O65.5 Dystocie",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.6 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.8": {
    "code": "O75.8",
    "description": "Autres complications précisées du travail et de l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.9": {
    "code": "O75.9",
    "description": "Complication du travail et de l’accouchement, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 680,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "EMPLOI DES CATÉGORIES O80 À O84",
      "et odontologie – BO du 17 juillet 2025, p. 92",
      "Accouchement normal ou eutocique",
      "déroulement fait qualifier l’accouchement de dystocique.",
      "qui est employé ;",
      "Accouchement dystocique",
      "présentation du siège en cas d’accouchement dystocique.",
      "être codée."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Se référer aux règles et instructions du Volume 2 pour le codage de la mortalité et de la morbidité.",
      "données pages 124-125 ou 159-160 du volume 2. Il en résulte en particulier que l’emploi des codes O81.0 à O84.9 comme diagnostic",
      "principal (DP) du résumé d’unité médicale est une erreur. Depuis la version 11 des GHM (2009) ils ne sont plus utilisables en position de",
      "diagnostic principal. Pour enregistrer un accouchement instrumental le code du DP doit être choisi parmi les autres codes du chapitre",
      "XV. L’exemple 24 donné p.125 ou 160 du volume 2 de la CIM–10 est une illustration claire de la consigne de codage.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "L’accouchement eutocique – que la CIM-10 qualifie de spontané – aboutit à l’expulsion de l’enfant par voie basse du seul fait des",
      "phénomènes naturels, en suivant le « déroulement harmonieux de [ses] différentes phases ». Tout phénomène perturbant ce",
      " Le plus souvent, l’accouchement eutocique se déroule chez une femme dont ni la grossesse ni les suites de couches ne sont",
      "émaillées d’un quelconque phénomène particulier identifiable lors de son séjour. Il peut s’agir d’un accouchement unique :",
      "– par le sommet : en l’absence de toute autre mention, c’est le code O80.0 Accouchement spontané par présentation du sommet",
      "– par le siège : si l’accouchement se déroule tout à fait normalement, sans soins particuliers on emploie O80.1 Accouchement",
      "spontané par présentation du siège. On rappelle que le code O32.1 est réservé aux séjours d’antepartum et aux césariennes",
      "programmées avant le début du travail, en raison de la présentation du siège.",
      "Dans le cas d’accouchements multiples normaux, on utilisera un code de la catégorie O30. Ainsi un accouchement gémellaire sans",
      "particularité sera codé O30.0 Jumeaux et non O84.0 Accouchements multiples, tous spontanés.",
      " Dans l’éventualité où un phénomène particulier (hors affections du groupe O60–O75) accompagne un accouchement normal",
      "sans le perturber, le code principal à employer est celui de la catégorie du chapitre XV qui décrit le plus précisément ce",
      "phénomène. Ainsi un accouchement eutocique chez une femme présentant un diabète, gestationnel ou non, se code O24.– ;",
      "un accouchement eutocique suivi d’une complication immédiate du post-partum est codé avec le groupe O85–O92",
      "(Complications principalement liées à la puerpéralité). Dans tous ces cas, le recours à la catégorie O80 est interdit.",
      "Tout accouchement difficile est à qualifier de dystocique, quelles que soient l’origine, la nature et la gravité de cette difficulté. Elle peut",
      "entraîner une impossibilité d’accouchement par voie basse, justifiant une décision de césarienne en cours de travail. Deux mécanismes",
      "principaux sont en cause : les anomalies des contractions et de la dilatation du col, aussi appelées dystocies dynamiques, et les",
      "disproportions fœto-pelviennes ou dystocies mécaniques. Les premières sont décrites dans les catégories O62 Anomalies de la",
      "contraction utérine et de la dilatation du col et O63 Travail prolongé. Les secondes figurent dans les catégories O64 Dystocie due à une",
      "position et une présentation anormales du fœtus, O65 Dystocie due à une anomalie pelvienne de la mère, et O66 Autres dystocies.",
      "Ainsi une même situation peut donner lieu à un accouchement eutocique ou dystocique. Dans l’exemple d’une présentation du siège,",
      "on code O80.1 Accouchement spontané par présentation du siège en cas d’accouchement eutocique, O64.1 Dystocie due à une",
      "De manière générale le recours à une césarienne non programmée ou à une extraction instrumentale fait évoquer une dystocie qui doit",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V - p.4 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O80": {
    "code": "O80",
    "description": "Accouchement unique et spontané",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 681,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend accouchement tout à fait normal",
      "présentation du sommet. [règle T12].",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 134"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "cas avec assistance minime ou sans assistance, avec ou sans épisiotomie",
      "Accouchement normal : on désigne ainsi un accouchement en présentation du sommet sans complication, survenu chez",
      "une femme indemne de toute morbidité obstétricale. Le DP du séjour est codé O80.0 Accouchement spontané par",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O80.0": {
    "code": "O80.0",
    "description": "Accouchement spontané par présentation du sommet",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 681,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O80.1": {
    "code": "O80.1",
    "description": "Accouchement spontané par présentation du siège",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 681,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O80.8": {
    "code": "O80.8",
    "description": "Autres accouchements uniques et spontanés",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 681,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O80.9": {
    "code": "O80.9",
    "description": "Accouchement unique et spontané, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 681,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accouchement spontané SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81": {
    "code": "O81",
    "description": "Accouchement unique par forceps et ventouse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "échec de l’application d’une ventouse ou d’un forceps (O66.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81.0": {
    "code": "O81.0",
    "description": "Accouchement par forceps bas",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81.1": {
    "code": "O81.1",
    "description": "Accouchement par forceps (moyen) à la partie moyenne de l’excavation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81.2": {
    "code": "O81.2",
    "description": "Accouchement par forceps (moyen) à la partie moyenne de l’excavation, avec rotation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81.3": {
    "code": "O81.3",
    "description": "Accouchements par forceps, autres et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81.4": {
    "code": "O81.4",
    "description": "Accouchement par extraction pneumatique Ventouse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O81.5": {
    "code": "O81.5",
    "description": "Accouchement par association d’un forceps et d’une ventouse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accouchement par forceps et ventouse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O82": {
    "code": "O82",
    "description": "Accouchement unique par césarienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O82.0": {
    "code": "O82.0",
    "description": "Accouchement par césarienne programmée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Césarienne répétée SAI",
      "que l’on a recours à la césarienne."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lorsqu’une césarienne est programmée avant le début du travail on emploie habituellement en code",
      "principal les catégories O30 à O36 et non des codes de dystocie puisque c’est pour prévenir leur apparition",
      "ATIH – Consignes de codage – Gynécologie Obstétrique, Fascicule V – p.5 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O82.1": {
    "code": "O82.1",
    "description": "Accouchement par césarienne d’urgence",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O82.2": {
    "code": "O82.2",
    "description": "Accouchement par césarienne avec hystérectomie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O82.8": {
    "code": "O82.8",
    "description": "Autres accouchements uniques par césarienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O82.9": {
    "code": "O82.9",
    "description": "Accouchement par césarienne, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83": {
    "code": "O83",
    "description": "Autres accouchements uniques avec assistance",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.0": {
    "code": "O83.0",
    "description": "Extraction par le siège",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.1": {
    "code": "O83.1",
    "description": "Autres accouchements par le siège avec assistance",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accouchement par le siège SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.2": {
    "code": "O83.2",
    "description": "Autres accouchements avec l’aide de manipulations",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Version avec extraction"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.3": {
    "code": "O83.3",
    "description": "Accouchement d’un fœtus viable après grossesse abdominale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.4": {
    "code": "O83.4",
    "description": "Intervention destructrice lors d’un accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cléidotomie pour faciliter l’accouchement",
      "Craniotomie pour faciliter l’accouchement",
      "Embryotomie pour faciliter l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.8": {
    "code": "O83.8",
    "description": "Autres accouchements uniques précisés, avec assistance",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O83.9": {
    "code": "O83.9",
    "description": "Accouchement unique avec assistance, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 682,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accouchement avec assistance SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O84": {
    "code": "O84",
    "description": "Accouchements multiples",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "chaque fœtus ou nouveau-né."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O84.0": {
    "code": "O84.0",
    "description": "Accouchements multiples, tous spontanés",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O84.1": {
    "code": "O84.1",
    "description": "Accouchements multiples, tous avec forceps et ventouse",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O84.2": {
    "code": "O84.2",
    "description": "Accouchements multiples, tous par césarienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O84.8": {
    "code": "O84.8",
    "description": "Autres accouchements multiples",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accouchements multiples par association de méthodes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O84.9": {
    "code": "O84.9",
    "description": "Accouchements multiples, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "la grossesse et l’accouchement."
    ],
    "comprend": [],
    "exclusions": [
      "ostéomalacie puerpérale (M83.0)",
      "tétanos obstétrical (A34)",
      "troubles mentaux et du comportement associés à la puerpéralité (F53.-)"
    ],
    "clinical_text": [
      "Note : Les catégories O88.-, O91.- et O92.- comprennent les états mentionnés même si ceux-ci surviennent pendant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O86": {
    "code": "O86",
    "description": "Autres infections puerpérales",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infection au cours du travail (O75.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O86.0": {
    "code": "O86.0",
    "description": "Infection d’une plaie d’origine obstétricale chirurgicale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection d’une suture : • après césarienne",
      "• périnéale après accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O86.1": {
    "code": "O86.1",
    "description": "Autres infections des voies génitales, après accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cervicite après accouchement",
      "Vaginite après accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O86.2": {
    "code": "O86.2",
    "description": "Infection des voies urinaires, après accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États classés en N10-N12, N15.-, N30.-, N34.-, N39.0 après accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O86.3": {
    "code": "O86.3",
    "description": ")",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 691,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "insuffisance rénale aiguë du post-partum (O90.4)",
      "néphrite compliquant les suites de couches (O90.8)",
      "Certaines affections dont l’origine se situe",
      "dans la période périnatale (P00-P96)",
      "Ce chapitre comprend les groupes suivants :",
      "travail et de l’accouchement"
    ],
    "comprend": [
      "les affections dont l’origine se situe dans la période périnatale, même si la mort ou les manifestations morbides",
      "apparaissent plus tard"
    ],
    "exclusions": [
      "lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98)",
      "maladies endocriniennes, nutritionnelles et métaboliques (E00-E90)",
      "malformations congénitales et anomalies chromosomiques (Q00-Q99)",
      "tétanos néonatal (A33)",
      "coqueluche (A37.-)",
      "tumeurs (C00-D48)"
    ],
    "clinical_text": [
      "soins maternels pour anomalie connue ou présumée des organes pelviens (O34.-)",
      "À compter de 2010 les codes du chapitre XVI ne doivent plus être employés au-delà de 2 ans.",
      "ATIH – Consignes de codage – Affections du nouveau-né, Fascicule VI - Créé le 1er mars 2011",
      "Le chapitre XVI permet de coder des affections dont l’origine se situe dans la période périnatale (elle commence 22 semaines (154",
      "jours) après le début de la gestation et se termine 7 jours révolus après la naissance) quelle que soit la date d’apparition des",
      "manifestations morbides. Jusqu’en 2010 il n’y avait pas de limite d’âge pour l’emploi de ces codes. Depuis 2010 et pour des raisons de",
      "La seule catégorie à astérisque de ce chapitre est la suivante :"
    ],
    "agora_refs": [
      "43846"
    ],
    "cocoa_notes": [
      "contrôle de cohérence leur emploi a été interdit au-delà de l’âge de 2 ans (AGORA - # 43846 le 5 avril 2011)"
    ]
  },
  "O86.4": {
    "code": "O86.4",
    "description": "Hyperthermie d’origine inconnue, après accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 683,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection puerpérale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "fièvre puerpérale (O85)",
      "pyrexie au cours du travail (O75.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O86.8": {
    "code": "O86.8",
    "description": "Autres infections puerpérales précisées",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87": {
    "code": "O87",
    "description": "Complications veineuses et hémorroïdes au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications veineuses de la grossesse (O22.-)",
      "embolie obstétricale (O88.-)"
    ],
    "clinical_text": [
      "C omprend au cours du travail, de l’accouchement et de la puerpéralité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87.0": {
    "code": "O87.0",
    "description": "Thrombophlébite superficielle au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87.1": {
    "code": "O87.1",
    "description": "Phlébothrombose profonde au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thrombophlébite pelvienne post-partum",
      "Thrombose veineuse profonde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87.2": {
    "code": "O87.2",
    "description": "Hémorroïdes au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87.3": {
    "code": "O87.3",
    "description": "Thrombose veineuse cérébrale au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Thrombose du sinus veineux cérébral au cours de la puerpéralité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87.8": {
    "code": "O87.8",
    "description": "Autres complications veineuses au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Varices des organes génitaux au cours de la puerpéralité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O87.9": {
    "code": "O87.9",
    "description": "Complication veineuse au cours de la puerpéralité, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Phlébite puerpérale SAI",
      "Phlébopathie puerpérale SAI",
      "Thrombose puerpérale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O88": {
    "code": "O88",
    "description": "Embolie obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "embolie compliquant un avortement, une grossesse extra-utérine ou molaire (O00-O07, O08.2)"
    ],
    "clinical_text": [
      "C omprend embolies de la grossesse, de l’accouchement ou de la puerpéralité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O88.0": {
    "code": "O88.0",
    "description": "Embolie gazeuse obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O88.1": {
    "code": "O88.1",
    "description": "Embolie amniotique",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Syndrome anaphylactique de la grossesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O88.2": {
    "code": "O88.2",
    "description": "Embolie obstétricale par caillot sanguin",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Embolie (pulmonaire) : • obstétricale SAI",
      "• puerpérale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O88.3": {
    "code": "O88.3",
    "description": "Embolie pyohémique et septique, obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O88.8": {
    "code": "O88.8",
    "description": "Autres embolies obstétricales",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 ANT",
      "Embolie graisseuse, obstétricale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89": {
    "code": "O89",
    "description": "Complications de l’anesthésie au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ou autre sédatif au cours de la puerpéralité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend complications chez la mère dues à l’administration d’un anesthésique général ou local, d’un analgésique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89.0": {
    "code": "O89.0",
    "description": "Complications pulmonaires de l’anesthésie au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 684,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "puerpéralité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Collapsus pulmonaire par compression dû à l’anesthésie au cours de la puerpéralité",
      "Inhalation du contenu ou de sécrétions gastriques SAI due à l’anesthésie au cours de la",
      "Pneumopathie chimique d’inhalation due à l’anesthésie au cours de la puerpéralité",
      "Pneumopathie d’inhalation due à l’anesthésie au cours de la puerpéralité",
      "Syndrome de Mendelson dû à l’anesthésie au cours de la puerpéralité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89.1": {
    "code": "O89.1",
    "description": "Complications cardiaques de l’anesthésie au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arrêt cardiaque dû à une anesthésie au cours de la puerpéralité",
      "Insuffisance cardiaque due à une anesthésie au cours de la puerpéralité",
      "Complications intéressant le système nerveux central dues à une anesthésie au cours de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89.3": {
    "code": "O89.3",
    "description": "Réaction toxique à une anesthésie locale au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Céphalée provoquée par une rachianesthésie et une anesthésie épidurale au cours de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89.6": {
    "code": "O89.6",
    "description": "Échec ou difficulté d’intubation au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89.8": {
    "code": "O89.8",
    "description": "Autres complications de l’anesthésie au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O89.9": {
    "code": "O89.9",
    "description": "Complication de l’anesthésie au cours de la puerpéralité, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90": {
    "code": "O90",
    "description": "Complications puerpérales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.0": {
    "code": "O90.0",
    "description": "Rupture d’une suture de césarienne",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.1": {
    "code": "O90.1",
    "description": "Rupture d’une suture obstétricale du périnée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déchirure secondaire du périnée",
      "Rupture d’une suture de : • déchirure du périnée",
      "• épisiotomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.2": {
    "code": "O90.2",
    "description": "Hématome d’une plaie obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "c’est le code O90.2 qui convient pour coder l’hémorragie liée à une déchirure périnéale. Les plaies",
      "obstétricales incluent les incisions « médicales » (épisiotomie, césarienne) mais aussi les plaies et déchirures."
    ],
    "agora_refs": [
      "65160"
    ],
    "cocoa_notes": [
      "Le code de la déchirure est associé (AGORA - # 65160 le 1er juin 2012)"
    ]
  },
  "O90.3": {
    "code": "O90.3",
    "description": "Myocardiopathie au cours de la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en I42 et ses subdivisions"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.4": {
    "code": "O90.4",
    "description": "Insuffisance rénale aiguë du post-partum",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome hépato-rénal consécutif au travail et à l’accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.5": {
    "code": "O90.5",
    "description": "Thyroïdite du post-partum",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.8": {
    "code": "O90.8",
    "description": "Autres complications puerpérales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polype placentaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O90.9": {
    "code": "O90.9",
    "description": "Complication puerpérale, sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 685,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O91": {
    "code": "O91",
    "description": "Infections mammaires associées à l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend les états mentionnés au cours de la grossesse, de la puerpéralité ou de la lactation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O91.0": {
    "code": "O91.0",
    "description": "Infection du mamelon associée à l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Abcès du mamelon : • gestationnel",
      "• puerpéral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O91.1": {
    "code": "O91.1",
    "description": "Abcès du sein associé à l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Abcès : • mammaire gestationnel ou puerpéral",
      "• sub-aréolaire gestationnel ou puerpéral",
      "Mastite purulente gestationnelle ou puerpérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "kyste galactophorique abcédé rompu : cette affection se code N60.4 sauf en période du post-partum où"
    ],
    "agora_refs": [
      "53306"
    ],
    "cocoa_notes": [
      "vous coderez O91.1 (AGORA - # 53306 le 12 octobre 2011)"
    ]
  },
  "O91.2": {
    "code": "O91.2",
    "description": "Mastite non purulente associée à l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Lymphangite du sein gestationnelle ou puerpérale",
      "Mastite : • SAI gestationnelle ou puerpérale",
      "• interstitielle gestationnelle ou puerpérale",
      "• parenchymateuse gestationnelle ou puerpérale",
      "Autres mastopathies et anomalies de la lactation associées à",
      "l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend les états mentionnés au cours de la grossesse, de la puerpéralité ou de la lactation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.0": {
    "code": "O92.0",
    "description": "Invagination du mamelon associée à l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.1": {
    "code": "O92.1",
    "description": "Crevasses du mamelon associées à l’accouchement",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Fissures du mamelon gestationnelles ou puerpérales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.2": {
    "code": "O92.2",
    "description": "Mastopathies associées à l’accouchement, autres et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.3": {
    "code": "O92.3",
    "description": "Agalactie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Agalactie primaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.4": {
    "code": "O92.4",
    "description": "Hypogalactie",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.5": {
    "code": "O92.5",
    "description": "Suppression de la lactation",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Agalactie : • induite",
      "• secondaire",
      "• thérapeutique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.6": {
    "code": "O92.6",
    "description": "Galactorrhée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT"
    ],
    "comprend": [],
    "exclusions": [
      "galactorrhée sans relation avec un accouchement (N64.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O92.7": {
    "code": "O92.7",
    "description": "Anomalies de la lactation, autres et sans précision",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 686,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "Galactocèle puerpérale",
      "la mortalité.",
      "SÉQUELLES DE MALADIES ET DE LÉSIONS TRAUMATIQUES",
      "(volume 2 page 28 ou 33).",
      "[...] ».",
      "ajouter le code « Séquelles de… ».",
      "Exemples :",
      "de tuberculose : N97.1, B90.1 ;",
      "de poliomyélite : G83.1, B91 ;",
      "Exemple :",
      "et odontologie – BO du 17 juillet 2025, pp. 117-119",
      "puerpéralité",
      "début de la maladie causale.",
      "puerpéralité. Coder ces affections en O00–O75 et O85–O92.",
      "À l ’exclusion de maladies entraînant le décès (O96–O97)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note : Pour l’utilisation des catégories O95-O97, se référer aux règles et instructions du Volume 2 pour le codage de",
      "La CIM–10 définit les séquelles comme des « états pathologiques stables, conséquences d’affections qui ne sont plus en phase active »",
      "Elle précise (ibid. page 101 ou 132) : « Si un épisode de soins se rapporte au traitement ou aux examens entrepris pour une affection",
      "résiduelle (séquelle) d’une maladie qui n’existe plus, on décrira la nature de la séquelle de manière exhaustive et on en donnera l’origine",
      "Page 106 ou 138 : « La CIM–10 fournit un certain nombre de catégories intitulées « Séquelles de... » (B90-B94, E64.–, E68, G09, I69.–,",
      "fait de la mise à jour de 2003 (se reporter au site Internet de l’ATIH). Celles-ci peuvent être utilisées pour coder les conséquences des",
      "affections qui ne sont pas elles-mêmes présentes lors de l’épisode de soins, comme causes du problème justifiant les soins ou les",
      "examens. Le code retenu pour « affection principale » doit être celui qui désigne la nature des séquelles elles-mêmes, auquel on peut",
      "Un délai « d’un an ou plus après le début de la maladie » est cité dans les notes propres à certaines catégories (G09, I69, T90-T98, Y85-",
      "101 du volume 2. Les situations concernées sont celles dans lesquelles il n’est pas identifié d’autre cause au décès.",
      "La notion de séquelle doit être retenue et codée chaque fois qu’elle est explicitement mentionnée. Il n’appartient pas au médecin",
      "responsable de l’information médicale ou au codeur de trancher entre le codage d’une maladie présente ou d’un état séquellaire. Cette",
      "distinction est de la compétence du médecin qui a dispensé les soins au patient.",
      "Pour le codage d’une séquelle, conformément à la consigne de la CIM–10, on donne la priorité au code qui correspond à sa nature. Le",
      "code de séquelle est mentionné comme un diagnostic associé conventionnel.",
      "– salpingite tuberculeuse dix ans auparavant, responsable d’une stérilité : on code d’abord la stérilité et on lui associe la séquelle",
      "– monoplégie d’un membre inférieur séquellaire d’une poliomyélite : on code d’abord la monoplégie et on lui associe la séquelle",
      "– épilepsie séquellaire d’un infarctus cérébral : on code d’abord l’épilepsie et on lui associe la séquelle d’infarctus cérébral :",
      "Les catégories Y85–Y89 (chapitre XX de la CIM–10) permettent de coder des circonstances d’origine des séquelles. Il est recommandé",
      "de les utiliser, en position de diagnostic associé, chaque fois qu’on dispose de l’information nécessaire.",
      "– épilepsie séquellaire d’un traumatisme intra-crânien dû à un accident de voiture ; le codage associe G40.–, T90.5 et Y85.0.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Séquelles de complications de la grossesse, de l’accouchement et de la",
      "Note La catégorie O94 ne peut être utilisée que pour le codage de la morbidité pour indiquer des affections classées à",
      "l’origine en O00–O75 et O85–O92 comme causes de séquelles, elles-mêmes classées ailleurs. Les séquelles",
      "comprennent les affections indiquées comme telles ou leurs effets tardifs, ou celles présentes un an ou plus après le",
      "Elle ne doit pas être utilisée pour signaler les complications chroniques de la grossesse, de l'accouchement ou de la",
      "Prise en charge chirurgicale (sphinctéroplastie) chez une patiente de 54 ans d’une rupture du sphincter anal",
      "survenue lors d’un accouchement par voie basse il y a plusieurs années : je vous conseille de coder K62.8 et",
      "Césarienne pour antécédent de décollement de rétine : si le décollement de rétine est toujours présent (ou des",
      "séquelles de celui-ci) et qu’il était une complication d’un accouchement précédent vous coderez O94 et le code"
    ],
    "agora_refs": [
      "66900",
      "69692"
    ],
    "cocoa_notes": [
      "classées aux catégories T80-T88 (AGORA - # 66900 le 6 juillet 2012 et # 69826 le 27 septembre 2012)",
      "plus précis à l’aide du chapitre VII (AGORA - # 69692 le 21 septembre 2012)"
    ]
  },
  "O95": {
    "code": "O95",
    "description": "Mort d’origine obstétricale de cause non précisée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 688,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ou de la puerpéralité",
      "sur les motivations de l’OMS.",
      "d’un an après l’accouchement",
      "l’accouchement."
    ],
    "comprend": [],
    "exclusions": [
      "affections décrites comme séquelles ou effets tardifs de cause obstétricale n’entraînant pas le décès",
      "(O94)",
      "mort de séquelles ou d’effets tardifs relevant d’une cause obstétricale (O97.-)"
    ],
    "clinical_text": [
      "Décès de la mère d’origine non précisée, survenant au cours de la grossesse, du travail, de l’accouchement",
      "Les codes CIM des catégories O96 et O97 sont assez abscons pour des non spécialistes : nous n’avons pas pour le moment d’explication",
      "Les termes « directe » et « indirecte » renvoient aux consignes de choix de diagnostic données par l’OMS dans le volume 2, paragraphe",
      "4.2.1. On pourrait ainsi dire que lorsque le décès est dû à une hémorragie post-partum celle-ci est une cause directe, s’il est dû à une",
      "embolie pulmonaire elle-même consécutive à une phlébite du post-partum, l’embolie est une cause indirecte. Ces codes ne",
      "correspondent pas à la définition d’un DP, DR ou DAS mais leur recueil en DAS est important en termes de santé publique",
      "Mort d’origine obstétricale, survenant plus de 42 jours mais moins",
      "Utiliser, au besoin, un code supplémentaire pour identifier la cause obstétricale (directe) (indirecte).",
      "Note Cette catégorie doit être utilisée pour le codage de la mort d’origine obstétricale (affections classées dans",
      "les catégories O00-O75, O85-O92 et O98-O99) survenant plus de 42 jours et moins d’un an après",
      "Mort de cause obstétricale directe survenant plus de 42 jours mais moins d’un an après"
    ],
    "agora_refs": [
      "28082"
    ],
    "cocoa_notes": [
      "(AGORA - # 28082 le 8 avril 2010)"
    ]
  },
  "O97": {
    "code": "O97",
    "description": "Mort de séquelles relevant directement d’une cause obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 688,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "l’accouchement."
    ],
    "comprend": [],
    "exclusions": [
      "affections décrites comme séquelles ou effets tardifs de cause obstétricale n’entraînant pas le décès",
      "(O94)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la cause obstétricale (directe) (indirecte).",
      "Note Cette catégorie doit être utilisée pour coder la mort due à des séquelles de cause obstétricale (affections classées",
      "dans les catégories O00-O75, O85-O92 et O98-O99) survenant un an ou plus après l’accouchement. Le terme",
      "séquelles inclut les affections précisées comme telles ou les effets tardifs ou présents un an ou plus après"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O97.0": {
    "code": "O97.0",
    "description": "Mort de séquelles relevant directement d’une cause obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 688,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O97.1": {
    "code": "O97.1",
    "description": "Mort de séquelles relevant indirectement d’une cause obstétricale",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 688,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O97.9": {
    "code": "O97.9",
    "description": "Mort de séquelles relevant d’une cause obstétricale, non précisée",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 688,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "IMG à partir de vingt-deux semaines révolues d’aménorrhée.",
      "Si la cause est une anomalie fœtale :",
      "• DP : un code de la catégorie O35 ;",
      "• acte d’accouchement ;",
      "• âge gestationnel et date des dernières règles.",
      "Si la cause de l’interruption est maternelle :",
      "et odontologie – BO du 17 juillet 2025, p. 108",
      "compliquant la grossesse, l’accouchement et la puerpéralité"
    ],
    "comprend": [],
    "exclusions": [
      "infection (O86.-) puerpérale",
      "sepsis (O85) puerpéral",
      "infection asymptomatique due au virus de l’immunodéficience humaine [VIH] (Z21)",
      "mise en évidence par des examens de laboratoire du virus de l’immunodéficience humaine [VIH] (R75)",
      "quand la raison des soins maternels est que l’affection est considérée comme ayant affecté le fœtus ou",
      "présumée l’avoir fait (O35-O36)",
      "tétanos obstétrical (A34)"
    ],
    "clinical_text": [
      "C’est un accouchement. Le codage diffère selon que le motif de l’interruption est fœtal ou maternel.",
      "• DA : on enregistre par convention un code étendu de la catégorie Z37 Résultat de l’accouchement (en général Z37.11 Naissance",
      "unique, enfant mort-né, à la suite d’une interruption de la grossesse pour motif médical [Code Z37.1 de la CIM–10 étendu pour la",
      "circonstance à compter de la version 11c (2011) de la classification des GHM] ;",
      "• DP : selon que la cause est classée dans le chapitre XV de la CIM–10 ou dans un autre chapitre, on choisit le code ad hoc du",
      "chapitre XV ou un code des catégories O98 ou O99 ; pas de DR ;",
      "• DA : on enregistre par convention un code de la catégorie Z37 (en général Z37.11 Naissance unique, enfant mort-né, à la suite",
      "d’une interruption de la grossesse pour motif médical) ; si besoin, un code des chapitres I à XVII précise le DP [Voir dans le volume",
      "1 de la CIM–10 les notes figurant en tête des catégories O98 et O99] ;",
      "Les produits d’IMG à partir de vingt-deux semaines révolues d’aménorrhée ou d’un poids d’au moins cinq-cents grammes donnent lieu",
      "à la production d’un RUM par convention, le DP est codé P95.-.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Maladies infectieuses et parasitaires de la mère classées ailleurs mais",
      "C omprend les états mentionnés compliquant la grossesse, aggravés par la grossesse ou à l’origine de soins obstétricaux",
      "Utiliser, au besoin, un code supplémentaire (Chapitre I) pour identifier l’état spécifique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O98.0": {
    "code": "O98.0",
    "description": "Tuberculose compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 689,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en A15-A19"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O98.1": {
    "code": "O98.1",
    "description": "Syphilis compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 689,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en A50-A53"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O98.2": {
    "code": "O98.2",
    "description": "Gonococcie compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 689,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en A54.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres maladies dont le mode de transmission est essentiellement sexuel, compliquant la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O98.4": {
    "code": "O98.4",
    "description": "Hépatite virale compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 689,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en B15-B19"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O98.5": {
    "code": "O98.5",
    "description": "Autres maladies virales compliquant la grossesse, L’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 689,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en A80-B09, B25-B34"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O98.6": {
    "code": "O98.6",
    "description": "Maladies à protozoaires compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 689,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en B50-B64"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladie due au virus de l’immunodéficience humaine [VIH], compliquant la grossesse,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O99.0": {
    "code": "O99.0",
    "description": "Anémie compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 690,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en D50-D64"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres maladies du sang et des organes hématopoïétiques et certaines anomalies du système"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O99.4": {
    "code": "O99.4",
    "description": "Maladies de l’appareil circulatoire compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 690,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en I00-I99"
    ],
    "comprend": [],
    "exclusions": [
      "complications veineuses et thrombose • grossesse (O22.-)",
      "du sinus veineux cérébral au cours de : • travail, accouchement et",
      "puerpéralité (O87.-)",
      "embolie obstétricale (O88.-)",
      "myocardiopathie au cours de la puerpéralité (O90.3)",
      "troubles hypertensifs (O10-O16)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O99.5": {
    "code": "O99.5",
    "description": "Maladies de l’appareil respiratoire compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 691,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en J00-J99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O99.6": {
    "code": "O99.6",
    "description": "Maladies de l’appareil digestif compliquant la grossesse, l’accouchement et la puerpéralité",
    "dagger_star": "",
    "chapter": "Grossesse, accouchement et puerpéralité",
    "page": 691,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ANT",
      "États en K00-K93"
    ],
    "comprend": [],
    "exclusions": [
      "troubles hépatiques au cours de la grossesse, de l’accouchement et de la puerpéralité",
      "(O26.6)",
      "hémorroïdes au cours de la grossesse (O22.4)"
    ],
    "clinical_text": [
      "Maladies de la peau et du tissu cellulaire sous-cutané compliquant la grossesse, l’accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P75": {
    "code": "P75",
    "description": "* Iléus méconial dans la fibrose kystique (E84.1 †)",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": true,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38": {
    "code": "Z38",
    "description": "Enfants nés vivants, selon le lieu de naissance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Catégorie Z38",
      "ne concerne que les séjours de naissance.",
      "d'entrée est N (néonatologie ou près de la mère)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes de la catégorie Z38 Enfants nés vivants, selon le lieu de naissance permettent d’enregistrer la notion de naissance unique ou",
      "multiple ainsi que le lieu de naissance (hôpital ou non). Ils sont en général employés seuls chez les enfants nés en bonne santé et ne",
      "présentant aucun signe, symptôme ou affection particulière. Ils ne doivent pas être confondus avec les codes de la catégorie Z37",
      "Résultats de l’accouchement qui sont réservés au dossier de la mère.",
      "ATIH – Consignes de codage – Affections du nouveau-né, Fascicule VI - Créé le 15 février 2009",
      "Les codes de la catégorie Z38 ne doivent être employés que pour les enfants non hospitalisés, c’est-à-dire restés auprès de leur mère",
      "en maternité. À compter de 2010 ils ne doivent plus être employés au-delà de 2 ans.",
      "ATIH – Consignes de codage – Affections du nouveau-né, Fascicule VI - Créé le 1er mars 2011",
      "Les codes de la catégorie Z38 ne correspondent pas à la définition d’un DAS, ils ne doivent en conséquence pas être placés dans un",
      "RUM de néonatologie. Vous pouvez cependant les coder dans les données documentaires si vous le souhaitez.",
      "Par ailleurs la phrase du fascicule d’aide au codage « les enfants non hospitalisés, c’est-à-dire restés auprès de leur mère en maternité »",
      "Lorsqu’un enfant est réhospitalisé après sa sortie afin de pouvoir rester auprès de sa mère le DP est Z76.2",
      "Cette note peut induire en erreur, puisqu'elle indique de ne pas coder en DAS le Z38.- en néonatologie.",
      "Or c'est contraire au Guide méthodologique et les contrôles OVALIDE vérifient la présence de ce code dans tous les RUM dont le mode"
    ],
    "agora_refs": [
      "74621"
    ],
    "cocoa_notes": [
      "(AGORA - # 74621 le 30 janvier 2013)"
    ]
  },
  "P00.0": {
    "code": "P00.0",
    "description": "Fœtus et nouveau-né affectés par des troubles hypertensifs de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 695,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par les maladies de la mère classées en O10-O11, O13-O16"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.1": {
    "code": "P00.1",
    "description": "Fœtus et nouveau-né affectés par des maladies rénales et des voies urinaires de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 695,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par les maladies de la mère classées en N00-N39"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.2": {
    "code": "P00.2",
    "description": "Fœtus et nouveau-né affectés par des maladies infectieuses et parasitaires de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 695,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ne présentant lui-même aucun signe de ces maladies",
      "l’exclusion placée sous ce code."
    ],
    "comprend": [],
    "exclusions": [
      "infections (de) : • appareil génital maternel et autres infections localisées de la mère",
      "(P00.8)",
      "• spécifiques de la période périnatale (P35-P39)"
    ],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par les maladies de la mère classées en A00-B99, et J09-J11, mais"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.101 : s’il en est atteint, ce sont les catégories P35 à P39 qui doivent être utilisées, conformément à"
    ]
  },
  "P00.3": {
    "code": "P00.3",
    "description": "Fœtus et nouveau-né affectés par d’autres maladies circulatoires et respiratoires de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 695,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par les maladies de la mère classées en J00-J06, J12-J98, Q20-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q34": {
    "code": "Q34",
    "description": "Autres malformations congénitales de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.4": {
    "code": "P00.4",
    "description": "Fœtus et nouveau-né affectés par des troubles nutritionnels de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 695,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Malnutrition de la mère SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par les maladies de la mère classées en E40-E64"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.5": {
    "code": "P00.5",
    "description": "Fœtus et nouveau-né affectés par un traumatisme de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 695,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par les maladies de la mère classées en S00-T79"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.6": {
    "code": "P00.6",
    "description": "Fœtus et nouveau-né affectés par une intervention chirurgicale chez la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "césarienne pour l’accouchement actuel (P03.4)",
      "interruption de la grossesse, fœtus (P96.4)",
      "intervention chirurgicale antérieure sur l’utérus ou les organes pelviens (P03.8)",
      "lésion du placenta par amniocentèse, césarienne ou déclenchement chirurgical (P02. 1)"
    ],
    "clinical_text": [
      "Fœtus et nouveau-né affectés par d’autres interventions médicales chez la mère, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.8": {
    "code": "P00.8",
    "description": "Fœtus et nouveau-né affectés par d’autres affections maternelles",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fœtus ou nouveau-né affecté par : • états classés en T80-T88",
      "• infection de l’appareil génital de la mère et autres",
      "infections localisées",
      "• lupus érythémateux disséminé de la mère"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies endocriniennes et métaboliques transitoires néonatales (P70-P74)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P00.9": {
    "code": "P00.9",
    "description": "Fœtus et nouveau-né affectés par une affection maternelle, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "chez la mère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus et nouveau-né affectés par les complications de la grossesse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.0": {
    "code": "P01.0",
    "description": "Fœtus et nouveau-né affectés par la béance du col",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.1": {
    "code": "P01.1",
    "description": "Fœtus et nouveau-né affectés par la rupture prématurée des membranes",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.2": {
    "code": "P01.2",
    "description": "Fœtus et nouveau-né affectés par un oligoamnios",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "oligoamnios dû à la rupture prématurée des membranes (P01.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.3": {
    "code": "P01.3",
    "description": "Fœtus et nouveau-né affectés par un hydramnios",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.4": {
    "code": "P01.4",
    "description": "Fœtus et nouveau-né affectés par une grossesse extra-utérine",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Grossesse abdominale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.5": {
    "code": "P01.5",
    "description": "Fœtus et nouveau-né affectés par une grossesse multiple",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Grossesse : • gémellaire",
      "• trigémellaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.6": {
    "code": "P01.6",
    "description": "Fœtus et nouveau-né affectés par la mort de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.7": {
    "code": "P01.7",
    "description": "Fœtus et nouveau-né affectés par une présentation anormale avant le travail",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Position instable avant le travail",
      "Présentation (de) : • face avant le travail",
      "• siège avant le travail",
      "• transverse avant le travail",
      "Version externe avant le travail"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.8": {
    "code": "P01.8",
    "description": "Fœtus et nouveau-né affectés par d’autres complications de la grossesse chez la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Avortement spontané, fœtus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P01.9": {
    "code": "P01.9",
    "description": "Fœtus et nouveau-né affectés par une complication de grossesse chez la mère, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 696,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "placenta, le cordon ombilical et les membranes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus et nouveau-né affectés par des complications concernant le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.0": {
    "code": "P02.0",
    "description": "Fœtus et nouveau-né affectés par placenta prævia",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.1": {
    "code": "P02.1",
    "description": "Fœtus et nouveau-né affectés par d’autres formes de décollement et d’hémorragie placentaires",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Décollement prématuré du placenta",
      "Hématome rétroplacentaire",
      "Hémorragie : • accidentelle",
      "• ante-partum",
      "• de la mère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion du placenta par amniocentèse, césarienne ou déclenchement chirurgical",
      "Fœtus et nouveau-né affectés par des anomalies morphologiques et fonctionnelles du placenta,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.3": {
    "code": "P02.3",
    "description": "Fœtus et nouveau-né affectés par des syndromes de transfusion placentaire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "autre transfusion transplacentaire",
      "nouveau-né."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalie du placenta et du cordon ombilical provoquant une transfusion entre jumeaux ou",
      "Utiliser, au besoin, un code supplémentaire pour indiquer les effets provoqués chez le fœtus ou le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.4": {
    "code": "P02.4",
    "description": "Fœtus et nouveau-né affectés par une insertion vélamenteuse du cordon ombilical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.5": {
    "code": "P02.5",
    "description": "Fœtus et nouveau-né affectés par d’autres formes de compression du cordon ombilical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Circulaire du cordon ombilical",
      "Nœud du cordon ombilical",
      "Torsion du cordon ombilical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.6": {
    "code": "P02.6",
    "description": "Fœtus et nouveau-né affectés par des affections du cordon ombilical, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cordon court",
      "Procidence des vaisseaux du cordon"
    ],
    "comprend": [],
    "exclusions": [
      "artère ombilicale unique (Q27.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.7": {
    "code": "P02.7",
    "description": "Fœtus et nouveau-né affectés par une chorio-amniotite",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Amniotite",
      "Membranite",
      "Placentite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.8": {
    "code": "P02.8",
    "description": "Fœtus et nouveau-né affectés par d’autres anomalies des membranes",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P02.9": {
    "code": "P02.9",
    "description": "Fœtus et nouveau-né affectés par une anomalie des membranes, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "de l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus et nouveau-né affectés par d’autres complications du travail et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P03.0": {
    "code": "P03.0",
    "description": "Fœtus et nouveau-né affectés par un accouchement et une extraction par le siège",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 697,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus et nouveau-né affectés par d’autres présentations et positions vicieuses du fœtus et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P03.2": {
    "code": "P03.2",
    "description": "Fœtus et nouveau-né affectés par un accouchement par forceps",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P03.3": {
    "code": "P03.3",
    "description": "Fœtus et nouveau-né affectés par un accouchement par extracteur pneumatique ou ventouse",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P03.4": {
    "code": "P03.4",
    "description": "Fœtus et nouveau-né affectés par un accouchement par césarienne",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "un nouveau-né normal né par césarienne bénéficie habituellement de soins supplémentaires par rapport à",
      "un nouveau-né normal né par voie basse (présence d’un pédiatre, surveillance en rapport avec les risques",
      "respiratoires, soins nécessités par la moindre autonomie de la mère...). Il est donc licite de mentionner",
      "systématiquement le code P03.4 dans le dossier de tout nouveau-né extrait par césarienne.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 92"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P03.5": {
    "code": "P03.5",
    "description": "Fœtus et nouveau-né affectés par un accouchement précipité",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rapidité de l’expulsion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P03.6": {
    "code": "P03.6",
    "description": "Fœtus et nouveau-né affectés par des contractions anormales de l’utérus",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Inertie utérine",
      "Travail hypertonique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né affecté par des troubles classés en O62.-, sauf O62.3",
      "Fœtus et nouveau-né affectés par d’autres complications précisées du travail et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P04.1": {
    "code": "P04.1",
    "description": "Fœtus et nouveau-né affectés par d’autres médicaments absorbés par la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Chimiothérapie du cancer",
      "Médicaments cytotoxiques"
    ],
    "comprend": [],
    "exclusions": [
      "dysmorphisme dû à la warfarine (Q86.2)",
      "fœtus ou nouveau-né affecté par toxicomanie de la mère (P04.4)",
      "syndrome fœtal dû à l’hydantoïne (Q86.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P04.2": {
    "code": "P04.2",
    "description": "Fœtus et nouveau-né affectés par le tabagisme de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P04.3": {
    "code": "P04.3",
    "description": "Fœtus et nouveau-né affectés par l’alcoolisme de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome d’alcoolisme fœtal (Q86.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P04.4": {
    "code": "P04.4",
    "description": "Fœtus et nouveau-né affectés par toxicomanie de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 698,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anesthésie et analgésie de la mère (P04.0)",
      "symptômes néonatals de sevrage dus à la toxicomanie de la mère (P96.1)"
    ],
    "clinical_text": [
      "Fœtus et nouveau-né affectés par une utilisation par la mère de substances chimiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P04.8": {
    "code": "P04.8",
    "description": "Fœtus et nouveau-né affectés par d’autres effets nocifs maternels",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P04.9": {
    "code": "P04.9",
    "description": "Fœtus et nouveau-né affectés par un effet nocif maternel, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Faible poids de naissance"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Il existe parfois une confusion dans l’emploi respectif des codes P05.0 Faible poids pour l’âge gestationnel et P07.0 Poids extrêmement",
      "faible à la naissance ou P07.1 Autres poids faibles à la naissance.",
      "Le libellé du code P05.0 induit de manière explicite que l’âge gestationnel est connu, alors que la catégorie P07 n’y fait pas référence.",
      "Ainsi un enfant de 1 500 g présente un poids trop faible s’il est à terme, alors que ce même poids peut être correct si l’enfant est",
      "prématuré. On emploie alors P05.0 dans le 1er cas et P07.1 dans le 2ème."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P05.0": {
    "code": "P05.0",
    "description": "Faible poids pour l’âge gestationnel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "l’âge gestationnel.",
      "Léger pour l’âge gestationnel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Se rapporte en général à un poids inférieur, mais avec taille supérieure au 10ème percentile pour"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P07.0": {
    "code": "P07.0",
    "description": "Poids extrêmement faible à la naissance",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Moins de 1000 g (jusqu’à 999 g inclusivement)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R62.8": {
    "code": "R62.8",
    "description": "Autres retards du développement physiologique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infantilisme SAI",
      "Absence de gain de poids",
      "Retard (de) : • croissance",
      "• physique",
      "• staturo-pondéral"
    ],
    "comprend": [],
    "exclusions": [
      "maladie par VIH à l’origine d’une insuffisance de croissance (B22.2)",
      "retard de développement physique dû à la malnutrition (E45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P05": {
    "code": "P05",
    "description": "Retard de croissance et malnutrition du fœtus",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P05.1": {
    "code": "P05.1",
    "description": "Petite taille pour l’âge gestationnel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "gestationnel.",
      "Petit et léger pour l’âge gestationnel",
      "Petit pour l’âge gestationnel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Se rapporte en général à un poids et une taille inférieurs au 10ème percentile pour l’âge"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P05.2": {
    "code": "P05.2",
    "description": "Malnutrition du fœtus, sans mention de léger ou petit pour l’âge gestationnel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malnutrition du fœtus, avec mention de : • léger pour l’âge gestationnel (P05.0)",
      "• petit pour l’âge gestationnel (P05.1)"
    ],
    "clinical_text": [
      "Nouveau-né, ni de faible poids ni de faible taille, pour l’âge gestationnel, présentant des signes",
      "de malnutrition fœtale tels que peau sèche, exfoliée et perte du tissu sous-cutané."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P05.9": {
    "code": "P05.9",
    "description": "Croissance lente du fœtus, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 699,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Croissance fœtale retardée SAI",
      "la naissance, non classés ailleurs",
      "au poids de naissance."
    ],
    "comprend": [
      "les états mentionnés, sans autre précision, comme cause de mortalité, de morbidité ou de soins",
      "supplémentaires du nouveau-né"
    ],
    "exclusions": [
      "faible poids de naissance dû à un retard de croissance et à une malnutrition du fœtus (P05.-)"
    ],
    "clinical_text": [
      "Anomalies liées à une brièveté de la gestation et un poids insuffisant à",
      "Note Quand le poids de naissance et l’âge gestationnel sont tous deux connus, la priorité doit alors être accordée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P07.1": {
    "code": "P07.1",
    "description": "Autres poids faibles à la naissance",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "De 1000 à 2499 g."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P07.2": {
    "code": "P07.2",
    "description": "Immaturité extrême",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Moins de 28 semaines entières de gestation (moins de 196 jours entiers)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P07.3": {
    "code": "P07.3",
    "description": "Autres enfants nés avant terme",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mais moins de 259 jours entiers).",
      "Prématurité SAI",
      "naissance",
      "au poids de naissance. [facultatif]"
    ],
    "comprend": [
      "les états mentionnés, sans autre précision, comme cause de mortalité, de morbidité ou de soins",
      "supplémentaires du fœtus ou du nouveau-né"
    ],
    "exclusions": [],
    "clinical_text": [
      "28 semaines entières ou plus mais moins de 37 semaines entières de gestation (196 jours entiers",
      "Anomalies liées à une gestation prolongée et un poids élevé à la",
      "Note Quand le poids de naissance et l’âge gestationnel sont tous deux connus, la priorité doit alors être accordée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P08.0": {
    "code": "P08.0",
    "description": "Enfant exceptionnellement gros",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Désigne en général un poids de naissance de 4500 g ou plus."
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de l’enfant de : • mère ayant un diabète de la grossesse (P70.0)",
      "• mère diabétique (P70.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P08.1": {
    "code": "P08.1",
    "description": "Autres enfants gros pour l’âge gestationnel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ou de 4000 g au plus à terme."
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de l’enfant de : • mère ayant un diabète de la grossesse (P70.0)",
      "• mère diabétique (P70.1)"
    ],
    "clinical_text": [
      "Désigne en général un poids de naissance supérieur au 90ème percentile pour l’âge gestationnel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P08.2": {
    "code": "P08.2",
    "description": "Enfant né après terme, qui n’est pas gros pour l’âge gestationnel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "jours ou plus), ni gros ni grand pour l’âge gestationnel.",
      "Postmaturité SAI",
      "obstétrical"
    ],
    "comprend": [],
    "exclusions": [
      "hémorragie intra-crânienne du • SAI (P52.9)",
      "fœtus ou du nouveau-né : • due à une anoxie ou une hypoxie (P52.-)"
    ],
    "clinical_text": [
      "Fœtus ou nouveau-né dont la durée de gestation est de 42 semaines entières ou plus (294",
      "Déchirure et hémorragie intra-crâniennes dues à un traumatisme"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.0": {
    "code": "P10.0",
    "description": "Hémorragie sous-durale due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémorragie sous-durale avec déchirure de la tente du cervelet (P10.4)"
    ],
    "clinical_text": [
      "Hématome sous-dural (localisé) dû à un traumatisme obstétrical"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.1": {
    "code": "P10.1",
    "description": "Hémorragie cérébrale due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.2": {
    "code": "P10.2",
    "description": "Hémorragie intra-ventriculaire due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.3": {
    "code": "P10.3",
    "description": "Hémorragie sous-arachnoïdienne due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.4": {
    "code": "P10.4",
    "description": "Déchirure de la tente du cervelet due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.8": {
    "code": "P10.8",
    "description": "Autres déchirures et hémorragies intra-crâniennes dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P10.9": {
    "code": "P10.9",
    "description": "Déchirure et hémorragie intra-crâniennes non précisées, dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 700,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres lésions du système nerveux central dues à un traumatisme"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.0": {
    "code": "P11.0",
    "description": "Œdème cérébral dû à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.1": {
    "code": "P11.1",
    "description": "Autres lésions cérébrales précisées, dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.2": {
    "code": "P11.2",
    "description": "Lésion cérébrale non précisée, due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.3": {
    "code": "P11.3",
    "description": "Lésion du nerf facial due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paralysie faciale due à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.4": {
    "code": "P11.4",
    "description": "Lésion des autres nerfs crâniens due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.5": {
    "code": "P11.5",
    "description": "Lésion du rachis et de la moelle épinière due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture du rachis due à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P11.9": {
    "code": "P11.9",
    "description": "Lésion du système nerveux central due à un traumatisme obstétrical, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12": {
    "code": "P12",
    "description": "Lésion du cuir chevelu due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.0": {
    "code": "P12.0",
    "description": "Céphalhématome dû à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.1": {
    "code": "P12.1",
    "description": "Hématome en chignon dû à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.2": {
    "code": "P12.2",
    "description": "Hémorragie épicrânienne sous-aponévrotique due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématome sous-galéal dû à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.3": {
    "code": "P12.3",
    "description": "Meurtrissure du cuir chevelu due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.4": {
    "code": "P12.4",
    "description": "Lésion du cuir chevelu liée à une surveillance électronique continue",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Incision pour prise d’échantillons",
      "Lésion due à la présence d’une électrode"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.8": {
    "code": "P12.8",
    "description": "Autres lésions du cuir chevelu dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P12.9": {
    "code": "P12.9",
    "description": "Lésion du cuir chevelu due à un traumatisme obstétrical, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13": {
    "code": "P13",
    "description": "Lésion du squelette due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "traumatisme obstétrical du rachis (P11.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.0": {
    "code": "P13.0",
    "description": "Fracture du crâne due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.1": {
    "code": "P13.1",
    "description": "Autres lésions du crâne dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "céphalhématome (P12.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.2": {
    "code": "P13.2",
    "description": "Lésion du fémur due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.3": {
    "code": "P13.3",
    "description": "Lésion d’autres os longs due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.4": {
    "code": "P13.4",
    "description": "Fracture de la clavicule due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.8": {
    "code": "P13.8",
    "description": "Lésions d’autres parties du squelette dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P13.9": {
    "code": "P13.9",
    "description": "Lésion du squelette due à un traumatisme obstétrical, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 701,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion du système nerveux périphérique due à un traumatisme",
      "obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P14.0": {
    "code": "P14.0",
    "description": "Paralysie de Duchenne-Erb due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P14.1": {
    "code": "P14.1",
    "description": "Paralysie de Dejerine-Klumpke due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P14.2": {
    "code": "P14.2",
    "description": "Paralysie du nerf phrénique due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P14.3": {
    "code": "P14.3",
    "description": "Autres lésions du plexus brachial dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P14.8": {
    "code": "P14.8",
    "description": "Lésions d’autres parties du système nerveux périphérique dues à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P14.9": {
    "code": "P14.9",
    "description": "Lésion du système nerveux périphérique due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15": {
    "code": "P15",
    "description": "Autres traumatismes obstétricaux",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.0": {
    "code": "P15.0",
    "description": "Traumatisme obstétrical du foie",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rupture du foie due à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.1": {
    "code": "P15.1",
    "description": "Traumatisme obstétrical de la rate",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rupture de la rate due à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.2": {
    "code": "P15.2",
    "description": "Lésion sterno-cléïdo-mastoïdienne due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.3": {
    "code": "P15.3",
    "description": "Lésion de l’œil due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Glaucome traumatique dû (due) à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie sous conjonctivale dû (due) à un traumatisme obstétrical"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.4": {
    "code": "P15.4",
    "description": "Lésion faciale due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Congestion faciale due à un traumatisme obstétrical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.5": {
    "code": "P15.5",
    "description": "Lésion des organes génitaux externes due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.6": {
    "code": "P15.6",
    "description": "Adiponécrose sous-cutanée due à un traumatisme obstétrical",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.8": {
    "code": "P15.8",
    "description": "Autres traumatismes obstétricaux précisés",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P15.9": {
    "code": "P15.9",
    "description": "Traumatisme obstétrical, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 702,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affections respiratoires et cardio-vasculaires spécifiques",
      "de la période périnatale (P20-P29)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P20": {
    "code": "P20",
    "description": "Hypoxie intra-utérine",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend acidose",
      "anoxie fœtale ou intra-utérine",
      "asphyxie fœtale ou intra-utérine",
      "détresse fœtale ou intra-utérine",
      "hypoxie fœtale ou intra-utérine",
      "anomalie du rythme cardiaque fœtal",
      "émission de méconium",
      "présence de méconium dans le liquide amniotique"
    ],
    "comprend": [],
    "exclusions": [
      "hémorragie intra-crânienne due à une anoxie ou une hypoxie (P52.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.101 : la catégorie P20 inclut la souffrance fœtale (voir l’index alphabétique de la CIM)"
    ]
  },
  "P20.0": {
    "code": "P20.0",
    "description": "Hypoxie intra-utérine constatée pour la première fois avant le début du travail",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P20.1": {
    "code": "P20.1",
    "description": "Hypoxie intra-utérine constatée pour la première fois pendant le travail et l’accouchement",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P20.9": {
    "code": "P20.9",
    "description": "Hypoxie intra-utérine, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P21": {
    "code": "P21",
    "description": "Asphyxie obstétricale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "problèmes respiratoires."
    ],
    "comprend": [],
    "exclusions": [
      "hypoxie ou asphyxie intra-utérine (P20.-)"
    ],
    "clinical_text": [
      "Note Cette catégorie ne peut pas être utilisée pour un indice d’Apgar bas sans mention d’asphyxie ou d’autres"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P21.0": {
    "code": "P21.0",
    "description": "Asphyxie obstétricale grave",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "difficile, décoloration des téguments, absence de tonicité.",
      "Asphyxie avec indice d’Apgar à une minute entre 0 et 3"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pouls inférieur à 100 par minute, à la naissance, demeurant constant ou diminuant, respiration absente ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P21.1": {
    "code": "P21.1",
    "description": "Asphyxie obstétricale légère ou modérée",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Asphyxie avec indice d’Apgar à une minute entre 4 et 7"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Absence de respiration normale au bout d’une minute, mais rythme cardiaque à 100 ou plus, présence",
      "d’une certaine tonicité musculaire, existence d’une réponse à la stimulation."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P21.9": {
    "code": "P21.9",
    "description": "Asphyxie obstétricale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Anoxie SAI",
      "Asphyxie SAI",
      "Hypoxie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P22": {
    "code": "P22",
    "description": "Détresse respiratoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "insuffisance respiratoire du nouveau-né (P28.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P22.0": {
    "code": "P22.0",
    "description": "Syndrome de détresse respiratoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Maladie des membranes hyalines du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P22.1": {
    "code": "P22.1",
    "description": "Tachypnée transitoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P22.8": {
    "code": "P22.8",
    "description": "Autres détresses respiratoires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P22.9": {
    "code": "P22.9",
    "description": "Détresse respiratoire du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 703,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23": {
    "code": "P23",
    "description": "Pneumopathie congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pneumopathie néonatale résultant d’une aspiration (P24.-)"
    ],
    "clinical_text": [
      "C omprend pneumopathie infectieuse acquise in utero ou pendant l’accouchement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.0": {
    "code": "P23.0",
    "description": "Pneumopathie congénitale due à un agent viral",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pneumopathie de la rubéole congénitale (P35.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.1": {
    "code": "P23.1",
    "description": "Pneumopathie congénitale à Chlamydia",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.2": {
    "code": "P23.2",
    "description": "Pneumopathie congénitale à staphylocoques",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.3": {
    "code": "P23.3",
    "description": "Pneumonie congénitale à streptocoques, groupe B",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.4": {
    "code": "P23.4",
    "description": "Pneumopathie congénitale à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.5": {
    "code": "P23.5",
    "description": "Pneumopathie congénitale à Pseudomonas",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.6": {
    "code": "P23.6",
    "description": "Pneumopathie congénitale due à d’autres agents bactériens",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Haemophilus influenzae",
      "Klebsiella pneumoniae",
      "Mycoplasma pneumoniae",
      "Streptocoques, sauf groupe B"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.8": {
    "code": "P23.8",
    "description": "Pneumopathie congénitale due à d’autres micro-organismes",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P23.9": {
    "code": "P23.9",
    "description": "Pneumopathie congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24": {
    "code": "P24",
    "description": "Syndromes néonatals d’aspiration",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend pneumopathie néonatale résultant d’une aspiration"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24.0": {
    "code": "P24.0",
    "description": "Aspiration néonatale de méconium",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24.1": {
    "code": "P24.1",
    "description": "Aspiration néonatale de liquide amniotique et de mucus",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aspiration de liquor amnii"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24.2": {
    "code": "P24.2",
    "description": "Aspiration néonatale de sang",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24.3": {
    "code": "P24.3",
    "description": "Aspiration néonatale de lait et d’aliments régurgités",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24.8": {
    "code": "P24.8",
    "description": "Autres syndromes néonatals d’aspiration",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P24.9": {
    "code": "P24.9",
    "description": "Syndrome néonatal d’aspiration, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pneumopathie néonatale d’aspiration SAI",
      "période périnatale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Emphysème interstitiel et affections apparentées survenant pendant la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P25.0": {
    "code": "P25.0",
    "description": "Emphysème interstitiel survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P25.1": {
    "code": "P25.1",
    "description": "Pneumothorax survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P25.2": {
    "code": "P25.2",
    "description": "Pneumomédiastin survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P25.3": {
    "code": "P25.3",
    "description": "Pneumopéricarde survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 704,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres affections apparentées à l’emphysème interstitiel survenant pendant la période"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P26": {
    "code": "P26",
    "description": "Hémorragie pulmonaire survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P26.0": {
    "code": "P26.0",
    "description": "Hémorragie trachéo-bronchique survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P26.1": {
    "code": "P26.1",
    "description": "Hémorragie pulmonaire massive survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P26.8": {
    "code": "P26.8",
    "description": "Autres hémorragies pulmonaires survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P26.9": {
    "code": "P26.9",
    "description": "Hémorragie pulmonaire non précisée survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "périnatale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Maladies respiratoires chroniques survenant pendant la période"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P27.0": {
    "code": "P27.0",
    "description": "Syndrome de Wilson-Mikity",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Dysmaturité pulmonaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P27.1": {
    "code": "P27.1",
    "description": "Dysplasie broncho-pulmonaire survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P27.8": {
    "code": "P27.8",
    "description": "Autres maladies respiratoires chroniques survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Fibrose pulmonaire congénitale",
      "Poumon de ventilation du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P27.9": {
    "code": "P27.9",
    "description": "Maladie respiratoire chronique non précisée survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Autres affections respiratoires survenant pendant la période",
      "périnatale"
    ],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de l’appareil respiratoire (Q30-Q34)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.0": {
    "code": "P28.0",
    "description": "Atélectasie primitive du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Collapsus primitif des alvéoles pulmonaires",
      "Immaturité pulmonaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hypoplasie pulmonaire associée à une brièveté de la gestation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.1": {
    "code": "P28.1",
    "description": "Atélectasies du nouveau-né, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atélectasie (de) : • SAI",
      "• partielle",
      "• résorption, sans syndrome de détresse respiratoire",
      "• secondaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.2": {
    "code": "P28.2",
    "description": "Crises de cyanose du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "apnée du nouveau-né (P28.3-P28.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.3": {
    "code": "P28.3",
    "description": "Apnée primitive du sommeil chez le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Apnée du sommeil chez le nouveau-né : • centrale",
      "• obstructive",
      "• SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.4": {
    "code": "P28.4",
    "description": "Autres apnées du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Apnée de (du) • nouveau-né, obstructive",
      "• prématurité"
    ],
    "comprend": [],
    "exclusions": [
      "apnée du sommeil obstructive du nouveau-né (P28.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.5": {
    "code": "P28.5",
    "description": "Insuffisance respiratoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 705,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.8": {
    "code": "P28.8",
    "description": "Autres affections respiratoires précisées chez le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Coryza du nouveau-né",
      "Stridor congénital (laryngé) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "rhinite syphilitique congénitale précoce (A50.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P28.9": {
    "code": "P28.9",
    "description": "Affection respiratoire du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29": {
    "code": "P29",
    "description": "Affections cardio-vasculaires survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de l’appareil circulatoire (Q20-Q28)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29.0": {
    "code": "P29.0",
    "description": "Insuffisance cardiaque du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29.1": {
    "code": "P29.1",
    "description": "Arythmie cardiaque du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29.2": {
    "code": "P29.2",
    "description": "Hypertension du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29.3": {
    "code": "P29.3",
    "description": "Persistance de la circulation fœtale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hypertension pulmonaire (persistante) du nouveau-né",
      "Obturation retardée du canal artériel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29.4": {
    "code": "P29.4",
    "description": "Ischémie transitoire du myocarde du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P29.8": {
    "code": "P29.8",
    "description": "Autres affections cardio-vasculaires survenant pendant la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "choc hypovolémique chez un enfant prématuré né à 35 semaines, pesant 1 900g et à J3 : le choc",
      "hypovolémique n’étant pas précisément décrit dans le chapitre XVI vous pouvez associer R57.1 à P29.8"
    ],
    "agora_refs": [
      "76328"
    ],
    "cocoa_notes": [
      "(AGORA - # 76328 le 7 mars 2013)"
    ]
  },
  "P29.9": {
    "code": "P29.9",
    "description": "Affection cardio-vasculaire survenant pendant la période périnatale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 706,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Infections fœto-maternelles",
      "présentent :",
      "la catégorie P20 Hypoxie intra-utérine."
    ],
    "comprend": [
      "infections acquises in utero ou pendant la naissance"
    ],
    "exclusions": [
      "infection asymptomatique par le virus de l’immunodéficience humaine [VIH] (Z21)",
      "infection gonococcique (A54.-) congénitale",
      "pneumopathie (P23.-) congénitale",
      "syphilis (A50.-) congénitale",
      "maladies : • dues au virus de l’immunodéficience humaine [VIH] (B20 à B24)",
      "• infectieuses :",
      "• acquises après la naissance (A00 à B99, J09-J11)",
      "• de la mère, cause de mortalité ou de morbidité du fœtus ou du nouveau-né ne",
      "présentant lui-même aucun signe de ces maladies (P00.2)",
      "• intestinales (A00 à A09)",
      "mise en évidence par les examens de laboratoire du virus de l’immunodéficience humaine [VIH] (R75)",
      "tétanos du nouveau-né (A33)"
    ],
    "clinical_text": [
      "Il arrive qu’un enfant fasse l’objet d’investigations pour une suspicion d’infection fœto-maternelle. À la fin du séjour 3 éventualités se",
      "– l’enfant présente une infection avérée : on emploie dans ce cas un code des catégories P35–P39 en respectant leurs exclusions et les",
      "conditions d’utilisation des codes P36 à la suite de la création des extensions créées par l’ATIH ;",
      "– seule la mère est porteuse de l’infection, l’enfant est indemne : c’est le code P00.2 Fœtus et nouveau-né affectés par des maladies",
      "infectieuses et parasitaires de la mère qui est employé ; cependant c’est le code P00.8 Fœtus et nouveau-né affectés par d’autres affections",
      "maternelles qui est à employer pour les infections de l’appareil génital de la mère ;",
      "– l’infection a été suspectée – mais non confirmée – sur la présence d’un liquide amniotique teinté. Ce signe fait partie des inclusions de",
      "ATIH – Consignes de codage – Affections du nouveau-né, Fascicule VI – p.2 - Créé le 15 février 2009",
      "congénitales, d’autre part, dans le groupe P35–P39 pour les infections spécifiques de la période néonatale. Il en résulte que la catégorie"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.102 : les maladies infectieuses du nouveau-né sont classées, d’une part dans la catégorie P23 pour les pneumopathies"
    ]
  },
  "P36": {
    "code": "P36",
    "description": "Infection bactérienne du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend sepsis congénital",
      "Sepsis",
      "défaillance d'organe (R65.1) ne doit plus être codé.",
      "l’infection. (exemple infection urinaire basse).",
      "dans le dossier médical du patient."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "À partir du 1er mars 2021 et suite à la modification de la définition du sepsis depuis 2016 (sepsis), le codage de celui-ci ne",
      "se basera plus sur le codage du syndrome de réponse inflammatoire systémique d'origine infectieuse avec défaillance",
      "d'organe (R65.1). Il sera décrit avec les codes qui comportent les termes sepsis dans leur libellé, dans les catégories A40-",
      "négatif, P36.00 Sepsis du nouveau-né à streptocoques, groupe B).",
      "En cas de sepsis et à fortiori de choc septique, le syndrome de réponse inflammatoire systémique d'origine infectieuse avec",
      "En cas d’infection hors sepsis, le syndrome de réponse inflammatoire systémique d'origine infectieuse sans défaillance",
      "d'organe (R65.0) reste accessible au codage lorsque qu’il apporte une information supplémentaire sur la sévérité de",
      "Une bactériémie isolée, sans infection d’organe ou porte d’entrée précisée ni critères de sepsis et, en dehors d’une",
      "complication suivant la pose de prothèses, d’implants et greffes internes ou cardiaques et vasculaires, ne permet pas de",
      "coder l’infection ou le sepsis. Dans ce cas un code de la catégorie A49 sera utilisé en DP. Pour une bactériémie iatrogène,",
      "on codera d’abord la complication dans T80-T88 lorsqu’elle est précisée.",
      "De façon générale, les informations propres à étayer le codage d’un diagnostic doivent être présentes dans le dossier",
      "médical du patient. S’agissant du sepsis, la référence au score SOFA est recommandée mais n’est pas nécessaire dans le",
      "cadre du codage de l’information médicale pour le PMSI. Le diagnostic de sepsis, posé par le clinicien, doit être mentionné",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 117-118"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35": {
    "code": "P35",
    "description": "Maladies virales congénitales",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.0": {
    "code": "P35.0",
    "description": "Syndrome de rubéole congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pneumopathie de la rubéole congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.1": {
    "code": "P35.1",
    "description": "Infection congénitale à cytomégalovirus",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.2": {
    "code": "P35.2",
    "description": "Infection virale congénitale herpétique [herpès simplex]",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.3": {
    "code": "P35.3",
    "description": "Hépatite virale congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.4": {
    "code": "P35.4",
    "description": "Maladie congénitale due au virus Zika",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Microcéphalie de la maladie congénitale due au virus Zika"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.8": {
    "code": "P35.8",
    "description": "Autres maladies virales congénitales",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Varicelle congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P35.9": {
    "code": "P35.9",
    "description": "Maladie virale congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 707,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.0": {
    "code": "P36.0",
    "description": "Infection du nouveau-né à streptocoques, groupe B",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.09": {
    "code": "P36.09",
    "description": "Infection non précisée du nouveau-né à streptocoques, groupe B",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.1": {
    "code": "P36.1",
    "description": "Infections du nouveau-né à streptocoques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.19": {
    "code": "P36.19",
    "description": "Infection non précisée du nouveau-né à streptocoques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.2": {
    "code": "P36.2",
    "description": "Infection du nouveau-né à staphylocoques dorés",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.29": {
    "code": "P36.29",
    "description": "Infection non précisée du nouveau-né à staphylocoques dorés",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.3": {
    "code": "P36.3",
    "description": "Infections du nouveau-né à staphylocoques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.39": {
    "code": "P36.39",
    "description": "Infection non précisée du nouveau-né à staphylocoques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.4": {
    "code": "P36.4",
    "description": "Infection du nouveau-né à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.49": {
    "code": "P36.49",
    "description": "Infection non précisée du nouveau-né à Escherichia coli",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.5": {
    "code": "P36.5",
    "description": "Infection du nouveau-né due à des anaérobies",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.59": {
    "code": "P36.59",
    "description": "Infection non précisée du nouveau-né due à des anaérobies",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 708,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.8": {
    "code": "P36.8",
    "description": "Autres infections bactériennes du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.89": {
    "code": "P36.89",
    "description": "Infection non précisée du nouveau-né due à d’autres bactéries",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.9": {
    "code": "P36.9",
    "description": "Infection bactérienne du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P36.99": {
    "code": "P36.99",
    "description": "Infection non précisée du nouveau-né, bactérie non précisée",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37": {
    "code": "P37",
    "description": "Autres maladies infectieuses et parasitaires congénitales",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "diarrhée néonatale : • SAI (A09.9)",
      "• infectieuse (A09.0)",
      "• non infectieuse (P78.3)",
      "entérocolite nécrosante du fœtus ou du nouveau-né (P77)",
      "ophtalmie gonococcique du nouveau-né (A54.3)",
      "tétanos néonatal (A33)",
      "coqueluche (A37.-)",
      "syphilis (A50.-) congénitale"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.0": {
    "code": "P37.0",
    "description": "Tuberculose congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.1": {
    "code": "P37.1",
    "description": "Toxoplasmose congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hydrocéphalie due à une toxoplasmose congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.2": {
    "code": "P37.2",
    "description": "Listériose néonatale (disséminée)",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.3": {
    "code": "P37.3",
    "description": "Paludisme congénital à Plasmodium falciparum",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.4": {
    "code": "P37.4",
    "description": "Autres formes de paludisme congénital",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.5": {
    "code": "P37.5",
    "description": "Candidose néonatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.8": {
    "code": "P37.8",
    "description": "Autres maladies infectieuses et parasitaires congénitales précisées",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P37.9": {
    "code": "P37.9",
    "description": "Maladie infectieuse ou parasitaire congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P38": {
    "code": "P38",
    "description": "Omphalite du nouveau-né, avec ou sans hémorragie légère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39": {
    "code": "P39",
    "description": "Autres infections spécifiques de la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.0": {
    "code": "P39.0",
    "description": "Mastite infectieuse du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "engorgement du sein chez le nouveau-né (P83.4)",
      "mastite non infectieuse du nouveau-né (P83.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.1": {
    "code": "P39.1",
    "description": "Conjonctivite et dacryocystite du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conjonctivite néonatale à Chlamydia",
      "Ophtalmie du nouveau-né SAI"
    ],
    "comprend": [],
    "exclusions": [
      "conjonctivite gonococcique (A54.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.2": {
    "code": "P39.2",
    "description": "Infection intra-amniotique du fœtus, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.3": {
    "code": "P39.3",
    "description": "Infection des voies urinaires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 709,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.4": {
    "code": "P39.4",
    "description": "Infection néonatale de la peau",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pyodermite néonatale"
    ],
    "comprend": [],
    "exclusions": [
      "pemphigus épidémique du nouveau-né (L00)",
      "syndrome d’épidermolyse staphylococcique du nourrisson (L00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.8": {
    "code": "P39.8",
    "description": "Autres infections spécifiques précisées de la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P39.9": {
    "code": "P39.9",
    "description": "Infection spécifique de la période périnatale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémies hémolytiques héréditaires (D55-D58)",
      "maladie de : • Crigler et Najjar (E80.5)",
      "• Dubin-Johnson (E80.6)",
      "sténose et rétrécissement congénitaux des voies biliaires (Q44.3)",
      "syndrome de Gilbert (E80.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50": {
    "code": "P50",
    "description": "Perte de sang fœtal",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anémie congénitale par perte de sang fœtal (P61.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.0": {
    "code": "P50.0",
    "description": "Perte de sang fœtal due à une insertion vélamenteuse du cordon",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.1": {
    "code": "P50.1",
    "description": "Perte de sang fœtal due à une rupture du cordon",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.2": {
    "code": "P50.2",
    "description": "Perte de sang fœtal d’origine placentaire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.3": {
    "code": "P50.3",
    "description": "Hémorragie vers un jumeau",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.4": {
    "code": "P50.4",
    "description": "Hémorragie vers la circulation maternelle",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.5": {
    "code": "P50.5",
    "description": "Perte de sang fœtal au niveau de la section du cordon d’un jumeau",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.8": {
    "code": "P50.8",
    "description": "Autres pertes de sang fœtal",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P50.9": {
    "code": "P50.9",
    "description": "Perte de sang fœtal, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie fœtale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P51": {
    "code": "P51",
    "description": "Hémorragie ombilicale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "omphalite avec hémorragie légère (P38)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P51.0": {
    "code": "P51.0",
    "description": "Hémorragie ombilicale massive du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P51.8": {
    "code": "P51.8",
    "description": "Autres hémorragies ombilicales du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glissement de la ligature ombilicale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P51.9": {
    "code": "P51.9",
    "description": "Hémorragie ombilicale du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémorragie intra-crânienne due à : • traumatisme obstétrical (P10.-)",
      "• autre lésion traumatique (S06.-)",
      "• de la mère (P00.5)"
    ],
    "clinical_text": [
      "Hémorragie intra-crânienne non traumatique du fœtus et du nouveau-",
      "C omprend hémorragie intra-crânienne due à une anoxie ou une hypoxie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.0": {
    "code": "P52.0",
    "description": "Hémorragie intra-ventriculaire (non traumatique du fœtus et du nouveau-né, degré 1",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 710,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie sous-épendymaire (sans envahissement intra-ventriculaire)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.1": {
    "code": "P52.1",
    "description": "Hémorragie intra-ventriculaire (non traumatique) du fœtus et du nouveau-né, degré 2",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie sous-épendymaire avec envahissement intra-ventriculaire"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.2": {
    "code": "P52.2",
    "description": "Hémorragie intra-ventriculaire (non traumatique) du fœtus et du nouveau-né, degré 3 et 4",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie sous-épendymaire avec extension intra-cérébrale et extension intra-ventriculaire"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.3": {
    "code": "P52.3",
    "description": "Hémorragie intra-ventriculaire (non traumatique) du fœtus et du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.4": {
    "code": "P52.4",
    "description": "Hémorragie intra-cérébrale (non traumatique) du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.5": {
    "code": "P52.5",
    "description": "Hémorragie sous-arachnoïdienne (non traumatique) du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hémorragie cérébelleuse et de la fosse postérieure (non traumatique) du fœtus et du nouveau-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.8": {
    "code": "P52.8",
    "description": "Autres hémorragies intra-crâniennes (non traumatiques) du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P52.9": {
    "code": "P52.9",
    "description": "Hémorragie intra-crânienne (non traumatique) du fœtus et du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P53": {
    "code": "P53",
    "description": "Maladie hémorragique du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Carence du nouveau-né en vitamine K"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54": {
    "code": "P54",
    "description": "Autres hémorragies néonatales",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémorragie pulmonaire survenant pendant la période périnatale (P26.-)",
      "perte de sang fœtal (P50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.0": {
    "code": "P54.0",
    "description": "Hématémèse du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "due à déglutition de sang maternel (P78.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.1": {
    "code": "P54.1",
    "description": "Mélæna du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dû à déglutition de sang maternel (P78.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.2": {
    "code": "P54.2",
    "description": "Hémorragie rectale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.3": {
    "code": "P54.3",
    "description": "Autres hémorragies gastro-intestinales du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.4": {
    "code": "P54.4",
    "description": "Hémorragie surrénalienne du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.5": {
    "code": "P54.5",
    "description": "Hémorragie cutanée du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contusions du fœtus ou du nouveau-né",
      "Ecchymoses du fœtus ou du nouveau-né",
      "Hématome superficiel du fœtus ou du nouveau-né",
      "Pétéchies du fœtus ou du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [
      "céphalhématome dû à un traumatisme obstétrical (P12.0)",
      "meurtrissure du cuir chevelu due à un traumatisme obstétrical (P12.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.6": {
    "code": "P54.6",
    "description": "Hémorragie vaginale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Fausses règles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.8": {
    "code": "P54.8",
    "description": "Autres hémorragies du nouveau-né précisées",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P54.9": {
    "code": "P54.9",
    "description": "Hémorragie du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 711,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P55": {
    "code": "P55",
    "description": "Maladie hémolytique du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Code CIM-10 à utiliser en cas d’ictère par allo(iso)immunisation d’un nouveau-né : la CIM propose P57.8 Ictère nucléaire",
      "due à une iso-immunisation ; toutefois, l’ictère nucléaire est décrit cliniquement comme une encéphalopathie. Dans le cadre",
      "d’un ictère « simple » lié à l’allo-immunisation vous emploierez la catégorie P55. L’index alphabétique renvoie à cette",
      "catégorie pour le terme « ictère nouveau-né associé à incompatibilité fœto-maternelle » (AGORA - # 69845 le 27 septembre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P55.0": {
    "code": "P55.0",
    "description": "Iso-immunisation Rh du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P55.1": {
    "code": "P55.1",
    "description": "Iso-immunisation ABO du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P55.8": {
    "code": "P55.8",
    "description": "Autres maladies hémolytiques du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P55.9": {
    "code": "P55.9",
    "description": "Maladie hémolytique du fœtus et du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P56": {
    "code": "P56",
    "description": "Anasarque fœto-placentaire due à une maladie hémolytique",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anasarque fœto-placentaire : • SAI (P83.2)",
      "• non due à une maladie hémolytique (P83.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P56.0": {
    "code": "P56.0",
    "description": "Anasarque fœto-placentaire due à une iso-immunisation",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P56.9": {
    "code": "P56.9",
    "description": "Anasarque fœto-placentaire due à des maladies hémolytiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P57": {
    "code": "P57",
    "description": "Ictère nucléaire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P57.0": {
    "code": "P57.0",
    "description": "Ictère nucléaire dû à une iso-immunisation",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P57.8": {
    "code": "P57.8",
    "description": "Autres formes précisées d’ictère nucléaire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie de Crigler et Najjar (E80.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P57.9": {
    "code": "P57.9",
    "description": "Ictère nucléaire, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58": {
    "code": "P58",
    "description": "Ictère du nouveau-né dû à d’autres hémolyses excessives",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ictère dû à une iso-immunisation (P55-P57)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.0": {
    "code": "P58.0",
    "description": "Ictère du nouveau-né dû à des contusions",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.1": {
    "code": "P58.1",
    "description": "Ictère du nouveau-né dû à un saignement",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.2": {
    "code": "P58.2",
    "description": "Ictère du nouveau-né dû à une infection",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.3": {
    "code": "P58.3",
    "description": "Ictère du nouveau-né dû à une polycythémie",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ictère du nouveau-né dû à des médicaments ou des toxines transmis par la mère ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.5": {
    "code": "P58.5",
    "description": "Ictère du nouveau-né dû à une déglutition de sang maternel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.8": {
    "code": "P58.8",
    "description": "Ictère du nouveau-né dû à d’autres hémolyses excessives précisées",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P58.9": {
    "code": "P58.9",
    "description": "Ictère du nouveau-né dû à une hémolyse excessive, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 712,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59": {
    "code": "P59",
    "description": "Ictère du nouveau-né dû à des causes autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dû à des erreurs innées du métabolisme (E70-E90)",
      "ictère nucléaire (P57.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59.0": {
    "code": "P59.0",
    "description": "Ictère du nouveau-né associé à un accouchement avant terme",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hyperbilirubinémie de la prématurité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ictère dû à un retard de la glycurono-conjugaison associée à un accouchement avant terme"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59.1": {
    "code": "P59.1",
    "description": "Syndrome de la « bile épaisse »",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59.2": {
    "code": "P59.2",
    "description": "Ictère du nouveau-né dû à des lésions hépatocellulaires, autres et sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hépatite à cellules géantes fœtale ou néonatale",
      "Hépatite (idiopathique) fœtale ou néonatale"
    ],
    "comprend": [],
    "exclusions": [
      "hépatite virale congénitale (P35.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59.3": {
    "code": "P59.3",
    "description": "Ictère du nouveau-né dû à des inhibiteurs de la lactation",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59.8": {
    "code": "P59.8",
    "description": "Ictère du nouveau-né dû à d’autres causes précisées",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P59.9": {
    "code": "P59.9",
    "description": "Ictère du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ictère physiologique (intense) (prolongé) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P60": {
    "code": "P60",
    "description": "Coagulation intra-vasculaire disséminée chez le fœtus et le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Syndrome de défibrination du fœtus ou du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61": {
    "code": "P61",
    "description": "Autres affections hématologiques de la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypogammaglobulinémie transitoire du nourrisson (D80.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.0": {
    "code": "P61.0",
    "description": "Thrombopénie du nouveau-né transitoire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Thrombopénie néonatale due à : • exsanguino-transfusion",
      "• iso-immunisation",
      "• thrombocytopénie maternelle idiopathique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.1": {
    "code": "P61.1",
    "description": "Polycythémie du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.2": {
    "code": "P61.2",
    "description": "Anémie de la prématurité",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.3": {
    "code": "P61.3",
    "description": "Anémie congénitale par perte de sang fœtal",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.4": {
    "code": "P61.4",
    "description": "Autres anémies congénitales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Anémie congénitale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.5": {
    "code": "P61.5",
    "description": "Neutropénie du nouveau-né transitoire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.6": {
    "code": "P61.6",
    "description": "Autres affections transitoires de la coagulation pendant la période néonatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.8": {
    "code": "P61.8",
    "description": "Autres affections hématologiques précisées de la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P61.9": {
    "code": "P61.9",
    "description": "Affection hématologique de la période périnatale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 713,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "nouveau-né (P70-P74)"
    ],
    "comprend": [
      "les affections endocriniennes et métaboliques transitoires causées par la réponse de l’enfant aux facteurs",
      "endocriniens et métaboliques maternels, ou son adaptation à l’existence extra-utérine",
      "Anomalies transitoires du métabolisme des glucides spécifiques du",
      "fœtus et du nouveau-né"
    ],
    "exclusions": [],
    "clinical_text": [
      "Anomalies endocriniennes et métaboliques transitoires spécifiques du fœtus et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P70.0": {
    "code": "P70.0",
    "description": "Syndrome de l’enfant dont la mère a un diabète de la grossesse",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né (avec hypoglycémie) affecté par le diabète de la grossesse de la mère",
      "La surveillance des glycémies seule n'autorise pas l'emploi du code P70.0 Syndrome de l’enfant dont la mère a un diabète",
      "de la grossesse. Si le nouveau-né ne présente pas de signes liés au diabète gestationnel de la mère, nécessitant des soins"
    ],
    "agora_refs": [
      "271569"
    ],
    "cocoa_notes": [
      "supplémentaires, alors ce code n'est pas justifié. (AGORA - # 271569 le 3 février 2025)"
    ]
  },
  "P70.1": {
    "code": "P70.1",
    "description": "Syndrome de l’enfant de mère diabétique",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fœtus ou nouveau-né (avec hypoglycémie) affecté par le diabète sucré maternel (pré-existant)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P70.2": {
    "code": "P70.2",
    "description": "Diabète sucré néonatal",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P70.3": {
    "code": "P70.3",
    "description": "Hypoglycémie néonatale iatrogène",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P70.4": {
    "code": "P70.4",
    "description": "Autres hypoglycémies néonatales",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hypoglycémie transitoire du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P70.8": {
    "code": "P70.8",
    "description": "Autres anomalies transitoires du métabolisme des glucides chez le fœtus et le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalie transitoire du métabolisme des glucides chez le fœtus et le nouveau-né, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P71.0": {
    "code": "P71.0",
    "description": "Hypocalcémie du nouveau-né, due au lait de vache",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P71.1": {
    "code": "P71.1",
    "description": "Autres hypocalcémies du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypoparathyroïdie néonatale (P71.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P71.2": {
    "code": "P71.2",
    "description": "Hypomagnésémie du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P71.3": {
    "code": "P71.3",
    "description": "Tétanie néonatale sans carence en calcium ou magnésium",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Tétanie néonatale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P71.4": {
    "code": "P71.4",
    "description": "Hypoparathyroïdie du nouveau-né transitoire",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P71.8": {
    "code": "P71.8",
    "description": "Autres anomalies transitoires du métabolisme du calcium et du magnésium du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalie transitoire du métabolisme du calcium et du magnésium du nouveau-né, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P72": {
    "code": "P72",
    "description": "Autres anomalies endocriniennes transitoires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "goitre dû à un trouble de l’hormonosynthèse (E07.1)",
      "hypothyroïdie congénitale avec ou sans goitre (E03.0-E03.1)",
      "syndrome de Pendred (E07.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P72.0": {
    "code": "P72.0",
    "description": "Goitre du nouveau-né, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Goitre congénital transitoire avec fonction thyroïdienne normale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P72.1": {
    "code": "P72.1",
    "description": "Hyperthyroïdie transitoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 714,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Thyréotoxicose néonatale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P72.2": {
    "code": "P72.2",
    "description": "Autres anomalies de la fonction thyroïdienne du nouveau-né, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hypothyroïdie transitoire néonatale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P72.8": {
    "code": "P72.8",
    "description": "Autres anomalies endocriniennes transitoires précisées du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P72.9": {
    "code": "P72.9",
    "description": "Anomalie endocrinienne transitoire du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres anomalies électrolytiques et métaboliques transitoires du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.0": {
    "code": "P74.0",
    "description": "Acidose métabolique tardive du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.1": {
    "code": "P74.1",
    "description": "Déshydratation du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.2": {
    "code": "P74.2",
    "description": "Anomalies de l’équilibre sodique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.3": {
    "code": "P74.3",
    "description": "Anomalies de l’équilibre potassique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.4": {
    "code": "P74.4",
    "description": "Autres anomalies électrolytiques transitoires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.5": {
    "code": "P74.5",
    "description": "Tyrosinémie transitoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.8": {
    "code": "P74.8",
    "description": "Autres anomalies métaboliques transitoires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P74.9": {
    "code": "P74.9",
    "description": "Anomalie métabolique transitoire du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P76": {
    "code": "P76",
    "description": "Autres occlusions intestinales du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P76.0": {
    "code": "P76.0",
    "description": "Syndrome du bouchon méconial",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [
      "iléus méconial en l’absence reconnue de fibrose kystique"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P76.1": {
    "code": "P76.1",
    "description": "Iléus transitoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie de Hirschsprung (Q43.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P76.2": {
    "code": "P76.2",
    "description": "Occlusion intestinale due à un lait épaissi",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P76.8": {
    "code": "P76.8",
    "description": "Autres occlusions intestinales précisées du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P76.9": {
    "code": "P76.9",
    "description": "Occlusion intestinale du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P77": {
    "code": "P77",
    "description": "Entérocolite nécrosante du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": true,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78": {
    "code": "P78",
    "description": "Autres affections périnatales de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémorragies gastro-intestinales néonatales (P54.0-P54.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78.0": {
    "code": "P78.0",
    "description": "Perforation intestinale périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Péritonite méconiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78.1": {
    "code": "P78.1",
    "description": "Autres péritonites du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Péritonite néonatale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78.2": {
    "code": "P78.2",
    "description": "Hématémèse et mélæna du nouveau-né dus à une déglutition de sang maternel",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 715,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78.3": {
    "code": "P78.3",
    "description": "Diarrhée non infectieuse du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "diarrhée du nouveau-né : • infectieuse (A09.0)",
      "• SAI (A09.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78.8": {
    "code": "P78.8",
    "description": "Autres affections périnatales précisées de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cirrhose congénitale (du foie)",
      "Ulcère gastro-duodénal du nouveau-né",
      "Reflux œsophagien néonatal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P78.9": {
    "code": "P78.9",
    "description": "Affection périnatale de l’appareil digestif, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "nouveau-né (P80-P83)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Affections intéressant les téguments et la régulation thermique du fœtus et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P80": {
    "code": "P80",
    "description": "Hypothermie du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P80.0": {
    "code": "P80.0",
    "description": "Syndrome hypothermique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "et des anomalies neurologiques et biochimiques."
    ],
    "comprend": [],
    "exclusions": [
      "hypothermie légère du nouveau-né (P80.8)"
    ],
    "clinical_text": [
      "Hypothermie sévère et généralement chronique associée à une coloration rosée, des œdèmes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P80.8": {
    "code": "P80.8",
    "description": "Autres formes d’hypothermie du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hypothermie légère du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P80.9": {
    "code": "P80.9",
    "description": "Hypothermie du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P81": {
    "code": "P81",
    "description": "Autres troubles de la régulation thermique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P81.0": {
    "code": "P81.0",
    "description": "Hyperthermie du nouveau-né due à l’environnement",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P81.8": {
    "code": "P81.8",
    "description": "Autres troubles précisés de la régulation thermique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P81.9": {
    "code": "P81.9",
    "description": "Trouble de la régulation thermique du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre du nouveau-né SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83": {
    "code": "P83",
    "description": "Autres affections des téguments spécifiques du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anasarque fœto-placentaire due à une maladie hémolytique (P56.-)",
      "croûte de lait (L21.0)",
      "dermite fessière du nourrisson (L22)",
      "infection néonatale de la peau (P39.4)",
      "malformations congénitales de la peau et des phanères (Q80-Q84)",
      "syndrome d’épidermolyse staphylococcique du nourrisson (L00)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.0": {
    "code": "P83.0",
    "description": "Sclérème du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.1": {
    "code": "P83.1",
    "description": "Érythème toxique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.2": {
    "code": "P83.2",
    "description": "Anasarque fœto-placentaire non due à une maladie hémolytique",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anasarque fœto-placentaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.3": {
    "code": "P83.3",
    "description": "Œdèmes, autres et sans précision, spécifiques du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.4": {
    "code": "P83.4",
    "description": "Engorgement du sein chez le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mastite non infectieuse du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.5": {
    "code": "P83.5",
    "description": "Hydrocèle congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 716,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.6": {
    "code": "P83.6",
    "description": "Polype ombilical du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.8": {
    "code": "P83.8",
    "description": "Autres affections précisées des téguments spécifiques du fœtus et du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sclérodermie néonatale",
      "Syndrome du bébé bronzé",
      "Urticaire du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P83.9": {
    "code": "P83.9",
    "description": "Affection des téguments spécifiques du fœtus et du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P90": {
    "code": "P90",
    "description": "Convulsions du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": true,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "convulsions néonatales bénignes (familiales) (G40.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91": {
    "code": "P91",
    "description": "Autres affections cérébrales du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.0": {
    "code": "P91.0",
    "description": "Ischémie cérébrale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.1": {
    "code": "P91.1",
    "description": "Kystes périventriculaires acquis du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.2": {
    "code": "P91.2",
    "description": "Leucomalacie cérébrale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.3": {
    "code": "P91.3",
    "description": "Irritabilité cérébrale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.4": {
    "code": "P91.4",
    "description": "Baisse de l’activité cérébrale du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.5": {
    "code": "P91.5",
    "description": "Coma du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.6": {
    "code": "P91.6",
    "description": "Encéphalopathie anoxo-ischémique du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Encéphalopathie hypoxique ischémique du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.7": {
    "code": "P91.7",
    "description": "Hydrocéphalie acquise du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Hydrocéphalie post-hémorragique du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.8": {
    "code": "P91.8",
    "description": "Autres affections cérébrales précisées du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P91.9": {
    "code": "P91.9",
    "description": "Affection cérébrale du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92": {
    "code": "P92",
    "description": "Problèmes alimentaires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "né a besoin de plus de 45 minutes environ par tétée. »"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code P92.2 Alimentation lente du nouveau-né décrit une « Affection pédiatrique caractérisée par le fait que le nouveau-",
      "Alors que le code P92.5 Alimentation au sein difficile chez le nouveau-né décrit une « Affection pédiatrique caractérisée par",
      "le fait que le nouveau-né a des difficultés à se nourrir au sein en raison d'une difficulté à prendre le sein, d'un mauvais",
      "réflexe de succion, d'anomalies structurelles ou d'autres problèmes. »"
    ],
    "agora_refs": [
      "224346"
    ],
    "cocoa_notes": [
      "Ce sont les définitions de la CIM-11 pour les codes équivalents. (AGORA - # 224346 le 24 janvier 2022)"
    ]
  },
  "P92.0": {
    "code": "P92.0",
    "description": "Vomissements du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.1": {
    "code": "P92.1",
    "description": "Régurgitation et mérycisme du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rumination du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.2": {
    "code": "P92.2",
    "description": "Alimentation lente du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.3": {
    "code": "P92.3",
    "description": "Sous-alimentation du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.4": {
    "code": "P92.4",
    "description": "Suralimentation du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 717,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.5": {
    "code": "P92.5",
    "description": "Alimentation au sein difficile chez le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.8": {
    "code": "P92.8",
    "description": "Autres problèmes alimentaires du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P92.9": {
    "code": "P92.9",
    "description": "Problème alimentaire du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ictère dû à des médicaments ou des toxines transmis par la mère ou donnés au",
      "nouveau-né (P58.4)",
      "réactions et intoxications dues à des opiacés, des tranquillisants et autres médicaments",
      "absorbés par la mère (P04.0-P04.1, P04.4)",
      "symptômes de sevrage dus à : • toxicomanie de la mère (P96.1)",
      "• utilisation thérapeutique de médicaments chez le",
      "nouveau-né (P96.2)"
    ],
    "clinical_text": [
      "Réactions et intoxications médicamenteuses du fœtus et du nouveau-",
      "Syndrome gris dû à l’administration de chloramphénicol au nouveau-né"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P94": {
    "code": "P94",
    "description": "Anomalies du tonus musculaire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P94.0": {
    "code": "P94.0",
    "description": "Myasthénie transitoire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myasthénie (G70.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P94.1": {
    "code": "P94.1",
    "description": "Hypertonie congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P94.2": {
    "code": "P94.2",
    "description": "Hypotonie congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Syndrome non spécifique du bébé \"poupée de son\""
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P94.8": {
    "code": "P94.8",
    "description": "Autres anomalies du tonus musculaire du nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P94.9": {
    "code": "P94.9",
    "description": "Anomalie du tonus musculaire du nouveau-né, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 718,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P95": {
    "code": "P95",
    "description": "Mort fœtale (de cause non précisée)",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Fœtus mort-né SAI",
      "Mort-né SAI",
      "ENFANTS NÉS SANS VIE",
      "moins cinq-cents grammes.",
      "d’un poids d’au moins cinq-cents grammes ;",
      "les modalités suivantes (cf. ci-dessous).",
      "fœtale avec interruption de grossesse.",
      "l’accouchement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Au nis p.102 : la catégorie P95 s’intitule mort fœtale de cause non précisée, mais le volume 2 (p.97 exemple 6) montre que",
      "son sens est plus étendu : elle peut être utilisée pour le codage des morts périnatales de cause non précisée. Nous vous",
      "conseillons néanmoins de réserver ce code aux mort-nés. Si l’enfant est né vivant, il faut coder l’affection cause du décès.",
      "Pour la production des informations concernant les enfants nés sans vie (« mort-nés ») et leur mère, la référence est la Note",
      "technique qui constitue l’annexe II de l’instruction du 26 octobre 2011 relative à la mortinatalité.",
      "Les enfants nés sans vie et les produits d’interruption de grossesse pour motif médical (IMG) donnent lieu à la production",
      "d’un résumé d’unité médicale (RUM) [la réduction de la mortalité périnatale est un objectif national de santé publique : Loi",
      "n° 2004-806 du 9 août 2004, objectif n° 45] à partir de vingt-deux semaines révolues d’aménorrhée ou d’un poids d’au",
      "L’enregistrement du diagnostic principal doit employer le code P95 de la CIM–10, à l’exclusion de tout autre, y compris, par",
      "convention, si la cause du décès est connue. Le RUM-RSS enregistre l’âge gestationnel (…), la cause de la mort. Les codes",
      "des actes éventuels, en particulier celui d’autopsie, sont saisis dans le RUM.",
      "Lorsqu’un acte d’autopsie est réalisé sur un enfant né sans vie ou sur un fœtus, l’acte est codé :",
      "• dans le RUM de l’enfant lorsqu’il en est produit, c’est-à-dire à partir de vingt-deux semaines révolues d’aménorrhée ou",
      "• dans le RUM de la mère s’il ne doit pas être produire de RUM, c’est-à-dire pour une issue de grossesse avant vingt-deux",
      "semaines révolues d’aménorrhée et d’un poids de moins de cinq-cents grammes.",
      "En cas de naissance d’un enfant mort-né hors d’un établissement de santé (domicile ou maison de naissance) un RSS devra",
      "être produit si la mère est hospitalisée. Un RSS est produit lorsque la naissance est assurée par un service mobile d’urgence",
      "et de réanimation, quel que soit son établissement d’implantation.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 92-93",
      "La catégorie P95 Mort fœtale (de cause non précisée) dont le libellé est modifié par l’ajout de parenthèses est déclinée selon",
      "Le codage de P96.4 Interruption de grossesse affectant le fœtus et le nouveau-né n’est plus nécessaire pour identifier mort",
      "ATIH 2019 - NOTICE TECHNIQUE n° CIM-MF-705-1-2019 du 23 novembre 2018 - p.5",
      "Fœtus vivant au début du travail mais dont le décès est constaté au cours du travail ou à"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96": {
    "code": "P96",
    "description": "Autres affections dont l’origine se situe dans la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.0": {
    "code": "P96.0",
    "description": "Insuffisance rénale congénitale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urémie du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.1": {
    "code": "P96.1",
    "description": "Symptômes de sevrage du nouveau-né dus à la toxicomanie de la mère",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Syndrome de sevrage chez un enfant de mère toxicomane",
      "Syndrome de sevrage néonatal"
    ],
    "comprend": [],
    "exclusions": [
      "réactions et intoxications dues à des opiacés et des tranquillisants administrés à la mère",
      "pendant le travail et l’accouchement (P04.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.2": {
    "code": "P96.2",
    "description": "Symptômes de sevrage après utilisation thérapeutique de médicaments chez le nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.3": {
    "code": "P96.3",
    "description": "Retard de fermeture des sutures crâniennes",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Craniotabès du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.4": {
    "code": "P96.4",
    "description": "Interruption de la grossesse affectant le fœtus et nouveau-né",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 719,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "interruption de la grossesse (mère) (O04.-)"
    ],
    "clinical_text": [
      "Complications consécutives à des actes à visée diagnostique et thérapeutique intra-utérins,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.8": {
    "code": "P96.8",
    "description": "Autres affections précisées dont l’origine se situe dans la période périnatale",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 720,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "P96.9": {
    "code": "P96.9",
    "description": "Affection dont l’origine se situe dans la période périnatale, sans précision",
    "dagger_star": "",
    "chapter": "Certaines affections dont l’origine se situe dans la période périnatale",
    "page": 720,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Débilité congénitale SAI",
      "Ce chapitre comprend les groupes suivants :",
      "diaphragmatiques (Q79.0) et hiatales (Q40.1),",
      "• du syndrome néphrotique congénital, classé en N04.",
      "au moment de la prise en charge.",
      "IDENTIFICATION DU POLYHANDICAP LOURD",
      "• une déficience mentale profonde ou une démence sévère ;",
      "• une mobilité réduite conséquence du trouble moteur ;",
      "• liste2 : troubles moteurs (codes du chapitre G, Q et R)"
    ],
    "comprend": [],
    "exclusions": [
      "erreurs innées du métabolisme (E70-E90)"
    ],
    "clinical_text": [
      "Le chapitre XVII […] contient les malformations congénitales et les anomalies chromosomiques dans leur ensemble, en dehors :",
      "• de la surdité et de la surdi-mutité congénitales, classées dans le chapitre VIII (H90.- et H91.3),",
      "• des troubles de l’odontogenèse et des anomalies dento-faciales classées dans le chapitre XI (K00, K07),",
      "• des hernies congénitales de la paroi abdominales également classées dans le chapitre XI (K40-K46), à l’exception des hernies",
      "En sont également absentes des entités classées dans le chapitre IV : les troubles de l’hormonosynthèse thyroïdienne (E07.1), les",
      "anomalies génito-surrénaliennes (catégorie E25) et les anomalies du métabolisme (E70-E90).",
      "Le chapitre XVII permet le codage des malformations congénitales et des anomalies chromosomiques quel que soit l’âge du patient",
      "Le polyhandicap se définit par l’association de quatre critères :",
      "• un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "• une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un appareil.",
      "Pour permettre l’identification du polyhandicap lourd dans les recueils d’informations du PMSI, quatre listes de codes de la CIM–10",
      "ont été élaborées sous le contrôle de la Société française de pédiatrie et de la Société française de neuropédiatrie :",
      "• liste 1 : déficiences mentales ou psychiatriques sévères (codes du chapitre F)",
      "• liste 3 : critères de mobilité réduite (codes des chapitres R et Z)",
      "• liste 4 : restrictions extrêmes de l’autonomie (codes des chapitres U et Z).",
      "Un code au moins de chacune des quatre listes doit être présent dans le RSS pour affirmer le polyhandicap lourd.",
      "Voir les listes et recommandations pour le codage du polyhandicap lourd sur le site Internet de l’ATIH.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 2"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.103 :"
    ]
  },
  "Q00": {
    "code": "Q00",
    "description": "Anencéphalie et malformations similaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q00.0": {
    "code": "Q00.0",
    "description": "Anencéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acéphalie",
      "Acrânie",
      "Anencéphalomyélie",
      "Hémianencéphalie",
      "Hémicéphalie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q00.1": {
    "code": "Q00.1",
    "description": "Cranio-rachischisis",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q00.2": {
    "code": "Q00.2",
    "description": "Iniencéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q01": {
    "code": "Q01",
    "description": "Encéphalocèle",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "encéphalomyélocèle",
      "hydro-encéphalocèle",
      "hydroméningocèle crânienne",
      "méningocèle cérébrale",
      "méningo-encéphalocèle"
    ],
    "exclusions": [
      "encéphalocèle acquis (G93.5)",
      "syndrome de Meckel-Gruber (Q61.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q01.0": {
    "code": "Q01.0",
    "description": "Encéphalocèle frontale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q01.1": {
    "code": "Q01.1",
    "description": "Encéphalocèle naso-frontale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q01.2": {
    "code": "Q01.2",
    "description": "Encéphalocèle occipitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q01.8": {
    "code": "Q01.8",
    "description": "Encéphalocèle d’autres localisations",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q01.9": {
    "code": "Q01.9",
    "description": "Encéphalocèle, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q02": {
    "code": "Q02",
    "description": "Microcéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Hydromicrocéphalie",
      "Micro-encéphale"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Meckel-Gruber (Q61.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q03": {
    "code": "Q03",
    "description": "Hydrocéphalie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend hydrocéphalie du nouveau-né"
    ],
    "comprend": [],
    "exclusions": [
      "hydrocéphalie : • acquise, du nouveau-né (P91.7)",
      "• acquise SAI (G91.-)",
      "• avec spina bifida (Q05.0-Q05.4)",
      "• due à toxoplasmose congénitale (P37.1)",
      "syndrome d’Arnold-Chiari (Q07.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q03.0": {
    "code": "Q03.0",
    "description": "Malformations de l’aqueduc de Sylvius",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de l’aqueduc de Sylvius",
      "Obstruction congénitale de l’aqueduc de Sylvius",
      "Sténose de l’aqueduc de Sylvius"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q03.1": {
    "code": "Q03.1",
    "description": "Atrésie des fentes de Luschka et du foramen de Magendie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 722,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Dandy-Walker"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q03.8": {
    "code": "Q03.8",
    "description": "Autres hydrocéphalies congénitales",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q03.9": {
    "code": "Q03.9",
    "description": "Hydrocéphalie congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04": {
    "code": "Q04",
    "description": "Autres malformations congénitales de l’encéphale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cyclopie (Q87.0)",
      "macrocéphalie (Q75.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.0": {
    "code": "Q04.0",
    "description": "Malformations congénitales du corps calleux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Agénésie du corps calleux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.1": {
    "code": "Q04.1",
    "description": "Arhinencéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.2": {
    "code": "Q04.2",
    "description": "Holoprosencéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.3": {
    "code": "Q04.3",
    "description": "Autres anomalies localisées du développement de l’encéphale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence d’une partie de l’encéphale",
      "Agénésie d’une partie de l’encéphale",
      "Aplasie d’une partie de l’encéphale",
      "Hypoplasie d’une partie de l’encéphale",
      "Agyrie",
      "Hydranencéphalie",
      "Lissencéphalie",
      "Microgyrie",
      "Pachygyrie"
    ],
    "comprend": [],
    "exclusions": [
      "malformations congénitales du corps calleux (Q04.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.4": {
    "code": "Q04.4",
    "description": "Dysplasie du septum et des voies optiques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.5": {
    "code": "Q04.5",
    "description": "Mégalencéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.6": {
    "code": "Q04.6",
    "description": "Kystes cérébraux congénitaux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Porencéphalie",
      "Schizencéphalie"
    ],
    "comprend": [],
    "exclusions": [
      "kyste porencéphalique acquis (G93.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.8": {
    "code": "Q04.8",
    "description": "Autres malformations congénitales précisées de l’encéphale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Macrogyrie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q04.9": {
    "code": "Q04.9",
    "description": "Malformation congénitale de l’encéphale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 723,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI de l’encéphale",
      "Anomalies multiples congénitales SAI de l’encéphale",
      "Maladie ou lésion congénitale SAI de l’encéphale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05": {
    "code": "Q05",
    "description": "Spina bifida",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend hydroméningocèle (rachidienne)",
      "méningocèle (rachidienne)",
      "méningomyélocèle",
      "myélocèle",
      "myéloméningocèle",
      "rachischisis",
      "spina bifida (aperta) (kystique)",
      "syringomyélocèle"
    ],
    "comprend": [],
    "exclusions": [
      "spina bifida occulta (Q76.0)",
      "syndrome d’Arnold-Chiari (Q07.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.0": {
    "code": "Q05.0",
    "description": "Spina bifida cervical, avec hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.1": {
    "code": "Q05.1",
    "description": "Spina bifida thoracique, avec hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Spina bifida : • dorsal avec hydrocéphalie",
      "• dorso-lombaire avec hydrocéphalie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.2": {
    "code": "Q05.2",
    "description": "Spina bifida lombaire, avec hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Spina bifida lombo-sacré avec hydrocéphalie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.3": {
    "code": "Q05.3",
    "description": "Spina bifida sacré, avec hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.4": {
    "code": "Q05.4",
    "description": "Spina bifida, avec hydrocéphalie, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.5": {
    "code": "Q05.5",
    "description": "Spina bifida cervical, sans hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.6": {
    "code": "Q05.6",
    "description": "Spina bifida thoracique, sans hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Spina bifida : • dorsal SAI",
      "• dorso-lombaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.7": {
    "code": "Q05.7",
    "description": "Spina bifida lombaire, sans hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Spina bifida lombo-sacré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.8": {
    "code": "Q05.8",
    "description": "Spina bifida sacré, sans hydrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q05.9": {
    "code": "Q05.9",
    "description": "Spina bifida, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06": {
    "code": "Q06",
    "description": "Autres malformations congénitales de la moelle épinière",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.0": {
    "code": "Q06.0",
    "description": "Amyélie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.1": {
    "code": "Q06.1",
    "description": "Hypoplasie et dysplasie de la moelle épinière",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atélomyélie",
      "Myélatélie",
      "Myélodysplasie de la moelle épinière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.2": {
    "code": "Q06.2",
    "description": "Diastématomyélie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.3": {
    "code": "Q06.3",
    "description": "Autres malformations congénitales de la queue de cheval",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.4": {
    "code": "Q06.4",
    "description": "Hydromyélie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hydrorachis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.8": {
    "code": "Q06.8",
    "description": "Autres malformations congénitales précisées de la moelle épinière",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 724,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q06.9": {
    "code": "Q06.9",
    "description": "Malformation congénitale de la moelle épinière, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalie congénitale SAI de la moelle épinière et des méninges",
      "Maladie ou lésion congénitale SAI de la moelle épinière et des méninges"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q07": {
    "code": "Q07",
    "description": "Autres malformations congénitales du système nerveux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dysautonomie familiale [Riley-Day] (G90.1)",
      "neurofibromatose (non maligne) (Q85.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q07.0": {
    "code": "Q07.0",
    "description": "Syndrome d’Arnold-Chiari",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q07.8": {
    "code": "Q07.8",
    "description": "Autres malformations congénitales précisées du système nerveux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Agénésie d’un nerf",
      "Anomalie d’un plexus nerveux",
      "Mâchoire à clignement",
      "Phénomène de Marcus Gunn"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q07.9": {
    "code": "Q07.9",
    "description": "Malformation congénitale du système nerveux, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI du système nerveux",
      "Maladie ou lésion congénitale SAI du système nerveux",
      "l’orbite"
    ],
    "comprend": [],
    "exclusions": [
      "anomalie morphologique congénitale du rachis (Q67.5)",
      "fente labiale et fente palatine (Q35 à Q37)",
      "malformation congénitale (de) : • glande : • parathyroïde (Q89.2)",
      "• thyroïde (Q89.2)",
      "• larynx (subdivisions de Q31)",
      "• lèvre NCA (Q38.0)",
      "• nez (subdivisions de Q30)",
      "• rachis cervical (Q05.0, Q05.5, Q67.5, Q76.0 à Q76.4)",
      "cryptophtalmie SAI (Q11.2)",
      "syndrome cryptophtalmique (Q87.0)"
    ],
    "clinical_text": [
      "Malformations congénitales des paupières, de l’appareil lacrymal et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.0": {
    "code": "Q10.0",
    "description": "Ptosis congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.1": {
    "code": "Q10.1",
    "description": "Ectropion congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.2": {
    "code": "Q10.2",
    "description": "Entropion congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.3": {
    "code": "Q10.3",
    "description": "Autres malformations congénitales des paupières",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ablépharie",
      "Absence ou agénésie de : • cils",
      "• paupière",
      "Blépharophimosis congénital",
      "Colobome de la paupière",
      "Malformation congénitale de la paupière SAI",
      "Muscle oculaire surnuméraire",
      "Paupière surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.4": {
    "code": "Q10.4",
    "description": "Absence et agénésie de l’appareil lacrymal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence d’orifice lacrymal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.5": {
    "code": "Q10.5",
    "description": "Sténose ou rétrécissement congénital du canal lacrymal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 725,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.6": {
    "code": "Q10.6",
    "description": "Autres malformations congénitales de l’appareil lacrymal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation congénitale de l’appareil lacrymal SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q10.7": {
    "code": "Q10.7",
    "description": "Malformation congénitale de l’orbite",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q11": {
    "code": "Q11",
    "description": "Anophtalmie, microphtalmie et macrophtalmie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q11.0": {
    "code": "Q11.0",
    "description": "Œil kystique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q11.1": {
    "code": "Q11.1",
    "description": "Autres formes d’anophtalmie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Agénésie de l’œil",
      "Aplasie de l’œil"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q11.2": {
    "code": "Q11.2",
    "description": "Microphtalmie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cryptophtalmie SAI",
      "Dysplasie de l’œil",
      "Hypoplasie de l’œil",
      "Œil rudimentaire"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome cryptophtalmique (Q87.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q11.3": {
    "code": "Q11.3",
    "description": "Macrophtalmie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "macrophtalmie au cours d’un glaucome congénital (Q15.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12": {
    "code": "Q12",
    "description": "Malformations congénitales du cristallin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.0": {
    "code": "Q12.0",
    "description": "Cataracte congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.1": {
    "code": "Q12.1",
    "description": "Luxation congénitale du cristallin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.2": {
    "code": "Q12.2",
    "description": "Colobome du cristallin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.3": {
    "code": "Q12.3",
    "description": "Aphakie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.4": {
    "code": "Q12.4",
    "description": "Sphérophakie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.8": {
    "code": "Q12.8",
    "description": "Autres malformations congénitales du cristallin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q12.9": {
    "code": "Q12.9",
    "description": "Malformation congénitale du cristallin, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13": {
    "code": "Q13",
    "description": "Malformations congénitales de la chambre antérieure de l’œil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.0": {
    "code": "Q13.0",
    "description": "Colobome de l’iris",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colobome SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.1": {
    "code": "Q13.1",
    "description": "Absence d’iris",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aniridie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.2": {
    "code": "Q13.2",
    "description": "Autres malformations congénitales de l’iris",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anisocorie congénitale",
      "Atrésie de la pupille",
      "Corectopie",
      "Ectopie pupillaire",
      "Malformation congénitale de l’iris SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.3": {
    "code": "Q13.3",
    "description": "Opacité congénitale de la cornée",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 726,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.4": {
    "code": "Q13.4",
    "description": "Autres malformations congénitales de la cornée",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de Peter",
      "Malformation congénitale de la cornée SAI",
      "Microcornée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.5": {
    "code": "Q13.5",
    "description": "Sclérotique bleue",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.8": {
    "code": "Q13.8",
    "description": "Autres malformations congénitales de la chambre antérieure de l’œil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de Rieger",
      "Syndrome d’Axenfeld-Rieger",
      "Syndrome de Rieger"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q13.9": {
    "code": "Q13.9",
    "description": "Malformation congénitale de la chambre antérieure de l’œil, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14": {
    "code": "Q14",
    "description": "Malformations congénitales de la chambre postérieure de l’œil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14.0": {
    "code": "Q14.0",
    "description": "Malformation congénitale du corps vitré",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Opacité congénitale du corps vitré"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14.1": {
    "code": "Q14.1",
    "description": "Malformation congénitale de la rétine",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme congénital de la rétine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14.2": {
    "code": "Q14.2",
    "description": "Malformation congénitale de la papille optique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colobome congénital de la papille optique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14.3": {
    "code": "Q14.3",
    "description": "Malformation congénitale de la choroïde",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14.8": {
    "code": "Q14.8",
    "description": "Autres malformations congénitales de la chambre postérieure de l’œil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Colobome du fond de l’œil"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q14.9": {
    "code": "Q14.9",
    "description": "Malformation congénitale de la chambre postérieure de l’œil, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q15": {
    "code": "Q15",
    "description": "Autres malformations congénitales de l’œil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "albinisme oculaire (E70.3)",
      "nystagmus congénital (H55)",
      "rétinite pigmentaire (H35.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q15.0": {
    "code": "Q15.0",
    "description": "Glaucome congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Buphtalmie",
      "Glaucome du nouveau-né",
      "Hydrophtalmie",
      "Kératoglobe congénital avec glaucome",
      "Macrocornée ou mégalocornée avec glaucome",
      "Macrophtalmie au cours d’un glaucome congénital"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q15.8": {
    "code": "Q15.8",
    "description": "Autres malformations congénitales précisées de l’œil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Choristome : le dictionnaire de l’Académie de médecine donne cette définition : « Lésion pseudo-tumorale",
      "formée par l’accumulation de tissus normaux dans leur nature mais anormaux par leur présence dans le site",
      "où siège l’anomalie, ici la conjonctive. » Il s’agit donc d’une hétérotopie, affection que la CIM classe avec les"
    ],
    "agora_refs": [
      "141464"
    ],
    "cocoa_notes": [
      "anomalies congénitales. Vous coderez donc Q15.8 (AGORA - # 141464 le 13 janvier 2017)"
    ]
  },
  "Q15.9": {
    "code": "Q15.9",
    "description": "Malformation congénitale de l’œil, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 727,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI de l’œil"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16": {
    "code": "Q16",
    "description": "Malformations congénitales de l’oreille avec atteinte de l’audition",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "surdité congénitale (H90.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.0": {
    "code": "Q16.0",
    "description": "Absence congénitale du pavillon de l’oreille",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.1": {
    "code": "Q16.1",
    "description": "Absence, atrésie et rétrécissement congénitaux du conduit auditif (externe)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrésie ou rétrécissement du méat auditif osseux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.2": {
    "code": "Q16.2",
    "description": "Absence de trompe d’Eustache",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.3": {
    "code": "Q16.3",
    "description": "Malformation congénitale des osselets",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coalescence des osselets"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.4": {
    "code": "Q16.4",
    "description": "Autres malformations congénitales de l’oreille moyenne",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation congénitale de l’oreille moyenne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.5": {
    "code": "Q16.5",
    "description": "Malformation congénitale de l’oreille interne",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de : • labyrinthe membraneux",
      "• organe de Corti"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q16.9": {
    "code": "Q16.9",
    "description": "Malformation congénitale de l’oreille avec atteinte de l’audition, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale de l’oreille SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17": {
    "code": "Q17",
    "description": "Autres malformations congénitales de l’oreille",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fistule préauriculaire (Q18.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.0": {
    "code": "Q17.0",
    "description": "Pavillon surnuméraire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Appendice préauriculaire",
      "Lobule surnuméraire",
      "Oreille surnuméraire",
      "Polyotie",
      "Tragus accessoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.1": {
    "code": "Q17.1",
    "description": "Macrotie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.2": {
    "code": "Q17.2",
    "description": "Microtie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.3": {
    "code": "Q17.3",
    "description": "Autres déformations de l’oreille",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Oreilles pointues"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.4": {
    "code": "Q17.4",
    "description": "Anomalie de position de l’oreille",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Position basse de l’oreille"
    ],
    "comprend": [],
    "exclusions": [
      "pavillon cervical (Q18.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.5": {
    "code": "Q17.5",
    "description": "Oreilles proéminentes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Oreille « chauve-souris »"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.8": {
    "code": "Q17.8",
    "description": "Autres malformations congénitales précisées de l’oreille",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale du lobe de l’oreille"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q17.9": {
    "code": "Q17.9",
    "description": "Malformation congénitale de l’oreille, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 728,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale de l’oreille SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18": {
    "code": "Q18",
    "description": "Autres malformations congénitales de la face et du cou",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections classées en Q67.0-Q67.4",
      "anomalies dento-faciales [y compris les malocclusions] (K07.-)",
      "cyclopie (Q87.0)",
      "fente labiale et fente palatine (Q35-Q37)",
      "malformations congénitales des os du crâne et de la face (Q75.-)",
      "persistance du canal thyréoglosse (Q89.2)",
      "syndromes congénitaux malformatifs affectant l’aspect de la face (Q87.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.0": {
    "code": "Q18.0",
    "description": "Fissure, fistule et kyste d’origine branchiale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.00": {
    "code": "Q18.00",
    "description": "Kyste de la queue du sourcil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.08": {
    "code": "Q18.08",
    "description": "Autres fissures, fistules et kystes d’origine branchiale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vestiges branchiaux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.1": {
    "code": "Q18.1",
    "description": "Fistule et kyste préauriculaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule (du) : • cervico-auriculaire",
      "• pavillon, congénitale",
      "Fistule et kyste prétragiens"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.2": {
    "code": "Q18.2",
    "description": "Autres malformations d’origine branchiale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformations de la fente branchiale SAI",
      "Otocéphalie",
      "Pavillon cervical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.3": {
    "code": "Q18.3",
    "description": "Cou palmé",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pterygium colli"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.4": {
    "code": "Q18.4",
    "description": "Macrostomie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.5": {
    "code": "Q18.5",
    "description": "Microstomie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.6": {
    "code": "Q18.6",
    "description": "Macrochéilie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrophie congénitale de la lèvre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.7": {
    "code": "Q18.7",
    "description": "Microchéilie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.8": {
    "code": "Q18.8",
    "description": "Autres malformations congénitales précisées de la face et du cou",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule médiane de la face et du cou",
      "Kyste médian de la face et du cou",
      "Sinus médian de la face et du cou"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q18.9": {
    "code": "Q18.9",
    "description": "Malformation congénitale de la face et du cou, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 729,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale de la face et du cou SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20": {
    "code": "Q20",
    "description": "Malformations congénitales des cavités et des orifices cardiaques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dextrocardie avec situs inversus (Q89.3)",
      "disposition auriculaire en miroir avec situs inversus (Q89.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.0": {
    "code": "Q20.0",
    "description": "Tronc artériel commun",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Persistance du tronc artériel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.1": {
    "code": "Q20.1",
    "description": "Ventricule droit à double issue",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Taussig-Bing"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.2": {
    "code": "Q20.2",
    "description": "Ventricule gauche à double issue",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.3": {
    "code": "Q20.3",
    "description": "Communication ventriculo-auriculaire discordante",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dextroposition de l’aorte",
      "Transposition des gros vaisseaux (complète)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.4": {
    "code": "Q20.4",
    "description": "Ventricule à double issue",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cœur triloculaire biauriculaire",
      "Ventricule : • commun",
      "• unique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.5": {
    "code": "Q20.5",
    "description": "Communication auriculo-ventriculaire discordante",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Inversion ventriculaire",
      "Transposition : • corrigée",
      "• gauche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.6": {
    "code": "Q20.6",
    "description": "Isomérie des auricules cardiaques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Isomérie des auricules cardiaques avec asplénie ou polysplénie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.8": {
    "code": "Q20.8",
    "description": "Autres malformations congénitales des cavités et des orifices cardiaques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q20.9": {
    "code": "Q20.9",
    "description": "Malformation congénitale des cavités et des orifices cardiaques, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21": {
    "code": "Q21",
    "description": "Malformations congénitales des cloisons cardiaques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalie du septum cardiaque, acquise (I51.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.0": {
    "code": "Q21.0",
    "description": "Communication interventriculaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.1": {
    "code": "Q21.1",
    "description": "Communication interauriculaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation du sinus : • coronaire",
      "• veineux",
      "• ostium secundum (type II)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perméabilité ou persistance de : • foramen ovale [FOP] [Trou de Botal]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.2": {
    "code": "Q21.2",
    "description": "Communication auriculo-ventriculaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canal auriculo-ventriculaire commun",
      "Malformation des replis endocardiques",
      "Persistance de l’ostium primum (type I)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.3": {
    "code": "Q21.3",
    "description": "Tétralogie de Fallot",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 730,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "et hypertrophie du ventricule droit."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Communication interventriculaire avec sténose ou atrésie pulmonaire, dextroposition de l’aorte"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.4": {
    "code": "Q21.4",
    "description": "Communication aorto-pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule aorto-pulmonaire",
      "Malformation du septum aortique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.8": {
    "code": "Q21.8",
    "description": "Autres malformations congénitales des cloisons cardiaques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation cardiaque congénitale d’Eisenmenger",
      "Pentalogie de Fallot"
    ],
    "comprend": [],
    "exclusions": [
      "complexe d’Eisenmenger (I27.8)",
      "syndrome d’Eisenmenger (I27.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q21.9": {
    "code": "Q21.9",
    "description": "Malformation congénitale d’une cloison cardiaque, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Communication (cardiaque) SAI",
      "tricuspide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malformations congénitales de la valve pulmonaire et de la valvule"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.0": {
    "code": "Q22.0",
    "description": "Atrésie de la valve pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.1": {
    "code": "Q22.1",
    "description": "Sténose congénitale de la valve pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.2": {
    "code": "Q22.2",
    "description": "Insuffisance congénitale de la valve pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Reflux congénital au niveau de la valve pulmonaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.3": {
    "code": "Q22.3",
    "description": "Autres malformations congénitales de la valve pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation congénitale de la valve pulmonaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.4": {
    "code": "Q22.4",
    "description": "Sténose congénitale de la valvule tricuspide",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrésie de la valvule tricuspide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.5": {
    "code": "Q22.5",
    "description": "Maladie d’Ebstein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.6": {
    "code": "Q22.6",
    "description": "Hypoplasie du cœur droit",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.8": {
    "code": "Q22.8",
    "description": "Autres malformations congénitales de la valvule tricuspide",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q22.9": {
    "code": "Q22.9",
    "description": "Malformation congénitale de la valvule tricuspide, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23": {
    "code": "Q23",
    "description": "Malformations congénitales des valvules aortique et mitrale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.0": {
    "code": "Q23.0",
    "description": "Sténose congénitale de la valvule aortique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrésie aortique congénitale",
      "Sténose aortique congénitale"
    ],
    "comprend": [],
    "exclusions": [
      "au cours d’hypoplasie du cœur gauche (Q23.4)",
      "sténose sous-aortique congénitale (Q24.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.1": {
    "code": "Q23.1",
    "description": "Insuffisance congénitale de la valvule aortique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insuffisance aortique congénitale",
      "Valvule aortique bicuspide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.2": {
    "code": "Q23.2",
    "description": "Sténose mitrale congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrésie mitrale congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.3": {
    "code": "Q23.3",
    "description": "Insuffisance mitrale congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.4": {
    "code": "Q23.4",
    "description": "Hypoplasie du cœur gauche",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 731,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mitrale)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Atrésie ou hypoplasie marquée de l’orifice ou de la valvule aortique, associée à une hypoplasie de l’aorte",
      "ascendante et à un défaut de développement du ventricule gauche (avec sténose ou atrésie de la valvule"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.8": {
    "code": "Q23.8",
    "description": "Autres malformations congénitales des valvules aortique et mitrale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q23.9": {
    "code": "Q23.9",
    "description": "Malformation congénitale des valvules aortique et mitrale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24": {
    "code": "Q24",
    "description": "Autres malformations congénitales cardiaques",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fibroélastose endocardique (I42.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.0": {
    "code": "Q24.0",
    "description": "Dextrocardie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dextrocardie avec situs inversus (Q89.3)",
      "disposition auriculaire en miroir avec situs inversus (Q89.3)",
      "isomérisme des auricules cardiaques (avec asplénie ou polysplénie) (Q20.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.1": {
    "code": "Q24.1",
    "description": "Lévocardie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cœur situé dans l’hémithorax gauche avec apex pointant à gauche, avec situs inversus des autres viscères",
      "et anomalie cardiaque ou correction d’une transposition des gros vaisseaux"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.2": {
    "code": "Q24.2",
    "description": "Cœur triatrial",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.3": {
    "code": "Q24.3",
    "description": "Sténose de l’infundibulum pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.4": {
    "code": "Q24.4",
    "description": "Sténose sous-aortique congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.5": {
    "code": "Q24.5",
    "description": "Malformation des vaisseaux coronaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme congénital coronaire (artère)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.6": {
    "code": "Q24.6",
    "description": "Bloc congénital du cœur",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.8": {
    "code": "Q24.8",
    "description": "Autres malformations cardiaques congénitales précisées",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticule congénital du ventricule gauche",
      "Malformation congénitale du : • myocarde",
      "• péricarde",
      "Malposition du cœur",
      "Syndrome de Uhl"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q24.9": {
    "code": "Q24.9",
    "description": "Malformation cardiaque congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie cardiaque congénitale SAI",
      "Cardiopathie congénitale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25": {
    "code": "Q25",
    "description": "Malformations congénitales des gros vaisseaux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.0": {
    "code": "Q25.0",
    "description": "Perméabilité du canal artériel",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Perméabilité du canal de Botal",
      "Persistance du canal artériel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.1": {
    "code": "Q25.1",
    "description": "Coarctation de l’aorte",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Coarctation de l’isthme aortique (avant le canal) (après le canal)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.2": {
    "code": "Q25.2",
    "description": "Atrésie de l’aorte",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.3": {
    "code": "Q25.3",
    "description": "Sténose de l’aorte",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 732,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose aortique supra-valvulaire"
    ],
    "comprend": [],
    "exclusions": [
      "sténose congénitale de la valvule aortique (Q23.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.4": {
    "code": "Q25.4",
    "description": "Autres malformations congénitales de l’aorte",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de l’aorte",
      "Anévrisme congénital de l’aorte",
      "Dilatation congénitale de l’aorte",
      "Aplasie de l’aorte",
      "Anévrisme du sinus de Valsalva (rompu)",
      "Double arc aortique [anneau vasculaire de l’aorte]",
      "Hypoplasie de l’aorte",
      "Persistance de : • arc aortique droit",
      "• convolution de l’arc aortique"
    ],
    "comprend": [],
    "exclusions": [
      "hypoplasie aortique associée à une hypoplasie du cœur gauche (Q23.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.5": {
    "code": "Q25.5",
    "description": "Atrésie de l’artère pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.6": {
    "code": "Q25.6",
    "description": "Sténose de l’artère pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sténose pulmonaire supra-valvulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.7": {
    "code": "Q25.7",
    "description": "Autres malformations congénitales de l’artère pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Agénésie de l’artère pulmonaire",
      "Anévrisme congénital de l’artère pulmonaire",
      "Anomalie de l’artère pulmonaire",
      "Hypoplasie de l’artère pulmonaire",
      "Anévrisme pulmonaire artério-veineux",
      "Artère pulmonaire aberrante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.8": {
    "code": "Q25.8",
    "description": "Autres malformations congénitales des gros vaisseaux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q25.9": {
    "code": "Q25.9",
    "description": "Malformation congénitale des gros vaisseaux, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26": {
    "code": "Q26",
    "description": "Malformations congénitales des grandes veines",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.0": {
    "code": "Q26.0",
    "description": "Sténose congénitale de la veine cave",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sténose congénitale de la veine cave (inférieure) (supérieure)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.1": {
    "code": "Q26.1",
    "description": "Persistance de la veine cave supérieure gauche",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.2": {
    "code": "Q26.2",
    "description": "Retour veineux pulmonaire anormal total",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.3": {
    "code": "Q26.3",
    "description": "Retour veineux pulmonaire anormal partiel",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.4": {
    "code": "Q26.4",
    "description": "Retour veineux pulmonaire anormal, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.5": {
    "code": "Q26.5",
    "description": "Retour veineux portal anormal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.6": {
    "code": "Q26.6",
    "description": "Fistule entre la veine porte et l’artère hépatique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.8": {
    "code": "Q26.8",
    "description": "Autres malformations congénitales des grandes veines",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de veine cave (inférieure) (supérieure)",
      "Persistance de la veine cardinale postérieure gauche",
      "Syndrome du cimeterre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Continuation de la veine cave inférieure dans la veine azygos"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q26.9": {
    "code": "Q26.9",
    "description": "Malformation congénitale d’une grande veine, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 733,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de la veine cave (inférieure) (supérieure) SAI",
      "Autres malformations congénitales de l’appareil circulatoire",
      "périphérique"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme congénital de la rétine (Q14.1)",
      "anomalies de : • artère pulmonaire (Q25.5-Q25.7)",
      "• vaisseaux cérébraux et précérébraux (Q28.0-Q28.3)",
      "• vaisseaux coronaires (Q24.5)",
      "hémangiome et lymphangiome (D18.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.0": {
    "code": "Q27.0",
    "description": "Absence congénitale et hypoplasie de l’artère ombilicale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Artère ombilicale unique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.1": {
    "code": "Q27.1",
    "description": "Sténose congénitale de l’artère rénale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.2": {
    "code": "Q27.2",
    "description": "Autres malformations congénitales de l’artère rénale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Artères rénales multiples",
      "Malformation congénitale de l’artère rénale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.3": {
    "code": "Q27.3",
    "description": "Malformation artérioveineuse périphérique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme artério-veineux"
    ],
    "comprend": [],
    "exclusions": [
      "anévrisme artério-veineux acquis (I77.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.4": {
    "code": "Q27.4",
    "description": "Phlébectasie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.8": {
    "code": "Q27.8",
    "description": "Autres malformations congénitales précisées de l’appareil circulatoire périphérique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence d’une artère ou d’une veine NCA",
      "Atrésie d’une artère ou d’une veine NCA",
      "Anévrisme (périphérique) congénital",
      "Rétrécissement artériel congénital",
      "Varice congénitale",
      "Artère sous-clavière aberrante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q27.9": {
    "code": "Q27.9",
    "description": "Malformation congénitale de l’appareil circulatoire périphérique, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie artérielle ou veineuse SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28": {
    "code": "Q28",
    "description": "Autres malformations congénitales de l’appareil circulatoire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anévrisme congénital: • SAI (Q27.8)",
      "• coronaire (Q24.5)",
      "• périphérique (Q27.8)",
      "• pulmonaire (Q25.7)",
      "• rétinien (Q14.1)",
      "rupture de malformation (de) : • cérébrale (artérioveineuse) (I60.8)",
      "• vaisseaux précérébraux (I72.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28.0": {
    "code": "Q28.0",
    "description": "Malformation artérioveineuse de vaisseaux précérébraux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme artério-veineux précérébral congénital (non rompu)",
      "sinus pericranii (Agora - Laurence DURIF le 18 octobre 2013)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28.1": {
    "code": "Q28.1",
    "description": "Autres malformations des vaisseaux précérébraux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme précérébral congénital (non rompu)",
      "Malformation congénitale des vaisseaux précérébraux SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28.2": {
    "code": "Q28.2",
    "description": "Malformation artérioveineuse des vaisseaux cérébraux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 734,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anévrisme artério-veineux cérébral congénital (non rompu)",
      "Malformation artérioveineuse du cerveau SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28.3": {
    "code": "Q28.3",
    "description": "Autres malformations des vaisseaux cérébraux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Anévrisme cérébral congénital (non rompu)",
      "Malformation congénitale des vaisseaux cérébraux SAI",
      "Angiome caverneux (Orphanet)",
      "Cavernome cérébral (Orphanet)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cavernomatose familiale héréditaire (autosomique dominante) (Orphanet)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28.8": {
    "code": "Q28.8",
    "description": "Autres malformations congénitales précisées de l’appareil circulatoire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anévrisme congénital, localisation précisée NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q28.9": {
    "code": "Q28.9",
    "description": "Malformation congénitale de l’appareil circulatoire, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30": {
    "code": "Q30",
    "description": "Malformations congénitales du nez",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déviation congénitale de la cloison nasale (Q67.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30.0": {
    "code": "Q30.0",
    "description": "Atrésie des choanes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atrésie d’un orifice nasal (antérieur) (postérieur)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sténose congénitale d’un orifice nasal (antérieur) (postérieur)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30.1": {
    "code": "Q30.1",
    "description": "Agénésie et hypoplasie du nez",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale du nez"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30.2": {
    "code": "Q30.2",
    "description": "Fissure, échancrure et fente nasales",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30.3": {
    "code": "Q30.3",
    "description": "Perforation congénitale de la cloison nasale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30.8": {
    "code": "Q30.8",
    "description": "Autres malformations congénitales du nez",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale de la paroi des sinus de la face",
      "Nez surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q30.9": {
    "code": "Q30.9",
    "description": "Malformation congénitale du nez, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31": {
    "code": "Q31",
    "description": "Malformations congénitales du larynx",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "Stridor laryngé congénital SAI (P28.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.0": {
    "code": "Q31.0",
    "description": "Ptérygion du larynx",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ptérygion du larynx : • SAI",
      "• glottique",
      "• sous-glottique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.1": {
    "code": "Q31.1",
    "description": "Sténose sous-glottique congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.2": {
    "code": "Q31.2",
    "description": "Hypoplasie du larynx",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.3": {
    "code": "Q31.3",
    "description": "Laryngocèle",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.5": {
    "code": "Q31.5",
    "description": "Laryngomalacie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 735,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.8": {
    "code": "Q31.8",
    "description": "Autres malformations congénitales du larynx",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Absence",
      "Atrésie",
      "Fissure (de) : • cartilage thyroïdien",
      "• épiglotte",
      "• postérieure du cartilage cricoïde",
      "Sténose congénitale du larynx NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Agénésie de cartilage cricoïde, de l’épiglotte, de la glotte, du larynx ou du cartilage thyroïdien"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q31.9": {
    "code": "Q31.9",
    "description": "Malformation congénitale du larynx, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q32": {
    "code": "Q32",
    "description": "Malformations congénitales de la trachée et des bronches",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bronchiectasie congénitale (Q33.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q32.0": {
    "code": "Q32.0",
    "description": "Trachéomalacie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q32.1": {
    "code": "Q32.1",
    "description": "Autres malformations congénitales de la trachée",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie du cartilage trachéal",
      "Atrésie de la trachée",
      "Dilatation congénitale de la trachée",
      "Malformation congénitale de la trachée",
      "Sténose congénitale de la trachée",
      "Trachéocèle congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q32.2": {
    "code": "Q32.2",
    "description": "Bronchomalacie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q32.3": {
    "code": "Q32.3",
    "description": "Sténose bronchique congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q32.4": {
    "code": "Q32.4",
    "description": "Autres malformations congénitales des bronches",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence des bronches",
      "Agénésie des bronches",
      "Atrésie des bronches",
      "Malformation congénitale SAI des bronches",
      "Diverticule bronchique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33": {
    "code": "Q33",
    "description": "Malformations congénitales du poumon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.0": {
    "code": "Q33.0",
    "description": "Poumon kystique congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Maladie : • kystique congénitale du poumon",
      "• polykystique congénitale du poumon",
      "Poumon en nid d’abeille, congénital"
    ],
    "comprend": [],
    "exclusions": [
      "affection kystique pulmonaire, acquise ou sans précision (J98.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.1": {
    "code": "Q33.1",
    "description": "Lobe pulmonaire surnuméraire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.2": {
    "code": "Q33.2",
    "description": "Séquestration pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.3": {
    "code": "Q33.3",
    "description": "Agénésie du poumon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Absence de poumon (lobe)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.4": {
    "code": "Q33.4",
    "description": "Bronchectasie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.5": {
    "code": "Q33.5",
    "description": "Tissu ectopique intra-pulmonaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.6": {
    "code": "Q33.6",
    "description": "Hypoplasie et dysplasie du poumon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 736,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypoplasie pulmonaire associée à une brièveté de la gestation (P28.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.8": {
    "code": "Q33.8",
    "description": "Autres malformations congénitales du poumon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q33.9": {
    "code": "Q33.9",
    "description": "Malformation congénitale du poumon, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q34.0": {
    "code": "Q34.0",
    "description": "Anomalie de la plèvre",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q34.1": {
    "code": "Q34.1",
    "description": "Kyste congénital du médiastin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q34.8": {
    "code": "Q34.8",
    "description": "Autres malformations congénitales précisées de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Atrésie du rhinopharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q34.9": {
    "code": "Q34.9",
    "description": "Malformation congénitale de l’appareil respiratoire, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale d’organes respiratoires",
      "Anomalie SAI congénitale d’organes respiratoires"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Pierre Robin (Q87.0)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire (Q30.2) pour identifier les malformations du nez associées."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q35": {
    "code": "Q35",
    "description": "Fente palatine",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend fissure du palais",
      "palatoschisis",
      "SM Q35.1 Fente de la voûte du palais",
      "Fente de la voûte palatine SAI",
      "SM Q35.3 Fente du voile du palais",
      "Fente du voile du palais SAI",
      "SM Q35.5 Fente de la voûte et du voile du palais",
      "Fente de la voûte et du voile du palais SAI",
      "SM Q35.7 Fente de la luette",
      "SM Q35.9 Fente du palais, sans précision",
      "Fente du palais SAI"
    ],
    "comprend": [],
    "exclusions": [
      "fente labio-palatine (Q37.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q36": {
    "code": "Q36",
    "description": "Fente labiale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 737,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend bec-de-lièvre",
      "cheiloschisis",
      "fissure labiale congénitale",
      "SM Q36.0 Fente labiale bilatérale",
      "SM Q36.1 Fente labiale médiane",
      "SM Q36.9 Fente labiale unilatérale",
      "Fente labiale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "fente labio-palatine (Q37.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q37": {
    "code": "Q37",
    "description": "Fente labio-palatine",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 738,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Fente labiale avec fente de la voûte du palais SAI",
      "Fente labiale avec fente du voile du palais SAI",
      "Fente labio-palatine SAI",
      "pharynx"
    ],
    "comprend": [],
    "exclusions": [
      "macrostomie (Q18.4)",
      "microstomie (Q18.5)"
    ],
    "clinical_text": [
      "SM Q37.0 Fente labiale bilatérale avec fente de la voûte du palais",
      "SM Q37.1 Fente labiale unilatérale avec fente de la voûte du palais",
      "SM Q37.2 Fente labiale bilatérale avec fente du voile du palais",
      "SM Q37.3 Fente labiale unilatérale avec fente du voile du palais",
      "SM Q37.4 Fente labiale bilatérale avec fente du voile et de la voûte du palais",
      "SM Q37.5 Fente labiale unilatérale avec fente du voile et de la voûte du palais",
      "Fente labiale avec fente du voile et de la voûte du palais SAI",
      "SM Q37.8 Fente labiale bilatérale avec fente palatine, sans précision",
      "SM Q37.9 Fente labiale unilatérale avec fente palatine, sans précision",
      "Autres malformations congénitales de la langue, de la bouche et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.0": {
    "code": "Q38.0",
    "description": "Malformations congénitales des lèvres, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 738,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule congénitale de la lèvre",
      "Malformation congénitale de la lèvre SAI",
      "Syndrome de Van der Woude"
    ],
    "comprend": [],
    "exclusions": [
      "fente : • labiale (Q36.-)",
      "• labio-palatine (Q37.-)",
      "macrocheilie (Q18.6)",
      "microcheilie (Q18.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.1": {
    "code": "Q38.1",
    "description": "Ankyloglossie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 738,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brièveté anormale du frein de la langue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.2": {
    "code": "Q38.2",
    "description": "Macroglossie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 738,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.3": {
    "code": "Q38.3",
    "description": "Autres malformations congénitales de la langue",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérence congénitale de la langue",
      "Fissure congénitale de la langue",
      "Malformation SAI congénitale de la langue",
      "Aglossie",
      "Hypoglossie",
      "Hypoplasie de la langue",
      "Langue bifide",
      "Microglossie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.4": {
    "code": "Q38.4",
    "description": "Malformations congénitales des glandes et des canaux salivaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de glandes ou de canaux salivaires",
      "Atrésie de glandes ou de canaux salivaires",
      "Fistule congénitale des glandes salivaires",
      "Glandes ou canaux salivaires surnuméraires",
      "Absence de luette",
      "Malformation congénitale du palais SAI",
      "Palais ogival"
    ],
    "comprend": [],
    "exclusions": [
      "fente : • labio-palatine (Q37.-)",
      "• palatine (Q35.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.6": {
    "code": "Q38.6",
    "description": "Autres malformations congénitales de la bouche",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation congénitale de la bouche SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.7": {
    "code": "Q38.7",
    "description": "Poche pharyngée",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticule du pharynx"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de la poche branchiale (D82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q38.8": {
    "code": "Q38.8",
    "description": "Autres malformations congénitales du pharynx",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation congénitale du pharynx SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39": {
    "code": "Q39",
    "description": "Malformations congénitales de l’œsophage",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.0": {
    "code": "Q39.0",
    "description": "Atrésie de l’œsophage, sans fistule",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrésie de l’œsophage SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.1": {
    "code": "Q39.1",
    "description": "Atrésie de l’œsophage avec fistule trachéo-œsophagienne",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrésie de l’œsophage avec fistule broncho-œsophagienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.2": {
    "code": "Q39.2",
    "description": "Fistule trachéo-œsophagienne congénitale, sans atrésie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule trachéo-œsophagienne congénitale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.3": {
    "code": "Q39.3",
    "description": "Sténose et rétrécissement congénitaux de l’œsophage",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.4": {
    "code": "Q39.4",
    "description": "Ptérygion congénital de l’œsophage",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ptérygion (acquis) de l’œsophage (K22.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.5": {
    "code": "Q39.5",
    "description": "Dilatation congénitale de l’œsophage",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.6": {
    "code": "Q39.6",
    "description": "Diverticule de l’œsophage",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 739,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Poche œsophagienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.8": {
    "code": "Q39.8",
    "description": "Autres malformations congénitales de l’œsophage",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de l’œsophage",
      "Dédoublement de l’œsophage",
      "Déplacement congénital de l’œsophage"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q39.9": {
    "code": "Q39.9",
    "description": "Malformation congénitale de l’œsophage, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40": {
    "code": "Q40",
    "description": "Autres malformations congénitales des voies digestives supérieures",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40.0": {
    "code": "Q40.0",
    "description": "Sténose hypertrophique congénitale du pylore",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Constriction congénital(e) ou infantile du pylore",
      "Hypertrophie congénital(e) ou infantile du pylore",
      "Rétrécissement congénital(e) ou infantile du pylore",
      "Spasme congénital(e) ou infantile du pylore",
      "Sténose congénital(e) ou infantile du pylore",
      "Glissement du cardia à travers le hiatus œsophagien"
    ],
    "comprend": [],
    "exclusions": [
      "hernie diaphragmatique congénitale (Q79.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40.1": {
    "code": "Q40.1",
    "description": "Hernie hiatale congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Glissement du cardia à travers le hiatus œsophagien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "A l’exclusion de : hernie diaphragmatique congénitale (Q79.0)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40.2": {
    "code": "Q40.2",
    "description": "Autres malformations congénitales précisées de l’estomac",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dédoublement de l’estomac",
      "Déplacement congénital de l’estomac",
      "Diverticule congénital de l’estomac",
      "Estomac en sablier, congénital",
      "Mégalogastrie",
      "Microgastrie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40.3": {
    "code": "Q40.3",
    "description": "Malformation congénitale de l’estomac, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40.8": {
    "code": "Q40.8",
    "description": "Autres malformations congénitales précisées des voies digestives supérieures",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q40.9": {
    "code": "Q40.9",
    "description": "Malformation congénitale des voies digestives supérieures, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI des voies digestives supérieures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q41": {
    "code": "Q41",
    "description": "Absence, atrésie et sténose congénitales de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "iléus méconial (E84.1)"
    ],
    "clinical_text": [
      "C omprend obstruction, occlusion et rétrécissement congénitaux de l’intestin grêle ou de l’intestin SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q41.0": {
    "code": "Q41.0",
    "description": "Absence, atrésie et sténose congénitales du duodénum",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q41.1": {
    "code": "Q41.1",
    "description": "Absence, atrésie et sténose congénitales du jéjunum",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Imperforation du jéjunum",
      "Syndrome de la pelure de pomme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q41.2": {
    "code": "Q41.2",
    "description": "Absence, atrésie et sténose congénitales de l’iléon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q41.8": {
    "code": "Q41.8",
    "description": "Absence, atrésie et sténose congénitales d’autres localisations précisées de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q41.9": {
    "code": "Q41.9",
    "description": "Absence, atrésie et sténose congénitales de l’intestin grêle, sans précision de localisation",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 740,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Absence, atrésie et sténose congénitales de l’intestin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42": {
    "code": "Q42",
    "description": "Absence, atrésie et sténose congénitales du côlon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend occlusion, obstruction et rétrécissement congénitaux du côlon"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42.0": {
    "code": "Q42.0",
    "description": "Absence, atrésie et sténose congénitales du rectum, avec fistule",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42.1": {
    "code": "Q42.1",
    "description": "Absence, atrésie et sténose congénitales du rectum, sans fistule",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Imperforation du rectum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42.2": {
    "code": "Q42.2",
    "description": "Absence, atrésie et sténose congénitales de l’anus, avec fistule",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42.3": {
    "code": "Q42.3",
    "description": "Absence, atrésie et sténose congénitales de l’anus, sans fistule",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Imperforation anale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42.8": {
    "code": "Q42.8",
    "description": "Absence, atrésie et sténose congénitales d’autres localisations du côlon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q42.9": {
    "code": "Q42.9",
    "description": "Absence, atrésie et sténose congénitales du côlon, sans précision de localisation",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43": {
    "code": "Q43",
    "description": "Autres malformations congénitales de l’intestin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.0": {
    "code": "Q43.0",
    "description": "Diverticule de Meckel",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Persistance du canal : • omphalo-mésentérique",
      "• vitellin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.1": {
    "code": "Q43.1",
    "description": "Maladie de Hirschsprung",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aganglionose",
      "Mégacôlon congénital (sans ganglion)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.2": {
    "code": "Q43.2",
    "description": "Autres anomalies fonctionnelles congénitales du côlon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dilatation congénitale du côlon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.3": {
    "code": "Q43.3",
    "description": "Malformations congénitales de fixation de l’intestin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adhérences [brides] congénitales : • épiploïques anormales",
      "• péritonéales",
      "Malrotation du côlon",
      "Membrane de Jackson",
      "Mésentère universel",
      "Rotation : • absente du cæcum et du côlon",
      "• incomplète du cæcum et du côlon",
      "• insuffisante du cæcum et du côlon",
      "2014)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Chilaiditi (interposition colique hépato-diaphragmatique droite) (AGORA - # 102464 le 12 juin"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.4": {
    "code": "Q43.4",
    "description": "Duplication de l’intestin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.5": {
    "code": "Q43.5",
    "description": "Ectopie de l’anus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.6": {
    "code": "Q43.6",
    "description": "Fistule congénitale du rectum et de l’anus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec absence, atrésie et sténose (Q42.0, Q42.2)",
      "fistule congénitale : • recto-urétrale (Q64.7)",
      "• recto-vaginale (Q52.2)",
      "fistule ou sinus pilonidal (L05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.7": {
    "code": "Q43.7",
    "description": "Persistance du cloaque",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 741,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cloaque SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.8": {
    "code": "Q43.8",
    "description": "Autres malformations congénitales précisées de l’intestin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diverticule congénital de l’intestin",
      "Diverticulite congénitale du côlon",
      "Dolichocôlon",
      "Méga-appendice",
      "Mégaduodénum",
      "Microcôlon",
      "Syndrome de l’anse borgne, congénital",
      "Transposition de : • appendice",
      "• côlon",
      "• intestin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q43.9": {
    "code": "Q43.9",
    "description": "Malformation congénitale de l’intestin, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "du foie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malformations congénitales de la vésicule biliaire, des voies biliaires et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.0": {
    "code": "Q44.0",
    "description": "Agénésie, aplasie et hypoplasie de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale de la vésicule biliaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.1": {
    "code": "Q44.1",
    "description": "Autres malformations congénitales de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Malformation congénitale de la vésicule biliaire SAI",
      "Vésicule biliaire intra-hépatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.2": {
    "code": "Q44.2",
    "description": "Atrésie des voies biliaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.3": {
    "code": "Q44.3",
    "description": "Sténose et rétrécissement congénitaux des voies biliaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.4": {
    "code": "Q44.4",
    "description": "Kyste du cholédoque",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.5": {
    "code": "Q44.5",
    "description": "Autres malformations congénitales des voies biliaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Canal hépatique surnuméraire",
      "Duplication du canal : • biliaire",
      "• cystique",
      "Malformation congénitale des voies biliaires SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.6": {
    "code": "Q44.6",
    "description": "Maladie kystique du foie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie fibrokystique du foie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q44.7": {
    "code": "Q44.7",
    "description": "Autres malformations congénitales du foie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de foie congénitale",
      "Hépatomégalie congénitale",
      "Malformation du foie SAI congénitale",
      "Foie surnuméraire congénital",
      "Syndrome d’Alagille congénital"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45": {
    "code": "Q45",
    "description": "Autres malformations congénitales de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hernie : • diaphragmatique congénitale (Q79.0)",
      "• hiatale congénitale (Q40.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45.0": {
    "code": "Q45.0",
    "description": "Agénésie, aplasie et hypoplasie du pancréas",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale du pancréas"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45.1": {
    "code": "Q45.1",
    "description": "Pancréas annulaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45.2": {
    "code": "Q45.2",
    "description": "Kyste pancréatique congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 742,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45.3": {
    "code": "Q45.3",
    "description": "Autres malformations congénitales du pancréas et du canal pancréatique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pancréas surnuméraire"
    ],
    "comprend": [],
    "exclusions": [
      "diabète sucré : • congénital (E10.-)",
      "• néonatal (P70.2)",
      "maladie fibrokystique du pancréas (E84.-)"
    ],
    "clinical_text": [
      "Malformation congénitale du pancréas et du canal pancréatique SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45.8": {
    "code": "Q45.8",
    "description": "Autres malformations congénitales précisées de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence (complète) (partielle) des voies digestives SAI",
      "Duplication des organes digestifs SAI",
      "Malposition congénitale des organes digestifs SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q45.9": {
    "code": "Q45.9",
    "description": "Malformation congénitale de l’appareil digestif, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI de l’appareil digestif",
      "ligaments larges"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de résistance aux androgènes (E34.5)",
      "syndromes associés à des anomalies du nombre et de la forme des chromosomes (Q90-Q99)",
      "testicule féminisant (E34.5)"
    ],
    "clinical_text": [
      "Malformations congénitales des ovaires, des trompes de Fallope et des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.0": {
    "code": "Q50.0",
    "description": "Absence congénitale d’ovaire(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de Turner (Q96.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.1": {
    "code": "Q50.1",
    "description": "Kyste ovarien au cours du développement",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.2": {
    "code": "Q50.2",
    "description": "Torsion congénitale de l’ovaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.3": {
    "code": "Q50.3",
    "description": "Autres malformations congénitales de l’ovaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aplasie ovarienne",
      "Malformation congénitale de l’ovaire SAI",
      "Ovaire surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.4": {
    "code": "Q50.4",
    "description": "Kyste embryonnaire de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste de la frange ovarienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.5": {
    "code": "Q50.5",
    "description": "Kyste embryonnaire du ligament large",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste (de) : • canal de Gartner",
      "• époophoron",
      "• paraovarien",
      "• paratubaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q50.6": {
    "code": "Q50.6",
    "description": "Autres malformations congénitales des trompes de Fallope et des ligaments larges",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 743,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de la trompe de Fallope ou du ligament large",
      "Atrésie de la trompe de Fallope ou du ligament large"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Présence en surnombre de la trompe de Fallope ou du ligament large",
      "Malformation congénitale de la trompe de Fallope ou du ligament large SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51": {
    "code": "Q51",
    "description": "Malformations congénitales de l’utérus et du col de l’utérus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.0": {
    "code": "Q51.0",
    "description": "Agénésie et aplasie de l’utérus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale de l’utérus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.1": {
    "code": "Q51.1",
    "description": "Utérus double avec duplication du col et du vagin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.2": {
    "code": "Q51.2",
    "description": "Autres duplications de l’utérus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Utérus double SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.3": {
    "code": "Q51.3",
    "description": "Utérus bicorne",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.4": {
    "code": "Q51.4",
    "description": "Utérus unicorne",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.5": {
    "code": "Q51.5",
    "description": "Agénésie et aplasie du col de l’utérus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale du col de l’utérus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.6": {
    "code": "Q51.6",
    "description": "Kyste embryonnaire du col de l’utérus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.7": {
    "code": "Q51.7",
    "description": "Fistule congénitale utéro-digestive et utéro-urinaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.8": {
    "code": "Q51.8",
    "description": "Autres malformations congénitales de l’utérus et du col de l’utérus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypoplasie de l’utérus et du col de l’utérus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q51.9": {
    "code": "Q51.9",
    "description": "Malformation congénitale de l’utérus et du col de l’utérus, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52": {
    "code": "Q52",
    "description": "Autres malformations congénitales des organes génitaux de la femme",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.0": {
    "code": "Q52.0",
    "description": "Absence congénitale de vagin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.1": {
    "code": "Q52.1",
    "description": "Dédoublement du vagin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vagin cloisonné"
    ],
    "comprend": [],
    "exclusions": [
      "dédoublement du vagin avec utérus double et duplication du col (Q51.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.2": {
    "code": "Q52.2",
    "description": "Fistule recto-vaginale congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cloaque (Q43.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.3": {
    "code": "Q52.3",
    "description": "Imperforation de l’hymen",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.4": {
    "code": "Q52.4",
    "description": "Autres malformations congénitales du vagin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste (du) : • canal de Nück, congénital",
      "• embryonnaire vaginal",
      "Malformation congénitale du vagin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.5": {
    "code": "Q52.5",
    "description": "Fusion de la vulve",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.6": {
    "code": "Q52.6",
    "description": "Malformation congénitale du clitoris",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.7": {
    "code": "Q52.7",
    "description": "Autres malformations congénitales de la vulve",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale de la vulve",
      "Kyste congénital de la vulve",
      "Malformation SAI congénitale de la vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.8": {
    "code": "Q52.8",
    "description": "Autres malformations congénitales précisées des organes génitaux de la femme",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q52.9": {
    "code": "Q52.9",
    "description": "Malformation congénitale des organes génitaux de la femme, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 744,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q53": {
    "code": "Q53",
    "description": "Cryptorchidie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "testicule siégeant en dehors du trajet normal de migration."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "l’abaissement par traction manuelle étant impossible. L’ectopie vraie correspond à une erreur de migration de la glande, le"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.105 : une cryptorchidie correspond à une insuffisance de migration de la glande dans son trajet normal,"
    ]
  },
  "Q53.0": {
    "code": "Q53.0",
    "description": "Testicule en situation anormale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ectopie testiculaire unilatérale ou bilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q53.1": {
    "code": "Q53.1",
    "description": "Cryptorchidie unilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q53.2": {
    "code": "Q53.2",
    "description": "Cryptorchidie bilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q53.9": {
    "code": "Q53.9",
    "description": "Cryptorchidie, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cryptorchidie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54": {
    "code": "Q54",
    "description": "Hypospadias",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "épispadias (Q64.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.0": {
    "code": "Q54.0",
    "description": "Hypospadias balanique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypospadias : • coronal",
      "• glandulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.1": {
    "code": "Q54.1",
    "description": "Hypospadias pénien",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.2": {
    "code": "Q54.2",
    "description": "Hypospadias pénoscrotal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.3": {
    "code": "Q54.3",
    "description": "Hypospadias périnéal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.4": {
    "code": "Q54.4",
    "description": "Chordée congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.8": {
    "code": "Q54.8",
    "description": "Autres hypospadias",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q54.9": {
    "code": "Q54.9",
    "description": "Hypospadias, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55": {
    "code": "Q55",
    "description": "Autres malformations congénitales des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hydrocèle congénitale (P83.5)",
      "hypospadias (Q54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.0": {
    "code": "Q55.0",
    "description": "Absence et aplasie du testicule",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Monorchidie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.1": {
    "code": "Q55.1",
    "description": "Hypoplasie du (des) testicule(s) et du scrotum",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fusion des testicules"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.2": {
    "code": "Q55.2",
    "description": "Autres malformations congénitales du (des) testicule(s) et du scrotum",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Migration du testicule",
      "Polyorchidie",
      "Testicule rétractile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malformation congénitale du (des) testicule(s) et du scrotum SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.3": {
    "code": "Q55.3",
    "description": "Atrésie du canal déférent",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 745,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres malformations congénitales du canal déférent, de l’épididyme, des vésicules séminales et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.5": {
    "code": "Q55.5",
    "description": "Absence et aplasie congénitales du pénis",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.6": {
    "code": "Q55.6",
    "description": "Autres malformations congénitales du pénis",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Courbure du pénis (latérale)",
      "Hypoplasie du pénis",
      "Malformation congénitale du pénis SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.8": {
    "code": "Q55.8",
    "description": "Autres malformations congénitales précisées des organes génitaux de l’homme",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q55.9": {
    "code": "Q55.9",
    "description": "Malformation congénitale des organes génitaux de l’homme, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI des organes génitaux de l’homme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q56": {
    "code": "Q56",
    "description": "Non-différenciation sexuelle et pseudo-hermaphrodisme",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pseudo-hermaphrodisme : • avec anomalie chromosomique précisée (Q96-Q99)",
      "• féminin, avec hyperadrénocorticisme (E25.-)",
      "• masculin, avec résistance aux androgènes (E34.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q56.0": {
    "code": "Q56.0",
    "description": "Hermaphrodisme, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ovotestis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q56.1": {
    "code": "Q56.1",
    "description": "Pseudo-hermaphrodisme masculin, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pseudo-hermaphrodisme masculin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q56.2": {
    "code": "Q56.2",
    "description": "Pseudo-hermaphrodisme féminin, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pseudo-hermaphrodisme féminin SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q56.3": {
    "code": "Q56.3",
    "description": "Pseudo-hermaphrodisme, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q56.4": {
    "code": "Q56.4",
    "description": "Sexe indéterminé, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ambiguïté des organes génitaux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60": {
    "code": "Q60",
    "description": "Agénésie rénale et autres défauts de développement rénal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend absence congénitale de rein(s)",
      "atrophie rénale : • congénitale",
      "• infantile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.0": {
    "code": "Q60.0",
    "description": "Agénésie rénale, unilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.1": {
    "code": "Q60.1",
    "description": "Agénésie rénale, bilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.2": {
    "code": "Q60.2",
    "description": "Agénésie rénale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.3": {
    "code": "Q60.3",
    "description": "Hypoplasie rénale unilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.4": {
    "code": "Q60.4",
    "description": "Hypoplasie rénale bilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.5": {
    "code": "Q60.5",
    "description": "Hypoplasie rénale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 746,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q60.6": {
    "code": "Q60.6",
    "description": "Syndrome de Potter",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61": {
    "code": "Q61",
    "description": "Maladies kystiques du rein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "kyste du rein (acquis ) (N28.1)",
      "syndrome de Potter (Q60.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.0": {
    "code": "Q61.0",
    "description": "Kyste congénital unique du rein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste du rein congénital (unique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.1": {
    "code": "Q61.1",
    "description": "Rein polykystique, autosomique récessif",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rein polykystique, type infantile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.2": {
    "code": "Q61.2",
    "description": "Rein polykystique, autosomique dominant",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rein polykystique, type adulte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.3": {
    "code": "Q61.3",
    "description": "Rein polykystique, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Polykystose rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.4": {
    "code": "Q61.4",
    "description": "Dysplasie rénale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysplasie rénale multikystique",
      "Maladie (du développement) du rein multikystique",
      "Maladie rénale multikystique",
      "Rein dysplasique multikystique"
    ],
    "comprend": [],
    "exclusions": [
      "rein polykystique (Q61.1 – Q61.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.5": {
    "code": "Q61.5",
    "description": "Kyste médullaire du rein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rein en éponge SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.8": {
    "code": "Q61.8",
    "description": "Autres maladies kystiques du rein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dégénérescence ou maladie fibrokystique du rein",
      "Rein fibrokystique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q61.9": {
    "code": "Q61.9",
    "description": "Maladie kystique du rein, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Meckel-Gruber",
      "congénitales de l’uretère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Anomalies congénitales obstructives du bassinet et malformations"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.0": {
    "code": "Q62.0",
    "description": "Hydronéphrose congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.1": {
    "code": "Q62.1",
    "description": "Atrésie et sténose de l’uretère",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Imperméabilité de l’uretère",
      "Occlusion congénitale de : • jonction pyélo-urétérale",
      "• orifice vésico-urétéral",
      "• uretère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.2": {
    "code": "Q62.2",
    "description": "Méga-uretère congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dilatation congénitale de l’uretère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.3": {
    "code": "Q62.3",
    "description": "Autres anomalies obstructives du bassinet et de l’uretère",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urétérocèle congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.4": {
    "code": "Q62.4",
    "description": "Agénésie de l’uretère",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 747,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence d’uretère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.5": {
    "code": "Q62.5",
    "description": "Duplication de l’uretère",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Uretère : • double",
      "• surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.6": {
    "code": "Q62.6",
    "description": "Malposition de l’uretère",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déplacement de l’uretère ou de l’orifice urétéral",
      "Déviation de l’uretère ou de l’orifice urétéral",
      "Ectopie de l’uretère ou de l’orifice urétéral",
      "Implantation anormale de l’uretère ou de l’orifice urétéral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.7": {
    "code": "Q62.7",
    "description": "Reflux vésico-urétéro-rénal congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q62.8": {
    "code": "Q62.8",
    "description": "Autres malformations congénitales de l’uretère",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de l’uretère SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63": {
    "code": "Q63",
    "description": "Autres malformations congénitales du rein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome néphrotique congénital (N04.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63.0": {
    "code": "Q63.0",
    "description": "Rein surnuméraire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63.1": {
    "code": "Q63.1",
    "description": "Rein lobulé, soudé et en fer à cheval",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63.2": {
    "code": "Q63.2",
    "description": "Rein ectopique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déplacement congénital du rein",
      "Malrotation du rein"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63.3": {
    "code": "Q63.3",
    "description": "Rein hyperplasique et géant",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63.8": {
    "code": "Q63.8",
    "description": "Autres malformations congénitales précisées du rein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lithiase rénale congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q63.9": {
    "code": "Q63.9",
    "description": "Malformation congénitale du rein, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64": {
    "code": "Q64",
    "description": "Autres malformations congénitales de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.0": {
    "code": "Q64.0",
    "description": "Épispadias",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypospadias (Q54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.1": {
    "code": "Q64.1",
    "description": "Exstrophie vésicale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ectopie vésicale",
      "Extroversion de la vessie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.2": {
    "code": "Q64.2",
    "description": "Valvules urétrales postérieures congénitales",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.3": {
    "code": "Q64.3",
    "description": "Autre formes d’atrésie et de sténose de l’urètre et du col de la vessie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Imperméabilité de l’urètre",
      "Occlusion du col de la vessie congénitale",
      "Rétrécissement congénital de : • méat urinaire",
      "• office vésico-urétral",
      "• urètre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.4": {
    "code": "Q64.4",
    "description": "Malformation de l’ouraque",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 748,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste de l’ouraque",
      "Persistance de l’ouraque",
      "Prolapsus de l’ouraque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.5": {
    "code": "Q64.5",
    "description": "Absence congénitale de la vessie et de l’urètre",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.6": {
    "code": "Q64.6",
    "description": "Diverticule congénital de la vessie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.7": {
    "code": "Q64.7",
    "description": "Autres malformations congénitales de la vessie et de l’urètre",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fistule recto-urétrale congénitale",
      "Hernie congénitale de la vessie",
      "Malformation congénitale de la vessie ou de l’urètre SAI",
      "Méat urinaire double",
      "Prolapsus congénital de : • méat urinaire",
      "• urètre",
      "• vessie (muqueuse)",
      "Urètre double",
      "Urètre surnuméraire",
      "Vessie surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.8": {
    "code": "Q64.8",
    "description": "Autres malformations congénitales précisées de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q64.9": {
    "code": "Q64.9",
    "description": "Malformation congénitale de l’appareil urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI de l’appareil urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malformations congénitales du système ostéo-articulaire et des muscles (Q65-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65": {
    "code": "Q65",
    "description": "Anomalies morphologiques congénitales de la hanche",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hanche \"à ressort\" (R29.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.0": {
    "code": "Q65.0",
    "description": "Luxation congénitale de la hanche, unilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.1": {
    "code": "Q65.1",
    "description": "Luxation congénitale de la hanche, bilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.2": {
    "code": "Q65.2",
    "description": "Luxation congénitale de la hanche, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.3": {
    "code": "Q65.3",
    "description": "Subluxation congénitale de la hanche, unilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.4": {
    "code": "Q65.4",
    "description": "Subluxation congénitale de la hanche, bilatérale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.5": {
    "code": "Q65.5",
    "description": "Subluxation congénitale de la hanche, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.6": {
    "code": "Q65.6",
    "description": "Hanche instable",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hanche : • luxable",
      "• subluxable"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.8": {
    "code": "Q65.8",
    "description": "Autres malformations congénitales de la hanche",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antéversion du col du fémur",
      "Coxa : • valga congénitale",
      "• vara congénitale",
      "Dysplasie acétabulaire congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q65.9": {
    "code": "Q65.9",
    "description": "Malformation congénitale de la hanche, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 749,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66": {
    "code": "Q66",
    "description": "Anomalies morphologiques congénitales du pied",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "déformations en : • valgus, acquises (M21.0)",
      "• varus, acquises (M21.1)",
      "malformations du pied avec raccourcissement (Q72.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.0": {
    "code": "Q66.0",
    "description": "Pied bot varus équin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.1": {
    "code": "Q66.1",
    "description": "Pied bot talus varus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.2": {
    "code": "Q66.2",
    "description": "Metatarsus varus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.3": {
    "code": "Q66.3",
    "description": "Autres anomalies morphologiques congénitales du pied en varus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hallux varus congénital"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.4": {
    "code": "Q66.4",
    "description": "Pied bot talus valgus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.5": {
    "code": "Q66.5",
    "description": "Pied plat congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pied plat spastique (valgus)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.6": {
    "code": "Q66.6",
    "description": "Autres anomalies morphologiques congénitales du pied en valgus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Metatarsus valgus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.7": {
    "code": "Q66.7",
    "description": "Pied creux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.8": {
    "code": "Q66.8",
    "description": "Autres anomalies morphologiques congénitales du pied",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Astragale vertical",
      "Coalescence tarsale",
      "Orteil en marteau, congénital",
      "Pied bot : • SAI",
      "• asymétrique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q66.9": {
    "code": "Q66.9",
    "description": "Anomalie morphologique congénitale du pied, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "rachis et du thorax"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome(s) (de) : • congénitaux malformatifs classés en Q87.-",
      "• Potter (Q60.6)"
    ],
    "clinical_text": [
      "Anomalies morphologiques congénitales de la tête, de la face, du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.0": {
    "code": "Q67.0",
    "description": "Asymétrie faciale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.1": {
    "code": "Q67.1",
    "description": "Anomalie morphologique faciale par compression",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.2": {
    "code": "Q67.2",
    "description": "Dolichocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.3": {
    "code": "Q67.3",
    "description": "Plagiocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.4": {
    "code": "Q67.4",
    "description": "Autres anomalies morphologiques congénitales du crâne, de la face et de la mâchoire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 750,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrophie ou hypertrophie hémifaciale",
      "Dépressions des os du crâne",
      "Déviation congénitale de la cloison nasale",
      "Écrasement ou déviation congénital(e) du nez"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies dento-faciales [y compris les malocclusions] (K07.-)",
      "nez en selle dû à la syphilis (A50.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.5": {
    "code": "Q67.5",
    "description": "Anomalie morphologique congénitale du rachis",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Scoliose congénitale : • SAI",
      "• posturale"
    ],
    "comprend": [],
    "exclusions": [
      "scoliose : • due à une malformation osseuse congénitale (Q76.3)",
      "• idiopathique infantile (M41.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.6": {
    "code": "Q67.6",
    "description": "Thorax en entonnoir, congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pectus excavatum"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.7": {
    "code": "Q67.7",
    "description": "Thorax en carène, congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pectus carinatum",
      "Thorax en bréchet, congénital"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q67.8": {
    "code": "Q67.8",
    "description": "Autres anomalies morphologiques congénitales du thorax",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "des muscles"
    ],
    "comprend": [],
    "exclusions": [
      "malformations de membre(s) avec raccourcissement (Q71-Q73)"
    ],
    "clinical_text": [
      "Anomalie morphologique congénitale de la paroi thoracique SAI",
      "Autres anomalies morphologiques congénitales ostéo-articulaires et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.0": {
    "code": "Q68.0",
    "description": "Anomalie morphologique congénitale des muscles sterno-cléido-mastoïdiens",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contracture du muscle sterno-cléido-mastoïdien",
      "Torticolis congénital (sterno-mastoïdien)",
      "Tuméfaction sterno-mastoïdienne (congénitale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.1": {
    "code": "Q68.1",
    "description": "Anomalie morphologique congénitale de la main",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hippocratisme digital congénital",
      "Main en bêche (congénitale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.2": {
    "code": "Q68.2",
    "description": "Anomalie morphologique congénitale du genou",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Genu recurvatum congénital",
      "Luxation congénitale du genou"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.3": {
    "code": "Q68.3",
    "description": "Incurvation congénitale du fémur",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "antéversion du fémur (col) (Q65.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.4": {
    "code": "Q68.4",
    "description": "Incurvation congénitale du tibia et du péroné",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.5": {
    "code": "Q68.5",
    "description": "Incurvation congénitale des os longs du membre inférieur, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q68.8": {
    "code": "Q68.8",
    "description": "Autres anomalies morphologiques congénitales ostéo-articulaires et des muscles précisées",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie morphologique congénitale de • avant-bras",
      "• clavicule",
      "• coude",
      "• omoplate",
      "Luxation congénitale de : • coude",
      "• épaule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q69": {
    "code": "Q69",
    "description": "Polydactylie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q69.0": {
    "code": "Q69.0",
    "description": "Doigt(s) surnuméraire(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q69.1": {
    "code": "Q69.1",
    "description": "Pouce(s) surnuméraire(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q69.2": {
    "code": "Q69.2",
    "description": "Orteil(s) surnuméraire(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 751,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gros orteil surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q69.9": {
    "code": "Q69.9",
    "description": "Polydactylie, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70": {
    "code": "Q70",
    "description": "Syndactylie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70.0": {
    "code": "Q70.0",
    "description": "Coalescence des doigts",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndactylie complexe des doigts avec synostose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70.1": {
    "code": "Q70.1",
    "description": "Palmure des doigts",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Simple syndactylie des doigts sans synostose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70.2": {
    "code": "Q70.2",
    "description": "Coalescence des orteils",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndactylie complexe des orteils avec synostose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70.3": {
    "code": "Q70.3",
    "description": "Palmure des orteils",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Simple syndactylie des orteils sans synostose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70.4": {
    "code": "Q70.4",
    "description": "Polysyndactylie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q70.9": {
    "code": "Q70.9",
    "description": "Syndactylie, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coalescence des phalanges SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71": {
    "code": "Q71",
    "description": "Raccourcissement du membre supérieur",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.0": {
    "code": "Q71.0",
    "description": "Absence congénitale complète d’un (des) membre(s) supérieur(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.1": {
    "code": "Q71.1",
    "description": "Absence congénitale du bras et de l’avant-bras, main présente",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.2": {
    "code": "Q71.2",
    "description": "Absence congénitale de l’avant-bras et de la main",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.3": {
    "code": "Q71.3",
    "description": "Absence congénitale de la main et de(s) doigt(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.4": {
    "code": "Q71.4",
    "description": "Raccourcissement longitudinal du radius",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Main bote (radiale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.5": {
    "code": "Q71.5",
    "description": "Raccourcissement longitudinal du cubitus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.6": {
    "code": "Q71.6",
    "description": "Main en pince de homard",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.8": {
    "code": "Q71.8",
    "description": "Autres raccourcissements d’un (des) membre(s) supérieur(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q71.9": {
    "code": "Q71.9",
    "description": "Raccourcissement du membre supérieur, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72": {
    "code": "Q72",
    "description": "Raccourcissement du membre inférieur",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.0": {
    "code": "Q72.0",
    "description": "Absence congénitale complète d’un (des) membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.1": {
    "code": "Q72.1",
    "description": "Absence congénitale de la cuisse et de la jambe, pied présent",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.2": {
    "code": "Q72.2",
    "description": "Absence congénitale de la jambe et du pied",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.3": {
    "code": "Q72.3",
    "description": "Absence congénitale du pied et d’un (des) orteil(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.4": {
    "code": "Q72.4",
    "description": "Raccourcissement longitudinal du fémur",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie du noyau céphalique fémoral"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.5": {
    "code": "Q72.5",
    "description": "Raccourcissement longitudinal du tibia",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.6": {
    "code": "Q72.6",
    "description": "Raccourcissement longitudinal du péroné",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 752,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.7": {
    "code": "Q72.7",
    "description": "Pied bifide",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.8": {
    "code": "Q72.8",
    "description": "Autres raccourcissements d’un (des) membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q72.9": {
    "code": "Q72.9",
    "description": "Raccourcissement du membre inférieur, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q73": {
    "code": "Q73",
    "description": "Raccourcissement d’un membre non précisé",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q73.0": {
    "code": "Q73.0",
    "description": "Absence congénitale d’un (des) membre(s) non précisé(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amélie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q73.1": {
    "code": "Q73.1",
    "description": "Phocomélie, membre(s) non précisé(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Phocomélie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q73.8": {
    "code": "Q73.8",
    "description": "Autres raccourcissements d’un (des) membre(s) non précisé(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ectromélie SAI d’un (des) membre(s) SAI",
      "Hémimélie SAI d’un (des) membre(s) SAI",
      "Raccourcissement SAI d’un (des) membre(s) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Raccourcissement longitudinal d’un (des) membre(s) non précisé(s)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q74": {
    "code": "Q74",
    "description": "Autres malformations congénitales d’un (des) membre(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "polydactylie (Q69.-)",
      "raccourcissement d’un membre (Q71-Q73)",
      "syndactylie (Q70.-)"
    ],
    "clinical_text": [
      "Autres malformations congénitales d’un (des) membre(s) supérieur(s), y compris la ceinture"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q74.1": {
    "code": "Q74.1",
    "description": "Malformation congénitale du genou",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 753,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale de la rotule",
      "Genu valgum congénital",
      "Genu varum congénital",
      "Luxation congénitale de la rotule",
      "Rotule rudimentaire"
    ],
    "comprend": [],
    "exclusions": [
      "genu recurvatum congénital (Q68.2)",
      "luxation congénitale du genou (Q68.2)",
      "ostéo-onychodysostose (Q87.2)"
    ],
    "clinical_text": [
      "Autres malformations congénitales d’un (des) membre(s) inférieur(s), y compris la ceinture"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q74.3": {
    "code": "Q74.3",
    "description": "Arthrogrypose congénitale multiple",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "une déficience mentale profonde ou une démence sévère ;",
      "une mobilité réduite conséquence du trouble moteur ;",
      "appareil.",
      "Ce code fait partie de la liste 2 \"troubles moteurs\"."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le polyhandicap se définit par l’association de quatre critères :",
      "un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q74.8": {
    "code": "Q74.8",
    "description": "Autres malformations congénitales précisées d’un (des) membre(s) non précisé(s)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q74.9": {
    "code": "Q74.9",
    "description": "Malformation congénitale d’un (des) membre(s) non précisé(s), sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale d’un (des) membre(s) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75": {
    "code": "Q75",
    "description": "Autres malformations congénitales des os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies : • dento-faciales [y compris les malocclusions] (K07.-)",
      "• morphologiques congénitales de la tête et de la face (Q67.0-Q67.4)",
      "malformation(s) (du) : • crâne associées à des anomalies • anencéphalie (Q00.0)",
      "du cerveau telles que : • encéphalocèle (Q01.-)",
      "• hydrocéphalie (Q03.-)",
      "• microcéphalie (Q02)",
      "• congénitale de la face SAI (Q18.-)",
      "syndromes congénitaux malformatifs classés en Q87.-"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.0": {
    "code": "Q75.0",
    "description": "Craniosynostose",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrocéphalie",
      "Anomalie de suture des os du crâne",
      "Oxycéphalie",
      "Trigonocéphalie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.1": {
    "code": "Q75.1",
    "description": "Dysostose cranio-faciale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de Crouzon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.2": {
    "code": "Q75.2",
    "description": "Hypertélorisme",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.3": {
    "code": "Q75.3",
    "description": "Macrocéphalie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.4": {
    "code": "Q75.4",
    "description": "Dysostose mandibulo-faciale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de: • Franceschetti",
      "• Teacher Collins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.5": {
    "code": "Q75.5",
    "description": "Dysostose oculo-mandibulaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.8": {
    "code": "Q75.8",
    "description": "Autres malformations congénitales précisées des os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale d’os du crâne",
      "Malformation congénitale du front",
      "Platybasie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q75.9": {
    "code": "Q75.9",
    "description": "Malformation congénitale des os du crâne et de la face, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 754,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de : • crâne SAI",
      "• os de la face SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76": {
    "code": "Q76",
    "description": "Malformations congénitales du rachis et du thorax osseux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies morphologiques congénitales ostéo-articulaires et des muscles du rachis et du thorax",
      "(Q67.5-Q67.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.0": {
    "code": "Q76.0",
    "description": "Spina bifida occulta",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "méningocèle (rachidienne) (Q05.-)",
      "spina bifida (aperta) (kystique) (Q05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.1": {
    "code": "Q76.1",
    "description": "Syndrome de Klippel-Feil",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Synostose cervicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.2": {
    "code": "Q76.2",
    "description": "Spondylolisthésis congénital",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Spondylolyse congénitale"
    ],
    "comprend": [],
    "exclusions": [
      "spondylolisthésis (acquis) (M43.1)",
      "spondylolyse (acquise) (M43.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.3": {
    "code": "Q76.3",
    "description": "Scoliose congénitale due à une malformation osseuse congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Synostose d’hémivertèbres ou défaut de segmentation avec scoliose"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.4": {
    "code": "Q76.4",
    "description": "Autres malformations congénitales du rachis, non associées à une scoliose",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "à une scoliose",
      "Platyspondylie sans précision ou non associée à une scoliose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Absence congénitale de vertèbres sans précision ou non associée à une scoliose",
      "Cyphose congénitale sans précision ou non associée à une scoliose",
      "Hémivertèbre [hémispondylie] sans précision ou non associée à une scoliose",
      "Lordose congénitale sans précision ou non associée à une scoliose",
      "Malformation congénitale (charnière) de la région lombo-sacrée sans précision ou non associée",
      "Malformation du rachis sans précision ou non associée à une scoliose",
      "Synostose vertébrale congénitale sans précision ou non associée à une scoliose",
      "Vertèbre surnuméraire sans précision ou non associée à une scoliose"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.5": {
    "code": "Q76.5",
    "description": "Côte cervicale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Côte surnuméraire cervicale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.6": {
    "code": "Q76.6",
    "description": "Autres malformations congénitales des côtes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de côtes congénitale",
      "Coalescence des côtes congénitale",
      "Côte surnuméraire",
      "Malformation congénitale d’une côte SAI"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome des côtes courtes (Q77.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.7": {
    "code": "Q76.7",
    "description": "Anomalies congénitales du sternum",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence congénitale de sternum",
      "Sternum bifide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.8": {
    "code": "Q76.8",
    "description": "Autres malformations congénitales du thorax osseux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q76.9": {
    "code": "Q76.9",
    "description": "Malformation congénitale du thorax osseux, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 755,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "du rachis"
    ],
    "comprend": [],
    "exclusions": [
      "mucopolysaccharidoses (E76.0-E76.3)"
    ],
    "clinical_text": [
      "Ostéochondrodysplasie avec anomalies de la croissance des os longs et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.0": {
    "code": "Q77.0",
    "description": "Achondrogénésie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypochondrogénésie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.1": {
    "code": "Q77.1",
    "description": "Insuffisance staturale thanatophore",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.2": {
    "code": "Q77.2",
    "description": "Syndrome des côtes courtes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dysplasie thoracique asphyxiante [Jeune]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.3": {
    "code": "Q77.3",
    "description": "Chondrodysplasie ponctuée",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nanisme achondroplasique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.4": {
    "code": "Q77.4",
    "description": "Achondroplasie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypochondroplasie",
      "Ostéosclérose congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.5": {
    "code": "Q77.5",
    "description": "Dysplasie diastrophique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.6": {
    "code": "Q77.6",
    "description": "Dysplasie chondro-ectodermique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome d’Ellis-van Creveld"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.7": {
    "code": "Q77.7",
    "description": "Dysplasie spondylo-épiphysaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q77.8": {
    "code": "Q77.8",
    "description": "Autres ostéochondrodysplasies avec anomalies de la croissance des os longs et du rachis",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ostéochondrodysplasie avec anomalies de la croissance des os longs et du rachis, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78": {
    "code": "Q78",
    "description": "Autres ostéochondrodysplasies",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.0": {
    "code": "Q78.0",
    "description": "Ostéogénèse imparfaite",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fragilité osseuse",
      "Ostéopsathyrose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.1": {
    "code": "Q78.1",
    "description": "Dysplasie polyostotique fibreuse",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome d’Albright(-McCune-Sternberg)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.2": {
    "code": "Q78.2",
    "description": "Ostéopétrose",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome d’Albers-Schönberg"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.3": {
    "code": "Q78.3",
    "description": "Dysplasie diaphysaire progressive",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Camurati-Engelmann"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.4": {
    "code": "Q78.4",
    "description": "Enchondromatose",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie d’Ollier",
      "Syndrome de Maffucci"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.5": {
    "code": "Q78.5",
    "description": "Dysplasie métaphysaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Pyle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.6": {
    "code": "Q78.6",
    "description": "Exostoses multiples congénitales",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aclasie diaphysaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.8": {
    "code": "Q78.8",
    "description": "Autres ostéochondrodysplasies précisées",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 756,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéopoecilie [Ostéopoïkilose]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q78.9": {
    "code": "Q78.9",
    "description": "Ostéochondrodysplasie, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 757,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chondrodystrophie SAI",
      "Ostéodystrophie SAI",
      "muscles, non classées ailleurs",
      "SM Q79.0 Hernie diaphragmatique congénitale",
      "SM Q79.1 Autres malformations congénitales du diaphragme",
      "Absence de diaphragme",
      "Éventration du diaphragme",
      "Malformation congénitale du diaphragme SAI",
      "SM Q79.2 Exomphale",
      "Omphalocèle",
      "NOTICE TECHNIQUE n° ATIH-693-16-2021 du 21 décembre 2021",
      "SM Q79.3 Gastroschisis",
      "SM Q79.4 Aplasie congénitale de la musculature abdominale",
      "Syndrome d’Obrinsky",
      "SM Q79.6 Syndrome d’Ehlers-Danlos"
    ],
    "comprend": [],
    "exclusions": [
      "torticolis congénital (sterno-mastoïdien) (Q68.0)",
      "hernie hiatale congénitale (Q40.1)",
      "hernie ombilicale (K42.-)",
      "hernie ombilicale (K42.-)"
    ],
    "clinical_text": [
      "Malformations congénitales du système ostéo-articulaire et des",
      "Omphalocèle : code Q79.2 qui oriente en CMD06 (actes de fermeture classant en CMD06)",
      "SM Q79.5 Autres malformations congénitales de la paroi abdominale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q79.8": {
    "code": "Q79.8",
    "description": "Autres malformations congénitales du système ostéo-articulaire et des muscles",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 757,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de : • muscle",
      "• tendon",
      "Amyotrophie congénitale",
      "Brides congénitales",
      "Brièveté congénitale d’un tendon",
      "Muscle surnuméraire",
      "Syndrome de Poland"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q79.9": {
    "code": "Q79.9",
    "description": "Malformation congénitale du système ostéo-articulaire et des muscles, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 757,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI du système ostéo-musculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80": {
    "code": "Q80",
    "description": "Ichtyose congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladie de Refsum (G60.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.0": {
    "code": "Q80.0",
    "description": "Ichtyose vulgaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.1": {
    "code": "Q80.1",
    "description": "Ichtyose liée au chromosome X",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.2": {
    "code": "Q80.2",
    "description": "Ichtyose lamellaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bébé collodion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.3": {
    "code": "Q80.3",
    "description": "Érythrodermie ichtyosiforme bulleuse congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.4": {
    "code": "Q80.4",
    "description": "Fœtus arlequin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.8": {
    "code": "Q80.8",
    "description": "Autres ichtyoses congénitales",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q80.9": {
    "code": "Q80.9",
    "description": "Ichtyose congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q81": {
    "code": "Q81",
    "description": "Épidermolyse bulleuse",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q81.0": {
    "code": "Q81.0",
    "description": "Épidermolyse bulleuse simple",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de Cockayne (Q87.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q81.1": {
    "code": "Q81.1",
    "description": "Épidermolyse bulleuse létale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Herlitz"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q81.2": {
    "code": "Q81.2",
    "description": "Épidermolyse bulleuse dystrophique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q81.8": {
    "code": "Q81.8",
    "description": "Autres épidermolyses bulleuses",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q81.9": {
    "code": "Q81.9",
    "description": "Épidermolyse bulleuse, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82": {
    "code": "Q82",
    "description": "Autres malformations congénitales de la peau",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "acrodermatitis enteropathica (E83.2)",
      "kyste dermoïde pararectal ou pilonidal (L05.-)",
      "porphyrie érythropoïétique congénitale (E80.0)",
      "syndrome de Sturge-Weber(-Dimitri) (Q85.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.0": {
    "code": "Q82.0",
    "description": "Lymphœdème héréditaire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.1": {
    "code": "Q82.1",
    "description": "Xeroderma pigmentosum",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.2": {
    "code": "Q82.2",
    "description": "Mastocytose",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urticaire pigmentée"
    ],
    "comprend": [],
    "exclusions": [
      "mastocytose maligne (C96.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.3": {
    "code": "Q82.3",
    "description": "Incontinentia pigmenti",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.4": {
    "code": "Q82.4",
    "description": "Dysplasie ectodermique (anhidrotique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 758,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome d’Ellis-van Creveld (Q77.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.5": {
    "code": "Q82.5",
    "description": "Nævus congénital non néoplasique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Envie SAI",
      "Nævus : • en tache de vin",
      "• flammeus",
      "• fraise",
      "• sanguin",
      "• vasculaire SAI",
      "• verruqueux"
    ],
    "comprend": [],
    "exclusions": [
      "lentigo (L81.4)",
      "nævus (à) : • SAI (D22.-)",
      "• arachnéen (I78.1)",
      "• mélanocytes (D22.-)",
      "• pigmentaire (D22.-)",
      "• stellaire (I78.1)",
      "taches café au lait (L81.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.8": {
    "code": "Q82.8",
    "description": "Autres malformations congénitales précisées de la peau",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrochordons",
      "Anomalies des dermatoglyphes",
      "Cutis laxa (hyperelastica)",
      "Kératose : • folliculaire [Darier-White]",
      "• palmoplantaire héréditaire",
      "Pemphigus bénin familial [Hailey-Hailey]",
      "Plis palmaires anormaux",
      "Porokératose"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome d’Ehlers-Danlos (Q79.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q82.9": {
    "code": "Q82.9",
    "description": "Malformation congénitale de la peau, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83": {
    "code": "Q83",
    "description": "Malformations congénitales du sein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "absence du muscle pectoral (Q79.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83.0": {
    "code": "Q83.0",
    "description": "Absence congénitale de sein avec absence de mamelon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83.1": {
    "code": "Q83.1",
    "description": "Sein surnuméraire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83.2": {
    "code": "Q83.2",
    "description": "Absence de mamelon",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83.3": {
    "code": "Q83.3",
    "description": "Mamelon accessoire",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mamelon surnuméraire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83.8": {
    "code": "Q83.8",
    "description": "Autres malformations congénitales du sein",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypoplasie mammaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q83.9": {
    "code": "Q83.9",
    "description": "Malformation congénitale du sein, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 759,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84": {
    "code": "Q84",
    "description": "Autres malformations congénitales de la peau et des phanères",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.0": {
    "code": "Q84.0",
    "description": "Alopécie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atrichie congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.1": {
    "code": "Q84.1",
    "description": "Anomalies congénitales de la morphologie des cheveux, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aplasie moniliforme",
      "Monilethrix",
      "Pili annulati"
    ],
    "comprend": [],
    "exclusions": [
      "maladie des cheveux en fil de fer de Menkes (E83.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.2": {
    "code": "Q84.2",
    "description": "Autres anomalies congénitales des cheveux",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypertrichose congénitale",
      "Malformation congénitale des cheveux SAI",
      "Persistance du lanugo"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.3": {
    "code": "Q84.3",
    "description": "Anonychie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ostéo-onychodysostose (Q87.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.4": {
    "code": "Q84.4",
    "description": "Leuconychie congénitale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.5": {
    "code": "Q84.5",
    "description": "Hypertrophie des ongles",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Onychose congénitale",
      "Pachyonychie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.6": {
    "code": "Q84.6",
    "description": "Autres malformations congénitales des ongles",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hippocratisme unguéal congénital",
      "Koïlonychie congénitale",
      "Malformation congénitale des ongles SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.8": {
    "code": "Q84.8",
    "description": "Autres malformations congénitales précisées de la peau et des phanères",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aplasie ectodermique congénitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q84.9": {
    "code": "Q84.9",
    "description": "Malformation congénitale de la peau et des phanères, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale des téguments SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q85": {
    "code": "Q85",
    "description": "Phacomatoses, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ataxie télangiectasique [Louis-Bar] (G11.3)",
      "dysautonomie familiale [Riley-Day] (G90.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q85.0": {
    "code": "Q85.0",
    "description": "Neurofibromatose (non maligne)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de von Recklinghausen"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q85.1": {
    "code": "Q85.1",
    "description": "Sclérose tubéreuse",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Epiloïa",
      "Maladie de Bourneville"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q85.8": {
    "code": "Q85.8",
    "description": "Autres phacomatoses, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de : • Peutz-Jeghers",
      "• Sturge-Weber(-Dimitri)",
      "• von Hippel-Lindau"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Meckel-Gruber (Q61.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q85.9": {
    "code": "Q85.9",
    "description": "Phacomatose, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 760,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hamartome SAI",
      "Syndromes congénitaux malformatifs dus à des causes exogènes",
      "connues, non classés ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "effets non tératogènes de substances transmises par voie transplacentaire",
      "ou par le lait maternel (P04.-)",
      "hypothyroïdie liée à une carence en iode (E00-E02)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q86.0": {
    "code": "Q86.0",
    "description": "Syndrome d’alcoolisme fœtal (dysmorphique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 761,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q86.1": {
    "code": "Q86.1",
    "description": "Syndrome fœtal dû à l’hydantoïne",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 761,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Meadow"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q86.2": {
    "code": "Q86.2",
    "description": "Dysmorphisme dû à la warfarine",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 761,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q86.8": {
    "code": "Q86.8",
    "description": "Autres syndromes congénitaux malformatifs dus à des causes exogènes connues",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 761,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "plusieurs systèmes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres syndromes congénitaux malformatifs précisés atteignant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87.0": {
    "code": "Q87.0",
    "description": "Syndromes congénitaux malformatifs atteignant principalement l’aspect de la face",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 761,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acrocéphalopolysyndactylie",
      "Acrocéphalosyndactylie [Apert]",
      "Cyclopie",
      "Syndrome (de) : • cryptophtalmique",
      "• Goldenhar",
      "• Mœbius",
      "• oro-facio-digital",
      "• Pierre Robin",
      "Visage de siffleur",
      "23417, le 18 décembre 2009)",
      "séparément si besoin (AGORA - # 46128, le 10 mai 2011"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndome de Cayler : les maladies orphelines n’ont souvent pas de code propre. Si l’atteinte crânio-faciale",
      "est prédominante, le code Q87.0 Syndromes congénitaux malformatifs atteignant principalement l’aspect",
      "de la face pourrait correspondre. Vous coderez éventuellement toutes les manifestations cliniques qui",
      "Syndrome de Kabuki : je vous conseille de coder Q87.0, code retenu par le site Orphanet (AGORA - #",
      "Syndrome de Marshall : voici la définition donnée par Orphanet : « Le syndrome de Marshall est",
      "caractérisé par plusieurs malformations congénitales dont des anomalies oculaires, une surdité neuro-",
      "sensorielle, des anomalies crânio-faciales et une dysplasie ectodermique anhidrotique. ». Le code Q87.0",
      "peut être employé pour signaler le terrain mais chacune des anomalies prises en charge devra être codée"
    ],
    "agora_refs": [
      "171763"
    ],
    "cocoa_notes": [
      "l’accompagne. (AGORA - # 171763, le 3 décembre 2018)"
    ]
  },
  "Q87.1": {
    "code": "Q87.1",
    "description": "Syndromes congénitaux malformatifs associés principalement à une petite taille",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de : • Aarskog",
      "• Cockayne",
      "• De Lange",
      "• Dubowitz",
      "• Noonan",
      "• Prader-Willi",
      "• Robinow-Silverman-Smith",
      "• Russell-Silver",
      "• Seckel",
      "• Smith-Lemli-Opitz"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome d’Ellis-van Creveld (Q77.6)"
    ],
    "clinical_text": [
      "Déficit en 7-8-dihydrocholestérol-déshydrogénase [syndrome de Smith-Lemli-Opitz]",
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV - Créé le 5 janvier 2009",
      "Le syndrome de Wolcott-Rallison est codé Q87.1 dans Orphanet en raison de la petite taille du patient : Il",
      "s’agit d’une maladie génétique très rare, associant un diabète néonatal permanent (DNP), une dysplasie",
      "épiphysaire multiple et d’autres manifestations dont des épisodes d’insuffisance hépatique aiguë. Comme",
      "pour de nombreux syndromes génétiques il n’existe pas de code unique pour ce syndrome. Nous vous",
      "conseillons de coder les manifestations en fonction des circonstances"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87.2": {
    "code": "Q87.2",
    "description": "Syndromes congénitaux malformatifs impliquant principalement les membres",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ostéo-onychodysostose",
      "Syndrome de : • Holt-Oram",
      "• Klippel-Trénaunay-Weber",
      "• onycho-arthro-ostéodysplasie",
      "• Rubinstein-Taybi",
      "• sirénomélie",
      "• thrombopénie avec absence de radius [syndrome TAR]",
      "• Vater"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87.3": {
    "code": "Q87.3",
    "description": "Syndromes congénitaux malformatifs comprenant un gigantisme néonatal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de : • Beckwith-Wiedemann",
      "• Sotos",
      "• Weaver"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87.4": {
    "code": "Q87.4",
    "description": "Syndrome de Marfan",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87.5": {
    "code": "Q87.5",
    "description": "Autres syndromes congénitaux malformatifs avec d’autres modifications du squelette",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87.8": {
    "code": "Q87.8",
    "description": "Autres syndromes congénitaux malformatifs précisés, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de : • Alport",
      "• Laurence-Moon-Bardet-Biedl",
      "Déficits généralisés de la biogénèse peroxysomale",
      "Syndrome de Zellweger classique et variants",
      "#28910, le 30 avril 2010)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ATIH – Consignes de codage – Anomalies héréditaires du métabolisme, Fascicule IV - Créé le 5 janvier 2009",
      "Syndrome de Laurence-Moon-Biedel-Bardet : le volume 3 donne le code Q87.8 pour ce syndrome. Les",
      "divers éléments du syndrome seront codés s'ils répondent à la définition d'un DP ou d'un DAS (AGORA -",
      "Syndrome des cils immobiles [syndrome d’Afzelius] : affection héréditaire protéiforme, associant des",
      "manifestations chroniques, dilatation des bronches, stérilité, situs inversus, et des complications aiguës oto-",
      "rhino-laryngologiques et respiratoires. Touchant plusieurs systèmes, ce syndrome relève de la catégorie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q87": {
    "code": "Q87",
    "description": ": seul Q87.8 me paraît convenir. (AGORA - FAQ CIM10 - #624, le 30 mars 2000)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 762,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89": {
    "code": "Q89",
    "description": "Autres malformations congénitales, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.0": {
    "code": "Q89.0",
    "description": "Malformations congénitales de la rate",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asplénie (congénitale)",
      "Splénomégalie congénitale"
    ],
    "comprend": [],
    "exclusions": [
      "isomérisme des auricules cardiaques (avec asplénie ou polysplénie) (Q20.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.1": {
    "code": "Q89.1",
    "description": "Malformations congénitales des surrénales",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyperplasie surrénale congénitale (E25.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.2": {
    "code": "Q89.2",
    "description": "Malformations congénitales des autres glandes endocrines",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Kyste thyréoglosse",
      "Persistance du canal thyréoglosse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Malformation congénitale de la glande parathyroïde ou thyroïde"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.3": {
    "code": "Q89.3",
    "description": "Situs inversus",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dextrocardie avec situs inversus",
      "Disposition auriculaire en miroir avec situs inversus",
      "Situs inversus ou transversus : • abdominal",
      "• thoracique",
      "Transposition des viscères : • abdominale"
    ],
    "comprend": [],
    "exclusions": [
      "dextrocardie SAI (Q24.0)",
      "lévocardie (Q24.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.4": {
    "code": "Q89.4",
    "description": "Jumeaux soudés",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crâniopage",
      "Dicéphale",
      "Monstre double",
      "Pygopage",
      "Thoracopage"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.7": {
    "code": "Q89.7",
    "description": "Malformations congénitales multiples, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalies multiples congénitales SAI",
      "Monstre SAI"
    ],
    "comprend": [],
    "exclusions": [
      "syndromes congénitaux malformatifs atteignant plusieurs systèmes (Q87.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.8": {
    "code": "Q89.8",
    "description": "Autres malformations congénitales précisées",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q89.9": {
    "code": "Q89.9",
    "description": "Malformation congénitale, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie congénitale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q90": {
    "code": "Q90",
    "description": "Syndrome de Down",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q90.0": {
    "code": "Q90.0",
    "description": "Trisomie 21, non-disjonction méïotique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q90.1": {
    "code": "Q90.1",
    "description": "Trisomie 21, mosaïque chromosomique (non-disjonction mitotique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q90.2": {
    "code": "Q90.2",
    "description": "Trisomie 21, translocation",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q90.9": {
    "code": "Q90.9",
    "description": "Syndrome de Down, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 763,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trisomie 21 SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91": {
    "code": "Q91",
    "description": "Syndrome d’Edwards et syndrome de Patau",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.0": {
    "code": "Q91.0",
    "description": "Trisomie 18, non-disjonction méïotique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.1": {
    "code": "Q91.1",
    "description": "Trisomie 18, mosaïque chromosomique (non-disjonction mitotique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.2": {
    "code": "Q91.2",
    "description": "Trisomie 18, translocation",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.3": {
    "code": "Q91.3",
    "description": "Syndrome d’Edwards, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.4": {
    "code": "Q91.4",
    "description": "Trisomie 13, non-disjonction méïotique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.5": {
    "code": "Q91.5",
    "description": "Trisomie 13, mosaïque chromosomique (non-disjonction mitotique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.6": {
    "code": "Q91.6",
    "description": "Trisomie 13, translocation",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q91.7": {
    "code": "Q91.7",
    "description": "Syndrome de Patau, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ailleurs",
      "C omprend translocations et insertions non équilibrées"
    ],
    "comprend": [],
    "exclusions": [
      "trisomies des chromosomes 13, 18 et 21 (Q90-Q91)"
    ],
    "clinical_text": [
      "Autres trisomies et trisomies partielles des autosomes, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.0": {
    "code": "Q92.0",
    "description": "Trisomie d’un chromosome entier, non-disjonction méïotique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.1": {
    "code": "Q92.1",
    "description": "Trisomie d’un chromosome entier, mosaïque chromosomique (non-disjonction mitotique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.2": {
    "code": "Q92.2",
    "description": "Trisomie partielle majeure",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Duplication complète d’au moins un bras du chromosome."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.3": {
    "code": "Q92.3",
    "description": "Trisomie partielle mineure",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Duplication de moins qu’un bras du chromosome."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.4": {
    "code": "Q92.4",
    "description": "Duplications vues seulement à la prométaphase",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.5": {
    "code": "Q92.5",
    "description": "Duplications avec autres réarrangements complexes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.6": {
    "code": "Q92.6",
    "description": "Chromosomes marqueurs supplémentaires",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.7": {
    "code": "Q92.7",
    "description": "Triploïdie et polyploïdie",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.8": {
    "code": "Q92.8",
    "description": "Autres trisomies et trisomies partielles précisées des autosomes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q92.9": {
    "code": "Q92.9",
    "description": "Trisomie et trisomie partielle des autosomes, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93": {
    "code": "Q93",
    "description": "Monosomies et délétions des autosomes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.0": {
    "code": "Q93.0",
    "description": "Monosomie d’un chromosome entier, non-disjonction méïotique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.1": {
    "code": "Q93.1",
    "description": "Monosomie d’un chromosome entier, mosaïque chromosomique (non-disjonction mitotique)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.2": {
    "code": "Q93.2",
    "description": "Chromosome remplacé par un anneau ou dicentrique",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.3": {
    "code": "Q93.3",
    "description": "Délétion du bras court du chromosome 4",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 764,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de Wolff-Hirschorn",
      "Coder les manifestations en fonction des circonstances"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le syndrome de Wolf-Hirschhorn [SWH] est un trouble du développement avec anomalies faciales",
      "caractéristiques, retard de croissance prénatale et post-natale, déficit intellectuel, retard psychomoteur",
      "sévère, crises d’épilepsie et hypotonie. Synonyme : Délétion distale 4p (Orphanet)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.4": {
    "code": "Q93.4",
    "description": "Délétion du bras court du chromosome 5",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome du cri du chat"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.5": {
    "code": "Q93.5",
    "description": "Autres délétions partielles d’un chromosome",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome d’Angelman"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.6": {
    "code": "Q93.6",
    "description": "Délétions vues seulement à la prométaphase",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.7": {
    "code": "Q93.7",
    "description": "Délétions avec autres réarrangements complexes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.8": {
    "code": "Q93.8",
    "description": "Autres délétions des autosomes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coder les manifestations en fonction des circonstances"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Williams (Williams Beuren) : Maladie génétique rare neurodéveloppementale multisystémique",
      "caractérisée par une apparence faciale distincte, des anomalies cardiaques (le plus souvent une sténose",
      "aortique supravalvulaire), des anomalies cognitives et de développement et des anomalies du tissu conjonctif",
      "(par exemple, une laxité articulaire). Orphanet propose le Q93.8"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q93.9": {
    "code": "Q93.9",
    "description": "Délétion des autosomes, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Réarrangements équilibrés et marqueurs structuraux, non classés",
      "C omprend translocations et insertions réciproques robertsoniennes et équilibrées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.0": {
    "code": "Q95.0",
    "description": "Translocation ou insertion équilibrée chez un sujet normal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.1": {
    "code": "Q95.1",
    "description": "Inversion chromosomique chez un sujet normal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.2": {
    "code": "Q95.2",
    "description": "Réarrangement autosomique équilibré chez un sujet anormal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.3": {
    "code": "Q95.3",
    "description": "Réarrangement sexuel/autosomique équilibré chez un sujet anormal",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.4": {
    "code": "Q95.4",
    "description": "Sujet avec marqueur d’hétérochromatine",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.5": {
    "code": "Q95.5",
    "description": "Sujet avec site autosomique fragile",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.8": {
    "code": "Q95.8",
    "description": "Autres réarrangements équilibrés et marqueurs structurels",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q95.9": {
    "code": "Q95.9",
    "description": "Réarrangement équilibré et marqueur structurel, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96": {
    "code": "Q96",
    "description": "Syndrome de Turner",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome de Noonan (Q87.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96.0": {
    "code": "Q96.0",
    "description": "Caryotype 45,X",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96.1": {
    "code": "Q96.1",
    "description": "Caryotype 46,X iso (Xq)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96.2": {
    "code": "Q96.2",
    "description": "Caryotype 46,X avec chromosome sexuel anormal, sauf iso (Xq)",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96.3": {
    "code": "Q96.3",
    "description": "Mosaïque chromosomique, 45,X / 46,XX ou XY",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Mosaïque chromosomique, 45,X / autre(s) lignée(s) cellulaire(s) avec chromosome sexuel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96.8": {
    "code": "Q96.8",
    "description": "Autres formes du syndrome de Turner",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q96.9": {
    "code": "Q96.9",
    "description": "Syndrome de Turner, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 765,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de Turner (Q96.-)"
    ],
    "clinical_text": [
      "Autres anomalies des chromosomes sexuels, phénotype féminin, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q97.0": {
    "code": "Q97.0",
    "description": "Caryotype 47,XXX",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q97.1": {
    "code": "Q97.1",
    "description": "Femme avec plus de trois chromosomes X",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q97.2": {
    "code": "Q97.2",
    "description": "Mosaïque chromosomique, lignées avec divers nombres de chromosomes X",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q97.3": {
    "code": "Q97.3",
    "description": "Femme avec un caryotype 46,XY",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q97.8": {
    "code": "Q97.8",
    "description": "Autres anomalies précisées des chromosomes sexuels, phénotype féminin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q97.9": {
    "code": "Q97.9",
    "description": "Anomalie des chromosomes sexuels, phénotype féminin, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres anomalies des chromosomes sexuels, phénotype masculin, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.0": {
    "code": "Q98.0",
    "description": "Syndrome de Klinefelter, caryotype 47,XXY",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.1": {
    "code": "Q98.1",
    "description": "Syndrome de Klinefelter, homme avec plus de deux chromosomes X",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.2": {
    "code": "Q98.2",
    "description": "Syndrome de Klinefelter, homme avec caryotype 46,XX",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.3": {
    "code": "Q98.3",
    "description": "Autre phénotype masculin avec caryotype 46,XX",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.4": {
    "code": "Q98.4",
    "description": "Syndrome de Klinefelter, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.5": {
    "code": "Q98.5",
    "description": "Caryotype 47,XYY",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.6": {
    "code": "Q98.6",
    "description": "Homme avec chromosomes sexuels de structure anormale",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.7": {
    "code": "Q98.7",
    "description": "Homme avec mosaïque des chromosomes sexuels",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.8": {
    "code": "Q98.8",
    "description": "Autres anomalies précisées des chromosomes sexuels, phénotype masculin",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q98.9": {
    "code": "Q98.9",
    "description": "Anomalie des chromosomes sexuels, phénotype masculin, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q99": {
    "code": "Q99",
    "description": "Autres anomalies des chromosomes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q99.0": {
    "code": "Q99.0",
    "description": "Chimère 46,XX / 46,XY",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chimère 46,XX / 46,XY hermaphrodite vrai"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q99.1": {
    "code": "Q99.1",
    "description": "Hermaphrodite vrai 46,XX",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "46,XX avec ovaire en bandelettes",
      "46,XY avec ovaire en bandelettes",
      "Dysgénésie gonadique pure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q99.2": {
    "code": "Q99.2",
    "description": "Chromosome X fragile",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 766,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de l’X fragile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Q99.8": {
    "code": "Q99.8",
    "description": "Autres anomalies précisées des chromosomes",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 767,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "syndrome : codes G44.8, R60.0 et Q99.8."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Patient porteur d’une anomalie génétique, mais qui à l’issue d’investigations assez complètes, ne présente",
      "aucune « maladie » caractérisée : nous proposons le code Q99.8 pour les sujets sains porteurs d’une",
      "Alpha-tryptasémie héréditaire : par extension de la réponse de l’ATIH ci-dessus, comme pour de nombreux",
      "syndromes génétiques, s’il n’existe pas de code unique pour ce syndrome, vous coderez donc les différents",
      "éléments pris en charge au cours du séjour. L’origine génétique peut être codée avec Q99.8",
      "Exemple : patiente prise en charge pour céphalées et œdèmes de l’hémiface et de l’hémicorps reliés à ce"
    ],
    "agora_refs": [
      "28764"
    ],
    "cocoa_notes": [
      "anomalie génétique (AGORA - # 28764, le 27 avril 2010)"
    ]
  },
  "Q99.9": {
    "code": "Q99.9",
    "description": "Anomalie chromosomique, sans précision",
    "dagger_star": "",
    "chapter": "Malformations congénitales et anomalies chromosomiques",
    "page": 767,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Symptômes, signes et résultats anormaux d’examens cliniques",
      "et de laboratoire, non classés ailleurs (R00-R99)",
      "déterminées ;",
      "des problèmes importants de soins médicaux.",
      "Ce chapitre comprend les groupes suivants :",
      "IDENTIFICATION DU POLYHANDICAP LOURD",
      "• une déficience mentale profonde ou une démence sévère ;",
      "• une mobilité réduite conséquence du trouble moteur ;",
      "appareil.",
      "• liste 2 : troubles moteurs (codes du chapitre G, Q et R)"
    ],
    "comprend": [],
    "exclusions": [
      "certaines affections dont l’origine se situe dans la période périnatale (P00 à P96)",
      "résultats anormaux constatés au cours de l’examen prénatal systématique de la mère (O28.-)"
    ],
    "clinical_text": [
      "Ce chapitre comprend les symptômes, les signes et les résultats anormaux d’examens cliniques ou autres, ainsi que les états morbides",
      "mal définis pour lesquels aucun diagnostic qui puisse être classé ailleurs n’a été formulé.",
      "Les signes et symptômes qui orientent assez sérieusement vers un diagnostic donné sont classés dans une catégorie des autres",
      "chapitres de la Classification. En général, les catégories de ce chapitre comprennent les états et symptômes moins nettement définis",
      "qui, sans que le cas ait été suffisamment étudié pour permettre un diagnostic définitif, orientent vers deux maladies ou plus ou vers",
      "deux appareils ou plus du corps humain. Presque toutes les catégories de ce chapitre pourraient être désignées « sans autre",
      "indication », « d’étiologie inconnue » ou « transitoire ». On consultera l’Index alphabétique pour décider des symptômes et des signes",
      "qui appartiennent à ce chapitre et non à un autre. Les sous-catégories numérotées .8 sont généralement réservées aux autres",
      "symptômes qui s’y rapportent et qui ne peuvent être classés ailleurs dans la Classification.",
      "Les affections et les signes ou symptômes classés dans les catégories R00-R99 se rapportent :",
      "a) aux cas pour lesquels aucun diagnostic plus précis n’a pu être porté, même après examen de tous les faits s’y rapportant ;",
      "b) aux signes ou symptômes existants lors de la première consultation, qui se sont avérés être transitoires et dont les causes n’ont pu être",
      "c) aux diagnostics provisoires chez un malade qui n’est pas revenu pour d’autres investigations ou soins ;",
      "d) aux cas de malades dirigés ailleurs pour examens complémentaires ou traitement avant que le diagnostic ne soit établi ;",
      "e) aux cas dans lesquels un diagnostic plus précis n’a pu être établi pour toute autre raison et",
      "f) à certains symptômes pour lesquels des renseignements supplémentaires sont fournis, symptômes qui par eux-mêmes représentent",
      "Le polyhandicap se définit par l’association de quatre critères :",
      "• un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "• une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un",
      "Pour permettre l’identification du polyhandicap lourd dans les recueils d’informations du PMSI, quatre listes de codes de la CIM–10",
      "ont été élaborées sous le contrôle de la Société française de pédiatrie et de la Société française de neuropédiatrie :",
      "• liste 1 : déficiences mentales ou psychiatriques sévères (codes du chapitre F)",
      "• liste 3 : critères de mobilité réduite (codes des chapitres R et Z)",
      "• liste 4 : restrictions extrêmes de l’autonomie (codes des chapitres U et Z).",
      "Un code au moins de chacune des quatre listes doit être présent dans le RSS pour affirmer le polyhandicap lourd.",
      "Voir les listes et recommandations pour le codage du polyhandicap lourd sur le site Internet de l’ATIH.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R00": {
    "code": "R00",
    "description": "Anomalies du rythme cardiaque",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies dont l’origine se situe dans la période périnatale (P29.1)",
      "troubles précisés du rythme cardiaque (I47 à I49)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R00.0": {
    "code": "R00.0",
    "description": "Tachycardie, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rythme cardiaque rapide",
      "Tachycardie: • sinoauriculaire SAI",
      "• sinusale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R00.1": {
    "code": "R00.1",
    "description": "Bradycardie, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rythme cardiaque lent",
      "Bradycardie: • sinoatriale",
      "• sinusale",
      "• vagale",
      "le médicament."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier éventuellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R00.2": {
    "code": "R00.2",
    "description": "Palpitations",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perception des battements cardiaques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R00.3": {
    "code": "R00.3",
    "description": "Activité électrique sans pouls, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dissociation électromécanique"
    ],
    "comprend": [],
    "exclusions": [
      "arrêt cardiaque (I46.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R00.8": {
    "code": "R00.8",
    "description": "Anomalies du rythme cardiaque, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R01": {
    "code": "R01",
    "description": "Souffles et autres bruits cardiaques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ceux dont l’origine se situe dans la période périnatale (P29.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R01.0": {
    "code": "R01.0",
    "description": "Souffles cardiaques bénins et anodins",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Souffle cardiaque fonctionnel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R01.1": {
    "code": "R01.1",
    "description": "Souffle cardiaque, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 770,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bruit cardiaque SAI",
      "Souffle systolique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R01.2": {
    "code": "R01.2",
    "description": "Autres bruits cardiaques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 771,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bruits cardiaques assourdis, augmentés ou diminués",
      "Frottement précordial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R02": {
    "code": "R02",
    "description": "au code du mal perforant (AGORA – # 120773 le 24 juillet 2015)",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 771,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "– # 189038 le 21 novembre 2019)"
    ],
    "comprend": [],
    "exclusions": [
      "gangrène (au cours de) : • athérosclérose (I70.2)",
      "• autres maladies vasculaires périphériques (I73.-)",
      "• diabète sucré (E10-E14 avec le quatrième chiffre .5)",
      "• gazeuse (A48.0)",
      "gangrène de certaines localisations - voir Index alphabétique",
      "pyodermite gangréneuse (L88)"
    ],
    "clinical_text": [
      "Peut-on associer le code R02 au code L97 comme précisé dans des consignes précédentes ou faut-il",
      "suivre la règle CIM-10 et ne pas associer L97 et R02 ? En effet, il n'est pas cohérent d'avoir une exclusion",
      "sur l'un et pas sur l'autre code. Le mal perforant ne s'accompagnant pas toujours de nécrose, il est normal",
      "de l'associer au R02 lorsque c'est le cas. La consigne donnée précédemment est toujours valable (AGORA"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R03": {
    "code": "R03",
    "description": "Constatation d’une anomalie de la tension artérielle, sans diagnostic",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 771,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R03.0": {
    "code": "R03.0",
    "description": "Constatation d’une élévation de la tension artérielle, sans diagnostic d’hypertension",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 771,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "isolée."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Cette catégorie doit être utilisée pour enregistrer soit un épisode hypertensif chez un malade",
      "pour lequel aucun diagnostic formel d’hypertension n’a été porté, soit une découverte fortuite"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R03.1": {
    "code": "R03.1",
    "description": "Constatation d’une baisse non spécifique de la tension artérielle",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "HYPOTENSION ET BAISSE DE LA TENSION ARTÉRIELLE",
      "n’a été porté, soit une découverte fortuite isolée. »",
      "de la pression intra-artérielle (R03.0)."
    ],
    "comprend": [],
    "exclusions": [
      "hypotension (I95.-)",
      "• orthostatique neurogène (G23.8)",
      "syndrome hypotensif de la mère (O26.5)"
    ],
    "clinical_text": [
      "La CIM-10 distingue deux modalités de codage des baisses de la pression intra-artérielle [tension artérielle].",
      "Elles correspondent à deux conditions très différentes de diagnostic.",
      "Une baisse de la pression intra-artérielle peut être un signe d’accompagnement de diverses maladies ou",
      "une « découverte fortuite isolée », ce qui ne permet pas de porter le diagnostic de maladie hypotensive",
      "chronique. Dans les deux circonstances, cette chute tensionnelle est qualifiée par la CIM-10 de « non",
      "spécifique » : elle doit alors être codée R03.1 Constatation d’une baisse non spécifique de la tension artérielle.",
      "Elle répond en effet aux critères qui conduisent à utiliser le chapitre XVIII qui contient les signes et symptômes",
      "« a) […] pour lesquels aucun diagnostic plus précis n’a pu être porté, même après examen de tous les faits",
      "s’y rapportant ; b) […] existants lors de la première consultation, qui se sont avérés être transitoires et dont",
      "les causes n’ont pu être déterminées ; c) [se rapportant] aux diagnostics provisoires chez un malade qui n’est",
      "pas revenu pour d’autres investigations ou soins […] ». L’utilisation du code R03.1 suit ainsi la logique exposée",
      "dans la note placée sous le libellé Constatation d’une élévation de la tension artérielle, sans diagnostic",
      "d’hypertension (R03.0) : par analogie, on doit considérer que « cette catégorie [R03.1] doit être utilisée pour",
      "enregistrer soit un épisode [hypotensif] chez un malade pour lequel aucun diagnostic formel d’[hypotension]",
      "A contrario, l’hypotension artérielle qualifiée d’idiopathique ou d’orthostatique est une maladie chronique",
      "invalidante, nécessitant habituellement un traitement prolongé. Son diagnostic repose sur la constatation",
      "répétée d’une baisse des pressions diastolique et systolique, mesurées dans des conditions rigoureuses. Les",
      "codes I95.0, I95.1 et I95.8 qui la repèrent ne doivent être employés que devant un diagnostic établi de",
      "maladie hypotensive chronique (sauf si elle s’intègre dans un ensemble de troubles neurovégétatifs et",
      "neurologiques, constituant alors le syndrome de Shy et Drager, code G23.8).",
      "La même argumentation conduit à distinguer la maladie hypertensive (I10) et l’élévation « non spécifique »",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 104"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R04": {
    "code": "R04",
    "description": "Hémorragie des voies respiratoires",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R04.0": {
    "code": "R04.0",
    "description": "Epistaxis",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémorragie du nez",
      "Saignement de nez"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R04.1": {
    "code": "R04.1",
    "description": "Hémorragie de la gorge",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémoptysie (R04.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R04.2": {
    "code": "R04.2",
    "description": "Hémoptysie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Expectorations sanglantes",
      "Toux avec hémorragie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R04.8": {
    "code": "R04.8",
    "description": "Hémorragie d’autres parties des voies respiratoires",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémorragie pulmonaire SAI"
    ],
    "comprend": [],
    "exclusions": [
      "hémorragie pulmonaire périnatale (P26.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R04.9": {
    "code": "R04.9",
    "description": "Hémorragie des voies respiratoires, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R05": {
    "code": "R05",
    "description": "Toux",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 772,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "toux : • avec hémorragie (R04.2)",
      "• psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06": {
    "code": "R06",
    "description": "Anomalies de la respiration",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arrêt respiratoire (R09.2)",
      "détresse respiratoire du nouveau-né (P22.−)",
      "insuffisance respiratoire (J96.−)",
      "• du nouveau-né (P28.5)",
      "syndrome de détresse respiratoire de l’adulte (J80)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.0": {
    "code": "R06.0",
    "description": "Dyspnée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Orthopnée",
      "Essoufflement"
    ],
    "comprend": [],
    "exclusions": [
      "tachypnée transitoire du nouveau-né (P22.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.1": {
    "code": "R06.1",
    "description": "Stridor",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "laryngisme (striduleux) (J38.5)",
      "stridor laryngé congénital (P28.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.2": {
    "code": "R06.2",
    "description": "Sifflement",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Wheezing"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.3": {
    "code": "R06.3",
    "description": "Respiration périodique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dyspnée de Cheyne-Stokes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.4": {
    "code": "R06.4",
    "description": "Hyperventilation",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyperventilation psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.5": {
    "code": "R06.5",
    "description": "Respiration par la bouche",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ronflement"
    ],
    "comprend": [],
    "exclusions": [
      "sécheresse de la bouche SAI (R68.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.6": {
    "code": "R06.6",
    "description": "Hoquet",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hoquet psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.7": {
    "code": "R06.7",
    "description": "Éternuement",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R06.8": {
    "code": "R06.8",
    "description": "Anomalies de la respiration, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apnée SA",
      "Sensation d’étouffement",
      "Soupir",
      "Spasme du sanglot",
      "Hypercapnie"
    ],
    "comprend": [],
    "exclusions": [
      "apnée du : • nouveau-né (P28.4)",
      "• sommeil (G47.3)",
      "• du nouveau-né (primaire) (P28.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R07": {
    "code": "R07",
    "description": "Douleur au niveau de la gorge et du thorax",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "angine (aiguë) SAI (J02.9)",
      "douleur du : • cou (M54.2)",
      "• sein (N64.4)",
      "dysphagie (R13)",
      "myalgie épidémique (B33.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R07.0": {
    "code": "R07.0",
    "description": "Douleur de la gorge",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R07.1": {
    "code": "R07.1",
    "description": "Douleur thoracique respiratoire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Respiration douloureuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R07.2": {
    "code": "R07.2",
    "description": "Douleur précordiale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 773,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R07.3": {
    "code": "R07.3",
    "description": "Autres douleurs thoraciques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Douleur de la paroi thoracique antérieure SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R07.4": {
    "code": "R07.4",
    "description": "Douleur thoracique, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "respiratoire"
    ],
    "comprend": [],
    "exclusions": [
      "détresse respiratoire du nouveau-né (P22.−)",
      "insuffisance respiratoire (J96.−)",
      "• du nouveau-né (P28.5)",
      "syndrome de détresse respiratoire de l’adulte (J80)"
    ],
    "clinical_text": [
      "Autres symptômes et signes relatifs aux appareils circulatoire et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R09.0": {
    "code": "R09.0",
    "description": "Asphyxie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "asphyxie (de) (due à) : • corps étranger dans les voies respiratoires (T17.-)",
      "• intra-utérine (P20.-)",
      "• monoxyde de carbone (T58)",
      "• obstétricale (P21.-)",
      "• traumatique (T71)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R09.1": {
    "code": "R09.1",
    "description": "Inflammation de la plèvre",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "pleurite avec épanchement (J90)",
      "scissurite (pulmonaire) : en l’absence de plus de précisions (épanchement ? étiologie ?) vous coderez R09.1"
    ],
    "clinical_text": [],
    "agora_refs": [
      "86630"
    ],
    "cocoa_notes": [
      "(AGORA - # 86630, le 20 septembre 2013)"
    ]
  },
  "R09.2": {
    "code": "R09.2",
    "description": "Arrêt respiratoire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Insuffisance cardio-respiratoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.103 : en cas de « mort subite manquée », nous vous proposons R09.2."
    ]
  },
  "R09.3": {
    "code": "R09.3",
    "description": "Expectoration anormale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de : • couleur de l’expectoration",
      "• odeur de l’expectoration",
      "• quantité de l’expectoration",
      "Expectoration excessive"
    ],
    "comprend": [],
    "exclusions": [
      "expectorations sanglantes (R04.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R09.8": {
    "code": "R09.8",
    "description": "Autres symptômes et signes précisés relatifs aux appareils circulatoire et respiratoire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 774,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bruits (artériels) thoracique(s)",
      "Frottements thoracique(s)",
      "Percussion anormale thoracique(s)",
      "Tympanisme thoracique(s)",
      "Pouls faible",
      "Râles"
    ],
    "comprend": [],
    "exclusions": [
      "hémorragie gastro-intestinale (K92.0-K92.2)",
      "• du nouveau-né (P54.0-P54.3)",
      "occlusion intestinale (K56.-)",
      "• du nouveau-né (P76.-)",
      "spasme du pylore (K31.3)",
      "• congénital ou infantile (Q40.0)",
      "symptômes et signes relatifs à l’appareil urinaire (R30-R39)",
      "symptômes relatifs aux organes génitaux : • femme (N94.-)",
      "• homme (N48-N50)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R10": {
    "code": "R10",
    "description": "Douleur abdominale et pelvienne",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "colique néphrétique (N23)",
      "dorsalgie (M54.-)",
      "flatulence et troubles apparentés (R14)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R10.0": {
    "code": "R10.0",
    "description": "Syndrome abdominal aigu",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Douleur abdominale intense (avec contracture abdominale) (généralisée) (localisée)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R10.1": {
    "code": "R10.1",
    "description": "Douleur localisée à la partie supérieure de l’abdomen",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Douleur épigastrique",
      "Dyspepsie"
    ],
    "comprend": [],
    "exclusions": [
      "dyspepsie fonctionnelle (K30)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R10.2": {
    "code": "R10.2",
    "description": "Douleur pelvienne et périnéale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La douleur pelvienne aiguë ou chronique se code R10.2 chez l’homme et N94.8 chez la femme (voir volume 3)"
    ],
    "agora_refs": [
      "35949"
    ],
    "cocoa_notes": [
      "(AGORA - # 35949, le 8 décembre 2008)"
    ]
  },
  "R10.3": {
    "code": "R10.3",
    "description": "Douleur localisée à d’autres parties inférieures de l’abdomen",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R10.4": {
    "code": "R10.4",
    "description": "Douleurs abdominales, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abdomen sensible SAI",
      "Colique : • SAI",
      "• infantile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R11": {
    "code": "R11",
    "description": "Nausées et vomissements",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hématémèse (K92.0)",
      "• néonatale (P54.0)",
      "vomissements (du) : • consécutifs à une intervention gastro-intestinale (K91.0)",
      "• incoercibles, au cours de la grossesse (O21.-)",
      "• nouveau-né (P92.0)",
      "• psychogènes (F50.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R12": {
    "code": "R12",
    "description": "Pyrosis",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dyspepsie : fonctionnelle (K30)",
      "SAI (R10.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R13": {
    "code": "R13",
    "description": "Dysphagie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 775,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Déglutition difficile",
      "Troubles de la déglutition"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R14": {
    "code": "R14",
    "description": "Flatulence et troubles apparentés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Ballonnement",
      "Distension abdominale (gazeuse)",
      "Éructation",
      "Météorisme",
      "Tympanisme (abdominal) (intestinal)"
    ],
    "comprend": [],
    "exclusions": [
      "aérophagie psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R15": {
    "code": "R15",
    "description": "Incontinence des matières fécales",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Encoprésie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "origine non organique (F98.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R16": {
    "code": "R16",
    "description": "Hépatomégalie et splénomégalie, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R16.0": {
    "code": "R16.0",
    "description": "Hépatomégalie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatomégalie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R16.1": {
    "code": "R16.1",
    "description": "Splénomégalie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Splénomégalie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R16.2": {
    "code": "R16.2",
    "description": "Hépatomégalie avec splénomégalie, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hépatosplénomégalie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R17": {
    "code": "R17",
    "description": "Hyperbilirubinémie, avec ou sans ictère, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ictère néonatal (P55, P57-P59)"
    ],
    "clinical_text": [
      "Lorsque l'atteinte n'est pas une cholestase (hépatocytaire), il faut employer les nouveaux codes d'hyperbilirubinémie [R17],",
      "qui est aussi biologique et s'accompagne ou pas d'ictère. Pour chaque situation, demander la confirmation des cliniciens."
    ],
    "agora_refs": [
      "177794"
    ],
    "cocoa_notes": [
      "(AGORA - # 177794, le 15 avril 2019)"
    ]
  },
  "R17.0": {
    "code": "R17.0",
    "description": "Hyperbilirubinémie, avec mention d’ictère, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ictère SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R17.9": {
    "code": "R17.9",
    "description": "Hyperbilirubinémie, sans mention d’ictère, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperbilirubinémie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R18": {
    "code": "R18",
    "description": "Ascite",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 776,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Épanchement péritonéal",
      "Ascite infectée",
      "aux catégories B95-B96 pour l’identifier.",
      "avis de la société française de gastroentérologie ?",
      "sans niveau de sévérité.",
      "- # 277642 le 23 juin 2025)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La Société nationale française de gastroentérologie (SNFGE) a proposé de coder R18 Ascite les infections du",
      "liquide d’ascite ; cette décision a été validée par l’ATIH. Lorsqu’un germe est mis en évidence, on fait appel",
      "Il n’est donc pas autorisé d’employer un code de péritonite dans cette situation.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.7 - Créé le 15 mars 2008",
      "Est-il possible de réévaluer cette consigne de codage des ascites infectées, qui date de 2008, par un nouvel",
      "La question a de nouveau été soulevée au sein de notre établissement et la réponse ne semble plus si claire",
      "compte tenu des derniers échanges sur ce fil. Notre cheffe de service de gastro-entérologie m'a confirmé",
      "son désaccord quant au fondement médical de cette interdiction de coder une péritonite.",
      "Un codage en DP R18 sur des séjours longs et compliqués pour infection du liquide d'ascite conduit toujours",
      "dans un GHM unique 07M14Z ne faisant aucune distinction avec une décompensation ascitique simple et",
      "Le codage d'une péritonite, même sur avis de notre médecin clinicien, nous expose à un redressement en",
      "cas de contrôle par l'assurance maladie basée sur cette règle présente dans les guides officiels de l'ATIH.",
      "Il n'y a pas encore de validation de la société savante pour la révision de cette consigne de codage (AGORA"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19": {
    "code": "R19",
    "description": "Autres symptômes et signes relatifs à l’appareil digestif et à l’abdomen",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome abdominal aigu (R10.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.0": {
    "code": "R19.0",
    "description": "Tuméfaction et masse intra-abdominales et pelviennes",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tuméfaction diffuse ou généralisée : • intra-abdominale SAI",
      "• ombilicale",
      "• pelvienne SAI"
    ],
    "comprend": [],
    "exclusions": [
      "ascite (R18)",
      "distension abdominale (gazeuse) (R14)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.1": {
    "code": "R19.1",
    "description": "Bruits abdominaux anormaux",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence de bruits abdominaux",
      "Bruits abdominaux excessifs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.2": {
    "code": "R19.2",
    "description": "Péristaltisme apparent",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperpéristaltisme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.3": {
    "code": "R19.3",
    "description": "Contracture abdominale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec douleur abdominale intense (R10.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.4": {
    "code": "R19.4",
    "description": "Modification du transit intestinal",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "constipation (K59.0)",
      "diarrhée fonctionnelle (K59.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.5": {
    "code": "R19.5",
    "description": "Autres anomalies des matières fécales",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coloration anormale",
      "Mucus dans les selles",
      "Présence occulte de sang dans les selles",
      "Hemoccult® positif",
      "test FIT (test immunochimique fécal)",
      "Selles volumineuses"
    ],
    "comprend": [],
    "exclusions": [
      "Mélæna (K92.1)",
      "• néonatal (P54.1)"
    ],
    "clinical_text": [
      "Le test Hemoccult® vise à rechercher la présence de sang dans les selles. Il est utile en cas d’absence de",
      "saignement cliniquement évident ; sa positivité signe alors la présence occulte de sang dans les selles. L’OMS",
      "a créé une inclusion spécifique au code R19.5 Autres anomalies de matières fécales pour décrire ce signe.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.5-6 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.6": {
    "code": "R19.6",
    "description": "Haleine fétide",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Halitose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R19.8": {
    "code": "R19.8",
    "description": "Autres symptômes et signes précisés relatifs à l’appareil digestif et à l’abdomen",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R20": {
    "code": "R20",
    "description": "Troubles de la sensibilité cutanée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anesthésie dissociative et atteintes sensorielles (F44.6)",
      "troubles psychogènes (F45.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R20.0": {
    "code": "R20.0",
    "description": "Anesthésie cutanée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R20.1": {
    "code": "R20.1",
    "description": "Hypoesthésie cutanée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R20.2": {
    "code": "R20.2",
    "description": "Paresthésie cutanée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 777,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fourmillements",
      "Picotements"
    ],
    "comprend": [],
    "exclusions": [
      "acroparesthésie (I73.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R20.3": {
    "code": "R20.3",
    "description": "Hyperesthésie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R20.8": {
    "code": "R20.8",
    "description": "Troubles de la sensibilité cutanée, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R21": {
    "code": "R21",
    "description": "Rash et autres éruptions cutanées non spécifiques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cellulaire sous-cutané"
    ],
    "comprend": [
      "nodules sous-cutanés (localisés) (superficiels)"
    ],
    "exclusions": [
      "adénopathies (R59.-)",
      "adiposité localisée (E65)",
      "épanchement articulaire (M25.4)",
      "masse et tuméfaction : • intra-abdominales ou pelviennes (R19.0)",
      "• mammaire (N63)",
      "œdème (R60.-)",
      "résultats anormaux d’imagerie diagnostique (R90-R93)",
      "tuméfaction intra-abdominale ou pelvienne (R19.0)"
    ],
    "clinical_text": [
      "Autres tuméfactions et masses localisées de la peau et du tissu"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.0": {
    "code": "R22.0",
    "description": "Tuméfaction et masse localisées, au niveau de la tête",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.1": {
    "code": "R22.1",
    "description": "Tuméfaction et masse localisées, au niveau du cou",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.2": {
    "code": "R22.2",
    "description": "Tuméfaction et masse localisées, au niveau du tronc",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.3": {
    "code": "R22.3",
    "description": "Tuméfaction et masse localisées, au niveau du membre supérieur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.4": {
    "code": "R22.4",
    "description": "Tuméfaction et masse localisées, au niveau du membre inférieur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.7": {
    "code": "R22.7",
    "description": "Tuméfaction et masse localisées, sièges multiples",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R22.9": {
    "code": "R22.9",
    "description": "Tuméfaction et masse localisées, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23": {
    "code": "R23",
    "description": "Autres modifications de la peau",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23.0": {
    "code": "R23.0",
    "description": "Cyanose",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "acrocyanose (I73.8)",
      "crises de cyanose du nouveau-né (P28.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23.1": {
    "code": "R23.1",
    "description": "Pâleur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Peau froide et moite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23.2": {
    "code": "R23.2",
    "description": "Rougeur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rougeur excessive"
    ],
    "comprend": [],
    "exclusions": [
      "troubles de la ménopause et du climatère féminin (N95.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23.3": {
    "code": "R23.3",
    "description": "Ecchymoses spontanées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pétéchies"
    ],
    "comprend": [],
    "exclusions": [
      "ecchymoses du fœtus et du nouveau-né (P54.5)",
      "purpura (D69.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23.4": {
    "code": "R23.4",
    "description": "Modifications du tissu cutané",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Desquamation de la peau",
      "Exfoliation de la peau",
      "Induration de la peau"
    ],
    "comprend": [],
    "exclusions": [
      "épaississement de l’épiderme SAI (L85.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R23.8": {
    "code": "R23.8",
    "description": "Modifications de la peau, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 778,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R25": {
    "code": "R25",
    "description": "Mouvements involontaires anormaux",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mouvements stéréotypés (F98.4)",
      "tics (F95.-)",
      "troubles spécifiques de la motricité (G20-G26)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R25.0": {
    "code": "R25.0",
    "description": "Mouvements anormaux de la tête",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R25.1": {
    "code": "R25.1",
    "description": "Tremblement, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chorée SAI (G25.5)",
      "tremblement : • essentiel (G25.0)",
      "• hystérique (F44.4)",
      "• intentionnel (G25.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R25.2": {
    "code": "R25.2",
    "description": "Crampe et spasme",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "spasme : • infantile (G40.4)",
      "• pédo-carpien (R29.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R25.3": {
    "code": "R25.3",
    "description": "Fasciculation",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contractions SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R25.8": {
    "code": "R25.8",
    "description": "Mouvements involontaires anormaux, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "10 novembre 2017)",
      "le 2 mars 2018)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les shuddering attacks sont des mouvements anormaux bénins paroxystiques. Ils se codent R25.8",
      "Mouvements involontaires anormaux, autres et SAI en l’absence de plus de précision (AGORA - # 154615 le",
      "En l’absence d’autres précisions sur l’origine de l’athétose, le code R25.8 proposé est bon (AGORA - # 158433"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26": {
    "code": "R26",
    "description": "Anomalies de la démarche et de la motilité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ataxie : • SAI (R27.0)",
      "• héréditaire (G11.-)",
      "• locomotrice (syphilitique) (A52.1)",
      "syndrome d’immobilité (paraplégique) (M62.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.0": {
    "code": "R26.0",
    "description": "Démarche ataxique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Démarche ébrieuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.1": {
    "code": "R26.1",
    "description": "Démarche paralytique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Démarche spastique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.2": {
    "code": "R26.2",
    "description": "Difficulté à la marche, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.3": {
    "code": "R26.3",
    "description": "Immobilité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 779,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Confiné au fauteuil",
      "Grabataire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.30": {
    "code": "R26.30",
    "description": "État grabataire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 780,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "une déficience mentale profonde ou une démence sévère ;",
      "dyskinésie ou de dystonie ;",
      "une mobilité réduite conséquence du trouble moteur ;",
      "tierce personne ou un appareil.",
      "p. 10",
      "ÉTAT GRABATAIRE",
      "déplacement ».",
      "un délai bref, de l’ordre de la durée du séjour en MCO."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le polyhandicap se définit par l’association de quatre critères :",
      "un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de",
      "une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une",
      "Ce code fait partie de la liste 3 « critères de mobilité réduite »",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022,",
      "Son codage (R26.30) est réservé aux situations correspondant à la définition suivante : « état d’une personne",
      "confinée au lit ou au fauteuil par sa maladie, incapable de subvenir seule sans aide et en toute sécurité à ses",
      "besoins alimentaires, d’hygiène personnelle, d’élimination et d’exonération, de transfert et de",
      "NB : la conjonction « et » – non « ou » – qui lie les différents besoins. Le mot « maladie » est aussi essentiel.",
      "Le codage d’un état grabataire suppose la chronicité. Sont en conséquence exclus les états qui",
      "correspondent transitoirement à la définition (par exemple, dans les suites d’une intervention chirurgicale)",
      "mais tels que « l’état grabataire » n’existait pas avant les soins, leur est dû, et est appelé à disparaître dans",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, pp. 103-104"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.38": {
    "code": "R26.38",
    "description": "Immobilité, autre et sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 780,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "une déficience mentale profonde ou une démence sévère ;",
      "dyskinésie ou de dystonie ;",
      "une mobilité réduite conséquence du trouble moteur ;",
      "tierce personne ou un appareil.",
      "p. 10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le polyhandicap se définit par l’association de quatre critères :",
      "un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de",
      "une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une",
      "Ce code fait partie de la liste 3 « critères de mobilité réduite »",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R26.8": {
    "code": "R26.8",
    "description": "Anomalies de la démarche et de la motilité, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 780,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Démarche instable SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome post-chute : le syndrome post chute associe des signes physiques représentés essentiellement",
      "par des troubles de l’équilibre statique et de la marche, à des signes psychiques : anxiété et phobie de la"
    ],
    "agora_refs": [
      "14115"
    ],
    "cocoa_notes": [
      "station debout. Je vous conseille de coder R26.8 associé à F40.8 (AGORA - # 14115, le 7 mai 2009)"
    ]
  },
  "R26.80": {
    "code": "R26.80",
    "description": "Chutes à répétition",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 780,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chute(s) sans étiologie"
    ],
    "comprend": [],
    "exclusions": [
      "Chutes à répétition (R29.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R27": {
    "code": "R27",
    "description": "Autres troubles de la coordination",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "ataxie héréditaire (G11.-)",
      "démarche ataxique (R26.0)",
      "vertige SAI (R42)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R27.0": {
    "code": "R27.0",
    "description": "Ataxie, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "une déficience mentale profonde ou une démence sévère ;",
      "dyskinésie ou de dystonie ;",
      "une mobilité réduite conséquence du trouble moteur ;",
      "tierce personne ou un appareil.",
      "p. 10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le polyhandicap se définit par l’association de quatre critères :",
      "un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de",
      "une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une",
      "Ce code fait partie de la liste 3 « critères de mobilité réduite »",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022,",
      "Ataxie cérébelleuse d’origine indéterminée et syndrome cérébelleux cinétique : R27.0 Ataxie, sans précision",
      "pourrait correspondre, cela convient aussi à la description des troubles de l'équilibre et de la marche du"
    ],
    "agora_refs": [
      "253741"
    ],
    "cocoa_notes": [
      "syndrome cérébelleux cinétique (AGORA - # 253741 le 5 octobre 2023)"
    ]
  },
  "R27.8": {
    "code": "R27.8",
    "description": "Troubles de la coordination, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "musculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres symptômes et signes relatifs aux systèmes nerveux et ostéo-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.0": {
    "code": "R29.0",
    "description": "Tétanie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Spasme pédo-carpien"
    ],
    "comprend": [],
    "exclusions": [
      "tétanie : • après thyroïdectomie (E89.2)",
      "• hystérique (F44.5)",
      "• néonatale (P71.3)",
      "• parathyroïdienne (E20.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.1": {
    "code": "R29.1",
    "description": "Méningisme",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.2": {
    "code": "R29.2",
    "description": "Réflexes anormaux",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "réaction vaso-vagale ou syncope (R55)",
      "réflexe : • nauséeux exagéré (J39.2)",
      "• pupillaire anormal (H57.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.3": {
    "code": "R29.3",
    "description": "Posture anormale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.4": {
    "code": "R29.4",
    "description": "Hanche « à ressort »",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 781,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malformations congénitales de la hanche (Q65.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.6": {
    "code": "R29.6",
    "description": "Chutes à répétition, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "CHUTES A REPETITION",
      "trouvée, le DP est la chute R29.6.",
      "lesquels elle ne sera pas le DP :"
    ],
    "comprend": [],
    "exclusions": [
      "accidents SAI (X59.9)",
      "difficultés à la marche, non classées ailleurs (R26.2)",
      "étourdissements et éblouissements (R42)",
      "chute responsable de lésion (W10–W19)",
      "chutes dues à des maladies classées ailleurs",
      "syncope et collapsus (R55)"
    ],
    "clinical_text": [
      "Chutes à répétition en raison du grand âge ou d’autres problèmes de santé mal identifiés",
      "Le codage des chutes à répétition (R29.6) est réservé aux situations correspondant à la définition suivante :",
      "chutes à répétition en raison du grand âge ou d'autres problèmes de santé mal définis. La chute est définie",
      "comme le fait de se retrouver involontairement sur le sol ou dans une position de niveau inférieur par rapport",
      "à sa position de départ. Le caractère répétitif des chutes est considéré à partir du moment où la personne",
      "a fait au moins deux chutes dans l’année qui précède le recueil d’information. Exemples",
      "La chute à répétition est le DP d’un séjour motivé par la chute, séjour au cours duquel aucune lésion",
      "(conséquence de la chute) n’est traitée et aucune cause n’est trouvée. Il peut donc s’agir :",
      "• d’une chute constatée répétitive (au moins deux chutes dans l’année), le DP est la chute R29.6 ;",
      "• d’un bilan de chutes répétitives à la recherche d’une pathologie causale et sans que cette cause soit",
      "La notion de chute à répétition peut être un DAS car elle marque une fragilité du patient dans les cas pour",
      "• Dans les cas où la chute à répétition est à l’origine de lésion, la lésion étant le DP du séjour, et seulement",
      "si aucune causalité n’est retrouvée, le DAS est la chute R29.6",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 83"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R29.8": {
    "code": "R29.8",
    "description": "Symptômes et signes relatifs aux systèmes nerveux et ostéo-musculaire, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R30": {
    "code": "R30",
    "description": "Douleur à la miction",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "douleur psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R30.0": {
    "code": "R30.0",
    "description": "Dysurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Strangurie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R30.1": {
    "code": "R30.1",
    "description": "Ténesme vésical",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R30.9": {
    "code": "R30.9",
    "description": "Miction douloureuse, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R31": {
    "code": "R31",
    "description": "Hématurie, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hématurie récidivante ou persistante (N02.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R32": {
    "code": "R32",
    "description": "Incontinence urinaire, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Énurésie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "énurésie non organique (F98.0)",
      "incontinence urinaire d’effort et autres formes d’incontinence urinaire précisées (N39.3-N39.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R33": {
    "code": "R33",
    "description": "Rétention d’urine",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 782,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "Globe urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "On choisira donc R33 en DP lorsqu’un patient connu porteur d’un adénome de prostate est pris en charge",
      "pour une rétention urinaire. D29.1 sera le DP du séjour d’un patient admis pour rétention urinaire, chez qui",
      "le bilan étiologique aboutit au diagnostic d’adénome de prostate. Il n’y a pas de règle dans la CIM-10 qui",
      "interdise le codage simultané de cette affection et de ce phénomène, dont la survenue est inconstante dans"
    ],
    "agora_refs": [
      "4875"
    ],
    "cocoa_notes": [
      "l’évolution de l’adénome. (AGORA - # 4875 le 3 octobre 2008)"
    ]
  },
  "R34": {
    "code": "R34",
    "description": "Anurie et oligurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": true,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "compliquant : • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.4)",
      "• grossesse, accouchement et puerpéralité (O26.8, O90.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R35": {
    "code": "R35",
    "description": "Polyurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Mictions fréquentes",
      "Nycturie"
    ],
    "comprend": [],
    "exclusions": [
      "polyurie psychogène (F45.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R36": {
    "code": "R36",
    "description": "Écoulement urétral",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Écoulement pénien",
      "Urétrorrhée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R39": {
    "code": "R39",
    "description": "Autres symptômes et signes relatifs à l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R39.0": {
    "code": "R39.0",
    "description": "Extravasation d’urine",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R39.1": {
    "code": "R39.1",
    "description": "Autres troubles de la miction",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fractionnement de la miction",
      "Miction ralentie",
      "Troubles du jet urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R39.2": {
    "code": "R39.2",
    "description": "Urémie extra-rénale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Urémie pré-rénale",
      "INSUFFISANCE RÉNALE FONCTIONNELLE",
      "de pré-rénale ou d’extra-rénale."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’insuffisance rénale fonctionnelle est une altération de la fonction rénale, habituellement passagère et",
      "curable. Conséquence d’une diminution de la perfusion rénale, elle peut être secondaire à une hypovolémie,",
      "une hypotension ou une cause iatrogène. Elle représente une forme particulière d’insuffisance rénale aiguë",
      "dont la cause n’est ni une atteinte organique du rein ni un obstacle des voies excrétrices. Elle est qualifiée",
      "Conformément à la note d’exclusion placée dans le volume 1 de la CIM–10 sous le titre du groupe N17–N19",
      "Insuffisance rénale, l’insuffisance rénale fonctionnelle doit donc être codée R39.2 Urémie extra-rénale.",
      "L’absence de lésion du parenchyme rénal invalide la consigne jusqu’ici donnée de la coder N17.8 Autres",
      "insuffisances rénales aiguës. La catégorie N17 doit être réservée au codage des insuffisances rénales aiguës",
      "avec atteinte organique du tissu rénal. En cas d’insuffisance rénale aiguë dont la cause, extra-rénale ou par",
      "atteinte organique, est incertaine, on emploie le code N17.9.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, pp. 105-106"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R39.8": {
    "code": "R39.8",
    "description": "Symptômes et signes relatifs à l’appareil urinaire, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 783,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "comportement (R40-R46)"
    ],
    "comprend": [],
    "exclusions": [
      "lorsqu’il s’agit d’un élément d’un trouble mental (F00-F99)"
    ],
    "clinical_text": [
      "Symptômes et signes relatifs à la connaissance, la perception, l’humeur et le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40": {
    "code": "R40",
    "description": "Somnolence, stupeur et coma",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "coma (du) : • diabétique (E10-E14 avec le quatrième chiffre .0)",
      "• hépatique (K72.-)",
      "• hypoglycémique (non diabétique) (E15)",
      "• nouveau-né (P91.5)",
      "• urémique (N19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40.0": {
    "code": "R40.0",
    "description": "Somnolence",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Assoupissement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Codage de l’obnubilation prise en charge pour sa propre part à titre diagnostique et thérapeutique, soit"
    ],
    "agora_refs": [
      "158420"
    ],
    "cocoa_notes": [
      "comme motif principal ou répondant à la définition d’un DAS (AGORA - # 158420 le 2 mars 2018)"
    ]
  },
  "R40.1": {
    "code": "R40.1",
    "description": "Stupeur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Semi-coma [coma vigil]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40.10": {
    "code": "R40.10",
    "description": "État paucirelationnel",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40.18": {
    "code": "R40.18",
    "description": "Stupeur, autre et sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Semi-coma",
      "Coma vigil"
    ],
    "comprend": [],
    "exclusions": [
      "stupeur : • catatonique (F20.2)",
      "• dépressive (F31-F33)",
      "• dissociative (F44.2)",
      "• maniaque (F30.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40.2": {
    "code": "R40.2",
    "description": "Coma, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perte de conscience SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40.20": {
    "code": "R40.20",
    "description": "État végétatif chronique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R40.28": {
    "code": "R40.28",
    "description": "Coma, autre et sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Perte de conscience SAI",
      "conscience"
    ],
    "comprend": [],
    "exclusions": [
      "troubles dissociatifs ou de conversion (F44.-)"
    ],
    "clinical_text": [
      "Autres symptômes et signes relatifs aux fonctions cognitives et à la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R41.0": {
    "code": "R41.0",
    "description": "Désorientation, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Confusion SAI",
      "états passagers sans cause établie."
    ],
    "comprend": [],
    "exclusions": [
      "désorientation psychogène (F44.8)"
    ],
    "clinical_text": [
      "Syndrome confusionnel - Confusion - après discussion au sein de l’ATIH nous donnons la règle suivante : la",
      "catégorie F05 est employée pour coder une confusion dès lors que son origine est reliée à une atteinte",
      "organique diagnostiquée (qu’elle affecte directement ou indirectement le cerveau). R41.0 est réservé aux",
      "En cas de syndrome confusionnel sans cause précisée, coder R41.0 ; la note placée en tête des catégories",
      "à type de maladie ou de lésion cérébrales, ou d’atteinte entraînant un dysfonctionnement du cerveau. »",
      "Comment doit-on coder une confusion, désorientation en post-opératoire causée par la morphine ou",
      "produit anesthésiant ? Il existe différentes situations de codage possibles. S'il s'agit d'une désorientation",
      "transitoire réversible, ce serait le code R41.0, mais s'il s'agit par exemple du syndrome de delirium post-",
      "opératoire, les codes F05.5 ou F05.8 sont plus appropriés, associés au code ad hoc de complication d'acte"
    ],
    "agora_refs": [
      "53052",
      "264162"
    ],
    "cocoa_notes": [
      "(AGORA - # 53052 le 4 octobre 2011)",
      "à visée thérapeutique. À confirmer avec le clinicien. (AGORA - # 264162 le 18 juin 2024)"
    ]
  },
  "R41.1": {
    "code": "R41.1",
    "description": "Amnésie antérograde",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 784,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R41.2": {
    "code": "R41.2",
    "description": "Amnésie rétrograde",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R41.3": {
    "code": "R41.3",
    "description": "Autres formes d’amnésie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amnésie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "amnésie globale transitoire (G45.4)",
      "syndrome amnésique : • dû à l’utilisation de substances psychoactives (F10-F19 avec",
      "le quatrième chiffre .6)",
      "• organique (F04)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R41.8": {
    "code": "R41.8",
    "description": "Symptômes et signes relatifs aux fonctions cognitives et à la conscience, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "novembre 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Nous avons quelques difficultés à cerner les conditions d’utilisation du code F06.7 par rapport au code R41.8.",
      "Ne pourrait-on considérer que l’utilisation du code F06.7 serait possible devant des troubles cognitifs légers",
      "dont on connaît l’étiologie organique alors que les codes de la catégorie R41 seraient réservés aux troubles",
      "mnésiques sans étiologie : un peu à la manière des règles que vous nous proposez pour différencier la",
      "confusion en R41.0 et celle en F05.- ? oui cette distinction peut être retenue (AGORA - # 71879 le 22"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R42": {
    "code": "R42",
    "description": "Étourdissements et éblouissements",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Sensation de tête légère",
      "Vertige SAI"
    ],
    "comprend": [],
    "exclusions": [
      "syndromes vertigineux (H81.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R43": {
    "code": "R43",
    "description": "Troubles de l’odorat et du goût",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R43.0": {
    "code": "R43.0",
    "description": "Anosmie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R43.1": {
    "code": "R43.1",
    "description": "Parosmie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R43.2": {
    "code": "R43.2",
    "description": "Paragueusie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R43.8": {
    "code": "R43.8",
    "description": "Troubles de l’odorat et du goût, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Troubles associés de l’odorat et du goût",
      "générales"
    ],
    "comprend": [],
    "exclusions": [
      "troubles de la sensibilité cutanée (R20.-)"
    ],
    "clinical_text": [
      "Autres symptômes et signes relatifs aux sensations et aux perceptions"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R44.0": {
    "code": "R44.0",
    "description": "Hallucinations auditives",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R44.1": {
    "code": "R44.1",
    "description": "Hallucinations visuelles",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Syndrome de Charles Bonnet : sous réserve de confirmation par le contexte clinique, ce syndrome",
      "correspond à des hallucinations visuelles liées à une DMLA (dégénérescence maculaire liée à l’âge). Vous"
    ],
    "agora_refs": [
      "72213"
    ],
    "cocoa_notes": [
      "coderez R44.1 et H35.3 (AGORA - # 72213, le 4 décembre 2012)"
    ]
  },
  "R44.2": {
    "code": "R44.2",
    "description": "Autres hallucinations",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R44.3": {
    "code": "R44.3",
    "description": "Hallucinations, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R44.8": {
    "code": "R44.8",
    "description": "Symptômes et signes relatifs aux sensations et aux perceptions générales, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45": {
    "code": "R45",
    "description": "Symptômes et signes relatifs à l’humeur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.0": {
    "code": "R45.0",
    "description": "Nervosité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tension nerveuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.1": {
    "code": "R45.1",
    "description": "Agitation",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 785,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.2": {
    "code": "R45.2",
    "description": "Tristesse",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ennuis SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.3": {
    "code": "R45.3",
    "description": "Découragement et apathie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.4": {
    "code": "R45.4",
    "description": "Irritabilité et colère",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.5": {
    "code": "R45.5",
    "description": "Hostilité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.6": {
    "code": "R45.6",
    "description": "Violence physique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Agressivité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.7": {
    "code": "R45.7",
    "description": "État de choc émotionnel et tension, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R45.8": {
    "code": "R45.8",
    "description": "Autres symptômes et signes relatifs à l’humeur",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Idées suicidaires",
      "Tendances suicidaires"
    ],
    "comprend": [],
    "exclusions": [
      "symptômes et signes au cours de troubles mentaux (F00–F99)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46": {
    "code": "R46",
    "description": "Symptômes et signes relatifs à l’apparence et au comportement",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.0": {
    "code": "R46.0",
    "description": "Hygiène personnelle très défectueuse",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.1": {
    "code": "R46.1",
    "description": "Apparence personnelle bizarre",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.2": {
    "code": "R46.2",
    "description": "Comportement étrange et inexplicable",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.3": {
    "code": "R46.3",
    "description": "Suractivité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.4": {
    "code": "R46.4",
    "description": "Lenteur et manque de réactivité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aboulie",
      "Clinophilie"
    ],
    "comprend": [],
    "exclusions": [
      "stupeur (R40.1)",
      "neurasthénie (F48.0)",
      "psychasthénie (F48.8)"
    ],
    "clinical_text": [
      "Note la clinophilie peut également accompagner un syndrome post-chute (R26.8 + F40.8) dans le",
      "cadre d’une régression psychomotrice globale chez la personne âgée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.5": {
    "code": "R46.5",
    "description": "Caractère soupçonneux et évasif",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.6": {
    "code": "R46.6",
    "description": "Inquiétude et préoccupation exagérées pour les événements sources de tension",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.7": {
    "code": "R46.7",
    "description": "Prolixité et détails masquant les raisons de la consultation et gênant le contact",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R46.8": {
    "code": "R46.8",
    "description": "Autres symptômes et signes relatifs à l’apparence et au comportement",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 786,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Négligence personnelle SAI"
    ],
    "comprend": [],
    "exclusions": [
      "ingestion insuffisante d’aliments et de liquides par négligence personnelle (R63.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47": {
    "code": "R47",
    "description": "Troubles du langage, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "autisme (F84.0-F84.1)",
      "bégaiement (F98.5)",
      "bredouillement ou langage précipité (F98.6)",
      "troubles spécifiques du développement de la parole et du langage (F80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.0": {
    "code": "R47.0",
    "description": "Dysphasie et aphasie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aphasie de Broca",
      "Aphasie motrice",
      "Aphasie de Wernicke"
    ],
    "comprend": [],
    "exclusions": [
      "aphasie progressive isolée (G31.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.00": {
    "code": "R47.00",
    "description": "Aphasie récente, persistant au-delà de 24 heures",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.01": {
    "code": "R47.01",
    "description": "Aphasie récente, régressive dans les 24 heures",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.02": {
    "code": "R47.02",
    "description": "Aphasie, autre et sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aphasie ancienne ou résiduelle ou de longue durée",
      "Aphasie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.03": {
    "code": "R47.03",
    "description": "Dysphasie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.1": {
    "code": "R47.1",
    "description": "Dysarthrie et anarthrie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R47.8": {
    "code": "R47.8",
    "description": "Troubles du langage, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "troubles spécifiques au cours du développement des acquisitions scolaires (F81.-)"
    ],
    "clinical_text": [
      "Dyslexie et autres troubles de la fonction symbolique, non classés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R48.0": {
    "code": "R48.0",
    "description": "Dyslexie et alexie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R48.1": {
    "code": "R48.1",
    "description": "Agnosie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R48.10": {
    "code": "R48.10",
    "description": "Hémi-asomatognosie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hémi-négligence"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R48.18": {
    "code": "R48.18",
    "description": "Agnosie, autre et sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anosognosie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R48.2": {
    "code": "R48.2",
    "description": "Apraxie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R48.8": {
    "code": "R48.8",
    "description": "Troubles de la fonction symbolique, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acalculie",
      "Agraphie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R49": {
    "code": "R49",
    "description": "Troubles de la voix",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles psychogènes de la voix (F44.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R49.0": {
    "code": "R49.0",
    "description": "Dysphonie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Enrouement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R49.1": {
    "code": "R49.1",
    "description": "Aphonie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perte de la voix"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R49.2": {
    "code": "R49.2",
    "description": "Hypernasalité et hyponasalité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 787,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R49.8": {
    "code": "R49.8",
    "description": "Troubles de la voix, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Changement de timbre SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R50": {
    "code": "R50",
    "description": "Fièvre d’origine autre et inconnue",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fièvre d’origine inconnue (au cours de) (du) : • nouveau-né (P81.9)",
      "• travail (O75.2)",
      "hyperthermie d’origine inconnue, après accouchement (O86.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R50.2": {
    "code": "R50.2",
    "description": "Fièvre due à des médicaments",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier le médicament."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R50.8": {
    "code": "R50.8",
    "description": "Autres fièvres précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fièvre avec frissons",
      "Fièvre persistante"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R50.9": {
    "code": "R50.9",
    "description": "Fièvre, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperpyrexie SAI",
      "Pyrexie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "hyperthermie maligne due à une anesthésie (T88.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R51": {
    "code": "R51",
    "description": "Céphalée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Douleur faciale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "algie faciale atypique (G50.1)",
      "migraine et autres syndromes d’algies céphaliques (G43-G44)",
      "névralgie du trijumeau (G50.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52": {
    "code": "R52",
    "description": "Douleur, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "céphalée (R51)",
      "colique néphrétique (N23)",
      "douleur (de) : • abdominale (R10.-)",
      "• articulaire (M25.5)",
      "• dent (K08.8)",
      "• dos (M54.9)",
      "• épaule (M25.5)",
      "• gorge (R07.0)",
      "• langue (K14.6)",
      "• mammaire (N64.4)",
      "• membre (M79.6)",
      "• oculaire (H57.1)",
      "• oreille (H92.0)",
      "• pelvienne et périnéale (R10.2)",
      "• psychogène (F45.4) .",
      "•rachis (M54.-)",
      "• région lombaire (M54.5)",
      "• thoracique (R07.1-R07.4)",
      "personnalité caractérisée par un syndrome algique chronique (F62.8)"
    ],
    "clinical_text": [
      "C omprend douleur ne pouvant être rapportée à un seul organe ou une seule partie du corps"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52.0": {
    "code": "R52.0",
    "description": "Douleur aiguë",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 788,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52.1": {
    "code": "R52.1",
    "description": "Douleur chronique irréductible",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 789,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "DOULEUR CHRONIQUE",
      "caractéristiques suivantes :",
      "• persistance ou récurrence ;",
      "• réponse insuffisante au traitement ;",
      "cette définition.",
      "et odontologie – BO du 17 juillet 2025, p. 91",
      "DOULEUR CHRONIQUE RÉFRACTAIRE (REBELLE)",
      "Une douleur chronique réfractaire est une douleur :",
      "traitements non médicamenteux associés ...",
      "et odontologie – BO du 17 juillet 2025, pp. 89-90"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La douleur chronique prise en compte dans les recommandations de la HAS [douleur chronique HAS décembre 2008 : reconnaître le",
      "syndrome douloureux chronique, l’évaluer et orienter le patient] est un syndrome multidimensionnel exprimé par la personne qui en est",
      "atteinte ; il y a douleur chronique, quelles que soient sa topographie et son intensité, lorsque la douleur présente plusieurs des",
      "• durée au-delà de ce qui est habituel pour la cause initiale présumée, notamment si la douleur évolue depuis plus de 3 mois ;",
      "• détérioration significative et progressive du fait de la douleur, des capacités fonctionnelles et relationnelles du patient dans ses",
      "activités de la vie journalière, au domicile comme à l’école ou au travail.",
      "La douleur chronique peut être accompagnée de manifestations psycho-pathologiques.",
      "L’utilisation du code R52.2 douleur chronique nécessite que le dossier mentionne l’existence d’une douleur chronique dans le cadre de",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "• ne répondant pas aux traitements conventionnels recommandés et conduits conformément aux règles de bonnes pratiques,",
      "• et ne permettant pas un soulagement satisfaisant et durable de la douleur, ni une qualité de vie acceptable pour le patient, et/ou",
      "occasionnant des effets indésirables intolérables et incontrôlables.",
      "Les termes suivants peuvent être utilisés à la place du terme réfractaire (à privilégier) : rebelle / irréductible",
      "Une douleur chronique réfractaire peut nécessiter une hospitalisation pour avis diagnostique pluri-professionnel et/ou prise en charge",
      "thérapeutique spécifique nécessitant des compétences particulières : traitements médicaux invasifs ou traitements médicaux nécessitant",
      "une surveillance particulière, actes de radiologie interventionnelle, actes d’infiltrations ou d’analgésie locorégionale, actes chirurgicaux,",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52.10": {
    "code": "R52.10",
    "description": "Douleur neuropathique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 789,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "locaux). In Manuel MSD Professionnels de santé, fév. 2020"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La douleur neuropathique résulte d'une lésion ou d'un dysfonctionnement du système nerveux central ou périphérique,",
      "plus que d'une stimulation des récepteurs de la douleur (douleur nociceptive). Le diagnostic est établi devant une douleur",
      "disproportionnée en regard de l'atteinte tissulaire, une dysesthésie (p. ex. des brûlures, des picotements) et des signes de",
      "lésion nerveuse mis en évidence à l'examen neurologique. […]. Bien que la douleur neuropathique réponde aux opiacés,",
      "on utilise souvent pour la traiter des médicaments adjuvants (p. ex. antidépresseurs, antiépileptiques, baclofène, traitements"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52.18": {
    "code": "R52.18",
    "description": "Douleurs chroniques irréductibles, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 789,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52.2": {
    "code": "R52.2",
    "description": "Autres douleurs chroniques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 789,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R52.9": {
    "code": "R52.9",
    "description": "Douleur, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 789,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Douleurs généralisées SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R53": {
    "code": "R53",
    "description": "Malaise et fatigue",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 789,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "AEG",
      "Baisse de l’état général",
      "Asthénie : • SAI",
      "• chronique",
      "Fatigabilité",
      "Léthargie"
    ],
    "comprend": [],
    "exclusions": [
      "débilité: • congénitale (P96.9)",
      "• sénile (R54)",
      "avec perte de connaissance (R55)",
      "épuisement et fatigue (dus à) • asthénie sénile (R54)",
      "(au cours de) : • chaleur (T67.-)",
      "• combat (F43.0)",
      "• exercice physique excessif (T73.3)",
      "• exposition aux éléments (T73.2)",
      "• grossesse (O26.8)",
      "• neurasthénie (F48.0)",
      "syndrome de fatigue (F48.0)",
      "• post-virale (G93.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R54": {
    "code": "R54",
    "description": "Sénilité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 790,
    "is_category": true,
    "severity": 4,
    "synonyms": [
      "Asthénie sénile",
      "Débilite sénile",
      "Sénescence sans mention de psychose",
      "Vieillesse sans mention de psychose"
    ],
    "comprend": [],
    "exclusions": [
      "psychose sénile (F03)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R55": {
    "code": "R55",
    "description": "Syncope et collapsus",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 790,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Évanouissement",
      "Perte de connaissance",
      "Syncope vagale",
      "Malaise vagal avec perte de connaissance",
      "Malaise avec lipothymie",
      "11 août 2011)"
    ],
    "comprend": [],
    "exclusions": [
      "asthénie neuro-circulatoire (F45.3)",
      "choc : • SAI (R57.9)",
      "• compliquant • avortement, grossesse extra-utérine ou molaire (O00-",
      "ou consécutif O08, O08.3)",
      "à : • travail et accouchement (O75.1)",
      "• post-opératoire (T81.1)",
      "crise de Stokes-Adams (I45.9)",
      "hypotension orthostatique (I95.1)",
      "• neurogène (G23.8)",
      "perte de conscience SAI (R40.2)",
      "syncope : • due à la chaleur (T67.1)",
      "• psychogène (F48.8)",
      "syndrome du sinus carotidien (G90.0)",
      "malaise sans perte de connaissance (R53.+1)"
    ],
    "clinical_text": [
      "Ictus laryngé : l'ictus laryngé est une forme de syncope vagale que vous coderez R55. (AGORA - # 51344 le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R56": {
    "code": "R56",
    "description": "Convulsions, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 791,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "convulsions et crises convulsives (au cours de) (du) : • dissociatives (F44.5)",
      "• épilepsie (G40-G41)",
      "• nouveau-né (P90)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R56.0": {
    "code": "R56.0",
    "description": "Convulsions fébriles",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 791,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R56.8": {
    "code": "R56.8",
    "description": "Convulsions, autres et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 791,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Crise (convulsive) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Enfant ayant un syndrome de West, hospitalisé pour un autre motif, convulse à de multiples reprises",
      "prolongeant la durée d’hospitalisation : le syndrome de West est codé G40.4 et la catégorie R56 exclut"
    ],
    "agora_refs": [
      "102456"
    ],
    "cocoa_notes": [
      "toutes les formes d’épilepsie. Vous ne pouvez donc pas associer R56.8 (AGORA - # 102456 le 12 juin 2014)"
    ]
  },
  "R57": {
    "code": "R57",
    "description": "Choc, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 791,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• électrique (T75.4)",
      "• foudre (T75.0)",
      "• obstétrical (O75.1)",
      "• post-opératoire (T81.1)",
      "• psychique (F43.0)",
      "• traumatique (T79.4)",
      "syndrome du choc toxique (A48.3)",
      "R A"
    ],
    "comprend": [],
    "exclusions": [
      "choc (dû à) : • SAI (T78.2)",
      "• anaphylactique (dû à) :",
      "• intolérance alimentaire (T78.0)",
      "• sérum (T80.5)",
      "• anesthésique (T88.2)",
      "• compliquant ou consécutif à avortement, grossesse extra-utérine ou molaire (O00-"
    ],
    "clinical_text": [
      "Lorsque le choc hémorragique survient après un traumatisme, (en l’occurrence, hémopéritoine en post-opératoire sur plaie",
      "chirurgicale de l’artère splénique) quel code CIM10 faut-il utiliser ? T79.4 est imprécis quant au mécanisme du choc. Il est"
    ],
    "agora_refs": [
      "140467"
    ],
    "cocoa_notes": [
      "donc conseillé de coder le choc avec la catégorie R57 (AGORA - # 140467 le 6 décembre 2016)"
    ]
  },
  "R57.0": {
    "code": "R57.0",
    "description": "Choc cardiogénique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 791,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R57.1": {
    "code": "R57.1",
    "description": "Choc hypovolémique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 791,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Choc hémorragique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R57.8": {
    "code": "R57.8",
    "description": "Autres chocs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 792,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Choc endotoxique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R57.9": {
    "code": "R57.9",
    "description": "Choc, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 792,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Insuffisance circulatoire périphérique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R58": {
    "code": "R58",
    "description": "Hémorragie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 792,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Hémorragie SAI",
      "le 24 septembre 2010)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "le code R58 ne peut être employé qu’en l’absence totale de renseignement sur le siège de l’hémorragie (AGORA - # 35273"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R59": {
    "code": "R59",
    "description": "Adénopathies",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend tuméfaction ganglionnaire"
    ],
    "comprend": [],
    "exclusions": [
      "lymphadénite : • SAI (I88.9)",
      "• aiguë (L04.-)",
      "• chronique (I88.1)",
      "• mésentérique (aiguë) (chronique) (I88.0)",
      "la catégorie R59 est réservée aux adénopathies froides de découverte clinique, sans précision histologique (catégorie I88)"
    ],
    "clinical_text": [],
    "agora_refs": [
      "38811"
    ],
    "cocoa_notes": [
      "ou sans précision d’aspect inflammatoire ou infectieux (L04) (AGORA - # 38811 le 7 janvier 2011)"
    ]
  },
  "R59.0": {
    "code": "R59.0",
    "description": "Adénopathies localisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R59.1": {
    "code": "R59.1",
    "description": "Adénopathies généralisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lymphadénopathie SAI"
    ],
    "comprend": [],
    "exclusions": [
      "maladie due au VIH à l’origine d’une adénopathie généralisée (persistante) (B23.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R59.9": {
    "code": "R59.9",
    "description": "Adénopathie, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R60": {
    "code": "R60",
    "description": "Œdème, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anasarque fœto-placentaire SAI (P83.2)",
      "ascite (R18)",
      "hydrothorax (J94.8)",
      "œdème (de) : • angioneurotique (T78.3)",
      "• cérébral (G93.6)",
      "• dû à un traumatisme obstétrical (P11.0)",
      "• gestationnel (O12.0)",
      "• héréditaire (Q82.0)",
      "• larynx (J38.4)",
      "• malnutrition (E40-E46)",
      "• nouveau-né (P83.3)",
      "• pharynx (J39.2)",
      "• pulmonaire (J81)",
      "• rhino-pharynx (J39.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R60.0": {
    "code": "R60.0",
    "description": "Œdème localisé",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R60.1": {
    "code": "R60.1",
    "description": "Œdème généralisé",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "déclives)",
      "• Œdème généralisé",
      "extrême puisqu’il atteint les séreuses […]",
      "CODAGE DES OEDEMES DANS UN CONTEXTE D’INSUFFISANCE CARDIAQUE",
      "décrite"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Œdème : accumulation visible ou palpable de fluide dans le tissu interstitiel",
      "• Ex. œdème local, limité dû à inflammation, insuffisance veineuse ou lymphatique (OMI en général limité aux parties",
      "• Anasarque = association d’œdème généralisé ET d’épanchement des séreuses enrobant les organes des cavités",
      "thoracique et abdominale : cœur (péricarde => épanchement péricardique), poumons (plèvre => épanchement pleural),",
      "tube digestif et organes abdominaux (péritoine => ascite). L’anasarque est donc bien un œdème généralisé mais il est",
      "a) Œdème localisé ou généralisé SANS atteinte séreuse décrite : I50.- + K761 Congestion passive chronique du foie si",
      "b) Anasarque cardiaque = œdème généralisé AVEC atteintes séreuses (au moins 2) décrites due à l’IC : I50.- + K76.1 si",
      "décrit + R60.1. On ne décrit pas les codes des épanchements séreux du tableau (I31.3, J91, R18)",
      "D’après Dr Françoise MEGAS & col., DIM CH Emile Roux Le Puy en Velay"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R60.9": {
    "code": "R60.9",
    "description": "Œdème, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 793,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rétention liquidienne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R61": {
    "code": "R61",
    "description": "Hyperhidrose",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R61.0": {
    "code": "R61.0",
    "description": "Hyperhidrose localisée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R61.1": {
    "code": "R61.1",
    "description": "Hyperhidrose généralisée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R61.9": {
    "code": "R61.9",
    "description": "Hyperhidrose, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hypersudation",
      "Sueurs nocturnes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R62": {
    "code": "R62",
    "description": "Retard du développement physiologique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "puberté retardée (E30.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R62.0": {
    "code": "R62.0",
    "description": "Maturation retardée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Marche tardive",
      "retard de : • stade de développement physiologique attendu",
      "• langage"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R62.9": {
    "code": "R62.9",
    "description": "Retard de développement physiologique, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63": {
    "code": "R63",
    "description": "Symptômes et signes relatifs à l’absorption d’aliments et de liquides",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "boulimie SAI (F50.2)",
      "malnutrition (E40-E46)",
      "troubles de l’alimentation d’origine non organique (F50.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.0": {
    "code": "R63.0",
    "description": "Anorexie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Perte de l’appétit"
    ],
    "comprend": [],
    "exclusions": [
      "anorexie mentale (F50.0)",
      "perte de l’appétit d’origine non organique (F50.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.1": {
    "code": "R63.1",
    "description": "Polydipsie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Soif excessive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.2": {
    "code": "R63.2",
    "description": "Polyphagie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alimentation excessive",
      "Suralimentation SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.3": {
    "code": "R63.3",
    "description": "Difficultés nutritionnelles et nutrition inadaptée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Difficultés d’alimentation SAI"
    ],
    "comprend": [],
    "exclusions": [
      "problèmes alimentaires du nouveau-né (P92.-)",
      "trouble de l’alimentation du nourrisson et de l’enfant (F98.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.4": {
    "code": "R63.4",
    "description": "Perte de poids anormale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.5": {
    "code": "R63.5",
    "description": "Prise de poids anormale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 794,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "obésité (E66.-)",
      "prise de poids excessive au cours de la grossesse (O26.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.6": {
    "code": "R63.6",
    "description": "Ingestion insuffisante d’aliments et de liquides (par négligence personnelle)",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 795,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "inanition due à l’anorexie (R63.0)",
      "inanition due à la privation de nourriture (X53.–)",
      "négligence personnelle SAI (R46.8)",
      "soif due à la privation d’eau (X54.–)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R63.8": {
    "code": "R63.8",
    "description": "Autres symptômes et signes relatifs à l’absorption d’aliments et de liquides",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 795,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R64": {
    "code": "R64",
    "description": "Cachexie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 795,
    "is_category": true,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cachexie maligne (C80.-)",
      "marasme nutritionnel (E41)",
      "syndrome cachectique dû au VIH (B22.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R65": {
    "code": "R65",
    "description": "Syndrome de réponse inflammatoire systémique",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 795,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "voir les instructions du volume 2.",
      "octobre 2015)",
      "Place du syndrome de réponse inflammatoire systémique [SRIS]",
      "chez l’enfant ;",
      "supérieur à 10%.",
      "- température corporelle >38°C ou <36°C",
      "- rythme cardiaque >90 battements/mn",
      "- leucocytes >12 000/mm3 ou <4 000/mm3",
      "septique associe un sepsis à une hypotension persistante."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Pour la morbidité cette catégorie ne doit jamais être utilisée pour le codage de la cause principale. Cette",
      "catégorie est à utiliser lors du codage multiple pour identifier cet état quelle qu’en soit la cause. Un code",
      "d’un autre chapitre doit être porté en premier pour indiquer la cause ou l’affection causale. Pour la mortalité,",
      "Les codes R65 peuvent être exceptionnellement placés en DP lorsque leur origine est inconnue. (AGORA - # 123355, le 27",
      "Depuis l’élaboration du consensus « Sepsis-3 » [The Third International Consensus Definitions for Sepsis and Septic Shock",
      "(Sepsis-3) JAMA. 2016 ; 315(8) : 801-810. doi : 10.1001/jama.2016.0287 Abstract], le SRIS, avec ou sans défaillance d’organe,",
      "ne permet plus au clinicien d’établir le diagnostic de sepsis dans un contexte infectieux. Le codage du SRIS peut cependant",
      "toujours être utilisé dans le cas de syndromes inflammatoires non infectieux (pancréatite aiguë, syndrome de lyse tumorale,",
      "pathologies tumorales, polytraumatismes, brûlures étendues, etc.).",
      "Ce syndrome est caractérisé par l’association de signes cliniques et biologiques peu spécifiques (fièvre ou hypothermie,",
      "tachycardie, …) pouvant être la conséquence de différentes agressions cliniques graves (pancréatite aiguë, ischémie,",
      "polytraumatisme, infection…). Il n’est donc pas spécifique d’une atteinte infectieuse.",
      "On parle de SRIS lorsqu’au moins deux signes parmi les suivants sont présents :",
      "• température corporelle supérieure à 38°C ou inférieure à 36°C ;",
      "• rythme cardiaque supérieur à 90 battements par minute chez l’adulte ou supérieur à 2 déviations standards selon l’âge",
      "• rythme respiratoire supérieur à 20 par minute (ou une hyperventilation se traduisant par une baisse de la PaCO2 en-",
      "deçà de 32 mm Hg) chez l’adulte, ou supérieur à 2 déviations standards selon l’âge chez l’enfant ;",
      "• taux de leucocytes dans le sang supérieur à 12 000/mm3 ou inférieur à 4000/mm3 ou taux de cellules immatures",
      "Il importe également de vérifier qu’un critère du SRIS ne soit pas expliqué par un mécanisme ne témoignant pas d’une",
      "réponse à une agression (ex : une tachycardie sur trouble du rythme).",
      "En cas d’infection hors sepsis, le syndrome de réponse inflammatoire systémique d’origine infectieuse sans défaillance",
      "d’organe (R65.0) reste accessible au codage lorsqu’il apporte une information supplémentaire sur la sévérité de l’infection.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2023, p. 9",
      "Le « SRIS » associe au moins deux des critères suivants (Pilly 2010) :",
      "- rythme respiratoire >20/mn ou PaCO 2 <32mmHg (4,3 kPa) en air ambiant",
      "Le sepsis associe un SRIS à une infection « cliniquement ou biologiquement documentée ». Le syndrome septique grave",
      "associe un sepsis à une défaillance d’organe. La défaillance d’organe peut concerner : le système circulatoire, le système",
      "respiratoire, les fonctions supérieures, la fonction rénale, la coagulation, la fonction hépatique, l’appareil cutané. Le choc"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R65.0": {
    "code": "R65.0",
    "description": "Syndrome de réponse inflammatoire systémique d’origine infectieuse sans défaillance d’organe",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R65.1": {
    "code": "R65.1",
    "description": "Syndrome de réponse inflammatoire systémique d’origine infectieuse avec défaillance d’organe",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sepsis sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le syndrome de défaillance multiviscérale d’origine infectieuse caractérise le sepsis grave (R65.1). Chaque",
      "défaillance d’organe ou de fonction est codée de manière individuelle en plus du sepsis.",
      "ATIH – Consignes de codage - Maladies Infectieuses, Fascicule VII - p.4 – Créé le 1er février 2010",
      "Pour les consignes de codages et nouveautés de la CIM-10-Fr à usage PMSI de 2022, ce code est interdit",
      "Syndrome de réponse inflammatoire systémique d’origine non infectieuse sans défaillance"
    ],
    "agora_refs": [
      "224347"
    ],
    "cocoa_notes": [
      "en toute position et non supprimé. (AGORA – # 224347 le 24 janvier 2022)"
    ]
  },
  "R65.9": {
    "code": "R65.9",
    "description": "Syndrome de réponse inflammatoire systémique, non précisé",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R68": {
    "code": "R68",
    "description": "Autres symptômes et signes généraux",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R68.0": {
    "code": "R68.0",
    "description": "Hypothermie, non associée à une baisse de la température ambiante",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypothermie (du) (due à) : • SAI (accidentelle) (T68)",
      "• anesthésie (T88.5)",
      "• baisse de la température ambiante (T68)",
      "• nouveau-né (P80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R68.1": {
    "code": "R68.1",
    "description": "Symptômes non spécifiques propres au nourrisson",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nourrisson irritable",
      "Pleurs excessifs du nourrisson"
    ],
    "comprend": [],
    "exclusions": [
      "irritabilité cérébrale du nouveau-né (P91.3)",
      "syndrome d’éruption dentaire (K00.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R68.2": {
    "code": "R68.2",
    "description": "Sécheresse de la bouche, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hyposécrétion des glandes salivaires (K11.7)",
      "sécheresse de la bouche due à : • déshydratation (E86)",
      "• syndrome de Gougerot-Sjögren (M35.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R68.3": {
    "code": "R68.3",
    "description": "Hippocratisme digital",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hippocratisme des ongles (P92.-)"
    ],
    "comprend": [],
    "exclusions": [
      "hippocratisme digital congénital (Q68.1)",
      "hippocratisme unguéal congénital (Q84.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R68.8": {
    "code": "R68.8",
    "description": "Autres symptômes et signes généraux précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R69": {
    "code": "R69",
    "description": "Causes inconnues et non précisées de morbidité",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 796,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Maladie : • SAI",
      "plasmatique"
    ],
    "comprend": [],
    "exclusions": [
      "affections hémorragiques et hématologiques du fœtus et du nouveau-né (P50-P61)",
      "anomalies (de) : • coagulation (D65-D68)",
      "• examen prénatal systématique de la mère (O28.-)",
      "• globules blancs, classées ailleurs (D70-D72)",
      "• lipides (E78.-)",
      "• plaquettes et thrombocytes (D69.-)",
      "résultats diagnostiques anormaux classés ailleurs - voir Index alphabétique"
    ],
    "clinical_text": [
      "• non diagnostiquée, non précisée quant au siège ou au système concerné",
      "Accélération de la vitesse de sédimentation et anomalies de la viscosité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R70.0": {
    "code": "R70.0",
    "description": "Accélération de la vitesse de sédimentation",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome inflammatoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R70.1": {
    "code": "R70.1",
    "description": "Viscosité plasmatique anormale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "- # 68505 le 21 août 2012)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Si le syndrome myéloprolifératif est certain mais que sa nature n’est pas encore précisée, le code D47.1 peut être employé. Si le",
      "syndrome myéloprolifératif n’est pas affirmé, il faut coder les anomalies constatées avec les codes du chapitre XVIII : R71, R72. (AGORA"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R71": {
    "code": "R71",
    "description": "Anomalies des globules rouges",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Anisocytose",
      "Anomalie des hématies (de) : • morphologique SAI",
      "• volume SAI",
      "Poïkilocytose"
    ],
    "comprend": [],
    "exclusions": [
      "anémie (D50-D64 )",
      "polyglobulie (du) : • bénigne ou familiale (D50.0)",
      "• essentielle (D45)",
      "• nouveau-né (P61.1)",
      "• secondaire (D75.1)",
      "• SAI (D75.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R72": {
    "code": "R72",
    "description": "Anomalies des globules blancs, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Formule leucocytaire anormale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "leucocytose (D72.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R73": {
    "code": "R73",
    "description": "Augmentation de la glycémie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "diabète sucré (E10-E14)",
      "• au cours de la grossesse , de l’accouchement et de la puerpéralité (O24.-)",
      "hypoinsulinémie post-opératoire (E89.1)",
      "néonatale (P70.0-P70.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R73.0": {
    "code": "R73.0",
    "description": "Anomalie de l’épreuve de tolérance au glucose",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diabète : • chimique",
      "• latent",
      "Prédiabète",
      "Tolérance altérée au glucose"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R73.9": {
    "code": "R73.9",
    "description": "Hyperglycémie, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 797,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La résistance à l’insuline ne peut se coder autrement que R73.9 (Hyperglycémie, sans précision).",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.7 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R74": {
    "code": "R74",
    "description": "Anomalies des taux d’enzymes sériques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R74.0": {
    "code": "R74.0",
    "description": "Augmentation des taux de transaminases et d’acide lactique déshydrogénase",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cytolyse hépatique",
      "déshydrogénase)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La cytolyse hépatique est l’ensemble des perturbations liées à la destruction des hépatocytes. Elle peut être",
      "observée au cours de différentes affections (hépatites virales, toxiques, cirrhoses…), mais son diagnostic est",
      "biologique : on observe dans ce cas, parmi d’autres perturbations, une élévation des transaminases sériques.",
      "Lorsque la cytolyse entre dans le cadre d’une affection enregistrée par ailleurs elle ne doit pas être codée.",
      "Si elle est isolée on emploie le code R74.0 (Augmentation des taux de transaminase et d’acide lactique",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II – p.8 - Créé le 15 mars 2008"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R74.8": {
    "code": "R74.8",
    "description": "Anomalies d’autres taux d’enzymes sériques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalies des taux de : • amylase",
      "• lipase",
      "• triacylglycérol lipase",
      "• phosphatase : • acide",
      "• alcaline"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R74.9": {
    "code": "R74.9",
    "description": "Anomalie du taux d’un enzyme sérique, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mise en évidence par des examens de laboratoire du virus de",
      "l’immunodéficience humaine [VIH]"
    ],
    "comprend": [],
    "exclusions": [
      "infection asymptomatique par le virus de l’immunodéficience humaine [VIH] (Z21)",
      "maladie due au virus de l’immunodéficience humaine [VIH] (B20-B24)",
      "• compliquant la grossesse, l’accouchement et la puerpéralité (O98.7)"
    ],
    "clinical_text": [
      "Résultat non concluant du test de recherche du VIH chez les nourrissons",
      "virus de l’immunodéficience humaine [VIH] ». Cette catégorie ne peut avoir qu’une utilisation exceptionnelle dans notre",
      "pays. Surtout, comme il est mentionné en exclusion, elle ne doit pas être utilisée pour le codage de la séropositivité isolée",
      "au VIH, c’est-à-dire de l’infection asymptomatique, dont le code est Z21."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.109 : l’intitulé de la catégorie R75 doit être lu « recherche par des examens de laboratoire d’une infection par le"
    ]
  },
  "R76": {
    "code": "R76",
    "description": "Autres anomalies de résultats immunologiques sériques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R76.0": {
    "code": "R76.0",
    "description": "Augmentation du taux d’anticorps",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "iso-immunisation de la grossesse (O36.0-O36.1)",
      "maladie hémolytique du fœtus ou du nouveau-né (P55.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R76.1": {
    "code": "R76.1",
    "description": "Réaction anormale au test à la tuberculine",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Résultats anormaux au test de Mantoux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R76.2": {
    "code": "R76.2",
    "description": "Résultats faussement positifs au test sérologique de la syphilis",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Réaction de Wassermann faussement positive"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R76.8": {
    "code": "R76.8",
    "description": "Autres anomalies précisées de résultats immunologiques sériques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Augmentation du taux des immunoglobulines SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R76.9": {
    "code": "R76.9",
    "description": "Anomalie de résultats immunologiques sériques, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 798,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R77": {
    "code": "R77",
    "description": "Autres anomalies des protéines plasmatiques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme des protéines plasmatiques (E88.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R77.0": {
    "code": "R77.0",
    "description": "Anomalie de l’albumine",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R77.1": {
    "code": "R77.1",
    "description": "Anomalie de la globuline",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyperglobulinémie SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R77.2": {
    "code": "R77.2",
    "description": "Anomalie de l’alpha-fœtoprotéine",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R77.8": {
    "code": "R77.8",
    "description": "Autres anomalies précisées des protéines plasmatiques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Augmentation des PSA : les anomalies de l’alpha fœtoprotéine étant codées dans la catégorie R77, nous",
      "conseillons d’employer cette catégorie pour coder l’élévation des marqueurs tumoraux. R77.8 est donc le"
    ],
    "agora_refs": [
      "15289"
    ],
    "cocoa_notes": [
      "code correct pour une élévation des PSA. (AGORA - # 15289, le 10 juin 2009)"
    ]
  },
  "R77.9": {
    "code": "R77.9",
    "description": "Anomalie des protéines plasmatiques, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "dans le sang"
    ],
    "comprend": [
      "dosage de toxiques dans le sang",
      "analyse toxicologique sanguine avec résultats positifs",
      "Facteurs favorisants au moment de l’accident",
      "D’éventuels facteurs favorisants présents au moment de l’accident (effet de l’alcool, de drogue ou de médicament…) doivent",
      "être enregistrés, notamment avec les codes de la catégorie R78 Présence de drogues et d’autres substances non trouvées",
      "normalement dans le sang ou avec ceux du groupe F10–F19 Troubles mentaux et du comportement liés à l’utilisation de",
      "substances psychoactives. On rappelle que l’enregistrement des effets secondaires des médicaments impose l’emploi des",
      "catégories Y40–Y59 de la CIM–10 (se reporter plus haut dans ce chapitre). Les catégories Y90–Y91 permettent de préciser",
      "l’importance d’une intoxication alcoolique.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 120"
    ],
    "exclusions": [
      "troubles mentaux et du comportement liés à l’utilisation de substances psycho-actives (F10-F19)"
    ],
    "clinical_text": [
      "Présence de drogues et d’autres substances non trouvées normalement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.0": {
    "code": "R78.0",
    "description": "Présence d’alcool dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 94"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Y90.-) précisant le taux d’alcoolémie.",
      "La catégorie Z04 a un contenu plus médico-légal ; elle permet le codage de situations caractérisées par la suspicion :",
      "• de la présence dans le sang d’alcool ou de substances pharmacologiques ; le code Z04.0 est employé lorsque leur",
      "présence n’est pas confirmée, sinon on ferait appel à la catégorie R78.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.1": {
    "code": "R78.1",
    "description": "Présence d’opiacé dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.2": {
    "code": "R78.2",
    "description": "Présence de cocaïne dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.3": {
    "code": "R78.3",
    "description": "Présence d’hallucinogène dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.4": {
    "code": "R78.4",
    "description": "Présence dans le sang d’autres substances susceptibles d’entraîner une dépendance",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.5": {
    "code": "R78.5",
    "description": "Présence d’une substance psychotrope dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.6": {
    "code": "R78.6",
    "description": "Présence d’un produit stéroïdien dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.7": {
    "code": "R78.7",
    "description": "Présence d’un taux anormalement élevé de métaux lourds dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.8": {
    "code": "R78.8",
    "description": "Présence d’autres substances précisées non trouvées normalement dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence d’un taux anormal de lithium dans le sang"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R78.9": {
    "code": "R78.9",
    "description": "Présence d’une substance non trouvée normalement dans le sang, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 799,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R79": {
    "code": "R79",
    "description": "Autres résultats anormaux des examens chimiques du sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalie de l’équilibre acido-basique hydrique ou électrolytique (E86-E87)",
      "hyperglycémie SAI (R73.9)",
      "hyperuricémie asymptomatique (E79.0)",
      "hypoglycémie SAI (E16.2)",
      "• néonatale (P70.3-P70.4)",
      "résultats spécifiques indiquant une • acides aminés (E70-E72)",
      "anomalie du métabolisme des : • hydrates de carbone (E73-E74)",
      "• lipides (E75.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R79.0": {
    "code": "R79.0",
    "description": "Taux anormal de minéraux dans le sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Taux anormal de : • cobalt",
      "• cuivre",
      "• fer",
      "• magnésium",
      "• substance minérale NCA",
      "• zinc"
    ],
    "comprend": [],
    "exclusions": [
      "anomalies du métabolisme des minéraux (E83.-)",
      "carence alimentaire en minéraux (E58-E61)",
      "hypomagnésémie néonatale (P71.2)",
      "taux anormal de lithium (R78.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R79.8": {
    "code": "R79.8",
    "description": "Autres résultats anormaux précisés des examens chimiques du sang",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Taux anormal des gaz du sang"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R79.9": {
    "code": "R79.9",
    "description": "Résultat anormal des examens chimiques du sang, sans précision",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "résultats : • anormaux de l’examen prénatal systématique de la mère (O28.-)",
      "• diagnostiques anormaux classés ailleurs - voir Index alphabétique",
      "• spécifiques indiquant une • acides aminés (E70-E72).",
      "anomalie du métabolisme des : • hydrates de carbone (E73-E74)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R80": {
    "code": "R80",
    "description": "Protéinurie isolée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Albuminurie SAI",
      "Protéinurie (de) : • SAI",
      "• Bence Jones"
    ],
    "comprend": [],
    "exclusions": [
      "protéinurie : • gestationnelle (O12.1)",
      "• isolée avec lésions morphologiques précisées (N06.-)",
      "• orthostatique (N39.2)",
      "• persistante (N39.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R81": {
    "code": "R81",
    "description": "Glycosurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "glycosurie rénale (E74.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82": {
    "code": "R82",
    "description": "Autres résultats anormaux de l’examen des urines",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hématurie (R31)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.0": {
    "code": "R82.0",
    "description": "Chylurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chylurie due à une filariose (B74.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.1": {
    "code": "R82.1",
    "description": "Myoglobinurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 800,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.2": {
    "code": "R82.2",
    "description": "Biliurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.3": {
    "code": "R82.3",
    "description": "Hémoglobinurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémoglobinurie : • due à une hémolyse relevant d’autres causes externes NCA",
      "(D59.6)",
      "• nocturne paroxystique [Marchiafava-Micheli] (D59.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.4": {
    "code": "R82.4",
    "description": "Acétonurie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cétonurie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.5": {
    "code": "R82.5",
    "description": "Augmentation dans les urines du taux de médicaments et de substances biologiques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Taux urinaires élevés de : • acide indol-acétique",
      "• catécholamines",
      "• 17-cétostéroïdes",
      "• stéroïdes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.6": {
    "code": "R82.6",
    "description": "Taux anormal dans les urines de substances d’origine principalement non médicinale",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Taux anormal de métaux lourds dans les urines"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.7": {
    "code": "R82.7",
    "description": "Résultats anormaux de l’examen microbiologique des urines",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cultures positives"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.8": {
    "code": "R82.8",
    "description": "Résultats anormaux de l’examen cytologique et histologique des urines",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R82.9": {
    "code": "R82.9",
    "description": "Résultats anormaux de l’examen des urines, autres et non précisés",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cellules et cylindres dans les urines",
      "Cristallurie",
      "Mélanurie",
      "sans diagnostic (R83-R89)",
      ".0 Taux anormal d’enzymes",
      ".1 Taux anormal d’hormones",
      ".4 Résultats immunologiques anormaux",
      ".5 Résultats microbiologiques anormaux",
      "Cultures positives",
      ".6 Résultats cytologiques anormaux",
      "Frottis de Papanicolaou anormal",
      ".7 Résultats histologiques anormaux",
      ".8 Autres résultats anormaux",
      "Résultats chromosomiques anormaux",
      ".9 Résultat anormal, sans précision"
    ],
    "comprend": [],
    "exclusions": [
      "résultats : • anormaux de l’examen (de) : • prénatal systématique de la mère (O28.-)",
      "• sang, sans diagnostic (R70-R79)",
      "• urine, sans diagnostic (R80-R82)",
      "• diagnostiques anormaux classés ailleurs - voir Index alphabétique"
    ],
    "clinical_text": [
      "Résultats anormaux de l’examen d’autres liquides, substances et tissus,",
      "Les subdivisions suivantes peuvent être utilisées comme quatrième chiffre avec les catégories R83-R89 :",
      ".2 Taux anormal d’autres substances médicamenteuses et biologiques",
      ".3 Taux anormal de substances d’origine principalement non médicinale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R83": {
    "code": "R83",
    "description": "Résultats anormaux de l’examen du liquide céphalo-rachidien",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 801,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "[Voir les subdivisions ci-dessus]",
      "Résultats anormaux de prélèvements effectués sur l’appareil",
      "respiratoire et le thorax",
      "Résultats anormaux de : • expectoration",
      "• lavage bronchique",
      "• liquide pleural",
      "• prélèvements de gorge",
      "• sécrétions nasales",
      "la cavité abdominale",
      "Résultats anormaux de : • liquide péritonéal",
      "• salive",
      "Résultats anormaux de prélèvements effectués sur les organes",
      "génitaux de l’homme",
      "Résultats anormaux de : • sécrétions prostatiques",
      "• sperme, liquide séminal",
      "Spermatozoïdes anormaux",
      "génitaux de la femme",
      "• vagin",
      "• vulve",
      "appareils et tissus",
      "Résultats anormaux de : • écoulement du mamelon",
      "• liquide synovial",
      "• sécrétions au niveau d’une plaie",
      "diagnostic (R90-R94)",
      "central"
    ],
    "comprend": [
      "résultats anormaux non spécifiques d’imagerie diagnostique par : • échographie",
      "• radiologie",
      "• résonance magnétique nucléaire [RMN]",
      "• thermographie",
      "• tomodensitométrie ou scanner",
      "• tomographie par émission de positrons [TEP]"
    ],
    "exclusions": [
      "expectorations sanglantes (R04.2)",
      "anomalies des matières fécales (R19.5)",
      "azoospermie (N46)",
      "oligospermie (N46)",
      "carcinome in situ (D05-D07.3)",
      "dysplasie de : • col de l’utérus (N87.-)",
      "• vagin (N89.0-N89.3)",
      "• vulve (N90.0-N90.3)",
      "résultats : • anormaux de l’examen prénatal systématique de la mère (O28.-)",
      "• diagnostiques anormaux classés ailleurs - voir Index alphabétique"
    ],
    "clinical_text": [
      "Résultats anormaux de prélèvements effectués sur l’appareil digestif et",
      "Résultats anormaux de sécrétions et frottis de : • col de l’utérus",
      "Résultats anormaux de prélèvements effectués sur d’autres organes,",
      "Résultats anormaux d’imagerie diagnostique et d’épreuves fonctionnelles, sans",
      "Résultats anormaux d’imagerie diagnostique du système nerveux"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R90.8": {
    "code": "R90.8",
    "description": "Autres résultats anormaux d’imagerie diagnostique du système nerveux central",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Échoencéphalogramme anormal",
      "Affection de la substance blanche SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R91": {
    "code": "R91",
    "description": "pour les nodules pulmonaires. (AGORA - # 69829, le 27 septembre 2012)",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R92": {
    "code": "R92",
    "description": "Résultats anormaux d’imagerie diagnostique du sein",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Microcalcifications dystrophiques du sein : les microcalcifications sont en général un résultat d’imagerie que"
    ],
    "agora_refs": [
      "64771"
    ],
    "cocoa_notes": [
      "vous coderez R92. (AGORA - # 64771, le 25 mai 2012)"
    ]
  },
  "R93": {
    "code": "R93",
    "description": "Résultats anormaux d’imagerie diagnostique d’autres parties du corps",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.0": {
    "code": "R93.0",
    "description": "Résultats anormaux d’imagerie diagnostique du crâne et de la tête, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "image intra-crânienne anormale (R90.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.1": {
    "code": "R93.1",
    "description": "Résultats anormaux d’imagerie diagnostique du cœur et de la circulation coronaire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Échocardiogramme anormal SAI",
      "Image cardiaque anormale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.2": {
    "code": "R93.2",
    "description": "Résultats anormaux d’imagerie diagnostique du foie et des voies biliaires",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vésicule biliaire exclue"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.3": {
    "code": "R93.3",
    "description": "Résultats anormaux d’imagerie diagnostique d’autres parties des voies digestives",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 803,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.4": {
    "code": "R93.4",
    "description": "Résultats anormaux d’imagerie diagnostique de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Défaut de remplissage de : • rein",
      "• uretère",
      "• vessie"
    ],
    "comprend": [],
    "exclusions": [
      "hypertrophie rénale (N28.8)"
    ],
    "clinical_text": [
      "Résultats anormaux d’imagerie diagnostique d’autres parties de l’abdomen, y compris l’espace"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.6": {
    "code": "R93.6",
    "description": "Résultats anormaux d’imagerie diagnostique des membres",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "résultat anormal de la peau et du tissu cellulaire sous-cutané (R93.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.7": {
    "code": "R93.7",
    "description": "Résultats anormaux d’imagerie diagnostique d’autres parties du système ostéo-musculaire",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "résultats anormaux d’imagerie diagnostique du crâne (R93.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R93.8": {
    "code": "R93.8",
    "description": "Résultats anormaux d’imagerie diagnostique d’autres parties du corps précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déviation médiastinale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Résultat radiologique anormal de la peau et du tissu cellulaire sous-cutané"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94": {
    "code": "R94",
    "description": "Résultats anormaux d’explorations fonctionnelles",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• scintigraphie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend résultats anormaux de : • épreuves de fixation de radio-isotopes et de radionucléides"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.0": {
    "code": "R94.0",
    "description": "Résultats anormaux d’explorations fonctionnelles du système nerveux central",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Électroencéphalogramme anormal [EEG]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Résultats anormaux d’explorations fonctionnelles du système nerveux périphérique et épreuves"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.2": {
    "code": "R94.2",
    "description": "Résultats anormaux d’explorations fonctionnelles pulmonaires",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diminution de la capacité : • respiratoire",
      "• vitale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.3": {
    "code": "R94.3",
    "description": "Résultats anormaux d’explorations fonctionnelles cardio-vasculaires",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalies (de) : • électrocardiogramme [ECG]",
      "• épreuves électrophysiologiques intra-cardiaques",
      "• phonocardiogramme",
      "• vectocardiogramme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.4": {
    "code": "R94.4",
    "description": "Résultats anormaux d’explorations fonctionnelles rénales",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie des épreuves fonctionnelles rénales"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.5": {
    "code": "R94.5",
    "description": "Résultats anormaux d’explorations fonctionnelles hépatiques",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.6": {
    "code": "R94.6",
    "description": "Résultats anormaux d’explorations fonctionnelles thyroïdiennes",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.7": {
    "code": "R94.7",
    "description": "Résultats anormaux d’autres explorations fonctionnelles endocriniennes",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 804,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anomalie de l’épreuve de tolérance au glucose (R73.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R94.8": {
    "code": "R94.8",
    "description": "Résultats anormaux d’explorations fonctionnelles d’autres organes et appareils",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anomalie de : • épreuves fonctionnelles (de) : • spléniques",
      "• vessie",
      "• métabolisme de base"
    ],
    "comprend": [],
    "exclusions": [
      "• mort fœtale de cause non précisée (P95)",
      "• mort maternelle d’origine obstétricale SAI (O95)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R95": {
    "code": "R95",
    "description": "Syndrome de la mort subite du nourrisson",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cas de « mort subite manquée », nous vous proposons R09.2."
    ],
    "comprend": [
      "mort subite (inexpliquée) (du nourrisson) avant l’âge d’un an"
    ],
    "exclusions": [
      "(syndrome de) mort subite (inexpliquée) (du nourrisson) à partir de un an (R96.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.103 : l’OMS souhaite que ce code soit réservé aux situations de décès effectif du nourrisson. En conséquence, en"
    ]
  },
  "R95.0": {
    "code": "R95.0",
    "description": "Syndrome de la mort subite du nourrisson avec mention d’autopsie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R95.9": {
    "code": "R95.9",
    "description": "Syndrome de la mort subite du nourrisson sans mention d’autopsie",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de la mort subite du nourrisson non spécifié"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Elles ne doivent l’être que lorsque l’affection cause du décès est inconnue."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.103 : R96, R98 et R99 : ces catégories ne doivent pas être utilisées pour coder le « mode de sortie » d’un séjour d’hospitalisation."
    ]
  },
  "R96": {
    "code": "R96",
    "description": "Autre mort subite de cause inconnue",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mort cardiaque subite, décrite ainsi (I46.1)",
      "syndrome de la mort subite du nourrisson (R95.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R96.0": {
    "code": "R96.0",
    "description": "Mort instantanée",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mort subite d’étiologie connue (A00 à Q99, U04.9, V01 à Y89)"
    ],
    "clinical_text": [
      "(Syndrome de) mort subite inexpliquée (du nourrisson) à partir d’un an"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R96.1": {
    "code": "R96.1",
    "description": "Décès survenant moins de 24 heures après le début des symptômes, sans autre explication",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Décès sans signe de maladie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Décès que l’on sait n’être pas une mort violente ou instantanée et dont la cause reste inconnue"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R98": {
    "code": "R98",
    "description": "Décès sans témoin",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Découverte d’un cadavre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Découverte fortuite d’un cadavre, sans cause apparente de décès"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "R99": {
    "code": "R99",
    "description": "Autres causes de mortalité mal définies et non précisées",
    "dagger_star": "",
    "chapter": "Symptômes, signes et résultats anormaux d’examens cliniques et de laboratoire, non classés ailleurs",
    "page": 805,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Cause inconnue de mortalité",
      "Décès SAI",
      "Lésions traumatiques, empoisonnements",
      "Ce chapitre comprend les groupes suivants :"
    ],
    "comprend": [],
    "exclusions": [
      "traumatisme obstétrical : • fœtus ou nouveau-né (P10-P15)",
      "• mère (O70-O71)"
    ],
    "clinical_text": [
      "et certaines autres conséquences de causes externes (S00-T98)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79": {
    "code": "T79",
    "description": "Certaines complications précoces des traumatismes",
    "dagger_star": "",
    "chapter": "",
    "page": 807,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "caractère :",
      "Lésion traumatique superficielle comprenant :",
      "abrasion",
      "contusion, y compris ecchymose et hématome",
      "un traumatisme local pour les tissus dans lesquels il siège.",
      "phlyctène (non due à la chaleur)",
      "piqûre d’insecte (non venimeux)",
      "Plaie ouverte comprenant :",
      "coupure",
      "lacération",
      "morsure d’animal",
      "plaie perforante : • SAI",
      "• avec corps étranger (pénétrant)",
      "Fracture comprenant :",
      "Fracture : • fermée : • avec déplacement épiphysaire",
      "• avec enfoncement",
      "• avec luxation",
      "• avec saillie",
      "• comminutive",
      "• en bois vert",
      "• fissure",
      "• engrenée",
      "avec ou sans retard de guérison",
      "• linéaire",
      "• simple",
      "• spiroïde",
      "• ouverte : • avec corps étranger",
      "• exposée",
      "• infectée",
      "• par perforation",
      "• par projectile",
      "LÉSIONS TRAUMATIQUES",
      "et odontologie – BO du 17 juillet 2025, p. 109",
      "Luxation, entorse et foulure comprenant :",
      "arrachement de articulation (capsule), ligament",
      "foulure de articulation (capsule), ligament",
      "lacération de articulation (capsule), ligament",
      "lacération de cartilage",
      "déchirure traumatique de articulation (capsule), ligament",
      "hémarthrose traumatique de articulation (capsule), ligament",
      "rupture traumatique de articulation (capsule), ligament",
      "subluxation traumatique de articulation (capsule), ligament",
      "atteinte de la continuité des nerfs et de la moelle épinière",
      "hématomyélie traumatique",
      "paralysie (transitoire) traumatique",
      "paraplégie traumatique",
      "quadriplégie traumatique",
      "section d’un nerf traumatique",
      "section complète ou incomplète de la moelle épinière",
      "Lésion traumatique des vaisseaux sanguins comprenant :",
      "arrachement des vaisseaux sanguins",
      "hématome artériel traumatique des vaisseaux sanguins",
      "lacération des vaisseaux sanguins",
      "rupture traumatique des vaisseaux sanguins",
      "section des vaisseaux sanguins",
      "arrachement de fascias, de muscles et de tendons",
      "foulure de fascias, de muscles et de tendons",
      "lacération de fascias, de muscles et de tendons",
      "rupture traumatique de fascias, de muscles et de tendons",
      "section de fascias, de muscles et de tendons",
      "Écrasement",
      "Amputation traumatique",
      "Lésion traumatique des organes internes comprenant :",
      "commotion des organes internes",
      "déchirure traumatique des organes internes",
      "ecchymose des organes internes",
      "écrasement des organes internes",
      "hématome traumatique des organes internes",
      "lacération des organes internes",
      "lésion par souffle des organes internes",
      "perforation traumatique des organes internes",
      "rupture traumatique des organes internes",
      "Lésions traumatiques, autres et non précisées"
    ],
    "comprend": [
      "lésions traumatiques de : • articulation temporo-mandibulaire",
      "• cavité buccale",
      "• cuir chevelu",
      "• dent",
      "• face : toute partie",
      "• gencive",
      "• langue",
      "• mâchoire",
      "• œil",
      "• oreille",
      "• palais",
      "• région péri-oculaire"
    ],
    "exclusions": [
      "fracture (de) : • mal consolidée (M84.0)",
      "• non consolidée : pseudarthrose (M84.1)",
      "• par sollicitation excessive (M84.3)",
      "• pathologique (M84.4)",
      "• avec ostéoporose (M80.-)",
      "brûlures et corrosions (T20-T32)",
      "effets de corps étranger dans : • bouche (T18.0)",
      "• larynx (T17.3)",
      "• nez (T17.0-T17.1)",
      "• oreille (T16)",
      "• partie externe de l’œil (T15.-)",
      "• pharynx (T17.2)",
      "gelures (T33-T35)",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [
      "Le chapitre utilise la section S pour le codage de différents types de traumatismes localisés à une seule région du corps",
      "et la section T pour le codage des traumatismes ayant des localisations multiples ou de siège non précisé, ainsi que les",
      "empoisonnements et certaines autres conséquences de causes externes.",
      "Dans les titres désignant des lésions traumatiques multiples, le mot « avec » indique l’association des deux localisations",
      "mentionnées et le mot « et » indique que l’on a affaire à l’une ou l’autre des deux localisations ou aux deux à la fois.",
      "Le principe du codage multiple des lésions traumatiques sera appliqué chaque fois que cela est possible. On a prévu des",
      "catégories de combinaisons pour les traumatismes multiples lorsque la nature de chacun d’eux n’est pas indiquée de",
      "façon précise ou pour la mise en tableaux des causes principales quand il est plus commode de n’enregistrer qu’une",
      "seule cause. En dehors de ces cas, les divers composants des lésions traumatiques seront codés séparément. Se référer",
      "également aux règles et instructions du Volume 2 concernant le codage de la morbidité ou de la mortalité.",
      "S plutôt que d’utiliser un code regroupant de la section T. Ce choix est particulièrement important pour le PMSI en soins de courte",
      "durée. Dans le même esprit, en cas de lésions bilatérales, nous vous conseillons d’utiliser le code S de la lésion plutôt qu’un code T.",
      "Exemple : pour une fracture de Pouteau-Colles bilatérale, préférer S52.5- à T02.4-.",
      "La section S ainsi que T00-T14 et T90-T98 comprennent les types de lésions traumatiques suivants au niveau du troisième",
      "survenant sans traumatisme notable, éventuellement au cours d’un traitement anti-coagulant.",
      "rétropéritonéal (K66.1), des organes génitaux masculins (N50.1), du ligament large (N83.7) etc… (se reporter à l’index",
      "alphabétique, Volume 3). On utilisera leur code chaque fois qu’ils correspondront à l’information à coder.",
      "Dans les autres cas, le terme « hématome » sans autre indication renvoie, dans l’index alphabétique, à « contusion ». Nous",
      "vous conseillons de suivre ce renvoi, y compris lorsqu’aucune contusion significative n’est signalée. En effet, d’une part il",
      "est fréquent qu’un traumatisme, même minime, soit à l’origine de l’hématome. D’autre part, l’hématome équivaut bien à",
      "Nous vous conseillons donc de coder ces hématomes « spontanés » comme des contusions : ex. hématome de la gaine",
      "des droits ou du psoas S39.0. Si un traitement anticoagulant a été estimé favorisant, on ajoutera le code Y44.2.",
      "lésion traumatique par corps étranger superficiel (écharde) sans plaie ouverte importante",
      "La précision du caractère fermé ou ouvert des fractures devient obligatoire en 2015 (Chapitre XIX de la CIM–10). Les fractures non",
      "précisées comme fermées ou ouvertes se codent en fractures fermées.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Lésion traumatique des nerfs et de la moelle épinière comprenant :",
      "anévrisme ou fistule (artério-veineuse) traumatique des vaisseaux sanguins",
      "Lésion traumatique de fascias, de muscles et de tendons comprenant :"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.115 : en cas de lésions traumatiques multiples, nous vous recommandons de les coder individuellement au moyen de la section",
      "Aunis p.116 : une difficulté fréquemment soulevée concerne le codage des hématomes dits « spontanés », c’est-à-dire",
      "Aunis p.115 : les piqures d’insectes venimeux sont classées dans la catégorie T63."
    ]
  },
  "S00": {
    "code": "S00",
    "description": "Lésion traumatique superficielle de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "contusion cérébrale (diffuse) (S06.2)",
      "• en foyer (S06.3)",
      "lésion traumatique de l’œil et de l’orbite (S05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.0": {
    "code": "S00.0",
    "description": "Lésion traumatique superficielle du cuir chevelu",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.1": {
    "code": "S00.1",
    "description": "Contusion de la paupière et de la région péri-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Œil au beurre noir",
      "Hématome périorbitaire"
    ],
    "comprend": [],
    "exclusions": [
      "contusion du globe oculaire et des tissus de l’orbite (S05.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.2": {
    "code": "S00.2",
    "description": "Autres lésions traumatiques superficielles de la paupière et de la région péri-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique superficielle de la conjonctive et de la cornée (S05.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.3": {
    "code": "S00.3",
    "description": "Lésion traumatique superficielle du nez",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.4": {
    "code": "S00.4",
    "description": "Lésion traumatique superficielle de l’oreille",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.5": {
    "code": "S00.5",
    "description": "Lésion traumatique superficielle de la lèvre et de la cavité buccale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.7": {
    "code": "S00.7",
    "description": "Lésions traumatiques superficielles multiples de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.8": {
    "code": "S00.8",
    "description": "Lésion traumatique superficielle d’autres parties de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S00.9": {
    "code": "S00.9",
    "description": "Lésion traumatique superficielle de la tête, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01": {
    "code": "S01",
    "description": "Plaie ouverte de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique d’une partie de la tête (S08.-)",
      "décapitation (S18)",
      "lésion traumatique de l’œil et de l’orbite (S05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.0": {
    "code": "S01.0",
    "description": "Plaie ouverte du cuir chevelu",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 810,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "arrachement du cuir chevelu (S08.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.1": {
    "code": "S01.1",
    "description": "Plaie ouverte de la paupière et de la région péri-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "lacrymales",
      "Plaie de l’arcade sourcilière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Plaie ouverte de la paupière et de la région péri-oculaire avec ou sans atteinte des voies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.2": {
    "code": "S01.2",
    "description": "Plaie ouverte du nez",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.3": {
    "code": "S01.3",
    "description": "Plaie ouverte de l’oreille",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.4": {
    "code": "S01.4",
    "description": "Plaie ouverte de la joue et de la région temporo-maxillaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.5": {
    "code": "S01.5",
    "description": "Plaie ouverte de la lèvre et de la cavité buccale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fracture dentaire (S02.5)",
      "luxation dentaire (S03.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.7": {
    "code": "S01.7",
    "description": "Plaies ouvertes multiples de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.8": {
    "code": "S01.8",
    "description": "Plaie ouverte d’autres parties de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S01.9": {
    "code": "S01.9",
    "description": "Plaie ouverte de la tête, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02": {
    "code": "S02",
    "description": "Fracture du crâne et des os de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "mortalité.",
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "N ote Pour coder une cause principale de fracture du crâne et des os de la face associée à une lésion traumatique intra-",
      "crânienne, se référer aux règles et instructions du Volume 2 concernant le codage de la morbidité ou de la",
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.0": {
    "code": "S02.0",
    "description": "Fracture de la voûte du crâne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Os : • frontal",
      "• pariétal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.00": {
    "code": "S02.00",
    "description": "Fracture fermée de la voûte du crâne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.01": {
    "code": "S02.01",
    "description": "Fracture ouverte de la voûte du crâne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.1": {
    "code": "S02.1",
    "description": "Fracture de la base du crâne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fosse : • antérieure",
      "• moyenne",
      "• postérieure",
      "Occipital",
      "Sinus : • ethmoïdal",
      "• frontal",
      "Sphénoïde",
      "Temporal",
      "Toit de l’orbite",
      "Rocher",
      "Fracture de Lefort II"
    ],
    "comprend": [],
    "exclusions": [
      "orbite SAI (S02.8)",
      "plancher de l’orbite (S02.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.10": {
    "code": "S02.10",
    "description": "Fracture fermée de la base du crâne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.11": {
    "code": "S02.11",
    "description": "Fracture ouverte de la base du crâne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 811,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.2": {
    "code": "S02.2",
    "description": "Fracture des os du nez",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture des os propres du nez [OPN]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.3": {
    "code": "S02.3",
    "description": "Fracture du plancher de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "orbite SAI (S02.8)",
      "toit de l’orbite (S02.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.30": {
    "code": "S02.30",
    "description": "Fracture fermée du plancher de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.31": {
    "code": "S02.31",
    "description": "Fracture ouverte du plancher de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.4": {
    "code": "S02.4",
    "description": "Fracture des os malaires et maxillaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mâchoire supérieure",
      "Maxillaire supérieur",
      "Zygoma",
      "Fracture de Lefort I",
      "Sinus maxillaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.40": {
    "code": "S02.40",
    "description": "Fracture fermée des os malaires et maxillaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.41": {
    "code": "S02.41",
    "description": "Fracture ouverte des os malaires et maxillaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.5": {
    "code": "S02.5",
    "description": "Fracture dentaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dent cassée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.6": {
    "code": "S02.6",
    "description": "Fracture du maxillaire inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mâchoire inférieure",
      "Mandibule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.60": {
    "code": "S02.60",
    "description": "Fracture fermée du maxillaire inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.61": {
    "code": "S02.61",
    "description": "Fracture ouverte du maxillaire inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.7": {
    "code": "S02.7",
    "description": "Fractures multiples du crâne et des os de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.70": {
    "code": "S02.70",
    "description": "Fractures fermées multiples du crâne et des os de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.71": {
    "code": "S02.71",
    "description": "Fractures ouvertes multiples du crâne et des os de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.8": {
    "code": "S02.8",
    "description": "Fractures d’autres os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alvéole (dentaire)",
      "Orbite SAI",
      "Palais"
    ],
    "comprend": [],
    "exclusions": [
      "plancher de l’orbite (S02.3)",
      "toit de l’orbite (S02.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.80": {
    "code": "S02.80",
    "description": "Fracture fermée d’autres os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.81": {
    "code": "S02.81",
    "description": "Fracture ouverte d’autres os du crâne et de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S02.9": {
    "code": "S02.9",
    "description": "Fracture du crâne et des os de la face, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03": {
    "code": "S03",
    "description": "Luxation, entorse et foulure d’articulations et de ligaments de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03.0": {
    "code": "S03.0",
    "description": "Luxation de la mâchoire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Articulation temporo-mandibulaire",
      "Mâchoire (cartilage) (ménisque)",
      "Mandibule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03.1": {
    "code": "S03.1",
    "description": "Luxation de la cloison du nez",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 812,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03.2": {
    "code": "S03.2",
    "description": "Luxation dentaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03.3": {
    "code": "S03.3",
    "description": "Luxation de parties autres et non précisées de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03.4": {
    "code": "S03.4",
    "description": "Entorse et foulure de la mâchoire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Articulation temporo-mandibulaire (ligament)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S03.5": {
    "code": "S03.5",
    "description": "Entorse et foulure de l’articulation et des ligaments de parties autres et non précisées de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04": {
    "code": "S04",
    "description": "Lésion traumatique des nerfs crâniens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.0": {
    "code": "S04.0",
    "description": "Lésion traumatique du nerf et des voies optiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chiasma optique",
      "Cortex visuel",
      "Nerf crânien II"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.1": {
    "code": "S04.1",
    "description": "Lésion traumatique du nerf moteur oculaire commun",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf crânien III"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.2": {
    "code": "S04.2",
    "description": "Lésion traumatique du nerf pathétique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf crânien IV"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.3": {
    "code": "S04.3",
    "description": "Lésion traumatique du nerf trijumeau",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf crânien V"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.4": {
    "code": "S04.4",
    "description": "Lésion traumatique du nerf moteur oculaire externe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf crânien VI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.5": {
    "code": "S04.5",
    "description": "Lésion traumatique du nerf facial",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf crânien VII"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.6": {
    "code": "S04.6",
    "description": "Lésion traumatique du nerf auditif",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf acoustique",
      "Nerf crânien VIII"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.7": {
    "code": "S04.7",
    "description": "Lésion traumatique du nerf spinal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf crânien XI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.8": {
    "code": "S04.8",
    "description": "Lésion traumatique d’autres nerfs crâniens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nerf glossopharyngien [IX]",
      "Nerf grand hypoglosse [XII]",
      "Nerf olfactif [I]",
      "Nerf pneumogastrique [X]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S04.9": {
    "code": "S04.9",
    "description": "Lésion traumatique d’un nerf crânien, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05": {
    "code": "S05",
    "description": "Lésion traumatique de l’œil et de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fracture des os de l’orbite (S02.1, S02.3, S02.8)",
      "lésion traumatique (du) : • nerf moteur oculaire commun [III] (S04.1)",
      "• nerf optique [II] (S04.0)",
      "• superficielle de la paupière (S00.1-S00.2)",
      "plaie ouverte de la paupière et de la région péri-oculaire (S01.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.0": {
    "code": "S05.0",
    "description": "Lésion traumatique de la conjonctive et abrasion de la cornée sans mention de corps étranger",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 813,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "corps étranger dans : • cornée (T15.0)",
      "• sac conjonctival (T15.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.1": {
    "code": "S05.1",
    "description": "Contusion du globe oculaire et des tissus de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hyphéma traumatique"
    ],
    "comprend": [],
    "exclusions": [
      "contusion de la paupière et de la région péri-oculaire (S00.1)",
      "œil au beurre noir (S00.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.2": {
    "code": "S05.2",
    "description": "Lacération et rupture oculaires avec protrusion ou perte de tissu intra-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.3": {
    "code": "S05.3",
    "description": "Lacération oculaire sans protrusion ou perte de tissu intra-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lacération de l’œil SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.4": {
    "code": "S05.4",
    "description": "Plaie pénétrante de l’orbite, avec ou sans corps étranger",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rétention (ancienne) de corps étranger secondaire à une plaie pénétrante de l’orbite",
      "(H05.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.5": {
    "code": "S05.5",
    "description": "Plaie pénétrante du globe oculaire, avec corps étranger",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rétention (ancienne) intra-oculaire de corps étranger (H44.6-H44.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.6": {
    "code": "S05.6",
    "description": "Plaie pénétrante du globe oculaire, sans corps étranger",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Pénétration oculaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.7": {
    "code": "S05.7",
    "description": "Arrachement de l’œil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Énucléation traumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.8": {
    "code": "S05.8",
    "description": "Autres lésions traumatiques de l’œil et de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Traumatisme du canal lacrymal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S05.9": {
    "code": "S05.9",
    "description": "Lésion traumatique de l’œil et de l’orbite, non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion traumatique de l’œil SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06": {
    "code": "S06",
    "description": "Lésion traumatique intra-crânienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Sans plaie intra-crânienne ouverte",
      "1 Avec plaie intra-crânienne ouverte",
      "elle renvoie à la catégorie S06.",
      "perte de connaissance ».",
      "prime."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "N ote Pour coder une cause principale de lésion traumatique intra-crânienne associée à des fractures, se référer aux",
      "règles et instructions du Volume 2 concernant le codage de la morbidité ou de la mortalité.",
      "Au sens strict, ces mots renvoient au groupe S00-S09 et aux subdivisions décrites pour l’ensemble de la section S : lésion",
      "superficielle, plaie, fracture… Ainsi, par exemple, une « bosse » se codera S00.0, une plaie du cuir chevelu S01.0.",
      "Lorsque l’expression « traumatisme crânien » est utilisée avec le sens de « traumatisme intra-crânien », ce qui est fréquent,",
      "Dans cette catégorie, les lésions obéissent à un classement qui suit essentiellement un axe anatomopathologique",
      "macroscopique. Il ne tient aucun compte de l’existence ou non d’une perte de connaissance.",
      "En conséquence, un traumatisme crânien doit être codé selon la nature des lésions. Si on souhaite enregistrer une éventuelle",
      "perte de connaissance, il faut utiliser en plus son code propre : R55.",
      "Il existe un intitulé lésion traumatique avec coma prolongé codé S06.7. En l’absence de définition de l’expression « coma",
      "prolongé » il est susceptible d’être utilisé dans des circonstances variables selon les spécialités (neurochirurgie, réanimation,",
      "rééducation-réadaptation…). Quoi qu’il en soit, il ne doit pas être pris comme l’équivalent de « traumatisme crânien avec",
      "Rappelons que lorsqu’une fracture du crâne est associée à un traumatisme intra-crânien, c’est la lésion intra-crânienne qui"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.115-116 : les traumatismes crâniens"
    ]
  },
  "S06.0": {
    "code": "S06.0",
    "description": "Commotion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Commotion cérébrale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.1": {
    "code": "S06.1",
    "description": "Œdème cérébral traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.10": {
    "code": "S06.10",
    "description": "Œdème cérébral traumatique sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.11": {
    "code": "S06.11",
    "description": "Œdème cérébral traumatique avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 814,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.2": {
    "code": "S06.2",
    "description": "Lésion traumatique cérébrale diffuse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Compression cérébrale traumatique SAI",
      "Contusion cérébrale SAI",
      "Lacération cérébrale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.20": {
    "code": "S06.20",
    "description": "Lésion traumatique cérébrale diffuse sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.21": {
    "code": "S06.21",
    "description": "Lésion traumatique cérébrale diffuse avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.3": {
    "code": "S06.3",
    "description": "Lésion traumatique cérébrale en foyer",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Contusion cérébrale, en foyer",
      "Hémorragie traumatique cérébrale, en foyer",
      "Lacération cérébrale, en foyer"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.30": {
    "code": "S06.30",
    "description": "Lésion traumatique cérébrale en foyer sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.31": {
    "code": "S06.31",
    "description": "Lésion traumatique cérébrale en foyer avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.4": {
    "code": "S06.4",
    "description": "Hémorragie épidurale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Hémorragie extra-durale (traumatique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.40": {
    "code": "S06.40",
    "description": "Hémorragie épidurale sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.41": {
    "code": "S06.41",
    "description": "Hémorragie épidurale avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.5": {
    "code": "S06.5",
    "description": "Hémorragie sous-durale traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.50": {
    "code": "S06.50",
    "description": "Hémorragie sous-durale traumatique sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.51": {
    "code": "S06.51",
    "description": "Hémorragie sous-durale traumatique avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.6": {
    "code": "S06.6",
    "description": "Hémorragie sous-arachnoïdienne traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.60": {
    "code": "S06.60",
    "description": "Hémorragie sous-arachnoïdienne traumatique sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.61": {
    "code": "S06.61",
    "description": "Hémorragie sous-arachnoïdienne traumatique avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.7": {
    "code": "S06.7",
    "description": "Lésion traumatique intra-crânienne avec coma prolongé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.70": {
    "code": "S06.70",
    "description": "Lésion traumatique intra-crânienne avec coma prolongé sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.71": {
    "code": "S06.71",
    "description": "Lésion traumatique intra-crânienne avec coma prolongé avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.8": {
    "code": "S06.8",
    "description": "Autres lésions traumatiques intra-crâniennes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Hémorragie traumatique : • cérébelleuse",
      "• intra-crânienne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Brèche durale cérébrale (post-opératoire) : G97.80 remplace le codage avec le code S. Le code T81.2 ne doit"
    ],
    "agora_refs": [
      "95706"
    ],
    "cocoa_notes": [
      "pas y être associé. (AGORA - # 95706 le 20 mars 2014)"
    ]
  },
  "S06.80": {
    "code": "S06.80",
    "description": "Autres lésions traumatiques intra-crâniennes sans plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.81": {
    "code": "S06.81",
    "description": "Autres lésions traumatiques intra-crâniennes avec plaie intra-crânienne ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S06.9": {
    "code": "S06.9",
    "description": "Lésion traumatique intra-crânienne, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 815,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Traumatisme cérébral SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de la tête SAI (S09.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S07": {
    "code": "S07",
    "description": "Écrasement de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S07.0": {
    "code": "S07.0",
    "description": "Écrasement de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S07.8": {
    "code": "S07.8",
    "description": "Écrasement d’autres parties de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S07.9": {
    "code": "S07.9",
    "description": "Écrasement de la tête, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S08": {
    "code": "S08",
    "description": "Amputation traumatique d’une partie de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S08.0": {
    "code": "S08.0",
    "description": "Arrachement du cuir chevelu",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S08.1": {
    "code": "S08.1",
    "description": "Amputation traumatique de l’oreille",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S08.8": {
    "code": "S08.8",
    "description": "Amputation traumatique d’autres parties de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S08.9": {
    "code": "S08.9",
    "description": "Amputation traumatique d’une partie de la tête non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "décapitation (S18)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S09": {
    "code": "S09",
    "description": "Lésions traumatiques de la tête, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S09.0": {
    "code": "S09.0",
    "description": "Lésion traumatique des vaisseaux sanguins de la tête, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique des vaisseaux sanguins : • cérébraux (S06.-)",
      "• précérébraux (S15.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S09.1": {
    "code": "S09.1",
    "description": "Lésion traumatique des muscles et des tendons de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S09.2": {
    "code": "S09.2",
    "description": "Rupture traumatique du tympan",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S09.7": {
    "code": "S09.7",
    "description": "Lésions traumatiques multiples de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S00-S09.2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S09.8": {
    "code": "S09.8",
    "description": "Autres lésions traumatiques précisées de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [
      "48485"
    ],
    "cocoa_notes": [
      "Hémosinus traumatique (AGORA - # 48485 le 17 juin 2011)"
    ]
  },
  "S09.9": {
    "code": "S09.9",
    "description": "Lésion traumatique de la tête, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 816,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion traumatique de : • face SAI",
      "• nez SAI",
      "• oreille SAI"
    ],
    "comprend": [
      "lésions traumatiques de : • gorge",
      "• nuque",
      "• région sus-claviculaire"
    ],
    "exclusions": [
      "brûlures et corrosions (T20-T32)",
      "effets de corps étranger dans : • larynx (T17.3)",
      "• œsophage (T18.1)",
      "• pharynx (T17.2)",
      "• trachée (T17.4)",
      "fracture du rachis SAI (T08)",
      "gelures (T33-T35)",
      "lésions traumatiques de : • moelle épinière SAI (T09.3)",
      "• tronc SAI (T09.-)",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S10": {
    "code": "S10",
    "description": "Lésion traumatique superficielle du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S10.0": {
    "code": "S10.0",
    "description": "Contusion de la gorge",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Larynx",
      "Œsophage cervical",
      "Pharynx",
      "Trachée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S10.1": {
    "code": "S10.1",
    "description": "Lésions traumatiques superficielles de la gorge, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S10.7": {
    "code": "S10.7",
    "description": "Lésions traumatiques superficielles multiples du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S10.8": {
    "code": "S10.8",
    "description": "Lésion traumatique superficielle d’autres parties du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S10.9": {
    "code": "S10.9",
    "description": "Lésion traumatique superficielle du cou, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11": {
    "code": "S11",
    "description": "Plaie ouverte du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "décapitation (S18)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11.0": {
    "code": "S11.0",
    "description": "Plaie ouverte avec atteinte du larynx et de la trachée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Trachée : • SAI",
      "• cervicale"
    ],
    "comprend": [],
    "exclusions": [
      "trachée thoracique (S27.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11.1": {
    "code": "S11.1",
    "description": "Plaie ouverte avec atteinte de la thyroïde",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11.2": {
    "code": "S11.2",
    "description": "Plaie ouverte avec atteinte du pharynx et de l’œsophage cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "œsophage SAI (S27.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11.7": {
    "code": "S11.7",
    "description": "Plaies ouvertes multiples du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11.8": {
    "code": "S11.8",
    "description": "Plaie ouverte d’autres parties du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S11.9": {
    "code": "S11.9",
    "description": "Plaie ouverte du cou, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 817,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12": {
    "code": "S12",
    "description": "Fracture du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend apophyse épineuse cervicale",
      "apophyse transverse cervicale",
      "arc neural cervical",
      "arc vertébral cervical",
      "rachis cervical",
      "vertèbre cervicale",
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.0": {
    "code": "S12.0",
    "description": "Fracture de la première vertèbre cervicale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Atlas"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.00": {
    "code": "S12.00",
    "description": "Fracture fermée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.01": {
    "code": "S12.01",
    "description": "Fracture ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.1": {
    "code": "S12.1",
    "description": "Fracture de la deuxième vertèbre cervicale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Axis",
      "Odontoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.10": {
    "code": "S12.10",
    "description": "Fracture fermée de la deuxième vertèbre cervicale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.11": {
    "code": "S12.11",
    "description": "Fracture ouverte de la deuxième vertèbre cervicale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.2": {
    "code": "S12.2",
    "description": "Fracture d’autres vertèbres cervicales précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fractures multiples du rachis cervical (S12.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.20": {
    "code": "S12.20",
    "description": "Fracture fermée d’autres vertèbres cervicales précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.21": {
    "code": "S12.21",
    "description": "Fracture ouverte d’autres vertèbres cervicales précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.7": {
    "code": "S12.7",
    "description": "Fractures multiples du rachis cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.70": {
    "code": "S12.70",
    "description": "Fractures fermées multiples du rachis cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.71": {
    "code": "S12.71",
    "description": "Fractures ouvertes multiples du rachis cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.8": {
    "code": "S12.8",
    "description": "Fracture d’autres parties du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cartilage thyroïde",
      "Larynx",
      "Os hyoïde",
      "Trachée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.80": {
    "code": "S12.80",
    "description": "Fracture fermée d’autres parties du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.81": {
    "code": "S12.81",
    "description": "Fracture ouverte d’autres parties du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.9": {
    "code": "S12.9",
    "description": "Fracture du cou, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de : • rachis cervical SAI",
      "• vertèbre cervicale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.90": {
    "code": "S12.90",
    "description": "Fracture fermée du cou, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S12.91": {
    "code": "S12.91",
    "description": "Fracture ouverte du cou, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 818,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "niveau du cou"
    ],
    "comprend": [],
    "exclusions": [
      "rupture ou déplacement (non traumatique) d’un disque intervertébral cervical (M50.-)"
    ],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments au"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.0": {
    "code": "S13.0",
    "description": "Rupture traumatique d’un disque intervertébral cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.1": {
    "code": "S13.1",
    "description": "Luxation d’une vertèbre cervicale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Rachis cervical SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.2": {
    "code": "S13.2",
    "description": "Luxations de parties autres et non précisées du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.3": {
    "code": "S13.3",
    "description": "Luxations multiples du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.4": {
    "code": "S13.4",
    "description": "Entorse et foulure du rachis cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation : • atlanto-axiale",
      "• atlanto-occipitale",
      "« Coup du lapin »",
      "Ligament longitudinal antérieur cervical"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.5": {
    "code": "S13.5",
    "description": "Entorse et foulure de la région thyroïdienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation (ligament) : • crico-aryténoïdien(ne)",
      "• crico-thyroïdien(ne)",
      "Cartilage thyroïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S13.6": {
    "code": "S13.6",
    "description": "Entorse et foulure des articulations et des ligaments de parties autres et non précisées du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14": {
    "code": "S14",
    "description": "Lésion traumatique des nerfs et de la moelle épinière au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.0": {
    "code": "S14.0",
    "description": "Commotion et œdème de la moelle cervicale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.1": {
    "code": "S14.1",
    "description": "Lésions traumatiques de la moelle cervicale, autres et non précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Lésion traumatique de la moelle épinière cervicale SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.2": {
    "code": "S14.2",
    "description": "Lésion traumatique d’une racine nerveuse du rachis cervical",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.3": {
    "code": "S14.3",
    "description": "Lésion traumatique du plexus brachial",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.4": {
    "code": "S14.4",
    "description": "Lésion traumatique des nerfs périphériques du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.5": {
    "code": "S14.5",
    "description": "Lésion traumatique des nerfs sympathiques cervicaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S14.6": {
    "code": "S14.6",
    "description": "Lésion traumatique de nerfs du cou, autres et non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15": {
    "code": "S15",
    "description": "Lésion traumatique des vaisseaux sanguins au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.0": {
    "code": "S15.0",
    "description": "Lésion traumatique de la carotide",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Artère carotide (commune) (externe) (interne)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.1": {
    "code": "S15.1",
    "description": "Lésion traumatique de l’artère vertébrale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.2": {
    "code": "S15.2",
    "description": "Lésion traumatique de la veine jugulaire externe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.3": {
    "code": "S15.3",
    "description": "Lésion traumatique de la veine jugulaire interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.7": {
    "code": "S15.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.8": {
    "code": "S15.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S15.9": {
    "code": "S15.9",
    "description": "Lésion traumatique de vaisseaux sanguins non précisés au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 819,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S16": {
    "code": "S16",
    "description": "Lésion traumatique des muscles et des tendons au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S17": {
    "code": "S17",
    "description": "Écrasement du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S17.0": {
    "code": "S17.0",
    "description": "Écrasement du larynx et de la trachée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S17.8": {
    "code": "S17.8",
    "description": "Écrasement d’autres parties du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S17.9": {
    "code": "S17.9",
    "description": "Écrasement du cou, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S18": {
    "code": "S18",
    "description": "Amputation traumatique au niveau du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Décapitation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S19": {
    "code": "S19",
    "description": "Lésions traumatiques du cou, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S19.7": {
    "code": "S19.7",
    "description": "Lésions traumatiques multiples du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S10-S18"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S19.8": {
    "code": "S19.8",
    "description": "Autres lésions traumatiques précisées du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S19.9": {
    "code": "S19.9",
    "description": "Lésion traumatique du cou, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "lésions traumatiques de : • paroi thoracique",
      "• région interscapulaire",
      "• sein"
    ],
    "exclusions": [
      "brûlures et corrosions (T20-T32)",
      "effets de corps étranger dans : • bronches (T17.5)",
      "• œsophage (T18.1)",
      "• poumon (T17.8)",
      "• trachée (T17.4)",
      "fracture du rachis SAI (T08)",
      "gelures (T33-T35)",
      "lésions traumatiques de : • clavicule (S40-S49)",
      "• creux axillaire (S40-S49)",
      "• épaule (S40-S49)",
      "• région scapulaire (S40-S49)",
      "• moelle épinière SAI (T09.3)",
      "• tronc SAI (T09.-)",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20": {
    "code": "S20",
    "description": "Lésion traumatique superficielle du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.0": {
    "code": "S20.0",
    "description": "Contusion du sein",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.1": {
    "code": "S20.1",
    "description": "Lésions traumatiques superficielles du sein, autres et non précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.2": {
    "code": "S20.2",
    "description": "Contusion du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.3": {
    "code": "S20.3",
    "description": "Autres lésions traumatiques superficielles de la paroi thoracique antérieure",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.4": {
    "code": "S20.4",
    "description": "Autres lésions traumatiques superficielles de la paroi thoracique postérieure",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 820,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.7": {
    "code": "S20.7",
    "description": "Lésions traumatiques superficielles multiples du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S20.8": {
    "code": "S20.8",
    "description": "Lésion traumatique superficielle de parties autres et non précisées du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paroi thoracique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21": {
    "code": "S21",
    "description": "Plaie ouverte du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hémopneumothorax (S27.2) traumatique",
      "hémothorax (S27.1) traumatique",
      "pneumothorax (S27.0) traumatique"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21.0": {
    "code": "S21.0",
    "description": "Plaie ouverte du sein",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21.1": {
    "code": "S21.1",
    "description": "Plaie ouverte de la paroi thoracique antérieure",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21.2": {
    "code": "S21.2",
    "description": "Plaie ouverte de la paroi thoracique postérieure",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21.7": {
    "code": "S21.7",
    "description": "Plaies ouvertes multiples de la paroi thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21.8": {
    "code": "S21.8",
    "description": "Plaie ouverte d’autres parties du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S21.9": {
    "code": "S21.9",
    "description": "Plaie ouverte du thorax, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Paroi thoracique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22": {
    "code": "S22",
    "description": "Fracture de côte(s), du sternum et du rachis dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend apophyse épineuse dorsale",
      "apophyse transverse dorsale",
      "arc neural dorsal",
      "arc vertébral dorsal",
      "vertèbre dorsale",
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "• fracture de clavicule (S42.0)",
      "• fracture de l’omoplate (S42.1)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.0": {
    "code": "S22.0",
    "description": "Fracture d’une vertèbre dorsale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture du rachis dorsal SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.00": {
    "code": "S22.00",
    "description": "Fracture fermée d’une vertèbre dorsale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.01": {
    "code": "S22.01",
    "description": "Fracture ouverte d’une vertèbre dorsale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.1": {
    "code": "S22.1",
    "description": "Fractures multiples du rachis dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.10": {
    "code": "S22.10",
    "description": "Fractures fermées multiples du rachis dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.11": {
    "code": "S22.11",
    "description": "Fractures ouvertes multiples du rachis dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.2": {
    "code": "S22.2",
    "description": "Fracture du sternum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.20": {
    "code": "S22.20",
    "description": "Fracture fermée du sternum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.21": {
    "code": "S22.21",
    "description": "Fracture ouverte du sternum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 821,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.3": {
    "code": "S22.3",
    "description": "Fracture de côte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.30": {
    "code": "S22.30",
    "description": "Fracture fermée de côte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.31": {
    "code": "S22.31",
    "description": "Fracture ouverte de côte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.4": {
    "code": "S22.4",
    "description": "Fractures multiples de côtes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.40": {
    "code": "S22.40",
    "description": "Fractures fermées multiples de côtes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.41": {
    "code": "S22.41",
    "description": "Fractures ouvertes multiples de côtes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.5": {
    "code": "S22.5",
    "description": "Volet costal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Volet thoracique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.50": {
    "code": "S22.50",
    "description": "Volet costal avec fracture fermée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.51": {
    "code": "S22.51",
    "description": "Volet costal avec fracture ouverte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.8": {
    "code": "S22.8",
    "description": "Fractures d’autres parties des os du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S22.9": {
    "code": "S22.9",
    "description": "Fracture des os du thorax, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thorax"
    ],
    "comprend": [],
    "exclusions": [
      "luxation, entorse et foulure de l’articulation",
      "sterno-claviculaire (S43.2, S43.6)",
      "rupture ou déplacement (non traumatique) d’un disque intervertébral dorsal (M51.-)"
    ],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S23.0": {
    "code": "S23.0",
    "description": "Rupture traumatique d’un disque intervertébral dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S23.1": {
    "code": "S23.1",
    "description": "Luxation d’une vertèbre dorsale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rachis dorsal SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S23.2": {
    "code": "S23.2",
    "description": "Luxation de parties autres et non précisées du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S23.3": {
    "code": "S23.3",
    "description": "Entorse et foulure du rachis dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S23.4": {
    "code": "S23.4",
    "description": "Entorse et foulure des côtes et du sternum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S23.5": {
    "code": "S23.5",
    "description": "Entorse et foulure de parties autres et non précisées du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thorax"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique du plexus brachial (S14.3)"
    ],
    "clinical_text": [
      "Lésion traumatique des nerfs et de la moelle épinière au niveau du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.0": {
    "code": "S24.0",
    "description": "Commotion et œdème de la moelle dorsale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.1": {
    "code": "S24.1",
    "description": "Lésions traumatiques autres et non précisées de la moelle dorsale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.2": {
    "code": "S24.2",
    "description": "Lésion traumatique d’une racine nerveuse du rachis dorsal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.3": {
    "code": "S24.3",
    "description": "Lésion traumatique de nerfs périphériques du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.4": {
    "code": "S24.4",
    "description": "Lésion traumatique de nerfs sympathiques du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 822,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ganglion : • stellaire",
      "• sympathique thoracique",
      "Plexus : • cardiaque",
      "• œsophagien",
      "• pulmonaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.5": {
    "code": "S24.5",
    "description": "Lésion traumatique d’autres nerfs du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S24.6": {
    "code": "S24.6",
    "description": "Lésion traumatique d’un nerf non précisé du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25": {
    "code": "S25",
    "description": "Lésion traumatique de vaisseaux sanguins du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.0": {
    "code": "S25.0",
    "description": "Lésion traumatique de l’aorte thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Aorte SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.1": {
    "code": "S25.1",
    "description": "Lésion traumatique de l’artère innominée ou sous-clavière",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.2": {
    "code": "S25.2",
    "description": "Lésion traumatique de la veine cave supérieure",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Veine cave SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.3": {
    "code": "S25.3",
    "description": "Lésion traumatique de la veine innominée ou sous-clavière",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.4": {
    "code": "S25.4",
    "description": "Lésion traumatique de vaisseaux sanguins du poumon",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.5": {
    "code": "S25.5",
    "description": "Lésion traumatique de vaisseaux sanguins intercostaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.7": {
    "code": "S25.7",
    "description": "Lésions traumatiques de multiples vaisseaux sanguins du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.8": {
    "code": "S25.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.80": {
    "code": "S25.80",
    "description": "Lésion traumatique de la veine azygos",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.88": {
    "code": "S25.88",
    "description": "Lésion traumatique d’autres vaisseaux sanguins du thorax sauf de la veine azygos",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Artère ou veine mammaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S25.9": {
    "code": "S25.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26": {
    "code": "S26",
    "description": "Lésion traumatique du cœur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend contusion du cœur",
      "lacération du cœur",
      "perforation du cœur",
      "rupture traumatique du cœur",
      "pas possible ou désiré d’utiliser le codage multiple :",
      "0 Sans plaie ouverte de la cavité thoracique",
      "1 Avec plaie ouverte de la cavité thoracique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisées comme caractère supplémentaire lorsqu’il n’est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.0": {
    "code": "S26.0",
    "description": "Lésion traumatique du cœur avec hémopéricarde",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.00": {
    "code": "S26.00",
    "description": "Lésion traumatique du cœur avec hémopéricarde sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.01": {
    "code": "S26.01",
    "description": "Lésion traumatique du cœur avec hémopéricarde avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.8": {
    "code": "S26.8",
    "description": "Autres lésions traumatiques du cœur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.80": {
    "code": "S26.80",
    "description": "Autres lésions traumatiques du cœur sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.81": {
    "code": "S26.81",
    "description": "Autres lésions traumatiques du cœur avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.9": {
    "code": "S26.9",
    "description": "Lésion traumatique du cœur, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.90": {
    "code": "S26.90",
    "description": "Lésion traumatique du cœur, sans précision, sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S26.91": {
    "code": "S26.91",
    "description": "Lésion traumatique du cœur, sans précision, avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 823,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "précisés",
      "pas possible ou désiré d’utiliser le codage multiple :",
      "0 Sans plaie ouverte de la cavité thoracique",
      "1 Avec plaie ouverte de la cavité thoracique"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de : • œsophage cervical (S10-S19)",
      "• trachée (cervicale) (S10-S19)"
    ],
    "clinical_text": [
      "Lésions traumatiques d’organes intra-thoraciques, autres et non",
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisées comme caractère supplémentaire lorsqu’il n’est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.0": {
    "code": "S27.0",
    "description": "Pneumothorax traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.00": {
    "code": "S27.00",
    "description": "Pneumothorax traumatique sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.01": {
    "code": "S27.01",
    "description": "Pneumothorax traumatique avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.1": {
    "code": "S27.1",
    "description": "Hémothorax traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.10": {
    "code": "S27.10",
    "description": "Hémothorax traumatique sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.11": {
    "code": "S27.11",
    "description": "Hémothorax traumatique avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.2": {
    "code": "S27.2",
    "description": "Hémo-pneumothorax traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.20": {
    "code": "S27.20",
    "description": "Hémo-pneumothorax traumatique sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.21": {
    "code": "S27.21",
    "description": "Hémo-pneumothorax traumatique avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.3": {
    "code": "S27.3",
    "description": "Autres lésions traumatiques du poumon",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.30": {
    "code": "S27.30",
    "description": "Autres lésions traumatiques du poumon sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.31": {
    "code": "S27.31",
    "description": "Autres lésions traumatiques du poumon avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.4": {
    "code": "S27.4",
    "description": "Lésion traumatique des bronches",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.40": {
    "code": "S27.40",
    "description": "Lésion traumatique des bronches sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.41": {
    "code": "S27.41",
    "description": "Lésion traumatique des bronches avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.5": {
    "code": "S27.5",
    "description": "Lésion traumatique de la trachée thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.50": {
    "code": "S27.50",
    "description": "Lésion traumatique de la trachée thoracique sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.51": {
    "code": "S27.51",
    "description": "Lésion traumatique de la trachée thoracique avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.6": {
    "code": "S27.6",
    "description": "Lésion traumatique de la plèvre",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.60": {
    "code": "S27.60",
    "description": "Lésion traumatique de la plèvre sans plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.61": {
    "code": "S27.61",
    "description": "Lésion traumatique de la plèvre avec plaie ouverte de la cavité thoracique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.7": {
    "code": "S27.7",
    "description": "Lésions traumatiques multiples des organes intra-thoraciques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques multiples des organes intra-thoraciques sans plaie ouverte de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.8": {
    "code": "S27.8",
    "description": "Lésion traumatique d’autres organes intra-thoraciques précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 824,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Canal lymphatique thoracique",
      "Diaphragme",
      "Œsophage (partie thoracique)",
      "Thymus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique d’autres organes intra-thoraciques précisés sans plaie ouverte de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S27.9": {
    "code": "S27.9",
    "description": "Lésion traumatique d’organes intra-thoraciques non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "thorax"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Écrasement du thorax et amputation traumatique d’une partie du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S28.0": {
    "code": "S28.0",
    "description": "Écrasement du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "volet costal (S22.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S28.1": {
    "code": "S28.1",
    "description": "Amputation traumatique d’une partie du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dissection transversale du thorax (T05.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S29": {
    "code": "S29",
    "description": "Lésions traumatiques du thorax, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S29.0": {
    "code": "S29.0",
    "description": "Lésion traumatique des muscles et des tendons au niveau du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S29.7": {
    "code": "S29.7",
    "description": "Lésions traumatiques multiples du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S20-S29.0"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S29.8": {
    "code": "S29.8",
    "description": "Autres lésions traumatiques précisées du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S29.9": {
    "code": "S29.9",
    "description": "Lésion traumatique du thorax, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(S30-S39)",
      "bassin"
    ],
    "comprend": [
      "aine",
      "anus",
      "fesse",
      "flanc",
      "organes génitaux externes",
      "paroi abdominale"
    ],
    "exclusions": [
      "brûlures et corrosions (T20-T32)",
      "effets dus à un corps étranger dans : • anus et rectum (T18.5)",
      "• appareil génito-urinaire (T19.-)",
      "• estomac, intestin grêle et côlon (T18.2-T18.4)",
      "fracture du rachis SAI (T08)",
      "gelures (T33-T35)",
      "lésions traumatiques de : • dos SAI (T09.-)",
      "• moelle épinière SAI (T09.3)",
      "• tronc SAI (T09.-)",
      "piqûre ou morsure d’insecte venimeux (T63.4)",
      "lésion traumatique superficielle de la hanche (S70.-)"
    ],
    "clinical_text": [
      "Lésions traumatiques de l’abdomen, des lombes, du rachis lombaire et du bassin",
      "Lésion traumatique superficielle de l’abdomen, des lombes et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S30.0": {
    "code": "S30.0",
    "description": "Contusion des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S30.1": {
    "code": "S30.1",
    "description": "Contusion de la paroi abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 825,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aine",
      "Flanc"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S30.2": {
    "code": "S30.2",
    "description": "Contusion des organes génitaux externes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lèvres (grandes) (petites)",
      "Pénis",
      "Périnée",
      "Scrotum",
      "Testicule",
      "Vagin",
      "Vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S30.7": {
    "code": "S30.7",
    "description": "Lésions traumatiques superficielles multiples de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S30.8": {
    "code": "S30.8",
    "description": "Autres lésions traumatiques superficielles de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S30.9": {
    "code": "S30.9",
    "description": "Lésion traumatique superficielle de l’abdomen, des lombes et du bassin, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31": {
    "code": "S31",
    "description": "Plaie ouverte de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique d’une partie de l’abdomen, des lombes et du bassin (S38.2-S38.3)",
      "plaie ouverte de la hanche (S71.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.0": {
    "code": "S31.0",
    "description": "Plaie ouverte des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fesse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.1": {
    "code": "S31.1",
    "description": "Plaie ouverte de la paroi abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aine",
      "Flanc"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.2": {
    "code": "S31.2",
    "description": "Plaie ouverte du pénis",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.3": {
    "code": "S31.3",
    "description": "Plaie ouverte du scrotum et des testicules",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.4": {
    "code": "S31.4",
    "description": "Plaie ouverte du vagin et de la vulve",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.5": {
    "code": "S31.5",
    "description": "Plaie ouverte des organes génitaux externes, autres et non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique des organes génitaux externes (S38.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.7": {
    "code": "S31.7",
    "description": "Plaies ouvertes multiples de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S31.8": {
    "code": "S31.8",
    "description": "Plaie ouverte de parties autres et non précisées de l’abdomen",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32": {
    "code": "S32",
    "description": "Fracture du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend apophyse épineuse lombo-sacrée",
      "apophyse transverse lombo-sacrée",
      "arc neural lombo-sacrée",
      "arc vertébral lombo-sacrée",
      "vertèbre lombo-sacrée",
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fracture de la hanche SAI (S72.0)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.0": {
    "code": "S32.0",
    "description": "Fracture d’une vertèbre lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture du rachis lombaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.00": {
    "code": "S32.00",
    "description": "Fracture fermée d’une vertèbre lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.01": {
    "code": "S32.01",
    "description": "Fracture ouverte d’une vertèbre lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 826,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.1": {
    "code": "S32.1",
    "description": "Fracture du sacrum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.10": {
    "code": "S32.10",
    "description": "Fracture fermée du sacrum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.11": {
    "code": "S32.11",
    "description": "Fracture ouverte du sacrum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.2": {
    "code": "S32.2",
    "description": "Fracture du coccyx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.20": {
    "code": "S32.20",
    "description": "Fracture fermée du coccyx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.21": {
    "code": "S32.21",
    "description": "Fracture ouverte du coccyx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.3": {
    "code": "S32.3",
    "description": "Fracture de l’ilion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.30": {
    "code": "S32.30",
    "description": "Fracture fermée de l’ilion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.31": {
    "code": "S32.31",
    "description": "Fracture ouverte de l’ilion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.4": {
    "code": "S32.4",
    "description": "Fracture de l’acétabulum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.40": {
    "code": "S32.40",
    "description": "Fracture fermée de l’acétabulum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.41": {
    "code": "S32.41",
    "description": "Fracture ouverte de l’acétabulum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.5": {
    "code": "S32.5",
    "description": "Fracture du pubis",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.50": {
    "code": "S32.50",
    "description": "Fracture fermée du pubis",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.51": {
    "code": "S32.51",
    "description": "Fracture ouverte du pubis",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.7": {
    "code": "S32.7",
    "description": "Fractures multiples du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.70": {
    "code": "S32.70",
    "description": "Fractures fermées multiples du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.71": {
    "code": "S32.71",
    "description": "Fractures ouvertes multiples du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.8": {
    "code": "S32.8",
    "description": "Fracture de parties autres et non précisées du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de : • bassin SAI",
      "• ischion",
      "• rachis lombo-sacré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.80": {
    "code": "S32.80",
    "description": "Fracture fermée de parties autres et non précisées du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S32.81": {
    "code": "S32.81",
    "description": "Fracture ouverte de parties autres et non précisées du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "rachis lombaire et du basin"
    ],
    "comprend": [],
    "exclusions": [
      "lésion obstétricale intéressant les articulations et les ligaments pelviens (O71.6)",
      "luxation, entorse et foulure de l’articulation et des ligaments de la hanche (S73.-)",
      "rupture ou déplacement (non traumatique) d’un disque intervertébral lombaire (M51.-)"
    ],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.0": {
    "code": "S33.0",
    "description": "Rupture traumatique d’un disque intervertébral lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.1": {
    "code": "S33.1",
    "description": "Luxation d’une vertèbre lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Luxation du rachis lombaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.2": {
    "code": "S33.2",
    "description": "Luxation des articulations sacro-iliaque et sacro-coccygienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.3": {
    "code": "S33.3",
    "description": "Luxation de parties autres et non précisées du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.4": {
    "code": "S33.4",
    "description": "Rupture traumatique de la symphyse pubienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.5": {
    "code": "S33.5",
    "description": "Entorse et foulure du rachis lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 827,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.6": {
    "code": "S33.6",
    "description": "Entorse et foulure de l’articulation sacro-iliaque",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S33.7": {
    "code": "S33.7",
    "description": "Entorse et foulure de parties autres et non précisées du rachis lombaire et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "niveau de l’abdomen, des lombes et du bassin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique des nerfs et de la moelle épinière lombaire au"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S34.0": {
    "code": "S34.0",
    "description": "Commotion et œdème de la moelle lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S34.1": {
    "code": "S34.1",
    "description": "Autres lésions traumatiques de la moelle lombaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comment coder une hémorragie épidurale lombaire traumatique (suite à chute à domicile d’une patiente",
      "sous AVK) avec compression médullaire ? si l’on considère que l’hémorragie est d’origine traumatique et",
      "par assimilation à la consigne donnée pour les brèches durales en l’absence de code précis je conseille de"
    ],
    "agora_refs": [
      "89262"
    ],
    "cocoa_notes": [
      "coder S39.8. La compression est codée S34.1 (AGORA - # 89262 le 15 novembre 2013)"
    ]
  },
  "S34.2": {
    "code": "S34.2",
    "description": "Lésion traumatique de la racine nerveuse du rachis lombaire et sacré",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S34.3": {
    "code": "S34.3",
    "description": "Lésion traumatique de la queue de cheval",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S34.4": {
    "code": "S34.4",
    "description": "Lésion traumatique du plexus lombo-sacré",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S34.5": {
    "code": "S34.5",
    "description": "Lésion traumatique des nerfs sympathiques lombaires, et sacrés et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ganglion ou plexus cœliaque",
      "Nerf splanchnique",
      "Plexus : • hypogastrique",
      "• mésentérique (inférieur) (supérieur)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S34.6": {
    "code": "S34.6",
    "description": "Lésion traumatique de nerf(s) périphérique(s) de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de nerfs autres et non précisés au niveau de l’abdomen, des lombes et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S35.0": {
    "code": "S35.0",
    "description": "Lésion traumatique de l’aorte abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "aorte SAI (S25.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S35.1": {
    "code": "S35.1",
    "description": "Lésion traumatique de la veine cave inférieure",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Veine hépatique"
    ],
    "comprend": [],
    "exclusions": [
      "veine cave SAI (S25.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S35.2": {
    "code": "S35.2",
    "description": "Lésion traumatique de l’artère cœliaque ou mésentérique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Artère : • gastrique",
      "• gastroduodénale",
      "• hépatique",
      "• mésentérique (inférieure) (supérieure)",
      "• splénique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S35.3": {
    "code": "S35.3",
    "description": "Lésion traumatique de la veine porte ou splénique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Veine mésentérique (inférieure) (supérieure)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S35.4": {
    "code": "S35.4",
    "description": "Lésion traumatique des vaisseaux sanguins du rein",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 828,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Artère ou veine rénale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S35.5": {
    "code": "S35.5",
    "description": "Lésion traumatique des vaisseaux sanguins iliaques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Artère ou veine : • hypogastrique",
      "• iliaque",
      "• utérine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de multiples vaisseaux sanguins au niveau de l’abdomen, des lombes et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36": {
    "code": "S36",
    "description": "Lésion traumatique d’organes intra-abdominaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "pas possible ou désiré d’utiliser le codage multiple :",
      "0 Sans plaie pénétrante de la cavité abdominale",
      "1 Avec plaie pénétrante de la cavité abdominale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisées comme caractère supplémentaire lorsqu’il n’est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.0": {
    "code": "S36.0",
    "description": "Lésion traumatique de la rate",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.00": {
    "code": "S36.00",
    "description": "Lésion traumatique de la rate sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.01": {
    "code": "S36.01",
    "description": "Lésion traumatique de la rate avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.1": {
    "code": "S36.1",
    "description": "Lésion traumatique du foie et de la vésicule biliaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Voies biliaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique du foie et de la vésicule biliaire sans plaie pénétrante de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.2": {
    "code": "S36.2",
    "description": "Lésion traumatique du pancréas",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.20": {
    "code": "S36.20",
    "description": "Lésion traumatique du pancréas sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.21": {
    "code": "S36.21",
    "description": "Lésion traumatique du pancréas avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.3": {
    "code": "S36.3",
    "description": "Lésion traumatique de l’estomac",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.30": {
    "code": "S36.30",
    "description": "Lésion traumatique de l’estomac sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "hématome de la paroi gastrique spontané, chez un patient sous AVK au long court. Je propose S36.30 en",
      "DP (avec en DAS le D68.3). Votre proposition est correcte. En effet on considère qu’un traumatisme même"
    ],
    "agora_refs": [
      "89270"
    ],
    "cocoa_notes": [
      "minime est à l’origine des hématomes sous anticoagulant (AGORA - # 89270 le 15 novembre 2013)"
    ]
  },
  "S36.31": {
    "code": "S36.31",
    "description": "Lésion traumatique de l’estomac avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.4": {
    "code": "S36.4",
    "description": "Lésion traumatique de l’intestin grêle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.40": {
    "code": "S36.40",
    "description": "Lésion traumatique de l’intestin grêle sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.41": {
    "code": "S36.41",
    "description": "Lésion traumatique de l’intestin grêle avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.5": {
    "code": "S36.5",
    "description": "Lésion traumatique du côlon",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.50": {
    "code": "S36.50",
    "description": "Lésion traumatique du côlon sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.51": {
    "code": "S36.51",
    "description": "Lésion traumatique du côlon avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 829,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.6": {
    "code": "S36.6",
    "description": "Lésion traumatique du rectum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.60": {
    "code": "S36.60",
    "description": "Lésion traumatique du rectum sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.61": {
    "code": "S36.61",
    "description": "Lésion traumatique du rectum avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.7": {
    "code": "S36.7",
    "description": "Lésion traumatique de multiples organes intra-abdominaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de multiples organes intra-abdominaux sans plaie pénétrante de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.8": {
    "code": "S36.8",
    "description": "Lésion traumatique d’autres organes intra-abdominaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Péritoine",
      "Rétropéritoine",
      "2013)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hématome post-opératoire du cul-de-sac de Douglas (associé à T81.0) (AGORA - # 88080 le 24 octobre",
      "Lésion traumatique d’autres organes intra-abdominaux sans plaie pénétrante de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S36.9": {
    "code": "S36.9",
    "description": "Lésion traumatique d’un organe intra-abdominal non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique d’un organe intra-abdominal non précisé sans plaie pénétrante de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37": {
    "code": "S37",
    "description": "Lésion traumatique des organes urinaires et pelviens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Sans plaie pénétrante de la cavité abdominale",
      "1 Avec plaie pénétrante de la cavité abdominale"
    ],
    "comprend": [],
    "exclusions": [
      "péritoine et rétropéritoine (S36.8)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, données à titre facultatif, peuvent être utilisées comme caractère supplémentaire en 5e position",
      "lorsqu’il n’est pas possible ou désiré d’utiliser le codage multiple :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.0": {
    "code": "S37.0",
    "description": "Lésion traumatique du rein",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.00": {
    "code": "S37.00",
    "description": "Lésion traumatique du rein sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.01": {
    "code": "S37.01",
    "description": "Lésion traumatique du rein avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.1": {
    "code": "S37.1",
    "description": "Lésion traumatique de l’uretère",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.10": {
    "code": "S37.10",
    "description": "Lésion traumatique de l’uretère sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.11": {
    "code": "S37.11",
    "description": "Lésion traumatique de l’uretère avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.2": {
    "code": "S37.2",
    "description": "Lésion traumatique de la vessie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.20": {
    "code": "S37.20",
    "description": "Lésion traumatique de la vessie sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.21": {
    "code": "S37.21",
    "description": "Lésion traumatique de la vessie avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.3": {
    "code": "S37.3",
    "description": "Lésion traumatique de l’urètre",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.30": {
    "code": "S37.30",
    "description": "Lésion traumatique de l’urètre sans plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.31": {
    "code": "S37.31",
    "description": "Lésion traumatique de l’urètre avec plaie pénétrante de la cavité abdominale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.4": {
    "code": "S37.4",
    "description": "Lésion traumatique de l’ovaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.5": {
    "code": "S37.5",
    "description": "Lésion traumatique de la trompe de Fallope",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 830,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.6": {
    "code": "S37.6",
    "description": "Lésion traumatique de l’utérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.7": {
    "code": "S37.7",
    "description": "Lésions traumatiques de multiples organes urinaires et pelviens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de multiples organes urinaires et pelviens sans plaie pénétrante de la cavité"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.80": {
    "code": "S37.80",
    "description": "8 l’ovaire, la trompe de Fallope, l’utérus et la glande surrénale sans plaie pénétrante de la cavité",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "abdominale",
      "Canal déférent",
      "Prostate",
      "Vésicule séminale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.81": {
    "code": "S37.81",
    "description": "8 l’ovaire, la trompe de Fallope, l’utérus et la glande surrénale avec plaie pénétrante de la cavité",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "abdominale",
      "Canal déférent",
      "Prostate",
      "Vésicule séminale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S37.9": {
    "code": "S37.9",
    "description": "Lésion traumatique d’un organe urinaire ou d’un organe pelvien non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "lombes et du basin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Écrasement et amputation traumatique d’une partie de l’abdomen, des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S38.0": {
    "code": "S38.0",
    "description": "Écrasement des organes génitaux externes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S38.1": {
    "code": "S38.1",
    "description": "Écrasement de parties autres et non précisées de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S38.10": {
    "code": "S38.10",
    "description": "Écrasement de la fesse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S38.18": {
    "code": "S38.18",
    "description": "Écrasement de parties autres de l’abdomen, des lombes et du bassin sauf de la fesse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S38.19": {
    "code": "S38.19",
    "description": "Écrasement de parties non précisées de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S38.2": {
    "code": "S38.2",
    "description": "Amputation traumatique des organes génitaux externes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Lèvres (grandes) (petites)",
      "Pénis",
      "Scrotum",
      "Testicule",
      "Vulve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Amputation traumatique de parties autres et non précisées de l’abdomen, des lombes et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S39.0": {
    "code": "S39.0",
    "description": "Lésion traumatique de muscles et de tendons de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S39.6": {
    "code": "S39.6",
    "description": "Lésion traumatique d’organe(s) intra-abdominal(aux) avec organe(s) pelvien(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 831,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S39.7": {
    "code": "S39.7",
    "description": "Autres lésions traumatiques multiples de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques en S36.-",
      "avec lésions traumatiques en S37.- (S39.6)"
    ],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S30-S39.6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S39.8": {
    "code": "S39.8",
    "description": "Autres lésions traumatiques précisées de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "janvier 2025)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rupture des corps caverneux pendant un rapport sexuel : cette affection est codée S39.8",
      "Comment coder une hémorragie épidurale lombaire traumatique (suite à chute à domicile d’une patiente",
      "sous AVK) avec compression médullaire ? si l’on considère que l’hémorragie est d’origine traumatique et",
      "par assimilation à la consigne donnée pour les brèches durales en l’absence de code précis je conseille de",
      "L'index alphabétique indique de coder le traumatisme de la moelle épinière pour l'hématome épidural",
      "rachidien, confirmé par la contribution AGORA # 60968. Doit-on coder le S39.- ou le traumatisme de moelle",
      "Doit-on coder les hémorragies intradurales rachidiennes post-rachianesthésie avec un S39.8 comme les",
      "épidurales rachidiennes ? Si le clinicien confirme qu'il s'agit d'un hématome sous-dural rachidien",
      "compliquant une rachianesthésie, alors le code G97.88 semble être plus précis ici (AGORA - # 270607 le 9"
    ],
    "agora_refs": [
      "87255",
      "138121",
      "89262",
      "203328"
    ],
    "cocoa_notes": [
      "Fracture des corps caverneux au niveau du pénis (AGORA - # 87255 le 3 octobre 2013)",
      "(AGORA - # 138121 le 2 septembre 2016)",
      "coder S39.8. La compression est codée S34.1 (AGORA - # 89262 le 15 novembre 2013)",
      "épinière ? (AGORA - # 203328 le 5 novembre 2020)"
    ]
  },
  "S39.9": {
    "code": "S39.9",
    "description": "Lésion traumatique de l’abdomen, des lombes et du bassin, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "lésions traumatiques de : • creux axillaire",
      "• région scapulaire"
    ],
    "exclusions": [
      "atteinte bilatérale de l’épaule et du bras (T00-T07)",
      "brûlures et corrosions (T20-T32)",
      "gelures (T33-T35)",
      "lésions traumatiques de : • coude (S50-S59)",
      "• membre supérieur, niveau non précisé (T10-T11)",
      "piqûre ou morsure, d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S40": {
    "code": "S40",
    "description": "Lésion traumatique superficielle de l’épaule, ou du bras, ou des deux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S40.0": {
    "code": "S40.0",
    "description": "Contusion de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S40.7": {
    "code": "S40.7",
    "description": "Lésions traumatiques superficielles multiples de l’épaule et du brasc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S40.8": {
    "code": "S40.8",
    "description": "Autres lésions traumatiques superficielles de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S40.9": {
    "code": "S40.9",
    "description": "Lésion traumatique superficielle de l’épaule et du bras, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S41": {
    "code": "S41",
    "description": "Plaie ouverte de l’épaule, ou du bras, ou des deux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de l’épaule et du bras (S48.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S41.0": {
    "code": "S41.0",
    "description": "Plaie ouverte de l’épaule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S41.1": {
    "code": "S41.1",
    "description": "Plaie ouverte du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S41.7": {
    "code": "S41.7",
    "description": "Plaies ouvertes multiples de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S41.8": {
    "code": "S41.8",
    "description": "Plaie ouverte de parties autres et non précisées de la ceinture scapulaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 832,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42": {
    "code": "S42",
    "description": "Fracture de l’épaule, ou du bras, ou des deux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour distinguer les fractures et plaies ouvertes",
      "des fractures et plaies fermées. Une fracture non précisée comme fermée ou ouverte doit être codée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.0": {
    "code": "S42.0",
    "description": "Fracture de la clavicule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Diaphyse claviculaire",
      "Extrémité acromiale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.00": {
    "code": "S42.00",
    "description": "Fracture fermée de la clavicule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.01": {
    "code": "S42.01",
    "description": "Fracture ouverte de la clavicule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.1": {
    "code": "S42.1",
    "description": "Fracture de l’omoplate",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acromion",
      "Apophyse coracoïde",
      "Omoplate (cavité glénoïde) (col) (corps)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.10": {
    "code": "S42.10",
    "description": "Fracture fermée de l’omoplate",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.11": {
    "code": "S42.11",
    "description": "Fracture ouverte de l’omoplate",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.2": {
    "code": "S42.2",
    "description": "Fracture de l’extrémité supérieure de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Col anatomique",
      "Col chirurgical",
      "Épiphyse supérieure",
      "Trochiter"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.20": {
    "code": "S42.20",
    "description": "Fracture fermée de l’extrémité supérieure de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.21": {
    "code": "S42.21",
    "description": "Fracture ouverte de l’extrémité supérieure de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.3": {
    "code": "S42.3",
    "description": "Fracture de la diaphyse de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bras SAI",
      "Humérus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.30": {
    "code": "S42.30",
    "description": "Fracture fermée de la diaphyse de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.31": {
    "code": "S42.31",
    "description": "Fracture ouverte de la diaphyse de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.4": {
    "code": "S42.4",
    "description": "Fracture de l’extrémité inférieure de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apophyse articulaire",
      "Condyle externe",
      "Épicondyle",
      "Épiphyse inférieure",
      "Extrémité distale",
      "Intercondylienne",
      "Supra-condylienne"
    ],
    "comprend": [],
    "exclusions": [
      "fracture du coude SAI (S52.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.40": {
    "code": "S42.40",
    "description": "Fracture fermée de l’extrémité inférieure de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.41": {
    "code": "S42.41",
    "description": "Fracture ouverte de l’extrémité inférieure de l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 833,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fractures multiples de la clavicule, ou de l’omoplate, ou de l’humérus, ou de deux d’entre eux,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.8": {
    "code": "S42.8",
    "description": "Fracture d’une partie de l’épaule et du bras autre que la clavicule, l’omoplate et l’humérus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Fracture fermée d’une partie de l’épaule et du bras autre que la clavicule, l’omoplate et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.9": {
    "code": "S42.9",
    "description": "Fracture de la ceinture scapulaire, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de l’épaule SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.90": {
    "code": "S42.90",
    "description": "Fracture fermée de la ceinture scapulaire, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S42.91": {
    "code": "S42.91",
    "description": "Fracture ouverte de la ceinture scapulaire, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "ceinture scapulaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.0": {
    "code": "S43.0",
    "description": "Luxation de l’articulation de l’épaule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Articulation gléno-humérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.1": {
    "code": "S43.1",
    "description": "Luxation de l’articulation acromio-claviculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.2": {
    "code": "S43.2",
    "description": "Luxation de l’articulation sterno-claviculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.3": {
    "code": "S43.3",
    "description": "Luxation de parties autres et non précisées de la ceinture scapulaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Luxation de la ceinture scapulaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.4": {
    "code": "S43.4",
    "description": "Entorse et foulure de l’articulation de l’épaule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Coiffe des rotateurs",
      "Ligament coraco-huméral",
      "Lésion du labrum de l’articulation de l’épaule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.5": {
    "code": "S43.5",
    "description": "Entorse et foulure de l’articulation acromio-claviculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ligament acromio-claviculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.6": {
    "code": "S43.6",
    "description": "Entorse et foulure de l’articulation sterno-claviculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S43.7": {
    "code": "S43.7",
    "description": "Entorse et foulure de parties autres et non précisées de la ceinture scapulaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Entorse et foulure de la ceinture scapulaire SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44": {
    "code": "S44",
    "description": "Lésion traumatique de nerfs au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique du plexus brachial (S14.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.0": {
    "code": "S44.0",
    "description": "Lésion traumatique du nerf cubital au niveau du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerf cubital SAI (S54.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.1": {
    "code": "S44.1",
    "description": "Lésion traumatique du nerf médian au niveau du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerf médian SAI (S54.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.2": {
    "code": "S44.2",
    "description": "Lésion traumatique du nerf radial au niveau du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "nerf radial SAI (S54.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.3": {
    "code": "S44.3",
    "description": "Lésion traumatique du nerf axillaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.4": {
    "code": "S44.4",
    "description": "Lésion traumatique d’un nerf musculo-cutané",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.5": {
    "code": "S44.5",
    "description": "Lésion traumatique d’un nerf cutané sensitif au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 834,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.7": {
    "code": "S44.7",
    "description": "Lésion traumatique de multiples nerfs au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.8": {
    "code": "S44.8",
    "description": "Lésion traumatique d’autres nerfs au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S44.9": {
    "code": "S44.9",
    "description": "Lésion traumatique d’un nerf non précisé, au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45": {
    "code": "S45",
    "description": "Lésion des vaisseaux sanguins au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de : • artère sous-clavière (S25.1)",
      "• veine sous-clavière (S25.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.0": {
    "code": "S45.0",
    "description": "Lésion traumatique de l’artère axillaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.1": {
    "code": "S45.1",
    "description": "Lésion traumatique de l’artère brachiale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.2": {
    "code": "S45.2",
    "description": "Lésion traumatique de la veine axillaire et brachiale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.3": {
    "code": "S45.3",
    "description": "Lésion traumatique d’une veine superficielle au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.7": {
    "code": "S45.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.8": {
    "code": "S45.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S45.9": {
    "code": "S45.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé, au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "du bras"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de muscles et de tendons au niveau du coude ou en dessous (S56.-)"
    ],
    "clinical_text": [
      "Lésion traumatique de muscles et de tendons au niveau de l’épaule et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.0": {
    "code": "S46.0",
    "description": "Lésion traumatique des muscles et des tendons de la coiffe des rotateurs de l’épaule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.1": {
    "code": "S46.1",
    "description": "Lésion traumatique du muscle et du tendon du long biceps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.2": {
    "code": "S46.2",
    "description": "Lésion traumatique de muscles et de tendons d’autres parties du biceps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.3": {
    "code": "S46.3",
    "description": "Lésion traumatique de muscles et de tendons du triceps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.7": {
    "code": "S46.7",
    "description": "Lésion traumatique de multiples muscles et tendons au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.8": {
    "code": "S46.8",
    "description": "Lésion traumatique d’autres muscles et tendons au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S46.9": {
    "code": "S46.9",
    "description": "Lésion traumatique de muscle et de tendon non précisés, au niveau de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S47": {
    "code": "S47",
    "description": "Écrasement de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "2 scapulaire"
    ],
    "comprend": [],
    "exclusions": [
      "écrasement du coude (S57.0)"
    ],
    "clinical_text": [
      "Écrasement de parties autres et non précisées de l’épaule et du bras, sauf de la région"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S48": {
    "code": "S48",
    "description": "Amputation traumatique de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique (de) : • au niveau du coude (S58.0)",
      "• membre supérieur, niveau non précisé (T11.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S48.0": {
    "code": "S48.0",
    "description": "Amputation traumatique de l’articulation de l’épaule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S48.1": {
    "code": "S48.1",
    "description": "Amputation traumatique entre l’épaule et le coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S48.9": {
    "code": "S48.9",
    "description": "Amputation traumatique de l’épaule et du bras, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 835,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S49": {
    "code": "S49",
    "description": "Lésions traumatiques de l’épaule et du bras, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S49.7": {
    "code": "S49.7",
    "description": "Lésions traumatiques multiples de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S40-S48"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S49.8": {
    "code": "S49.8",
    "description": "Autres lésions traumatiques précisées de l’épaule et du bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S49.9": {
    "code": "S49.9",
    "description": "Lésion traumatique de l’épaule et du bras, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteinte bilatérale du coude et de l’avant-bras (T00-T07)",
      "brûlures et corrosions (T20-T32)",
      "gelures (T33-T35)",
      "lésions traumatiques de : • membre supérieur, niveau non précisé (T10-T11)",
      "• poignet et main (S60-S69)",
      "piqûre ou morsure, d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S50": {
    "code": "S50",
    "description": "Lésion traumatique superficielle de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique superficielle du poignet et de la main (S60.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S50.0": {
    "code": "S50.0",
    "description": "Contusion du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S50.1": {
    "code": "S50.1",
    "description": "Contusion de parties autres et non précisées de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S50.7": {
    "code": "S50.7",
    "description": "Lésions traumatiques superficielles multiples de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S50.8": {
    "code": "S50.8",
    "description": "Autres lésions traumatiques superficielles de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S50.9": {
    "code": "S50.9",
    "description": "Lésion traumatique superficielle de l’avant-bras, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésion traumatique superficielle du coude SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S51": {
    "code": "S51",
    "description": "Plaie ouverte de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de l’avant-bras (S58.-)",
      "plaie ouverte du poignet et de la main (S61.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S51.0": {
    "code": "S51.0",
    "description": "Plaie ouverte du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S51.7": {
    "code": "S51.7",
    "description": "Plaies ouvertes multiples de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S51.8": {
    "code": "S51.8",
    "description": "Plaie ouverte d’autres parties de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S51.9": {
    "code": "S51.9",
    "description": "Plaie ouverte de l’avant-bras, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 836,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52": {
    "code": "S52",
    "description": "Fracture de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fracture au niveau du poignet et de la main (S62.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième pour identifier les fractures et les plaies ouvertes; une",
      "fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.0": {
    "code": "S52.0",
    "description": "Fracture de la partie l’extrémité supérieure du cubitus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apophyse coronoïde",
      "Coude SAI",
      "Extrémité proximale",
      "Fracture-luxation de Monteggia",
      "Olécrane"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.00": {
    "code": "S52.00",
    "description": "Fracture fermée de l’extrémité supérieure du cubitus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.01": {
    "code": "S52.01",
    "description": "Fracture ouverte de l’extrémité supérieure du cubitus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.1": {
    "code": "S52.1",
    "description": "Fracture de l’extrémité supérieure du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Col",
      "Extrémité proximale",
      "Tête"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.10": {
    "code": "S52.10",
    "description": "Fracture fermée de l’extrémité supérieure du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.11": {
    "code": "S52.11",
    "description": "Fracture ouverte de l’extrémité supérieure du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.2": {
    "code": "S52.2",
    "description": "Fracture de la diaphyse du cubitus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "Fracture des deux diaphyses, cubitale et radiale (S52.40)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.20": {
    "code": "S52.20",
    "description": "Fracture fermée de la diaphyse du cubitus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.21": {
    "code": "S52.21",
    "description": "Fracture ouverte de la diaphyse du cubitus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.3": {
    "code": "S52.3",
    "description": "Fracture de la diaphyse du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "Fracture des deux diaphyses, cubitale et radiale (S52.40)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.30": {
    "code": "S52.30",
    "description": "Fracture fermée de la diaphyse du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.31": {
    "code": "S52.31",
    "description": "Fracture ouverte de la diaphyse du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.4": {
    "code": "S52.4",
    "description": "Fracture des deux diaphyses, cubitale et radiale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.40": {
    "code": "S52.40",
    "description": "Fracture fermée des deux diaphyses, cubitale et radiale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.41": {
    "code": "S52.41",
    "description": "Fracture ouverte des deux diaphyses, cubitale et radiale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.5": {
    "code": "S52.5",
    "description": "Fracture de l’extrémité inférieure du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de : • Pouteau-Colles",
      "• Smith"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.50": {
    "code": "S52.50",
    "description": "Fracture fermée de l’extrémité inférieure du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.51": {
    "code": "S52.51",
    "description": "Fracture ouverte de l’extrémité inférieure du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.6": {
    "code": "S52.6",
    "description": "Fracture de l’extrémité inférieure du cubitus et du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.60": {
    "code": "S52.60",
    "description": "Fracture fermée de l’extrémité inférieure du cubitus et du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.61": {
    "code": "S52.61",
    "description": "Fracture ouverte de l’extrémité inférieure du cubitus et du radius",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 837,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.7": {
    "code": "S52.7",
    "description": "Fractures multiples de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fracture du cubitus et du radius : • diaphyses (S52.4)",
      "• extrémité inférieure (S52.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.70": {
    "code": "S52.70",
    "description": "Fractures fermées multiples de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.71": {
    "code": "S52.71",
    "description": "Fractures ouvertes multiples de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.8": {
    "code": "S52.8",
    "description": "Fracture d’autres parties de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Extrémité inférieure du cubitus",
      "Tête du cubitus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.80": {
    "code": "S52.80",
    "description": "Fracture fermée d’autres parties de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.81": {
    "code": "S52.81",
    "description": "Fracture ouverte d’autres parties de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.9": {
    "code": "S52.9",
    "description": "Fracture de l’avant-bras, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.90": {
    "code": "S52.90",
    "description": "Fracture fermée de l’avant-bras, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S52.91": {
    "code": "S52.91",
    "description": "Fracture ouverte de l’avant-bras, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "coude"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S53.0": {
    "code": "S53.0",
    "description": "Luxation de la tête radiale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation radio-humérale"
    ],
    "comprend": [],
    "exclusions": [
      "fracture-luxation de Monteggia (S52.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S53.1": {
    "code": "S53.1",
    "description": "Luxation du coude, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation cubito-humérale"
    ],
    "comprend": [],
    "exclusions": [
      "luxation de la tête radiale seule (S53.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S53.2": {
    "code": "S53.2",
    "description": "Rupture traumatique du ligament latéral externe du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S53.3": {
    "code": "S53.3",
    "description": "Rupture traumatique du ligament latéral interne du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S53.4": {
    "code": "S53.4",
    "description": "Entorse et foulure du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54": {
    "code": "S54",
    "description": "Lésion traumatique de nerfs au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de nerfs au niveau du poignet et de la main (S64.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.0": {
    "code": "S54.0",
    "description": "Lésion traumatique du nerf cubital au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Nerf cubital SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.1": {
    "code": "S54.1",
    "description": "Lésion traumatique du nerf médian au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Nerf médian SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.2": {
    "code": "S54.2",
    "description": "Lésion traumatique du nerf radial au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Nerf radial SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.3": {
    "code": "S54.3",
    "description": "Lésion traumatique d’un nerf sensitif cutané au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.7": {
    "code": "S54.7",
    "description": "Lésion traumatique de multiples nerfs au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.8": {
    "code": "S54.8",
    "description": "Lésion traumatique d’autres nerfs au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S54.9": {
    "code": "S54.9",
    "description": "Lésion traumatique d’un nerf non précisé, au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 838,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55": {
    "code": "S55",
    "description": "Lésion traumatique de vaisseaux sanguins au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de vaisseaux sanguins : • au niveau du poignet et de la main (S65.-)",
      "• brachiaux (S45.1-S45.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55.0": {
    "code": "S55.0",
    "description": "Lésion traumatique de l’artère cubitale au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55.1": {
    "code": "S55.1",
    "description": "Lésion traumatique de l’artère radiale au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55.2": {
    "code": "S55.2",
    "description": "Lésion traumatique d’une veine au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55.7": {
    "code": "S55.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55.8": {
    "code": "S55.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S55.9": {
    "code": "S55.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé, au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S56": {
    "code": "S56",
    "description": "Lésion traumatique de muscles et de tendons au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de muscles et de tendons au niveau du poignet ou en dessous (S66.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S56.0": {
    "code": "S56.0",
    "description": "Lésion traumatique du muscle et du tendon fléchisseurs du pouce au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de muscles et de tendons fléchisseurs d’autre(s) doigt(s) au niveau de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S56.7": {
    "code": "S56.7",
    "description": "Lésion traumatique de multiples muscles et tendons au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S56.8": {
    "code": "S56.8",
    "description": "Lésion traumatique de muscles et de tendons autres et non précisés, au niveau de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S57": {
    "code": "S57",
    "description": "Écrasement de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "écrasement du poignet et de la main (S67.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S57.0": {
    "code": "S57.0",
    "description": "Écrasement du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S57.8": {
    "code": "S57.8",
    "description": "Écrasement d’autres parties de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S57.9": {
    "code": "S57.9",
    "description": "Écrasement de l’avant-bras, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S58": {
    "code": "S58",
    "description": "Amputation traumatique de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique du poignet et de la main (S68.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S58.0": {
    "code": "S58.0",
    "description": "Amputation traumatique au niveau du coude",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S58.1": {
    "code": "S58.1",
    "description": "Amputation traumatique entre le coude et le poignet",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S58.9": {
    "code": "S58.9",
    "description": "Amputation traumatique de l’avant-bras, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 839,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S59": {
    "code": "S59",
    "description": "Lésions traumatiques de l’avant-bras, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques du poignet et de la main, autres et sans précision (S69.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S59.7": {
    "code": "S59.7",
    "description": "Lésions traumatiques multiples de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S50-S58"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S59.8": {
    "code": "S59.8",
    "description": "Autres lésions traumatiques précisées de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S59.9": {
    "code": "S59.9",
    "description": "Lésion traumatique de l’avant-bras, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteinte bilatérale du poignet et de la main (T00-T07)",
      "brûlures et corrosions (T20-T32)",
      "gelures (T33-T35)",
      "lésions traumatiques du membre supérieur, niveau non précisé (T10-T11)",
      "piqûre ou morsure, d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60": {
    "code": "S60",
    "description": "Lésion traumatique superficielle du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60.0": {
    "code": "S60.0",
    "description": "Contusion de(s) doigt(s) sans lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contusion de(s) doigt(s) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "contusion avec lésion de l’ongle (matrice) (S60.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60.1": {
    "code": "S60.1",
    "description": "Contusion de(s) doigt(s) avec lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60.2": {
    "code": "S60.2",
    "description": "Contusion d’autres parties du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60.7": {
    "code": "S60.7",
    "description": "Lésions traumatiques superficielles multiples du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60.8": {
    "code": "S60.8",
    "description": "Autres lésions traumatiques superficielles du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S60.9": {
    "code": "S60.9",
    "description": "Lésion traumatique superficielle du poignet et de la main, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S61": {
    "code": "S61",
    "description": "Plaie ouverte du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique du poignet et de la main (S68.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S61.0": {
    "code": "S61.0",
    "description": "Plaie ouverte de(s) doigt(s) sans lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Plaie ouverte de(s) doigt(s) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "plaie ouverte avec lésion de l’ongle (matrice) (S61.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S61.1": {
    "code": "S61.1",
    "description": "Plaie ouverte de(s) doigt(s) avec lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S61.7": {
    "code": "S61.7",
    "description": "Plaies ouvertes multiples du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S61.8": {
    "code": "S61.8",
    "description": "Plaie ouverte d’autres parties du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S61.9": {
    "code": "S61.9",
    "description": "Plaie ouverte du poignet et de la main, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 840,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62": {
    "code": "S62",
    "description": "Fracture au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fracture des extrémités inférieures du cubitus et du radius (S52.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.0": {
    "code": "S62.0",
    "description": "Fracture de l’os scaphoïde de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.00": {
    "code": "S62.00",
    "description": "Fracture fermée de l’os scaphoïde de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.01": {
    "code": "S62.01",
    "description": "Fracture ouverte de l’os scaphoïde de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.1": {
    "code": "S62.1",
    "description": "Fracture d’autre(s) os du carpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Grand os",
      "Os crochu",
      "Pisiforme",
      "Pyramidal",
      "Semi-lunaire",
      "Trapèze",
      "Trapézoïde"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.10": {
    "code": "S62.10",
    "description": "Fracture fermée d’autre(s) os du carpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.11": {
    "code": "S62.11",
    "description": "Fracture ouverte d’autre(s) os du carpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.2": {
    "code": "S62.2",
    "description": "Fracture du premier métacarpien",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de Bennett"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.20": {
    "code": "S62.20",
    "description": "Fracture fermée du premier métacarpien",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.21": {
    "code": "S62.21",
    "description": "Fracture ouverte du premier métacarpien",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.3": {
    "code": "S62.3",
    "description": "Fracture d’un autre os du métacarpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.30": {
    "code": "S62.30",
    "description": "Fracture fermée d’un autre os du métacarpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.31": {
    "code": "S62.31",
    "description": "Fracture ouverte d’un autre os du métacarpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.4": {
    "code": "S62.4",
    "description": "Fractures multiples des métacarpiens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.40": {
    "code": "S62.40",
    "description": "Fractures fermées multiples des métacarpiens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.41": {
    "code": "S62.41",
    "description": "Fractures ouvertes multiples des métacarpiens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.5": {
    "code": "S62.5",
    "description": "Fracture du pouce",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.50": {
    "code": "S62.50",
    "description": "Fracture fermée du pouce",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.51": {
    "code": "S62.51",
    "description": "Fracture ouverte du pouce",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.6": {
    "code": "S62.6",
    "description": "Fracture d’un autre doigt",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.60": {
    "code": "S62.60",
    "description": "Fracture fermée d’un autre doigt",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.61": {
    "code": "S62.61",
    "description": "Fracture ouverte d’un autre doigt",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.7": {
    "code": "S62.7",
    "description": "Fractures multiples de doigts",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.70": {
    "code": "S62.70",
    "description": "Fractures fermées multiples de doigts",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.71": {
    "code": "S62.71",
    "description": "Fractures ouvertes multiples de doigts",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 841,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.8": {
    "code": "S62.8",
    "description": "Fracture de parties autres et non précisées du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.80": {
    "code": "S62.80",
    "description": "Fracture fermée de parties autres et non précisées du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S62.81": {
    "code": "S62.81",
    "description": "Fracture ouverte de parties autres et non précisées du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "du poignet et de la main"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure d’articulations et de ligaments au niveau"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.0": {
    "code": "S63.0",
    "description": "Luxation du poignet",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation : • carpo-métacarpienne",
      "• cubito-radiale, distale",
      "• médio-carpienne",
      "• radio-carpienne",
      "Cubitus, extrémité distale",
      "Métacarpiens, extrémité proximale",
      "Os du carpe",
      "Radius, extrémité distale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.1": {
    "code": "S63.1",
    "description": "Luxation du doigt",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation : • interphalangienne, main",
      "• métacarpo-phalangienne",
      "Métacarpien, extrémité distale",
      "Phalange, main",
      "Pouce"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.2": {
    "code": "S63.2",
    "description": "Luxations multiples des doigts",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.3": {
    "code": "S63.3",
    "description": "Rupture traumatique de ligament du poignet et du carpe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Latéral, poignet",
      "Ligament : • cubito-carpien (palmaire)",
      "• radio-carpien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Rupture traumatique de ligaments du doigt au niveau des articulations métacarpo-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.5": {
    "code": "S63.5",
    "description": "Entorse et foulure du poignet",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation : • carpienne",
      "• ou ligament radio-carpien(ne)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.6": {
    "code": "S63.6",
    "description": "Entorse et foulure de doigt(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation : • interphalangienne (main)",
      "• métacarpo-phalangienne",
      "Phalange, main",
      "Pouce"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S63.7": {
    "code": "S63.7",
    "description": "Entorse et foulure d’articulations autres et non précisées de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64": {
    "code": "S64",
    "description": "Lésion traumatique de nerfs au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.0": {
    "code": "S64.0",
    "description": "Lésion traumatique du nerf cubital au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.1": {
    "code": "S64.1",
    "description": "Lésion traumatique du nerf médian au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.2": {
    "code": "S64.2",
    "description": "Lésion traumatique du nerf radial au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 842,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.3": {
    "code": "S64.3",
    "description": "Lésion traumatique du nerf collatéral du pouce",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.4": {
    "code": "S64.4",
    "description": "Lésion traumatique du nerf collatéral d’un autre doigt",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.7": {
    "code": "S64.7",
    "description": "Lésion traumatique de multiples nerfs au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.8": {
    "code": "S64.8",
    "description": "Lésion traumatique d’autres nerfs au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S64.9": {
    "code": "S64.9",
    "description": "Lésion traumatique d’un nerf non précisé, au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "la main"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de vaisseaux sanguins au niveau du poignet et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.0": {
    "code": "S65.0",
    "description": "Lésion traumatique de l’artère cubitale au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.1": {
    "code": "S65.1",
    "description": "Lésion traumatique de l’artère radiale au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.2": {
    "code": "S65.2",
    "description": "Lésion traumatique de l’arc palmaire superficiel",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.3": {
    "code": "S65.3",
    "description": "Lésion traumatique de l’arc palmaire profond",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.4": {
    "code": "S65.4",
    "description": "Lésion traumatique de vaisseau(x) sanguin(s) du pouce",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.5": {
    "code": "S65.5",
    "description": "Lésion traumatique de vaisseau(x) sanguin(s) d’un autre doigt",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.7": {
    "code": "S65.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.8": {
    "code": "S65.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S65.9": {
    "code": "S65.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé, au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de la main",
      "du pouce",
      "opposant de l’auriculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de muscles et de tendons au niveau du poignet et",
      "Rappel : Éminence thénar = court abducteur du pouce • opposant du pouce • court fléchisseur du pouce • adducteur",
      "Éminence hypothénar = court palmaire • abducteur de l’auriculaire • court fléchisseur de l’auriculaire •",
      "Ces deux éminences font partie des muscles intrinsèques de la main.",
      "Lésion traumatique du muscle et du tendon longs fléchisseurs du pouce au niveau du poignet"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S66.8": {
    "code": "S66.8",
    "description": "Lésion traumatique d’autres muscles et tendons au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 843,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique d’un muscle et d’un tendon non précisés, au niveau du poignet et de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S67": {
    "code": "S67",
    "description": "Écrasement du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S67.0": {
    "code": "S67.0",
    "description": "Écrasement du pouce et d’autre(s) doigt(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S67.8": {
    "code": "S67.8",
    "description": "Écrasement de parties autres et non précisées du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68": {
    "code": "S68",
    "description": "Amputation traumatique du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68.0": {
    "code": "S68.0",
    "description": "Amputation traumatique du pouce (complète) (partielle)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68.1": {
    "code": "S68.1",
    "description": "Amputation traumatique d’un autre doigt (complète) (partielle)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68.2": {
    "code": "S68.2",
    "description": "Amputation traumatique de deux doigts ou plus (complète) (partielle)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Amputation traumatique associée de (parties de) doigt(s) et d’autres parties du poignet et de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68.4": {
    "code": "S68.4",
    "description": "Amputation traumatique de la main au niveau du poignet",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68.8": {
    "code": "S68.8",
    "description": "Amputation traumatique d’autres parties du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S68.9": {
    "code": "S68.9",
    "description": "Amputation traumatique du poignet et de la main, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S69": {
    "code": "S69",
    "description": "Lésions traumatiques du poignet et de la main, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S69.7": {
    "code": "S69.7",
    "description": "Lésions traumatiques multiples du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S60-S68"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S69.8": {
    "code": "S69.8",
    "description": "Autres lésions traumatiques précisées du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S69.9": {
    "code": "S69.9",
    "description": "Lésion traumatique du poignet et de la main, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteinte bilatérale de la hanche et de la cuisse (T00-T07)",
      "brûlures et corrosions (T20-T32)",
      "gelures (T33-T35)",
      "lésions traumatiques du membre inférieur, niveau non précisé (T12-T13)",
      "piqûre ou morsure, d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S70": {
    "code": "S70",
    "description": "Lésion traumatique superficielle de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S70.0": {
    "code": "S70.0",
    "description": "Contusion de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S70.1": {
    "code": "S70.1",
    "description": "Contusion de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S70.7": {
    "code": "S70.7",
    "description": "Lésions traumatiques superficielles multiples de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S70.8": {
    "code": "S70.8",
    "description": "Autres lésions traumatiques superficielles de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S70.9": {
    "code": "S70.9",
    "description": "Lésion traumatique superficielle de la hanche et de la cuisse, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 844,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S71": {
    "code": "S71",
    "description": "Plaie ouverte de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de la hanche et de la cuisse (S78.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S71.0": {
    "code": "S71.0",
    "description": "Plaie ouverte de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S71.1": {
    "code": "S71.1",
    "description": "Plaie ouverte de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S71.7": {
    "code": "S71.7",
    "description": "Plaies ouvertes multiples de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S71.8": {
    "code": "S71.8",
    "description": "Plaie ouverte de parties autres et non précisées de la ceinture pelvienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72": {
    "code": "S72",
    "description": "Fracture du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.0": {
    "code": "S72.0",
    "description": "Fracture du col du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture de la hanche SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.00": {
    "code": "S72.00",
    "description": "Fracture fermée du col du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.01": {
    "code": "S72.01",
    "description": "Fracture ouverte du col du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.1": {
    "code": "S72.1",
    "description": "Fracture du trochanter",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture : • inter-trochantérienne",
      "• trochantérienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.10": {
    "code": "S72.10",
    "description": "Fracture fermée du trochanter",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.11": {
    "code": "S72.11",
    "description": "Fracture ouverte du trochanter",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.2": {
    "code": "S72.2",
    "description": "Fracture sous-trochantérienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éperon de Merkel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.20": {
    "code": "S72.20",
    "description": "Fracture fermée sous-trochantérienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.21": {
    "code": "S72.21",
    "description": "Fracture ouverte sous-trochantérienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.3": {
    "code": "S72.3",
    "description": "Fracture de la diaphyse fémorale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.30": {
    "code": "S72.30",
    "description": "Fracture fermée de la diaphyse fémorale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.31": {
    "code": "S72.31",
    "description": "Fracture ouverte de la diaphyse fémorale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.4": {
    "code": "S72.4",
    "description": "Fracture de l’extrémité inférieure du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Condyle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.40": {
    "code": "S72.40",
    "description": "Fracture fermée de l’extrémité inférieure du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.41": {
    "code": "S72.41",
    "description": "Fracture ouverte de l’extrémité inférieure du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.7": {
    "code": "S72.7",
    "description": "Fractures multiples du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.70": {
    "code": "S72.70",
    "description": "Fractures fermées multiples du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.71": {
    "code": "S72.71",
    "description": "Fractures ouvertes multiples du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.8": {
    "code": "S72.8",
    "description": "Fracture d’autres parties du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.80": {
    "code": "S72.80",
    "description": "Fracture fermée d’autres parties du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.81": {
    "code": "S72.81",
    "description": "Fracture ouverte d’autres parties du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 845,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.9": {
    "code": "S72.9",
    "description": "Fracture du fémur, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.90": {
    "code": "S72.90",
    "description": "Fracture fermée du fémur, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S72.91": {
    "code": "S72.91",
    "description": "Fracture ouverte du fémur, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "hanche"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure de l’articulation et des ligaments de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S73.0": {
    "code": "S73.0",
    "description": "Luxation de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S73.1": {
    "code": "S73.1",
    "description": "Entorse et foulure de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74": {
    "code": "S74",
    "description": "Lésion traumatique de nerfs au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74.0": {
    "code": "S74.0",
    "description": "Lésion traumatique du nerf sciatique au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74.1": {
    "code": "S74.1",
    "description": "Lésion traumatique du nerf fémoral au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74.2": {
    "code": "S74.2",
    "description": "Lésion traumatique d’un nerf cutané sensitif au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74.7": {
    "code": "S74.7",
    "description": "Lésion traumatique de multiples nerfs au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74.8": {
    "code": "S74.8",
    "description": "Lésion traumatique d’autres nerfs au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S74.9": {
    "code": "S74.9",
    "description": "Lésion traumatique d’un nerf non précisé, au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "la cuisse"
    ],
    "comprend": [],
    "exclusions": [
      "artère poplitée (S85.0)"
    ],
    "clinical_text": [
      "Lésion traumatique de vaisseaux sanguins au niveau de la hanche et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S75.0": {
    "code": "S75.0",
    "description": "Lésion traumatique de l’artère fémorale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S75.1": {
    "code": "S75.1",
    "description": "Lésion traumatique de la veine fémorale au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S75.2": {
    "code": "S75.2",
    "description": "Lésion traumatique de la veine saphène interne au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [
      "veine saphène interne SAI (S85.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S75.7": {
    "code": "S75.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S75.8": {
    "code": "S75.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S75.9": {
    "code": "S75.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé, au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "de la cuisse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique de muscles et de tendons au niveau de la hanche et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S76.0": {
    "code": "S76.0",
    "description": "Lésion traumatique de muscles et de tendons de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S76.1": {
    "code": "S76.1",
    "description": "Lésion traumatique de muscles et de tendons du quadriceps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Ligament rotulien",
      "Vaste externe"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S76.2": {
    "code": "S76.2",
    "description": "Lésion traumatique de muscles et de tendons adducteurs de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S76.3": {
    "code": "S76.3",
    "description": "Lésion traumatique de muscles et de tendons postérieurs au niveau de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S76.4": {
    "code": "S76.4",
    "description": "Lésion traumatique de muscles et de tendons autres et non précisés, au niveau de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S76.7": {
    "code": "S76.7",
    "description": "Lésion traumatique de multiples muscles et tendons au niveau de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 846,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S77": {
    "code": "S77",
    "description": "Écrasement de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S77.0": {
    "code": "S77.0",
    "description": "Écrasement de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S77.1": {
    "code": "S77.1",
    "description": "Écrasement de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S77.2": {
    "code": "S77.2",
    "description": "Écrasement de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S78": {
    "code": "S78",
    "description": "Amputation traumatique de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique du membre inférieur, niveau non précisé (T13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S78.0": {
    "code": "S78.0",
    "description": "Amputation traumatique de l’articulation de la hanche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S78.1": {
    "code": "S78.1",
    "description": "Amputation traumatique entre la hanche et le genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S78.9": {
    "code": "S78.9",
    "description": "Amputation traumatique de la hanche et de la cuisse, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques de la hanche et de la cuisse, autres et sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S79.7": {
    "code": "S79.7",
    "description": "Lésions traumatiques multiples de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S70-S78"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S79.8": {
    "code": "S79.8",
    "description": "Autres lésions traumatiques précisées de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S79.9": {
    "code": "S79.9",
    "description": "Lésion traumatique de la hanche et de la cuisse, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "fracture de la cheville et de la malléole"
    ],
    "exclusions": [
      "atteinte bilatérale du genou et de la jambe (T00-T07)",
      "brûlures et corrosions (T20-T32)",
      "gelures (T33-T35)",
      "lésions traumatiques de : • cheville et pied, sauf fracture de la cheville et de la malléole (S90-S99)",
      "• membre inférieur, niveau non précisé (T12-T13)",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S80": {
    "code": "S80",
    "description": "Lésion traumatique superficielle de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique superficielle de la cheville et du pied (S90.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S80.0": {
    "code": "S80.0",
    "description": "Contusion du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S80.1": {
    "code": "S80.1",
    "description": "Contusion de parties autres et non précisées de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S80.7": {
    "code": "S80.7",
    "description": "Lésions traumatiques superficielles multiples de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S80.8": {
    "code": "S80.8",
    "description": "Autres lésions traumatiques superficielles de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S80.9": {
    "code": "S80.9",
    "description": "Lésion traumatique superficielle de la jambe, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S81": {
    "code": "S81",
    "description": "Plaie ouverte de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de la jambe (S88.-)",
      "plaie ouverte de la cheville et du pied (S91.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S81.0": {
    "code": "S81.0",
    "description": "Plaie ouverte du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S81.7": {
    "code": "S81.7",
    "description": "Plaies ouvertes multiples de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 847,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S81.8": {
    "code": "S81.8",
    "description": "Plaie ouverte d’autres parties de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S81.9": {
    "code": "S81.9",
    "description": "Plaie ouverte de la jambe, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82": {
    "code": "S82",
    "description": "Fracture de la jambe, y compris la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend Malléole",
      "fermée.",
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fracture du pied, sauf la cheville (S92.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour distinguer les fractures et les plaies",
      "ouvertes des fractures et plaies fermées. Une fracture non précisée comme fermée ou ouverte doit être classée comme"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.0": {
    "code": "S82.0",
    "description": "Fracture de la rotule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.00": {
    "code": "S82.00",
    "description": "Fracture fermée de la rotule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.01": {
    "code": "S82.01",
    "description": "Fracture ouverte de la rotule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.1": {
    "code": "S82.1",
    "description": "Fracture de l’extrémité supérieure du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Condyles",
      "Tête",
      "Plateau tibial avec ou sans mention de fracture du péroné",
      "Extrémité proximale",
      "Tubérosité antérieure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.10": {
    "code": "S82.10",
    "description": "Fracture fermée de l’extrémité supérieure du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.11": {
    "code": "S82.11",
    "description": "Fracture ouverte de l’extrémité supérieure du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.2": {
    "code": "S82.2",
    "description": "Fracture de la diaphyse du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avec ou sans mention de fracture du péroné"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.20": {
    "code": "S82.20",
    "description": "Fracture fermée de la diaphyse du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.21": {
    "code": "S82.21",
    "description": "Fracture ouverte de la diaphyse du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.3": {
    "code": "S82.3",
    "description": "Fracture de l’extrémité inférieure du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avec ou sans mention de fracture du péroné",
      "Pilon tibial"
    ],
    "comprend": [],
    "exclusions": [
      "malléole interne (S82.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.30": {
    "code": "S82.30",
    "description": "Fracture fermée de l’extrémité inférieure du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.31": {
    "code": "S82.31",
    "description": "Fracture ouverte de l’extrémité inférieure du tibia",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.4": {
    "code": "S82.4",
    "description": "Fracture du péroné seul",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "malléole externe (S82.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.40": {
    "code": "S82.40",
    "description": "Fracture fermée du péroné seul",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.41": {
    "code": "S82.41",
    "description": "Fracture ouverte du péroné seul",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.5": {
    "code": "S82.5",
    "description": "Fracture de la malléole interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tibia, impliquant : • cheville",
      "• malléole"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.50": {
    "code": "S82.50",
    "description": "Fracture fermée de la malléole interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.51": {
    "code": "S82.51",
    "description": "Fracture ouverte de la malléole interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 848,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.6": {
    "code": "S82.6",
    "description": "Fracture de la malléole externe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péroné, impliquant : • cheville",
      "• malléole"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.60": {
    "code": "S82.60",
    "description": "Fracture fermée de la malléole externe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.61": {
    "code": "S82.61",
    "description": "Fracture ouverte de la malléole externe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.7": {
    "code": "S82.7",
    "description": "Fractures multiples de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "fracture du tibia et du péroné : • diaphyse (S82.2)",
      "• extrémité inférieure (S82.3)",
      "• extrémité supérieure (S82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.70": {
    "code": "S82.70",
    "description": "Fractures fermées multiples de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.71": {
    "code": "S82.71",
    "description": "Fractures ouvertes multiples de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.8": {
    "code": "S82.8",
    "description": "Fractures d’autres parties de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fracture (de) : • bi-malléolaire",
      "• cheville SAI",
      "• tri-malléolaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.80": {
    "code": "S82.80",
    "description": "Fracture fermée d’une partie de la jambe autres que la rotule, le tibia et le péroné",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.81": {
    "code": "S82.81",
    "description": "Fracture ouverte d’une partie de la jambe autres que la rotule, le tibia et le péroné",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.9": {
    "code": "S82.9",
    "description": "Fracture d’une partie non précisée de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.90": {
    "code": "S82.90",
    "description": "Fracture fermée d’une partie non précisée de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S82.91": {
    "code": "S82.91",
    "description": "Fracture ouverte d’une partie non précisée de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "genou"
    ],
    "comprend": [],
    "exclusions": [
      "déplacement de la rotule (M22.0-M22.3)",
      "lésion interne du genou (M23.-)",
      "luxation du genou : • ancienne (M24.3)",
      "• pathologique (M24.3)",
      "• récidivante (M24.4)"
    ],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.0": {
    "code": "S83.0",
    "description": "Luxation de la rotule",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.1": {
    "code": "S83.1",
    "description": "Luxation du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Articulation tibio-péronière"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.2": {
    "code": "S83.2",
    "description": "Déchirure récente d’un ménisque",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déchirure « en anse de seau » (de) : • SAI",
      "• ménisque externe",
      "• ménisque interne"
    ],
    "comprend": [],
    "exclusions": [
      "déchirure ancienne en \"anse de seau\" (M23.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.3": {
    "code": "S83.3",
    "description": "Déchirure récente du cartilage articulaire du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.4": {
    "code": "S83.4",
    "description": "Entorse et foulure des ligaments latéraux du genou (interne) (externe)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.5": {
    "code": "S83.5",
    "description": "Entorse et foulure des ligaments croisés du genou (antérieur) (postérieur)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.6": {
    "code": "S83.6",
    "description": "Entorse et foulure de parties autres et non précisées du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 849,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation tibio-péronière supérieure et ses ligaments"
    ],
    "comprend": [],
    "exclusions": [
      "ligament rotulien (S76.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S83.7": {
    "code": "S83.7",
    "description": "Lésion traumatique de multiples parties du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(croisés)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique du ménisque (externe) (interne) en association avec les ligaments (latéraux)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84": {
    "code": "S84",
    "description": "Lésion traumatique des nerfs au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique des nerfs au niveau de la cheville et du pied (S94.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84.0": {
    "code": "S84.0",
    "description": "Lésion traumatique du nerf sciatique poplité interne au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84.1": {
    "code": "S84.1",
    "description": "Lésion traumatique du nerf sciatique poplité externe au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84.2": {
    "code": "S84.2",
    "description": "Lésion traumatique d’un nerf cutané sensitif au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84.7": {
    "code": "S84.7",
    "description": "Lésion traumatique de multiples nerfs au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84.8": {
    "code": "S84.8",
    "description": "Lésion traumatique d’autres nerfs au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S84.9": {
    "code": "S84.9",
    "description": "Lésion traumatique d’un nerf non précisé, au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85": {
    "code": "S85",
    "description": "Lésion traumatique de vaisseaux sanguins au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique de vaisseaux sanguins au niveau de la cheville et du pied (S95.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.0": {
    "code": "S85.0",
    "description": "Lésion traumatique de l’artère poplitée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.1": {
    "code": "S85.1",
    "description": "Lésion traumatique de l’artère tibiale (antérieure) (postérieure)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.2": {
    "code": "S85.2",
    "description": "Lésion traumatique de l’artère péronière",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.3": {
    "code": "S85.3",
    "description": "Lésion traumatique de la veine saphène interne au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Veine saphène interne SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.4": {
    "code": "S85.4",
    "description": "Lésion traumatique de la veine saphène externe au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.5": {
    "code": "S85.5",
    "description": "Lésion traumatique de la veine poplitée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.7": {
    "code": "S85.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.8": {
    "code": "S85.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S85.9": {
    "code": "S85.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé, au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86": {
    "code": "S86",
    "description": "Lésion traumatique de muscles et de tendons au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique : • de muscles et de tendons au niveau de la cheville ou en dessous (S96.-)",
      "• du ligament rotulien (S76.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.0": {
    "code": "S86.0",
    "description": "Lésion traumatique du tendon d’Achille",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.1": {
    "code": "S86.1",
    "description": "Lésion traumatique d’autre(s) muscle(s) et tendon(s) postérieurs au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.2": {
    "code": "S86.2",
    "description": "Lésion traumatique de muscle(s) et de tendon(s) antérieurs au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.3": {
    "code": "S86.3",
    "description": "Lésion traumatique de muscle(s) et de tendon(s) péroniers au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.7": {
    "code": "S86.7",
    "description": "Lésion traumatique de multiples muscles et tendons au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.8": {
    "code": "S86.8",
    "description": "Lésion traumatique d’autres muscles et tendons au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S86.9": {
    "code": "S86.9",
    "description": "Lésion traumatique d’un muscle et d’un tendon non précisés, au niveau de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 850,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S87": {
    "code": "S87",
    "description": "Écrasement de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "écrasement de la cheville et du pied (S97.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S87.0": {
    "code": "S87.0",
    "description": "Écrasement du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S87.8": {
    "code": "S87.8",
    "description": "Écrasement de parties autres et non précisées de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S88": {
    "code": "S88",
    "description": "Amputation traumatique de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de : • cheville et pied (S98.-)",
      "• membre inférieur, niveau non précisé (T13.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S88.0": {
    "code": "S88.0",
    "description": "Amputation traumatique au niveau du genou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S88.1": {
    "code": "S88.1",
    "description": "Amputation traumatique entre le genou et la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S88.9": {
    "code": "S88.9",
    "description": "Amputation traumatique de la jambe, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S89": {
    "code": "S89",
    "description": "Lésions traumatiques de la jambe, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques de la cheville et du pied, autres et sans précision (S99.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S89.7": {
    "code": "S89.7",
    "description": "Lésions traumatiques multiples de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques classées dans plus d’une catégorie en S80-S88"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S89.8": {
    "code": "S89.8",
    "description": "Autres lésions traumatiques précisées de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S89.9": {
    "code": "S89.9",
    "description": "Lésion traumatique de la jambe, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "atteinte bilatérale de la cheville et du pied (T00-T07)",
      "brûlures et corrosions (T20-T32)",
      "fracture de la cheville et d’une malléole (S82.-)",
      "gelures (T33-T35)",
      "lésions traumatiques du membre inférieur, niveau non précisé (T12-T13)",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90": {
    "code": "S90",
    "description": "Lésion traumatique superficielle de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.0": {
    "code": "S90.0",
    "description": "Contusion de la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.1": {
    "code": "S90.1",
    "description": "Contusion d’un (des) orteil(s) sans lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contusion d’un (des) orteil(s) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.2": {
    "code": "S90.2",
    "description": "Contusion d’un (des) orteil(s) avec lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.3": {
    "code": "S90.3",
    "description": "Contusion de parties autres et non précisées du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.7": {
    "code": "S90.7",
    "description": "Lésions traumatiques superficielles multiples de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.8": {
    "code": "S90.8",
    "description": "Autres lésions traumatiques superficielles de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S90.9": {
    "code": "S90.9",
    "description": "Lésion traumatique superficielle de la cheville et du pied, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 851,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S91": {
    "code": "S91",
    "description": "Plaie ouverte de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de la cheville et du pied (S98.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S91.0": {
    "code": "S91.0",
    "description": "Plaie ouverte de la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S91.1": {
    "code": "S91.1",
    "description": "Plaie ouverte d’un (des) orteil(s) sans lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Plaie ouverte d’un (des) orteil(s) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S91.2": {
    "code": "S91.2",
    "description": "Plaie ouverte d’un (des) orteil(s) avec lésion de l’ongle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S91.3": {
    "code": "S91.3",
    "description": "Plaie ouverte d’autres parties du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Plaie ouverte du pied SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S91.7": {
    "code": "S91.7",
    "description": "Plaies ouvertes multiples de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92": {
    "code": "S92",
    "description": "Fracture du pied, sauf la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "cheville (S82.-)",
      "malléole (S82.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.0": {
    "code": "S92.0",
    "description": "Fracture du calcanéum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Os du talon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.00": {
    "code": "S92.00",
    "description": "Fracture fermée du calcanéum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.01": {
    "code": "S92.01",
    "description": "Fracture ouverte du calcanéum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.1": {
    "code": "S92.1",
    "description": "Fracture de l’astragale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.10": {
    "code": "S92.10",
    "description": "Fracture fermée de l’astragale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.11": {
    "code": "S92.11",
    "description": "Fracture ouverte de l’astragale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.2": {
    "code": "S92.2",
    "description": "Fracture d’un os du tarse autre que le calcanéum et l’astragale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cuboïde",
      "Cunéiforme (externe) (intermédiaire) (interne)",
      "Scaphoïde tarsien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.20": {
    "code": "S92.20",
    "description": "Fracture fermée d’un os du tarse autre que le calcanéum et l’astragale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.21": {
    "code": "S92.21",
    "description": "Fracture ouverte d’un os du tarse autre que le calcanéum et l’astragale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.3": {
    "code": "S92.3",
    "description": "Fracture d’os du métatarse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.30": {
    "code": "S92.30",
    "description": "Fracture fermée d’os du métatarse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.31": {
    "code": "S92.31",
    "description": "Fracture ouverte d’os du métatarse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.4": {
    "code": "S92.4",
    "description": "Fracture du gros orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.40": {
    "code": "S92.40",
    "description": "Fracture fermée du gros orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.41": {
    "code": "S92.41",
    "description": "Fracture ouverte du gros orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.5": {
    "code": "S92.5",
    "description": "Fracture d’un orteil autre que le gros orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.50": {
    "code": "S92.50",
    "description": "Fracture fermée d’un orteil autre que le gros orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.51": {
    "code": "S92.51",
    "description": "Fracture ouverte d’un orteil autre que le gros orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 852,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.7": {
    "code": "S92.7",
    "description": "Fractures multiples du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.70": {
    "code": "S92.70",
    "description": "Fractures fermées multiples du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.71": {
    "code": "S92.71",
    "description": "Fractures ouvertes multiples du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.9": {
    "code": "S92.9",
    "description": "Fracture du pied, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.90": {
    "code": "S92.90",
    "description": "Fracture fermée du pied, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S92.91": {
    "code": "S92.91",
    "description": "Fracture ouverte du pied, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "niveau de la cheville et du pied"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure des articulations et des ligaments au"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.0": {
    "code": "S93.0",
    "description": "Luxation de la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Astragale",
      "Extrémité inférieure de : • péroné",
      "• tibia",
      "Talon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.1": {
    "code": "S93.1",
    "description": "Luxation d’un (des) orteil(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation(s) : • interphalangienne(s)",
      "• métatarso-phalangienne(s)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.2": {
    "code": "S93.2",
    "description": "Rupture de ligaments au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.3": {
    "code": "S93.3",
    "description": "Luxation de parties autres et non précisées du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation(s) : • tarsienne(s)",
      "• tarso-métatarsienne(s)",
      "Scaphoïde tarsien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.4": {
    "code": "S93.4",
    "description": "Entorse et foulure de la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ligament : • calcanéo-péronier",
      "• deltoïde",
      "• latéral interne",
      "• péronéo-astragalien",
      "• tibio-péronier, distal"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique du tendon d’Achille (S86.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.5": {
    "code": "S93.5",
    "description": "Entorse et foulure d’un (des) orteil(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Articulation(s) : • interphalangienne(s)",
      "• métatarso-phalangienne(s)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S93.6": {
    "code": "S93.6",
    "description": "Entorse et foulure de parties autres et non précisées du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ligament : • tarsien",
      "• tarso-métatarsien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94": {
    "code": "S94",
    "description": "Lésion traumatique des nerfs au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.0": {
    "code": "S94.0",
    "description": "Lésion traumatique du nerf plantaire externe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.1": {
    "code": "S94.1",
    "description": "Lésion traumatique du nerf plantaire interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.2": {
    "code": "S94.2",
    "description": "Lésion traumatique du nerf tibial antérieur au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Branche terminale externe du nerf tibial antérieur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.3": {
    "code": "S94.3",
    "description": "Lésion traumatique d’un nerf cutané sensitif au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 853,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.7": {
    "code": "S94.7",
    "description": "Lésion traumatique de multiples nerfs au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.8": {
    "code": "S94.8",
    "description": "Lésion traumatique d’autres nerfs au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S94.9": {
    "code": "S94.9",
    "description": "Lésion traumatique d’un nerf non précisé, au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "du pied"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique des artères et veines tibiales postérieures (S85.-)"
    ],
    "clinical_text": [
      "Lésion traumatique de vaisseaux sanguins au niveau de la cheville et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S95.0": {
    "code": "S95.0",
    "description": "Lésion traumatique de l’artère dorsale du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S95.1": {
    "code": "S95.1",
    "description": "Lésion traumatique de l’artère plantaire du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S95.2": {
    "code": "S95.2",
    "description": "Lésion traumatique de la veine dorsale du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S95.7": {
    "code": "S95.7",
    "description": "Lésion traumatique de multiples vaisseaux sanguins au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S95.8": {
    "code": "S95.8",
    "description": "Lésion traumatique d’autres vaisseaux sanguins au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S95.9": {
    "code": "S95.9",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé, au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "et du pied"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique du tendon d’Achille (S86.0)"
    ],
    "clinical_text": [
      "Lésion traumatique de muscles et de tendons au niveau de la cheville",
      "Lésion traumatique d’un muscle et d’un tendon long fléchisseur d’un orteil, au niveau de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S96.2": {
    "code": "S96.2",
    "description": "Lésion traumatique d’un muscle et d’un tendon intrinsèques au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S96.7": {
    "code": "S96.7",
    "description": "Lésion traumatique de multiples muscles et tendons au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S96.8": {
    "code": "S96.8",
    "description": "Lésion traumatique d’autres muscles et tendons au niveau de la cheville et du pied v",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S96.9": {
    "code": "S96.9",
    "description": "Lésion traumatique d’un muscle et d’un tendon non précisés, au niveau de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S97": {
    "code": "S97",
    "description": "Écrasement de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S97.0": {
    "code": "S97.0",
    "description": "Écrasement de la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S97.1": {
    "code": "S97.1",
    "description": "Écrasement d’un (des) orteil(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S97.8": {
    "code": "S97.8",
    "description": "Écrasement d’autres parties de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "Écrasement du pied SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S98": {
    "code": "S98",
    "description": "Amputation traumatique de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S98.0": {
    "code": "S98.0",
    "description": "Amputation traumatique du pied au niveau de la cheville",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S98.1": {
    "code": "S98.1",
    "description": "Amputation traumatique d’un orteil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S98.2": {
    "code": "S98.2",
    "description": "Amputation traumatique de deux orteils ou plus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S98.3": {
    "code": "S98.3",
    "description": "Amputation traumatique d’autres parties du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 854,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Amputation traumatique d’un (des) orteil(s) et d’autres parties du pied"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S98.4": {
    "code": "S98.4",
    "description": "Amputation traumatique du pied, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S99": {
    "code": "S99",
    "description": "Lésions traumatiques de la cheville et du pied, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S99.7": {
    "code": "S99.7",
    "description": "-S99.8, T13.0, T13.4 et T13.8",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S99.8": {
    "code": "S99.8",
    "description": "Autres lésions traumatiques précisées de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "S99.9": {
    "code": "S99.9",
    "description": "Lésion traumatique de la cheville et du pied, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [
      "atteinte bilatérale de membres de la même partie du corps lésions traumatiques, selon leur type, d’au",
      "moins deux parties du corps classées en S00-S99"
    ],
    "exclusions": [
      "brûlures et corrosions (T20-T32)",
      "coup de soleil (L55.-)",
      "gelures (T33-T35)",
      "lésions traumatiques multiples d’une seule partie du corps - voir les catégories S",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00": {
    "code": "T00",
    "description": "Lésions traumatiques superficielles de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00.0": {
    "code": "T00.0",
    "description": "Lésions traumatiques superficielles de la tête avec lésions traumatiques superficielles du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte d’autres parties du corps (T00.8)"
    ],
    "clinical_text": [
      "Lésions traumatiques superficielles de localisations classées en S00.- et S10."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00.1": {
    "code": "T00.1",
    "description": "Lésions traumatiques superficielles du thorax, de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte d’autres parties du corps (T00.8)"
    ],
    "clinical_text": [
      "Lésions traumatiques superficielles de localisations classées en S20.-, S30.- et T09.0"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00.2": {
    "code": "T00.2",
    "description": "Lésions traumatiques superficielles de plusieurs parties de(s) membre(s) supérieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte de(s) : • membre(s) inférieur(s) (T00.6)",
      "• thorax, abdomen, lombes et bassin (T00.8)"
    ],
    "clinical_text": [
      "Lésions traumatiques superficielles de localisations classées en S40.-, S50.-, S60.- et T11.0"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00.3": {
    "code": "T00.3",
    "description": "Lésions traumatiques superficielles de plusieurs parties de(s) membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte de(s) : • membre(s) supérieur(s) (T00.6)",
      "• thorax, abdomen, lombes et bassin (T00.8)"
    ],
    "clinical_text": [
      "Lésions traumatiques superficielles de localisation classées en S70.-, S80.-, S90.- et T13.0",
      "Lésions traumatiques superficielles de plusieurs parties de(s) membre(s) supérieur(s) avec"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00.8": {
    "code": "T00.8",
    "description": "Lésions traumatiques superficielles comprenant d’autres associations de parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 855,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T00.9": {
    "code": "T00.9",
    "description": "Lésions traumatiques superficielles multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abrasions multiples SAI",
      "Contusions multiples SAI",
      "Ecchymoses multiples SAI",
      "Hématomes multiples SAI",
      "Phlyctènes (non dues à la chaleur) multiples SAI",
      "Piqûres d’insecte (non venimeux) multiples SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Situation d'un patient infesté par des punaises de lit. En dehors des codes d'éventuelles complications",
      "infectieuses cutanées, le code T00.9 Lésions traumatiques superficielles multiples, sans précision peut être",
      "utilisé pour décrire des piqûres multiples d'insecte en lui associant le code W57.0 Morsure ou piqûre non",
      "venimeuse d'insectes et autres arthropodes, domicile et éventuellement le Z59.10 ou Z59.18 selon la"
    ],
    "agora_refs": [
      "268830"
    ],
    "cocoa_notes": [
      "situation. Coder d'abord le motif d'admission (AGORA - # 268830 le 30 octobre 2024)"
    ]
  },
  "T01": {
    "code": "T01",
    "description": "Plaies ouvertes de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amputations traumatiques de plusieurs parties du corps (T05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T01.0": {
    "code": "T01.0",
    "description": "Plaies ouvertes de la tête avec plaies ouvertes du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Plaies ouvertes de localisations classées en S01.- et S11.-"
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte d’autres parties du corps (T01.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T01.1": {
    "code": "T01.1",
    "description": "Plaies ouvertes du thorax avec plaies ouvertes de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte d’autres parties du corps (T01.8)"
    ],
    "clinical_text": [
      "Plaies ouvertes de localisations classées en S21.-, S31.- et T09.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T01.2": {
    "code": "T01.2",
    "description": "Plaies ouvertes de plusieurs parties de(s) membre(s) supérieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte de(s) : • membre(s) inférieur(s) (T01.6)",
      "• thorax, abdomen, lombes et bassin (T01.8)"
    ],
    "clinical_text": [
      "Plaies ouvertes de localisations classées en S41.-, S51.-, S61.- et T11.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T01.3": {
    "code": "T01.3",
    "description": "Plaies ouvertes de plusieurs parties de(s) membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte de(s) : • membre(s) supérieur(s) (T01.6)",
      "• thorax, abdomen, lombes et bassin (T01.8)"
    ],
    "clinical_text": [
      "Plaies ouvertes de localisations classées en S71.-, S81.-, S91.- et T13.1",
      "Plaies ouvertes de plusieurs parties de(s) membre(s) supérieur(s) avec plaies ouvertes de(s)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T01.8": {
    "code": "T01.8",
    "description": "Plaies ouvertes avec d’autres associations de parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T01.9": {
    "code": "T01.9",
    "description": "Plaies ouvertes multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coupures multiples SAI",
      "Lacérations multiples SAI",
      "Morsures d’animal multiples SAI",
      "Plaies punctiformes multiples SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02": {
    "code": "T02",
    "description": "Fractures de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.0": {
    "code": "T02.0",
    "description": "Fractures de la tête avec fractures du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 856,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fractures de localisations classées en S02.- et S12."
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte d’autres parties du corps (T02.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.1": {
    "code": "T02.1",
    "description": "Fractures du thorax avec fractures des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fractures de localisations classées en S22.-, S32.- et T08"
    ],
    "comprend": [],
    "exclusions": [
      "associées avec fractures de : • autres parties du corps (T02.8)",
      "• membre(s) (T02.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.2": {
    "code": "T02.2",
    "description": "Fractures de plusieurs parties d’un membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec fractures de(s) : • autre membre supérieur (T02.4)",
      "• membre(s) inférieur(s) (T02.6)",
      "• thorax, lombes et bassin (T02.7)"
    ],
    "clinical_text": [
      "Fracture de localisations classées en S42.-, S52.-, S62.- et T10 d’un membre supérieur"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.3": {
    "code": "T02.3",
    "description": "Fractures de plusieurs parties d’un membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec fractures de(s) : • autre membre inférieur (T02.5)",
      "• membre(s) supérieur(s) (T02.6)",
      "• thorax, lombes et bassin (T02.7)"
    ],
    "clinical_text": [
      "Fractures de localisations classées en S72.-, S82.-, S92.- et T12 d’un membre inférieur"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.4": {
    "code": "T02.4",
    "description": "Fractures de plusieurs parties des deux membres supérieurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec fractures de(s) : • membre(s) inférieur(s) (T02.6)",
      "• thorax, lombes et bassin (T02.7)"
    ],
    "clinical_text": [
      "Fractures de localisations classées en S42.-, S52.-, S62.-, et T10 précisées comme étant bilatérales"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.5": {
    "code": "T02.5",
    "description": "Fractures de plusieurs parties des deux membres inférieurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec fractures de(s) : • membre(s) supérieur(s) (T02.6)",
      "• thorax, lombes et bassin (T02.7)"
    ],
    "clinical_text": [
      "Fractures de localisations classées en S72.-, S82.-, S92.-, et T12 précisées comme étant bilatérales"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.6": {
    "code": "T02.6",
    "description": "Fractures de plusieurs parties de(s) membre(s) supérieur(s) avec membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec fractures du thorax, des lombes et du bassin (T02.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.7": {
    "code": "T02.7",
    "description": "Fractures du thorax avec fractures des lombes, du bassin et de(s) membre(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.8": {
    "code": "T02.8",
    "description": "Fractures avec d’autres associations de parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T02.9": {
    "code": "T02.9",
    "description": "Fractures multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T03": {
    "code": "T03",
    "description": "Luxations, entorses et foulures de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T03.0": {
    "code": "T03.0",
    "description": "Luxations, entorses et foulures de la tête avec luxations, entorses et foulures du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec luxations, entorses et foulures d’autres parties du corps (T03.8)"
    ],
    "clinical_text": [
      "Luxations, entorses et foulures de localisations classées en S03.- et S13.-",
      "Luxations, entorses et foulures du thorax avec luxations, entorses et foulures des lombes et du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T03.2": {
    "code": "T03.2",
    "description": "Luxations, entorses et foulures de plusieurs parties de(s) membre(s) supérieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec luxations, • membre(s) inférieur(s) (T03.4)",
      "entorses et foulures de(s) : • thorax, lombes et bassin (T03.8)"
    ],
    "clinical_text": [
      "Luxations, entorses et foulures de localisations classées en S43.-, S53.-, S63.- et T11.2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T03.3": {
    "code": "T03.3",
    "description": "Luxations, entorses et foulures de plusieurs parties de(s) membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 857,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "associées avec luxations, • membre(s) supérieur(s) (T03.4)",
      "entorses et foulures de(s) : • thorax, lombes et bassin (T03.8)"
    ],
    "clinical_text": [
      "Luxations, entorses et foulures de localisations classées en S73.-, S83.-, S93.- et T13.2",
      "Luxations, entorses et foulures de plusieurs parties de(s) membre(s) supérieur(s) avec membre(s)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T03.8": {
    "code": "T03.8",
    "description": "Luxations, entorses et foulures avec d’autres associations de parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T03.9": {
    "code": "T03.9",
    "description": "Luxations, entorses et foulures multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04": {
    "code": "T04",
    "description": "Écrasements de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.0": {
    "code": "T04.0",
    "description": "Écrasement de la tête avec écrasement du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Écrasement de localisations classées en S07.- et S17.-"
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte d’autres parties du corps (T04.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.1": {
    "code": "T04.1",
    "description": "Écrasement du thorax avec écrasement de l’abdomen, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Écrasement de localisations classées en S28.- et S38.-",
      "Écrasement du tronc SAI"
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte de : • autres parties du corps (T04.8)",
      "• membres (T04.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.2": {
    "code": "T04.2",
    "description": "Écrasement de plusieurs parties de(s) membre(s) supérieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Écrasement du membre supérieur SAI"
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte de(s) : • membre(s) inférieur(s) (T04.4)",
      "• thorax, abdomen, lombes et bassin (T04.7)"
    ],
    "clinical_text": [
      "Écrasement de localisations classées en S47.-, S57.- et S67.-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.3": {
    "code": "T04.3",
    "description": "Écrasement de plusieurs parties de(s) membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Écrasement du membre inférieur SAI"
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte de(s) : • membre(s) supérieur(s) (T04.4)",
      "• thorax, abdomen, lombes et bassin (T04.7)"
    ],
    "clinical_text": [
      "Écrasement de localisations classées en S77.-, S87.- et S97.-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.4": {
    "code": "T04.4",
    "description": "Écrasement de plusieurs parties de(s) membre(s) supérieur(s) avec membre(s) inférieur(s)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "avec atteinte du thorax, de l’abdomen, des lombes et du bassin (T04.7)"
    ],
    "clinical_text": [
      "Écrasement du thorax avec écrasement de l’abdomen, des lombes, du bassin et de(s)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.8": {
    "code": "T04.8",
    "description": "Écrasement d’autres associations de parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T04.9": {
    "code": "T04.9",
    "description": "Écrasements multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05": {
    "code": "T05",
    "description": "Amputations traumatiques de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend arrachement de plusieurs parties du corps"
    ],
    "comprend": [],
    "exclusions": [
      "amputation traumatique de : • membre inférieur SAI (T13.6)",
      "• membre supérieur SAI (T11.6)",
      "• tronc SAI (T09.6)",
      "décapitation (S18)",
      "plaies ouvertes de plusieurs parties du corps (T01.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.0": {
    "code": "T05.0",
    "description": "Amputation traumatique des deux mains",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.1": {
    "code": "T05.1",
    "description": "Amputation traumatique d’une main et de l’autre membre supérieur [tout niveau, sauf la main]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.2": {
    "code": "T05.2",
    "description": "Amputation traumatique des deux membres supérieurs [tout niveau]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.3": {
    "code": "T05.3",
    "description": "Amputation traumatique des deux pieds",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 858,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.4": {
    "code": "T05.4",
    "description": "Amputation traumatique d’un pied et de l’autre membre inférieur [tout niveau, sauf le pied]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.5": {
    "code": "T05.5",
    "description": "Amputation traumatique des deux membres inférieurs [tout niveau]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.6": {
    "code": "T05.6",
    "description": "Amputation traumatique de membres supérieurs et inférieurs, toute association [tout niveau]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.8": {
    "code": "T05.8",
    "description": "Amputation traumatique avec d’autres associations de parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dissection transversale de : • abdomen",
      "• thorax"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T05.9": {
    "code": "T05.9",
    "description": "Amputations traumatiques multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "classées ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres lésions traumatiques de plusieurs parties du corps, non",
      "Lésions traumatiques du cerveau et des nerfs crâniens avec lésions traumatiques des nerfs et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T06.1": {
    "code": "T06.1",
    "description": "Lésions traumatiques des nerfs et de la moelle épinière de plusieurs autres parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T06.2": {
    "code": "T06.2",
    "description": "Lésions traumatiques des nerfs de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Lésions traumatiques multiples de nerfs SAI"
    ],
    "comprend": [],
    "exclusions": [
      "avec atteinte de la moelle épinière (T06.0-T06.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T06.3": {
    "code": "T06.3",
    "description": "Lésions traumatiques de vaisseaux sanguins de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T06.4": {
    "code": "T06.4",
    "description": "Lésions traumatiques de muscles et de tendons de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésions traumatiques des organes intra-thoraciques avec lésions traumatiques des organes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T06.8": {
    "code": "T06.8",
    "description": "Autres lésions traumatiques précisées de plusieurs parties du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T07": {
    "code": "T07",
    "description": "Lésions traumatiques multiples, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 859,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "corps (T08-T14)"
    ],
    "comprend": [],
    "exclusions": [
      "lésion traumatique SAI (T14.9)",
      "brûlures et corrosions (T20-T32)",
      "gelures (T33-T35)",
      "lésions traumatiques de plusieurs parties du corps (T00-T07)",
      "piqûre ou morsure d’insecte venimeux (T63.4)"
    ],
    "clinical_text": [
      "Lésions traumatiques de siège non précisé du tronc, membre ou autre région du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T08": {
    "code": "T08",
    "description": "Fracture du rachis, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fractures multiples du rachis, niveau non précisé (T02.1)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09": {
    "code": "T09",
    "description": "Autres lésions traumatiques du rachis et du tronc, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dissection transversale du tronc (T05.8)",
      "écrasement traumatique du tronc SAI (T04.1)",
      "lésions traumatiques multiples du tronc (T00-T06)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.0": {
    "code": "T09.0",
    "description": "Lésion traumatique superficielle du tronc, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.1": {
    "code": "T09.1",
    "description": "Plaie ouverte du tronc, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.2": {
    "code": "T09.2",
    "description": "Luxation, entorse et foulure d’articulation et de ligament non précisés du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.3": {
    "code": "T09.3",
    "description": "Lésion traumatique de la moelle épinière, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique d’un nerf, de la racine nerveuse et du plexus rachidien du tronc, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.5": {
    "code": "T09.5",
    "description": "Lésion traumatique de muscle et de tendon non précisés du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.6": {
    "code": "T09.6",
    "description": "Amputation traumatique du tronc, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.8": {
    "code": "T09.8",
    "description": "Autres lésions traumatiques précisées du tronc, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T09.9": {
    "code": "T09.9",
    "description": "Lésion traumatique non précisée du tronc, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T10": {
    "code": "T10",
    "description": "Fracture du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fractures multiples du bras, niveau non précisé (T02.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11": {
    "code": "T11",
    "description": "Autres lésions traumatiques du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "écrasement d’un membre supérieur SAI (T04.2)",
      "fracture du membre supérieur, niveau non précisé (T10)",
      "lésions traumatiques de plusieurs parties du corps (T00-T06)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11.0": {
    "code": "T11.0",
    "description": "Lésion traumatique superficielle du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11.1": {
    "code": "T11.1",
    "description": "Plaie ouverte du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 860,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure d’une articulation et d’un ligament non précisés du membre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11.3": {
    "code": "T11.3",
    "description": "Lésion traumatique d’un nerf non précisé du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique d’un vaisseau sanguin non précisé du membre supérieur, niveau non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11.6": {
    "code": "T11.6",
    "description": "Amputation traumatique du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11.8": {
    "code": "T11.8",
    "description": "Autres lésions traumatiques précisées du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T11.9": {
    "code": "T11.9",
    "description": "Lésion traumatique non précisée du membre supérieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T12": {
    "code": "T12",
    "description": "Fracture d’un membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte"
    ],
    "comprend": [],
    "exclusions": [
      "fractures multiples du membre inférieur, niveau non précisé (T02.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et les plaies",
      "ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13": {
    "code": "T13",
    "description": "Autres lésions traumatiques du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "écrasement traumatique d’un membre inférieur SAI (T04.3)",
      "fracture du membre inférieur, niveau non précisé (T12)",
      "lésions traumatiques de plusieurs parties du corps (T00-T06)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.0": {
    "code": "T13.0",
    "description": "Lésion traumatique superficielle du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.1": {
    "code": "T13.1",
    "description": "Plaie ouverte du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Luxation, entorse et foulure d’une articulation et d’un ligament non précisés du membre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.3": {
    "code": "T13.3",
    "description": "Lésion traumatique d’un nerf non précisé du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.4": {
    "code": "T13.4",
    "description": "Lésion traumatique d’un vaisseau sanguin non précisé du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion traumatique d’un muscle et d’un tendon non précisés du membre inférieur, niveau non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.6": {
    "code": "T13.6",
    "description": "Amputation traumatique du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.8": {
    "code": "T13.8",
    "description": "Autres lésions traumatiques précisées du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T13.9": {
    "code": "T13.9",
    "description": "Lésion traumatique non précisée du membre inférieur, niveau non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 861,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14": {
    "code": "T14",
    "description": "Lésions traumatiques d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 862,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques de plusieurs parties du corps (T00-T07)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.0": {
    "code": "T14.0",
    "description": "Lésion traumatique superficielle d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 862,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abrasion SAI",
      "Contusion SAI",
      "Ecchymose SAI",
      "Hématome SAI",
      "Lésion traumatique superficielle SAI",
      "Phlyctène (non due à la chaleur) SAI",
      "Piqûre d’insecte (non venimeux) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques superficielles multiples SAI (T00.9)"
    ],
    "clinical_text": [
      "Lésion due à un corps étranger superficiel (écharde) sans plaie ouverte importante SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.1": {
    "code": "T14.1",
    "description": "Plaie ouverte d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 862,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coupure SAI",
      "Lacération SAI",
      "Morsure d’animal SAI",
      "Plaie : • SAI",
      "• ouverte SAI",
      "• punctiforme avec corps étranger (pénétrant) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "amputation(s) traumatique(s) : • SAI (T14.7)",
      "• multiples SAI (T05.9)",
      "plaies ouvertes multiples SAI (T01.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.2": {
    "code": "T14.2",
    "description": "Fracture d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 862,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "0 Fracture fermée",
      "1 Fracture ouverte",
      "Fracture : • SAI",
      "• avec : • déplacement SAI",
      "• luxation SAI",
      "• fermée SAI",
      "• ouverte SAI"
    ],
    "comprend": [],
    "exclusions": [
      "fractures multiples SAI (T02.9)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes, doivent être utilisées comme cinquième caractère pour identifier les fractures et",
      "les plaies ouvertes; une fracture non précisée comme fermée ou ouverte doit être classée comme fermée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.3": {
    "code": "T14.3",
    "description": "Luxation, entorse et foulure d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 862,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arrachement de articulation (capsule), de ligament, SAI",
      "Entorse de articulation (capsule), de ligament, SAI",
      "Foulure de articulation (capsule), de ligament, SAI",
      "Lacération de articulation (capsule), de ligament, SAI"
    ],
    "comprend": [],
    "exclusions": [
      "luxations, entorses et foulures multiples SAI (T03.9)"
    ],
    "clinical_text": [
      "Déchirure traumatique de articulation (capsule), de ligament, SAI",
      "Hémarthrose traumatique de articulation (capsule), de ligament, SAI",
      "Rupture traumatique de articulation (capsule), de ligament, SAI",
      "Subluxation traumatique de articulation (capsule), de ligament, SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.4": {
    "code": "T14.4",
    "description": "Lésion traumatique de nerf(s) d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 862,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hématomyélie traumatique SAI",
      "Lésion d’un nerf traumatique SAI",
      "Paralysie (transitoire) traumatique SAI",
      "Section d’un nerf traumatique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques multiples de nerfs SAI (T06.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.5": {
    "code": "T14.5",
    "description": "Lésion traumatique de vaisseau(x) sanguin(s) d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 863,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arrachement de vaisseau(x) sanguin(s) SAI",
      "Hématome artériel traumatique de vaisseau(x) sanguin(s) SAI",
      "Lacération de vaisseau(x) sanguin(s) SAI",
      "Lésion traumatique de vaisseau(x) sanguin(s) SAI",
      "Rupture traumatique de vaisseau(x) sanguin(s) SAI",
      "Section de vaisseau(x) sanguin(s) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques multiples de vaisseaux sanguins SAI (T06.3)"
    ],
    "clinical_text": [
      "Anévrisme ou fistule (artério-veineuse) traumatique de vaisseau(x) sanguin(s) SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.6": {
    "code": "T14.6",
    "description": "Lésion traumatique de muscles et de tendons d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 863,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Arrachement de muscle(s) et de tendon(s) SAI",
      "Entorse de muscle(s) et de tendon(s) SAI",
      "Foulure de muscle(s) et de tendon(s) SAI",
      "Lacération de muscle(s) et de tendon(s) SAI",
      "Lésion traumatique de muscle(s) et de tendon(s) SAI",
      "Rupture traumatique de muscle(s) et de tendon(s) SAI",
      "Section de muscle(s) et de tendon(s) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques multiples de muscles et de tendons SAI (T06.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.7": {
    "code": "T14.7",
    "description": "Écrasement et amputation traumatique d’une partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 863,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amputation traumatique SAI",
      "Écrasement traumatique SAI"
    ],
    "comprend": [],
    "exclusions": [
      "amputations traumatiques multiples SAI (T05.9)",
      "écrasements multiples SAI (T04.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T14.9": {
    "code": "T14.9",
    "description": "Lésion traumatique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 863,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésions traumatiques multiples SAI (T07)",
      "corps étranger : • dans plaie punctiforme - voir plaie ouverte selon la localisation",
      "• laissé accidentellement dans une plaie opératoire (T81.5)",
      "• résiduel, dans les tissus mous (M79.5)",
      "écharde, sans plaie ouverte importante - voir lésion traumatique superficielle selon la localisation"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T15": {
    "code": "T15",
    "description": "Corps étranger dans la partie externe de l’œil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "corps étranger dans une plaie pénétrante de : • orbite (S05.4)",
      "• globe oculaire (S05.5)",
      "rétention (ancienne) (H05.5, H44.6-H44.7)",
      "rétention de corps étranger dans la paupière (H02.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T15.0": {
    "code": "T15.0",
    "description": "Corps étranger dans la cornée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T15.1": {
    "code": "T15.1",
    "description": "Corps étranger dans le sac conjonctival",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T15.8": {
    "code": "T15.8",
    "description": "Corps étranger de localisations autres et multiples dans la partie externe de l’œil",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corps étranger dans le point lacrymal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T15.9": {
    "code": "T15.9",
    "description": "Corps étranger dans la partie externe de l’œil, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T16": {
    "code": "T16",
    "description": "Corps étranger dans l’oreille",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Canal auditif"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17": {
    "code": "T17",
    "description": "Corps étranger dans les voies respiratoires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend asphyxie due à un corps étranger",
      "inhalation de liquides ou de vomissements SAI",
      "suffocation par : • aliments (régurgités)",
      "• mucus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.0": {
    "code": "T17.0",
    "description": "Corps étranger dans un sinus nasal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.1": {
    "code": "T17.1",
    "description": "Corps étranger dans une narine",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nez SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.2": {
    "code": "T17.2",
    "description": "Corps étranger dans le pharynx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gorge SAI",
      "Rhino-pharynx"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.3": {
    "code": "T17.3",
    "description": "Corps étranger dans le larynx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.4": {
    "code": "T17.4",
    "description": "Corps étranger dans la trachée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.5": {
    "code": "T17.5",
    "description": "Corps étranger dans les bronches",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.8": {
    "code": "T17.8",
    "description": "Corps étranger de localisations autres et multiples dans les voies respiratoires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bronchioles",
      "Poumon"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T17.9": {
    "code": "T17.9",
    "description": "Corps étranger dans les voies respiratoires, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 864,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18": {
    "code": "T18",
    "description": "Corps étranger dans les voies digestives",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "corps étranger dans le pharynx (T17.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.0": {
    "code": "T18.0",
    "description": "Corps étranger dans la bouche",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.1": {
    "code": "T18.1",
    "description": "Corps étranger dans l’œsophage",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.2": {
    "code": "T18.2",
    "description": "Corps étranger dans l’estomac",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.3": {
    "code": "T18.3",
    "description": "Corps étranger dans l’intestin grêle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.4": {
    "code": "T18.4",
    "description": "Corps étranger dans le côlon",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.5": {
    "code": "T18.5",
    "description": "Corps étranger dans l’anus et le rectum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Jonction recto-sigmoïdienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.8": {
    "code": "T18.8",
    "description": "Corps étranger de localisations autres et multiples dans les voies digestives",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T18.9": {
    "code": "T18.9",
    "description": "Corps étranger dans les voies digestives, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Appareil digestif SAI",
      "Corps étranger avalé SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19": {
    "code": "T19",
    "description": "Corps étranger dans les voies génito-urinaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications mécaniques d’un dispositif contraceptif (intra-utérin) [DIU] (vaginal) (T83.3)",
      "présence d’un dispositif contraceptif (intra-utérin) [DIU] ou stérilet (Z97.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19.0": {
    "code": "T19.0",
    "description": "Corps étranger dans l’urètre",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19.1": {
    "code": "T19.1",
    "description": "Corps étranger dans la vessie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19.2": {
    "code": "T19.2",
    "description": "Corps étranger dans la vulve et le vagin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19.3": {
    "code": "T19.3",
    "description": "Corps étranger dans l’utérus [toute partie]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19.8": {
    "code": "T19.8",
    "description": "Corps étranger de localisations autres et multiples dans les voies génito-urinaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T19.9": {
    "code": "T19.9",
    "description": "Corps étranger dans les voies génito-urinaires, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 865,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "brûlures chimiques ou corrosions (externes) (internes)",
      "brûlures dues à : • air et gaz chauds",
      "• appareils de chauffage électriques",
      "• électricité",
      "• flamme",
      "• foudre",
      "• friction",
      "• objets brûlants",
      "• rayonnement",
      "ébouillantage",
      "brûlures et corrosions du : • premier degré [érythème]",
      "• deuxième degré [perte de l’épiderme] [phlyctènes]",
      "• troisième degré [atteinte de toutes les couches de la peau] [nécrose",
      "profonde des tissus sous-jacents]"
    ],
    "exclusions": [
      "affections de la peau et du tissu cellulaire sous-cutané liées à une irradiation (L55-L59)",
      "coup de soleil (L55.-)",
      "érythème ou dermite dû (due) au feu (L59.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20": {
    "code": "T20",
    "description": "Brûlure et corrosion de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend cuir chevelu [toute partie]",
      "lèvre",
      "nez (cloison)",
      "œil avec d’autres parties de la face, de la tête et du cou",
      "oreille [toute partie]",
      "région temporale"
    ],
    "comprend": [],
    "exclusions": [
      "brûlure et corrosion (de) : • bouche et pharynx (T28.-)",
      "• limitées à l’œil et ses annexes (T26.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.0": {
    "code": "T20.0",
    "description": "Brûlure de la tête et du cou, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.1": {
    "code": "T20.1",
    "description": "Brûlure du premier degré de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.2": {
    "code": "T20.2",
    "description": "Brûlure du second degré de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.3": {
    "code": "T20.3",
    "description": "Brûlure du troisième degré de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.4": {
    "code": "T20.4",
    "description": "Corrosion de la tête et du cou, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.5": {
    "code": "T20.5",
    "description": "Corrosion du premier degré de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.6": {
    "code": "T20.6",
    "description": "Corrosion du second degré de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T20.7": {
    "code": "T20.7",
    "description": "Corrosion du troisième degré de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 866,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21": {
    "code": "T21",
    "description": "Brûlure et corrosion du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend Aine",
      "Anus",
      "dos [toute partie]",
      "Flanc",
      "lèvre de la vulve (grande) (petite)",
      "paroi abdominale",
      "paroi thoracique",
      "Pénis",
      "Périnée",
      "région fessière",
      "région interscapulaire",
      "Scrotum",
      "Sein",
      "Testicule",
      "Vulve"
    ],
    "comprend": [],
    "exclusions": [
      "brûlure et corrosion de : • aisselle (T22.-)",
      "• région scapulaire (T22.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.0": {
    "code": "T21.0",
    "description": "Brûlure du tronc, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.1": {
    "code": "T21.1",
    "description": "Brûlure du premier degré du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.2": {
    "code": "T21.2",
    "description": "Brûlure du second degré du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.3": {
    "code": "T21.3",
    "description": "Brûlure du troisième degré du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.4": {
    "code": "T21.4",
    "description": "Corrosion du tronc, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.5": {
    "code": "T21.5",
    "description": "Corrosion du premier degré du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.6": {
    "code": "T21.6",
    "description": "Corrosion du second degré du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T21.7": {
    "code": "T21.7",
    "description": "Corrosion du troisième degré du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "et main",
      "C omprend aisselle",
      "bras [toute partie, sauf poignet et main seuls]",
      "région scapulaire"
    ],
    "comprend": [],
    "exclusions": [
      "brûlure et corrosion de : • poignet et main seuls (T23.-)",
      "• région interscapulaire (T21.-)"
    ],
    "clinical_text": [
      "Brûlure et corrosion de l’épaule et du membre supérieur, sauf poignet"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.0": {
    "code": "T22.0",
    "description": "Brûlure de l’épaule et du membre supérieur, sauf poignet et main, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.1": {
    "code": "T22.1",
    "description": "Brûlure du premier degré de l’épaule et du membre supérieur, sauf poignet et main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.2": {
    "code": "T22.2",
    "description": "Brûlure du second degré de l’épaule et du membre supérieur, sauf poignet et main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.3": {
    "code": "T22.3",
    "description": "Brûlure du troisième degré de l’épaule et du membre supérieur, sauf poignet et main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.4": {
    "code": "T22.4",
    "description": "Corrosion de l’épaule et du membre supérieur, sauf poignet et main, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.5": {
    "code": "T22.5",
    "description": "Corrosion du premier degré de l’épaule et du membre supérieur, sauf poignet et main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.6": {
    "code": "T22.6",
    "description": "Corrosion du second degré de l’épaule et du membre supérieur, sauf poignet et main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T22.7": {
    "code": "T22.7",
    "description": "Corrosion du troisième degré de l’épaule et du membre supérieur, sauf poignet et main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 867,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23": {
    "code": "T23",
    "description": "Brûlure et corrosion du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend doigt (ongle)",
      "paume",
      "pouce (ongle)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.0": {
    "code": "T23.0",
    "description": "Brûlure du poignet et de la main, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.1": {
    "code": "T23.1",
    "description": "Brûlure du premier degré du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.2": {
    "code": "T23.2",
    "description": "Brûlure du second degré du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.3": {
    "code": "T23.3",
    "description": "Brûlure du troisième degré du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.4": {
    "code": "T23.4",
    "description": "Corrosion du poignet et de la main, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.5": {
    "code": "T23.5",
    "description": "Corrosion du premier degré du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.6": {
    "code": "T23.6",
    "description": "Corrosion du second degré du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T23.7": {
    "code": "T23.7",
    "description": "Corrosion du troisième degré du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR",
      "cheville et pied",
      "C omprend jambe [toute partie, sauf cheville et pied seuls]"
    ],
    "comprend": [],
    "exclusions": [
      "brûlure et corrosion de la cheville et du pied seuls (T25.-)"
    ],
    "clinical_text": [
      "Brûlure et corrosion de la hanche et du membre inférieur, sauf"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.0": {
    "code": "T24.0",
    "description": "Brûlure de la hanche et du membre inférieur, sauf cheville et pied, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.1": {
    "code": "T24.1",
    "description": "Brûlure du premier degré de la hanche et du membre inférieur, sauf cheville et pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.2": {
    "code": "T24.2",
    "description": "Brûlure du second degré de la hanche et du membre inférieur, sauf cheville et pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.3": {
    "code": "T24.3",
    "description": "Brûlure du troisième degré de la hanche et du membre inférieur, sauf cheville et pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.4": {
    "code": "T24.4",
    "description": "Corrosion de la hanche et du membre inférieur, sauf cheville et pied, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.5": {
    "code": "T24.5",
    "description": "Corrosion du premier degré de la hanche et du membre inférieur, sauf cheville et pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.6": {
    "code": "T24.6",
    "description": "Corrosion du second degré de la hanche et du membre inférieur, sauf cheville et pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T24.7": {
    "code": "T24.7",
    "description": "Corrosion du troisième degré de la hanche et du membre inférieur, sauf cheville et pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25": {
    "code": "T25",
    "description": "Brûlure et corrosion de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend orteil(s)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.0": {
    "code": "T25.0",
    "description": "Brûlure de la cheville et du pied, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.1": {
    "code": "T25.1",
    "description": "Brûlure du premier degré de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.2": {
    "code": "T25.2",
    "description": "Brûlure du second degré de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.3": {
    "code": "T25.3",
    "description": "Brûlure du troisième degré de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.4": {
    "code": "T25.4",
    "description": "Corrosion de la cheville et du pied, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.5": {
    "code": "T25.5",
    "description": "Corrosion du premier degré de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.6": {
    "code": "T25.6",
    "description": "Corrosion du second degré de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T25.7": {
    "code": "T25.7",
    "description": "Corrosion du troisième degré de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 868,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26": {
    "code": "T26",
    "description": "Brûlure et corrosion limitées à l’œil et ses annexes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.0": {
    "code": "T26.0",
    "description": "Brûlure de la paupière et de la région péri-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.1": {
    "code": "T26.1",
    "description": "Brûlure de la cornée et du sac conjonctival",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.2": {
    "code": "T26.2",
    "description": "Brûlure provoquant la rupture et la destruction du globe oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.3": {
    "code": "T26.3",
    "description": "Brûlure d’autres parties de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.4": {
    "code": "T26.4",
    "description": "Brûlure de l’œil et de ses annexes, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.5": {
    "code": "T26.5",
    "description": "Corrosion de la paupière et de la région péri-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.6": {
    "code": "T26.6",
    "description": "Corrosion de la cornée et du sac conjonctival",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.7": {
    "code": "T26.7",
    "description": "Corrosion provoquant la rupture et la destruction du globe oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.8": {
    "code": "T26.8",
    "description": "Corrosion d’autres parties de l’œil et de ses annexes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T26.9": {
    "code": "T26.9",
    "description": "Corrosion de l’œil et de ses annexes, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27": {
    "code": "T27",
    "description": "Brûlure et corrosion des voies respiratoires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.0": {
    "code": "T27.0",
    "description": "Brûlure du larynx et de la trachée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.1": {
    "code": "T27.1",
    "description": "Brûlure comprenant le larynx et la trachée avec les poumons",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndrome dû au souffle d’une explosion (T70.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.2": {
    "code": "T27.2",
    "description": "Brûlure d’autres parties des voies respiratoires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Cavité thoracique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.3": {
    "code": "T27.3",
    "description": "Brûlure des voies respiratoires, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.4": {
    "code": "T27.4",
    "description": "Corrosion du larynx et de la trachée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.5": {
    "code": "T27.5",
    "description": "Corrosion comprenant le larynx et la trachée avec les poumons",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.6": {
    "code": "T27.6",
    "description": "Corrosion d’autres parties des voies respiratoires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T27.7": {
    "code": "T27.7",
    "description": "Corrosion des voies respiratoires, partie non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28": {
    "code": "T28",
    "description": "Brûlure et corrosion d’autres organes internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.0": {
    "code": "T28.0",
    "description": "Brûlure de la bouche et du pharynx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.1": {
    "code": "T28.1",
    "description": "Brûlure de l’œsophage",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.2": {
    "code": "T28.2",
    "description": "Brûlure d’autres parties des voies digestives",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.3": {
    "code": "T28.3",
    "description": "Brûlure des organes génito-urinaires internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.4": {
    "code": "T28.4",
    "description": "Brûlure des organes internes, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.5": {
    "code": "T28.5",
    "description": "Corrosion de la bouche et du pharynx",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 869,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.6": {
    "code": "T28.6",
    "description": "Corrosion de l’œsophage",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Codage des œsophagites caustiques secondaires à l’ingestion de produit ménager dans le cadre d’une",
      "tentative de suicide : il ne s’agit pas d’une intoxication médicamenteuse. Vous suivrez donc les consignes de",
      "la CIM-10 qui exclut les corrosions du groupe T51-T65. Vous coderez la corrosion de l’œsophage T28.6 et"
    ],
    "agora_refs": [
      "63444"
    ],
    "cocoa_notes": [
      "un code de la catégorie X69 (AGORA - # 63444 le 3 mai 2012)"
    ]
  },
  "T28.7": {
    "code": "T28.7",
    "description": "Corrosion d’autres parties des voies digestives",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.8": {
    "code": "T28.8",
    "description": "Corrosion des organes génito-urinaires internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T28.9": {
    "code": "T28.9",
    "description": "Corrosion des organes internes, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T29": {
    "code": "T29",
    "description": "Brûlures et corrosions de parties multiples du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend brûlures et corrosions classées dans plus d’une catégorie en T20-T28"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T29.0": {
    "code": "T29.0",
    "description": "Brûlures de parties multiples du corps, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brûlures multiples SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T29.1": {
    "code": "T29.1",
    "description": "Brûlures de parties multiples du corps, pas de brûlures mentionnées dépassant le premier degré",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T29.2": {
    "code": "T29.2",
    "description": "Brûlures de parties multiples du corps, pas de brûlures mentionnées dépassant le second degré",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T29.3": {
    "code": "T29.3",
    "description": "Brûlures de parties multiples du corps, au moins une brûlure du troisième degré mentionnée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T29.4": {
    "code": "T29.4",
    "description": "Corrosions de parties multiples du corps, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corrosions multiples SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Corrosions de parties multiples du corps, pas de corrosions mentionnées dépassant le premier"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30": {
    "code": "T30",
    "description": "Brûlure et corrosion, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "brûlure et corrosion avec indication de l’étendue de la surface du corps atteinte (T31-T32)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.0": {
    "code": "T30.0",
    "description": "Brûlure, partie du corps non précisée, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brûlure SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.1": {
    "code": "T30.1",
    "description": "Brûlure du premier degré, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brûlure du premier degré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.2": {
    "code": "T30.2",
    "description": "Brûlure du second degré, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brûlure du second degré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.3": {
    "code": "T30.3",
    "description": "Brûlure du troisième degré, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brûlure du troisième degré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.4": {
    "code": "T30.4",
    "description": "Corrosion, partie du corps non précisée, degré non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corrosion SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.5": {
    "code": "T30.5",
    "description": "Corrosion du premier degré, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 870,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corrosion du premier degré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.6": {
    "code": "T30.6",
    "description": "Corrosion du second degré, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corrosion du second degré SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T30.7": {
    "code": "T30.7",
    "description": "Corrosion du troisième degré, partie du corps non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Corrosion du troisième degré SAI brûlures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31": {
    "code": "T31",
    "description": "Brûlures classées selon l’étendue de la surface du corps atteinte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "précisé."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "N ote Cette catégorie n’est utilisée comme code principal que lorsque le siège de la brûlure n’est pas précisé. On peut",
      "aussi l’utiliser, au besoin, comme code supplémentaire avec les catégories T20–T25, T29 lorsque le siège est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.0": {
    "code": "T31.0",
    "description": "Brûlures couvrant moins de 10% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.1": {
    "code": "T31.1",
    "description": "Brûlures couvrant entre 10 et moins de 20% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.2": {
    "code": "T31.2",
    "description": "Brûlures couvrant entre 20 et moins de 30% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.3": {
    "code": "T31.3",
    "description": "Brûlures couvrant entre 30 et moins de 40% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Brûlures du premier degré ou de degré non précisé, couvrant entre 30 et moins de 40% de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.4": {
    "code": "T31.4",
    "description": "Brûlures couvrant entre 40 et moins de 50% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Brûlures du premier degré ou de degré non précisé, couvrant entre 40 et moins de 50% de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.5": {
    "code": "T31.5",
    "description": "Brûlures couvrant entre 50 et moins de 60% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Brûlures du premier degré ou de degré non précisé, couvrant entre 50 et moins de 60% de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.6": {
    "code": "T31.6",
    "description": "Brûlures couvrant entre 60 et moins de 70% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.7": {
    "code": "T31.7",
    "description": "Brûlures couvrant entre 70 et moins de 80% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.8": {
    "code": "T31.8",
    "description": "Brûlures couvrant entre 80 et moins de 90% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T31.9": {
    "code": "T31.9",
    "description": "Brûlures couvrant 90% ou plus de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32": {
    "code": "T32",
    "description": "Corrosions classées selon l’étendue de la surface du corps atteinte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "est précisé."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "N ote Cette catégorie n’est utilisée comme code principal que lorsque le siège de la corrosion n’est pas précisé. On",
      "peut aussi l’utiliser, au besoin, comme code supplémentaire avec les catégories T20–T25, T29 lorsque le siège"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.0": {
    "code": "T32.0",
    "description": "Corrosions couvrant moins de 10% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.1": {
    "code": "T32.1",
    "description": "Corrosions couvrant entre 10 et moins de 20% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.2": {
    "code": "T32.2",
    "description": "Corrosions couvrant entre 20 et moins de 30% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.3": {
    "code": "T32.3",
    "description": "Corrosions couvrant entre 30 et moins de 40% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.4": {
    "code": "T32.4",
    "description": "Corrosions couvrant entre 40 et moins de 50% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 871,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.5": {
    "code": "T32.5",
    "description": "Corrosions couvrant entre 50 et moins de 60% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.6": {
    "code": "T32.6",
    "description": "Corrosions couvrant entre 60 et moins de 70% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.7": {
    "code": "T32.7",
    "description": "Corrosions couvrant entre 70 et moins de 80% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.8": {
    "code": "T32.8",
    "description": "Corrosions couvrant entre 80 et moins de 90% de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T32.9": {
    "code": "T32.9",
    "description": "Corrosions couvrant 90% ou plus de la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hypothermie et autres effets d’une baisse de la température (T68-T69)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33": {
    "code": "T33",
    "description": "Gelure superficielle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelure superficielle de parties multiples du corps (T35.0)"
    ],
    "clinical_text": [
      "C omprend gelure avec atteinte partielle des couches de la peau"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.0": {
    "code": "T33.0",
    "description": "Gelure superficielle de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.1": {
    "code": "T33.1",
    "description": "Gelure superficielle du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.2": {
    "code": "T33.2",
    "description": "Gelure superficielle du thorax",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.3": {
    "code": "T33.3",
    "description": "Gelure superficielle de la paroi abdominale, des lombes et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.4": {
    "code": "T33.4",
    "description": "Gelure superficielle du bras et de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelure superficielle du poignet et de la main seuls (T33.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.5": {
    "code": "T33.5",
    "description": "Gelure superficielle du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.6": {
    "code": "T33.6",
    "description": "Gelure superficielle de la hanche et de la cuisse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.7": {
    "code": "T33.7",
    "description": "Gelure superficielle du genou et de la jambe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelure superficielle de la cheville et du pied seuls (T33.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.8": {
    "code": "T33.8",
    "description": "Gelure superficielle de la cheville et du pied",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T33.9": {
    "code": "T33.9",
    "description": "Gelure superficielle de localisations autres et non précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gelure superficielle (de) : • SAI",
      "• membre inférieur SAI",
      "• tronc SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34": {
    "code": "T34",
    "description": "Gelure avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelure de parties multiples du corps, avec nécrose des tissus (T35.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.0": {
    "code": "T34.0",
    "description": "Gelure de la tête, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.1": {
    "code": "T34.1",
    "description": "Gelure du cou, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.2": {
    "code": "T34.2",
    "description": "Gelure du thorax, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.3": {
    "code": "T34.3",
    "description": "Gelure de la paroi abdominale, des lombes et du bassin, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.4": {
    "code": "T34.4",
    "description": "Gelure du bras et de l’avant-bras, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelure du poignet et de la main seuls, avec nécrose des tissus (T34.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.5": {
    "code": "T34.5",
    "description": "Gelure du poignet et de la main, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 872,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.6": {
    "code": "T34.6",
    "description": "Gelure de la hanche et de la cuisse, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.7": {
    "code": "T34.7",
    "description": "Gelure du genou et de la jambe, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelure de la cheville et du pied seuls, avec nécrose des tissus (T34.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.8": {
    "code": "T34.8",
    "description": "Gelure de la cheville et du pied, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T34.9": {
    "code": "T34.9",
    "description": "Gelure de localisations autres et non précisées, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Gelure avec nécrose des tissus (de) : • SAI",
      "• membre inférieur SAI",
      "• tronc SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35": {
    "code": "T35",
    "description": "Gelure de parties multiples du corps et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.0": {
    "code": "T35.0",
    "description": "Gelure superficielle de parties multiples du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gelures superficielles multiples SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.1": {
    "code": "T35.1",
    "description": "Gelure de parties multiples du corps, avec nécrose des tissus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Gelures multiples, avec nécrose des tissus SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.2": {
    "code": "T35.2",
    "description": "Gelure de la tête et du cou, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.3": {
    "code": "T35.3",
    "description": "Gelure du thorax, de l’abdomen, des lombes et du bassin, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gelure du tronc SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.4": {
    "code": "T35.4",
    "description": "Gelure du membre supérieur, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.5": {
    "code": "T35.5",
    "description": "Gelure du membre inférieur, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.6": {
    "code": "T35.6",
    "description": "Gelure de parties multiples du corps, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gelures multiples SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T35.7": {
    "code": "T35.7",
    "description": "Gelure, sans précision, de localisation non précisée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 873,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gelure SAI",
      "• dermite de contact (L23-L25)",
      "• effets indésirables d’un médicament SAI (T88.7)",
      "• gastrite provoquée par l’aspirine (K29.-)",
      "• maladies du sang (D50-D76)",
      "• néphropathie (N14.0-N14.2)",
      "intoxication pathologique par médicament (F10-F19)",
      "intoxication signifiant ébriété (F10-F19)",
      "l’information, de coder individuellement chaque médicament.",
      "EFFETS NOCIFS DES MÉDICAMENTS",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 90",
      "LES INTOXICATIONS ACCIDENTELLES ET VOLONTAIRES"
    ],
    "comprend": [
      "substance administrée ou prise par erreur",
      "surdosage de ces substances"
    ],
    "exclusions": [
      "abus de substances sans pharmacodépendance (F55)",
      "effets indésirables (« hypersensibilité », « réaction », etc…) de la substance appropriée administrée",
      "correctement."
    ],
    "clinical_text": [
      "Ces cas doivent être classés selon la nature des effets indésirables, tels que :",
      "• dermite due à des substances prises par voie interne (L27.-)",
      "réaction et intoxication par un médicament, chez le fœtus et le nouveau-né (P00-P96)",
      "Une « intoxication » médicamenteuse doit être codée de manière différente selon qu’elle est accidentelle ou volontaire, ou",
      "bien s’il s’agit d’un effet indésirable. La CIM–10 désigne les premières circonstances par le mot empoisonnement [on doit",
      "considérer qu’il correspond au mot intoxication du langage médical courant. Le mot empoisonnement de la CIM–10 ne doit",
      "en effet pas être compris avec l’acception pénale qu’il a en France.] et les distingue de l’effet indésirable en usage",
      "thérapeutique [La distinction est lisible en tête de chaque page de l’Index des médicaments et autres substances chimiques",
      "(Table des effets nocifs) de l’index alphabétique de la CIM–10 (volume 3). On rappelle que l’emploi de ce tableau facilite",
      "considérablement le codage des effets nocifs des médicaments.].",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Le codage des intoxications médicamenteuses accidentelles et volontaires (la CIM–10 emploie pour les secondes les",
      "qualificatifs auto-infligées, intentionnelles et auto-induites) doit utiliser les catégories T36 à T50. La distinction entre les",
      "circonstances accidentelles et volontaires est assurée par le chapitre XX : codes des catégories X40 à X44 pour les premières,"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.116 : pour les tentatives de suicide poly-médicamenteuses, nous vous conseillons si vous voulez pouvoir retrouver"
    ]
  },
  "X60": {
    "code": "X60",
    "description": "à X64 pour les secondes, saisis en position de diagnostic associé (DA) [Ces codes ont quatre caractères. C’est le sens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 874,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "éventuelles doivent être enregistrées comme DA.",
      "intoxications médicamenteuses accidentelles et volontaires.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 90",
      "LES EFFETS INDÉSIRABLES",
      "Exemples :",
      "chapitre XX de la CIM–10.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 91"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "du signe « .- » (point tiret) qui les suit dans l’index alphabétique de la CIM–10. Une note dans le volume 1 de la CIM–10, sous",
      "le titre des deux groupes, indique que les quatrièmes caractères sont indiqués au début du chapitre].",
      "Le codage du symptôme ou du syndrome engendré par une intoxication médicamenteuse au lieu d’employer son code",
      "« T » a souvent pour origine une confusion entre la définition du diagnostic principal (DP) et la notion de problème ayant",
      "mobilisé l’essentiel des soins. On rappelle que le DP doit être déterminé sur la base de sa définition et selon la situation",
      "clinique, et que la notion de problème ayant mobilisé l’essentiel des soins n’est d’utile que dans les rares cas où l’analyse en",
      "termes de situation clinique conduit à un choix entre plusieurs DP.",
      "Le « coma » (terme sans doute employé de manière générique pour les divers troubles de la conscience classés dans la",
      "catégorie R40) après prise de psychotrope en est un exemple. Il est souvent avancé que « c’est le coma qui a mobilisé",
      "l’essentiel des soins » pour le coder comme DP, l’intoxication (le code « T ») étant mentionnée comme DA. Le résultat est",
      "le classement du résumé de sortie dans le groupe homogène de malades (GHM) Troubles de la conscience et comas d’origine",
      "non traumatique. Cette attitude est erronée : d’une part, le symptôme R40.– n’a pas à être choisi pour DP alors que sa",
      "cause, l’intoxication, est identifiée (règle D1) ; d’autre part, le contenu du GHM Troubles de la conscience et comas d’origine",
      "non traumatique dans lequel classe le DP « coma » correspond à des affections dont la cause est ignorée.",
      "Ainsi, pour une intoxication volontaire par prise de psychotrope sédatif ou hypnotique à l’origine de troubles de la",
      "conscience, le code exact est celui de l’intoxication par le produit (catégorie T42). Le coma ou d’autres complications",
      "Cette règle n’est pas réservée aux troubles de la conscience et aux médicaments psychotropes. Conformément à la",
      "définition du DP et au guide des situations cliniques, elle doit être appliquée de manière générale aux complications des",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "L’importance de leur enregistrement tient entre autres au fait que la réduction de la iatrogénie fait partie des objectifs",
      "nationaux de santé publique (loi n° 2004-806 du 9 août 2004, objectifs n° 26 à 29).",
      "Les notes d’inclusion et d’exclusion qui figurent sous l’intitulé du groupe T36–T50 dans le volume 1 de la CIM–10 indiquent",
      "que l’effet indésirable d’une « substance appropriée administrée correctement » doit être codé selon la nature de l’effet. Le",
      "codage des effets indésirables des médicaments n’utilise donc pas les codes du groupe T36–T50. Il associe au code de la",
      "nature de l’effet un code du chapitre XX de la CIM–10 (catégories Y40–Y59).",
      "– bradycardie au cours d’un traitement par la digitaline : R00.1, Y52.0",
      "– gastrite aiguë au cours d’un traitement par anti-inflammatoire non stéroïdien : K29.1, Y45.3",
      "Pour un effet donné, enregistrer qu’il est secondaire à un traitement médicamenteux ne peut se faire qu’en employant le",
      "Le mot « surdosage » est parfois à l’origine de difficultés. Par « substance appropriée administrée correctement » on entend",
      "le respect de la prescription médicamenteuse, notamment de la posologie. En présence d’une complication d’un traitement",
      "médicamenteux, le langage médical courant utilise parfois le mot « surdosage », par exemple, lorsqu’une hémorragie au",
      "cours d’un traitement anticoagulant coexiste avec une élévation de l’international normalized ratio (INR) au-dessus de la",
      "valeur thérapeutique souhaitée ou lorsqu’une complication d’un traitement s’accompagne d’une concentration sanguine",
      "de médicament supérieure à la valeur thérapeutique admise (digoxinémie, lithiémie…). De tels cas, lorsque la prescription",
      "a été respectée, doivent être classés comme des effets indésirables et leur codage ne doit pas utiliser les codes du groupe",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36": {
    "code": "T36",
    "description": "Intoxication par antibiotiques systémiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "antibiotiques : • antitumoraux (T45.1)",
      "• pour application locale NCA (T49.0)",
      "• utilisés comme topiques pour :",
      "• nez, gorge et oreille (T49.6)",
      "• œil (T49.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.0": {
    "code": "T36.0",
    "description": "Pénicillines",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.1": {
    "code": "T36.1",
    "description": "Céphalosporines et autres bêtalactamines",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.2": {
    "code": "T36.2",
    "description": "Groupe du chloramphénicol",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.3": {
    "code": "T36.3",
    "description": "Macrolides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.4": {
    "code": "T36.4",
    "description": "Tétracyclines",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.5": {
    "code": "T36.5",
    "description": "Aminosides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Streptomycine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.6": {
    "code": "T36.6",
    "description": "Rifamycines",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.7": {
    "code": "T36.7",
    "description": "Antibiotiques antifongiques administrés par voie générale",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.8": {
    "code": "T36.8",
    "description": "Autres antibiotiques systémiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T36.9": {
    "code": "T36.9",
    "description": "Antibiotique systémique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 875,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "systémiques"
    ],
    "comprend": [],
    "exclusions": [
      "anti-infectieux : • à usage topique NCA (T49.0)",
      "• utilisés comme topiques pour :",
      "• nez, gorge et oreille (T49.6)",
      "• œil (T49.5)"
    ],
    "clinical_text": [
      "Intoxication par d’autres anti-infectieux et antiparasitaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.0": {
    "code": "T37.0",
    "description": "Sulfamides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.1": {
    "code": "T37.1",
    "description": "Antimycobactériens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rifamycines (T36.6)",
      "streptomycine (T36.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.2": {
    "code": "T37.2",
    "description": "Antipaludiques et médicaments agissant sur d’autres protozoaires du sang",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dérivés de l’hydroxyquinoléine (T37.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.3": {
    "code": "T37.3",
    "description": "Autres antiprotozoaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.4": {
    "code": "T37.4",
    "description": "Anthelminthiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.5": {
    "code": "T37.5",
    "description": "Antiviraux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amantadine (T42.8)",
      "cytarabine (T45.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.8": {
    "code": "T37.8",
    "description": "Autres anti-infectieux et antiparasitaires systémiques précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dérivés de l’hydroxyquinoléine"
    ],
    "comprend": [],
    "exclusions": [
      "antipaludiques (T37.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T37.9": {
    "code": "T37.9",
    "description": "Anti-infectieux et anti-parasitaire systémiques, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "antagonistes, non classés ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "hormones : • ocytociques (T48.0)",
      "• parathyroïdiennes et leurs dérivés (T50.9)",
      "minéralocorticoïdes et leurs antagonistes (T50.0)"
    ],
    "clinical_text": [
      "Intoxication par hormones et leurs substituts synthétiques et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.0": {
    "code": "T38.0",
    "description": "Glucocorticoïdes et analogues synthétiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "glucocorticoïdes à usage topique (T49.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.1": {
    "code": "T38.1",
    "description": "Hormones thyroïdiennes et leurs dérivés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.2": {
    "code": "T38.2",
    "description": "Antithyroïdiens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.3": {
    "code": "T38.3",
    "description": "Insuline et hypoglycémiants oraux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antidiabétiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.4": {
    "code": "T38.4",
    "description": "Contraceptifs oraux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Préparations contenant une seule et plusieurs substances"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.5": {
    "code": "T38.5",
    "description": "Autres œstrogènes et progestatifs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Associations et dérivés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.6": {
    "code": "T38.6",
    "description": "Anti-gonadotropines, anti-œstrogènes, anti-androgènes, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tamoxifène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.7": {
    "code": "T38.7",
    "description": "Androgènes et autres anabolisants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.8": {
    "code": "T38.8",
    "description": "Hormones et leurs substituts synthétiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 876,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hormones antéhypophysaires ou adénohypophysaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T38.9": {
    "code": "T38.9",
    "description": "Antagonistes hormonaux, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "rhumatisants"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par analgésiques non opioïdes, antipyrétiques et anti-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.0": {
    "code": "T39.0",
    "description": "Salicylés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.1": {
    "code": "T39.1",
    "description": "Dérivés du 4-aminophénol",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.2": {
    "code": "T39.2",
    "description": "Dérivés pyrazolés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.3": {
    "code": "T39.3",
    "description": "Autres anti-inflammatoires non stéroïdiens [AINS]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.4": {
    "code": "T39.4",
    "description": "Antirhumatismaux, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "glucocorticoïdes (T38.0)",
      "salicylés (T39.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.8": {
    "code": "T39.8",
    "description": "Autres analgésiques non opioïdes et antipyrétiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T39.9": {
    "code": "T39.9",
    "description": "Analgésique non opioïde, antipyrétique et antirhumatismal, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40": {
    "code": "T40",
    "description": "Intoxication par narcotiques et psychodysleptiques hallucinogènes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "intoxication signifiant ébriété (F10-F19)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.0": {
    "code": "T40.0",
    "description": "Opium",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.1": {
    "code": "T40.1",
    "description": "Héroïne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.2": {
    "code": "T40.2",
    "description": "Autres opioïdes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Codéine",
      "Morphine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.3": {
    "code": "T40.3",
    "description": "Méthadone",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.4": {
    "code": "T40.4",
    "description": "Autres narcotiques synthétiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Péthidine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.5": {
    "code": "T40.5",
    "description": "Cocaïne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.6": {
    "code": "T40.6",
    "description": "Narcotiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.7": {
    "code": "T40.7",
    "description": "Cannabis (dérivés)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.8": {
    "code": "T40.8",
    "description": "Lysergide [LSD]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T40.9": {
    "code": "T40.9",
    "description": "Psychodysleptiques autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 877,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mescaline",
      "Psilocine",
      "Psilocybine",
      "Hallucinogènes] autres et sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41": {
    "code": "T41",
    "description": "Intoxication par anesthésiques et gaz thérapeutiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "benzodiazépines (T42.4)",
      "cocaïne (T40.5)",
      "opioïdes (T40.0-T40.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41.0": {
    "code": "T41.0",
    "description": "Anesthésiques gazeux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "oxygène (T41.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41.1": {
    "code": "T41.1",
    "description": "Anesthésiques intra-veineux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thiobarbituriques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41.2": {
    "code": "T41.2",
    "description": "Anesthésiques généraux, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41.3": {
    "code": "T41.3",
    "description": "Anesthésiques locaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41.4": {
    "code": "T41.4",
    "description": "Anesthésique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T41.5": {
    "code": "T41.5",
    "description": "Gaz thérapeutiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dioxyde de carbone",
      "Oxygène",
      "parkinsoniens"
    ],
    "comprend": [],
    "exclusions": [
      "intoxication signifiant ébriété (F10-F19)"
    ],
    "clinical_text": [
      "Intoxication par anti-épileptiques, sédatifs, hypnotiques et anti-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.0": {
    "code": "T42.0",
    "description": "Dérivés de l’hydantoïne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.1": {
    "code": "T42.1",
    "description": "Iminostilbènes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Carbamazépine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.2": {
    "code": "T42.2",
    "description": "Succinimides et oxazolidine-diones",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.3": {
    "code": "T42.3",
    "description": "Barbituriques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "thiobarbituriques (T41.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.4": {
    "code": "T42.4",
    "description": "Benzodiazépines",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.5": {
    "code": "T42.5",
    "description": "Anti-épileptiques en association, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.6": {
    "code": "T42.6",
    "description": "Autres anti-épileptiques, sédatifs et hypnotiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acide valproïque",
      "Méthaqualone"
    ],
    "comprend": [],
    "exclusions": [
      "carbamazépine (T42.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.7": {
    "code": "T42.7",
    "description": "Anti-épileptiques, sédatifs et hypnotiques, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Somnifères : • comprimé SAI",
      "• médicament SAI",
      "• potion SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T42.8": {
    "code": "T42.8",
    "description": "Anti-parkinsoniens et autres dépresseurs centraux du tonus musculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 878,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Amantadine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43": {
    "code": "T43",
    "description": "Intoxication par médicaments psychotropes, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anorexigènes (T50.5)",
      "barbituriques (T42.3)",
      "benzodiazépines (T42.4)",
      "méthaqualone (T42.6)",
      "intoxication signifiant ébriété (F10-F19)",
      "psychodysleptiques hallucinogènes (T40.7-T40.9)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.0": {
    "code": "T43.0",
    "description": "Antidépresseurs tricycliques et tétracycliques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.1": {
    "code": "T43.1",
    "description": "Antidépresseurs inhibiteurs de la mono-amine-oxydase",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.2": {
    "code": "T43.2",
    "description": "Antidépresseurs, autres et non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.3": {
    "code": "T43.3",
    "description": "Psycholeptiques et neuroleptiques dérivés de la phénothiazine",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.4": {
    "code": "T43.4",
    "description": "Neuroleptiques de type butyrophénone et thioxanthène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.5": {
    "code": "T43.5",
    "description": "Psycholeptiques et neuroleptiques, autres et non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rauwolfia (T46.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.6": {
    "code": "T43.6",
    "description": "Psychostimulants présentant un risque d’abus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cocaïne (T40.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.8": {
    "code": "T43.8",
    "description": "Autres médicaments psychotropes, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T43.9": {
    "code": "T43.9",
    "description": "Médicament psychotrope, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "nerveux autonome"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par médicaments agissant essentiellement sur le système"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.0": {
    "code": "T44.0",
    "description": "Anticholinestérasiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.1": {
    "code": "T44.1",
    "description": "Autres parasympathomimétiques cholinergiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.2": {
    "code": "T44.2",
    "description": "Ganglioplégiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres agents parasympatholytiques, anticholinergiques, antimuscariniques et spasmolytiques,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.4": {
    "code": "T44.4",
    "description": "Agents principalement alpha-sympathomimétiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Métaraminol"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.5": {
    "code": "T44.5",
    "description": "Agents principalement bêta-sympathomimétiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bêta-sympathomimétiques utilisés contre l’asthme (T48.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.6": {
    "code": "T44.6",
    "description": "Alpha-bloquants, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "alcaloïdes de l’ergot de seigle (T48.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.7": {
    "code": "T44.7",
    "description": "Bêta-bloquants, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T44.8": {
    "code": "T44.8",
    "description": "Agents bloquants neuronaux adrénergiques et d’action centrale, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 879,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "clonidine (T46.5)",
      "guanéthidine (T46.5)"
    ],
    "clinical_text": [
      "Médicaments agissant essentiellement sur le système nerveux autonome, autres et sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.0": {
    "code": "T45.0",
    "description": "Médicaments anti-allergiques et antiémétiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "neuroleptiques à base de phénothiazine (T43.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.1": {
    "code": "T45.1",
    "description": "Médicaments antitumoraux et immunosuppresseurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Antibiotiques antitumoraux",
      "Cytarabine"
    ],
    "comprend": [],
    "exclusions": [
      "tamoxifène (T38.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.2": {
    "code": "T45.2",
    "description": "Vitamines, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "acide nicotinique (dérivés) (T46.7)",
      "vitamine K (T45.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.3": {
    "code": "T45.3",
    "description": "Enzymes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.4": {
    "code": "T45.4",
    "description": "Fer et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.5": {
    "code": "T45.5",
    "description": "Anticoagulants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.6": {
    "code": "T45.6",
    "description": "Médicaments agissant sur la fibrinolyse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.7": {
    "code": "T45.7",
    "description": "Antagonistes des anticoagulants, vitamine K et autres coagulants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.8": {
    "code": "T45.8",
    "description": "Autres substances essentiellement systémiques et hématologiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Sang entier et produits du sang",
      "Succédané du plasma"
    ],
    "comprend": [],
    "exclusions": [
      "fer (T45.4)",
      "immunoglobulines (T50.9)"
    ],
    "clinical_text": [
      "Préparation à base de foie et autres substances anti-anémiantes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T45.9": {
    "code": "T45.9",
    "description": "Substance essentiellement systémique et hématologique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "cardio-vasculaire"
    ],
    "comprend": [],
    "exclusions": [
      "métaraminol (T44.4)"
    ],
    "clinical_text": [
      "Intoxication par substances agissant essentiellement sur le système"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.0": {
    "code": "T46.0",
    "description": "Glucosides cardiotoniques et médicaments d’action similaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.1": {
    "code": "T46.1",
    "description": "Inhibiteurs calciques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.2": {
    "code": "T46.2",
    "description": "Autres anti-arythmisants, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bêta-bloquants (T44.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.3": {
    "code": "T46.3",
    "description": "Vasodilatateurs coronariens, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dipyridamole"
    ],
    "comprend": [],
    "exclusions": [
      "bêta-bloquants (T44.7)",
      "inhibiteurs calciques (T46.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.4": {
    "code": "T46.4",
    "description": "Inhibiteurs de l’enzyme de conversion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 880,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.5": {
    "code": "T46.5",
    "description": "Autres antihypertenseurs, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Clonidine",
      "Guanéthidine",
      "Rauwolfia"
    ],
    "comprend": [],
    "exclusions": [
      "bêta-bloquants (T44.7)",
      "diurétiques (T50.0-T50.2)",
      "inhibiteurs calciques (T46.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.6": {
    "code": "T46.6",
    "description": "Antihyperlipidémiants et antiartériosclérosants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.7": {
    "code": "T46.7",
    "description": "Vasodilatateurs périphériques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Acide nicotinique (dérivés)"
    ],
    "comprend": [],
    "exclusions": [
      "papavérine (T44.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.8": {
    "code": "T46.8",
    "description": "Substances antivariqueuses, y compris les agents sclérosants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T46.9": {
    "code": "T46.9",
    "description": "Substances agissant essentiellement sur le système cardio-vasculaire, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "gastro-intestinal"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par substances agissant essentiellement sur le tractus"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.0": {
    "code": "T47.0",
    "description": "Inhibiteurs des récepteurs histaminiques H2",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.1": {
    "code": "T47.1",
    "description": "Autres antiacides et antisécrétoires gastriques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.2": {
    "code": "T47.2",
    "description": "Laxatifs stimulants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.3": {
    "code": "T47.3",
    "description": "Laxatifs salins et osmotiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.4": {
    "code": "T47.4",
    "description": "Autres laxatifs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.5": {
    "code": "T47.5",
    "description": "Médicaments facilitant la digestion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.6": {
    "code": "T47.6",
    "description": "Antidiarrhéiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "antibiotiques systémiques et autres anti-infectieux (T36-T37)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.7": {
    "code": "T47.7",
    "description": "Émétiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.8": {
    "code": "T47.8",
    "description": "Autres substances agissant essentiellement sur le tractus gastro-intestinal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T47.9": {
    "code": "T47.9",
    "description": "Substance agissant essentiellement sur le tractus gastro-intestinal, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "lisses et striés et l’appareil respiratoire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par substances agissant essentiellement sur les muscles"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.0": {
    "code": "T48.0",
    "description": "Ocytociques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "œstrogènes, progestatifs et antagonistes (T38.4-T38.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.1": {
    "code": "T48.1",
    "description": "Myorelaxants (muscles striés)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloquants neuro-musculaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.2": {
    "code": "T48.2",
    "description": "Substances agissant essentiellement sur les muscles, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.3": {
    "code": "T48.3",
    "description": "Antitussifs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.4": {
    "code": "T48.4",
    "description": "Expectorants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.5": {
    "code": "T48.5",
    "description": "Médicaments contre le coryza ou rhume banal",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 881,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.6": {
    "code": "T48.6",
    "description": "Antiasthmatiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bêta-sympathomimétiques utilisés contre l’asthme"
    ],
    "comprend": [],
    "exclusions": [
      "agents bêta-sympathomimétiques non utilisés contre l’asthme (T44.5)",
      "hormones antéhypophysaires ou adénohypophysaires (T38.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T48.7": {
    "code": "T48.7",
    "description": "Substances agissant essentiellement sur l’appareil respiratoire, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par substances à usage topique agissant essentiellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49": {
    "code": "T49",
    "description": "sur la peau et les muqueuses et par médicaments à usage",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ophtalmologique, oto-rhino-laryngologique et dentaire",
      "C omprend glucocorticoïdes à usage topique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Médicaments antifongiques, anti-infectieux et anti-inflammatoires à usage topique, non classés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.1": {
    "code": "T49.1",
    "description": "Antiprurigineux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.2": {
    "code": "T49.2",
    "description": "Astringents et détergents locaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.3": {
    "code": "T49.3",
    "description": "Émollients, calmants et protecteurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.4": {
    "code": "T49.4",
    "description": "Kératolytiques, kératoplastiques et autres médicaments et préparations capillaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.5": {
    "code": "T49.5",
    "description": "Médicaments et préparations ophtalmologiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anti-infectieux ophtalmiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.6": {
    "code": "T49.6",
    "description": "Médicaments et préparations utilisés en oto-rhino-laryngologie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anti-infectieux oto-rhino-laryngologiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.7": {
    "code": "T49.7",
    "description": "Médicaments dentaires à usage topique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.8": {
    "code": "T49.8",
    "description": "Autres topiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Spermicides"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T49.9": {
    "code": "T49.9",
    "description": "Topique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Intoxication par diurétiques et médicaments et substances",
      "biologiques, autres et sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.0": {
    "code": "T50.0",
    "description": "Minéralocorticoïdes et leurs antagonistes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.1": {
    "code": "T50.1",
    "description": "Diurétiques de l’anse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.2": {
    "code": "T50.2",
    "description": "Inhibiteurs de l’anhydrase carbonique, benzothiadiazides et autres diurétiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acétazolamide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.3": {
    "code": "T50.3",
    "description": "Produits agissant sur l’équilibre électrolytique, calorique et hydrique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sels de réhydratation orale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.4": {
    "code": "T50.4",
    "description": "Médicaments agissant sur le métabolisme de l’acide urique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.5": {
    "code": "T50.5",
    "description": "Anorexigènes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.6": {
    "code": "T50.6",
    "description": "Antidotes et chélateurs, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Produits de désintoxication alcoolique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.7": {
    "code": "T50.7",
    "description": "Analeptiques et antagonistes des opiacés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.8": {
    "code": "T50.8",
    "description": "Agents de diagnostic",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 882,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T50.9": {
    "code": "T50.9",
    "description": "Médicaments et substances biologiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acidifiants",
      "Agents immunologiques",
      "Alcalinisants",
      "Hormones parathyroïdiennes et leurs dérivés",
      "Immunoglobulines",
      "Lipotropes"
    ],
    "comprend": [],
    "exclusions": [
      "corrosions (T20-T32)",
      "effets toxiques localisés classés ailleurs (A00-R99)",
      "maladies du poumon dues à des agents externes (J60-J70)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51": {
    "code": "T51",
    "description": "Effet toxique de l’alcool",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51.0": {
    "code": "T51.0",
    "description": "Éthanol",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcool éthylique"
    ],
    "comprend": [],
    "exclusions": [
      "intoxication : • alcoolique pathologique (F10.0)",
      "• éthylique aiguë ou effets de l’ivresse (F10.0)",
      "ivresse (F10.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51.1": {
    "code": "T51.1",
    "description": "Méthanol",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcool méthylique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51.2": {
    "code": "T51.2",
    "description": "2-Propanol",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcool isopropylique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51.3": {
    "code": "T51.3",
    "description": "Huile de fusel",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcool : • amylique",
      "• butylique [1-butanol]",
      "• propylique [1-propanol]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51.8": {
    "code": "T51.8",
    "description": "Autres alcools",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T51.9": {
    "code": "T51.9",
    "description": "Alcool, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52": {
    "code": "T52",
    "description": "Effet toxique de solvants organiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dérivés halogénés d’hydrocarbures aliphatiques et aromatiques (T53.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.0": {
    "code": "T52.0",
    "description": "Produits dérivés du pétrole",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Essence",
      "Éther de pétrole",
      "Kérosène",
      "Pétrole lampant",
      "Naphte de pétrole",
      "Paraffine",
      "White spirit"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.1": {
    "code": "T52.1",
    "description": "Benzène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 883,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dérivés aminés et nitroaminés du benzène et de ses homologues (T65.3)",
      "homologues du benzène (T52.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.2": {
    "code": "T52.2",
    "description": "Homologues du benzène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Toluène [méthylbenzène]",
      "Xylène [diméthylbenzène]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.3": {
    "code": "T52.3",
    "description": "Glycols",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.4": {
    "code": "T52.4",
    "description": "Cétones",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.8": {
    "code": "T52.8",
    "description": "Autres solvants organiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T52.9": {
    "code": "T52.9",
    "description": "Solvant organique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "aromatiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Effet toxique de dérivés halogénés d’hydrocarbures aliphatiques et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.0": {
    "code": "T53.0",
    "description": "Tétrachlorure de carbone",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tétrachlorométhane"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.1": {
    "code": "T53.1",
    "description": "Chloroforme",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trichlorométhane"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.2": {
    "code": "T53.2",
    "description": "Trichloréthylène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trichloroéthène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.3": {
    "code": "T53.3",
    "description": "Tétrachloréthylène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Perchloréthylène",
      "Tétrachloroéthène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.4": {
    "code": "T53.4",
    "description": "Dichlorométhane",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chlorure de méthylène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.5": {
    "code": "T53.5",
    "description": "Chlorofluorocarbures",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.6": {
    "code": "T53.6",
    "description": "Autres dérivés halogénés d’hydrocarbures aliphatiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.7": {
    "code": "T53.7",
    "description": "Autres dérivés halogénés d’hydrocarbures aromatiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T53.9": {
    "code": "T53.9",
    "description": "Dérivé halogéné d’hydrocarbures aliphatiques et aromatiques, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T54": {
    "code": "T54",
    "description": "Effet toxique de substances corrosives",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T54.0": {
    "code": "T54.0",
    "description": "Phénol et homologues du phénol",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T54.1": {
    "code": "T54.1",
    "description": "Autres composés organiques corrosifs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T54.2": {
    "code": "T54.2",
    "description": "Acides corrosifs et substances similaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acide : • chlorhydrique",
      "• sulfurique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T54.3": {
    "code": "T54.3",
    "description": "Alcalis corrosifs et substances similaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Hydroxide de : • potassium [potasse]",
      "• sodium [soude]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Codage des œsophagites caustiques secondaires à l’ingestion de produit ménager dans le cadre d’une",
      "tentative de suicide : il ne s’agit pas d’une intoxication médicamenteuse. Vous suivrez donc les consignes de",
      "la CIM-10 qui exclut les corrosions du groupe T51-T65. Vous coderez la corrosion de l’œsophage T28.6 et"
    ],
    "agora_refs": [
      "63444"
    ],
    "cocoa_notes": [
      "un code de la catégorie X69 (AGORA - # 63444 le 3 mai 2012)"
    ]
  },
  "T54.9": {
    "code": "T54.9",
    "description": "Substance corrosive, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 884,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T55": {
    "code": "T55",
    "description": "Effet toxique de savons et détergents",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56": {
    "code": "T56",
    "description": "Effet toxique des métaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend fumées et vapeurs de métaux",
      "métaux de toutes origines, sauf substances médicamenteuses"
    ],
    "comprend": [],
    "exclusions": [
      "arsenic et ses composés (T57.0)",
      "manganèse et ses composés (T57.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.0": {
    "code": "T56.0",
    "description": "Plomb et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.1": {
    "code": "T56.1",
    "description": "Mercure et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.2": {
    "code": "T56.2",
    "description": "Chrome et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.3": {
    "code": "T56.3",
    "description": "Cadmium et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.4": {
    "code": "T56.4",
    "description": "Cuivre et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.5": {
    "code": "T56.5",
    "description": "Zinc et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.6": {
    "code": "T56.6",
    "description": "Étain et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.7": {
    "code": "T56.7",
    "description": "Béryllium et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.8": {
    "code": "T56.8",
    "description": "Autres métaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thallium"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T56.9": {
    "code": "T56.9",
    "description": "Métal, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57": {
    "code": "T57",
    "description": "Effet toxique d’autres substances non organiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57.0": {
    "code": "T57.0",
    "description": "Arsenic et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57.1": {
    "code": "T57.1",
    "description": "Phosphore et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "insecticides organo-phosphorés (T60.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57.2": {
    "code": "T57.2",
    "description": "Manganèse et ses composés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57.3": {
    "code": "T57.3",
    "description": "Cyanure d’hydrogène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57.8": {
    "code": "T57.8",
    "description": "Autres substances non organiques précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T57.9": {
    "code": "T57.9",
    "description": "Substance non organique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T58": {
    "code": "T58",
    "description": "Effet toxique du monoxyde de carbone",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "De toutes origines"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59": {
    "code": "T59",
    "description": "Effets toxiques d’autres émanations, gaz et fumées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "pulseurs pour aérosols"
    ],
    "exclusions": [
      "chlorofluorocarbures (T53.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.0": {
    "code": "T59.0",
    "description": "Oxydes d’azote",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.1": {
    "code": "T59.1",
    "description": "Dioxyde de soufre",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.2": {
    "code": "T59.2",
    "description": "Formaldéhyde",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 885,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.3": {
    "code": "T59.3",
    "description": "Gaz lacrymogène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.4": {
    "code": "T59.4",
    "description": "Chlore gazeux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.5": {
    "code": "T59.5",
    "description": "Fluor (gaz) et fluorure d’hydrogène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.6": {
    "code": "T59.6",
    "description": "Sulfure d’hydrogène",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.7": {
    "code": "T59.7",
    "description": "Dioxyde de carbone",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.8": {
    "code": "T59.8",
    "description": "Autres émanations, gaz et fumées précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T59.9": {
    "code": "T59.9",
    "description": "Émanation, gaz et fumée, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60": {
    "code": "T60",
    "description": "Effet toxique de pesticides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend produits de conservation du bois"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.0": {
    "code": "T60.0",
    "description": "Insecticides organo-phosphorés et carbamates",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.1": {
    "code": "T60.1",
    "description": "Insecticides halogénés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "hydrocarbures chlorés (T53.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.2": {
    "code": "T60.2",
    "description": "Autres Insecticides autres et non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.3": {
    "code": "T60.3",
    "description": "Herbicides et fongicides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.4": {
    "code": "T60.4",
    "description": "Rodenticides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "strychnine et ses sels (T65.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.8": {
    "code": "T60.8",
    "description": "Autres pesticides",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T60.9": {
    "code": "T60.9",
    "description": "Pesticide, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mer"
    ],
    "comprend": [],
    "exclusions": [
      "effet toxique de contaminants tels que : • aflatoxine et autres mycotoxines (T64)",
      "• cyanure d’hydrogène (T57.3)",
      "• cyanures (T65.0)",
      "• mercure (T56.1)",
      "intoxications alimentaires bactériennes (A05.-)",
      "réaction allergique • choc anaphylactique dû à une intolérance alimentaire (T78.0)",
      "alimentaire telle que : • dermite (L23.6, L25.4, L27.2)",
      "• gastro-entérite (non infectieuse) (K52.-)"
    ],
    "clinical_text": [
      "Effet toxique de substances nocives absorbées par le biais de fruits de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T61.0": {
    "code": "T61.0",
    "description": "Ciguatera",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T61.1": {
    "code": "T61.1",
    "description": "Intoxication par poissons scombridés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de type histaminique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T61.2": {
    "code": "T61.2",
    "description": "Autres intoxications par poissons et coquillages",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T61.8": {
    "code": "T61.8",
    "description": "Autres fruits de mer",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T61.9": {
    "code": "T61.9",
    "description": "Fruit de mer non précisé",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 886,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "d’aliments"
    ],
    "comprend": [],
    "exclusions": [
      "effet toxique de contaminants tels que : • aflatoxine et autres mycotoxines (T64)",
      "• cyanure d’hydrogène (T57.3)",
      "• cyanures (T65.0)",
      "• mercure (T56.1)",
      "intoxications alimentaires bactériennes (A05.-)",
      "réaction allergique • choc anaphylactique dû à une intolérance alimentaire (T78.0)",
      "alimentaire telle que : • dermite (L23.6, L25.4, L27.2)",
      "• gastro-entérite (non infectieuse) (K52.-)"
    ],
    "clinical_text": [
      "Effet toxique d’autres substances nocives absorbées par le biais"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T62.0": {
    "code": "T62.0",
    "description": "Champignons ingérés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T62.1": {
    "code": "T62.1",
    "description": "Baies ingérées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T62.2": {
    "code": "T62.2",
    "description": "Autres (parties de) plantes ingérées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T62.8": {
    "code": "T62.8",
    "description": "Autres substances nocives précisées absorbées par le biais d’aliments",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T62.9": {
    "code": "T62.9",
    "description": "Substance nocive absorbée par le biais d’aliment, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63": {
    "code": "T63",
    "description": "Effet toxique d’un contact avec un animal venimeux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.0": {
    "code": "T63.0",
    "description": "Venin de serpent",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Venin de serpent marin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.1": {
    "code": "T63.1",
    "description": "Venin d’autres reptiles",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Venin de lézard"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.2": {
    "code": "T63.2",
    "description": "Venin de scorpion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.3": {
    "code": "T63.3",
    "description": "Venin d’araignée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.4": {
    "code": "T63.4",
    "description": "Venin d’autres arthropodes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Piqûre ou morsure d’insecte venimeux",
      "257813 le 9 février 2024)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comment coder un choc anaphylactique sur piqure d'abeille ? DP T78.2 + DAS T63.4 + X23.9 (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.5": {
    "code": "T63.5",
    "description": "Effet toxique d’un contact avec des poissons",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "intoxication par ingestion de poissons (T61.0-T61.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.6": {
    "code": "T63.6",
    "description": "Effet toxique d’un contact avec d’autres animaux marins",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anémone de mer",
      "Coquillage",
      "Étoile de mer",
      "Méduse"
    ],
    "comprend": [],
    "exclusions": [
      "intoxication par ingestion de coquillages (T61.2)",
      "venin de serpent marin (T63.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.8": {
    "code": "T63.8",
    "description": "Effet toxique d’un contact avec d’autres animaux venimeux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Venin d’amphibien"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T63.9": {
    "code": "T63.9",
    "description": "Effet toxique d’un contact avec un animal venimeux, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 887,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "aliments"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Effet toxique de l’aflatoxine et d’autres mycotoxines contaminant des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65": {
    "code": "T65",
    "description": "Effet toxique de substances autres et non précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.0": {
    "code": "T65.0",
    "description": "Cyanures",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cyanure d’hydrogène (T57.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.1": {
    "code": "T65.1",
    "description": "Strychnine et ses sels",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.2": {
    "code": "T65.2",
    "description": "Tabac et nicotine",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.116 : comprend le tabagisme passif, l’ingestion de cigarettes chez l’enfant."
    ]
  },
  "T65.3": {
    "code": "T65.3",
    "description": "Dérivés aminés et nitroaminés du benzène et de ses homologues",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aniline [aminobenzène]",
      "Nitrobenzène",
      "Trinitrotoluène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.4": {
    "code": "T65.4",
    "description": "Sulfure de carbone",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.5": {
    "code": "T65.5",
    "description": "Nitroglycérine et autres acides et esters nitriques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Trinitrate de 1,2,3-propanétriol"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.6": {
    "code": "T65.6",
    "description": "Peintures et teintures, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.8": {
    "code": "T65.8",
    "description": "Effets toxiques d’autres substances précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T65.9": {
    "code": "T65.9",
    "description": "Effet toxique d’une substance, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Intoxication SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T66": {
    "code": "T66",
    "description": "Effets de rayonnements, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Maladie des rayons"
    ],
    "comprend": [],
    "exclusions": [
      "effets indésirables précisés • brûlures (T20-T31)",
      "des rayonnements, tels que : • coup de soleil (L55.-)",
      "• gastro-entérite et colite dues à une irradiation (K52.0)",
      "• leucémie (C91-C95)",
      "• maladies de la peau et du tissu cellulaire sous-cutané",
      "liées à une irradiation (L55-L59)",
      "• pneumopathie par irradiation (J70.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67": {
    "code": "T67",
    "description": "Effets de la chaleur et de la lumière",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "affections des glandes sudoripares dues à la chaleur (L74-L75)",
      "brûlures (T20-T31)",
      "coup de soleil (L55.-)",
      "érythème ou dermite dû (due) au feu (L59.0)",
      "hyperthermie maligne due à une anesthésie (T88.3)",
      "maladies de la peau et du tissu cellulaire sous-cutané liées à une irradiation (L55-L59)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.0": {
    "code": "T67.0",
    "description": "Coup de chaleur et insolation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 888,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Apoplexie due à la chaleur",
      "Pyrexie due à la chaleur",
      "Insolation",
      "Thermoplégie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.1": {
    "code": "T67.1",
    "description": "Syncope due à la chaleur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Collapsus dû à la chaleur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.2": {
    "code": "T67.2",
    "description": "Crampes dues à la chaleur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.3": {
    "code": "T67.3",
    "description": "Épuisement dû à la chaleur avec perte hydrique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prostration due à la chaleur avec perte hydrique"
    ],
    "comprend": [],
    "exclusions": [
      "épuisement dû à la chaleur avec perte de sel (T67.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.4": {
    "code": "T67.4",
    "description": "Épuisement dû à la chaleur avec perte de sel",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prostration due à la chaleur avec perte de sel (et d’eau)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.5": {
    "code": "T67.5",
    "description": "Épuisement dû à la chaleur, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prostration due à la chaleur SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.6": {
    "code": "T67.6",
    "description": "Fatigue transitoire due à la chaleur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.7": {
    "code": "T67.7",
    "description": "Œdème dû à la chaleur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.8": {
    "code": "T67.8",
    "description": "Autres effets de la chaleur et de la lumière",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T67.9": {
    "code": "T67.9",
    "description": "Effet de la chaleur et de la lumière, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T68": {
    "code": "T68",
    "description": "Hypothermie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": true,
    "severity": 3,
    "synonyms": [
      "Hypothermie accidentelle"
    ],
    "comprend": [],
    "exclusions": [
      "gelures (T33-T35)",
      "hypothermie (du) : • consécutive à une anesthésie (T88.5)",
      "• non associée à une baisse de la température ambiante (R68.0)",
      "• nouveau-né (P80.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T69": {
    "code": "T69",
    "description": "Autres effets d’une baisse de la température",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gelures (T33-T35)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T69.0": {
    "code": "T69.0",
    "description": "Main et pied d’immersion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pied des tranchées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T69.1": {
    "code": "T69.1",
    "description": "Engelures",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T69.8": {
    "code": "T69.8",
    "description": "Autres effets précisés d’une baisse de la température",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T69.9": {
    "code": "T69.9",
    "description": "Effet d’une baisse de la température, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70": {
    "code": "T70",
    "description": "Effets de la pression atmosphérique et de la pression de l’eau",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.0": {
    "code": "T70.0",
    "description": "Barotraumatisme de l’oreille",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Otite moyenne barotraumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Effets sur l’oreille des changements de la pression atmosphérique ambiante ou de celle de l’eau"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.1": {
    "code": "T70.1",
    "description": "Barotraumatisme des sinus",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 889,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sinusite barotraumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Effets sur les sinus des changements de la pression atmosphérique ambiante"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.2": {
    "code": "T70.2",
    "description": "Effets de l’altitude, autres et non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anoxie due à l’altitude",
      "Barotraumatisme SAI",
      "Hypobaropathie",
      "Mal des montagnes",
      "Maladie de(s) : • Alpes",
      "• Monge"
    ],
    "comprend": [],
    "exclusions": [
      "polycythémie due à l’altitude (D75.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.3": {
    "code": "T70.3",
    "description": "Maladie des caissons",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Maladie de la décompression",
      "Maladie de l’air comprimé",
      "Paralysie des plongeurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.4": {
    "code": "T70.4",
    "description": "Effets des fluides à haute pression",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Injection traumatique de fluide à haute pression (industrielle)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.8": {
    "code": "T70.8",
    "description": "Autres effets de la pression atmosphérique et de la pression de l’eau",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome dû au souffle d’une explosion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T70.9": {
    "code": "T70.9",
    "description": "Effet de la pression atmosphérique et de la pression de l’eau, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T71": {
    "code": "T71",
    "description": "Asphyxie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": true,
    "severity": 2,
    "synonyms": [
      "• gêne mécanique à la respiration",
      "Suffocation (par strangulation)"
    ],
    "comprend": [],
    "exclusions": [
      "anoxie due à l’altitude (T70.2)",
      "asphyxie due à : • autres émanations, gaz et fumées (T59.-)",
      "• inhalation d’aliments ou de corps étranger (T17.-)",
      "• monoxyde de carbone (T58)",
      "détresse respiratoire du nouveau-né (P22.-)",
      "syndrome de détresse respiratoire chez adulte (J80)"
    ],
    "clinical_text": [
      "Insuffisance d’oxygénation systémique due à : • faible teneur en oxygène de l’air ambiant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73": {
    "code": "T73",
    "description": "Effets d’autres privations",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73.0": {
    "code": "T73.0",
    "description": "Effets de la faim",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Famine",
      "Privation de nourriture"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73.1": {
    "code": "T73.1",
    "description": "Effets de la soif",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Privation d’eau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73.2": {
    "code": "T73.2",
    "description": "Épuisement dû aux éléments",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73.3": {
    "code": "T73.3",
    "description": "Épuisement dû à un effort intensif",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Surmenage physique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73.8": {
    "code": "T73.8",
    "description": "Autres effets dus à une privation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T73.9": {
    "code": "T73.9",
    "description": "Effet dû à une privation, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 890,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T74": {
    "code": "T74",
    "description": "Syndromes dus à de mauvais traitements",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Utilisation recommandée pour la catégorie T74 :",
      "en œuvre des actions découlant de l’analyse du PMSI.",
      "nécessairement réfléchi des codes de la catégorie T74"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier le traumatisme récent",
      "La gouvernance recense les cas de maltraitance dans le PMSI (bilan annuel sur tous les codes de la famille T74) et elle met",
      "HAS, Critère 3.2-05, Manuel : Certification des établissements de santé • Version 2024, p. 156",
      "Un diagnostic de mauvais traitements de la catégorie T74 Syndromes dus à de mauvais traitements (avec le code ad hoc",
      "dans Y06.- et éventuellement le code du traumatisme récent observé), ne peut être codé que lorsqu'il est mentionné dans",
      "Nous attirons votre attention sur les conséquences médico-légales des déclarations de sévices et donc sur l’usage",
      "Voir également le code Z91.8 Antécédents personnels d'autres facteurs de risque précisés, non classés ailleurs"
    ],
    "agora_refs": [
      "199691"
    ],
    "cocoa_notes": [
      "le dossier du patient. Une « suspicion » de maltraitance n'autorise pas le codage. (AGORA - # 199691 le 11 août 2020)"
    ]
  },
  "T74.0": {
    "code": "T74.0",
    "description": "appartient à une catégorie intitulée « Syndromes dus à de mauvais traitements » et les codes suivants",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "circonstances"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "font état de sévices. Cette catégorie doit donc être réservée aux cas où les mauvais traitements ont des",
      "conséquences lourdes sur le patient, tels que ceux qui mériteraient d’être signalés à l’autorité judiciaire",
      "Utiliser, au besoin, un code supplémentaire de la catégorie Y06.- Délaissement et abandon pour préciser les"
    ],
    "agora_refs": [
      "52443"
    ],
    "cocoa_notes": [
      "(AGORA - # 52443 le 14 septembre 2011)"
    ]
  },
  "T74.1": {
    "code": "T74.1",
    "description": "Sévices physiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Bébé ou enfant battu SAI",
      "Syndrome de Silverman",
      "Femme battue SAI",
      "les circonstances",
      "enfant pour préciser les répercussions"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de la catégorie Y07.- Autres mauvais traitements pour préciser",
      "Utiliser, au besoin, chez l’enfant, le code Z61.6 Difficultés liées à de possibles sévices physiques infligés à un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T74.2": {
    "code": "T74.2",
    "description": "Sévices sexuels",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "les circonstances en dehors du viol.",
      "répercussions"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de la catégorie Y07.- Autres mauvais traitements pour préciser",
      "Utiliser, au besoin, le code Y05 Agression sexuelle par la force physique en cas de viol ou de tentative de viol.",
      "Utiliser, au besoin, chez l’enfant, le code Z61.4 Difficultés liées à de possibles sévices sexuels infligés à un",
      "enfant par une personne de son entourage immédiat ou le code Z61.5 Difficultés liées à de possibles sévices",
      "sexuels infligés à un enfant par une personne étrangère à son entourage immédiat pour préciser les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T74.3": {
    "code": "T74.3",
    "description": "Sévices psychologiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T74.8": {
    "code": "T74.8",
    "description": "Autres syndromes dus à de mauvais traitements",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Toutes formes associées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T74.9": {
    "code": "T74.9",
    "description": "Syndrome dû à de mauvais traitements, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Effets de sévices infligés à un adulte SAI, enfant SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75": {
    "code": "T75",
    "description": "Effets d’autres causes externes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "brûlures (électriques) (T20-T31)",
      "effets indésirables NCA (T78.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75.0": {
    "code": "T75.0",
    "description": "Effets de la foudre",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 891,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choc par la foudre",
      "Frappé par la foudre SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75.1": {
    "code": "T75.1",
    "description": "Noyade et submersion non mortelle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Crampe des nageurs",
      "Immersion"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75.2": {
    "code": "T75.2",
    "description": "Effets des vibrations",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Syndrome de : • marteau-piqueur",
      "• vasospasme traumatique",
      "Vertige dû aux infra-sons"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75.3": {
    "code": "T75.3",
    "description": "Mal des transports",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mal de : • air",
      "• mer"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75.4": {
    "code": "T75.4",
    "description": "Effets du courant électrique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Choc dû au courant électrique",
      "Électrocution"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T75.8": {
    "code": "T75.8",
    "description": "Autres effets précisés d’autres causes externes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Effets de : • apesanteur",
      "• forces de gravité [G] anormales"
    ],
    "comprend": [],
    "exclusions": [
      "effets non précisés de causes externes (T76)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T76": {
    "code": "T76",
    "description": "Effets non précisés de causes externes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• lésion auto-infligée (suicide) par moyens non précisés"
    ],
    "comprend": [],
    "exclusions": [
      "effets (d’) (de) : • autres causes externes (T75.-)",
      "• indésirables, NCA (T78.-)",
      "• lésion traumatique, SAI (T14.9)",
      "• toxiques, SAI (T65.9)"
    ],
    "clinical_text": [
      "Note Cette catégorie doit être utilisée pour le codage de la mortalité afin d’identifier les effets non précisés de causes",
      "externes, quand la cause externe ne précise pas le type de lésion traumatique.",
      "Effets non précisés (d’)(de) : • agression par moyens non précisés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78": {
    "code": "T78",
    "description": "Effets indésirables, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications de soins chirurgicaux et médicaux NCA (T80-T88)"
    ],
    "clinical_text": [
      "N ote Cette catégorie doit être utilisée comme code principal afin d’identifier les effets indésirables de causes inconnues,",
      "indéterminées ou mal définies, non classés ailleurs. Elle peut être utilisée comme code supplémentaire pour le",
      "codage des causes multiples afin d’identifier les effets indésirables d’états classés ailleurs."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.0": {
    "code": "T78.0",
    "description": "Choc anaphylactique dû à une intolérance alimentaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.1": {
    "code": "T78.1",
    "description": "Autres réactions d’intolérance alimentaire, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dermite : • d’origine alimentaire (L27.2)",
      "• due au contact d’aliments avec la peau (L23.6, L24.6, L25.4)",
      "intoxications alimentaires bactériennes (A05.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.2": {
    "code": "T78.2",
    "description": "Choc anaphylactique, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 892,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Anaphylaxie SAI",
      "Choc allergique SAI",
      "Réaction anaphylactique SAI",
      "257813 le 9 février 2024)"
    ],
    "comprend": [],
    "exclusions": [
      "choc anaphylactique dû à : • effets indésirables d’une substance médicamenteuse",
      "appropriée et correctement administrée (T88.6)",
      "• intolérance alimentaire (T78.0)",
      "• sérum (T80.5)"
    ],
    "clinical_text": [
      "Comment coder un choc anaphylactique sur piqure d'abeille ? DP T78.2 + DAS T63.4 + X23.9 (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.3": {
    "code": "T78.3",
    "description": "Œdème angioneurotique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Œdème de Quincke",
      "Urticaire géante"
    ],
    "comprend": [],
    "exclusions": [
      "urticaire (L50.-)",
      "• sérique (T80.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.4": {
    "code": "T78.4",
    "description": "code une réaction allergique sans autre précision : on ignore quelle a été la manifestation, ainsi que le médicament",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "en cause."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.8": {
    "code": "T78.8",
    "description": "Autres effets indésirables, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T78.9": {
    "code": "T78.9",
    "description": "Effet indésirable, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "effet indésirable de soins chirurgicaux et médicaux SAI (T88.9)",
      "effets non précisés de causes externes (T76)",
      "Certaines complications précoces des traumatismes (T79)",
      "complications de soins chirurgicaux et médicaux NCA (T80-T88) survenant pendant ou à la suite d’un",
      "acte médical à visée diagnostique et thérapeutique (T80-T88)",
      "syndrome de détresse respiratoire chez : •adulte (J80)",
      "• nouveau-né (P22.0)"
    ],
    "clinical_text": [
      "Certaines complications précoces des traumatismes, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.0": {
    "code": "T79.0",
    "description": "Embolie gazeuse (traumatique)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "embolie gazeuse • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.2)",
      "compliquant : • grossesse, accouchement et puerpéralité (O88.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.1": {
    "code": "T79.1",
    "description": "Embolie graisseuse (traumatique)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "embolie graisseuse • avortement, grossesse extra-utérine ou molaire (O00-O08, O08.2)",
      "compliquant : • grossesse, accouchement et puerpéralité (O88.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.2": {
    "code": "T79.2",
    "description": "Hémorragie traumatique secondaire et récidivante",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.3": {
    "code": "T79.3",
    "description": "Infection post-traumatique d’une plaie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 893,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.4": {
    "code": "T79.4",
    "description": "Choc traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 894,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Choc (immédiat) (retardé) faisant suite à un traumatisme"
    ],
    "comprend": [],
    "exclusions": [
      "choc anaphylactique :",
      "• SAI (T78.2)",
      "• dû à :",
      "• effets indésirables d’une substance médicamenteuse appropriée et",
      "correctement administrée (T88.6)",
      "• intolérance alimentaire (T78.0)",
      "• sérum (T80.5)",
      "choc anesthésique (T88.2)",
      "choc après foudre (T75.0)",
      "choc compliquant avortement, grossesse extra-utérine ou molaire (O00-O08, O08.3)",
      "choc électrique (T75.4)",
      "choc non traumatique NCA (R57.-)",
      "choc obstétrical (O75.1)",
      "choc post-opératoire (T81.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.5": {
    "code": "T79.5",
    "description": "Anurie traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 894,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Insuffisance rénale après écrasement",
      "Syndrome d’écrasement",
      "plus ou moins sévère"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le crush syndrome est une nécrose musculaire d’origine ischémique qui se complique d’une atteinte rénale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.6": {
    "code": "T79.6",
    "description": "Ischémie traumatique d’un muscle",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 894,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Contracture ischémique de Volkmann",
      "Syndrome de loge musculaire",
      "le 29 mai 2012)"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome de la loge tibiale antérieure (M76.8)"
    ],
    "clinical_text": [
      "la rhabdomyolyse sans précision se code M62.890. L’ischémie traumatique d’un muscle se code T79.6. La",
      "rhabdomyolyse étant quasi constante dans ce [dernier] cas on ne rajoute pas M62.890 (AGORA – # 64872",
      "Un patient présente un syndrome des loges par mécanisme ischémique liée à une compression sous plâtre"
    ],
    "agora_refs": [
      "236212"
    ],
    "cocoa_notes": [
      "de la jambe (après chirurgie ostéosynthèse du tibia) : T79.6 (AGORA - # 236212 le 29 septembre 2022)"
    ]
  },
  "T79.7": {
    "code": "T79.7",
    "description": "Emphysème sous-cutané d’origine traumatique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 894,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "emphysème (sous-cutané) résultant d’un acte à visée diagnostique et thérapeutique",
      "(T81.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.8": {
    "code": "T79.8",
    "description": "Autres complications précoces d’un traumatisme",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 894,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T79.9": {
    "code": "T79.9",
    "description": "Complication précoce d’un traumatisme, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 894,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "les circonstances.",
      "COMPLICATIONS DES ACTES MÉDICAUX ET CHIRURGICAUX",
      "Résumé",
      "prioritaire – et à son caractère secondaire à un acte.",
      "la nature de la complication.",
      "volume 1 de la CIM–10 :",
      "de la complication.",
      "médicochirurgicaux.",
      "Les recommandations qui suivent s’appuient :",
      "d’information. ».",
      "et odontologie – BO du 17 juillet 2025, pp. 84-85",
      "Les codes du groupe T80–T88",
      "plus précisément.",
      "Exemples :",
      "– luxation d’une prothèse de hanche : T84.0 ;",
      "– rejet d’une greffe de rein : T86.1 ;",
      "– névrome d’un moignon d’amputation de jambe : T87.3.",
      "nature de la complication.",
      "et odontologie – BO du 17 juillet 2025, p. 85",
      "ailleurs »",
      "– I97.2 lymphœdème après mastectomie"
    ],
    "comprend": [],
    "exclusions": [
      "brûlures et corrosions dues à des applications locales et des irradiations (T20-T32)",
      "complications chirurgicales au cours de la grossesse, de l’accouchement et de la puerpéralité (O00-O99)",
      "complications précisées • déséquilibres hydro-électrolytiques (E86-E87)",
      "classées ailleurs, telles que : • dysfonctionnement d’une colostomie (K91.4)",
      "• écoulement du liquide céphalo-rachidien après rachicentèse (G97.0)",
      "• lymphœdème après mastectomie (I97.2)",
      "• syndrome(s) (de) :",
      "• consécutifs à la chirurgie gastrique (K91.1)",
      "• post-chirurgical de l’anse borgne (K91.2)",
      "• post-laminectomie NCA (M96.1)",
      "• troubles fonctionnels après chirurgie cardiaque (I97.0-I97.1)",
      "effets indésirables d’agent médicinaux (A00-R99, T78.-)",
      "intoxications et effets toxiques de médicaments et de produits chimiques (T36-T65)",
      "tout recours aux soins médicaux pour • mise en place et ajustement d’appareils de prothèse externe (Z44.-)",
      "des états postopératoires en dehors de • obturation de stomies (Z43.-)",
      "toute complication, tel que : • stomies (Z93.-)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire de cause externe (Chapitre XX) pour identifier les appareils utilisés et les détails concernant",
      "L’importance de leur enregistrement tient notamment au fait que la réduction de la iatrogénie fait partie des objectifs nationaux de",
      "santé publique (Loi n° 2004-806 du 9 août 2004, objectifs n° 26 à 29).",
      "Une complication d’un acte diagnostique ou thérapeutique doit être codée dans le respect de la règle générale, c’est-à-dire de la",
      "façon la plus précise au regard de l’information. La notion de précision s’entend ici par rapport à la nature de la complication – notion",
      "La règle générale est : pour le codage des complications des actes médicaux et chirurgicaux, on préfère toujours un codage privilégiant",
      "Il en résulte que le codage d’une complication d’un acte diagnostique ou thérapeutique peut être décrite comme suit au regard du",
      "– avec un code du groupe T80–T88 lorsque le code le plus précis pour la complication appartient à ce groupe ;",
      "– sinon avec un code d’une catégorie « Atteintes [troubles] [affections] de l’appareil [...] après un acte à visée [...] » lorsque la",
      "complication y figure, ce qui exclut les sous-catégories .8 et .9 ;",
      "– dans les autres cas avec un code « habituel » de la CIM–10.",
      "Lorsque le codage utilise un code « habituel » de la CIM–10 il est complété par le code du groupe T80–T88 correspondant à la nature",
      "Dans tous les cas le codage est complété par le ou les codes ad hoc du chapitre XX (Y60–Y84, Y88, Y95).",
      "Le volume 2 de la CIM–10 présente pages 107-108 ou 140-141 les catégories destinées au codage des complications des actes",
      "• sur celle donnée page 105 ou 136 du volume 2 : « Il est recommandé, pour les traumatismes et autres affections dues à des causes",
      "externes, de coder tant la nature de l’affection que les circonstances de la cause externe. Le code préféré pour \" l’affection principale",
      "\" devrait être celui qui désigne la nature de l’affection. » ;",
      "• et sur la règle MB4 pour le choix de l’affection principale (ibid. page 109 ou 147) : « Lorsque le diagnostic enregistré comme \" affection",
      "principale \" décrit une affection en termes généraux et qu’un terme donnant des informations plus précises sur le siège ou la nature",
      "de l’affection est enregistré ailleurs, choisir ce dernier comme « affection principale », si cela n’entraine pas une perte",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Les codes du groupe T80–T88 doivent être employés lorsqu’ils apportent le plus de précision, c’est-à-dire lorsque la CIM–10 n’offre",
      "pas par ailleurs une possibilité de codage plus précis, notamment selon la nature de la complication [NB le titre du groupe T80–T88 :",
      "« Complications de soins chirurgicaux et médicaux, non classées ailleurs »].",
      "Des sous-catégories telles que Embolie gazeuse consécutive à une injection thérapeutique... (T80.0) ou Choc anaphylactique dû au",
      "sérum (T80.5) contiennent la manifestation (embolie gazeuse, choc) et son étiologie (injection, administration de sérum). Les sous-",
      "catégories des complications mécaniques de prothèse (T82.0 à T82.5, T83.0 à T83.4, T84.0 à T84.4, T85.0 à T85.6) sont comparables,",
      "ainsi que les catégories T86 et T87. Il n’existe pas d’autre code dans la CIM–10 permettant d’enregistrer une information aussi complète",
      "– déplacement d’une électrode de stimulation cardiaque : T82.1 ;",
      "En revanche, plusieurs sous-catégories sont très imprécises. L’emploi de certaines n’est pas autorisé pour le codage du diagnostic",
      "principal (DP) : T80.2, T81.2, T81.4, T88.0, T88.1, T88.7 [auxquels s’ajoutent T81.3, T85.5, T86.0 et T86.8, devenus imprécis du fait de leur",
      "subdivision.] et toutes les subdivisions .8 et .9 hors celles de la catégorie T86. Mais les autres codes du groupe T80–T88 ne doivent pas",
      "pour autant être considérés comme satisfaisant à priori à la règle selon laquelle le meilleur code est le plus précis par rapport à",
      "l’information à coder. Pour le codage des complications des actes médicaux et chirurgicaux, on préférera toujours un codage selon la",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Les catégories « atteintes [troubles] [affections] de l’appareil [...] après un acte à visée diagnostique et thérapeutique, non classé[e]s",
      "Les sous-catégories contiennent habituellement une manifestation précise et son étiologie.",
      "– J95.1 insuffisance pulmonaire aiguë consécutive à une intervention chirurgicale thoracique",
      "On en rapprochera les complications d’actes classées dans le chapitre XV de la CIM–10 Grossesse, accouchement et puerpéralité :",
      "quatrièmes caractères des catégories O03–O06 et O08 pour les grossesses terminées par un avortement, catégories O29, O74... Leur",
      "emploi s’impose pour le dossier de la mère pendant la grossesse, le travail, l’accouchement et la puerpéralité. Par exemple : O35.7,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "O75.4": {
    "code": "O75.4",
    "description": ", O86.0 et O90.0 à O90.2.",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 896,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "gangrène.",
      "davantage de précision.",
      "ailleurs »).",
      "et odontologie – BO du 17 juillet 2025, pp. 85-86",
      "Les codes « habituels » de la CIM–10",
      "« de stress », etc.",
      "Exemples par rapport aux codes T imprécis :",
      "– abcès de paroi après appendicectomie : L02.2 ;",
      "– abcès sous-phrénique après cholécystectomie : K65.0 ;",
      "– endocardite infectieuse sur valve prothétique : I33.0 ;",
      "– rupture de sutures tendineuses de doigts : S66.– ;",
      "– pneumonie postopératoire : J18.9 (non J95.8) ;",
      "– infarctus du myocarde postopératoire : I21.– (non I97.8).",
      "DP :",
      "comme diagnostic associé ;",
      "Exemples :",
      "– abcès de paroi après appendicectomie : L02.2, T81.4 ;",
      "– pneumonie postopératoire : J18.9, T81.4 ;",
      "– infarctus du myocarde postopératoire : I21.–, T81.8.",
      "inflammation » il est indiqué T84.6 ;",
      "et odontologie – BO du 17 juillet 2025, pp. 86-87",
      "– luxation d’une prothèse de hanche : T84.0, Y83.1 ;",
      "– rejet d’une greffe de rein : T86.1, Y83.0 ;",
      "– pneumonie post-opératoire : J18.9, T81.4, Y83.– ;",
      "thérapeutiques.",
      "est complété au moyen de la catégorie Y88.",
      "que de besoin par le code Y95 Facteurs nosocomiaux.",
      "et odontologie – BO du 17 juillet 2025, pp. 87-88",
      "Infections compliquant des actes",
      "le germe.",
      "d'amputation).",
      "précisée par l’ATIH dans la note de codage de 2018.",
      "lorsqu’ils sont présents.",
      "vasculaires",
      "o Diagnostic principal : M86.- Ostéomyélite",
      "• Exemple 3 : Infection sur matériel d’ostéosynthèse",
      "perfusion et une transfusion"
    ],
    "comprend": [],
    "exclusions": [
      "rejet d’une greffe de moelle osseuse (T86.0)"
    ],
    "clinical_text": [
      "On en rapproche également les codes dont le libellé mentionne explicitement ou implicitement le fait que l’affection est toujours",
      "consécutive à un acte. Par exemple, K43.1 Eventration postopératoire, avec gangrène ou K43.5 Hernie péristomiale, sans occlusion ni",
      "Les sous-catégories codées .9 ne sont pas autorisées comme DP et une information orientant vers l’une d’elles doit faire rechercher",
      "Les sous-catégories codées .8 telles que I97.8 Autres troubles de l’appareil circulatoire après un acte à visée diagnostique et thérapeutique",
      "[...], J95.8 Autres troubles respiratoires après un acte à visée diagnostique et thérapeutique [...] ou K91.8 Autres atteintes de l’appareil",
      "digestif après un acte à visée diagnostique et thérapeutique [...] sont imprécises. Aux sous-catégories .8 il faut préférer les codes «",
      "habituels » de la CIM–10 (NB le titre des catégories : « Atteintes [Troubles]... de l’appareil... après un acte à visée..., non classées",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Le volume 2 désigne ainsi les autres codes des chapitres I à XIX. Les affections qui leurs correspondent peuvent compliquer un acte",
      "médicochirurgical ou bien apparaitre indépendamment de tout contexte iatrogénique. La CIM–10 donne pour exemples :",
      "pneumopathie, embolie pulmonaire (volume 2 p.108 ou 140). On pourrait ajouter : anémie, infection urinaire, ulcère gastroduodénal",
      "Un code « habituel » doit être préféré à un code « T » imprécis ou à un code « .8 » d’une catégorie « Atteintes [Troubles] [Affections]",
      "de l’appareil [...] après un acte à visée [...] ». On privilégie en effet le codage le plus précis selon la nature de la complication.",
      "– sepsis à staphylocoques consécutif à une perfusion : A41.2 ;",
      "– thrombose d’un pontage artériel synthétique fémoro-poplité : I74.3 ;",
      "– infection à bactéries pyogènes d’une prothèse articulaire : M00.– ;",
      "– infection osseuse due à un matériel d’ostéosynthèse : M86.– ;",
      "– phlébite superficielle du membre supérieur due à une perfusion : I80.8 ;",
      "– pneumothorax compliquant une intervention thoracique : S27.01.[…]",
      "Exemples par rapport aux codes « .8 » des catégories « Atteintes [Troubles] [Affections] de l’appareil... après un acte à visée... » :",
      "– ulcère gastrique « de stress » postopératoire : K25.3 (non K91.8) ;",
      "Lorsqu’un codage plus précis selon la nature de la complication conduit à l’enregistrer avec un code « habituel », il sera toujours",
      "complété par un code du groupe T80–T88, quelle que soit l’imprécision de celui-ci, y compris s’il s’agit d’un code non autorisé comme",
      "• lorsque le code « habituel » a été préférable à un code du groupe T80–T88 : le code « T » » auquel il a été préféré doit être enregistré",
      "• lorsque le code « habituel » a été préférable à un code « .8 » d’une catégorie « Atteintes [Troubles] [Affections] de l’appareil [...] après",
      "un acte à visée […] », le code « T » correspondant doit être enregistré comme diagnostic associé.",
      "– sepsis à staphylocoques consécutif à une perfusion : A41.2, T80.2 ;",
      "– abcès sous-phrénique après cholécystectomie : K65.0, T81.4 ;",
      "– thrombose d’un pontage artériel synthétique fémoro-poplité : I74.3, T82.8 ;",
      "– infection à bactéries pyogènes d’une prothèse articulaire : M00.– , T84.5 ;",
      "– infection osseuse due à un matériel d’ostéosynthèse : M86.– , T84.6 ;",
      "– endocardite infectieuse sur valve prothétique : I33.0, T82.6 ;",
      "– rupture de sutures tendineuses de doigts : S66.– , T81.38 ;",
      "– phlébite superficielle du membre supérieur due à une perfusion : I80.8, T80.1 ;",
      "– pneumothorax compliquant une intervention thoracique : S27.01, T81.2 ;",
      "– ulcère gastrique « de stress » postopératoire : K25.3, T81.8 ;",
      "À la question « quel code \"T\" choisir ?» », la réponse est : lorsque l’index alphabétique (volume 3) de la CIM–10 indique pour la",
      "complication un code du groupe T80–T88, c’est lui qui doit compléter le code « habituel ».",
      "– infection à bactéries pyogènes d’une prothèse articulaire : M00.–, T84.5 car à l’entrée « Complication, prothèse, implant, greffe,",
      "articulaire interne, infection, inflammation » l’index alphabétique indique T84.5 ;",
      "– infection osseuse due à un matériel d’ostéosynthèse : M86.–, T84.6 car à l’entrée « Complication, ostéosynthèse, infection,",
      "– endocardite infectieuse sur valve prothétique : I33.0, T82.6 car à l’entrée « Complication, prothèse, implant, greffe, valvulaire",
      "cardiaque, infection, inflammation NCA » il est indiqué T82.6.",
      "Ce codage complémentaire en position de diagnostic associé ne s’applique qu’aux codes « habituels ». Il ne concerne ni les codes",
      "« T » ni les codes des catégories « Atteintes [Troubles] [Affections] de l’appareil […] après un acte à visée [...] ».",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Les circonstances sont enregistrées avec le chapitre XX de la CIM–10",
      "Quel que soit le code de la complication – qu’il soit issu du groupe T80–T88, d’une catégorie « Atteintes [Troubles] [Affections] de",
      "l’appareil [...] après un acte à visée [...] » ou qu’il s’agisse d’un code « habituel » –, les circonstances iatrogéniques doivent être",
      "enregistrées au moyen d’un code du chapitre XX en position de diagnostic associé.",
      "– déplacement d’une électrode de stimulation cardiaque : T82.1, Y83.1 ;",
      "– névrome d’un moignon d’amputation de jambe ; T87.3, Y83.5 ;",
      "– sepsis à staphylocoques consécutif à une perfusion : A41.2, T80.2, Y84.8 ;",
      "– abcès de paroi après appendicectomie : L02.2, T81.4, Y83.6 ;",
      "– abcès sous-phrénique après cholécystectomie : K65.0, T81.4, Y83.6 ;",
      "– thrombose d’un pontage artériel synthétique fémoro-poplité : I74.3, T82.8, Y83.1 ;",
      "– infection à bactéries pyogènes d’une prothèse articulaire : M00.– , T84.5, Y83.1 ;",
      "– infection osseuse due à un matériel d’ostéosynthèse : M86.– , T84.6, Y83.4 ;",
      "– endocardite infectieuse sur valve prothétique : I33.0, T82.6, Y83.1 ;",
      "– rupture de sutures tendineuses de doigts : S66.– , T81.38, Y83.4 ;",
      "– phlébite superficielle du membre supérieur due à une perfusion : I80.8, T80.1, Y84.8 ;",
      "– pneumothorax compliquant une intervention thoracique :S27.01, T81.2, Y83.– ;",
      "– ulcère gastrique « de stress » postopératoire : K25.3, T81.8, Y83.– ;",
      "– infarctus du myocarde post-opératoire : I21.– , T81.8, Y83.–. ;[…]",
      "Les codes « Y » donnés ici à titre d’exemple appartiennent au groupe Y83–Y84 Actes chirurgicaux et autres actes médicaux à l’origine",
      "de réactions anormales du patient ou de complications ultérieures, sans mention d’accident au cours de l’intervention. Ils permettent",
      "l’enregistrement de circonstances comparables à la notion d’aléa médical.",
      "Lorsque les circonstances de la complication sont différentes, on dispose des codes des groupes Y60–Y69 Accidents et complications",
      "au cours d’actes médicaux et chirurgicaux et Y70–Y82 Appareils médicaux associés à des accidents au cours d’actes diagnostiques et",
      "Exemple : perforation sigmoïdienne au cours d’une coloscopie : S36.50, T81.2, Y60.4.",
      "Lorsque la complication constitue une séquelle d’un acte antérieur, le codage, dans le respect des consignes du point 2 du chapitre",
      "Exemple : cicatrice hypertrophique séquellaire d’une intervention chirurgicale : L91.0, T81.8, Y88.3.",
      "S’agissant de complications dues à des actes effectués dans des établissements d’hospitalisation, le codage doit être complété en tant",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Le codage des complications infectieuses des actes et des dispositifs médicaux suit les règles habituelles préconisées par l’OMS (cf.",
      "CIM-10, volume 2) : c’est le code de la nature de cette infection qui est l’affection principale.",
      "On y associe, en DAS, certains codes des catégories T80 à T88 du chapitre XIX de la CIM 10 et un code des catégories Y83 ou Y84 du",
      "chapitre XX de la CIM 10 « Actes chirurgicaux et autres actes médicaux à l'origine de réactions anormales du patient ou de complications",
      "ultérieures, sans mention d'accident au cours de l'intervention », complété si besoin par un code des catégories B95-B98 pour identifier",
      "En application de la règle générale rappelée ci-dessus, un code T peut être placé en DP (exemple : T87.4 Infection d'un moignon",
      "Le caractère nosocomial d’une infection autorise l’utilisation du code Y95 facteurs nosocomiaux.",
      "La situation particulière du codage des infections du site opératoire (ISO) après prothèse de genou ou prothèse de hanche a été",
      "Pour une bactériémie iatrogène, on codera d’abord la complication dans T80-T88 lorsqu’elle est précisée et Y95 facteurs nosocomiaux",
      "En l’absence de tout signe infectieux local ou général, un examen microbiologique positif isolé sur cathéter intraveineux de longue",
      "durée ne se code pas. Ainsi, les résultats positifs consécutifs aux analyses effectuées de manière systématique après le retrait du matériel",
      "ne sont pas à coder, en l’absence de symptomatologie et de traitement.",
      "• Exemple 1 : Séjour pour infection d’un stimulateur cardiaque",
      "o Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et",
      "o Diagnostic associé : A49.- lorsque l’hémoculture est positive, agent infectieux codé en B95-B98",
      "• Exemple 2 : Ostéite à staphylocoque doré sur prothèse de hanche",
      "o Diagnostics associés : T84.5 Infection et réaction inflammatoire dues à une prothèse articulaire ; B95.6 Staphylococcus aureus,",
      "cause de maladies classées dans d’autres chapitres ; Y83.1 Intervention chirurgicale avec implantation d'une prothèse interne",
      "o Diagnostic principal : codes de l’ostéite ou de l’ostéoarthrite",
      "o Diagnostic associé : T84.6 Infection et réaction inflammatoire dues à un appareil de fixation interne [toute localisation]",
      "• Exemple 4 : Bactériémie à point de départ d’un cathéter à chambre implantable",
      "o Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et",
      "o Diagnostic associé : codes A49.- ; agent infectieux codé en B95-B98",
      "• Exemple 5 : Sepsis à point de départ d’un cathéter à chambre implantable",
      "o Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et",
      "o Diagnostic associé : codes A40-A41 ; agent infectieux codé en B95-B98",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses, Fascicule 08 – p. 10-11 – mise à jour 2023",
      "Complications consécutives à une injection thérapeutique, une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T80.0": {
    "code": "T80.0",
    "description": "Embolie gazeuse consécutive à une injection thérapeutique, une perfusion et une transfusion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 899,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Complications vasculaires consécutives à une injection thérapeutique, une perfusion et une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T80.2": {
    "code": "T80.2",
    "description": "Infections consécutives à une injection thérapeutique, une perfusion et une transfusion",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 899,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "les états mentionnés quand • après un acte à visée diagnostique et thérapeutique (T81.4)",
      "ils sont précisés comme :",
      "• dus à la mise en place de prothèses, implants et greffes",
      "(T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)",
      "hépatite, post-transfusionnelle (B16-B19)"
    ],
    "clinical_text": [
      "Infection consécutive à injection thérapeutique, perfusion ou transfusion",
      "Sepsis consécutif à injection thérapeutique, perfusion ou transfusion",
      "Utiliser, au besoin, un code supplémentaire (R57.2) pour identifier le choc septique."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T80.3": {
    "code": "T80.3",
    "description": "Réaction d’incompatibilité ABO",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 899,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Transfusion de sang incompatible"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Réaction à une incompatibilité de groupes sanguins lors d’une perfusion ou d’une transfusion"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T80.4": {
    "code": "T80.4",
    "description": "Réaction d’incompatibilité Rh",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 899,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Réaction due au facteur Rh à l’occasion d’une perfusion ou transfusion"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T80.5": {
    "code": "T80.5",
    "description": "Choc anaphylactique dû au sérum",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 899,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "choc allergique SAI (T78.2)",
      "choc anaphylactique: .",
      "•SAI(T78.2)",
      "• dû à des effets indésirables d’un médicament approprié et correctement",
      "administré (T88.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T80.6": {
    "code": "T80.6",
    "description": "Autres réactions sériques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 899,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éruption sérique",
      "Intoxication (par) : • protéines",
      "• sérique",
      "Maladie sérique",
      "Urticaire sérique"
    ],
    "comprend": [],
    "exclusions": [
      "hépatite sérique (B16-B19)"
    ],
    "clinical_text": [
      "Autres complications consécutives à une injection thérapeutique, une perfusion et une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T81.1": {
    "code": "T81.1",
    "description": "Choc pendant ou après un acte à visée diagnostique et thérapeutique, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 900,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Collapsus thérapeutique",
      "Choc post-opératoire SAI"
    ],
    "comprend": [],
    "exclusions": [
      "choc anaphylactique : • SAI (T78.2)",
      "• dû aux effets indésirables d’une substance médicamenteuse",
      "appropriée et correctement administrée (T88.6)",
      "• dû à un sérum (T80.5)",
      "choc anesthésique (T88.2)",
      "choc consécutif à un avortement, une grossesse extra-utérine ou molaire (O00-O08, O08.3)",
      "choc électrique (T75.4)",
      "choc obstétrical (O75.1)",
      "choc traumatique (T79.4)"
    ],
    "clinical_text": [
      "Choc (endotoxique) (hypovolémique) pendant ou après un acte à visée diagnostique et",
      "Utiliser, au besoin, un code supplémentaire (R57.2) pour identifier le choc septique",
      "Perforation et déchirure accidentelles au cours d’un acte à visée diagnostique et thérapeutique,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T81.3": {
    "code": "T81.3",
    "description": "Désunion d’une plaie opératoire, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 901,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Déhiscence d’une plaie opératoire",
      "Rupture d’une plaie opératoire",
      "Éventration et éviscération",
      "Il existe parfois une confusion entre ces deux termes.",
      "de la paroi abdominale antérieure […]."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une éventration est l’issue d’une partie du contenu de l’abdomen à travers un orifice naturel ou non de la",
      "paroi abdominale. Elle peut être spontanée (s’il y a une déficience de la paroi) ou traumatique (due à une",
      "plaie ou au relâchement d’une cicatrice de laparotomie). On emploie pour la coder la catégorie K43 Hernie",
      "L’éviscération est l’extériorisation des organes abdominaux provoquée par la désunion d’une plaie",
      "opératoire dans les suites immédiates d’une intervention - le plus souvent par laparotomie. Elle se code"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T81.30": {
    "code": "T81.30",
    "description": "Éviscération postopératoire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 901,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T81.38": {
    "code": "T81.38",
    "description": "seul (AGORA - # 153011 le 19 septembre 2017) et CoCoA",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 901,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T81.4": {
    "code": "T81.4",
    "description": "Infection après un acte à visée diagnostique et thérapeutique, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 901,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Abcès de(s) : • intra-abdominal",
      "• plaie",
      "après un acte à visée diagnostique et thérapeutique",
      "• sous-phrénique",
      "• sutures",
      "Sepsis après un acte à visée diagnostique et thérapeutique",
      "sepsis ou l’abcès."
    ],
    "comprend": [],
    "exclusions": [
      "infection (due à) : • injection thérapeutique, perfusion et transfusion (T80.2)",
      "• plaie chirurgicale obstétricale (O86.0)",
      "• prothèses, implants et greffes (T82.6-T82.7, T83.5-T83.6, T84.5-"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier d’autres manifestations de l’infection, comme le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T84.7": {
    "code": "T84.7",
    "description": ", T85.7)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 901,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le 30 janvier 2013)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une infection sur sonde urinaire associe le code T83.5 et non T81.4 à celui de l’infection (AGORA - # 74695",
      "Corps étranger laissé accidentellement dans une cavité corporelle ou une plaie opératoire à la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T81.8": {
    "code": "T81.8",
    "description": "Autres complications d’un acte à visée diagnostique et thérapeutique, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 902,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Complication d’un traitement par inhalation",
      "Fistule post-opératoire persistante"
    ],
    "comprend": [],
    "exclusions": [
      "hyperthermie maligne due à une anesthésie (T88.3)",
      "hypothermie consécutive à une anesthésie (T88.5)"
    ],
    "clinical_text": [
      "Emphysème (sous-cutané) résultant d’un acte à visée diagnostique et thérapeutique",
      "Le bec de corbin est une déformation de la pointe nasale secondaire à une rhinoplastie. Cette anomalie se"
    ],
    "agora_refs": [
      "100166"
    ],
    "cocoa_notes": [
      "code M95.0 associé à T81.8 (AGORA - # 100166 le 16 mai 2014)"
    ]
  },
  "T81.9": {
    "code": "T81.9",
    "description": "Complication non précisée d’un acte à visée diagnostique et thérapeutique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 902,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "vasculaires"
    ],
    "comprend": [],
    "exclusions": [
      "échec et rejet d’organes et de tissus greffés (T86.-)"
    ],
    "clinical_text": [
      "Complications de prothèses, implants et greffes cardiaques et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.0": {
    "code": "T82.0",
    "description": "Complication mécanique d’une prothèse valvulaire cardiaque",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 902,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Déplacement dû à une prothèse valvulaire cardiaque",
      "Fuite due à une prothèse valvulaire cardiaque",
      "Malposition due à une prothèse valvulaire cardiaque",
      "Protrusion due à une prothèse valvulaire cardiaque",
      "Rupture (mécanique) due à une prothèse valvulaire cardiaque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Obstruction mécanique due à une prothèse valvulaire cardiaque",
      "Perforation cardiaque due à une prothèse valvulaire cardiaque"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.1": {
    "code": "T82.1",
    "description": "Complication mécanique d’un appareil cardiaque électronique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 903,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "États mentionnés en T82.0 dus à : • électrodes",
      "• générateur d’impulsions (pile)",
      "Consigne de saisie des diagnostics :",
      "circonstance."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Explantation d’un stimulateur cardiaque dans le cadre l’action de sécurité ANSM n° R2218756",
      "Afin d’identifier spécifiquement les explantations / remplacements de stimulateurs cardiaques implantables",
      "double chambre concernés par l’action de sécurité ANSM n° R2218756, l’ATIH recommande l’utilisation, en",
      "diagnostic associé (DA) uniquement, d’un code CIM-10 marqueur spécifique d’urgence, créé pour la",
      "Le code à utiliser et son libellé correspondant est le suivant :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.9": {
    "code": "U07.9",
    "description": "Explantation d’un stimulateur cardiaque dans le cadre l’action de sécurité ANSM n° R2218756",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "charge.",
      "électronique",
      "Doivent être également présents en DA les codes :",
      "accessoires et"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’utilisation de ce code est rendue possible dans la fonction groupage à compter du 20 juillet 2022. Le",
      "codage du RUM concerné doit respecter les règles du guide méthodologique.",
      "Ainsi pour le choix du diagnostic principal (DP), deux situations sont possibles :",
      "- l’explantation, ou le remplacement, du stimulateur cardiaque est indiquée par une manifestation",
      "secondaire au dysfonctionnement du stimulateur cardiaque : le DP sera alors la manifestation prise en",
      "- l’explantation, ou le remplacement, du stimulateur cardiaque est réalisée de manière prophylactique :",
      "dans cette situation, le DP à utiliser est : T82.1 Complication mécanique d'un appareil cardiaque",
      "- s’il n’est pas en position de DP, T82.1 Complication mécanique d'un appareil cardiaque électronique, et",
      "- Y71.2 Appareils cardio-vasculaires, associés à des accidents : prothèse et autres implants, matériel et",
      "- U07.9 Explantation d’un stimulateur cardiaque dans le cadre de l’action de sécurité ANSM n° R2218756",
      "NOTICE TECHNIQUE N° ATIH-340-8-2022 du 30 septembre 2022, p.3"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.2": {
    "code": "T82.2",
    "description": "Complication mécanique d’un pontage coronarien et d’une greffe valvulaire cardiaque",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 903,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0dus à un pontage coronarien et une greffe valvulaire cardiaque"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.3": {
    "code": "T82.3",
    "description": "Complication mécanique d’autres greffes vasculaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 903,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• (de la bifurcation) aortique (remplacement)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0dus à greffe : • artérielle (de la carotide) (de la fémorale) (pontage)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.4": {
    "code": "T82.4",
    "description": "Complication mécanique d’un cathéter vasculaire de dialyse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 903,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complication mécanique d’un cathéter de dialyse intra-péritonéale (T85.6)"
    ],
    "clinical_text": [
      "États mentionnés en T82.0dus à un cathéter vasculaire de dialyse"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.5": {
    "code": "T82.5",
    "description": "Complication mécanique d’autres prothèses et implants cardiaques et vasculaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 903,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• ballonnet (contre-pulsion)",
      "• cathéter de perfusion",
      "• cœur artificiel",
      "• fistule artério-veineuse créée chirurgicalement",
      "• shunt artério-veineux créé chirurgicalement"
    ],
    "comprend": [],
    "exclusions": [
      "complication mécanique d’un cathéter de perfusion péridurale et sous-durale (T85.6)"
    ],
    "clinical_text": [
      "États mentionnés en T82.0 dus à : • appareil de type parapluie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T82.6": {
    "code": "T82.6",
    "description": "Infection et réaction inflammatoire dues à une prothèse valvulaire cardiaque",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 903,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83": {
    "code": "T83",
    "description": "Complications de prothèses, implants et greffes génito-urinaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "échec et rejet d’organes et de tissus greffés (T86.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83.0": {
    "code": "T83.0",
    "description": "Complication mécanique d’une sonde urinaire (à demeure)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "États mentionnés en T82.0 dus à : • sonde (de) :",
      "• cystostomie",
      "• urétrale, à demeure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83.1": {
    "code": "T83.1",
    "description": "Complication mécanique d’autres prothèses et implants urinaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• stimulateur urinaire électronique",
      "• tuteur urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à : • implant au niveau du sphincter urinaire"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83.2": {
    "code": "T83.2",
    "description": "Complication mécanique d’une greffe d’organe urinaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "États mentionnés en T82.0 dus à une greffe d’organe urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83.3": {
    "code": "T83.3",
    "description": "Complication mécanique d’un dispositif intra-utérin contraceptif",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à un dispositif intra-utérin contraceptif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83.4": {
    "code": "T83.4",
    "description": "Complication mécanique d’autres prothèses, implants et greffes de l’appareil génital",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 904,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à une prothèse (implantée) de la verge",
      "Infection et réaction inflammatoire dues à une prothèse, un implant et une greffe de l’appareil"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T83.8": {
    "code": "T83.8",
    "description": "Autres complications de prothèses, implants et greffes de l’appareil génito-urinaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 905,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.8 dus à des prothèses, implants et greffes de l’appareil génito-urinaire",
      "Complication d’une prothèse, d’un implant et d’une greffe de l’appareil génito-urinaire, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T84.0": {
    "code": "T84.0",
    "description": "Complication mécanique d’une prothèse articulaire interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 905,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "États mentionnés en T82.0 dus à une prothèse articulaire",
      "Luxation de prothèse de hanche (coder en plus Y83.1)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T84.1": {
    "code": "T84.1",
    "description": "Complication mécanique d’une prothèse interne de fixation d’os d’un membre",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 905,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à une prothèse interne de fixation d’os d’un membre"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.116 : comprend les complications mécaniques des fixateurs externes."
    ]
  },
  "T84.2": {
    "code": "T84.2",
    "description": "Complication mécanique d’une prothèse interne de fixation d’autres os",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 905,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à une prothèse interne de fixation d’autres os"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.116 : comprend les complications mécaniques des fixateurs externes."
    ]
  },
  "T84.3": {
    "code": "T84.3",
    "description": "Complication mécanique d’autres prothèses, implants et greffes des os",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 905,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "États mentionnés en T82.0 dus à : • greffe d’os",
      "• stimulateur osseux électronique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T84.4": {
    "code": "T84.4",
    "description": "Complication mécanique d’autres prothèses, implants et greffes orthopédiques internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 905,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à une greffe de muscle et de tendon"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T84.5": {
    "code": "T84.5",
    "description": "Infection et réaction inflammatoire dues à une prothèse articulaire interne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 906,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "- prothèses totales de hanche [PTH]",
      "- prothèses de genou",
      "RAPPEL CONCERNANT LES CODES CIM–10 À UTILISER",
      "Codes CIM–10 utilisés pour les infections articulaires :",
      "FR à usage du PMSI :",
      "d’une arthrite ou d’une ostéomyélite ;",
      "général du patient (SRIS) ;",
      "Codage de l’infection :",
      "• L’infection articulaire :",
      "o Arthrite :",
      " Ainsi :",
      "- M00.0- : arthrite à staphylocoques ;",
      "- M00.1- : arthrite à pneumocoques ;",
      "- M00.2- : arthrite à streptocoques ;",
      "- M00.9- : arthrite à bactéries pyogènes, sans précision.",
      "- M00.05 Arthrite à staphylocoques de la hanche ;",
      "- M00.26 Arthrite à streptocoques du genou.",
      "o L’ostéite ou ostéomyélite :",
      "donc à rajouter systématiquement :",
      "- M86.05 : Ostéomyélite hématogène aiguë de la hanche ;",
      "- M86.26 : Ostéomyélite subaiguë du genou.",
      "• Les autres codes d’infection :",
      "o Les germes :",
      "l’infection ;",
      " Les codes en B96 identifient d’autres agents bactériens.",
      "o Les complications de l’infection :",
      "imprécis.",
      "diagnostic associé, pour traduire cette information.",
      "o Les résistances :",
      "seront utilisés.",
      "Codes de complication d’actes :",
      "PMSI.",
      "• Préciser l’origine de l’infection articulaire",
      "o Les codes en T :",
      "interne.",
      "o Les codes en Y :",
      "à l’aide du code Y83.1 ;",
      "p.1-4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "INFECTIONS DU SITE OPERATOIRE APRES PROTHESE TOTALE DE HANCHE (PTH) OU DE GENOU (PTG)",
      "Cet ajout est proposé par l’ATIH afin de permettre le repérage des ISO pour tirage au sort de séjours pour les IQSS :",
      "Le codage d’une infection au décours ou à la suite d’une pose de prothèse comporte de nombreux codes dans la CIM-10",
      "• Celui de l’infection de l’articulation, qui précise l’article concerné et peut comprendre le germe en cause : il peut s’agir",
      "• Le germe s’il n’est pas inclus dans le libellé de l’infection articulaire ;",
      "• Des éléments précisant la dissémination ou les conséquences de l’infection : bactériémie, sepsis et retentissement sur l’état",
      "• Les codes indiquant le lien avec la pose de prothèse : codes en T et codes en Y ;",
      "Ces différents codes seront utilisés afin de décrire au mieux la situation.",
      "Comme pour de nombreux codes concernant les pathologies de l’appareil locomoteur, la localisation est repérée par le biais",
      "d’une extension du code proposé. Le tiret en fin de code précise que le codage de la localisation est réalisé à l’aide du code",
      "d’extension. Ainsi les extensions suivantes concernent la hanche et le genou :",
      "- Code extension 5 : localisation à la région pelvienne et cuisse dont hanche ;",
      "- Code extension 6 : localisations à la jambe dont l’articulation du genou.",
      " L’arthrite bénéficie de plusieurs codes dont certains (3) comprennent le germe retrouvé.",
      " Lorsque le germe est décrit dans le libellé de l’arthrite, son code ne devra pas être rajouté.",
      " Dans le code M00.8-, l’arthrite est authentifiée comme liée à d’autres bactéries précisées (que celles identifiées) : dans",
      "ce cas, le code en B96 du germe devra être rajouté au codage de l’arthrite (cf. note sous le libellé).",
      "- M00.8- : arthrite dues à d’autres bactéries précisées + code B95-B96 du germe correspondant ;",
      "Ainsi, en ajoutant le code extension précisant la topographie on obtient :",
      " Dans le cas des arthrites dont le germe est précisé dans le libellé, le code supplémentaire en B95-B96 ne doit pas être",
      "rajouté. De la même façon, lors du codage avec M00.9- aucun code en B95-B96 ne peut être mentionné.",
      " Les codes de l’ostéomyélite ne comportent pas de référence concernant les germes. Les codes en B95 et B96 seront",
      "- M86.0- : Ostéomyélite hématogène aiguë + code B95-B96 du germe correspondant ;",
      "- M86.1- : autres ostéomyélites aiguës + code B95-B96 du germe correspondant ;",
      "- M86.2- : Ostéomyélite subaiguë + code B95-B96 du germe correspondant.",
      "Ainsi, en ajoutant le code extension précisant la topographie, on obtient :",
      " Les codes en B95 identifient les streptocoques et staphylocoques dès lors qu’ils ne sont pas décrits dans le libellé de",
      "Si cette infection articulaire est à l’origine d’un sepsis ou d’un choc, de nouvelles règles de codage ont été précisées dans le",
      "fascicule spécifique portant sur les maladies infectieuses, fascicule publié en décembre 2014 : mis à jour en juin 2021 :",
      "- Les codes de SRIS (R65-) ou de choc septique (R57.2) devront être codés en sus, le cas échéant.",
      "- Dans le cas d’un sepsis : bactériémie associée à un SRIS d’origine infectieuse, les codes A40-A41 devront être codés",
      "en complément. Le code A49.9 infection bactérienne sans précision ne doit pas être employé du fait de son caractère",
      "- En cas de bactériémie confirmée par hémocultures, un code de la catégorie A49.– doit être enregistré comme",
      "- Il est précisé que le SRIS d’origine infectieuse sans défaillance d’organe est compris dans le sepsis, ainsi R565.0 ne doit",
      "pas être codé simultanément au code de sepsis A40-A41. A contrario, la survenue d’un SRIS avec défaillance d’organe",
      "surajoutée à un sepsis autorise à coder simultanément le code en A40 ou A41 et le SRIS avec défaillance R65.1 ou le",
      "choc R57.2. Dans ces cas, chaque défaillance fait l’objet d’un codage spécifique en sus.",
      " Enfin, il est possible d’avoir affaire à un germe résistant aux antibiotiques : dans ce cas les codes en U : U82 à U84,",
      "Les codes de complication d’acte témoignant de complication à la suite d’actes médicaux sont d’une part les codes des",
      "catégories T80-T88 du chapitre XIX, et d’autre part les codes des catégories Y60 à Y84 du chapitre XX de la CIM à usage du",
      "Les codes en T sont les codes qui témoignent d’une complication à la suite d’actes médicaux. Ils marquent le lien entre",
      "l’intervention de pose de prothèse et l’infection survenue dans les suites de cette pose. Dans le cas de complication infectieuse",
      "liée à une prothèse orthopédique, le code utilisé sera T84.5 infection et réaction inflammatoire dues à une prothèse articulaire",
      "Les codes en Y précisent l’acte à l’origine de la complication ou les circonstances de la complication. Ainsi :",
      "- Le lien avec l’acte chirurgical de pose de prothèse réalisé sans mention d’accident au cours de l’intervention sera codé",
      "- Durant le délai considéré comme valide, c’est-à-dire de 48 heures après l’acte chirurgical à 1 an pour les poses de",
      "prothèses, l’origine nosocomiale sera identifiée par le code Y95.",
      "In ATIH - Infections du site opératoire après prothèse totale de hanche ou de genou, Consignes de codage pour le PMSI, 2018,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T84.6": {
    "code": "T84.6",
    "description": "Infection et réaction inflammatoire dues à un appareil de fixation interne [toute localisation]",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 907,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes orthopédiques"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.116 : comprend les complications infectieuses et inflammatoires des fixateurs externes."
    ]
  },
  "T84.8": {
    "code": "T84.8",
    "description": "Autres complications de prothèses, implants et greffes orthopédiques internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 907,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "(PTH) OU DE GENOU (PTG)",
      "RAPPEL CONCERNANT LES CODES CIM–10 À UTILISER",
      "nombreux codes dans la CIM à usage du PMSI :",
      "• Celui de la complication : thrombose, embolie pulmonaire ;",
      "Codes CIM–10 des événements thromboemboliques :",
      "• Codes de la thrombose veineuse profonde :",
      "o I80.1 Phlébite et thrombophlébite de la veine fémorale ;",
      "la démarche :",
      "o que ce soient les autres codes de la catégorie I80 :",
      "- I80.8 Phlébite et thrombophlébite d’autres localisations ;",
      "• Codes de l’embolie pulmonaire :",
      "Codes des complications d’actes :"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.8 dus à des prothèses, implants et greffes orthopédiques internes",
      "CODAGE DES COMPLICATIONS THROMBO-EMBOLIQUES AU DÉCOURS DE POSE DE PROTHÈSE TOTALE DE HANCHE",
      "Cet ajout est proposé par l’ATIH afin de permettre le repérage des ISO pour tirage au sort de séjours pour les IQSS :",
      "Le codage d’une complication thrombo-embolique au décours ou à la suite d’une pose de prothèse comporte de",
      "• Les codes indiquant le lien avec la pose de prothèse : codes en T et codes en Y ;",
      "Ces différents codes seront utilisés afin de décrire au mieux la situation.",
      "Les codes précis pour la thrombose veineuse sont les codes I80.1 et I80.2 :",
      "o I80.2 Phlébite et thrombophlébite d’autres vaisseaux profonds des membres inférieurs.",
      "Les autres codes de phlébite et thrombophlébites sont peu précis ou ne concernent pas les complications concernées par",
      "- I80.0 Phlébite et thrombophlébite de veines superficielles des membres inférieurs ;",
      "- I80.3 Phlébite et thrombophlébite des membres inférieurs, sans précision ;",
      "- I80.9 Phlébite et thrombophlébite de localisation non précisée ;",
      "o ou de la catégorie I82 Autres embolies et thromboses veineuses.",
      "En fonction de l’existence, ou non, d’un retentissement cardiaque, l’embolie est codée :",
      "o I26.0 Embolie pulmonaire avec mention de cœur pulmonaire aigu ;",
      "o I26.9 Embolie pulmonaire sans mention de cœur pulmonaire aigu.",
      "Les codes témoignant de complications à la suite d’actes médicaux sont d’une part les codes des catégories T80-T88 du",
      "chapitre XIX (ainsi que certains codes spécifiques classés dans d’autres chapitres mais qui ne sont pas pertinents pour cette",
      "étude), et d’autre part les codes des catégories Y60 à Y84 du chapitre XX.",
      "• Les codes T80-T88 précisent le type de complication et le lien existant entre un acte et la complication.",
      "o Dans le cas d’une complication thromboembolique survenant après une pose de prothèse, le code à retenir est T84.8",
      "Autres complications de prothèses, implants et greffes orthopédiques internes, qui précise, dans sa note, qu’il est applicable",
      "à des situations d’embolies ou thromboses dues à des prothèses, implants et greffes orthopédiques internes. Le code"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.116 : comprend les autres complications des fixateurs externes."
    ]
  },
  "T81.7": {
    "code": "T81.7",
    "description": "Complications vasculaires consécutives à un acte à visée diagnostique et thérapeutique, non classées ailleurs n’est",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "implantation d’une prothèse interne.",
      "Codes des antécédents - du terrain :",
      "(dite active).",
      "Présence d’implants d’articulations orthopédiques.",
      "octobre 2016 mise à jour octobre 2018, p.1-4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "pas le code T80-T88 approprié, en raison de la note d’exclusion qui lui est rattachée.",
      "• Les codes en Y précisent l’acte à l’origine de la complication : le code à retenir ici est Y83.1 Intervention chirurgicale avec",
      "Le codage des antécédents ou du « terrain » n’est pas le codage de la complication.",
      "• Certains codes du chapitre XXI peuvent préciser un « terrain » particulier mais ne codent pas une complication récente",
      "o Ils peuvent néanmoins témoigner d’antécédents : Z86.7 Antécédents personnels de maladies de l’appareil circulatoire",
      "o Ils peuvent également être le reflet du traitement au long cours :",
      "- Z92.1 Antécédents personnels d’utilisation (actuelle) à long terme d’anticoagulants ;",
      "- ou Z92.2 Antécédents personnels d’utilisation (actuelle) à long terme d’autres médicaments : aspirine par exemple.",
      "• Enfin, certains codes du chapitre XXI peuvent marquer la présence d’une prothèse posée lors d’un séjour antérieur : Z96.6",
      "In ATIH - Evénements thrombo-emboliques après prothèse totale de hanche ou de genou, Consignes de codage pour le PMSI,",
      "Complication d’une prothèse, d’un implant et d’une greffe orthopédiques internes, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85": {
    "code": "T85",
    "description": "Complications d’autres prothèses, implants et greffes internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "échec et rejet d’organes et de tissus greffés (T86.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.0": {
    "code": "T85.0",
    "description": "Complication mécanique d’un shunt ventriculaire intra-crânien (communication)",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à un shunt ventriculaire intra-crânien (communication)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.1": {
    "code": "T85.1",
    "description": "Complication mécanique de l’implantation d’un stimulateur électronique du système nerveux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "électronique (électrode) [TENS] [PENS] de :",
      "• moelle épinière",
      "• nerf périphérique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à un neuro-stimulateur • cerveau"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.2": {
    "code": "T85.2",
    "description": "Complication mécanique d’une lentille intra-oculaire",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en T82.0 dus à une lentille intra-oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.3": {
    "code": "T85.3",
    "description": "Complication mécanique d’autres prothèses, implants et greffes oculaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en T82.0 dus à : • greffe de cornée",
      "• prothèse oculaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.4": {
    "code": "T85.4",
    "description": "Complication mécanique d’une prothèse et d’un implant mammaires",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 908,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à une prothèse et un implant mammaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.5": {
    "code": "T85.5",
    "description": "Complication mécanique de prothèses, implants et greffes gastro-intestinaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 909,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Complication mécanique due à un dispositif implantable périgastrique de gastroplastie pour"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.58": {
    "code": "T85.58",
    "description": "Complication mécanique due à d’autres prothèses, implants et greffes gastro-intestinaux",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 909,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• prothèse des voies biliaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.0 dus à : • appareil anti-reflux œsophagien"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.6": {
    "code": "T85.6",
    "description": "Complication mécanique d’autres prothèses, implants et greffes internes précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 909,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "• perfusion péridurale et sous-durale",
      "• matériel chirurgical non résorbable SAI",
      "• sutures permanentes"
    ],
    "comprend": [],
    "exclusions": [
      "complication mécanique de suture permanente (fils métalliques) dans la réparation",
      "osseuse (T84.1-T84.2)"
    ],
    "clinical_text": [
      "États mentionnés en T82.0 dus à : • cathéter de : • dialyse intra-péritonéale",
      "Hémorragie buccale dont la cause est un déplacement d’un implant dentaire : s’agissant d’une complication"
    ],
    "agora_refs": [
      "89649"
    ],
    "cocoa_notes": [
      "mécanique de l’implant le code à retenir est T85.6 (AGORA - # 89649 le 22 novembre 2013)"
    ]
  },
  "T85.7": {
    "code": "T85.7",
    "description": "Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes internes",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.8": {
    "code": "T85.8",
    "description": "Autres complications de prothèses, implants et greffes internes, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "États mentionnés en T82.8 dus à des prothèses, implants et greffes internes NCA"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T85.9": {
    "code": "T85.9",
    "description": "Complication d’une prothèse, d’un implant et d’une greffe internes, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Complication d’une prothèse, d’un implant et d’une greffe internes SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86": {
    "code": "T86",
    "description": "Échec et rejet d’organes et de tissus greffés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.0": {
    "code": "T86.0",
    "description": "Rejet d’une greffe de moelle osseuse",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Réaction ou maladie du greffon contre l’hôte"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.00": {
    "code": "T86.00",
    "description": "Rejet d’une greffe de moelle osseuse par l’hôte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.01": {
    "code": "T86.01",
    "description": "Réaction aiguë d’un greffon de moelle osseuse contre l’hôte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.02": {
    "code": "T86.02",
    "description": "Réaction chronique d’un greffon de moelle osseuse contre l’hôte",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.09": {
    "code": "T86.09",
    "description": "Rejet d’une greffe de moelle osseuse, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.1": {
    "code": "T86.1",
    "description": "Échec et rejet d’une greffe de rein",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.2": {
    "code": "T86.2",
    "description": "Échec et rejet d’une greffe de cœur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complication de : • cœur artificiel (T82.5)",
      "• greffe cœur-poumon (T86.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.3": {
    "code": "T86.3",
    "description": "Échec et rejet d’une greffe cœur-poumon",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.4": {
    "code": "T86.4",
    "description": "Échec et rejet d’une greffe de foie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.8": {
    "code": "T86.8",
    "description": "Échec et rejet d’autres organes et tissus greffés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.80": {
    "code": "T86.80",
    "description": "Échec ou rejet de greffe d’intestin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.81": {
    "code": "T86.81",
    "description": "Échec ou rejet de greffe de pancréas",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.82": {
    "code": "T86.82",
    "description": "Échec ou rejet de greffe de poumon",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.83": {
    "code": "T86.83",
    "description": "Échec ou rejet de greffe de cornée",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.84": {
    "code": "T86.84",
    "description": "Échec ou rejet de greffe d’os",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.85": {
    "code": "T86.85",
    "description": "Échec ou rejet de greffe de peau",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.88": {
    "code": "T86.88",
    "description": "Autres échecs et rejets de greffe",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T86.9": {
    "code": "T86.9",
    "description": "Échec et rejet d’un organe et d’un tissu greffés non précisés",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87": {
    "code": "T87",
    "description": "Complications propres à une réimplantation et une amputation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.0": {
    "code": "T87.0",
    "description": "Complications d’une réimplantation de (ou d’une partie de) membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.1": {
    "code": "T87.1",
    "description": "Complications d’une réimplantation de (ou d’une partie de) membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.2": {
    "code": "T87.2",
    "description": "Complications d’une réimplantation d’une autre partie du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.3": {
    "code": "T87.3",
    "description": "Névrome sur moignon d’amputation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.4": {
    "code": "T87.4",
    "description": "Infection d’un moignon d’amputation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.5": {
    "code": "T87.5",
    "description": "Nécrose d’un moignon d’amputation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 910,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T87.6": {
    "code": "T87.6",
    "description": "Complications autres et non précisées au niveau d’un moignon d’amputation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": 4,
    "synonyms": [
      "Hématome au niveau d’un moignon d’amputation",
      "Œdème au niveau d’un moignon d’amputation",
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "syndrome du membre fantôme (G54.6-G54.7)",
      "complications après : • acte à visée diagnostique et thérapeutique NCA (T81.-)",
      "• injection thérapeutique, perfusion et transfusion (T80.-)",
      "complications • complications • anesthésie au cours • grossesse (O29.-)",
      "précisées classées dues à : de : • puerpéralité (O89.-)",
      "ailleurs, telles que : • travail et accouchement (O74.-)",
      "• procédure et intervention chirurgicale obstétricales (O75.4)",
      "• prothèses, implants et greffes (T82-T85)",
      "• dermites dues à des médicaments (L23.3, L24.4, L25.1, L27.0-L27.1)",
      "• intoxications et effets toxiques dus à des médicaments et des produits",
      "chimiques (T36-T65)",
      "perforation ou déchirure accidentelle au cour d’un acte à visée diagnostique et thérapeutique ()"
    ],
    "clinical_text": [
      "Contracture (flexion) (de l’articulation la plus proche) au niveau d’un moignon d’amputation",
      "Autres complications de soins chirurgicaux et médicaux, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.0": {
    "code": "T88.0",
    "description": "Infection consécutive à vaccination",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sepsis consécutif à vaccination"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.1": {
    "code": "T88.1",
    "description": "Autres complications consécutives à vaccination, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éruption consécutive à vaccination"
    ],
    "comprend": [],
    "exclusions": [
      "arthropathie post-vaccinale (M02.2)",
      "autres réactions sériques (T80.6)",
      "choc anaphylactique dû au sérum (T80.5)",
      "encéphalite post-vaccinale (G04.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.2": {
    "code": "T88.2",
    "description": "Choc anesthésique",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "choc post-opératoire SAI (T81.1)",
      "complications d’une anesthésie • grossesse (O29.-)",
      "(au cours de) : • puerpéralité (O89.-)",
      "• travail et accouchement (O74.-)",
      "• par surdosage ou administration d’une substance",
      "erronée (T36-T50)"
    ],
    "clinical_text": [
      "Choc anesthésique dû à une substance appropriée et correctement administrée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.3": {
    "code": "T88.3",
    "description": "Hyperthermie maligne due à une anesthésie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.4": {
    "code": "T88.4",
    "description": "Échec ou difficulté d’intubation",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.5": {
    "code": "T88.5",
    "description": "Autres complications consécutives à une anesthésie",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 911,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hypothermie consécutive à une anesthésie (coder également R68.0)",
      "Choc anaphylactique dû à des effets indésirables d’une substance médicamenteuse appropriée"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.7": {
    "code": "T88.7",
    "description": "code une réaction allergique à un médicament mais on ignore encore quelle a été la manifestation, ainsi que le",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "médicament en cause."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.8": {
    "code": "T88.8",
    "description": "Autres complications précisées de soins médicaux et chirurgicaux, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 912,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T88.9": {
    "code": "T88.9",
    "description": "Complication de soins chirurgicaux et médicaux, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 912,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de causes externes (T90-T98)",
      "SÉQUELLES DE MALADIES ET DE LÉSIONS TRAUMATIQUES",
      "(volume 2 page 28 ou 33).",
      "[...] ».",
      "Exemples :",
      "de tuberculose : N97.1, B90.1 ;",
      "séquelle de poliomyélite : G83.1, B91 ;",
      "et odontologie – BO du 17 juillet 2025, pp. 117-118"
    ],
    "comprend": [],
    "exclusions": [
      "effet indésirable SAI (T78.9)"
    ],
    "clinical_text": [
      "Séquelles de lésions traumatiques, d’empoisonnements et d’autres conséquences",
      "Note Les catégories T90-T98 doivent être utilisées pour indiquer des états classés en S00-S99 et T00-T88, comme la",
      "cause d’effets tardifs, qui sont eux-mêmes classés ailleurs. Les \"séquelles\" comprennent celles qui sont précisées",
      "comme telles, ou comme effets tardifs, et celles présentes au moins une année après la lésion traumatique aiguë.",
      "Ces catégories ne doivent pas être utilisées pour signaler les intoxications et les expositions nocives chroniques.",
      "Les coder comme des intoxications et des expositions nocives en cours.",
      "La CIM–10 définit les séquelles comme des « états pathologiques stables, conséquences d’affections qui ne sont plus en phase active »",
      "Elle précise (ibid. page 101 ou 132) : « Si un épisode de soins se rapporte au traitement ou aux examens entrepris pour une affection",
      "résiduelle (séquelle) d’une maladie qui n’existe plus, on décrira la nature de la séquelle de manière exhaustive et on en donnera l’origine",
      "Page 106 ou 138 : « La CIM–10 fournit un certain nombre de catégories intitulées « Séquelles de... » (B90-B94, E64.–, E68, G09, I69.–,",
      "fait de la mise à jour de 2003 (se reporter au site Internet de l’ATIH). Celles-ci peuvent être utilisées pour coder les conséquences des",
      "affections qui ne sont pas elles-mêmes présentes lors de l’épisode de soins, comme causes du problème justifiant les soins ou les",
      "examens. Le code retenu pour « affection principale » doit être celui qui désigne la nature des séquelles elles-mêmes, auquel on peut",
      "ajouter le code « Séquelles de… ». Un délai « d’un an ou plus après le début de la maladie » est cité dans les notes propres à certaines",
      "catégories (G09, I69, T90-T98, Y85-Y89, O94). Il n’y a pas lieu d’en tenir compte.",
      "Il concerne les règles de codage de la mortalité et son sens est indiqué aux pages 75 ou 101 du volume 2. Les situations concernées",
      "sont celles dans lesquelles il n’est pas identifié d’autre cause au décès.",
      "La notion de séquelle doit être retenue et codée chaque fois qu’elle est explicitement mentionnée. Il ne s’impose pas au responsable",
      "de l’information médicale ou au codeur de trancher entre le codage d’une maladie présente ou d’un état séquellaire. Ce diagnostic",
      "est de la compétence du médecin qui a dispensé les soins au patient.",
      "Pour le codage d’une séquelle, conformément à la consigne de la CIM–10, on donne la priorité au code qui correspond à sa nature.",
      "Le code de séquelle est mentionné comme un diagnostic associé conventionnel (se reporter au point 1 du chapitre précédent).",
      "– salpingite tuberculeuse dix ans auparavant, responsable d’une stérilité : on code d’abord la stérilité et on lui associe la séquelle",
      "– monoplégie d’un membre inférieur séquellaire d’une poliomyélite : on code d’abord la monoplégie et on lui associe la",
      "– épilepsie séquellaire d’un infarctus cérébral : on code d’abord l’épilepsie et on lui associe la séquelle d’infarctus cérébral :",
      "Les catégories Y85–Y89 (chapitre XX de la CIM–10) permettent de coder des circonstances d’origine des séquelles. Il est recommandé",
      "de les utiliser, en position de diagnostic associé, chaque fois qu’on dispose de l’information nécessaire.",
      "Exemple : épilepsie séquellaire d’un traumatisme intra-crânien dû à un accident de voiture ; le codage associe G40.–, T90.5 et Y85.0.",
      "À partir du 1er mars 2013, un code de séquelle peut aussi être enregistré comme diagnostic relié lorsqu’il en respecte la définition.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90": {
    "code": "T90",
    "description": "Séquelles de lésions traumatiques de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 913,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.0": {
    "code": "T90.0",
    "description": "Séquelles de lésion traumatique superficielle de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 913,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S00.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.1": {
    "code": "T90.1",
    "description": "Séquelles de plaie ouverte de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 913,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S01.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.2": {
    "code": "T90.2",
    "description": "Séquelles d’une fracture du crâne ou des os de la face",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 913,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S02.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.3": {
    "code": "T90.3",
    "description": "Séquelles de lésion traumatique de nerfs crâniens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 913,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S04.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.4": {
    "code": "T90.4",
    "description": "Séquelles de lésion traumatique de l’œil et de l’orbite",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 913,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S05.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.5": {
    "code": "T90.5",
    "description": "Séquelles de lésion traumatique intra-crânienne",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S06.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.8": {
    "code": "T90.8",
    "description": "Séquelles d’autres lésions traumatiques précisées de la tête",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S03.-, S07-S08 et S09.0-S09.8"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T90.9": {
    "code": "T90.9",
    "description": "Séquelles de lésion traumatique de la tête, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S09.9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91": {
    "code": "T91",
    "description": "Séquelles de lésions traumatiques du cou et du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.0": {
    "code": "T91.0",
    "description": "Séquelles de lésion traumatique superficielle et de plaie ouverte du cou et du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S10-S11, S20-S21, S30-S31 et T09.0-T09.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.1": {
    "code": "T91.1",
    "description": "Séquelles d’une fracture du rachis",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S12.-, S22.0-S22.1, S32.0, S32.7 et T08"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.2": {
    "code": "T91.2",
    "description": "Séquelles d’autres fractures du thorax et du bassin",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S22.2 à S22.9, S32.1 à S32.5 et S32.8"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.3": {
    "code": "T91.3",
    "description": "Séquelles de lésion traumatique de la moelle épinière",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S14.0 à S14.1, S24.0 à S24.1, S34.0, S34.1 et T09.3"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.4": {
    "code": "T91.4",
    "description": "Séquelles de lésion traumatique d’organes intra-thoraciques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S26 à S27"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.5": {
    "code": "T91.5",
    "description": "Séquelles de lésion traumatique d’organes intra-abdominaux et pelviens",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S36 à S37"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.8": {
    "code": "T91.8",
    "description": "Séquelles d’autres lésions traumatiques précisées du cou et du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S13.-, S14.2 à S14.6, S15 à S18, S19.7 et S19.8, S23.-, S24.2 à S24.6,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T91.9": {
    "code": "T91.9",
    "description": "Séquelles de lésion traumatique du cou et du tronc, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S19.9, S29.9, S39.9 et T09.9"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92": {
    "code": "T92",
    "description": "Séquelles de lésions traumatiques du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.0": {
    "code": "T92.0",
    "description": "Séquelles de plaie ouverte du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S41.-, S51.-, S61.- et T11.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.1": {
    "code": "T92.1",
    "description": "Séquelles d’une fracture du bras et de l’avant-bras",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S42.-, S52.- et T10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.2": {
    "code": "T92.2",
    "description": "Séquelles d’une fracture au niveau du poignet et de la main",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S62.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.3": {
    "code": "T92.3",
    "description": "Séquelles d’une luxation, entorse et foulure du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S43.-, S53.-, S63.- et T11.2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.4": {
    "code": "T92.4",
    "description": "Séquelles d’une lésion traumatique de nerfs du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S44.-, S54.-, S64.- et T11.3"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.5": {
    "code": "T92.5",
    "description": "Séquelles d’une lésion traumatique de muscles et de tendons du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 914,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S46.-, S56.-, S66.- et T11.5"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.6": {
    "code": "T92.6",
    "description": "Séquelles d’écrasement et d’amputation traumatiques du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S47 à S48, S57 à S58, S67 à S68 et T11.6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.8": {
    "code": "T92.8",
    "description": "Séquelles d’autres lésions traumatiques précisées du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S40.-, S45.-, S49.7 à S49.8, S50.-, S55.-, S59.7 à S59.8, S60.-,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T92.9": {
    "code": "T92.9",
    "description": "Séquelles de lésion traumatique du membre supérieur, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S49.9, S59.9, S69.9 et T11.9"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93": {
    "code": "T93",
    "description": "Séquelles de lésions traumatiques du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.0": {
    "code": "T93.0",
    "description": "Séquelles de plaie ouverte du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S71.-, S81.-, S91.- et T13.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.1": {
    "code": "T93.1",
    "description": "Séquelles d’une fracture du fémur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S72.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.2": {
    "code": "T93.2",
    "description": "Séquelles d’autres fractures du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en S82.-, S92.- et T12"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.3": {
    "code": "T93.3",
    "description": "Séquelles de luxation, entorse et foulure du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S73.-, S83.-, S93.- et T13.2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.4": {
    "code": "T93.4",
    "description": "Séquelles de lésion traumatique de nerfs du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S74.-, S84.-, S94.- et T13.3"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.5": {
    "code": "T93.5",
    "description": "Séquelles de lésion traumatique de muscles et de tendons du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S76.-, S86.-, S96.- et T13.5"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.6": {
    "code": "T93.6",
    "description": "Séquelles d’écrasement et d’amputation traumatiques du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S77-S78, S87-S88, S97-S98 et T13.6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.8": {
    "code": "T93.8",
    "description": "Séquelles d’autres lésions traumatiques précisées du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S70.-, S75.-, S79.7-S79.8, S80.-, S85.-, S89.7-S89.8, S90.-, S95.-,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T93.9": {
    "code": "T93.9",
    "description": "Séquelles de lésion traumatique du membre inférieur, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "précisées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en S79.9, S89.9, S99.9 et T13.9",
      "Séquelles de lésions traumatiques de parties du corps multiples et non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T94.0": {
    "code": "T94.0",
    "description": "Séquelles de lésions traumatiques de parties multiples du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en T00-T07"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T94.1": {
    "code": "T94.1",
    "description": "Séquelles de lésions traumatiques, non précisées selon la partie du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en T14.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95": {
    "code": "T95",
    "description": "Séquelles de brûlures, corrosions et gelures",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.0": {
    "code": "T95.0",
    "description": "Séquelles de brûlure, corrosion et gelure de la tête et du cou",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en T20.-, T33.0-T33.1, T34.0-T34.1 et T35.2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.1": {
    "code": "T95.1",
    "description": "Séquelles de brûlure, corrosion et gelure du tronc",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 915,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en T21.-, T33.2-T33.3, T34.2, T34.3 et T35.3"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.2": {
    "code": "T95.2",
    "description": "Séquelles de brûlure, corrosion et gelure du membre supérieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en T22-T23, T33.4-T33.5, T34.4-T34.5 et T35.4"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.3": {
    "code": "T95.3",
    "description": "Séquelles de brûlure, corrosion et gelure du membre inférieur",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en T24-T25, T33.6-T33.8, T34.6-T34.8 et T35.5"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.4": {
    "code": "T95.4",
    "description": "Séquelles de brûlure et corrosion classées selon leur étendue sur la surface du corps",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de lésions classées en T31-T32"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.8": {
    "code": "T95.8",
    "description": "Séquelles d’autres brûlures, corrosions et gelures précisées",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en T26-T29, T35.0-T35.1 et T35.6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T95.9": {
    "code": "T95.9",
    "description": "Séquelles de brûlure, corrosion et gelure, sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles de lésions classées en T30.-, T33.9, T34.9 et T35.7"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T96": {
    "code": "T96",
    "description": "Séquelles d’intoxications par médicaments et substances biologiques",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Séquelles d’intoxications classées en T36-T50",
      "non médicinale",
      "Séquelles d’effets toxiques classés en T51-T65"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles d’effets toxiques de substances d’origine essentiellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T98": {
    "code": "T98",
    "description": "Séquelles de causes externes, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T98.0": {
    "code": "T98.0",
    "description": "Séquelles d’effets dus à un corps étranger ayant pénétré dans un orifice naturel",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles d’effets classés en T15-T19"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T98.1": {
    "code": "T98.1",
    "description": "Séquelles d’effets de causes externes, autres et sans précision",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles d’effets classés en T66-T78"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T98.2": {
    "code": "T98.2",
    "description": "Séquelles de certaines complications précoces d’un traumatisme",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de complications classées en T79.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "T98.3": {
    "code": "T98.3",
    "description": "Séquelles de complications de soins chirurgicaux et médicaux, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes",
    "page": 916,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séquelles de complications classées en T80-T88",
      "Ce chapitre comprend les groupes suivants :",
      "Code du lieu de l’événement",
      "l’événement dû à une cause externe :",
      ".0 Domicile",
      "Appartement",
      "Garage du domicile privé",
      "Jardin attenant au domicile privé",
      "Jardinet attenant au domicile privé",
      "Piscine dans un jardin ou un domicile privé",
      "Voie carrossable d’accès au domicile privé",
      "Ferme",
      "Immeuble (résidentiel)",
      "Locaux d’habitation",
      "Pension de famille",
      "Résidence autre qu’un établissement collectif",
      "Village de caravanes",
      ".1 Établissement collectif",
      "Camp militaire",
      "Établissement de rééducation",
      "Foyer d’invalides",
      "Hospice",
      "Immeuble-dortoir",
      "Maison d’enfants",
      "Maison de retraite",
      "Maison de santé",
      "Maison de soins",
      "Orphelinat",
      "Prison",
      "par le public en général, ou une catégorie • bureau de poste",
      "particulière de public, tels que : • campus",
      "• cinéma",
      "• collège",
      "• crèche",
      "• école (privée) (publique) (d’état)",
      "• église",
      "• hôpital",
      "• institut d’enseignement supérieur",
      "• jardin d’enfants",
      "• maison de club",
      "• maison de jeunes",
      "• musée",
      "• opéra",
      "• palais de justice",
      "• salle de concert",
      "• salle de danse",
      "• salle d’exposition",
      "• salle publique",
      "• salle de réunion",
      "• théâtre",
      "• université",
      ".3 Lieu de sport et d’athlétisme",
      "Court de tennis",
      "École d’équitation",
      "Gymnase",
      "Patinoire",
      "Piscine publique",
      "Stade",
      "Terrain de base-ball",
      "Terrain de basket-ball",
      "Terrain de cricket",
      "Terrain de football",
      "Terrain de golf",
      "Terrain de hockey",
      "Terrain de squash",
      ".4 Rue ou route",
      "Autoroute",
      "Chaussée",
      "Route",
      "Trottoir",
      ".5 Zone de commerce et de services",
      "Aéroport",
      "Banque",
      "Boutique",
      "Café",
      "Casino",
      "Centre commercial",
      "Entrepôt",
      "Garage (entreprise commerciale)",
      "Gare routière, ferroviaire",
      "Hôtel",
      "Immeuble de bureaux",
      "Magasin",
      "Marché",
      "Restaurant",
      "Station de radio ou de télévision",
      "Station-service",
      "Supermarché",
      ".6 Local industriel et chantier de construction",
      "Atelier",
      "Bâtiment [tout type] en construction",
      "Cale sèche",
      "Carrière (charbon) (gravier) (sable)",
      "Centrale électrique (à charbon) (nucléaire) (pétrole)",
      "Chantier naval",
      "Ensemble industriel : • bâtiment",
      "• installations",
      "Mine",
      "Plate-forme pétrolière et autres installations",
      "Tunnel en construction",
      "Usine à gaz",
      ".7 Exploitation agricole",
      "Bâtiments de ferme",
      "Ranch",
      "Terres cultivées",
      ".8 Autres lieux précisés",
      "Bord de mer",
      "Camp d’entraînement militaire",
      "Camping",
      "Canal",
      "Colline",
      "Cours d’eau",
      "Désert",
      "Dock SAI",
      "Étang ou mare",
      "Fleuve",
      "Forêt",
      "Immeuble abandonné",
      "Lac",
      "Lieu public SAI",
      "Marais",
      "Marécage",
      "Mer",
      "Montagne",
      "Parc d’attractions public",
      "Parc de stationnement",
      "Parking",
      "Plage",
      "Port",
      "Prairie",
      "Retenue d’eau",
      "Rivière",
      "Terrain pour caravanes SAI",
      "Voie ferrée",
      "Zoo",
      ".9 Lieu, sans précision",
      "Code d’activité",
      "0 En pratiquant un sport",
      "que : • golf",
      "• gymnastique scolaire",
      "• jogging",
      "• natation",
      "• ski",
      "• ski nautique",
      "• trekking",
      "1 En participant à un jeu et à des activités de loisirs",
      "Passe-temps favoris",
      "2 En exerçant un travail à des fins lucratives",
      "Travail pour salaire, prime et autres types de revenus",
      "Travail rémunéré (manuel) (intellectuel)",
      "3 En exerçant d’autres formes de travail",
      "Études",
      "Tâches domestiques : • cuisine",
      "• entretien d’une maison",
      "• jardinage",
      "• ménage",
      "• nettoyage",
      "• soins à des enfants ou des parents",
      "Tâches pour lesquelles on ne reçoit normalement pas d’argent",
      "Hygiène personnelle",
      "8 En participant à d’autres activités précisées",
      "9 En participant à une activité non précisée",
      "important à identifier à des fins de prévention.",
      "Définitions relatives aux accidents de transport",
      "généralement utilisée pour la circulation des véhicules.",
      "classés comme accidents de la circulation.",
      "bicyclette ou sur un animal.",
      "marchandises.",
      "véhicule.",
      "personnes.",
      "fermes.",
      "véhicule en mouvement, tel mouvement",
      "que : • début d’incendie (de) (un) véhicule en mouvement",
      "• explosion d’une pièce (de) (un) véhicule en mouvement",
      "mouvement",
      "• projection d’un objet sur (de) (un) véhicule en mouvement",
      "• rupture d’une pièce (de) (un) véhicule en mouvement",
      "l’intérieur (de) (un) véhicule en mouvement",
      "(g) Les accidents de transport terrestre décrits comme :",
      "collision (sur la voie publique) • arbre",
      "véhicule avec : mouvement",
      "• barrière de séparation routière",
      "• butée (d’un pont) (d’un pont auto-",
      "routier)",
      "• éboulis sont",
      "sont inclus dans les catégories",
      "• mur de soutènement d’une tranchée",
      "routière",
      "• objet lancé devant un véhicule à",
      "moteur",
      "• parapet ou clôture",
      "• pierre tombée",
      "• poteau de signalisation",
      "• refuge",
      "• signal routier (provisoire)",
      ".0 Accident en dehors de la circulation",
      ".1 Accident de la circulation",
      ".9 Sans précision"
    ],
    "comprend": [
      "personne : • à pied",
      "• changeant la roue d’un véhicule",
      "• réparant le moteur d’un véhicule",
      "usager d’un moyen de déplacement pour • charrette à bras",
      "piéton tel que : • fauteuil roulant (électrique)",
      "• landau",
      "• patins à glace",
      "• patins à roulettes",
      "• planche à roulettes",
      "• poussette",
      "• skis",
      "• traîneau",
      "• trottinette",
      "• voiture d’enfant",
      "(f) On appelle conducteur l’occupant d’un véhicule qui le manœuvre ou qui a l’intention de le manœuvrer.",
      "(g) On appelle passager tout occupant d’un véhicule autre que le conducteur.",
      "personnes (voyageant sur) : • carrosserie",
      "• cramponnées à l’extérieur",
      "• marchepied",
      "• pare-chocs",
      "• toit (galerie)",
      "(i) On appelle cycle tout véhicule de transport terrestre mû uniquement par des pédales.",
      "bicyclette",
      "tandem",
      "tricycle",
      "bicyclette à moteur",
      "cyclomoteur",
      "motocyclette : • SAI",
      "• avec side-car",
      "• sans side-car",
      "motocyclette à vitesse limitée",
      "scooter",
      "vélomoteur",
      "automobile à trois roues",
      "pousse-pousse à moteur",
      "tricycle à moteur",
      "minibus",
      "(o) On appelle camionnette un véhicule à moteur à quatre ou six roues destiné essentiellement au transport de",
      "marchandises, d’un poids inférieur à la limite locale de classement de poids lourds et ne nécessitant pas un",
      "permis de conduire spécial.",
      "pick-up",
      "(p) On appelle véhicule de transport lourd un véhicule à moteur destiné essentiellement au transport de",
      "marchandises, dont le poids total (dépassant d’ordinaire 3500 kg) correspond aux critères locaux de classement",
      "des poids lourds et nécessitant un permis de conduire spécial.",
      "(q) On appelle autobus un véhicule à moteur conçu ou adapté essentiellement pour transporter plus de 10",
      "personnes et nécessitant un permis de conduire spécial.",
      "autocar",
      "(r) On appelle train sur voie ferrée ou véhicule ferroviaire tout véhicule (avec ou sans wagons) destiné à circuler sur",
      "une voie ferrée.",
      "train sur voie ferrée • aérien ou souterrain",
      "[électrique, moteur diesel • funiculaire",
      "ou à vapeur] : • monorail ou sur deux rails voiture ou wagon (électrique) interurbain circulant",
      "en majeure partie sur une voie qui lui est propre et interdite à tout autre trafic",
      "tout autre véhicule destiné à circuler sur une voie ferrée",
      "tramway électrique ou interurbain, lorsqu’il est précisé qu’il circule sur une rue ou une voie publique",
      "(t) On appelle véhicule spécial utilisé principalement dans des locaux industriels un véhicule à moteur destiné",
      "essentiellement à être utilisé dans les locaux d’une entreprise industrielle ou commerciale.",
      "benne, berline, wagonnet (à moteur) de carrière ou de mine",
      "chariot : • (à moteur) de gare (bagages)",
      "• automoteur d’usine",
      "• de levage",
      "fardier",
      "véhicule à accumulateurs pour le • passagers sur un aéroport",
      "transport de : • bagages et courrier",
      "machine agricole automotrice",
      "moissonneuse-batteuse",
      "tracteur (et remorque)",
      "(v) On appelle véhicule spécial de construction un véhicule à moteur destiné essentiellement à la construction (et à la",
      "démolition) de routes, bâtiments et autres structures.",
      "benne basculante",
      "bulldozer",
      "excavateur",
      "niveleuse",
      "pelleteuse",
      "rouleau compresseur",
      "(w) On appelle véhicule spécial tout terrain un véhicule à moteur spécialement conçu pour franchir un terrain",
      "accidenté, enneigé ou mou. Par exemple: véhicules à chenilles, sur coussin d’air, ou à roues et pneus spéciaux.",
      "aéroglisseur sur terre ou sur marécage",
      "véhicule chenillé pour terrain enneigé",
      "aéroglisseur SAI",
      "(y) On appelle aéronef tout moyen de transport, par air, de personnes ou de marchandises.",
      "Instructions pour le classement et le codage des accidents de transport",
      "(a) Lorsqu’il n’est pas précisé s’il s’agit d’un accident de la circulation ou non, on présume :",
      "(a) qu’il s’agit d’un accident de la circulation lorsqu’il relève des catégories V10-V82 et V87.",
      "(b) qu’il ne s’agit pas d’un accident de la circulation lorsqu’il relève des catégories V83-V86. Pour ces",
      "catégories, la victime est un piéton ou l’occupant d’un véhicule conçu essentiellement pour être utilisé hors",
      "d’une route.",
      "(b) Lorsque sont signalés des accidents intéressant plus d’un aéronef ou engin spatial (V95-V97)",
      "mode de transport, il faut suivre l’ordre de priorité bateau (V90-V94)",
      "suivant : autres moyens de transport (V01-V89, V98-V99)",
      "(c) Lorsque la description de blessée, écrasée, heurtée, renversée, traînée, tuée, par tout véhicule y compris",
      "l’accident de transport ne par animal monté, automobile, autobus, bicyclette, bulldozer, camion,",
      "précise pas si la victime était camionnette, fourgonnette, motocyclette, pick-up, tracteur, tram, tramway,",
      "l’occupant d’un véhicule mais tricycle à moteur, van, véhicule à traction animale, véhicule à usage récréatif",
      "où celle-ci est décrite comme :",
      "classer la victime comme piéton (catégories V01-V09).",
      "(d) Lorsque la description de accident, chute, aéronef, autobus, automobile, bateau, bicyclette, camion,",
      "l’accident de transport ne collision naufrage, camionnette, embarcation, engin spatial, fourgonnette,",
      "donne pas d’indication sur SAI de : motocyclette, pick-up, tracteur, tramway, tricycle à moteur,",
      "la victime, par exemple : véhicule à usage récréatif",
      "classer la victime comme occupant ou conducteur du véhicule mentionné.",
      "Si plusieurs véhicules sont mentionnés, ne pas présumer du moyen de locomotion de la victime sauf s’il s’agit de",
      "plusieurs véhicules identiques. Classer dans les catégories appropriées V87-V88, V90-V94, V95-V97 selon l’ordre",
      "de priorité indiqué dans la note 2 ci-dessus.",
      "(e) Lorsqu’un accident perte de • assoupissement du conducteur d’un véhicule (à moteur) (sans",
      "de transport tel que : maîtrise par moteur)",
      "suite de : • crevaison ou éclatement d’un pneu d’un véhicule (à moteur) (sans",
      "moteur)",
      "• défaillance mécanique d’un véhicule (à moteur) (sans moteur)",
      "• excès de vitesse d’un véhicule (à moteur) (sans moteur)",
      "• inattention du conducteur d’un véhicule (à moteur) (sans moteur)",
      "virage manqué d’un véhicule (à moteur) (sans moteur)",
      "a entraîné une collision, classer l’accident comme collision. Pour un accident autre qu’une collision, classer",
      "comme accident sans collision d’après le type de véhicule en cause."
    ],
    "exclusions": [
      "maison : • abandonnée ou en ruines (.8)",
      "• en construction, non encore occupée (.6)",
      "résidence dans un établissement collectif (.1)",
      "bâtiment en construction (.6)",
      "établissement collectif (.1)",
      "lieu de sport et d’athlétisme (.3)",
      "piscine ou court de tennis dans une maison ou un jardin privé (.0)",
      "garage dans une maison privée (.0)",
      "logement de l’exploitant et locaux d’habitation attenants (.0)",
      "activités sportives (0)",
      "accidents de transport dus à un cataclysme (X34-X38)",
      "agression en provoquant une collision de véhicule à moteur (Y03.-)",
      "événement d’intention non déterminée (Y32-Y33)",
      "lésion auto-infligée (X82-X83)",
      "personnes voyageant à l’extérieur d’un véhicule - voir définition (h)",
      "bicyclette à moteur - voir définition (k)",
      "tricycle à moteur - voir définition (m)",
      "motocyclette avec side-car - voir définition (k)",
      "véhicule spécial tout terrain - voir définition (w)",
      "tramways [électriques] interurbains circulant sur une voie faisant partie de la voie publique ou rue - voir",
      "définition(s)",
      "aéroglisseur sur un fleuve, un lac ou la mer - voir définition (x)",
      "collision d’un piéton (ou moyen de déplacement piétonnier) avec un autre piéton (ou moyen de déplacement",
      "piétonnier) (W51.-)",
      "• avec chute (W03.-)"
    ],
    "clinical_text": [
      "Le présent chapitre, qui, dans les révisions précédentes de la CIM, constituait une classification supplémentaire, permet la classification de",
      "toutes les causes externes responsables de lésions traumatiques, d’intoxications et d’autres effets indésirables. Ses catégories seront",
      "utilisées en association avec les catégories d’autres chapitres de la Classification indiquant la nature de la lésion. Le plus souvent, une",
      "catégorie du Chapitre XIX, Lésions traumatiques, empoisonnements et certaines autres conséquences de causes externes (S00-T98),",
      "indiquera la lésion. Pour la mise en tableaux des causes de décès, on utilisera de préférence un double classement, Chapitre XIX et",
      "Chapitre XX, mais, si cette mise en tableaux doit être effectuée selon un code unique, on utilisera de préférence le code du Chapitre XX.",
      "D’autres affections pouvant être imputées à des causes externes sont classées dans les Chapitres I à XVIII. Dans ce cas les catégories du",
      "Chapitre XX seront utilisées uniquement à titre d’information complémentaire pour l’analyse des affections multiples.",
      "Les catégories pour les séquelles de causes externes de morbidité et de mortalité sont classées en Y85 à Y89.",
      "ultérieures, sans mention d’accident au cours de l’intervention",
      "Aucun des codes de ce chapitre n’est autorisé en diagnostic principal pour le PMSI MCO.",
      "Pensez à rechercher des subdivisions en début de chapitre, groupe ou catégorie pour le codage des diagnostics associés.",
      "Les subdivisions suivantes à quatre caractères (ou en 5ème position pour la catégorie X34.- du fait d’extensions créées par",
      "l’OMS en 2015) peuvent être utilisées, au besoin, avec les catégories W00-Y34, sauf Y06.- et Y07.-, pour indiquer le lieu de",
      ".2 École, autre institution et lieu d’administration publique",
      "Bâtiment (y compris le terrain attenant) utilisé • bibliothèque",
      "La sous-classification suivante, donnée à titre facultatif, peut être utilisée au moyen d’un caractère supplémentaire avec les catégories",
      "avec les subdivisions normales à quatre caractères qui servent à indiquer le lieu où se sont produits les événements classés en W00-Y34.",
      "Elle figurera donc en 5ème position pour les catégories W00-Y34, sauf Y06.- et Y07.-, et sauf pour la catégorie X34.- où elle peut prendre",
      "place après la subdivision descriptive du lieu soit en 6ème position du fait d’extensions créées par l’OMS en 2015.",
      "Exercice physique avec un élément fonctionnel décrit tel • équitation",
      "Activités de loisirs récréatives telles que cinéma, réception, soirée dansante",
      "Participation à des séances et des activités d’organisations bénévoles",
      "Temps de transport correspondant à cette activité (aller et retour)",
      "Apprentissage scolaire, par exemple, assister à un cours ou à une leçon",
      "4 En se reposant, en dormant, en mangeant ou en participant à d’autres activités essentielles",
      "transport adopté par la victime et sont subdivisés de façon à identifier le rôle de la victime ou le type de l’accident. Le",
      "véhicule occupé par le blessé est identifié par les deux premiers caractères puisqu’il est considéré comme le facteur le plus",
      "(a) On appelle accident de transport (V01-V99) tout accident concernant un véhicule destiné essentiellement, ou",
      "servant à ce moment-là, au transport de personnes ou de marchandises d’un point à un autre.",
      "(b) On appelle voie publique [voie de circulation] ou rue la largeur totale comprise entre deux limites de propriété",
      "[ou toutes autres limites] d’un terrain ouvert au public, par droit ou par usage, pour la circulation des personnes",
      "ou des biens d’un point à un autre. On appelle chaussée la partie de cette voie publique prévue, entretenue et",
      "(c) On appelle accident de la circulation tout accident impliquant un véhicule qui survient sur la voie publique [s’il y a",
      "débuté, s’il s’y est terminé ou s’il a concerné un véhicule s’y trouvant partiellement]. Un accident impliquant un",
      "véhicule est présumé s’être produit sur la voie publique lorsqu’aucun autre lieu n’est précisé, à l’exception des",
      "accidents concernant uniquement des véhicules à moteur tout terrain qui, sauf mention contraire, ne sont pas",
      "(d) On considère qu’un accident impliquant un véhicule n’est pas un accident de la circulation lorsqu’il est survenu",
      "entièrement dans tout endroit qui n’est pas la voie publique.",
      "(e) On appelle piéton toute personne concernée par un accident et qui, au moment de cet accident, ne se trouvait pas dans",
      "ou sur un véhicule à moteur, un train sur voie ferrée, un tramway, un véhicule à traction animale ou un autre véhicule, à",
      "(h) On appelle personne voyageant à l’extérieur d’un véhicule toute personne transportée par un véhicule mais n’occupant",
      "pas la place normalement réservée au conducteur ou aux passagers ou l’espace prévu pour le transport de",
      "(j) On appelle cycliste toute personne montée sur un cycle ou dans un side-car ou une remorque fixée à ce véhicule.",
      "(k) On appelle motocycle un véhicule à moteur à deux roues (ou trois s’il s’agit d’une motocyclette avec side-car) comportant",
      "une ou deux selles pour passagers. Le side-car est considéré comme faisant partie de la motocyclette.",
      "(l) On appelle motocycliste toute personne montée sur une motocyclette ou dans un side-car ou une remorque fixée à ce",
      "(m) On appelle véhicule à moteur à trois roues un tricycle à moteur destiné essentiellement à la circulation routière.",
      "(n) On appelle automobile un véhicule à moteur à quatre roues conçu principalement pour transporter jusqu’à 10",
      "(s) On appelle tramway un véhicule destiné et servant essentiellement au transport des personnes à l’intérieur d’une",
      "ville, circulant sur rails, ordinairement soumis à la signalisation normale et qui emprunte surtout une voie faisant",
      "partie de la voie publique. Une remorque tirée par un tramway est considérée comme faisant partie du tramway.",
      "(u) On appelle véhicule spécial à usage essentiellement agricole un véhicule à moteur spécialement destiné à",
      "l’agriculture (horticulture), par exemple au travail de la terre, à la moisson ou au transport de matériel dans les",
      "(x) On appelle bateau tout moyen de transport, sur l’eau, de personnes ou de marchandises.",
      "(f) Lorsqu’un accident de • chute d’objet sur, ou dans (de) (un) véhicule en mouvement",
      "transport impliquant un • chute, saut ou projection accidentelle, du haut (de) (un) véhicule en",
      "• heurt par un objet lancé à l’intérieur ou contre (de) (un) véhicule en",
      "• intoxication accidentelle par gaz d’échappement (de) (un) véhicule en",
      "• traumatisme par projection contre une partie, un objet se trouvant à",
      "a entraîné une collision, classer l’accident comme collision. Pour un accident autre qu’une collision, classer",
      "comme accident sans collision d’après le type de véhicule en cause.",
      "(due à une perte de maîtrise) d’un • autre objet fixe, mobile ou en",
      "capotage (sans collision) sont inclus dans les catégories V18.-, V28.-, V38.-, V48.-, V58.-, V68.- et V78.-",
      "collision avec un animal (en troupeau) (non gardé) sont inclus dans les catégories V10.-, V20.-, V30.-, V40.-,",
      "collision avec un véhicule à traction animale ou un animal monté sont inclus dans les catégories V16.-, V26.-,",
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories V01-V06 :",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V01": {
    "code": "V01",
    "description": "Piéton blessé dans une collision avec un cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "trois roues",
      "Piéton blessé dans une collision avec une automobile ou une",
      "camionnette"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Piéton blessé dans une collision avec un véhicule à moteur à deux ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V04": {
    "code": "V04",
    "description": "Piéton blessé dans une collision avec un véhicule lourd ou un autobus",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ferroviaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Piéton blessé dans une collision avec un train ou un véhicule"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V06": {
    "code": "V06",
    "description": "Piéton blessé dans une collision avec un autre véhicule sans moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V09": {
    "code": "V09",
    "description": "Piéton blessé dans des accidents de transport, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend piéton blessé par un véhicule spécial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Piéton blessé dans un accident en dehors de la circulation, impliquant des véhicules à moteur,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V09.1": {
    "code": "V09.1",
    "description": "Piéton blessé dans un accident en dehors de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Piéton blessé dans un accident de la circulation impliquant des véhicules à moteur, autres et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V09.3": {
    "code": "V09.3",
    "description": "Piéton blessé dans un accident de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V09.9": {
    "code": "V09.9",
    "description": "Piéton blessé dans un accident de transport, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 927,
    "is_category": false,
    "severity": null,
    "synonyms": [
      ".3 Personne blessée en montant ou en descendant du véhicule",
      ".4 Conducteur blessé dans un accident de la circulation",
      ".5 Passager blessé dans un accident de la circulation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories V10-V18 :",
      ".0 Conducteur blessé dans un accident en dehors de la circulation",
      ".1 Passager blessé dans un accident en dehors de la circulation",
      ".2 Cycliste, sans précision, blessé dans un accident en dehors de la circulation",
      ".9 Cycliste, sans précision, blessé dans un accident de la circulation",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V10": {
    "code": "V10",
    "description": "Cycliste blessé dans une collision avec un piéton ou un animal",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "collision avec un véhicule à traction animale ou un animal monté ou un tramway (V16.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V11": {
    "code": "V11",
    "description": "Cycliste blessé dans une collision avec un autre cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "trois roues",
      "camionnette"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cycliste blessé dans une collision avec un véhicule à moteur à deux ou",
      "Cycliste blessé dans une collision avec une automobile ou une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V14": {
    "code": "V14",
    "description": "Cycliste blessé dans une collision avec un véhicule lourd ou un autobus",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "ferroviaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cycliste blessé dans une collision avec un train ou un véhicule"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V16": {
    "code": "V16",
    "description": "Cycliste blessé dans une collision avec un autre véhicule sans moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V17": {
    "code": "V17",
    "description": "Cycliste blessé dans une collision avec un objet fixe ou stationnaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V18": {
    "code": "V18",
    "description": "Cycliste blessé dans un accident de transport, sans collision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend culbutage : • SAI",
      "précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "• sans collision chute ou éjection d’un cycle à pédales (sans collision préalable)",
      "Cycliste blessé dans des accidents de transport, autres et sans",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V19.3": {
    "code": "V19.3",
    "description": "Cycliste [tout type] blessé dans un accident sans précision, en dehors de la circulation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 928,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident de cycle SAI, en dehors de la circulation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Cycliste blessé dans un accident SAI, en dehors de la circulation",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V19.8": {
    "code": "V19.8",
    "description": "Cycliste [tout type] blessé dans d’autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 929,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloqué par une partie du cycle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V19.9": {
    "code": "V19.9",
    "description": "Cycliste [tout type] blessé dans un accident de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 929,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident de cycle SAI",
      ".3 Personne blessée en montant ou en descendant du véhicule",
      ".4 Conducteur blessé dans un accident de la circulation",
      ".5 Passager blessé dans un accident de la circulation"
    ],
    "comprend": [
      "bicyclette à moteur",
      "motocyclette avec side-car",
      "scooter",
      "vélomoteur"
    ],
    "exclusions": [
      "véhicule motorisé à trois roues (V30-V39)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories V20-V28 :",
      ".0 Conducteur blessé dans un accident en dehors de la circulation",
      ".1 Passager blessé dans un accident en dehors de la circulation",
      ".2 Motocycliste, sans précision, blessé dans un accident en dehors de la circulation",
      ".9 Motocycliste, sans précision, blessé dans un accident de la circulation",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V20": {
    "code": "V20",
    "description": "Motocycliste blessé dans une collision avec un piéton ou un animal",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 929,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "collision avec un véhicule à traction animale ou un animal monté (V26.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V21": {
    "code": "V21",
    "description": "Motocycliste blessé dans une collision avec un cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 929,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "deux ou trois roues",
      "camionnette",
      "autobus",
      "ferroviaire",
      "moteur",
      "Motocycliste blessé dans une collision avec un objet fixe ou",
      "stationnaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Motocycliste blessé dans une collision avec un véhicule à moteur à",
      "Motocycliste blessé dans une collision avec une automobile ou une",
      "Motocycliste blessé dans une collision avec un véhicule lourd ou un",
      "Motocycliste blessé dans une collision avec un train ou un véhicule",
      "Motocycliste blessé dans une collision avec un autre véhicule sans",
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V28": {
    "code": "V28",
    "description": "Motocycliste blessé dans un accident de transport, sans collision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 930,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend culbutage : • SAI",
      "• sans collision",
      "précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "chute ou éjection d’une motocyclette (sans collision préalable)",
      "Motocycliste blessé dans des accidents de transport, autres et sans",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V29.3": {
    "code": "V29.3",
    "description": "Motocycliste [tout type] blessé dans un accident sans précision, en dehors de la circulation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 930,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident de motocyclette SAI, en dehors de la circulation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Motocycliste blessé dans un accident SAI, en dehors de la circulation",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V29.8": {
    "code": "V29.8",
    "description": "Motocycliste [tout type] blessé dans d’autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 930,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloqué par une partie de la motocyclette"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V29.9": {
    "code": "V29.9",
    "description": "Motocycliste [tout type] blessé dans un accident de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 930,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident de motocyclette SAI",
      "circulation",
      ".4 Personne blessée en montant ou en descendant du véhicule",
      ".5 Conducteur blessé dans un accident de la circulation",
      ".6 Passager blessé dans un accident de la circulation",
      "collision avec un piéton ou un animal",
      "collision avec un cycle",
      "collision avec un véhicule à moteur à deux ou trois roues",
      "collision avec une automobile ou une camionnette",
      "collision avec un véhicule lourd ou un autobus",
      "collision avec un train ou un véhicule ferroviaire",
      "collision avec un autre véhicule sans moteur",
      "collision avec un objet fixe ou stationnaire",
      "de transport, sans collision",
      "C omprend capotage : • SAI",
      "accidents de transport, autres et sans précision"
    ],
    "comprend": [
      "tricycle à moteur"
    ],
    "exclusions": [
      "motocyclette avec side-car (V20-V29)",
      "véhicules essentiellement conçus pour être utilisés hors d’une route (V86.-)",
      "collision avec un véhicule à traction animale ou un animal monté (V36.-)"
    ],
    "clinical_text": [
      "Occupant d’un véhicule à trois roues blessé dans un accident de transport (V30-",
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories V30-V38 :",
      ".0 Conducteur blessé dans un accident en dehors de la circulation",
      ".1 Passager blessé dans un accident en dehors de la circulation",
      ".2 Personne à l’extérieur du véhicule blessée dans un accident en dehors de la circulation",
      ".3 Occupant, sans précision, d’un véhicule à moteur à trois roues, blessé dans un accident en dehors de la",
      ".7 Personne à l’extérieur du véhicule blessée dans un accident de la circulation",
      ".9 Occupant, sans précision, d’un véhicule à moteur à trois roues, blessé dans un accident de la circulation",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Occupant d’un véhicule à moteur à trois roues, blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway",
      "Occupant d’un véhicule à moteur à trois roues blessé dans une",
      "Occupant d’un véhicule à moteur à trois roues blessé dans un accident",
      "• sans collision chute ou éjection d’un véhicule à moteur à trois roues",
      "Occupant d’un véhicule à moteur à trois roues blessé dans des",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V41": {
    "code": "V41",
    "description": "Occupant d’une automobile blessé dans une collision avec un cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 932,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "à moteur à deux ou trois roues",
      "Occupant d’une automobile blessé dans une collision avec une",
      "automobile ou une camionnette",
      "lourd ou un autobus",
      "un véhicule ferroviaire",
      "véhicule sans moteur",
      "ou stationnaire",
      "collision",
      "C omprend capotage : • SAI",
      "• sans collision",
      "autres et sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Occupant d’une automobile blessé dans une collision avec un véhicule",
      "Occupant d’une automobile blessé dans une collision avec un véhicule",
      "Occupant d’une automobile blessé dans une collision avec un train ou",
      "Occupant d’une automobile blessé dans une collision avec un autre",
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway",
      "Occupant d’une automobile blessé dans une collision avec un objet fixe",
      "Occupant d’une automobile blessé dans un accident de transport, sans",
      "Occupant d’une automobile blessé dans des accidents de transport,",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V49.8": {
    "code": "V49.8",
    "description": "Occupant [tout type] d’une automobile, blessé dans des autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 933,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloqué par la porte ou une autre partie de l’automobile"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V49.9": {
    "code": "V49.9",
    "description": "Occupant [tout type] d’une automobile, blessé dans un accident de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 933,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident d’automobile SAI",
      ".4 Personne blessée en montant ou en descendant du véhicule",
      ".5 Conducteur blessé dans un accident de la circulation",
      ".6 Passager blessé dans un accident de la circulation",
      "ou un animal"
    ],
    "comprend": [],
    "exclusions": [
      "véhicule lourd (V60-V69)",
      "collision avec un véhicule à traction animale ou un animal monté (V56.-)"
    ],
    "clinical_text": [
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories V50-V58 :",
      ".0 Conducteur blessé dans un accident en dehors de la circulation",
      ".1 Passager blessé dans un accident en dehors de la circulation",
      ".2 Personne à l’extérieur du véhicule blessée dans un accident en dehors de la circulation",
      ".3 Occupant, sans précision, d’une camionnette blessé dans un accident en dehors de la circulation",
      ".7 Personne à l’extérieur du véhicule blessée dans un accident de la circulation",
      ".9 Occupant, sans précision, d’une camionnette, blessé dans un accident de la circulation",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Occupant d’une camionnette blessé dans une collision avec un piéton"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V51": {
    "code": "V51",
    "description": "Occupant d’une camionnette blessé dans une collision avec un cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 934,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "à moteur à deux ou trois roues",
      "automobile ou une camionnette",
      "lourd ou un autobus",
      "un véhicule ferroviaire",
      "véhicule sans moteur",
      "fixe ou stationnaire",
      "sans collision",
      "C omprend capotage : • SAI",
      "• sans collision",
      "autres et sans précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Occupant d’une camionnette blessé dans une collision avec un véhicule",
      "Occupant d’une camionnette blessé dans une collision avec une",
      "Occupant d’une camionnette blessé dans une collision avec un véhicule",
      "Occupant d’une camionnette blessé dans une collision avec un train ou",
      "Occupant d’une camionnette blessé dans une collision avec un autre",
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway",
      "Occupant d’une camionnette blessé dans une collision avec un objet",
      "Occupant d’une camionnette blessé dans un accident de transport,",
      "Occupant d’une camionnette blessé dans des accidents de transport,",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V59.8": {
    "code": "V59.8",
    "description": "Occupant [tout type] d’une camionnette, blessé dans d’autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 935,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloqué par la porte ou une autre partie de la camionnette"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Occupant [tout type] d’une camionnette, blessé dans un accident de la circulation, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V61": {
    "code": "V61",
    "description": "Occupant d’un véhicule lourd blessé dans une collision avec un cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 935,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "véhicule à moteur à deux ou trois roues",
      "automobile ou une camionnette",
      "véhicule lourd ou un autobus",
      "ou un véhicule ferroviaire",
      "véhicule sans moteur",
      "fixe ou stationnaire",
      "sans collision"
    ],
    "comprend": [
      "capotage : • SAI",
      "• sans collision",
      "Occupant d’un véhicule lourd blessé dans des accidents de transport,",
      "autres et sans précision",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "exclusions": [],
    "clinical_text": [
      "Occupant d’un véhicule lourd blessé dans une collision avec un",
      "Occupant d’un véhicule lourd blessé dans une collision avec une",
      "Occupant d’un véhicule lourd blessé dans une collision avec un",
      "Occupant d’un véhicule lourd blessé dans une collision avec un train",
      "Occupant d’un véhicule lourd blessé dans une collision avec un autre",
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway",
      "Occupant d’un véhicule lourd blessé dans une collision avec un objet",
      "Occupant d’un véhicule lourd blessé dans un accident de transport,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V69.8": {
    "code": "V69.8",
    "description": "Occupant [tout type] d’un véhicule lourd, blessé dans d’autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 936,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloqué par la porte ou une autre partie d’un véhicule lourd"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Occupant [tout type] d’un véhicule lourd, blessé dans un accident de la circulation, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V71": {
    "code": "V71",
    "description": "Occupant d’un autobus blessé dans une collision avec un cycle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 936,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "moteur à deux ou trois roues",
      "ou une camionnette",
      "lourd ou un autobus",
      "véhicule ferroviaire",
      "véhicule sans moteur",
      "stationnaire",
      "collision"
    ],
    "comprend": [
      "capotage : • SAI",
      "• sans collision",
      "Occupant d’un autobus blessé dans des accidents de transport, autres",
      "et sans précision",
      "Conducteur blessé dans une collision avec des véhicules à moteur, autres et sans précision,"
    ],
    "exclusions": [],
    "clinical_text": [
      "Occupant d’un autobus blessé dans une collision avec un véhicule à",
      "Occupant d’un autobus blessé dans une collision avec une automobile",
      "Occupant d’un autobus blessé dans une collision avec un véhicule",
      "Occupant d’un autobus blessé dans une collision avec un train ou un",
      "Occupant d’un autobus blessé dans une collision avec un autre",
      "C omprend collision avec un véhicule à traction animale, un animal monté, un tramway",
      "Occupant d’un autobus blessé dans une collision avec un objet fixe ou",
      "Occupant d’un autobus blessé dans un accident de transport, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V79.8": {
    "code": "V79.8",
    "description": "Occupant [tout type] d’un autobus, blessé dans d’autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 937,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bloqué par la porte ou une autre partie d’un autobus"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V79.9": {
    "code": "V79.9",
    "description": "Occupant [tout type] d’un autobus, blessé dans un accident de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 937,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident d’autobus SAI",
      "animale blessée dans un accident de transport"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Personne montant un animal ou occupant un véhicule à traction",
      "Chute ou éjection d’une personne montant un animal ou occupant un véhicule à traction"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V81.3": {
    "code": "V81.3",
    "description": "Occupant d’un train ou d’un véhicule ferroviaire blessé dans une collision avec un autre objet",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 938,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Collision de train SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V81.4": {
    "code": "V81.4",
    "description": "Personne blessée en montant ou en descendant d’un train ou d’un véhicule ferroviaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 938,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Occupant d’un train ou d’un véhicule ferroviaire blessé lors d’une chute dans un train ou un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82": {
    "code": "V82",
    "description": "Occupant d’un tramway blessé dans un accident de transport",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend personne à l’extérieur d’un tramway"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Occupant d’un tramway blessé dans une collision avec un véhicule à moteur dans un accident"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.3": {
    "code": "V82.3",
    "description": "Occupant d’un tramway blessé dans une collision avec un autre objet",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "collision avec un véhicule à traction animale ou un animal monté (V82.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.4": {
    "code": "V82.4",
    "description": "Personne blessée en montant ou en descendant d’un tramway",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.5": {
    "code": "V82.5",
    "description": "Occupant d’un tramway blessé lors d’une chute dans un tramway",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chute : • avec collision préalable (V82.0-V82.3)",
      "• en montant ou en descendant (V82.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.6": {
    "code": "V82.6",
    "description": "Occupant d’un tramway blessé lors d’une chute d’un tramway",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chute : • avec collision préalable (V82.0-V82.3)",
      "• en montant ou en descendant (V82.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.7": {
    "code": "V82.7",
    "description": "Occupant d’un tramway blessé lors d’un déraillement sans collision préalable",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.8": {
    "code": "V82.8",
    "description": "Occupant d’un tramway blessé dans d’autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 939,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Collision avec un train ou un autre véhicule sans moteur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V82.9": {
    "code": "V82.9",
    "description": "Occupant d’un tramway blessé dans un accident de la circulation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 940,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident de tramway SAI",
      "industriel, blessé dans un accident de transport"
    ],
    "comprend": [],
    "exclusions": [
      "véhicule à l’arrêt ou en cours d’entretien (subdivisions de W31)"
    ],
    "clinical_text": [
      "Occupant d’un véhicule spécial utilisé essentiellement sur un site",
      "Conducteur d’un véhicule spécial utilisé essentiellement sur un site industriel, blessé dans un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V85.0": {
    "code": "V85.0",
    "description": "Conducteur d’un véhicule spécial de construction blessé dans un accident de la circulation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 941,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V85.1": {
    "code": "V85.1",
    "description": "Passager d’un véhicule spécial de construction blessé dans un accident de la circulation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 941,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne à l’extérieur d’un véhicule spécial de construction blessée dans un accident de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V85.4": {
    "code": "V85.4",
    "description": "Personne blessée en montant ou en descendant d’un véhicule spécial de construction",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 941,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Conducteur d’un véhicule spécial de construction blessé dans un accident en dehors de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V86": {
    "code": "V86",
    "description": "essentiellement conçu pour être utilisé hors d’une route, blessé dans",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 941,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "un accident de transport"
    ],
    "comprend": [],
    "exclusions": [
      "véhicule à l’arrêt ou en cours d’entretien (subdivisions de W31)"
    ],
    "clinical_text": [
      "Conducteur d’un véhicule tout-terrain ou autre véhicule à moteur essentiellement conçu pour"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V87.3": {
    "code": "V87.3",
    "description": "Personne blessée dans une collision entre une automobile et un autobus (dans la circulation)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 942,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne blessée dans une collision entre une automobile et un véhicule lourd (dans la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V87.5": {
    "code": "V87.5",
    "description": "Personne blessée dans une collision entre un véhicule lourd et un autobus (dans la circulation)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 942,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne blessée dans une collision entre un train ou un véhicule ferroviaire et une automobile"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V89.2": {
    "code": "V89.2",
    "description": "Personne blessée dans un accident de la circulation avec un véhicule à moteur, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 943,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident de la circulation SAI",
      "Accident de véhicule à moteur SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne blessée dans un accident de la circulation avec un véhicule sans moteur, sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V89.9": {
    "code": "V89.9",
    "description": "Personne blessée dans un accident avec un véhicule, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 943,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Collision SAI"
    ],
    "comprend": [
      "accidents de bateau au cours d’activités de loisirs",
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories V90-V94 :",
      ".0 Navire marchand",
      ".1 Paquebot",
      "Ferry-boat",
      ".2 Bateau de pêche",
      ".3 Autres embarcations à moteur",
      "Aéroglisseur",
      "Scooter des mers",
      ".4 Bateau à voiles",
      "Yacht",
      ".5 Canoë ou kayak",
      ".6 Canot pneumatique (sans moteur)",
      ".7 Ski nautique",
      ".8 Autres embarcations sans moteur",
      "Planche de surf",
      "Planche à voile",
      ".9 Embarcation non précisée",
      "Bateau SAI",
      "Embarcation SAI",
      "Navire SAI",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.120 : comprend accident de la voie publique dont accident de la circulation SAI"
    ]
  },
  "V90": {
    "code": "V90",
    "description": "Accident de bateau entraînant la noyade et la submersion",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 943,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• naufrage de bateau",
      "• retournement de bateau",
      "• submersion de bateau",
      "• autre accident de bateau"
    ],
    "comprend": [],
    "exclusions": [
      "noyade et submersion durant un transport par eau, sans accident de bateau (V92.-)"
    ],
    "clinical_text": [
      "C omprend noyade et submersion due à : • chute ou saut d’un bateau en feu ou fracassé"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V91": {
    "code": "V91",
    "description": "Accident de bateau provoquant d’autres lésions traumatiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 944,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend brûlure au cours d’un incendie de bateau",
      "chute due à une collision ou un autre accident du bateau",
      "écrasement : • entre bateaux entrant en collision",
      "• par une embarcation de sauvetage après abandon du bateau",
      "• chute d’objet par suite d’un accident du bateau",
      "bateau",
      "d’un accident tel que : • du haut de la passerelle",
      "• par-dessus bord",
      "• enlèvement par une lame",
      "noyade ni submersion",
      "C omprend accident de machine sur le bateau",
      "chaleur excessive dans la : • chaufferie",
      "• salle des : • chaudières",
      "• évaporateurs",
      "• machines",
      "chute dans des escaliers ou des échelles sur le bateau",
      "chute d’un niveau à un autre sur le bateau",
      "écrasement par un objet tombé sur le bateau",
      "explosion d’une chaudière sur un bateau à vapeur",
      "incendie localisé à bord d’un bateau",
      "• chargement",
      "• cuisine",
      "• pont",
      "• salle des machines"
    ],
    "comprend": [],
    "exclusions": [
      "brûlures dues à un incendie localisé ou une explosion à bord d’un bateau (V93.-)",
      "noyade et submersion d’un nageur ou d’un plongeur qui saute volontairement d’un bateau non",
      "impliqué dans un accident (W69.-, W73.-)"
    ],
    "clinical_text": [
      "heurt par : • bateau ou une partie de bateau après chute ou saut d’un bateau endommagé",
      "lésion traumatique au cours d’un accident de bateau impliquant une collision",
      "toute lésion traumatique, sauf noyade et submersion résultant de l’accident du bateau",
      "Noyade et submersion durant un transport par eau, sans accident de",
      "C omprend noyade et submersion résultant • chute : • du haut du bateau",
      "• éjection par-dessus bord provoquée par les mouvements du navire",
      "Accident à bord d’un bateau, sans accident du bateau, ne causant ni",
      "intoxication accidentelle par des gaz et des fumées sur un bateau",
      "lésions traumatiques provoquées sur le bateau par les machines de : • blanchisserie",
      "mauvais fonctionnement d’un réacteur atomique à bord d’un bateau"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V94": {
    "code": "V94",
    "description": "Accidents de transport par eau, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 944,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend accident impliquant une personne qui n’occupe pas le bateau skieur nautique heurté par un bateau",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95": {
    "code": "V95",
    "description": "Accident d’aéronef à moteur dans lequel un occupant est blessé",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend atterrissage forcé d’un aéronef (à moteur)",
      "écrasement d’un aéronef (à moteur)",
      "explosion d’un ou à bord d’un aéronef (à moteur)",
      "incendie à bord d’un aéronef (à moteur)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "collision avec tout objet, fixe ou mobile ou en mouvement d’un ou à bord d’un aéronef (à moteur)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.0": {
    "code": "V95.0",
    "description": "Accident d’hélicoptère blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.1": {
    "code": "V95.1",
    "description": "Accident de planeur à moteur, ultra-léger motorisé (ULM) blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.2": {
    "code": "V95.2",
    "description": "Accident d’autres aéronefs privés à voilure fixe blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.3": {
    "code": "V95.3",
    "description": "Accident d’aéronef commercial à voilure fixe blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.4": {
    "code": "V95.4",
    "description": "Accident de vaisseau spatial blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.8": {
    "code": "V95.8",
    "description": "Autres accidents d’aéronef blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V95.9": {
    "code": "V95.9",
    "description": "Accident d’aéronef, sans précision, blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident d’aéronef SAI",
      "Accident de transport aérien SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V96": {
    "code": "V96",
    "description": "Accident d’aéronef sans moteur dans lequel un occupant est blessé",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "écrasement d’un aéronef sans moteur",
      "explosion d’un ou à bord d’un aéronef sans moteur",
      "incendie à bord d’un aéronef sans moteur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend atterrissage forcé d’un ou à bord d’un aéronef sans moteur",
      "collision avec tout objet, fixe ou mobile ou en mouvement d’un aéronef sans moteur"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V96.0": {
    "code": "V96.0",
    "description": "Accident de ballon blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V96.1": {
    "code": "V96.1",
    "description": "Accident de deltaplane blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V96.2": {
    "code": "V96.2",
    "description": "Accident de planeur (sans moteur) blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V96.8": {
    "code": "V96.8",
    "description": "Autres accidents d’aéronef sans moteur blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Cerf-volant portant une personne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V96.9": {
    "code": "V96.9",
    "description": "Accident d’aéronef sans moteur, sans précision, blessant un occupant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Accident d’aéronef sans moteur SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V97": {
    "code": "V97",
    "description": "Autres accidents de transport aérien précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend accidents dont les victimes n’occupent pas l’aéronef"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V97.0": {
    "code": "V97.0",
    "description": "Occupant d’un aéronef blessé dans d’autres accidents de transport aérien précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "accident en montant ou descendant de l’aéronef (V97.1)"
    ],
    "clinical_text": [
      "Chute dans, sur ou du haut d’un aéronef dans un accident de transport aérien"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V97.1": {
    "code": "V97.1",
    "description": "Personne blessée en montant ou descendant de l’aéronef",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V97.2": {
    "code": "V97.2",
    "description": "Parachutiste blessé dans un accident de transport aérien",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 945,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "personne qui effectue une descente après un accident d’aéronef (V95-V96)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V97.3": {
    "code": "V97.3",
    "description": "Personne au sol blessée dans un accident de transport aérien",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 946,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aspirée par un réacteur",
      "Heurtée par : • hélice en mouvement",
      "• objet tombant d’un aéronef"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V97.8": {
    "code": "V97.8",
    "description": "Autres accidents de transport aérien, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 946,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "accident d’aéronef SAI (V95.9)",
      "exposition à des changements de pression barométrique au cours de la montée ou de",
      "la descente (W94.-)",
      "accident avec un véhicule, type de véhicule non précisé (V89.-)"
    ],
    "clinical_text": [
      "Lésion traumatique causée par un appareil à bord de l’aéronef",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V98": {
    "code": "V98",
    "description": "Autres accidents de transport précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 946,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• téléphérique",
      "• télésiège",
      "• véhicule sur câble, sans rails",
      "• voilier sur glace",
      "• voilier sur sable",
      "objet jeté d’un (dans un) véhicule sur câble, sans rail"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend accidents survenant à, sur, ou impliquant : • télébenne",
      "chute ou saut d’un happement ou traînage par véhicule sur câble, sans rail"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "V99": {
    "code": "V99",
    "description": "Accident de transport, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 946,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "agression (Y01-Y02)",
      "chute (dans) (d’un) (d’une) : • animal (V80.-)",
      "• bâtiment en feu (X00.-)",
      "• eau (avec noyade ou submersion) (W65 à W74)",
      "• feu (X00-X04, X08-X09)",
      "• machine (en marche) (W28 à W31)",
      "• véhicule de transport (V01 à V99)",
      "lésion auto-infligée (X80-X81)"
    ],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W00": {
    "code": "W00",
    "description": "Chute de plain-pied due à la glace et la neige",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chute avec mention de : • escaliers et marches (W10.-)",
      "• patins à glace et skis (W02.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W01": {
    "code": "W01",
    "description": "Chute de plain-pied résultant de glissade, faux-pas et trébuchement",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "une planche à roulettes",
      "un tiers",
      "moyen de déplacement piétonnier)"
    ],
    "comprend": [],
    "exclusions": [
      "chute due à la glace et la neige (W00.-)",
      "chute due à la glace et la neige (W00.-)",
      "écrasement ou poussée par une foule humaine (W52.-)"
    ],
    "clinical_text": [
      "Chute impliquant des patins à glace, des skis, des patins à roulettes ou",
      "Autre chute de plain-pied due à une collision avec, ou une poussée par",
      "C omprend chute due à une collision d’un piéton (ou moyen de déplacement piétonnier) avec un autre piéton (ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W04": {
    "code": "W04",
    "description": "Chute, en étant porté ou soutenu par des tiers",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute accidentelle de la personne portée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W05": {
    "code": "W05",
    "description": "Chute d’un fauteuil roulant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W06": {
    "code": "W06",
    "description": "Chute d’un lit",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W07": {
    "code": "W07",
    "description": "Chute d’une chaise",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W08": {
    "code": "W08",
    "description": "Chute d’un autre meuble",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W09": {
    "code": "W09",
    "description": "Chute du haut d’agrès équipant un terrain de jeux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chute impliquant du matériel récréatif (subdivisions de W31)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W10": {
    "code": "W10",
    "description": "Chute dans et d’un escalier et de marches",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute (dans) (du haut • escalier roulant",
      "• plan incliné",
      "• rampe d’accès"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "de) (sur) : • impliquant la présence de glace ou de neige sur un escalier et des marches"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W11": {
    "code": "W11",
    "description": "Chute sur ou d’une échelle",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 947,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W12": {
    "code": "W12",
    "description": "Chute sur ou d’un échafaudage",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W13": {
    "code": "W13",
    "description": "Chute du haut d’un bâtiment ou d’un autre ouvrage",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute à travers, du haut de • balcon",
      "• balustrade",
      "• bâtiment",
      "• fenêtre",
      "• mât",
      "• mur",
      "• plancher",
      "• pont",
      "• toit",
      "• tour",
      "• tourelle",
      "• viaduc"
    ],
    "comprend": [],
    "exclusions": [
      "chute ou saut d’un bâtiment en flammes (X00.-)",
      "effondrement d’un bâtiment ou d’un ouvrage (W20.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W14": {
    "code": "W14",
    "description": "Chute du haut d’un arbre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W15": {
    "code": "W15",
    "description": "Chute d’une falaise",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "que noyade ou submersion",
      "• paroi ou plongeoir de piscine",
      "• surface de l’eau"
    ],
    "comprend": [],
    "exclusions": [
      "effets de la pression barométrique lors d’une plongée (W94.-)",
      "noyade et submersion accidentelles (W65-W74)",
      "plongée avec provision d’air insuffisante (W81.-)"
    ],
    "clinical_text": [
      "Plongée ou saut dans l’eau provoquant une lésion traumatique autre",
      "C omprend coup ou heurt contre : • fond en sautant ou en plongeant dans des eaux peu profondes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W17": {
    "code": "W17",
    "description": "Autre chute d’un niveau à un autre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute dans ou du haut de : • appareil de levage",
      "• bassin",
      "• carrière",
      "• cavité",
      "• fosse",
      "• meule de foin",
      "• nacelle élévatrice",
      "• plateforme mobile de travail en hauteur",
      "• puits",
      "• remonte-pente",
      "• réservoir",
      "• trou"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W18": {
    "code": "W18",
    "description": "Autre chute de plain-pied",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute : • de plain-pied SAI",
      "• d’un siège de toilettes",
      "• provoquée par heurt contre un objet"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W19": {
    "code": "W19",
    "description": "Chute, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 948,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute accidentelle SAI"
    ],
    "comprend": [],
    "exclusions": [
      "agression (X85-Y09)",
      "contact ou collision avec des animaux ou des personnes (W50-W64)",
      "lésion auto-infligée (X60-X84)"
    ],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W20": {
    "code": "W20",
    "description": "Heurt causé par le lancement ou la chute (d’un) (d’) objet(s)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 949,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend affaissement du sol, sans asphyxie ni suffocation",
      "effondrement d’un bâtiment, sauf en feu",
      "chute de : • arbre",
      "• pierre",
      "• rocher"
    ],
    "comprend": [],
    "exclusions": [
      "chute d’objet au cours de: • accident de transport (V01 à V99)",
      "• accident mécanique (W24.-, W28 à W31)",
      "• cataclysme (X34 à X39)",
      "effondrement d’un bâtiment en flammes (X00.-)",
      "matériel de sport (W21.-)",
      "objet mis en mouvement par une : • arme à feu (W32 à W34)",
      "• explosion (W35 à W40)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W21": {
    "code": "W21",
    "description": "Heurt contre ou par du matériel de sport",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 949,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend coup de : • balle ou ballon lancé(e)",
      "• canne ou palet de hockey"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W22": {
    "code": "W22",
    "description": "Heurt contre ou par (d’)autre(s) objet(s)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 949,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend heurt contre un mur en marchant",
      "objets",
      "rouleaux d’essorage d’un lave-linge",
      "et chambranle de porte, rouleaux d’essorage d’un lave-linge",
      "d’essorage d’un lave-linge",
      "classé(s) ailleurs",
      "C omprend bloc poulie",
      "câble",
      "corde",
      "courroie ou câble de transmission",
      "palan",
      "treuil"
    ],
    "comprend": [],
    "exclusions": [
      "heurt causé par le lancement ou la chute d’un objet (W20.-)",
      "lésion traumatique causée par : • appareil (W28 à W31)",
      "• dispositifs de levage et de transmission (W24.-)",
      "• instrument tranchant ou perforant (W25 à W27)",
      "• outils manuels non électriques (W27.-)",
      "• véhicule de transport (V01 à V99)",
      "accidents de transport (V01-V99)"
    ],
    "clinical_text": [
      "Compression, écrasement ou blocage dans des objets ou entre des",
      "C omprend compression, écrasement ou • objets en mouvement, tel(s) que caisse d’emballage et sol, après",
      "blocage entre : lâchage de prise, objet pliant, porte coulissante et chambranle de porte,",
      "• un objet en mouvement et un objet immobile, tel(s) que caisse",
      "d’emballage et sol, après lâchage de prise, objet pliant, porte coulissante",
      "• dans un objet, tel(s) que caisse d’emballage et sol, après lâchage de",
      "prise, objet pliant, porte coulissante et chambranle de porte, rouleaux",
      "Contact avec (un)(des) dispositif(s) de levage et de transmission, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W25": {
    "code": "W25",
    "description": "Contact avec du verre tranchant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chute impliquant du verre (W00 à W19)",
      "éclats de verre dus à une explosion ou à la décharge d’une arme à feu (W32 à W40)",
      "éclat de verre pénétrant dans la peau (W45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W26": {
    "code": "W26",
    "description": "Contact avec (un) (d’)autre(s) objet(s) tranchant(s)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "objet(s) tranchant(s) pénétrant dans la peau (W45)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W26.0": {
    "code": "W26.0",
    "description": "Contact avec un couteau, une épée ou un poignard",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W26.8": {
    "code": "W26.8",
    "description": "Contact avec d’autres objets tranchants, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Papier à bord coupant",
      "Couvercle de boîte de conserve"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W26.9": {
    "code": "W26.9",
    "description": "Contact avec un objet tranchant, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W27": {
    "code": "W27",
    "description": "Contact avec un outil à main non électrique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend aiguille",
      "bêche",
      "burin",
      "ciseau à froid",
      "ciseaux",
      "coupe-papier",
      "fourche",
      "fourchette",
      "hache",
      "machine à coudre, non électrique",
      "ouvre-boîte SAI",
      "pelle pic à glace",
      "râteau",
      "scie à main",
      "tournevis"
    ],
    "comprend": [],
    "exclusions": [
      "Aiguille à usage médical [aiguille hypodermique] (W46.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W28": {
    "code": "W28",
    "description": "Contact avec tondeuse à gazon à moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 950,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "électroménagers",
      "C omprend couteau électrique",
      "essoreuse électrique",
      "machine à coudre électrique",
      "outil de bricolage électrique",
      "outils de jardin électrique",
      "ouvre-boîte électrique",
      "scie circulaire électrique",
      "taille-haies électrique",
      "tronçonneuse électrique",
      "lave-linge électrique",
      "mélangeur ou batteur"
    ],
    "comprend": [],
    "exclusions": [
      "exposition au courant électrique (W86.-)",
      "exposition au courant électrique (W86.-)"
    ],
    "clinical_text": [
      "Contact avec d’autres outils manuels électriques et appareils"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W30": {
    "code": "W30",
    "description": "Contact avec du matériel agricole",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend batteuse",
      "élévateur de fourrage",
      "machine agricole SAI",
      "matériel agricole à traction animale",
      "moissonneuse",
      "moissonneuse-batteuse",
      "exposition au courant électrique (W86.-)"
    ],
    "comprend": [],
    "exclusions": [
      "contact avec du matériel agricole en cours de transport autonome ou remorqué par un véhicule (V01 à"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W31": {
    "code": "W31",
    "description": "Contact avec des appareils, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend machine SAI",
      "matériel récréatif"
    ],
    "comprend": [],
    "exclusions": [
      "contact avec des appareils en cours de transport autonome ou remorqué par un véhicule (V01 à V99)",
      "exposition au courant électrique (W86.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W32": {
    "code": "W32",
    "description": "Décharge d’arme de poing",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend fusil utilisé d’une seule main",
      "pistolet",
      "revolver"
    ],
    "comprend": [],
    "exclusions": [
      "pistolet lance-fusées (W34.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W33": {
    "code": "W33",
    "description": "Décharge de fusil, de carabine et d’arme de plus grande taille",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend fusil de : • chasse",
      "• guerre",
      "mitrailleuse"
    ],
    "comprend": [],
    "exclusions": [
      "fusil à air comprimé (W34.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W34": {
    "code": "W34",
    "description": "Décharge d’armes, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend blessure par balle SAI",
      "coup de feu SAI",
      "fusil à air comprimé",
      "pistolet lance-fusées"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W35": {
    "code": "W35",
    "description": "Explosion et éclatement d’une chaudière",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W36": {
    "code": "W36",
    "description": "Explosion et éclatement d’une bouteille de gaz",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend bombe aérosol",
      "réservoir de : • air",
      "• gaz sous pression"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W37": {
    "code": "W37",
    "description": "Explosion et éclatement de pneumatique ou de tuyau sous pression",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W38": {
    "code": "W38",
    "description": "Explosion et éclatement d’autres appareils précisés sous pression",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W39": {
    "code": "W39",
    "description": "Projections de feu d’artifice",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 951,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W40": {
    "code": "W40",
    "description": "Explosion d’autres matériaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend explosion (dans) (de) : • SAI",
      "• dépôt",
      "• grenier",
      "• munitions",
      "• usine",
      "gaz explosif",
      "matériaux explosifs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W41": {
    "code": "W41",
    "description": "Exposition à un jet à haute pression",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend jet : • hydraulique",
      "• pneumatique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W42": {
    "code": "W42",
    "description": "Exposition au bruit",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend ondes : • sonores",
      "• supersoniques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W43": {
    "code": "W43",
    "description": "Exposition aux vibrations",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend infra-son"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W44": {
    "code": "W44",
    "description": "Corps étranger pénétrant dans l’œil ou un orifice naturel",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "inhalation ou ingestion d’un corps étranger avec obstruction des voies respiratoires (W78-W80)",
      "liquide corrosif (X49.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W45": {
    "code": "W45",
    "description": "Corps étranger ou objet pénétrant dans la peau",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend corps ou objet étranger dans la peau : • clou",
      "• écharde"
    ],
    "comprend": [],
    "exclusions": [
      "contact avec : • aiguille à usage médical (W46.-)",
      "• autre(s) objet(s) tranchant(s) (W26.-)",
      "• outils manuels (électriques) (non électriques) (W27-W29)",
      "• verre tranchant (W25.-)",
      "heurt par des objets (W20-W22)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W46": {
    "code": "W46",
    "description": "Contact avec aiguille à usage médical [aiguille hypodermique]",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W49": {
    "code": "W49",
    "description": "Exposition à des forces mécaniques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend forces gravitationnelles [G] anormales"
    ],
    "comprend": [],
    "exclusions": [
      "morsures venimeuses (X20-X29)",
      "piqûres (venimeuses) (X20-X29)"
    ],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W50": {
    "code": "W50",
    "description": "Coup, torsion, morsure ou écorchure infligés par un tiers",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "agression (X85-Y09)",
      "heurt par des objets (W20-W22)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W51": {
    "code": "W51",
    "description": "Collision entre deux personnes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 952,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chute due à une collision d’un piéton (ou moyen de déplacement piétonnier) avec un autre piéton (ou",
      "moyen de déplacement piétonnier) (W03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W52": {
    "code": "W52",
    "description": "Écrasement, poussée ou piétinement par une foule humaine",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W53": {
    "code": "W53",
    "description": "Morsure de rat",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W54": {
    "code": "W54",
    "description": "Morsure ou coup donné par un chien",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W55": {
    "code": "W55",
    "description": "Morsure ou coup donné par d’autres mammifères",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "contact avec un mammifère marin (W56.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W56": {
    "code": "W56",
    "description": "Contact avec un animal marin",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Morsure ou coup donné par un animal marin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W57": {
    "code": "W57",
    "description": "Morsure ou piqûre non venimeuse d’insectes et autres arthropodes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Situation d'un patient infesté par des punaises de lit. En dehors des codes d'éventuelles complications",
      "infectieuses cutanées, le code T00.9 Lésions traumatiques superficielles multiples, sans précision peut être",
      "utilisé pour décrire des piqûres multiples d'insecte en lui associant le code W57.0 Morsure ou piqûre non",
      "venimeuse d'insectes et autres arthropodes, domicile et éventuellement le Z59.10 ou Z59.18 selon la"
    ],
    "agora_refs": [
      "268830"
    ],
    "cocoa_notes": [
      "situation. Coder d'abord le motif d'admission. (AGORA - # 268830 le 30 octobre 2024)"
    ]
  },
  "W58": {
    "code": "W58",
    "description": "Morsure ou coup donné par un crocodile ou un alligator",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W59": {
    "code": "W59",
    "description": "Morsure ou écrasement par d’autres reptiles",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend lézard serpent non venimeux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W60": {
    "code": "W60",
    "description": "Contact avec des épines de plantes et des feuilles acérées",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W64": {
    "code": "W64",
    "description": "Exposition à des forces animées, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "noyade et submersion dues à : • accidents de transport (V01-V99)",
      "• cataclysme (X34-X39)"
    ],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W65": {
    "code": "W65",
    "description": "Noyade et submersion dans une baignoire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W66": {
    "code": "W66",
    "description": "Noyade et submersion consécutives à une chute dans une baignoire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W67": {
    "code": "W67",
    "description": "Noyade et submersion dans une piscine",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W68": {
    "code": "W68",
    "description": "Noyade et submersion consécutives à une chute dans une piscine",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W69": {
    "code": "W69",
    "description": "Noyade et submersion dans des eaux naturelles",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 953,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend noyade et submersion dans : • cours d’eau",
      "• fleuve",
      "• lac",
      "• pleine mer",
      "Noyade et submersion consécutives à une chute dans des eaux",
      "naturelles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W73": {
    "code": "W73",
    "description": "Autres formes de noyade et submersion précisées",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 954,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend noyade et submersion dans : • cuve de trempage",
      "• réservoir"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W74": {
    "code": "W74",
    "description": "Noyade et submersion, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 954,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute dans l’eau SAI",
      "noyade SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W75": {
    "code": "W75",
    "description": "Suffocation et strangulation accidentelles dans un lit",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 954,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• drap ou couverture",
      "• oreiller"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend suffocation et strangulation dues à : • corps de la mère"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W76": {
    "code": "W76",
    "description": "Autre pendaison et strangulation accidentelles",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 954,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "terre et d’autres substances",
      "C omprend affaissement du sol SAI"
    ],
    "comprend": [],
    "exclusions": [
      "affaissement du sol : • provoqué par un cataclysme (X34-X39)",
      "• sans asphyxie ni suffocation (W20.-)"
    ],
    "clinical_text": [
      "Danger pour la respiration dû à un affaissement du sol, une coulée de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W78": {
    "code": "W78",
    "description": "Inhalation du contenu de l’estomac",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 954,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "voies respiratoires",
      "compression de la trachée par des aliments dans l’œsophage",
      "obstruction du pharynx par des aliments (bol alimentaire)",
      "compression de la trachée par corps étranger dans l’œsophage",
      "SAI",
      "corps étranger dans le nez",
      "obstruction du pharynx par un corps étranger",
      "inhalation SAI",
      "oxygène",
      "plongée avec provision d’air insuffisante"
    ],
    "comprend": [
      "arrêt de la respiration par vomissements dans l’œsophage (vomiturition)",
      "compression de la trachée par vomissements dans l’œsophage (vomiturition)",
      "obstruction de la respiration par vomissements dans l’œsophage (vomiturition)",
      "asphyxie au cours de vomissements ou régurgitation d’aliments",
      "étouffement au cours de vomissements ou régurgitation d’aliments",
      "suffocation au cours de vomissements ou régurgitation d’aliments",
      "aspiration et inhalation de vomissements (dans les voies respiratoires) SAI"
    ],
    "exclusions": [
      "lésion traumatique, sans asphyxie ni obstruction des voies respiratoires, causée par des vomissements",
      "(W44.-)",
      "obstruction de l’œsophage par des vomissements, sans mention d’asphyxie ni d’obstruction des voies",
      "respiratoires (W44.-)",
      "inhalation de vomissements (W78.-)",
      "lésion traumatique, sauf asphyxie ou obstruction des voies respiratoires, causée par des aliments",
      "(W44.-)",
      "obstruction de l’œsophage par des aliments, sans mention d’asphyxie ni d’obstruction des voies",
      "respiratoires (W44.-)",
      "inhalation de vomissements ou d’aliments (W78-W79)",
      "lésion traumatique, sans asphyxie ni obstruction des voies respiratoires, causée par un corps étranger",
      "(W44.-)",
      "obstruction de l’œsophage par un corps étranger, sans mention d’asphyxie ni d’obstruction des voies",
      "respiratoires (W44.-)",
      "suffocation par sac en matière plastique (W83.-)"
    ],
    "clinical_text": [
      "Inhalation et ingestion d’aliments provoquant une obstruction des",
      "C omprend arrêt de la respiration par des aliments dans l’œsophage",
      "obstruction de la respiration par des aliments dans l’œsophage",
      "asphyxie dû(e) à des aliments y compris os ou graine contenus dans les aliments",
      "étouffement dû(e) à des aliments y compris os ou graine contenus dans les aliments",
      "suffocation dû(e) à des aliments y compris os ou graine contenus dans les aliments",
      "aspiration et inhalation d’aliments (dans les voies respiratoires) SAI",
      "Inhalation et ingestion d’autres objets provoquant une obstruction des",
      "C omprend arrêt de la respiration par corps étranger dans l’œsophage",
      "obstruction de la respiration par corps étranger dans l’œsophage",
      "asphyxie par tout objet, sauf aliments ou vomissements, pénétrant par le nez ou la bouche",
      "étouffement par tout objet, sauf aliments ou vomissements, pénétrant par le nez ou la bouche",
      "suffocation par tout objet, sauf aliments ou vomissements, pénétrant par le nez ou la bouche",
      "aspiration et inhalation d’un corps étranger, sauf aliments ou vomissements (dans les voies respiratoires)",
      "Confinement ou emprisonnement dans un environnement pauvre en",
      "C omprend emprisonnement accidentel dans un réfrigérateur ou autre espace hermétiquement fermé"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W83": {
    "code": "W83",
    "description": "Autres dangers pour la respiration",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 955,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend suffocation par sac en matière plastique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W84": {
    "code": "W84",
    "description": "Danger pour la respiration, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 955,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend asphyxie SAI",
      "aspiration SAI",
      "suffocation SAI",
      "pressions extrêmes de l’air ambiant (W85-W99)"
    ],
    "comprend": [],
    "exclusions": [
      "exposition à : • chaleur naturelle excessive (X30.-)",
      "• foudre (X33.-)",
      "• froid naturel excessif (X31.-)",
      "• lumière solaire (X32.-)",
      "• rayonnements naturels SAI (X39.-)"
    ],
    "clinical_text": [
      "Exposition au courant électrique, aux rayonnements et à des températures et",
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W85": {
    "code": "W85",
    "description": "Exposition aux lignes électriques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 955,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W86": {
    "code": "W86",
    "description": "Exposition à d’autres formes précisées de courant électrique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 955,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W87": {
    "code": "W87",
    "description": "Exposition au courant électrique, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 955,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "choc électrique SAI",
      "électrocution SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend brûlure ou autre lésion traumatique due au courant électrique SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W88": {
    "code": "W88",
    "description": "Exposition aux rayonnements ionisants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 955,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend isotopes radioactifs",
      "rayons X",
      "violets",
      "C omprend lampe à souder (arc électrique)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Exposition à une source lumineuse artificielle visible et aux ultra-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W90": {
    "code": "W90",
    "description": "Exposition à d’autres rayonnements non ionisants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 956,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend rayonnements : • émetteur de radio",
      "• infra-rouges",
      "• laser"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W91": {
    "code": "W91",
    "description": "Exposition aux rayonnements, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 956,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W92": {
    "code": "W92",
    "description": "Exposition à une chaleur artificielle excessive",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 956,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "W93": {
    "code": "W93",
    "description": "Exposition à un froid artificiel excessif",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 956,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend contact avec ou inhalation de : • air liquide",
      "• azote liquide",
      "• hydrogène liquide",
      "• neige carbonique",
      "exposition prolongée dans un congélateur",
      "Exposition à une dépression et une hyperpression et à des",
      "changements de pression barométrique",
      "réduction de la pression • descente sous terre",
      "atmosphérique lors de la • plongée sous-marine vie • anoxie",
      "montée en surface au ou séjour prolongé en • barodontalgie",
      "cours de : haute altitude entraînant : • hypoxie",
      "• mal des montagnes",
      "• otite barotraumatique",
      "et sans précision"
    ],
    "comprend": [
      "feu causé par la foudre"
    ],
    "exclusions": [
      "accidents de transport (V01-V99)",
      "incendie faisant suite à une explosion (W35-W40)",
      "incendie volontaire (X97.-)"
    ],
    "clinical_text": [
      "C omprend modification brusque de la pression de l’air dans un aéronef, au cours de la montée ou de la descente",
      "pression élevée de l’air due à une rapide descente dans l’eau",
      "Exposition à des facteurs propres à un environnement artificiel, autres",
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X00": {
    "code": "X00",
    "description": "Exposition à un feu non maîtrisé, dans un bâtiment ou un ouvrage",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 956,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute d’un bâtiment ou d’un ouvrage en flammes",
      "effondrement d’un bâtiment ou d’un ouvrage en flammes",
      "saut d’un bâtiment ou d’un ouvrage en flammes",
      "combustion lente de garnitures, de mobilier",
      "fonte de garnitures, de mobilier",
      "incendie de garnitures, de mobilier",
      "conflagration"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "heurt par un objet tombant d’un bâtiment ou d’un ouvrage en flammes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X01": {
    "code": "X01",
    "description": "Exposition à un feu non maîtrisé, hors d’un bâtiment ou d’un ouvrage",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend incendie de forêt"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X02": {
    "code": "X02",
    "description": "Exposition à un feu maîtrisé, dans un bâtiment ou un ouvrage",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend feu dans : • cheminée",
      "• fourneau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X03": {
    "code": "X03",
    "description": "Exposition à un feu maîtrisé, hors d’un bâtiment ou d’un ouvrage",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend feu de camp"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X04": {
    "code": "X04",
    "description": "Exposition à l’inflammation d’une substance très inflammable",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend inflammation de : • essence",
      "• kérosène",
      "• pétrole"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X05": {
    "code": "X05",
    "description": "Exposition à l’inflammation ou la fonte de vêtements de nuit",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X06": {
    "code": "X06",
    "description": "Exposition à l’inflammation ou la fonte d’autres vêtements et parures",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend fonte de bijoux en matière plastique",
      "inflammation de bijoux en matière plastique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X08": {
    "code": "X08",
    "description": "Exposition à d’autres fumées, feux et flammes précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X09": {
    "code": "X09",
    "description": "Exposition à la fumée, au feu et aux flammes, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend brûlure SAI",
      "incinération SAI",
      "inhalation de fumée SAI",
      "cuisson brûlants"
    ],
    "comprend": [],
    "exclusions": [
      "exposition à : • chaleur naturelle excessive (X30.-)",
      "• feu et flammes (X00-X09)"
    ],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Contact avec des boissons, aliments, graisses comestibles et huiles de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X11": {
    "code": "X11",
    "description": "Contact avec de l’eau bouillante provenant d’un robinet",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "eau bouillante coulant (dans) (de) : • baignoire",
      "• baquet",
      "• bassine",
      "• robinet",
      "• tuyau"
    ],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X12": {
    "code": "X12",
    "description": "Contact avec d’autres liquides brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend eau chauffée sur un fourneau"
    ],
    "comprend": [],
    "exclusions": [
      "métaux (liquides) chauffés (X18.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X13": {
    "code": "X13",
    "description": "Contact avec de la vapeur d’eau et des vapeurs brûlantes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 957,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X14": {
    "code": "X14",
    "description": "Contact avec de l’air et des gaz brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend inhalation d’air et de gaz brûlants"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X15": {
    "code": "X15",
    "description": "Contact avec des appareils ménagers brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend bouilloire",
      "casseroles (métal) (verre)",
      "chauffe-plats",
      "fourneau de cuisine",
      "grille-pain",
      "ustensiles de cuisson"
    ],
    "comprend": [],
    "exclusions": [
      "appareils de chauffage (X16.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X16": {
    "code": "X16",
    "description": "Contact avec des appareils de chauffage, radiateurs et tuyaux brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X17": {
    "code": "X17",
    "description": "Contact avec des moteurs, des machines et des outils brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "appareils (de) : • chauffage, radiateurs et tuyaux brûlants (X16.-)",
      "• ménagers brûlants (X15.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X18": {
    "code": "X18",
    "description": "Contact avec d’autres métaux chauds",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend métaux liquides",
      "autres et sans précision"
    ],
    "comprend": [
      "émission d’un produit chimique par : • animal",
      "• insecte",
      "injection de venin par crochets, poils, épines, tentacules et autres organes",
      "morsures et piqûres venimeuses"
    ],
    "exclusions": [
      "objets qui ne sont pas normalement chauds, par exemple rendus brûlants par incendie d’une maison",
      "(X00-X09)",
      "ingestion d’animaux venimeux ou de plantes vénéneuses (X49.-)"
    ],
    "clinical_text": [
      "Contact avec des sources de chaleur et des substances brûlantes,",
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X20": {
    "code": "X20",
    "description": "Contact avec des serpents et des lézards venimeux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend cobra",
      "crotale",
      "fer-de-lance",
      "héloderme",
      "serpent (à) : • marin",
      "• sonnettes",
      "• venimeux",
      "vipère"
    ],
    "comprend": [],
    "exclusions": [
      "lézard (non venimeux) (W59.-)",
      "serpent, non venimeux (W59.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X21": {
    "code": "X21",
    "description": "Contact avec des araignées venimeuses",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend tarentule",
      "veuve noire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X22": {
    "code": "X22",
    "description": "Contact avec des scorpions",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 958,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X23": {
    "code": "X23",
    "description": "Contact avec des frelons, guêpes et abeilles",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend hyménoptère du genre vespula"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X24": {
    "code": "X24",
    "description": "Contact avec des centipodes et myriapodes venimeux (tropicaux)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X25": {
    "code": "X25",
    "description": "Contact avec d’autres arthropodes venimeux précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chenille",
      "fourmi",
      "marines",
      "C omprend anémone de mer",
      "corail",
      "holothurie",
      "méduse",
      "nématocyste",
      "oursin"
    ],
    "comprend": [],
    "exclusions": [
      "animaux marins non venimeux (W56.-)",
      "serpents marins (X20.-)"
    ],
    "clinical_text": [
      "Contact avec des animaux venimeux marins et des plantes vénéneuses"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X27": {
    "code": "X27",
    "description": "Contact avec d’autres animaux venimeux précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X28": {
    "code": "X28",
    "description": "Contact avec d’autres plantes vénéneuses précisées",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "précision",
      "C omprend morsure venimeuse SAI",
      "piqûre (venimeuse) SAI"
    ],
    "comprend": [],
    "exclusions": [
      "ingestion de plantes vénéneuses (X49.-)",
      "plaie SAI causée par des épines végétales (W60.-)"
    ],
    "clinical_text": [
      "C omprend injection de poison ou de toxines dans ou à travers la peau par des épines ou autres organes végétaux",
      "Contact avec un animal venimeux ou une plante vénéneuse, sans",
      "[Voir pages début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Rappel : pour la catégorie X34.- pour laquelle des subdivisions créée par l’OMS en 2015 décalent les subdivisions supplémentaires d’un",
      "caractère, le lieu de l’événement sera codé en 5ème position et celui de l’activité en 6ème position"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X30": {
    "code": "X30",
    "description": "Exposition à une chaleur naturelle excessive",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chaleur excessive cause d’insolation",
      "exposition à la chaleur SAI"
    ],
    "comprend": [],
    "exclusions": [
      "chaleur artificielle excessive (W92.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X31": {
    "code": "X31",
    "description": "Exposition à un froid naturel excessif",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 959,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend exposition à : • conditions météorologiques",
      "• froid SAI",
      "froid excessif, cause de : • engelures SAI",
      "• pied ou main d’immersion"
    ],
    "comprend": [],
    "exclusions": [
      "contact avec ou inhalation de : • gaz liquéfié (W93.-)",
      "• neige carbonique (W93.-)",
      "froid artificiel excessif (W93.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X32": {
    "code": "X32",
    "description": "Exposition à la lumière solaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X33": {
    "code": "X33",
    "description": "Foudre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "incendie causé par la foudre (X00-X09)",
      "lésion traumatique due à la chute d’un arbre ou d’un autre objet, provoquée par la foudre (W20.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X34": {
    "code": "X34",
    "description": "Tremblement de terre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "- la suppression de 48 codes ;",
      "- la création de 292 codes ;",
      "- la modification de 33 libellés de code."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les modifications de l’OMS portent essentiellement sur la subdivision de la catégorie X34 Victime d’un tremblement de terre,",
      "en 4 sous-catégories notamment pour faire apparaître la notion de victime de tsunami.",
      "Du fait de la création de ces sous-catégories et de l’existence de code de lieu (10 valeurs possibles) et de code d’activité (7",
      "valeurs possibles) qui complètent le code de la sous-catégorie, ces créations conduisent à :",
      "Toutes ces modifications portent exclusivement sur la catégorie X34.",
      "ATIH – Notice technique n°CIM-MF1263-9-2015 du 29 décembre 2015",
      "Du fait de la création de ces subdivisions supplémentaires, les subdivisions (facultatives ?) du lieu de l’événement et d’activité",
      "(voir en début de chapitre) sont décalées respectivement en 5ème et 6ème positions. Cette notion n’est confirmée que par la",
      "mise à disposition des fichiers de nomenclature de la CIM 10."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X34.0": {
    "code": "X34.0",
    "description": "Victime de mouvements telluriques cataclysmiques causés par un tremblement de terre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de terre"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Bloqué ou blessé par l’effondrement d’un bâtiment ou d’un autre ouvrage dû à un tremblement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X34.1": {
    "code": "X34.1",
    "description": "Victime de tsunami",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X34.8": {
    "code": "X34.8",
    "description": "Victime d’autres effets précisés de tremblement de terre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X34.9": {
    "code": "X34.9",
    "description": "Victime de tremblement de terre, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X35": {
    "code": "X35",
    "description": "Éruption volcanique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X36": {
    "code": "X36",
    "description": "Avalanche, glissement de terrain et autres mouvements telluriques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend coulée de boue de nature cataclysmique"
    ],
    "comprend": [],
    "exclusions": [
      "accident de transport par collision avec une masse de neige ou de terre par suite d’avalanche ou de",
      "glissement de terrain (V01-V99)",
      "tremblement de terre (X34.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X37": {
    "code": "X37",
    "description": "Tempête cataclysmique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 960,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend cyclone",
      "orage",
      "ouragan",
      "pluies torrentielles",
      "raz de marée causé par une tempête",
      "tempête de neige",
      "tornade",
      "fortes chutes de neige",
      "mousson",
      "typhon",
      "véhicule de transport emporté par la tempête"
    ],
    "comprend": [],
    "exclusions": [
      "accident de transport survenant après un orage (V01-V99)",
      "effondrement d’un barrage ou d’un ouvrage entraînant un glissement de terrain (X36.-)",
      "tsunami (X34.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X38": {
    "code": "X38",
    "description": "Victime d’inondation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 961,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• provoquée par : • la marée",
      "• la montée des eaux au cours d’une inondation",
      "• un orage",
      "• une tempête éloignée",
      "• une rivière",
      "• résultant directement d’un orage"
    ],
    "comprend": [],
    "exclusions": [
      "effondrement d’un barrage ou d’un ouvrage entraînant un glissement de terrain (X36.-)",
      "raz de marée (causé par) : • SAI (X39.-)",
      "• une tempête (X37.-)",
      "tsunami (X34.1)"
    ],
    "clinical_text": [
      "C omprend inondation : • cataclysmique, due à la fonte des neiges"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X39": {
    "code": "X39",
    "description": "Exposition à des forces de la nature, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 961,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend rayonnements naturels SAI",
      "raz de marée SAI",
      "(X40-X49)",
      "Les intoxications accidentelles et volontaires",
      "position de diagnostic associé (DA).",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 90",
      "antirhumatismaux, non opiacés et exposition à ces produits",
      "C omprend dérivés (du) : • 4-aminophénol",
      "• pyrazolés",
      "médicaments anti-inflammatoires non stéroïdiens [AINS]",
      "salicylés"
    ],
    "comprend": [
      "accidents liés à l’utilisation de médicaments et de substances biologiques au cours d’actes médicaux et chirurgicaux",
      "intoxication, lorsqu’il n’est pas précisé si elle est accidentelle ou s’il y a eu intention de nuire",
      "surdosage accidentel de médicaments, erreur de prescription ou médicament pris par erreur et par inadvertance"
    ],
    "exclusions": [
      "exposition SAI (X59.-)",
      "tsunami (X34.1)",
      "administration avec intention de suicide ou d’homicide, ou dans l’intention de nuire, ou dans d’autres circonstances",
      "classées en X60-X69, X85-X90, Y10-Y19",
      "médicament approprié correctement administré à dose thérapeutique ou prophylactique, entraînant des effets",
      "indésirables (Y40-Y59)"
    ],
    "clinical_text": [
      "Intoxication accidentelle par des substances nocives et exposition à ces substances",
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Note Se reporter à la Table des médicaments et substances chimiques de l’Index alphabétique pour la liste des médicaments et",
      "autres substances chimiques classées dans les catégories à trois caractères. S’il est prouvé que l’action de l’alcool est",
      "associée aux substances mentionnées ci-dessous, on peut l’indiquer au moyen de codes supplémentaires (Y90-Y91).",
      "Le codage des intoxications médicamenteuses accidentelles et volontaires (la CIM–10 emploie pour les secondes les qualificatifs auto-",
      "infligées, intentionnelles et auto-induites) doit utiliser les catégories T36 à T50. La distinction entre les circonstances accidentelles et",
      "volontaires est assurée par le chapitre XX : codes des catégories X40 à X44 pour les premières, X60 à X64 pour les secondes, saisis en",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Intoxication accidentelle par des analgésiques, antipyrétiques et",
      "Intoxication accidentelle par des anti-épileptiques, sédatifs,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X41": {
    "code": "X41",
    "description": "hypnotiques, anti-parkinsoniens et psychotropes et exposition à ces",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 962,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "produits, non classés ailleurs",
      "C omprend antidépresseurs",
      "barbituriques",
      "dérivés de l’hydantoïne",
      "iminostilbènes",
      "méthaqualone et dérivés",
      "neuroleptiques",
      "psychostimulants",
      "succinimides et oxazolidine-diones",
      "tranquillisants",
      "C omprend cannabis (dérivés)",
      "cocaïne",
      "codéine",
      "héroïne",
      "lysergide [LSD]",
      "mescaline",
      "méthadone",
      "morphine",
      "opium (alcaloïdes)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication accidentelle par des narcotiques et psychodysleptiques",
      "hallucinogènes et exposition à ces produits, non classés ailleurs",
      "Intoxication accidentelle par d’autres substances pharmacologiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X43": {
    "code": "X43",
    "description": "agissant sur le système nerveux autonome et exposition à ces",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 962,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "substances",
      "parasympathomimétiques cholinergiques",
      "sympatholytiques anti-adrénergiques",
      "sympathomimétiques adrénergiques",
      "Intoxication accidentelle par des médicaments et substances",
      "C omprend anesthésiques (généraux) (locaux)",
      "gaz thérapeutiques",
      "hormones et leurs substituts synthétiques",
      "médicaments agissant sur : • appareil cardio-vasculaire",
      "• tractus gastro-intestinal",
      "striés et sur l’appareil respiratoire",
      "topiques",
      "vaccins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend parasympatholytiques anticholinergiques et antimuscariniques et spasmolytiques",
      "biologiques et exposition à ces produits, autres et sans précision",
      "antibiotiques systémiques et autres médicaments anti-infectieux",
      "médicaments intervenant dans le métabolisme de l’eau, des sels minéraux et de l’acide urique",
      "médicaments systémiques et hématologiques produits agissant principalement sur les muscles lisses et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X45": {
    "code": "X45",
    "description": "Intoxication accidentelle par l’alcool et exposition à l’alcool",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 962,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend alcool : • SAI",
      "• butylique [l-butanol]",
      "• éthylique [éthanol]",
      "• isopropylique [2-propanol]",
      "• méthylique [méthanol]",
      "• propylique [1-propanol]",
      "fusel et huile de fusel",
      "Intoxication accidentelle par des solvants organiques et des"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X46": {
    "code": "X46",
    "description": "hydrocarbures halogénés et leurs émanations et exposition à ces",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "produits",
      "C omprend benzène et ses homologues",
      "chlorofluorocarbures",
      "pétrole (dérivés)",
      "tétrachlorure de carbone [tétrachlorométhane]",
      "gaz et émanations et exposition à ces produits"
    ],
    "comprend": [],
    "exclusions": [
      "métaux, y compris leurs fumées et vapeurs (X49.-)",
      "monoxyde de carbone issu de fumées et émanations de feu ou flammes (X00-X09)"
    ],
    "clinical_text": [
      "Intoxication accidentelle par le monoxyde de carbone et par d’autres"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.0": {
    "code": "X47.0",
    "description": "Intoxication accidentelle par le monoxyde de carbone issu de gaz d’échappement de moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gaz d’échappement de : • moteur à combustion tout type",
      "• moteur à essence",
      "• motopompe",
      "• moteur de véhicule immobile"
    ],
    "comprend": [],
    "exclusions": [
      "intoxication accidentelle par le monoxyde de carbone issu d’un moteur de véhicule en",
      "circulation (V01-V99)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.1": {
    "code": "X47.1",
    "description": "Intoxication accidentelle par le monoxyde de carbone issu de gaz domestique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(vaporeformage)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de • gaz non précisé utilisé pour l’éclairage, le chauffage, la cuisine",
      "carbone issu de : • gaz de synthèse (mélange de monoxyde de carbone et d’hydrogène)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.2": {
    "code": "X47.2",
    "description": "Intoxication accidentelle par le monoxyde de carbone issu d’autres combustibles domestiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Monoxyde de • bois",
      "carbone issu de : • charbon",
      "utilisé pour réchaud domestique, grill,",
      "• charbon de bois",
      "barbecue ou poêle (autonome)",
      "• coke",
      "• kérosène ou paraffine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.3": {
    "code": "X47.3",
    "description": "Intoxication accidentelle par le monoxyde de carbone issu d’autres sources",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• fumée de four",
      "• gaz de haut fourneau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de carbone issu de : • combustibles d’usage industriel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.4": {
    "code": "X47.4",
    "description": "Intoxication accidentelle par le monoxyde de carbone de source non précisée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.8": {
    "code": "X47.8",
    "description": "Intoxication accidentelle par d’autres gaz et vapeurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dioxyde de soufre",
      "Gaz lacrymogène",
      "Hélium (à usage non médical)",
      "Oxyde d’azote"
    ],
    "comprend": [],
    "exclusions": [
      "hélium à usage médical (X44.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X47.9": {
    "code": "X47.9",
    "description": "Intoxication accidentelle par gaz et vapeurs non précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 963,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X48": {
    "code": "X48",
    "description": "Intoxication accidentelle par des pesticides et exposition à ces produits",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 964,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend désinfectants par fumigation",
      "fongicides",
      "herbicides",
      "insecticides",
      "produits de protection du bois",
      "rodenticides",
      "C omprend aliments toxiques et plantes vénéneuses",
      "colles et adhésifs",
      "corrosifs aromatiques, acides et bases caustiques",
      "engrais végétaux",
      "intoxication SAI",
      "métaux, y compris leurs fumées et vapeurs",
      "peintures et teintures",
      "savons et détergents"
    ],
    "comprend": [],
    "exclusions": [
      "engrais végétaux (X49.-)",
      "contact avec des animaux venimeux et des plantes vénéneuses (X20-X29)",
      "accidents de transport (V01-V99)",
      "agression (X85-Y09)"
    ],
    "clinical_text": [
      "Intoxication accidentelle par des produits chimiques et substances",
      "nocives et exposition à ces produits, autres et sans précision",
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X50": {
    "code": "X50",
    "description": "Surmenage et mouvements épuisants ou répétés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 964,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend Aviron",
      "course de marathon",
      "soulèvement de : • objets lourds",
      "• poids"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X51": {
    "code": "X51",
    "description": "Voyage et mouvement",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 964,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X52": {
    "code": "X52",
    "description": "Séjour prolongé en apesanteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 964,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend apesanteur dans un vaisseau spatial (simulateur)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X53": {
    "code": "X53",
    "description": "Privation d’aliments",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 964,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend privation d’aliments entraînant : • famine",
      "• inanition",
      "• malnutrition"
    ],
    "comprend": [],
    "exclusions": [
      "délaissement ou abandon par l’entourage ou d’autres personnes (Y06.-)",
      "ingestion insuffisante d’aliments (par négligence personnelle) (R63.6)",
      "négligence personnelle SAI (R46.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X54": {
    "code": "X54",
    "description": "Privation d’eau",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 964,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend privation d’eau entraînant : • déshydratation",
      "• inanition"
    ],
    "comprend": [],
    "exclusions": [
      "délaissement ou abandon par l’entourage ou d’autres personnes (Y06.-)",
      "ingestion insuffisante d’aliments et de liquides (par négligence personnelle) (R63.6)",
      "négligence personnelle SAI (R46.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X57": {
    "code": "X57",
    "description": "Privation, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 965,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend indigence"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X58": {
    "code": "X58",
    "description": "Exposition à d’autres facteurs précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 965,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X59": {
    "code": "X59",
    "description": "Exposition à des facteurs, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 965,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend accident SAI",
      "exposition SAI"
    ],
    "comprend": [
      "intoxication ou lésion traumatique que s’inflige délibérément un individu",
      "suicide (tentative de suicide)",
      "SUICIDES ET TENTATIVES DE SUICIDE",
      "L’importance de leur enregistrement tient aussi au fait que la réduction de leur nombre fait partie des objectifs nationaux de santé",
      "publique (Loi n° 2004-806 du 9 août 2004, objectif n° 92).",
      "Les RUM produits pour les séjours dont suicide et tentative de suicide sont le motif, mentionnent un diagnostic principal codé avec le",
      "chapitre XIX de la CIM–10 Lésions traumatiques, empoisonnements et certaines autres conséquences de cause externe. Il n’y a donc",
      "pas de diagnostic relié. On reporte en position de diagnostic associé (DA) les éventuelles complications, conformément à la définition",
      "d’un DA significatif (se reporter au point 3 du chapitre IV) ainsi qu’un code du groupe X60–X84 du chapitre XX pour enregistrer le ou",
      "les moyens utilisés (NB : les codes du groupe X60-X84 sont des codes à quatre caractères. Une note dans le volume 1 de la CIM–10,",
      "sous le titre du groupe, indique que les quatrièmes caractères sont indiqués au début du chapitre).",
      "À propos des suicides et tentatives de suicide médicamenteuses, voir les effets nocifs des médicaments plus haut dans ce chapitre.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 119",
      "Les intoxications accidentelles et volontaires",
      "Le codage des intoxications médicamenteuses accidentelles et volontaires (la CIM–10 emploie pour les secondes les qualificatifs auto-",
      "infligées, intentionnelles et auto-induites) doit utiliser les catégories T36 à T50. La distinction entre les circonstances accidentelles et",
      "volontaires est assurée par le chapitre XX : codes des catégories X40 à X44 pour les premières, X60 à X64 pour les secondes, saisis en",
      "position de diagnostic associé (DA).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 90",
      "Auto-intoxication par des analgésiques, antipyrétiques et",
      "antirhumatismaux non opiacés et exposition à ces produits",
      "C omprend dérivés (du) : • 4-aminophénol",
      "• pyrazolés",
      "médicaments anti-inflammatoires non stéroïdiens [AINS] salicylés"
    ],
    "exclusions": [],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Auto-intoxication par des anti-épileptiques, sédatifs, hypnotiques,"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.120 : comprend tentative de suicide [d’autolyse] médicamenteuse [TS] [TA] SAI"
    ]
  },
  "X61": {
    "code": "X61",
    "description": "anti-parkinsoniens et psychotropes et exposition à ces produits, non",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 966,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classés ailleurs",
      "C omprend antidépresseurs",
      "barbituriques",
      "dérivés de l’hydantoïne",
      "iminostilbènes",
      "méthaqualone et dérivés",
      "neuroleptiques",
      "psychostimulants",
      "succinimides et oxazolidine-diones",
      "tranquillisants",
      "Auto-intoxication par des narcotiques et psychodysleptiques",
      "C omprend cannabis (dérivés)",
      "cocaïne",
      "codéine",
      "héroïne",
      "lysergide [LSD]",
      "mescaline",
      "méthadone",
      "morphine",
      "opium (alcaloïdes)",
      "sur le système nerveux autonome et exposition à ces produits",
      "parasympathomimétiques cholinergiques",
      "sympatholytiques anti-adrénergiques",
      "sympathomimétiques adrénergiques",
      "exposition à ces produits, autres et sans précision",
      "C omprend anesthésiques (généraux) (locaux)",
      "gaz thérapeutiques",
      "hormones et leurs substituts synthétiques",
      "médicament agissant sur le : • appareil cardio-vasculaire",
      "• tractus gastro-intestinal",
      "striés et sur l’appareil respiratoire",
      "topiques",
      "vaccins"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "[hallucinogènes] et exposition à ces produits, non classés ailleurs",
      "Auto-intoxication par d’autres substances pharmacologiques agissant",
      "C omprend parasympatholytiques anticholinergiques et antimuscariniques et spasmolytiques",
      "Auto-intoxication par des médicaments et substances biologiques et",
      "antibiotiques systémiques et autres médicaments anti-infectieux",
      "médicaments intervenant dans le métabolisme de l’eau, des sels minéraux et de l’acide urique",
      "médicaments systémiques et hématologiques produits agissant principalement sur les muscles lisses et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X65": {
    "code": "X65",
    "description": "Auto-intoxication par l’alcool et exposition à l’alcool",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 966,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend alcool : • SAI",
      "• butylique [l-butanol]",
      "• éthylique [éthanol]",
      "• isopropylique [2-propanol]",
      "• méthylique [méthanol]",
      "• propylique [l-propanol]",
      "fusel et huile de fusel",
      "halogénés et leurs émanations et exposition à ces produits",
      "C omprend benzène et ses homologues",
      "chlorofluorocarbures",
      "pétrole (dérivés)",
      "tétrachlorure de carbone [tétrachlorométhane]",
      "émanations et exposition à ces produits"
    ],
    "comprend": [],
    "exclusions": [
      "métaux, y compris leurs fumées et vapeurs (X69.-)",
      "monoxyde de carbone issu de fumées et émanations de feu ou flammes (X76)"
    ],
    "clinical_text": [
      "Auto-intoxication par des solvants organiques et des hydrocarbures",
      "Auto-intoxication par le monoxyde de carbone et d’autres gaz et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.0": {
    "code": "X67.0",
    "description": "Auto-intoxication par le monoxyde de carbone issu de gaz d’échappement de moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gaz d’échappement de : • moteur à combustion tout type",
      "• moteur à essence",
      "• motopompe",
      "• moteur de véhicule immobile"
    ],
    "comprend": [],
    "exclusions": [
      "intoxication accidentelle par le monoxyde de carbone issu d’un moteur de véhicule en",
      "circulation (V01-V99)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.1": {
    "code": "X67.1",
    "description": "Auto-intoxication par le monoxyde de carbone issu de gaz domestique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "cuisine",
      "• gaz de synthèse (mélange de monoxyde de carbone et",
      "d’hydrogène) (vaporeformage)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de carbone issu de : • gaz non précisé utilisé pour l’éclairage, le chauffage, la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.2": {
    "code": "X67.2",
    "description": "Auto-intoxication par le monoxyde de carbone issu d’autres combustibles domestiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Monoxyde de carbone issu de : • bois",
      "• charbon utilisé pour réchaud",
      "• charbon de bois domestique, grill, barbecue ou",
      "• coke poêle (autonome)",
      "• kérosène ou paraffine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.3": {
    "code": "X67.3",
    "description": "Auto-intoxication par le monoxyde de carbone issu d’autres sources",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• fumée de four",
      "• gaz de haut fourneau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de carbone issu de : • combustibles d’usage industriel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.4": {
    "code": "X67.4",
    "description": "Auto-intoxication par le monoxyde de carbone de source non précisée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.8": {
    "code": "X67.8",
    "description": "Auto-intoxication par d’autres gaz et vapeurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dioxyde de soufre",
      "Gaz lacrymogène",
      "Hélium (à usage non médical)",
      "Oxyde d’azote"
    ],
    "comprend": [],
    "exclusions": [
      "hélium à usage médical (X64.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X67.9": {
    "code": "X67.9",
    "description": "Auto-intoxication par gaz et vapeurs non précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 967,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X68": {
    "code": "X68",
    "description": "Auto-intoxication par des pesticides et exposition à ces produits",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend désinfectants par fumigation",
      "Fongicides",
      "Herbicides",
      "Insecticides",
      "produits de protection du bois",
      "Rodenticides",
      "exposition à ces produits, autres et sans précision",
      "C omprend colles et adhésifs",
      "corrosifs aromatiques, acides et bases caustiques",
      "engrais végétaux métaux, y compris leurs fumées et vapeurs",
      "peintures et teintures",
      "plantes vénéneuses et substances alimentaires nocives",
      "savons et détergents"
    ],
    "comprend": [],
    "exclusions": [
      "engrais végétaux (X69.-)"
    ],
    "clinical_text": [
      "Auto-intoxication par des produits chimiques et substances nocives et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X70": {
    "code": "X70",
    "description": "Lésion auto-infligée par pendaison, strangulation et suffocation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X71": {
    "code": "X71",
    "description": "Lésion auto-infligée par noyade et submersion",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X72": {
    "code": "X72",
    "description": "Lésion auto-infligée par décharge d’une arme de poing",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "plus grande taille",
      "précision"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion auto-infligée par décharge de fusil, de carabine et d’arme de",
      "Lésion auto-infligée par décharge d’armes à feu, autres et sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X75": {
    "code": "X75",
    "description": "Lésion auto-infligée par utilisation de matériel explosif",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X76": {
    "code": "X76",
    "description": "Lésion auto-infligée par exposition à la fumée, au feu et aux flammes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "objets brûlants"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion auto-infligée par exposition à la vapeur d’eau, à des gaz et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X78": {
    "code": "X78",
    "description": "Lésion auto-infligée par utilisation d’objet tranchant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X79": {
    "code": "X79",
    "description": "Lésion auto-infligée par utilisation d’objet contondant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X80": {
    "code": "X80",
    "description": "Lésion auto-infligée par saut dans le vide",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend chute intentionnelle d’un niveau à un autre",
      "mouvement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lésion auto-infligée en sautant ou en se couchant devant un objet en"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X82": {
    "code": "X82",
    "description": "Lésion auto-infligée par collision d’un véhicule à moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 968,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend collision intentionnelle avec : • train",
      "• tramway",
      "• véhicule à moteur"
    ],
    "comprend": [],
    "exclusions": [
      "écrasement d’aéronef (X83.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X83": {
    "code": "X83",
    "description": "Lésion auto-infligée par d’autres moyens précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend lésion auto-infligée par : • écrasement d’aéronef",
      "• électrocution",
      "• substances caustiques, sauf intoxication"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X84": {
    "code": "X84",
    "description": "Lésion auto-infligée par un moyen non précisé",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "homicide",
      "lésions traumatiques infligées par un tiers dans l’intention de blesser ou de tuer, par un moyen quelconque"
    ],
    "exclusions": [
      "lésions traumatiques dues à : • faits de guerre (Y36.-)",
      "• intervention de la force publique (Y35.-)"
    ],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "sauf les catégories Y06.- et Y07.- qui n’acceptent pas de subdivisions complémentaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X85": {
    "code": "X85",
    "description": "Agression par médicaments et substances biologiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend homicide par empoisonnement au moyen de : • drogue",
      "• médicament",
      "• substance biologique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X86": {
    "code": "X86",
    "description": "Agression par une substance corrosive",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "gaz corrosif (X88.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X87": {
    "code": "X87",
    "description": "Agression par des pesticides",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend produits de protection du bois"
    ],
    "comprend": [],
    "exclusions": [
      "engrais végétaux (X89.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88": {
    "code": "X88",
    "description": "Agression par le monoxyde de carbone et d’autres gaz et émanations",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "monoxyde de carbone issu de fumées et émanations de feu ou flammes (X76)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.0": {
    "code": "X88.0",
    "description": "Agression par le monoxyde de carbone issu de gaz d’échappement de moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gaz d’échappement de : • moteur à combustion tout type",
      "• moteur à essence",
      "• motopompe",
      "• moteur de véhicule immobile"
    ],
    "comprend": [],
    "exclusions": [
      "intoxication accidentelle par le monoxyde de carbone issu d’un moteur de véhicule en",
      "circulation (V01-V99)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.1": {
    "code": "X88.1",
    "description": "Agression par le monoxyde de carbone issu de gaz domestique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(vaporeformage)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de • gaz non précisé utilisé pour l’éclairage, le chauffage, la cuisine",
      "carbone issu de : • gaz de synthèse (mélange de monoxyde de carbone et d’hydrogène)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.2": {
    "code": "X88.2",
    "description": "Agression par le monoxyde de carbone issu d’autres combustibles domestiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 969,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Monoxyde de • bois",
      "carbone issu de : • charbon",
      "utilisé pour réchaud domestique, grill, barbecue",
      "• charbon de bois",
      "ou poêle (autonome)",
      "• coke",
      "• kérosène ou paraffine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.3": {
    "code": "X88.3",
    "description": "Agression par le monoxyde de carbone issu d’autres sources",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• fumée de four",
      "• gaz de haut fourneau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de carbone issu de : • combustibles d’usage industriel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.4": {
    "code": "X88.4",
    "description": "Agression par le monoxyde de carbone de source non précisée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.8": {
    "code": "X88.8",
    "description": "Agression par d’autres gaz et vapeurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dioxyde de soufre",
      "Gaz lacrymogène",
      "Hélium (à usage non médical)",
      "Oxyde d’azote"
    ],
    "comprend": [],
    "exclusions": [
      "hélium à usage médical (X44.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X88.9": {
    "code": "X88.9",
    "description": "Agression par gaz et vapeurs non précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X89": {
    "code": "X89",
    "description": "Agression par d’autres produits chimiques et nocifs précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend engrais végétaux"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X90": {
    "code": "X90",
    "description": "Agression par un produit chimique ou nocif, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend homicide par empoisonnement SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X91": {
    "code": "X91",
    "description": "Agression par pendaison, strangulation et suffocation",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X92": {
    "code": "X92",
    "description": "Agression par noyade et submersion",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X93": {
    "code": "X93",
    "description": "Agression par arme de poing",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X94": {
    "code": "X94",
    "description": "Agression par fusil, carabine et arme de plus grande taille",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X95": {
    "code": "X95",
    "description": "Agression par des armes à feu, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X96": {
    "code": "X96",
    "description": "Agression par matériel explosif",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dispositif incendiaire (X97.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X97": {
    "code": "X97",
    "description": "Agression par la fumée, le feu et les flammes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend cigarettes",
      "dispositif incendiaire",
      "incendie volontaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X98": {
    "code": "X98",
    "description": "Agression par la vapeur d’eau, des gaz et objets brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "X99": {
    "code": "X99",
    "description": "Agression par objet tranchant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend coup de couteau SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y00": {
    "code": "Y00",
    "description": "Agression par objet contondant",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y01": {
    "code": "Y01",
    "description": "Agression par précipitation dans le vide",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 970,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "mouvement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Agression en poussant ou plaçant la victime devant un objet en"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y03": {
    "code": "Y03",
    "description": "Agression en provoquant une collision de véhicule à moteur",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend heurt ou renversement délibéré par un véhicule à moteur"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y04": {
    "code": "Y04",
    "description": "Agression par la force physique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend bagarre sans arme",
      "rixe sans arme"
    ],
    "comprend": [],
    "exclusions": [
      "agression (par) : • sexuelle par la force physique (Y05.-)",
      "• strangulation (X91.-)",
      "• submersion (X92.-)",
      "• utilisation d’une arme (X93-X95, X99.-, Y00.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y05": {
    "code": "Y05",
    "description": "Agression sexuelle par la force physique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend sodomie (tentative de)",
      "viol (tentative de)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y06": {
    "code": "Y06",
    "description": "Délaissement et abandon",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y06.0": {
    "code": "Y06.0",
    "description": "Par le conjoint ou le partenaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y06.1": {
    "code": "Y06.1",
    "description": "Par un(e) parent(e)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y06.2": {
    "code": "Y06.2",
    "description": "Par une relation ou un(e) ami(e)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y06.8": {
    "code": "Y06.8",
    "description": "Par d’autres personnes précisées",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y06.9": {
    "code": "Y06.9",
    "description": "Par une personne non précisée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07": {
    "code": "Y07",
    "description": "Autres mauvais traitements",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend cruauté mentale",
      "sévices : • physiques",
      "• sexuels",
      "Torture"
    ],
    "comprend": [],
    "exclusions": [
      "agression sexuelle par la force physique (Y05.-)",
      "délaissement et abandon (Y06.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07.0": {
    "code": "Y07.0",
    "description": "Par un(e) conjoint(e) ou un(e) partenaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07.1": {
    "code": "Y07.1",
    "description": "Par un(e) parent(e)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07.2": {
    "code": "Y07.2",
    "description": "Par une relation ou un(e) ami(e)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07.3": {
    "code": "Y07.3",
    "description": "Par des autorités officielles",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07.8": {
    "code": "Y07.8",
    "description": "Par d’autres personnes précisées",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y07.9": {
    "code": "Y07.9",
    "description": "Par une personne non précisée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y08": {
    "code": "Y08",
    "description": "Agression par d’autres moyens précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 971,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y09": {
    "code": "Y09",
    "description": "Agression par un moyen non précisé",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 972,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend assassinat (tentative) SAI",
      "homicide (tentative) : • SAI",
      "• volontaire",
      "meurtre (tentative) SAI",
      "Événements dont l’intention n’est pas déterminée (Y10-Y34)",
      "y a eu intention de nuire.",
      "Intoxication par des analgésiques, antipyrétiques et"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "[Voir début de chapitre pour les subdivisions de lieu de l’événement]",
      "[Voir en début de chapitre pour l’activité de la personne blessée au moment de l’événement]",
      "Note Cette section concerne les événements au sujet desquels les renseignements dont on dispose ne permettent pas aux autorités",
      "médicales ou légales de savoir s’il s’agit d’un accident, d’une lésion auto-infligée ou d’une agression.",
      "Elle comprend les lésions auto-infligées, mais pas les intoxications, quand il n’est pas précisé si elles sont accidentelles ou s’il",
      "cadre des soins de santé. Elles ne doivent pas être utilisées par facilité lorsque le codeur ne dispose pas de l’information sur les",
      "circonstances d’une intoxication : la précision doit être recherchée."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.120 : les catégories Y10 à Y34 étant réservées aux cas ayant justifié une enquête médico-légale, elles n’ont pas d’usage dans le"
    ]
  },
  "Y10": {
    "code": "Y10",
    "description": "antirhumatismaux non opiacés et exposition à ces produits, intention",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 972,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "non déterminée",
      "C omprend dérivés (du) : • 4-aminophénol",
      "• pyrazolés",
      "médicaments anti-inflammatoires non stéroïdiens [AINS]",
      "salicylés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par des anti-épileptiques, sédatifs, hypnotiques, anti-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y11": {
    "code": "Y11",
    "description": "parkinsoniens et psychotropes et exposition à ces produits, non",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 972,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "classés ailleurs, intention non déterminée",
      "C omprend antidépresseurs",
      "barbituriques",
      "dérivés de l’hydantoïne",
      "iminostilbènes",
      "méthaqualone et dérivés",
      "neuroleptiques",
      "psychostimulants",
      "succinimides et oxazolidine-diones",
      "tranquillisants",
      "Intoxication par des narcotiques et psychodysleptiques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y12": {
    "code": "Y12",
    "description": "[hallucinogènes] et exposition à ces produits, non classés ailleurs,",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 972,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "intention non déterminée",
      "C omprend cannabis (dérivés)",
      "cocaïne",
      "codéine",
      "héroïne",
      "lysergide [LSD]",
      "mescaline",
      "méthadone",
      "morphine",
      "opium (alcaloïdes)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Intoxication par d’autres substances pharmacologiques agissant sur le"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y13": {
    "code": "Y13",
    "description": "système nerveux autonome et exposition à ces produits, intention non",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 973,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "déterminée",
      "parasympathomimétiques cholinergiques",
      "sympatholytiques anti-adrénergiques",
      "sympathomimétiques adrénergiques",
      "C omprend anesthésiques (généraux) (locaux)",
      "gaz thérapeutiques",
      "hormones et leurs substituts synthétiques",
      "médicaments agissant sur le : • appareil cardio-vasculaire",
      "• tractus gastro-intestinal",
      "striés et sur l’appareil respiratoire",
      "topiques",
      "vaccins",
      "C omprend alcool : • SAI",
      "• butylique [l-butanol]",
      "• éthylique [éthanol]",
      "• isopropylique [2-propanol]",
      "• méthylique [méthanol]",
      "• propylique [l-propanol]",
      "fusel et huile de fusel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend parasympatholytiques anticholinergiques et antimuscariniques et spasmolytiques",
      "Intoxication par des médicaments et substances biologiques, autres et",
      "sans précision et exposition à ces produits, intention non déterminée",
      "antibiotiques systémiques et autres médicaments anti-infectieux",
      "médicaments intervenant dans le métabolisme de l’eau, des sels minéraux et de l’acide urique",
      "médicaments systémiques et hématologiques produits agissant principalement sur les muscles lisses et",
      "Intoxication par l’alcool et exposition à l’alcool, intention non",
      "Intoxication par des solvants organiques et des hydrocarbures"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y16": {
    "code": "Y16",
    "description": "halogénés et leurs émanations et exposition à ces produits, intention",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 973,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "non déterminée"
    ],
    "comprend": [
      "benzène et ses homologues",
      "chlorofluorocarbures",
      "pétrole (dérivés)",
      "tétrachlorure de carbone [tétrachlorométhane]",
      "Intoxication par le monoxyde de carbone et d’autres gaz et émanations",
      "et exposition à ces produits, intention non déterminée"
    ],
    "exclusions": [
      "métaux, y compris leurs fumées et vapeurs (Y19.-)",
      "monoxyde de carbone issu de fumées, de feu ou flammes, intention non déterminée (Y26)"
    ],
    "clinical_text": [
      "Intoxication par le monoxyde de carbone issu de gaz d’échappement de moteur, intention non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y17.1": {
    "code": "Y17.1",
    "description": "Intoxication par le monoxyde de carbone issu de gaz domestique, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 973,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(vaporeformage)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de • gaz non précisé utilisé pour l’éclairage, le chauffage, la cuisine",
      "carbone issu de : • gaz de synthèse (mélange de monoxyde de carbone et d’hydrogène)",
      "Intoxication par le monoxyde de carbone issu d’autres combustibles domestiques, intention non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y17.3": {
    "code": "Y17.3",
    "description": "Intoxication par le monoxyde de carbone issu d’autres sources, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• fumée de four",
      "• gaz de haut fourneau"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Monoxyde de carbone issu de : • combustibles d’usage industriel"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y17.4": {
    "code": "Y17.4",
    "description": "Intoxication par le monoxyde de carbone de source non précisée, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y17.8": {
    "code": "Y17.8",
    "description": "Intoxication par d’autres gaz et vapeurs, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dioxyde de soufre",
      "Gaz lacrymogène",
      "Hélium (à usage non médical)",
      "Oxyde d’azote"
    ],
    "comprend": [],
    "exclusions": [
      "hélium à usage médical (Y14.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y17.9": {
    "code": "Y17.9",
    "description": "Intoxication par gaz et vapeurs non précisés, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "non déterminée",
      "C omprend désinfectants par fumigation",
      "fongicides",
      "herbicides",
      "insecticides",
      "produits de protection du bois",
      "rodenticides"
    ],
    "comprend": [],
    "exclusions": [
      "engrais végétaux (Y19.-)"
    ],
    "clinical_text": [
      "Intoxication par des pesticides et exposition à ces produits, intention",
      "Intoxication par des produits chimiques et substances nocives et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y19": {
    "code": "Y19",
    "description": "exposition à ces produits, autres et sans précision, intention non",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "déterminée",
      "C omprend colles et adhésifs",
      "corrosifs aromatiques, acides et bases caustiques",
      "engrais végétaux",
      "métaux, y compris leurs fumées et vapeurs",
      "peintures et teintures",
      "plantes vénéneuses et substances alimentaires nocives",
      "savons et détergents"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y20": {
    "code": "Y20",
    "description": "Pendaison, strangulation et suffocation, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y21": {
    "code": "Y21",
    "description": "Noyade et submersion, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y22": {
    "code": "Y22",
    "description": "Décharge d’une arme de poing, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 974,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "intention non déterminée",
      "déterminée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Décharge de fusil, de carabine et d’arme de plus grande taille,",
      "Décharge d’armes à feu, autres et sans précision, intention non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y25": {
    "code": "Y25",
    "description": "Contact avec matériel explosif, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Exposition à la fumée, au feu et aux flammes, intention non",
      "déterminée",
      "non déterminée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Contact avec de la vapeur d’eau, des gaz et objets brûlants, intention"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y28": {
    "code": "Y28",
    "description": "Contact avec objet tranchant, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y29": {
    "code": "Y29",
    "description": "Contact avec objet contondant, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y30": {
    "code": "Y30",
    "description": "Chute, saut ou précipitation dans le vide, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "C omprend chute de la victime d’un niveau à un autre, intention non déterminée",
      "Lésion traumatique par un objet en mouvement (la victime étant"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y31": {
    "code": "Y31",
    "description": "tombée ou couchée devant l’objet ou entrée en collision avec celui-ci),",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "intention non déterminée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y32": {
    "code": "Y32",
    "description": "Collision de véhicule à moteur, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y33": {
    "code": "Y33",
    "description": "Autres événements précisés, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y34": {
    "code": "Y34",
    "description": "Événement sans précision, intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 975,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35": {
    "code": "Y35",
    "description": "Intervention de la force publique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.0": {
    "code": "Y35.0",
    "description": "Intervention de la force publique impliquant l’usage d’armes à feu",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Blessure par : • balle",
      "• coup de feu SAI",
      "• mitrailleuse",
      "• plomb ou balle en caoutchouc",
      "• revolver"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.1": {
    "code": "Y35.1",
    "description": "Intervention de la force publique impliquant l’usage d’explosifs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Blessure par : • dynamite",
      "• grenade",
      "• obus de mortier",
      "• projectile explosif"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.2": {
    "code": "Y35.2",
    "description": "Intervention de la force publique impliquant l’usage de gaz",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Asphyxie par gaz",
      "Intoxication par gaz",
      "Lésions par gaz lacrymogène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.3": {
    "code": "Y35.3",
    "description": "Intervention de la force publique impliquant l’usage d’objets contondants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Blessure, coup par : • bâton",
      "• matraque",
      "• objet contondant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.4": {
    "code": "Y35.4",
    "description": "Intervention de la force publique impliquant l’usage d’objets tranchants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Coup de baïonnette, d’épée ou de poignard",
      "Coupure"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.5": {
    "code": "Y35.5",
    "description": "Exécution légale",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Toute exécution faite sur la demande • asphyxie par gaz",
      "publics [qu’ils soient permanents ou • électrocution",
      "temporaires] telle que :",
      "• empoisonnement",
      "• fusillade",
      "• peine capitale",
      "• pendaison"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "des autorités judiciaires ou des pouvoirs • décollation, décapitation (par guillotine)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.6": {
    "code": "Y35.6",
    "description": "Intervention de la force publique impliquant d’autres moyens précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Brutalités"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y35.7": {
    "code": "Y35.7",
    "description": "Intervention de la force publique, moyen non précisé",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 976,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36": {
    "code": "Y36",
    "description": "Faits de guerre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 977,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [
      "blessures causées à des militaires et à des civils pendant une guerre et une insurrection"
    ],
    "exclusions": [],
    "clinical_text": [
      "Note Les blessures par faits de guerre survenus après l’arrêt des hostilités sont classées en Y36.8."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.0": {
    "code": "Y36.0",
    "description": "Fait de guerre impliquant l’explosion d’armes navales",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 977,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Explosion sous-marine",
      "Grenade sous-marine",
      "Mine flottante",
      "Mine SAI, en mer ou dans un port",
      "Obus d’artillerie navale",
      "Torpille"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.1": {
    "code": "Y36.1",
    "description": "Fait de guerre impliquant la destruction d’aéronef",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 977,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aéronef : • abattu",
      "• détruit par explosion",
      "• incendié",
      "Écrasement par chute d’aéronef"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.2": {
    "code": "Y36.2",
    "description": "Fait de guerre impliquant d’autres explosions et éclats",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 977,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bombe antipersonnel (éclats)",
      "Explosion (de) : • SAI",
      "• canon",
      "• grenade",
      "• obus d’artillerie",
      "• obus de mortier",
      "Explosion accidentelle de : • munitions de guerre",
      "• armes de la victime",
      "Fragments de : • bombe",
      "• mine terrestre",
      "• missile téléguidé",
      "• obus",
      "• roquette",
      "• schrapnell",
      "Mine SAI",
      "Souffle d’explosion SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.3": {
    "code": "Y36.3",
    "description": "Fait de guerre impliquant des incendies, des conflagrations et des produits brûlants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 977,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "par une arme de type classique",
      "indirectement par une arme de type classique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Asphyxie résultant d’un incendie causé directement par un moyen incendiaire ou indirectement",
      "Autres lésions résultant d’un incendie causé directement par un moyen incendiaire ou",
      "Bombe à essence résultant d’un incendie causé directement par un moyen incendiaire ou",
      "Brûlures résultant d’un incendie causé directement par un moyen incendiaire ou indirectement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.4": {
    "code": "Y36.4",
    "description": "Fait de guerre impliquant le tir d’armes à feu et autres moyens de type classique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 978,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Balle de : • caoutchouc (tirée d’un fusil)",
      "• carabine",
      "• fusil",
      "• mitrailleuse",
      "• pistolet",
      "Coups de baïonnette",
      "Noyade au cours de fait de guerre SAI",
      "Plomb (fusil)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.5": {
    "code": "Y36.5",
    "description": "Fait de guerre impliquant des armes nucléaires",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 978,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Chaleur",
      "Effets d’incendie",
      "Effets de souffle",
      "Autres effets directs et secondaires d’armes nucléaires"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Exposition à des rayonnements ionisants émis par des armes nucléaires"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.6": {
    "code": "Y36.6",
    "description": "Fait de guerre impliquant des armes biologiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 978,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.7": {
    "code": "Y36.7",
    "description": "Fait de guerre impliquant des armes chimiques et autres moyens non classiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 978,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Gaz, fumées et substances chimiques",
      "Lasers"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.8": {
    "code": "Y36.8",
    "description": "Fait de guerre survenu après la cessation des hostilités",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 978,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "la cessation des hostilités",
      "l’explosion étant survenue après la cessation des hostilités"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Blessures : • dues à un fait de guerre, classées en Y36.0-Y36.7 ou Y36.9 mais survenues après",
      "• par explosion de bombes ou de mines posées au cours de faits de guerre,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y36.9": {
    "code": "Y36.9",
    "description": "Fait de guerre, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 978,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "cours de leur usage thérapeutique (Y40-Y59)",
      "Les effets indésirables",
      "chapitre XX de la CIM–10 (catégories Y40–Y59).",
      "Exemples :",
      "de la CIM–10.",
      "codage ne doit pas utiliser les codes du groupe T36–T50.",
      "et odontologie – BO du 17 juillet 2025, p. 91"
    ],
    "comprend": [
      "complications dues à un appareillage médical",
      "incidents survenus au patient au cours d’actes médicaux et chirurgicaux",
      "substance médicamenteuse appropriée et correctement administrée à dose thérapeutique ou prophylactique, mais",
      "cause d’un effet indésirable quelconque",
      "réactions anormales de patients ou complications tardives causées par des interventions médicales et chirurgicales,",
      "sans mention d’incident au cours de l’intervention"
    ],
    "exclusions": [
      "surdosage accidentel de médicaments, erreur de prescription ou médicament pris par erreur (X40-X44)",
      "accidents liés à l’administration de médicaments et de substances biologiques au cours d’actes",
      "médicaux et chirurgicaux (Y60-Y69)"
    ],
    "clinical_text": [
      "Médicaments et substances biologiques ayant provoqué des effets indésirables au",
      "Note se reporter à la Table des médicaments et substances chimiques de l’Index alphabétique pour la liste des médicaments",
      "spécifiques classés dans les subdivisions à quatre caractères.",
      "L’importance de leur enregistrement tient entre autres au fait que la réduction de la iatrogénie fait partie des objectifs nationaux de",
      "santé publique (loi n° 2004-806 du 9 août 2004, objectifs n° 26 à 29).",
      "Les notes d’inclusion et d’exclusion qui figurent sous l’intitulé du groupe T36–T50 dans le volume 1 de la CIM–10 indiquent que l’effet",
      "indésirable d’une « substance appropriée administrée correctement » doit être codé selon la nature de l’effet. Le codage des effets",
      "indésirables des médicaments n’utilise donc pas les codes du groupe T36–T50. Il associe au code de la nature de l’effet un code du",
      "– bradycardie au cours d’un traitement par la digitaline : R00.1, Y52.0",
      "– gastrite aiguë au cours d’un traitement par anti-inflammatoire non stéroïdien : K29.1, Y45.3",
      "Pour un effet donné, enregistrer qu’il est secondaire à un traitement médicamenteux ne peut se faire qu’en employant le chapitre XX",
      "Le mot « surdosage » est parfois à l’origine de difficultés. Par « substance appropriée administrée correctement » on entend le respect",
      "de la prescription médicamenteuse, notamment de la posologie. En présence d’une complication d’un traitement médicamenteux, le",
      "langage médical courant utilise parfois le mot « surdosage », par exemple, lorsqu’une hémorragie au cours d’un traitement anticoagulant",
      "coexiste avec une élévation de l’international normalized ratio (INR) au-dessus de la valeur thérapeutique souhaitée ou lorsqu’une",
      "complication d’un traitement s’accompagne d’une concentration sanguine de médicament supérieure à la valeur thérapeutique admise",
      "(digoxinémie, lithémie…). De tels cas, lorsque la prescription a été respectée, doivent être classés comme des effets indésirables et leur",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40": {
    "code": "Y40",
    "description": "Antibiotiques systémiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "antibiotiques : • antitumoraux (Y43.3)",
      "• à usage topique (Y56.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.0": {
    "code": "Y40.0",
    "description": "Pénicillines",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.1": {
    "code": "Y40.1",
    "description": "Céphalosporines et autres bêtalactamines",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.2": {
    "code": "Y40.2",
    "description": "Groupe du chloramphénicol",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.3": {
    "code": "Y40.3",
    "description": "Macrolides",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.4": {
    "code": "Y40.4",
    "description": "Tétracyclines",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.5": {
    "code": "Y40.5",
    "description": "Aminosides",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Streptomycine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.6": {
    "code": "Y40.6",
    "description": "Rifamycines",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 979,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.7": {
    "code": "Y40.7",
    "description": "Antibiotiques antifongiques systémiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y40.8": {
    "code": "Y40.8",
    "description": "Autres antibiotiques systémiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
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  "Y40.9": {
    "code": "Y40.9",
    "description": "Antibiotique systémique, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41": {
    "code": "Y41",
    "description": "Autres anti-infectieux et antiparasitaires systémiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "anti-infectieux à usage topique (Y56.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.0": {
    "code": "Y41.0",
    "description": "Sulfamides",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.1": {
    "code": "Y41.1",
    "description": "Antimycobactériens",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rifamycines (Y40.6)",
      "streptomycine (Y40.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.2": {
    "code": "Y41.2",
    "description": "Antipaludiques et médicaments agissant sur d’autres protozoaires du sang",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dérivés de l’hydroxyquinoléine (Y41.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.3": {
    "code": "Y41.3",
    "description": "Autres antiprotozoaires",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.4": {
    "code": "Y41.4",
    "description": "Anthelminthiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.5": {
    "code": "Y41.5",
    "description": "Antiviraux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "amantadine (Y46.7)",
      "cytarabine (Y43.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.8": {
    "code": "Y41.8",
    "description": "Autres anti-infectieux et antiparasitaires systémiques précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dérivés de l’hydroxyquinoléine"
    ],
    "comprend": [],
    "exclusions": [
      "antipaludiques (Y41.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y41.9": {
    "code": "Y41.9",
    "description": "Anti-infectieux et antiparasitaire systémiques, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "hormones : • ocytociques (Y55.0)",
      "• parathyroïdiennes et leurs dérivés (Y54.7)",
      "minéralocorticoïdes et leurs antagonistes (Y54.0-Y54.1)"
    ],
    "clinical_text": [
      "Hormones et leurs substituts synthétiques et antagonistes, non classés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.0": {
    "code": "Y42.0",
    "description": "Glucocorticoïdes et analogues synthétiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "glucocorticoïdes à usage topique (Y56.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.1": {
    "code": "Y42.1",
    "description": "Hormones thyroïdiennes et leurs dérivés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.2": {
    "code": "Y42.2",
    "description": "Antithyroïdiens",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.3": {
    "code": "Y42.3",
    "description": "Insuline et hypoglycémiants oraux antidiabétiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.4": {
    "code": "Y42.4",
    "description": "Contraceptifs oraux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [
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    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.5": {
    "code": "Y42.5",
    "description": "Autres œstrogènes et progestatifs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Associations et dérivés"
    ],
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    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.6": {
    "code": "Y42.6",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tamoxifène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.7": {
    "code": "Y42.7",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 980,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.8": {
    "code": "Y42.8",
    "description": "Hormones et leurs substituts synthétiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [
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    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y42.9": {
    "code": "Y42.9",
    "description": "Antagonistes hormonaux, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43": {
    "code": "Y43",
    "description": "Substances d’action pharmacologique essentiellement systémique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vitamines NCA (Y57.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.0": {
    "code": "Y43.0",
    "description": "Anti-allergiques et anti-émétiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "neuroleptiques phénothiaziniques (Y49.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.1": {
    "code": "Y43.1",
    "description": "Antimétabolites antitumoraux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [
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    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.2": {
    "code": "Y43.2",
    "description": "Produits antitumoraux naturels",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.3": {
    "code": "Y43.3",
    "description": "Autres médicaments antitumoraux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antibiotiques antitumoraux"
    ],
    "comprend": [],
    "exclusions": [
      "tamoxifène (Y42.6)"
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.4": {
    "code": "Y43.4",
    "description": "Agents immunosuppresseurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.5": {
    "code": "Y43.5",
    "description": "Acidifiants et alcalinisants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.6": {
    "code": "Y43.6",
    "description": "Enzymes, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.8": {
    "code": "Y43.8",
    "description": "Autres substances d’action pharmacologique essentiellement systémique, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antagonistes des métaux lourds"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y43.9": {
    "code": "Y43.9",
    "description": "Substance d’action pharmacologique essentiellement systémique, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44": {
    "code": "Y44",
    "description": "Substances agissant essentiellement sur les constituants du sang",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.0": {
    "code": "Y44.0",
    "description": "Préparations à base de fer et autres préparations prescrites dans les anémies hypochromes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.1": {
    "code": "Y44.1",
    "description": "Vitamine B12, acide folique et autres préparations prescrites dans les anémies mégaloblastiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y44.2",
    "description": "Anticoagulants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.3": {
    "code": "Y44.3",
    "description": "Antagonistes des anticoagulants, vitamine K et autres coagulants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.4": {
    "code": "Y44.4",
    "description": "Antithrombotiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [
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    ],
    "comprend": [],
    "exclusions": [
      "acide acétylsalicylique (Y45.1)",
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    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y44.5",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
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    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.6": {
    "code": "Y44.6",
    "description": "Sang naturel et produits sanguins",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
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    "exclusions": [
      "immunoglobulines (Y59.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.7": {
    "code": "Y44.7",
    "description": "Succédanés du plasma",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y44.9": {
    "code": "Y44.9",
    "description": "Substances agissant essentiellement sur les constituants du sang, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 981,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45": {
    "code": "Y45",
    "description": "Médicaments analgésiques, antipyrétiques et anti-inflammatoires",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.0": {
    "code": "Y45.0",
    "description": "Opioïdes et analgésiques apparentés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Morphiniques"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.1": {
    "code": "Y45.1",
    "description": "Salicylés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.2": {
    "code": "Y45.2",
    "description": "Dérivés de l’acide propionique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dérivés de l’acide propanoïque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.3": {
    "code": "Y45.3",
    "description": "Autres anti-inflammatoires non stéroïdiens [AINS]",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.4": {
    "code": "Y45.4",
    "description": "Antirhumatismaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chloroquine (Y41.2)",
      "glucocorticoïdes (Y42.0)",
      "salicylés (Y45.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.5": {
    "code": "Y45.5",
    "description": "Dérivés du 4-aminophénol",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y45.8": {
    "code": "Y45.8",
    "description": "Autres médicaments analgésiques, antipyrétiques et anti-inflammatoires",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 982,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
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    "code": "Y45.9",
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    "cocoa_notes": []
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    "code": "Y46",
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      "benzodiazépines (Y47.1)",
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    "code": "Y46.0",
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    "cocoa_notes": []
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    "code": "Y46.2",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "agora_refs": [],
    "cocoa_notes": []
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    "code": "Y46.4",
    "description": "Iminostilbènes",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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      "Carbamazépine"
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    "agora_refs": [],
    "cocoa_notes": []
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  "Y46.5": {
    "code": "Y46.5",
    "description": "Acide valproïque",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "synonyms": [],
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    "cocoa_notes": []
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    "code": "Y46.6",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y46.7",
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    "cocoa_notes": []
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    "code": "Y46.8",
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    "cocoa_notes": []
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    "code": "Y47",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": true,
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    "cocoa_notes": []
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    "cocoa_notes": []
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    "code": "Y47.1",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y47.2",
    "description": "Dérivés du chloral",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y47.3",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "agora_refs": [],
    "cocoa_notes": []
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    "code": "Y47.4",
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    "cocoa_notes": []
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    "code": "Y47.5",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "cocoa_notes": []
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    "code": "Y47.8",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "synonyms": [
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    "cocoa_notes": []
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    "code": "Y47.9",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "synonyms": [
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    "cocoa_notes": []
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  "Y48": {
    "code": "Y48",
    "description": "Anesthésiques et gaz thérapeutiques",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": true,
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    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y48.0",
    "description": "Anesthésiques inhalés",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
    "severity": null,
    "synonyms": [],
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    "cocoa_notes": []
  },
  "Y48.1": {
    "code": "Y48.1",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 983,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Thiobarbituriques"
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    "cocoa_notes": []
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    "cocoa_notes": []
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    "code": "Y48.4",
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    "cocoa_notes": []
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y49",
    "description": "Médicaments psychotropes, non classés ailleurs",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": true,
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      "cocaïne (Y48.3)",
      "dépresseurs de l’appétit et autres anorexigènes (Y57.0)",
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    "clinical_text": [],
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  "Y49.0": {
    "code": "Y49.0",
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    "code": "Y49.1",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y49.3",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y49.4",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y49.6",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
    "severity": null,
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    "cocoa_notes": []
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    "code": "Y49.7",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y49.8",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y49.9",
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    "is_category": true,
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    "page": 984,
    "is_category": false,
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    "synonyms": [
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      "théophylline (Y55.6)"
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    "code": "Y50.8",
    "description": "Autres stimulants du système nerveux central",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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    "code": "Y50.9",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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  "Y51.0": {
    "code": "Y51.0",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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  "Y51.1": {
    "code": "Y51.1",
    "description": "Autres parasympathomimétiques cholinergiques",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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    "cocoa_notes": []
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  "Y51.2": {
    "code": "Y51.2",
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    "is_category": false,
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    "code": "Y51.4",
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    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": false,
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    "synonyms": [
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    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": false,
    "severity": null,
    "synonyms": [],
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    "exclusions": [
      "salbutamol (Y55.6)"
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    "cocoa_notes": []
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    "code": "Y51.6",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "alcaloïdes de l’ergot de seigle (Y55.0)"
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    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y51.7",
    "description": "Bêta-bloquants, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y51.8",
    "description": "Agents bloquants neuronaux adrénergiques et d’action centrale, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "clonidine (Y52.5)",
      "guanéthidine (Y52.5)"
    ],
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      "Médicaments agissant essentiellement sur le système nerveux autonome, autres et sans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52": {
    "code": "Y52",
    "description": "Substances agissant essentiellement sur le système cardio-vasculaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "métaraminol (Y51.4)"
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.0": {
    "code": "Y52.0",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.1": {
    "code": "Y52.1",
    "description": "Inhibiteurs calciques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 984,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.2": {
    "code": "Y52.2",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "bêta-bloquants (Y51.7)"
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.3": {
    "code": "Y52.3",
    "description": "Vasodilatateurs coronariens, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dipyridamole"
    ],
    "comprend": [],
    "exclusions": [
      "bêta-bloquants (Y51.7)",
      "inhibiteurs calciques (Y52.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.4": {
    "code": "Y52.4",
    "description": "Inhibiteurs de l’enzyme de conversion",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.5": {
    "code": "Y52.5",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Clonidine",
      "Guanéthidine",
      "Rauwolfia"
    ],
    "comprend": [],
    "exclusions": [
      "bêta-bloquants (Y51.7)",
      "diurétiques (Y54.0 à Y54.5)",
      "inhibiteurs calciques (Y52.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.6": {
    "code": "Y52.6",
    "description": "Antihyperlipidémiants et anti-artériosclérosants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.7": {
    "code": "Y52.7",
    "description": "Vasodilatateurs périphériques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acide nicotinique (dérivés)"
    ],
    "comprend": [],
    "exclusions": [
      "papavérine (Y51.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.8": {
    "code": "Y52.8",
    "description": "Substances antivariqueuses, y compris les agents sclérosants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y52.9": {
    "code": "Y52.9",
    "description": "Substances agissant essentiellement sur le système cardio-vasculaire, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y53": {
    "code": "Y53",
    "description": "Substances agissant essentiellement sur le tractus gastro-intestinal",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y53.0": {
    "code": "Y53.0",
    "description": "Inhibiteur des récepteurs histaminique H2",
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    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y53.1": {
    "code": "Y53.1",
    "description": "Autres anti-acides et antisécrétoires gastriques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y53.2",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y53.3",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
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    "severity": null,
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y53.5": {
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
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    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "description": "Antidiarrhéiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
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    "exclusions": [
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    "agora_refs": [],
    "cocoa_notes": []
  },
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    "description": "Émétiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y53.8",
    "description": "Autres substances agissant essentiellement sur le tractus gastro-intestinal",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y53.9",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "sels minéraux et de l’acide urique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Médicaments agissant essentiellement sur le métabolisme de l’eau, des"
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    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.0": {
    "code": "Y54.0",
    "description": "Minéralocorticoïdes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.1": {
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
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    "severity": null,
    "synonyms": [
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    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.2": {
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    "description": "Inhibiteurs de l’anhydrase carbonique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 985,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Acétazolamide"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.3": {
    "code": "Y54.3",
    "description": "Dérivés de la benzothiadiazine",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y54.4",
    "description": "Diurétiques de l’anse",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
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    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "description": "Autres diurétiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
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    "code": "Y54.6",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sels de réhydratation orale"
    ],
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    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.7": {
    "code": "Y54.7",
    "description": "Médicaments agissant sur le métabolisme du calcium",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Groupe de la vitamine D",
      "Hormones parathyroïdiennes et dérivés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.8": {
    "code": "Y54.8",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
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    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y54.9": {
    "code": "Y54.9",
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    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "l’appareil respiratoire"
    ],
    "comprend": [],
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      "Substances agissant essentiellement sur les muscles lisses et striés et"
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    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.0": {
    "code": "Y55.0",
    "description": "Ocytociques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [
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    "comprend": [],
    "exclusions": [
      "œstrogènes, progestatifs et antagonistes (Y42.5-Y42.6)"
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.1": {
    "code": "Y55.1",
    "description": "Myorelaxants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "myorelaxants d’action centrale (Y46.8)"
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    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.2": {
    "code": "Y55.2",
    "description": "Médicaments agissant essentiellement sur les muscles, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
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    "cocoa_notes": []
  },
  "Y55.3": {
    "code": "Y55.3",
    "description": "Antitussifs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.4": {
    "code": "Y55.4",
    "description": "Expectorants",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.5": {
    "code": "Y55.5",
    "description": "Médicaments contre le coryza et le rhume banal",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.6": {
    "code": "Y55.6",
    "description": "Anti-asthmatiques, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aminophylline",
      "Salbutamol",
      "Théobromine",
      "Théophylline"
    ],
    "comprend": [],
    "exclusions": [
      "agents bêta-sympathomimétiques (Y51.5)",
      "hormones antéhypophysaires adénohypophysaires (Y42.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y55.7": {
    "code": "Y55.7",
    "description": "Substances agissant essentiellement sur l’appareil respiratoire, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Substances à usage topique agissant essentiellement sur la peau et les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56": {
    "code": "Y56",
    "description": "muqueuses, médicaments à usage ophtalmologique, oto-rhino-",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "laryngologique et dentaire",
      "C omprend glucocorticoïdes à usage topique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Médicaments antifongiques, anti-infectieux et anti-inflammatoires pour application locale, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.1": {
    "code": "Y56.1",
    "description": "Antiprurigineux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
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    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.2": {
    "code": "Y56.2",
    "description": "Astringents et détergents locaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.3": {
    "code": "Y56.3",
    "description": "Émollients, adoucissants et protecteurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 986,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.4": {
    "code": "Y56.4",
    "description": "Kératolytiques, kératoplastiques et autres médicaments et préparations capillaires",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.5": {
    "code": "Y56.5",
    "description": "Médicaments et préparations ophtalmologiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.6": {
    "code": "Y56.6",
    "description": "Médicaments et préparations utilisés en oto-rhino-laryngologie",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.7": {
    "code": "Y56.7",
    "description": "Médicaments dentaires pour application locale",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.8": {
    "code": "Y56.8",
    "description": "Autres topiques agissant essentiellement sur la peau et les muqueuses",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Spermicides"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y56.9": {
    "code": "Y56.9",
    "description": "Topique agissant essentiellement sur la peau et les muqueuses, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57": {
    "code": "Y57",
    "description": "Substances médicamenteuses, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.0": {
    "code": "Y57.0",
    "description": "Dépresseurs de l’appétit et autres anorexigènes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.1": {
    "code": "Y57.1",
    "description": "Lipotropes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.2": {
    "code": "Y57.2",
    "description": "Antidotes et chélateurs, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.3": {
    "code": "Y57.3",
    "description": "Produits de désintoxication alcoolique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.4": {
    "code": "Y57.4",
    "description": "Excipients pharmaceutiques",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.5": {
    "code": "Y57.5",
    "description": "Produit de contraste utilisé en radiologie",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.6": {
    "code": "Y57.6",
    "description": "Autres agents de diagnostic",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.7": {
    "code": "Y57.7",
    "description": "Vitamines, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "acide nicotinique (Y52.7)",
      "vitamine : • B12 (Y44.1)",
      "• D (Y54.7)",
      "• K (Y44.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.8": {
    "code": "Y57.8",
    "description": "Autres substances et médicaments",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y57.9": {
    "code": "Y57.9",
    "description": "Substance et médicament, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58": {
    "code": "Y58",
    "description": "Vaccins bactériens",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.0": {
    "code": "Y58.0",
    "description": "BCG",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.1": {
    "code": "Y58.1",
    "description": "Antityphoïdique et paratyphoïdique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.2": {
    "code": "Y58.2",
    "description": "Anticholérique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.3": {
    "code": "Y58.3",
    "description": "Antipesteux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.4": {
    "code": "Y58.4",
    "description": "Antitétanique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.5": {
    "code": "Y58.5",
    "description": "Antidiphtérique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.6": {
    "code": "Y58.6",
    "description": "Anticoquelucheux, y compris en association",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.8": {
    "code": "Y58.8",
    "description": "Vaccins bactériens mixtes, sauf ceux qui contiennent du vaccin anticoquelucheux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y58.9": {
    "code": "Y58.9",
    "description": "Vaccins bactériens, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 987,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59": {
    "code": "Y59",
    "description": "Vaccins et substances biologiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59.0": {
    "code": "Y59.0",
    "description": "Vaccins antiviraux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59.1": {
    "code": "Y59.1",
    "description": "Vaccins antirickettsies",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59.2": {
    "code": "Y59.2",
    "description": "Vaccins antiprotozoaires",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59.3": {
    "code": "Y59.3",
    "description": "Immunoglobulines",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59.8": {
    "code": "Y59.8",
    "description": "Autres vaccins et substances biologiques précisés",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y59.9": {
    "code": "Y59.9",
    "description": "Vaccin ou substance biologique, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 988,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "COMPLICATIONS DES ACTES MÉDICAUX ET CHIRURGICAUX",
      "chirurgicaux.",
      "Les recommandations qui suivent s’appuient :",
      "Résumé",
      "prioritaire – et à son caractère secondaire à un acte.",
      "la nature de la complication.",
      "volume 1 de la CIM–10 :",
      "de la complication.",
      "et odontologie – BO du 17 juillet 2025, pp. 84-85",
      "Exemples :",
      "– luxation d’une prothèse de hanche : T84.0, Y83.1 ;",
      "– rejet d’une greffe de rein : T86.1, Y83.0 ;",
      "– pneumonie post-opératoire : J18.9, T81.4, Y83.– ;",
      "thérapeutiques.",
      "complété au moyen de la catégorie Y88.",
      "que de besoin par le code Y95 Facteurs nosocomiaux.",
      "et odontologie – BO du 17 juillet 2025, pp. 87-88",
      "d’actes médicaux et chirurgicaux"
    ],
    "comprend": [],
    "exclusions": [
      "actes médicaux et chirurgicaux à l’origine de réactions anormales du patient, sans mention d’incident au cours de",
      "l’intervention (Y83-Y84)",
      "appareils médicaux associés à des accidents au cours d’actes diagnostiques et thérapeutiques (Y70-Y82)",
      "appareils médicaux associés à des accidents dus à des causes externes classées ailleurs (V01–Y59, Y85–Y87, Y89)",
      "• les catégories Y60 à Y69 sont à utiliser en complément d’un code du chapitre XIX lorsqu’un accident ou une complication se sont",
      "produits au cours de l’acte. Les catégories sont subdivisées selon la nature de l’accident ou de la complication.",
      "• les codes du groupe Y70-Y82 sont à utiliser lorsqu’une complication de soins médicaux ou chirurgicaux est associée à l’emploi d’un",
      "appareil. La notion d’appareil est très large puisqu’elle comprend les implants et instruments et qu’elle s’étend jusqu’aux accessoires",
      "et sutures (le groupe Y70-Y82 prend une importance particulière dans le cadre de la matériovigilance) […]. Le groupe est subdivisé",
      "selon la discipline médicale utilisatrice. L’emploi de ses codes n’est pas limité aux cas où « l’appareil » est défectueux.",
      "• les catégories Y83 et Y84 sont à utiliser lorsque, en l’absence d’une mention d’accident au cours d’un geste médical ou chirurgical,",
      "le patient présente une réaction anormale. La catégorie Y83 concerne la chirurgie, Y84 les actes médicaux."
    ],
    "clinical_text": [
      "L’importance de leur enregistrement tient notamment au fait que la réduction de la iatrogénie fait partie des objectifs nationaux de",
      "santé publique (Loi n° 2004-806 du 9 août 2004, objectifs n° 26 à 29).",
      "Le volume 2 de la CIM–10 présente pages 107-108 ou 140-141 les catégories destinées au codage des complications des actes médico-",
      "• sur celle donnée page 105 ou 136 du volume 2 : « Il est recommandé, pour les traumatismes et autres affections dues à des causes",
      "externes, de coder tant la nature de l’affection que les circonstances de la cause externe. Le code préféré pour \" l’affection principale",
      "\" devrait être celui qui désigne la nature de l’affection. » ;",
      "• et sur la règle MB4 pour le choix de l’affection principale (ibid. page 109 ou 147) : « Lorsque le diagnostic enregistré comme \" affection",
      "principale \" décrit une affection en termes généraux et qu’un terme donnant des informations plus précises sur le siège ou la nature",
      "de l’affection est enregistré ailleurs, choisir ce dernier comme « affection principale », si cela n’entraîne pas une perte d’information. ».",
      "Une complication d’un acte diagnostique ou thérapeutique doit être codée dans le respect de la règle générale, c’est-à-dire de la façon",
      "la plus précise au regard de l’information. La notion de précision s’entend ici par rapport à la nature de la complication – notion",
      "La règle générale est : pour le codage des complications des actes médicaux et chirurgicaux, on préfère toujours un codage privilégiant",
      "Il en résulte que le codage d’une complication d’un acte diagnostique ou thérapeutique peut être décrite comme suit au regard du",
      "– avec un code du groupe T80–T88 lorsque le code le plus précis pour la complication appartient à ce groupe ;",
      "– sinon avec un code d’une catégorie « Atteintes [troubles] [affections] de l’appareil [...] après un acte à visée [...] » lorsque la",
      "complication y figure, ce qui exclut les sous-catégories .8 et .9 ;",
      "– dans les autres cas avec un code « habituel » de la CIM–10.",
      "Lorsque le codage utilise un code « habituel » de la CIM–10 il est complété par le code du groupe T80–T88 correspondant à la nature",
      "Dans tous les cas le codage est complété par le ou les codes ad hoc du chapitre XX (Y60–Y84, Y88, Y95).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Les circonstances sont enregistrées avec le chapitre XX de la CIM–10",
      "Quel que soit le code de la complication – qu’il soit issu du groupe T80–T88, d’une catégorie « Atteintes [Troubles] [Affections] de",
      "l’appareil [...] après un acte à visée [...] » ou qu’il s’agisse d’un code « habituel » –, les circonstances iatrogéniques doivent être",
      "enregistrées au moyen d’un code du chapitre XX en position de diagnostic associé.",
      "– déplacement d’une électrode de stimulation cardiaque : T82.1, Y83.1 ;",
      "– névrome d’un moignon d’amputation de jambe ; T87.3, Y83.5 ;",
      "– sepsis à staphylocoques consécutif à une perfusion : A41.2, T80.2, Y84.8 ;",
      "– abcès de paroi après appendicectomie : L02.2, T81.4, Y83.6 ;",
      "– abcès sous-phrénique après cholécystectomie : K65.0, T81.4, Y83.6 ;",
      "– thrombose d’un pontage artériel synthétique fémoro-poplité : I74.3, T82.8, Y83.1 ;",
      "– infection à bactéries pyogènes d’une prothèse articulaire : M00.– , T84.5, Y83.1 ;",
      "– infection osseuse due à un matériel d’ostéosynthèse : M86.– , T84.6, Y83.4 ;",
      "– endocardite infectieuse sur valve prothétique : I33.0, T82.6, Y83.1 ;",
      "– rupture de sutures tendineuses de doigts : S66.– , T81.38, Y83.4 ;",
      "– phlébite superficielle du membre supérieur due à une perfusion : I80.8, T80.1, Y84.8 ;",
      "– pneumothorax compliquant une intervention thoracique :S27.01, T81.2, Y83.– ;",
      "– ulcère gastrique « de stress » postopératoire : K25.3, T81.8, Y83.– ;",
      "– infarctus du myocarde post-opératoire : I21.– , T81.8, Y83.–. ;",
      "Les codes « Y » donnés ici à titre d’exemple appartiennent au groupe Y83–Y84 Actes chirurgicaux et autres actes médicaux à l’origine de",
      "réactions anormales du patient ou de complications ultérieures, sans mention d’accident au cours de l’intervention. Ils permettent",
      "l’enregistrement de circonstances comparables à la notion d’aléa médical.",
      "Lorsque les circonstances de la complication sont différentes, on dispose des codes des groupes Y60–Y69 Accidents et complications au",
      "cours d’actes médicaux et chirurgicaux et Y70-Y82 Appareils médicaux associés à des accidents au cours d’actes diagnostiques et",
      "Exemple : perforation sigmoïdienne au cours d’une coloscopie : S36.50, T81.2, Y60.4.",
      "Lorsque la complication constitue une séquelle d’un acte antérieur, le codage, dans le respect des consignes du point 2 du chapitre est",
      "Exemple : cicatrice hypertrophique séquellaire d’une intervention chirurgicale : L91.0, T81.8, Y88.3.",
      "S’agissant de complications dues à des actes effectués dans des établissements d’hospitalisation, le codage doit être complété en tant",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Coupure, piqûre, perforation ou hémorragie accidentelles au cours"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.120 : Les accidents en rapport avec des actes médicaux et chirurgicaux sont divisés en trois grands ensembles :"
    ]
  },
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    "is_category": true,
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  "Y64.1": {
    "code": "Y64.1",
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    "code": "Y65.0",
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    "code": "Y65.1",
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    "code": "Y65.2",
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    "is_category": false,
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    "code": "Y65.3",
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    "code": "Y65.4",
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    "is_category": false,
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    "code": "Y65.5",
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    "is_category": false,
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    "code": "Y65.8",
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    "chapter": "Causes externes de morbidité et de mortalité",
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    "is_category": false,
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  "Y66": {
    "code": "Y66",
    "description": "Non-administration de soins médicaux et chirurgicaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 991,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Arrêt prématuré de soins médicaux et chirurgicaux",
      "sans précision",
      "thérapeutique (Y70-Y82)"
    ],
    "comprend": [
      "détérioration ou mauvais fonctionnement de dispositif médical (lors d’une intervention) (après implantation) (au cours",
      "de l’utilisation)",
      "Les subdivisions suivantes à quatre caractères s’appliquent aux catégories Y70-Y82 :",
      ".0 Appareil pour diagnostic et monitorage",
      ".1 Appareil pour traitement (non chirurgical) et rééducation",
      ".2 Prothèse et autres implants, matériel et accessoires",
      ".3 Instruments, matériaux et appareils chirurgicaux (y compris les sutures)",
      ".8 Dispositifs Appareils divers, non classés ailleurs"
    ],
    "exclusions": [
      "accidents et complications au cours d’actes médicaux et chirurgicaux classés en Y60–Y69",
      "complications ultérieures liées à l’utilisation de dispositifs médicaux, sans mention de détérioration ou de mauvais",
      "fonctionnement (Y83–Y84)",
      "dispositifs appareils médicaux associés à des accidents dus à des causes externes classées ailleurs (V01–Y59, Y85–"
    ],
    "clinical_text": [
      "Accident et complication au cours d’un acte médical et chirurgical,",
      "Dispositifs médicaux associés à des accidents au cours de leur usage diagnostique et",
      "• les catégories Y60 à Y69 sont à utiliser en complément d’un code du chapitre XIX lorsqu’un accident ou une complication se sont",
      "produits au cours de l’acte. Les catégories sont subdivisées selon la nature de l’accident ou de la complication.",
      "• les codes du groupe Y70-Y82 sont à utiliser lorsqu’une complication de soins médicaux ou chirurgicaux est associée à l’emploi d’un",
      "appareil. La notion d’appareil est très large puisqu’elle comprend les implants et instruments et qu’elle s’étend jusqu’aux accessoires",
      "et sutures (le groupe Y70-Y82 prend une importance particulière dans le cadre de la matériovigilance) […]. Le groupe est subdivisé",
      "selon la discipline médicale utilisatrice. L’emploi de ses codes n’est pas limité aux cas où « l’appareil » est défectueux.",
      "• les catégories Y83 et Y84 sont à utiliser lorsque, en l’absence d’une mention d’accident au cours d’un geste médical ou chirurgical,",
      "le patient présente une réaction anormale. La catégorie Y83 concerne la chirurgie, Y84 les actes médicaux."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.120 : Les accidents en rapport avec des actes médicaux et chirurgicaux sont divisés en trois grands ensembles :"
    ]
  },
  "Y70": {
    "code": "Y70",
    "description": "Appareils d’anesthésiologie, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 992,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y71": {
    "code": "Y71",
    "description": "Appareils cardio-vasculaires, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 992,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Appareils cardio-vasculaires, associés à des accidents : prothèse et autres implants, matériel et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y72": {
    "code": "Y72",
    "description": "Appareils oto-rhino-laryngologiques, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 992,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "accidents"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Appareils utilisés en gastro-entérologie et en urologie, associés à des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y74": {
    "code": "Y74",
    "description": "Appareillage hospitalier et d’usage personnel, associé à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 993,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y75": {
    "code": "Y75",
    "description": "Appareils utilisés en neurologie, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 993,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "accidents"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Appareils utilisés en obstétrique et en gynécologie, associés à des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y77": {
    "code": "Y77",
    "description": "Appareils utilisés en ophtalmologie, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 993,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y78": {
    "code": "Y78",
    "description": "Appareils utilisés en radiologie, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 993,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y79": {
    "code": "Y79",
    "description": "Appareils orthopédiques, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 993,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y80": {
    "code": "Y80",
    "description": "Appareils de médecine physique, associés à des accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 993,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "accidents",
      "précision",
      "l’intervention (Y83-Y84)",
      "Infections compliquant des actes",
      "le germe.",
      "d'amputation).",
      "par l’ATIH dans la note de codage de 2018.",
      "lorsqu’ils sont présents.",
      "Exemples",
      "vasculaires",
      "o Diagnostic principal : M86.- Ostéomyélite",
      "• Exemple 3 : Infection sur matériel d’ostéosynthèse"
    ],
    "comprend": [],
    "exclusions": [
      "accidents et complications au cours d’actes médicaux et chirurgicaux classés en Y60–Y69",
      "détérioration ou mauvais fonctionnement de dispositif médical (lors d’une intervention) (après implantation) (au",
      "cours de l’utilisation) (Y70-Y82)",
      "appareils médicaux associés à des accidents dus à des causes externes classées ailleurs (V01–Y59, Y85–Y87, Y89)",
      "• les catégories Y60 à Y69 sont à utiliser en complément d’un code du chapitre XIX lorsqu’un accident ou une complication se sont",
      "produits au cours de l’acte. Les catégories sont subdivisées selon la nature de l’accident ou de la complication.",
      "• les codes du groupe Y70-Y82 sont à utiliser lorsqu’une complication de soins médicaux ou chirurgicaux est associée à l’emploi d’un",
      "appareil. La notion d’appareil est très large puisqu’elle comprend les implants et instruments et qu’elle s’étend jusqu’aux accessoires",
      "et sutures (le groupe Y70-Y82 prend une importance particulière dans le cadre de la matériovigilance) […]. Le groupe est subdivisé",
      "selon la discipline médicale utilisatrice. L’emploi de ses codes n’est pas limité aux cas où « l’appareil » est défectueux.",
      "• les catégories Y83 et Y84 sont à utiliser lorsque, en l’absence d’une mention d’accident au cours d’un geste médical ou chirurgical, le",
      "patient présente une réaction anormale. La catégorie Y83 concerne la chirurgie, Y84 les actes médicaux."
    ],
    "clinical_text": [
      "Appareils utilisés en chirurgie générale et esthétique, associés à des",
      "Appareils ou dispositifs associés à des accidents, autres et sans",
      "Actes chirurgicaux et autres actes médicaux à l’origine de réactions anormales du",
      "patient ou de complications ultérieures, sans mention d’accident au cours de",
      "Le codage des complications infectieuses des actes et des dispositifs médicaux suit les règles habituelles préconisées par l’OMS (cf. CIM-",
      "10, volume 2) : c’est le code de la nature de cette infection qui est l’affection principale.",
      "On y associe, en DAS, certains codes des catégories T80 à T88 du chapitre XIX de la CIM 10 et un code des catégories Y83 ou Y84 du",
      "chapitre XX de la CIM 10 « Actes chirurgicaux et autres actes médicaux à l'origine de réactions anormales du patient ou de complications",
      "ultérieures, sans mention d'accident au cours de l'intervention », complété si besoin par un code des catégories B95-B98 pour identifier",
      "En application de la règle générale rappelée ci-dessus, un code T peut être placé en DP (exemple : T87.4 Infection d'un moignon",
      "Le caractère nosocomial d’une infection autorise l’utilisation du code Y95 facteurs nosocomiaux.",
      "La situation particulière du codage des infections du site opératoire (ISO) après prothèse de genou ou prothèse de hanche a été précisée",
      "Pour une bactériémie iatrogène, on codera d’abord la complication dans T80-T88 lorsqu’elle est précisée et Y95 facteurs nosocomiaux",
      "En l’absence de tout signe infectieux local ou général, un examen microbiologique positif isolé sur cathéter intraveineux de longue durée",
      "ne se code pas. Ainsi, les résultats positifs consécutifs aux analyses effectuées de manière systématique après le retrait du matériel ne",
      "sont pas à coder, en l’absence de symptomatologie et de traitement.",
      "• Exemple 1 : Séjour pour infection d’un stimulateur cardiaque",
      "o Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et",
      "o Diagnostic associé : A49.- lorsque l’hémoculture est positive, agent infectieux codé en B95-B98",
      "• Exemple 2 : Ostéite à staphylocoque doré sur prothèse de hanche",
      "o Diagnostics associés : T84.5 Infection et réaction inflammatoire dues à une prothèse articulaire ; B95.6 Staphylococcus aureus,",
      "cause de maladies classées dans d’autres chapitres ; Y83.1 Intervention chirurgicale avec implantation d'une prothèse interne",
      "o Diagnostic principal : codes de l’ostéite ou de l’ostéoarthrite",
      "o Diagnostic associé : T84.6 Infection et réaction inflammatoire dues à un appareil de fixation interne [toute localisation]",
      "• Exemple 4 : Bactériémie à point de départ d’un cathéter à chambre implantable",
      "o Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et",
      "o Diagnostics associés : codes A49 ; agent infectieux codé en B95-B98",
      "• Exemple 5 : Sepsis à point de départ d’un cathéter à chambre implantable",
      "o Diagnostic principal : T82.7 Infection et réaction inflammatoire dues à d’autres prothèses, implants et greffes cardiaques et",
      "o Diagnostics associés : codes A40-A41 ; agent infectieux codé en B95-B98",
      "ATIH – - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2023, p. 10",
      "Opération et autre acte chirurgical à l’origine de réactions anormales"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.120 : Les accidents en rapport avec des actes médicaux et chirurgicaux sont divisés en trois grands ensembles :"
    ]
  },
  "Y83": {
    "code": "Y83",
    "description": "du patient ou de complications ultérieures, sans mention d’accident au",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 994,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "cours de l’intervention"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.0": {
    "code": "Y83.0",
    "description": "Intervention chirurgicale avec transplantation d’un organe entier",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 994,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.1": {
    "code": "Y83.1",
    "description": "Intervention chirurgicale avec implantation d’une prothèse interne",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 994,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.2": {
    "code": "Y83.2",
    "description": "Intervention chirurgicale avec anastomose, pontage ou greffe",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.3": {
    "code": "Y83.3",
    "description": "Intervention chirurgicale avec abouchement externe",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.4": {
    "code": "Y83.4",
    "description": "Autres interventions chirurgicales réparatrices",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.5": {
    "code": "Y83.5",
    "description": "Amputation de membre(s)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.6": {
    "code": "Y83.6",
    "description": "Ablation d’un autre organe (partielle) (totale)",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.8": {
    "code": "Y83.8",
    "description": "Autres interventions chirurgicales",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y83.9": {
    "code": "Y83.9",
    "description": "Intervention chirurgicale, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres actes médicaux à l’origine de réactions anormales du patient ou"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84": {
    "code": "Y84",
    "description": "de complications ultérieures, sans mention d’accident au cours de",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "l’intervention"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.0": {
    "code": "Y84.0",
    "description": "Cathétérisme cardiaque",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.1": {
    "code": "Y84.1",
    "description": "Dialyse rénale",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.2": {
    "code": "Y84.2",
    "description": "Acte radiologique et radiothérapie",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.3": {
    "code": "Y84.3",
    "description": "Choc thérapeutique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.4": {
    "code": "Y84.4",
    "description": "Aspiration d’un liquide",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.5": {
    "code": "Y84.5",
    "description": "Mise en place d’une sonde gastrique ou duodénale",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.6": {
    "code": "Y84.6",
    "description": "Sondage urinaire",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.7": {
    "code": "Y84.7",
    "description": "Prélèvement de sang",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.8": {
    "code": "Y84.8",
    "description": "Autres actes médicaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y84.9": {
    "code": "Y84.9",
    "description": "Acte médical, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 995,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "comme des intoxications et expositions nocives en cours.",
      "SÉQUELLES DE MALADIES ET DE LÉSIONS TRAUMATIQUES",
      "(volume 2 page 28 ou 33).",
      "[...] ».",
      "et odontologie – BO du 17 juillet 2025, pp. 117-118"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Les catégories Y85-Y89 doivent servir à indiquer les circonstances qui sont la cause du décès, de la déficience ou de",
      "l’incapacité résultant de séquelles ou « effets tardifs », qui sont classés ailleurs. Ces séquelles comprennent des états",
      "signalés comme tels ou se présentant comme des « effets tardifs » au moins un an après l’événement initial.",
      "Ces catégories ne doivent pas être utilisées pour signaler les intoxications et les expositions nocives chroniques. Les coder",
      "La CIM–10 définit les séquelles comme des « états pathologiques stables, conséquences d’affections qui ne sont plus en phase active »",
      "Elle précise (ibid. page 101 ou 132) : « Si un épisode de soins se rapporte au traitement ou aux examens entrepris pour une affection",
      "résiduelle (séquelle) d’une maladie qui n’existe plus, on décrira la nature de la séquelle de manière exhaustive et on en donnera l’origine",
      "Page 106 ou 138 : « La CIM–10 fournit un certain nombre de catégories intitulées \" Séquelles de... \" (B90-B94, E64.– 6 , E68, G09, I69.–",
      ", O97, T90-T98, Y85-Y89). Celles-ci peuvent être utilisées pour coder les conséquences des affections qui ne sont pas elles-mêmes",
      "présentes lors de l’épisode de soins, comme causes du problème justifiant les soins ou les examens. Le code retenu pour \" affection",
      "principale \" doit être celui qui désigne la nature des séquelles elles-mêmes, auquel on peut ajouter le code \" Séquelles de…\" [...]. ».",
      "Un délai « d’un an ou plus après le début de la maladie » est cité dans les notes propres à certaines catégories (G09, I69, T90-T98,",
      "ou 101 du volume 2. Les situations concernées sont celles dans lesquelles il n’est pas identifié d’autre cause au décès.[…]",
      "Les catégories Y85–Y89 (chapitre XX de la CIM–10) permettent de coder les circonstances d’origine des séquelles. Il est recommandé",
      "de les utiliser, en position de diagnostic associé, chaque fois qu’on dispose de l’information nécessaire.",
      "Exemple : épilepsie séquellaire d’un traumatisme intra-crânien dû à un accident de voiture ; le codage associe G40.–, T90.5 et Y85.0.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y85": {
    "code": "Y85",
    "description": "Séquelles d’un accident de transport",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y85.9": {
    "code": "Y85.9",
    "description": "Séquelles d’accidents de transport, autres et sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y86": {
    "code": "Y86",
    "description": "Séquelles d’autres accidents",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "événement, d’intention non déterminée"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles d’une lésion auto-infligée, d’une agression ou d’un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y87.0": {
    "code": "Y87.0",
    "description": "Séquelles d’une lésion auto-infligée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y87.1": {
    "code": "Y87.1",
    "description": "Séquelles d’une agression",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y87.2": {
    "code": "Y87.2",
    "description": "Séquelles d’un événement d’intention non déterminée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "séquelles"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Actes médicaux et chirurgicaux considérés comme cause externe de",
      "Séquelles de l’administration de médicaments et de substances biologiques ayant provoqué des"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y88.1": {
    "code": "Y88.1",
    "description": "Séquelles d’accidents et de complications survenus au cours d’actes médicaux et chirurgicaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 996,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séquelles d’appareils médicaux associés à des accidents au cours d’actes diagnostiques et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y89": {
    "code": "Y89",
    "description": "Séquelles d’autres causes externes",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y89.0": {
    "code": "Y89.0",
    "description": "Séquelles de l’intervention de la force publique",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y89.1": {
    "code": "Y89.1",
    "description": "Séquelles de faits de guerre",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y89.9": {
    "code": "Y89.9",
    "description": "Séquelles de cause externe, sans précision",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "mortalité classées ailleurs (Y90-Y98)",
      "Facteurs favorisants au moment de l’accident",
      "et odontologie – BO du 17 juillet 2025, p. 120"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Facteurs supplémentaires se rapportant aux causes de morbidité et de",
      "Note Ces catégories peuvent servir, au besoin, à apporter des renseignements supplémentaires sur les causes de morbidité et de",
      "mortalité. Elles ne doivent pas être utilisées comme code de la cause initiale de mortalité ou de morbidité.",
      "D’éventuels facteurs favorisants présents au moment de l’accident (effet de l’alcool, de drogue ou de médicament…) doivent être",
      "enregistrés, notamment avec les codes de la catégorie R78 Présence de drogues et d’autres substances non trouvées normalement dans",
      "le sang ou avec ceux du groupe F10–F19 Troubles mentaux et du comportement liés à l’utilisation de substances psychoactives. On",
      "rappelle que l’enregistrement des effets secondaires des médicaments impose l’emploi des catégories Y40–Y59 de la CIM–10. Les",
      "catégories Y90–Y91 permettent de préciser l’importance d’une intoxication alcoolique.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90": {
    "code": "Y90",
    "description": "Preuves du rôle de l’alcool confirmé par le taux d’alcoolémie",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.0": {
    "code": "Y90.0",
    "description": "Alcoolémie inférieure à 20 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.1": {
    "code": "Y90.1",
    "description": "Alcoolémie de 20 à moins de 40 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.2": {
    "code": "Y90.2",
    "description": "Alcoolémie de 40 à moins de 60 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.3": {
    "code": "Y90.3",
    "description": "Alcoolémie de 60 à moins de 80 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.4": {
    "code": "Y90.4",
    "description": "Alcoolémie de 80 à moins de 100 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.5": {
    "code": "Y90.5",
    "description": "Alcoolémie de 100 à moins de 120 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.6": {
    "code": "Y90.6",
    "description": "Alcoolémie de 120 à moins de 200 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.7": {
    "code": "Y90.7",
    "description": "Alcoolémie de 200 à moins de 240 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.8": {
    "code": "Y90.8",
    "description": "Alcoolémie égale ou supérieure à 240 mg/100 ml",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y90.9": {
    "code": "Y90.9",
    "description": "Présence d’alcool dans le sang, sans précision de taux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y91": {
    "code": "Y91",
    "description": "Preuves du rôle de l’alcool confirmé par le degré d’intoxication",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "preuve du rôle de l’alcool confirmé par le taux d’alcoolémie (Y90.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y91.0": {
    "code": "Y91.0",
    "description": "Intoxication alcoolique légère",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "réactions, ou légers troubles de la coordination."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Odeur d’alcool dans l’haleine, légers troubles du comportement dans les fonctions et les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y91.1": {
    "code": "Y91.1",
    "description": "Intoxication alcoolique modérée",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "réactions. ou troubles modérés de la coordination."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Odeur d’alcool dans l’haleine, troubles modérés du comportement dans les fonctions et les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y91.2": {
    "code": "Y91.2",
    "description": "Intoxication alcoolique sévère",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 997,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ou coopération difficile."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles importants dans les fonctions et les réactions, troubles importants de la coordination,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y91.3": {
    "code": "Y91.3",
    "description": "Intoxication alcoolique très sévère",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 998,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ou perte de la faculté de coopération."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Troubles très importants dans les fonctions et les réactions, troubles sévères de la coordination,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y91.9": {
    "code": "Y91.9",
    "description": "Rôle de l’alcool, sans autre indication",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 998,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rôle de l’alcool soupçonné SAI."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y95": {
    "code": "Y95",
    "description": "Facteurs nosocomiaux",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 998,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Infections associées aux soins",
      "catégories B95-B98 pour identifier le germe.",
      "moignon d'amputation)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le codage des complications infectieuses des actes et des dispositifs médicaux suit les règles habituelles préconisées par",
      "l’OMS (cf. CIM-10, volume 2) : c’est le code de la nature de cette infection qui est l’affection principale.",
      "On y associe, en DAS, certains codes des catégories T80 à T88 du chapitre XIX de la CIM 10 et un code des catégories Y83",
      "ou Y84 du chapitre XX de la CIM-10 Actes chirurgicaux et autres actes médicaux à l'origine de réactions anormales du patient",
      "ou de complications ultérieures, sans mention d'accident au cours de l'intervention, complété si besoin par un code des",
      "En application de la règle générale rappelée ci-dessus, un code T peut être placé en DP (exemple : T87.4 Infection d'un",
      "Le caractère nosocomial d’une infection autorise l’utilisation du code Y95 facteurs nosocomiaux.",
      "ATIH - FASCICULE DE CODAGE POUR LE PMSI - Maladies infectieuses - Mise à jour 2023, juin 2023, pp. 10-11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y96": {
    "code": "Y96",
    "description": "Facteurs liés aux conditions de travail",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 998,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y97": {
    "code": "Y97",
    "description": "Facteurs liés à la pollution de l'environnement",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 998,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Y98": {
    "code": "Y98",
    "description": "Facteurs liés au mode de vie",
    "dagger_star": "",
    "chapter": "Causes externes de morbidité et de mortalité",
    "page": 998,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Facteurs influant sur l’état de santé",
      "et motifs de recours aux services de santé (Z00-Z99)",
      "soins pour une maladie ou traumatisme.",
      "Ce chapitre comprend les groupes suivants :",
      "affections",
      "EMPLOI DES CODES DU CHAPITRE XXI",
      "et odontologie – BO du 17 juillet 2025, p. 93",
      "HOSPITALISATION POUR SURVEILLANCE",
      "Surveillance négative",
      "absence d’affection nouvelle ; DP : code Z de surveillance.",
      "• les catégories Z08 et Z09 ;",
      "• les codes Z38.– et Z76.2 pour les nouveau-nés ;",
      "• la catégorie Z94 pour les organes et tissus greffés ; […]",
      "[Règle S2]",
      "et odontologie – BO du 17 juillet 2025, pp. 135-136",
      "IDENTIFICATION DU POLYHANDICAP LOURD",
      "• Une déficience mentale profonde ou une démence sévère ;",
      "• Une mobilité réduite conséquence du trouble moteur ;",
      "appareil.",
      "• Liste 2 : troubles moteurs (codes du chapitre G, Q et R)",
      "Catégories Z00–Z02",
      "pour lesquels aucun diagnostic n’est rapporté"
    ],
    "comprend": [],
    "exclusions": [
      "examens relatifs à la grossesse et à la reproduction (Z30-Z36, Z39.-)",
      "examen à des fins administratives (Z02.-)",
      "examens spéciaux de dépistage (Z11-Z13)"
    ],
    "clinical_text": [
      "Note : Ce chapitre ne doit pas être utilisé pour les comparaisons internationales ni pour le codage de la cause initiale de mortalité.",
      "Les catégories Z00-Z99 sont destinées à l’enregistrement des motifs de recours aux services de santé, autres que maladies, traumatisme",
      "ou cause externe classés dans les catégories A00-Y89, ce qui peut se produire dans deux cas principaux :",
      "(a) Quand un sujet, malade ou non, entre en contact avec les services de santé pour une raison précise, par exemple, pour recevoir",
      "des soins ou des services de niveau limité pour une affection en cours, pour être donneur d’un organe ou d’un tissu, recevoir",
      "une vaccination ou discuter d’un problème qui ne représente pas en soi une maladie ou un traumatisme.",
      "(b) Quand existent des circonstances ou des problèmes qui influencent l’état de santé d’un sujet, sans constituer en eux-mêmes",
      "une maladie ou un traumatisme. De tels facteurs peuvent être retrouvés au cours d’enquêtes de population, alors que le sujet",
      "est ou non malade, ou être enregistrés comme facteur supplémentaire dont il faudra se souvenir quand le sujet reçoit des",
      "Les codes du chapitre XXI Facteurs influant sur l’état de santé et motifs de recours aux services de santé (« codes Z ») peuvent, et souvent",
      "doivent, être utilisés dans le résumé d’unité médicale (RUM) comme diagnostic principal (DP), relié (DR) ou associé (DA).",
      "Il est recommandé de lire la note figurant à la première page du chapitre XXI du volume 1, spécialement les lignes relatives aux deux",
      "circonstances indiquées pour l’emploi des codes Z (alinéas a et b).",
      "Les explications qui suivent visent à aider à la compréhension du sens des codes Z, dont l’usage est parfois difficile pour les codeurs.",
      "Elles donnent des consignes ou indiquent des préconisations d’emploi en matière de codage. On ne saurait en déduire des modalités",
      "de recueil de l’information qui ne seraient pas conformes aux conditions de production du RUM […].",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "La situation est celle d’un patient atteint d’une affection connue, antérieurement diagnostiquée, éventuellement traitée (antérieurement",
      "traitée ou en cours de traitement), hospitalisé pour la surveillance de celle-ci.",
      "Par séjour de surveillance on entend tout séjour visant au suivi médical d’une affection, à faire le point sur son évolution ou sur",
      "l’adéquation de son traitement, affection diagnostiquée antérieurement au séjour et déjà traitée (précédemment opérée, par exemple)",
      "ou en cours de traitement, dans la mesure où l’hospitalisation est justifiée conformément à l’arrêté annuel « prestations » et à",
      "l’instruction DGOS/R1/DSS/1A/2020/52 du 10 septembre 2020 « relative à la gradation des prises en charge ambulatoires » […]",
      "Lorsqu’il n’est pas découvert d’affection nouvelle la surveillance est dite négative, le DP est un « code Z ». [Règle S1]",
      "Exemple : bilan de synthèse annuel de l’infection par le VIH (Circulaire DHOS/M2A/DGS/RI2 n° 2007-415 du 19 novembre 2007) ;",
      "Le codage du DP dans les situations de surveillance négative utilise le plus souvent les catégories suivantes de la CIM–10 :",
      "• les catégories Z34, Z35, Z39 pour l’ante-partum, le post-partum ;",
      "• la catégorie Z48 pour les patients transférés après un traitement chirurgical - y compris une transplantation d’organe - ou",
      "« interventionnel » réalisé dans un autre établissement de santé ;",
      "• Z71.3 pour les affections nutritionnelles ou métaboliques, Z71.4 et Z71.5 pour les addictions ;",
      "• les codes Z95.1 à Z95.8 pour les porteurs de pontage coronaire et de prothèse endo-artérielle (stent), de prothèse valvulaire",
      "cardiaque et « autres implants et greffes cardiaques et vasculaires ».",
      "Les codes de la catégorie Z94 s’imposent en position de DP dans les situations de surveillance négative d’un patient transplanté, c'est-",
      "à-dire pour les séjours de surveillance après greffe d’organe ou de tissu au terme desquels il n’est pas diagnostiqué de complication.",
      "De même, les codes de la catégorie Z95 s’imposent en position de DP dans les situations de surveillance négative d’un patient porteur",
      "d’un implant ou d’une greffe cardio-vasculaire compris dans la catégorie. [Règle S3]",
      "Dans une situation de surveillance négative l’affection surveillée doit être enregistrée comme DR lorsqu’elle respecte sa définition.",
      "Exemple : bilan de synthèse annuel de l'infection par le VIH ; absence d’affection nouvelle ; DP : code Z de surveillance, DR :",
      "l'infection par le VIH (maladie chronique, présente lors du séjour, objet de la surveillance).",
      "Si une affection sans rapport avec la maladie surveillée est découverte incidemment au cours du séjour, conformément à la définition",
      "du DP la situation est néanmoins de surveillance négative car l’affection découverte n’est pas « le problème de santé qui a motivé",
      "l’admission ». L’affection découverte est un diagnostic associé significatif (DAS).",
      "Exemple : hospitalisation pour surveillance après colectomie pour cancer ; « bilan » négatif ; découverte d’une diverticulose",
      "sigmoïdienne au cours de la coloscopie, ou de calculs biliaires ou de kystes rénaux lors de l’échographie abdominale. Le code",
      "du DP est Z08.0, le DR est le cancer colique (la situation est de surveillance négative à son égard) ; la diverticulose",
      "sigmoïdienne, les calculs biliaires ou les kystes rénaux sont des DAS.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Le polyhandicap se définit par l’association de quatre critères :",
      "• Un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "• Une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un",
      "Pour permettre l’identification du polyhandicap lourd dans les recueils d’informations du PMSI, quatre listes de codes de la CIM–10 ont",
      "été élaborées sous le contrôle de la Société française de pédiatrie et de la Société française de neuropédiatrie :",
      "• Liste 1 : déficiences mentales ou psychiatriques sévères (codes du chapitre F)",
      "• Liste 3 : critères de mobilité réduite (codes des chapitres R et Z)",
      "• Liste 4 : restrictions extrêmes de l’autonomie (codes des chapitres U et Z).",
      "Un code au moins de chacune des quatre listes doit être présent dans le RSS pour affirmer le polyhandicap lourd.",
      "Voir les listes et recommandations pour le codage du polyhandicap lourd sur le site Internet de l’ATIH.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 2",
      "Note Les résultats anormaux non spécifiques découverts au moment de ces examens sont classés dans les catégories R70-R94.",
      "Elles répertorient des motifs de recours qui relèvent, sauf exception, de l’activité externe. Par exemple, Z00.0 correspond aux bilans de",
      "santé (« check up ») effectués à titre préventif et systématique, notamment dans des centres spécialisés ; Z00.1 est destiné aux examens",
      "réguliers systématiques du nourrisson et Z01.4 correspond aux examens gynécologiques systématiques. Les patients concernés ne se",
      "plaignent de rien et aucun diagnostic n’est rapporté (sinon c’est la symptomatologie ou le diagnostic qu’on coderait).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Examen général et investigations de sujets ne se plaignant de rien ou"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.122 : ce groupe permet le codage des recours aux services de santé pour un motif diagnostique."
    ]
  },
  "Z00.0": {
    "code": "Z00.0",
    "description": "Examen médical général",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bilan de santé SAI",
      "Examen périodique (annuel) (physique)"
    ],
    "comprend": [],
    "exclusions": [
      "examen de santé de : • nourrisson ou enfant (Z00.1)",
      "• sous-population définie (Z10.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.1": {
    "code": "Z00.1",
    "description": "Examen de routine de l’enfant",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Surveillance de la croissance du nourrisson ou de l’enfant"
    ],
    "comprend": [],
    "exclusions": [
      "surveillance médicale des enfants trouvés ou autres nourrissons ou enfant en bonne",
      "santé (Z76.1-Z76.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.2": {
    "code": "Z00.2",
    "description": "Examen à la période de croissance rapide de l’enfance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.3": {
    "code": "Z00.3",
    "description": "Examen de l’adolescent en cours de croissance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "À la puberté"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.4": {
    "code": "Z00.4",
    "description": "Examen psychiatrique général, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen demandé pour raison médico-légale (Z04.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.5": {
    "code": "Z00.5",
    "description": "Examen d’un donneur éventuel d’organe ou de tissu",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.6": {
    "code": "Z00.6",
    "description": "Examen de comparaison et de contrôle dans le cadre d’un programme de recherche clinique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z00.8": {
    "code": "Z00.8",
    "description": "Autres examens généraux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Examen sanitaire au cours d’enquêtes de population",
      "rien ou pour lesquels aucun diagnostic n’est rapporté"
    ],
    "comprend": [
      "examen de routine limité à un organe donné"
    ],
    "exclusions": [
      "examen(s) : • à des fins administratives (Z02.-)",
      "• pour suspicion de maladies, non confirmées (Z03.-)",
      "• spéciaux de dépistage (Z11-Z13)",
      "recherche d’allergie…)"
    ],
    "clinical_text": [
      "Autres examens spéciaux et investigations de sujets ne se plaignant de"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.122 : la catégorie Z01 diffère de la catégorie précédente par le caractère orienté des investigations (vision, audition,"
    ]
  },
  "Z01.0": {
    "code": "Z01.0",
    "description": "Examen des yeux et de la vision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen pour le permis de conduire (Z02.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.1": {
    "code": "Z01.1",
    "description": "Examen des oreilles et de l’audition",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.2": {
    "code": "Z01.2",
    "description": "Examen dentaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1001,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.3": {
    "code": "Z01.3",
    "description": "Mesure de la tension artérielle",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.4": {
    "code": "Z01.4",
    "description": "Examen gynécologique (de routine) (général)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Examen pelvien (annuel) (périodique)",
      "Frottis de Papanicolaou au niveau du col de l’utérus"
    ],
    "comprend": [],
    "exclusions": [
      "examen de routine pour surveillance d’une contraception (Z30.4-Z30.5)",
      "examen ou test de grossesse (Z32.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.5": {
    "code": "Z01.5",
    "description": "Tests cutanés de diagnostic et de sensibilisation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tests (de) : • allergie",
      "• cutanés à la recherche d’une : • hypersensibilité",
      "• maladie bactérienne",
      "d’administration de l’allergène (cutanée ou autre)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séjours pour tests allergologiques [lorsqu’ils nécessitent une hospitalisation]. Que le résultat soit positif ou",
      "négatif, le DP est codé Z01.5. Ce code s’impose conformément à sa note d’inclusion, quelle que soit la voie",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 124"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.6": {
    "code": "Z01.6",
    "description": "Examen radiologique, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Contrôle radiographique thoracique",
      "Mammographie de routine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.7": {
    "code": "Z01.7",
    "description": "Examens de laboratoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z01.8": {
    "code": "Z01.8",
    "description": "Autres examens spéciaux précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "programmés au terme desquels il n’est pas diagnostiqué d’affection, et par rapprochement avec la catégorie V72 de la",
      "CIM9, c’est Z01.8 qui est recommandé dans le cadre du PMSI. Z04.8 conviendrait mieux."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.122 : en l’absence de code ad hoc pour les hospitalisations motivées par des examens complémentaires"
    ]
  },
  "Z01.9": {
    "code": "Z01.9",
    "description": "Examen spécial, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02": {
    "code": "Z02",
    "description": "Examen médical et prise de contact à des fins administratives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.0": {
    "code": "Z02.0",
    "description": "Examen pour l’admission dans une institution éducative",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Examen pour l’admission à l’école maternelle (institution d’éducation préscolaire)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.1": {
    "code": "Z02.1",
    "description": "Examen d’embauche",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen de médecine du travail (Z10.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.2": {
    "code": "Z02.2",
    "description": "Examen pour l’admission dans une institution",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen : • général des résidents d’une institution (Z10. 1)",
      "• pour admission dans une prison (Z02.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.3": {
    "code": "Z02.3",
    "description": "Examen d’incorporation dans l’armée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen général de routine de personnes appartenant aux forces armées (Z10.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.4": {
    "code": "Z02.4",
    "description": "Examen pour le permis de conduire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.5": {
    "code": "Z02.5",
    "description": "Examen pour la pratique d’un sport",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "alcootest et recherche de substances pharmacologiques dans le sang (Z04.0)",
      "examen général de personnes membres d’une équipe sportive (Z10.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.6": {
    "code": "Z02.6",
    "description": "Examen à des fins d’assurance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1002,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.7": {
    "code": "Z02.7",
    "description": "Délivrance d’un certificat médical",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1003,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Délivrance d’un certificat médical de : • aptitude",
      "• cause de décès",
      "• incapacité",
      "• invalidité"
    ],
    "comprend": [],
    "exclusions": [
      "contact pris pour un examen médical général (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9, Z10.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.8": {
    "code": "Z02.8",
    "description": "Autres examens à des fins administratives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1003,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Examen (pour) : • admission dans : • camp d’été",
      "• prison",
      "• adoption",
      "• immigration",
      "• naturalisation",
      "• prénuptial"
    ],
    "comprend": [],
    "exclusions": [
      "surveillance médicale des enfants trouvés ou autres nourrissons ou enfants en bonne",
      "santé (Z76.1-Z76.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z02.9": {
    "code": "Z02.9",
    "description": "Examen à des fins administratives, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1003,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "investigations (voir Z32 pour la grossesse).",
      "et odontologie – BO du 17 juillet 2025, décembre 2022, p. 93",
      "non confirmées",
      "comme nécessaires.",
      "et odontologie – BO du 17 juillet 2025, pp. 93-94"
    ],
    "comprend": [],
    "exclusions": [
      "sujet inquiet de son état de santé (sans diagnostic) (Z71.1)"
    ],
    "clinical_text": [
      "symptomatologie ou des circonstances externes ont fait évoquer une affection ou une lésion traumatique qui est infirmée au terme des",
      "Lorsqu’un code des catégories Z03 ou Z04 est en position de DP, sauf cas particulier, il ne justifie pas de diagnostic relié (DR).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Mise en observation et examen médical pour suspicion de maladies,",
      "C omprend personnes ayant certains symptômes ou signes d’un état anormal qui nécessite un examen plus approfondi,",
      "mais chez qui examen et mise en observation, un traitement ou des soins médicaux n’apparaissent pas",
      "La catégorie Z03 est celle des « suspicions non confirmées ». Elle permet le codage de situations caractérisées par l’éventualité initiale",
      "d’une maladie qui (après observation, examens…) n’est finalement pas confirmée (Z32.0 est un autre code de suspicion non confirmée).",
      "C’est ce qu’explique la note d’inclusion située sous son titre dans le volume 1 de la CIM–10.",
      "Si l’on se reporte aux règles de hiérarchisation de la morbidité dans le RUM, une alternative apparait pour la détermination du DP :",
      "lorsqu’un signe ou un symptôme fait suspecter une affection qui n’est finalement pas confirmée, doit-on choisir le signe ou le symptôme",
      "à l’origine de la suspicion ou utiliser un code de la catégorie Z03 ?",
      "La règle générale est : le meilleur code est le plus précis par rapport à l’information à coder. Lorsqu’une symptomatologie est présente,",
      "on préfèrera son code (le plus souvent présent dans le chapitre XVIII de la CIM–10) à un code Z toutes les fois qu’il est plus précis.",
      "Les cas dans lesquels l’emploi de la catégorie Z03 s’impose sont rares. La suspicion trouve en effet en général son origine dans un",
      "symptôme, un résultat d’examen complémentaire ou dans un antécédent personnel ou familial, toutes circonstances pour lesquelles la",
      "CIM–10 contient le plus souvent des codes adéquats. En revanche, Z03.6 Mise en observation pour suspicion d’effet toxique de substances",
      "ingérées peut être le code le plus adapté à une suspicion d’absorption de produit toxique, notamment chez les enfants, lorsqu’elle",
      "repose sur une crainte de l’entourage mais qu’elle est finalement infirmée.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.122 : les catégories Z03 et Z04 sont celles des suspicions non confirmées. On désigne ainsi les cas de patients chez lesquels une"
    ]
  },
  "Z03.0": {
    "code": "Z03.0",
    "description": "Mise en observation pour suspicion de tuberculose",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1003,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.1": {
    "code": "Z03.1",
    "description": "Mise en observation pour suspicion de tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1003,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.2": {
    "code": "Z03.2",
    "description": "Mise en observation pour suspicion de troubles mentaux et du comportement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "évident",
      "• comportement asocial sans trouble psychiatrique évident",
      "• pyromanie sans trouble psychiatrique évident",
      "• vol à l’étalage sans trouble psychiatrique évident"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Mise en observation pour : • activité répréhensible en bande sans trouble psychiatrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.3": {
    "code": "Z03.3",
    "description": "Mise en observation pour suspicion d’affection du système nerveux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.4": {
    "code": "Z03.4",
    "description": "Mise en observation pour suspicion d’infarctus du myocarde",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.5": {
    "code": "Z03.5",
    "description": "Mise en observation pour suspicion d’autres affections cardio-vasculaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.6": {
    "code": "Z03.6",
    "description": "Mise en observation pour suspicion d’effet toxique de substances ingérées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• intoxication"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Mise en observation pour suspicion de : • effet indésirable d’un médicament"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.8": {
    "code": "Z03.8",
    "description": "Mise en observation pour suspicion d’autres maladies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z03.9": {
    "code": "Z03.9",
    "description": "Mise en observation pour suspicion de maladie, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04": {
    "code": "Z04",
    "description": "Examen et mise en observation pour d’autres raisons",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend examen à des fins médico-légales",
      "confirmée, sinon on ferait appel à la catégorie R78 ;",
      "et odontologie – BO du 17 juillet 2025, p. 94"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La catégorie Z04 a un contenu plus médicolégal ; elle permet le codage de situations caractérisées par la suspicion :",
      "• de la présence dans le sang d’alcool ou de substances pharmacologiques ; le code Z04.0 est employé lorsque leur présence n’est pas",
      "• d’une lésion susceptible de se manifester secondairement par rapport au traumatisme responsable : codes Z04.1 à Z04.3 ; leur emploi",
      "est réservé aux situations dans lesquelles aucune lésion n’est finalement diagnostiquée (sinon c’est elle qu’on coderait) ;",
      "• d’autres problèmes médicolégaux : Z04.4, Z04.5, Z04.6 ; les codes Z04.4 et Z04.5 peuvent être utilisés autant pour les coupables que",
      "pour les victimes : on les emploie lorsque aucun état morbide (lésion traumatique, trouble mental…) n’est mis en évidence, sinon c’est",
      "lui qu’on coderait (ce qu’on enregistre avec ces codes, c’est un motif d’utilisation des services de santé).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.0": {
    "code": "Z04.0",
    "description": "Alcootest et recherche de substances pharmacologiques dans le sang",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "présence de : • alcool dans le sang (R78.0)",
      "• substances pharmacologiques dans le sang (R78.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.1": {
    "code": "Z04.1",
    "description": "Examen et mise en observation après un accident de transport",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "après un accident de travail (Z04.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.2": {
    "code": "Z04.2",
    "description": "Examen et mise en observation après un accident du travail",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.3": {
    "code": "Z04.3",
    "description": "Examen et mise en observation après un autre accident",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.4": {
    "code": "Z04.4",
    "description": "Examen et mise en observation après allégation de viol et de séduction",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "tentative de viol"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Examen de la victime ou du coupable après allégation de viol ou de séduction",
      "Pour la victime, utiliser, au besoin, le code Y05 Agression sexuelle par la force physique en cas de viol ou de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.5": {
    "code": "Z04.5",
    "description": "Examen et mise en observation après d’autres blessures dues à une agression",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Examen de la victime ou du coupable après d’autres blessures dues à une agression"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.6": {
    "code": "Z04.6",
    "description": "Examen psychiatrique général, à la demande des autorités",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1004,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.8": {
    "code": "Z04.8",
    "description": "Examen et mise en observation pour d’autres raisons précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1005,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Demande d’expertise",
      "compter de la version 11 des GHM.] :",
      "longue durée ;",
      "terme du séjour.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 94",
      "polysomnographie.",
      "provisoire, février 2025 – pp.47-48"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La sous-catégorie Z04.8 permet le codage de situations caractérisées par des investigations diverses, spécialement",
      "paracliniques, volontiers programmées. Z04.8 a des extensions [elles ont été créées pour la version 11 des GHM (2009). Leur",
      "emploi est obligatoire. En effet, Z04.8, devenu imprécis du fait de leur création, n’est plus utilisable comme DP, DR et DA à",
      "• Z04.800 est le code imposé pour le DP des séjours motivés par l’enregistrement d’un électroencéphalogramme de",
      "• Z04.801 est le code imposé pour le DP des séjours motivés par un enregistrement polysomnographique ;",
      "• Z04.802 est le code des examens et mises en observation pour bilan préopératoire ou pré-interventionnel ;",
      "• Z04.880 est le code des examens et mises en observation pour d’autres raisons (investigations).",
      "L’emploi de Z04.800, Z04.801 ou Z04.802 s’impose comme DP du RUM, qu’une affection ait été diagnostiquée ou non au",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Certaines extensions permettent l’orientation dans un GHM spécifique, par exemple, celui des Explorations nocturnes et",
      "apparentées : séjours de moins de 2 jours (23K02Z) ; c’est le cas de Z04.800 Examen et mise en observation pour",
      "enregistrement électro-encéphalographique de longue durée et de Z04.801 Examen et mise en observation pour",
      "Manuel des groupes homogènes de malades - Version 2025 de la classification mise à jour au 1er mars 205 – Version",
      "Subdivisions d’une sous-catégorie inexistante : l’ATIH a créé les subdivisions Z04.800 à Z04.880 de la sous-catégorie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.80": {
    "code": "Z04.80",
    "description": "2 Examen et mise en observation pour bilan pré-opératoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1005,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Diagnostic principal d’un séjour pour bilan pré-opératoire. Il est toujours Z04.802 Examen et mise en",
      "observation pour bilan pré-opératoire, y compris si une affection est découverte à l’occasion de ce bilan.",
      "Dans ce cas, celle-ci est enregistrée comme diagnostic associé.",
      "ATIH Notice technique n° CIM-MF 1234-4-2011 du 28/12/2011 – p.6"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.88": {
    "code": "Z04.88",
    "description": "0 Autres examens et mises en observation pour d’autres raisons précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1005,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Demande d’expertise"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z04.9": {
    "code": "Z04.9",
    "description": "ne peut correspondre qu’à une information trop imprécise pour être acceptable.",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1005,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 94"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "maligne (Z08) ou pour toute autre affection (Z09), avec des subdivisions selon la nature du traitement administré."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.123 : les catégories Z08 et Z09 sont destinées au codage des recours aux soins pour surveillance après traitement pour tumeur"
    ]
  },
  "Z08": {
    "code": "Z08",
    "description": "Examen de contrôle après traitement d’une tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend surveillance médicale après traitement"
    ],
    "comprend": [],
    "exclusions": [
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z08.0": {
    "code": "Z08.0",
    "description": "Examen de contrôle après traitement chirurgical d’une tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z08.1": {
    "code": "Z08.1",
    "description": "Examen de contrôle après radiothérapie pour tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séance de radiothérapie (Z51.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z08.2": {
    "code": "Z08.2",
    "description": "et Z09.2 : l’intitulé de ces deux sous-catégories contient le mot « chimiothérapie » alors que seule Z08 concerne les",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 95"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "tumeurs malignes ; on rappelle en effet que le mot chimiothérapie n’a pas dans la CIM–10 le sens implicite de",
      "« chimiothérapie anti-tumorale » qui est le sien dans le langage courant » il a son sens premier de « traitement par des",
      "moyens chimiques ». C’est en ce sens qu’on parle parfois de « chimiothérapie antituberculeuse ».",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z08.7": {
    "code": "Z08.7",
    "description": "Examen de contrôle après traitements combinés pour tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z08.8": {
    "code": "Z08.8",
    "description": "Examen de contrôle après d’autres traitements pour tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z08.9": {
    "code": "Z08.9",
    "description": "Examen de contrôle après traitement pour tumeur maligne, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "tumeurs malignes",
      "C omprend surveillance médicale après traitement",
      "2013)"
    ],
    "comprend": [],
    "exclusions": [
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)",
      "surveillance (de) : • contraception (Z30.4-Z30.5)",
      "• médicale après traitement d’une tumeur maligne (Z08.-)",
      "• prothèses et autres appareils (Z44-Z46)"
    ],
    "clinical_text": [
      "Examen de contrôle après traitement d’affections autres que les",
      "Comment coder un séjour à l’issue duquel on conclut à une évolution d’un rétrécissement aortique ? Quel est le code de",
      "surveillance adéquat ? sans plus de précision sur le séjour c’est la catégorie Z09 qui est en général employée dans ce cas",
      "Pose d’un Holter glycémique : sous réserve que cet acte justifie la facturation d’une hospitalisation vous coderez le DP selon",
      "la situation de prise en charge : Z09 pour une surveillance après traitement par exemple. (AGORA - # 76804 le 21 mars"
    ],
    "agora_refs": [
      "72502"
    ],
    "cocoa_notes": [
      "(AGORA - # 72502 le 11 décembre 2012)"
    ]
  },
  "Z09.0": {
    "code": "Z09.0",
    "description": "Examen de contrôle après traitement chirurgical d’autres affections",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1006,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "car ils sont plus précis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "anormale qui de manderait un codage particulier, nous vous conseillons de préférer les codes de la catégorie Z94 à Z09.0,"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.131 : dans les cas de surveillance de patients greffés, en l’absence de complication ou de toute constatation"
    ]
  },
  "Z09.1": {
    "code": "Z09.1",
    "description": "Examen de contrôle après radiothérapie pour d’autres affections",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "séance de radiothérapie (Z51.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z09.2": {
    "code": "Z09.2",
    "description": "Examen de contrôle après chimiothérapie pour d’autres affections",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chimiothérapie d’entretien (Z51.1-Z51.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z09.3": {
    "code": "Z09.3",
    "description": "Examen de contrôle après psychothérapie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z09.4": {
    "code": "Z09.4",
    "description": "Examen de contrôle après traitement d’une fracture",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z09.7": {
    "code": "Z09.7",
    "description": "Examen de contrôle après traitements combinés pour d’autres affections",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z09.8": {
    "code": "Z09.8",
    "description": "Examen de contrôle après d’autres traitements pour d’autres affections",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z09.9": {
    "code": "Z09.9",
    "description": "Examen de contrôle après traitement pour une affection, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépistage de cancer"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes des catégories Z10 à Z13 sont réservés à des dépistages au sein de populations et ne peuvent être employés pour une",
      "recherche de tumeur chez un patient particulier. La recherche individuelle est généralement motivée par des signes, des symptômes,",
      "des antécédents ou d’autres facteurs de risque personnels ou familiaux.",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.5 - Créé le 15 mars 2008",
      "Sur la différence entre dépistage collectif et dépistage individuel, voir la note AGORA sous le code Z12.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z10": {
    "code": "Z10",
    "description": "Examen général de routine d’une sous-population définie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 95"
    ],
    "comprend": [],
    "exclusions": [
      "examen médical à des fins administratives (Z02.-)"
    ],
    "clinical_text": [
      "[Cette catégorie] n’a pas d’emploi dans le champ d’activité couvert par le PMSI en MCO car elle ne comprend que des",
      "motifs de consultation externe dont certains ne concernent pas les établissements d’hospitalisation.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z10.0": {
    "code": "Z10.0",
    "description": "Examen de médecine du travail",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen d’embauche (Z02.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z10.1": {
    "code": "Z10.1",
    "description": "Examen général de routine des résidents d’institutions",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen d’admission dans une institution (Z02.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z10.2": {
    "code": "Z10.2",
    "description": "Examen général de routine des forces armées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen d’incorporation (Z02.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z10.3": {
    "code": "Z10.3",
    "description": "Examen général de routine des équipes sportives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "alcootest et recherche de substances pharmacologiques dans le sang (Z04.0)",
      "examen pour la pratique d’un sport (Z02.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z10.8": {
    "code": "Z10.8",
    "description": "Examens généraux de routine d’autres sous-populations définies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1007,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Enfants des écoles",
      "Étudiants",
      "Dépistage de cancer",
      "Catégories Z11 à Z13 – Examens spéciaux de dépistage",
      "et odontologie – BO du 17 juillet 2025, p. 95"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes des catégories Z10 à Z13 sont réservés à des dépistages au sein de populations et ne peuvent être employés pour une",
      "recherche de tumeur chez un patient particulier. La recherche individuelle est généralement motivée par des signes, des symptômes,",
      "des antécédents ou d’autres facteurs de risque personnels ou familiaux.",
      "ATIH – Consignes de codage – Tumeurs, Fascicule III – p.5 - Créé le 15 mars 2008",
      "Le mot dépistage a dans la CIM–10 le sens de « recherche de certaines affections inapparentes par des examens effectués",
      "systématiquement dans des collectivités » (dictionnaire Garnier-Delamare). Les codes des catégories Z11 à Z13 ne doivent donc pas",
      "être employés pour des patients présentant un problème de santé personnel.",
      "Il est erroné de coder comme un dépistage une situation d’examens diagnostiques motivés par un antécédent personnel ou familial",
      "(de cancer ou de poly-adénome colique, par exemple) ou par une symptomatologie quelconque (élévation du PSA - antigène",
      "spécifique de la prostate (prostate specific antigen) - par exemple).",
      "Dans ce cas c’est le motif des explorations qui doit être codé : selon le cas l’antécédent personnel ou familial (voir plus loin ce qui",
      "concerne les catégories Z80 à Z92), le facteur de risque, le signe clinique ou paraclinique qui les a motivées, dans le respect du principe",
      "général selon lequel le code le plus juste est le plus précis par rapport à l’information à coder.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Sur la différence entre dépistage collectif et dépistage individuel, voir la note AGORA sous le code Z12.1"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11": {
    "code": "Z11",
    "description": "Examen spécial de dépistage de maladies infectieuses et parasitaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.0": {
    "code": "Z11.0",
    "description": "Examen spécial de dépistage de maladies infectieuses intestinales",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.1": {
    "code": "Z11.1",
    "description": "Examen spécial de dépistage de tuberculose pulmonaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.2": {
    "code": "Z11.2",
    "description": "Examen spécial de dépistage d’autres maladies bactériennes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Examen spécial de dépistage des infections dont le mode de transmission est essentiellement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.4": {
    "code": "Z11.4",
    "description": "Examen spécial de dépistage du virus de l’immunodéficience humaine [VIH]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.5": {
    "code": "Z11.5",
    "description": "Examen spécial de dépistage d’autres maladies à virus",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladies intestinales à virus (Z11.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.6": {
    "code": "Z11.6",
    "description": "Examen spécial de dépistage d’autres maladies à protozoaires et helminthiases",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "maladies intestinales à protozoaires (Z11.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.8": {
    "code": "Z11.8",
    "description": "Examen spécial de dépistage d’autres maladies infectieuses et parasitaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z11.9": {
    "code": "Z11.9",
    "description": "Examen spécial de dépistage de maladies infectieuses et parasitaires, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1008,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12": {
    "code": "Z12",
    "description": "Examen spécial de dépistage des tumeurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.0": {
    "code": "Z12.0",
    "description": "Examen spécial de dépistage de tumeur de l’estomac",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.1": {
    "code": "Z12.1",
    "description": "Examen spécial de dépistage de tumeur de l’intestin",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2024)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Quel DP en Z pour une surveillance négative de syndrome de Lynch par endoscopie digestive, dans une situation qui ne",
      "serait pas une surveillance post-traitement mais simplement une surveillance préventive ? (AGORA - # 265446 le 8 juillet",
      "Il s'agit ici d'un examen de dépistage individuel d'une pathologie tumorale digestive dans le cadre de la surveillance du",
      "Votre réponse est perturbante dans la mesure où le guide méthodologique récuse formellement la notion de dépistage",
      "individuel, à plusieurs reprises dans le chapitre V puis le chapitre VI, et interdit donc l'usage de ces codes Z11-Z13 dans les",
      "Ici le patient ne présente aucun point d'appel clinique, hormis la prédisposition liée à la maladie. Sur le guide",
      "méthodologique la recommandation de codage s'applique au « dépistage collectif organisé ». La définition qui y est",
      "Dans le dépistage nous pouvons avoir aussi bien un dépistage organisé (collectif) qu'un dépistage individuel. Les patients",
      "porteurs d'un syndrome de Lynch présentent des facteurs de risque de CCR et sont concernés par le dépistage individuel.",
      "On n'est pas dans le cas du « problème de santé personnel » (cf. GM MCO) qui peut être décrit ailleurs dans la CIM-10",
      "Eh bien, merci pour cette information. Si je puis me permettre, c'est un vrai « coup de tonnerre\". Est-il possible de transposer",
      "cela dans le guide méthodologique 2025, pour que nous disposions de la base juridique nécessaire pour faire évoluer nos",
      "Il n'est pas possible de modifier le guide méthodologique MCO de l'année en cours. Si un ajustement devait y être apporté,",
      "Je rappelle que la recommandation de codage proposée précédemment concernait le dépistage d'un cancer colorectal (CCR) (et non",
      "pas son diagnostic ou celui de la maladie génétique sous-jacente), chez un patient déjà porteur d'un syndrome prédisposant à ce type",
      "de cancer. Actuellement, cette population cible est concernée par le dépistage individuel du CCR.",
      "Pour ce qui est des codes Z12, actuellement et en dehors du sein et du col de l'utérus, toutes les autres localisations ne font pas l'objet",
      "d'un programme de dépistage organisé. Ils peuvent en théorie être employés dans les situations de dépistages individuels de",
      "pathologies cancéreuses, en dehors de toute manifestation clinique. Le libellé du Z12.1 n'est cependant pas spécifique au CCR."
    ],
    "agora_refs": [
      "265479",
      "265520",
      "265527",
      "265540",
      "265541",
      "265609",
      "267341"
    ],
    "cocoa_notes": [
      "syndrome de Lynch. Le code Z12.1 ne conviendrait-il pas ? (AGORA - # 265479 le 9 juillet 2024)",
      "situations où il existe le moindre point d'appel, comme c'est le cas ici. (AGORA - # 265520 le 10 juillet 2024)",
      "d'ailleurs reprise ne concerne que ce type de dépistage. (AGORA - # 265527 le 10 juillet 2024)",
      "selon le guide. (AGORA - # 265540 le 10 juillet 2024)",
      "pratiques de codage ? (AGORA - # 265541 le 10 juillet 2024)",
      "ce ne serait que pour les versions suivantes. (AGORA - # 265609 le 11 juillet 2024)",
      "Mais pour l'heure la consigne de codage du guide méthodologique reste inchangée. (AGORA - # 267341 le 11 septembre 2024)"
    ]
  },
  "Z12.2": {
    "code": "Z12.2",
    "description": "Examen spécial de dépistage de tumeur de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.3": {
    "code": "Z12.3",
    "description": "Examen spécial de dépistage de tumeur du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mammographie de routine (Z01.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.4": {
    "code": "Z12.4",
    "description": "Examen spécial de dépistage de tumeur du col de l’utérus",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "test de routine ou dans le cadre d’un examen général gynécologique (Z01.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.5": {
    "code": "Z12.5",
    "description": "Examen spécial de dépistage de tumeur de la prostate",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.6": {
    "code": "Z12.6",
    "description": "Examen spécial de dépistage de tumeur de la vessie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.8": {
    "code": "Z12.8",
    "description": "Examen spécial de dépistage de tumeurs d’autres localisations",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z12.9": {
    "code": "Z12.9",
    "description": "Examen spécial de dépistage d’une tumeur, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13": {
    "code": "Z13",
    "description": "Examen spécial de dépistage d’autres maladies et états pathologiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Examen spécial de dépistage de maladies du sang, des organes hématopoïétiques et de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.1": {
    "code": "Z13.1",
    "description": "Examen spécial de dépistage de diabète sucré",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.2": {
    "code": "Z13.2",
    "description": "Examen spécial de dépistage des troubles de la nutrition",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1009,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.3": {
    "code": "Z13.3",
    "description": "Examen spécial de dépistage des troubles mentaux et du comportement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Alcoolisme",
      "Dépression",
      "Retard mental"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.4": {
    "code": "Z13.4",
    "description": "Examen spécial de dépistage de certains troubles du développement de l’enfance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen de routine pendant la croissance du nourrisson ou de l’enfant (Z00.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.5": {
    "code": "Z13.5",
    "description": "Examen spécial de dépistage des affections des yeux et des oreilles",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.50": {
    "code": "Z13.50",
    "description": "Examen spécial de dépistage des affections des yeux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.51": {
    "code": "Z13.51",
    "description": "Examen spécial de dépistage des affections des oreilles",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pour le dépistage précoce de la surdité néonatale permanente (SPN) réalisé lors des séjours de nouveau-",
      "nés, le code Z13.51 Examen spécial de dépistage des affections des oreilles doit être systématiquement codé",
      "en DAS lorsqu’un dépistage (test et éventuel re-test) de la surdité néonatale permanente est réalisé, selon",
      "les recommandations de la HAS, par oto-émissions acoustiques automatisées (OEAA) ou par potentiels",
      "évoqués auditifs automatisés (PEAA). Le dépistage précoce de la SPN s’inscrit dans un programme de santé",
      "au sens de l’article L.1411-6 du code de la santé publique ; voir les rapports de la HAS sur l’évaluation du",
      "dépistage néonatal systématique de la surdité permanente bilatérale.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 95"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.6": {
    "code": "Z13.6",
    "description": "Examen spécial de dépistage des affections cardio-vasculaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.7": {
    "code": "Z13.7",
    "description": "Examen spécial de dépistage des malformations congénitales et anomalies chromosomiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.8": {
    "code": "Z13.8",
    "description": "Examen spécial de dépistage d’autres maladies précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affections (des) : • dentaires",
      "• glandes endocrines et du métabolisme"
    ],
    "comprend": [],
    "exclusions": [
      "diabète sucré (Z13.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z13.9": {
    "code": "Z13.9",
    "description": "Examen spécial de dépistage, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "et odontologie – BO du 17 juillet 2025, p. 96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans le champ actuel du PMSI en MCO, parmi les catégories Z20 à Z29, seules Z20, Z21, Z22 et Z29 sont, en pratique, susceptibles",
      "d’être utilisées pour le codage des RUM. Si un code de ces catégories est en position de diagnostic principal (DP) d’un RUM, seuls ceux",
      "de la catégorie Z29 sont susceptibles de justifier un DR, à condition que l’affection concernée respecte sa définition.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20": {
    "code": "Z20",
    "description": "Sujets en contact avec et exposés à des maladies transmissibles",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "infectieuse était confirmée, c’est elle qu’on coderait.",
      "n’est finalement pas confirmée :",
      "du chapitre XVIII.",
      "Le code est ici Z20.1.",
      "et odontologie – BO du 17 juillet 2025, pp. 95-96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Catégorie Z20 : elle permet de coder l’absence d’une maladie infectieuse initialement crainte du fait du contact du patient avec une",
      "personne infectée ou de tout autre mode d’exposition à un agent infectieux (personnel soignant, de laboratoire...) ; en effet, si la maladie",
      "Exemple : enfant hospitalisé après la découverte chez son père d’une tuberculose pulmonaire, dans la crainte d’une contamination qui",
      "– cet enfant n’est pas tuberculeux : on ne code donc pas cette maladie (elle ne doit pas être codée avec le chapitre I de la CIM–10) ;",
      "– il ne présente aucun symptôme, seule la maladie de son père a motivé le recours aux soins : il n’y a donc pas lieu d’utiliser un code",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.0": {
    "code": "Z20.0",
    "description": "Sujets en contact avec et exposés à des maladies infectieuses intestinales",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.1": {
    "code": "Z20.1",
    "description": "Sujets en contact avec et exposés à la tuberculose",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1010,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sujets en contact avec et exposés à des infections dont le mode de transmission est"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.3": {
    "code": "Z20.3",
    "description": "Sujets en contact avec et exposés à la rage",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.4": {
    "code": "Z20.4",
    "description": "Sujets en contact avec et exposés à la rubéole",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.5": {
    "code": "Z20.5",
    "description": "Sujets en contact avec et exposés à l’hépatite virale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.6": {
    "code": "Z20.6",
    "description": "Sujets en contact avec et exposés au virus de l’immunodéficience humaine [VIH]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infection asymptomatique par le virus de l’immunodéficience humaine [VIH] (Z21)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.7": {
    "code": "Z20.7",
    "description": "Sujets en contact avec et exposés à la pédiculose, l’acariase et à d’autres infestations",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.8": {
    "code": "Z20.8",
    "description": "Sujets en contact avec et exposés à d’autres maladies transmissibles",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z20.9": {
    "code": "Z20.9",
    "description": "Sujets en contact avec et exposés à une maladie transmissible non précisée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Infection asymptomatique par le virus de l’immunodéficience",
      "humaine [VIH]",
      "Séropositivité au VIH SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z21": {
    "code": "Z21",
    "description": "est le code la séropositivité isolée au virus de l’immunodéficience humaine (VIH). Si la séropositivité s’associe à l’un des états classés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "et odontologie – BO du 17 juillet 2025, p. 96"
    ],
    "comprend": [],
    "exclusions": [
      "contact avec ou exposition au virus de l’immunodéficience humaine [VIH] (Z20.6)",
      "maladie due au virus de l’immunodéficience humaine [VIH] (B20-B24)",
      "maladie due au virus de l’immunodéficience humaine [VIH] compliquant la grossesse,",
      "l’accouchement et la puerpéralité (O98.7)",
      "mise en évidence par les examens de laboratoire du virus de l’immunodéficience",
      "humaine [VIH] (R75)"
    ],
    "clinical_text": [
      "dans les catégories B20 à B24 du chapitre I de la CIM–10, c’est un code de celles-ci qu’on emploiera, non Z21.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22": {
    "code": "Z22",
    "description": "Sujet porteur de germes responsables d’une maladie infectieuse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend sujet suspecté porteur",
      "et odontologie – BO du 17 juillet 2025, p. 96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La catégorie Z22, dans la suite logique de Z21, est la catégorie des colonisations (« portages sains ») : bactéries…",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.0": {
    "code": "Z22.0",
    "description": "Sujet porteur de typhoïde",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.1": {
    "code": "Z22.1",
    "description": "Sujet porteur d’autres maladies intestinales infectieuses",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.2": {
    "code": "Z22.2",
    "description": "Sujet porteur de diphtérie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.3": {
    "code": "Z22.3",
    "description": "Sujet porteur d’autres maladies bactériennes précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• staphylocoques",
      "• streptocoques",
      "aux médicaments antimicrobiens."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sujet porteur d’une maladie bactérienne due à des : • méningocoques",
      "Colonisation de cathéter à Corynébactéries sans septicémie (sepsis) : la colonisation n’étant pas une infection"
    ],
    "agora_refs": [
      "62715"
    ],
    "cocoa_notes": [
      "vous ne pouvez pas employer T82.7. Z22.3 est le code adéquat. (AGORA - # 62715 le 24 avril 2012)"
    ]
  },
  "Z22.4": {
    "code": "Z22.4",
    "description": "Sujet porteur de maladies dont le mode de transmission est essentiellement sexuel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sujet porteur de : • blennorragie",
      "• syphilis"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.6": {
    "code": "Z22.6",
    "description": "Sujet porteur d’une infection à virus lymphotrope des lymphocytes T humains de type 1 [HTLV-1]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.8": {
    "code": "Z22.8",
    "description": "Sujet porteur d’autres maladies infectieuses",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1011,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.7": {
    "code": "Z22.7",
    "description": "Sujet porteur d’infection tuberculeuse latente",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Sujet porteur de tuberculose latente"
    ],
    "comprend": [],
    "exclusions": [
      "résultat anormal au test de Mantoux (R76.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z22.9": {
    "code": "Z22.9",
    "description": "Sujet porteur d’une maladie infectieuse, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Catégories Z23 à Z27 : prématurés qui viennent faire leur vaccin en hospitalisation : les codes des catégories Z23 à Z27 sont corrects."
    ],
    "agora_refs": [
      "53285"
    ],
    "cocoa_notes": [
      "Aunis p.125 : les catégories Z23 à Z29 concernent la prophylaxie : vaccinations (Z23 à Z28), et autres mesures préventives (Z29).",
      "Ils génèrent une erreur non bloquante car ces codes sont rarement retrouvés en hospitalisation. (AGORA - # 53285 le 12 octobre 2011)"
    ]
  },
  "Z23": {
    "code": "Z23",
    "description": "Nécessité d’une vaccination contre une seule maladie bactérienne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vaccination : • associée (Z27.-)",
      "• non faite (Z28.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.0": {
    "code": "Z23.0",
    "description": "Nécessité d’une vaccination contre le choléra seul",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.1": {
    "code": "Z23.1",
    "description": "Nécessité d’une vaccination contre la typhoïde-paratyphoïde seule [TAB]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.2": {
    "code": "Z23.2",
    "description": "Nécessité d’une vaccination contre la tuberculose [BCG]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.3": {
    "code": "Z23.3",
    "description": "Nécessité d’une vaccination contre la peste",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.4": {
    "code": "Z23.4",
    "description": "Nécessité d’une vaccination contre la tularémie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.5": {
    "code": "Z23.5",
    "description": "Nécessité d’une vaccination contre le tétanos seul",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.6": {
    "code": "Z23.6",
    "description": "Nécessité d’une vaccination contre la diphtérie seule",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.7": {
    "code": "Z23.7",
    "description": "Nécessité d’une vaccination contre la coqueluche seule",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z23.8": {
    "code": "Z23.8",
    "description": "Nécessité d’une vaccination contre d’autres maladies bactériennes uniques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24": {
    "code": "Z24",
    "description": "Nécessité d’une vaccination contre certaines maladies virales uniques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vaccination : • associée (Z27.-)",
      "• non faite (Z28.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.0": {
    "code": "Z24.0",
    "description": "Nécessité d’une vaccination contre la poliomyélite",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.1": {
    "code": "Z24.1",
    "description": "Nécessité d’une vaccination contre l’encéphalite virale transmise par les arthropodes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.2": {
    "code": "Z24.2",
    "description": "Nécessité d’une vaccination contre la rage",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.3": {
    "code": "Z24.3",
    "description": "Nécessité d’une vaccination contre la fièvre jaune",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.4": {
    "code": "Z24.4",
    "description": "Nécessité d’une vaccination contre la rougeole seule",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.5": {
    "code": "Z24.5",
    "description": "Nécessité d’une vaccination contre la rubéole seule",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z24.6": {
    "code": "Z24.6",
    "description": "Nécessité d’une vaccination contre l’hépatite virale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z25": {
    "code": "Z25",
    "description": "Nécessité d’une vaccination contre d’autres maladies virales uniques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "vaccination : • associée (Z27.-)",
      "• non faite (Z28.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z25.0": {
    "code": "Z25.0",
    "description": "Nécessité d’une vaccination contre les oreillons seuls",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z25.1": {
    "code": "Z25.1",
    "description": "Nécessité d’une vaccination contre la grippe",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1012,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z25.8": {
    "code": "Z25.8",
    "description": "Nécessité d’une vaccination contre d’autres maladies virales uniques précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "uniques"
    ],
    "comprend": [],
    "exclusions": [
      "vaccination : • associée (Z27.-)",
      "• non faite (Z28.-)"
    ],
    "clinical_text": [
      "Nécessité d’une vaccination contre d’autres maladies infectieuses"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z26.0": {
    "code": "Z26.0",
    "description": "Nécessité d’une vaccination contre la leishmaniose",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z26.8": {
    "code": "Z26.8",
    "description": "Nécessité d’une vaccination contre d’autres maladies infectieuses uniques précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z26.9": {
    "code": "Z26.9",
    "description": "Nécessité d’une vaccination contre une maladie infectieuse, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Nécessité d’une vaccination SAI",
      "infectieuses"
    ],
    "comprend": [],
    "exclusions": [
      "vaccination non faite (Z28.-)"
    ],
    "clinical_text": [
      "Nécessité d’une vaccination associée contre plusieurs maladies"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z27.0": {
    "code": "Z27.0",
    "description": "Nécessité d’une vaccination contre le choléra et la typhoïde-parathyphoïde [choléra + TAB]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z27.1": {
    "code": "Z27.1",
    "description": "Nécessité d’une vaccination associée contre diphtérie-tétanos-coqueluche [DTCoq]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Nécessité d’une vaccination contre diphtérie-tétanos-coqueluche et typhoïde-paratyphoïde"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z27.3": {
    "code": "Z27.3",
    "description": "Nécessité d’une vaccination contre diphtérie-tétanos-coqueluche et poliomyélite [DTCoq + polio]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z27.4": {
    "code": "Z27.4",
    "description": "Nécessité d’une vaccination contre rougeole-oreillons-rubéole [ROR]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z27.8": {
    "code": "Z27.8",
    "description": "Nécessité d’une vaccination contre d’autres associations de maladies infectieuses",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z27.9": {
    "code": "Z27.9",
    "description": "Nécessité d’une vaccination associée contre plusieurs maladies infectieuses, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z28": {
    "code": "Z28",
    "description": "Vaccination non faite",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "son motif d’apparition."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.125 : un code de la catégorie Z28 peut être utilisé en complément de celui d’une maladie infectieuse, s’il explique"
    ]
  },
  "Z28.0": {
    "code": "Z28.0",
    "description": "Vaccination non faite en raison d’une contre-indication",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z28.1": {
    "code": "Z28.1",
    "description": "Vaccination non faite par décision du sujet pour raisons de conviction et de pression sociale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z28.2": {
    "code": "Z28.2",
    "description": "Vaccination non faite par décision du sujet pour des raisons autres et non précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z28.8": {
    "code": "Z28.8",
    "description": "Vaccination non faite pour d’autres raisons",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z28.9": {
    "code": "Z28.9",
    "description": "Vaccination non faite, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1013,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z29": {
    "code": "Z29",
    "description": "Nécessité d’autres mesures prophylactiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1014,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "chirurgie prophylactique (Z40.-)",
      "désensibilisation aux allergènes (Z51.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z29.0": {
    "code": "Z29.0",
    "description": "Isolement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1014,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR",
      "personne atteinte d’une maladie infectieuse",
      "La catégorie Z29 comprend certaines mesures de prévention :",
      "ci à l’abri du patient.",
      "et odontologie – BO du 17 juillet 2025, p. 96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Admission pour protéger le sujet de son milieu ou pour l’isoler après un contact avec une",
      "• la sous-catégorie Z29.0 Isolement n’est pas destinée au classement des situations d’isolement social qui doivent être codées avec la",
      "catégorie Z60 ; le code Z29.0 est destiné au codage de l’isolement dans un but thérapeutique, tel qu’il s’en réalise pour des sujets",
      "atteints d’une maladie infectieuse contagieuse ou bien susceptibles de contracter une telle maladie. Bien que la catégorie Z29 soit classée",
      "dans un groupe (Z20–Z29) qui concerne les maladies infectieuses, l’absence d’un autre code d’isolement dans le chapitre XXI conduit à",
      "autoriser l’emploi de Z29.0 dans toutes les situations où un patient est isolé pour être mis à l’abri de l’entourage ou pour mettre celui-",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "En soins de suite et de réadaptation le Guide méthodologique spécifie que le code Z29.0 est utilisé dans le cadre des isolements",
      "thérapeutiques de type infectieux : « le code Z29.0 est destiné au codage de l’isolement dans un but thérapeutique (pour des sujets",
      "atteints d’une maladie infectieuse contagieuse ou bien susceptibles de contracter une telle maladie). ». Le code Z29.0 ne peut pas être"
    ],
    "agora_refs": [
      "177862"
    ],
    "cocoa_notes": [
      "utilisé dans d’autres situations. (AGORA - # 177862 le 15 avril 2019)"
    ]
  },
  "Z29.1": {
    "code": "Z29.1",
    "description": "ou Z29.2 peuvent être utilisés lors des séjours motivés par l’administration d’une immunothérapie ou d’une",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1014,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "prophylactique (préventif) soit établi.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "chimiothérapie prophylactique, quel qu’en soit le motif (infectieux, tumoral…), mais à condition que le caractère",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z29.2": {
    "code": "Z29.2",
    "description": "Autres mesures de chimiothérapie prophylactique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1014,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antibiothérapie prophylactique",
      "Chimioprophylaxie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "de cette précision, la chimiothérapie renvoie à la catégorie Z51.",
      "Quel DP et quel DR peut-on noter pour l’admission pour une injection de Fer, en préparation de prélèvements à venir de",
      "culots, avant une intervention (auto-transfusion) ? Pour un traitement prophylactique c’est bien le Z29.2 qu’il faut coder en",
      "DP.Le GHM correspondant doit être revu pour 2015 ainsi que la consigne de codage car dans le cas présent Z51.4 aurait"
    ],
    "agora_refs": [
      "97042"
    ],
    "cocoa_notes": [
      "Aunis p.125 : pour utiliser Z29.2, il faut disposer explicitement de la notion de chimiothérapie prophylactique. En l’absence",
      "aussi pu être proposé. (AGORA - # 97042 le 8 avril 2014)"
    ]
  },
  "Z29.8": {
    "code": "Z29.8",
    "description": "Autres mesures prophylactiques précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1014,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z29.9": {
    "code": "Z29.9",
    "description": "Mesure prophylactique, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1014,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(Z30-Z39)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sujets ayant recours aux services de santé pour des motifs liés à la reproduction"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30": {
    "code": "Z30",
    "description": "Prise en charge d’une contraception",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.0": {
    "code": "Z30.0",
    "description": "Conseils et avis généraux concernant la contraception",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Planification familiale SAI",
      "Première prescription de moyens contraceptifs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.1": {
    "code": "Z30.1",
    "description": "Mise en place d’un dispositif contraceptif intra-utérin [DIU]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Mise en place de DIU",
      "Mise en place de stérilet"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.2": {
    "code": "Z30.2",
    "description": "Stérilisation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Admission pour ligature des trompes de Fallope ou vasectomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.3": {
    "code": "Z30.3",
    "description": "Extraction cataméniale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Interruption de grossesse",
      "Régulation cataméniale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.4": {
    "code": "Z30.4",
    "description": "Surveillance de contraceptifs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Examen de routine pour entretien de la contraception"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Renouvellement d’une prescription de pilules contraceptives ou d’autres contraceptifs"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.5": {
    "code": "Z30.5",
    "description": "Surveillance d’un dispositif contraceptif intra-utérin [DIU]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Surveillance de DIU",
      "Surveillance de stérilet",
      "45521 le 29 avril 2011)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Vérification, réinsertion ou enlèvement d’un dispositif contraceptif (intra-utérin) (stérilet)",
      "Ablation d’un implant contraceptif sous AG : vous devez coder Z30.5. Les termes « intra-utérin » sont entre",
      "parenthèses dans le libellé de ce code qui concerne donc tout type de dispositif contraceptif. (AGORA - #"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.8": {
    "code": "Z30.8",
    "description": "Autres prises en charge d’une contraception",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Spermogramme après vasectomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z30.9": {
    "code": "Z30.9",
    "description": "Prise en charge d’une contraception, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31": {
    "code": "Z31",
    "description": "Mesures procréatives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Stérilité et procréation médicalement assistée (PMA)"
    ],
    "comprend": [],
    "exclusions": [
      "complications de la fécondation artificielle (N98.-)",
      "don ou prélèvement d’ovocytes ou de tissu ovarien (Z52.80-)"
    ],
    "clinical_text": [
      "Les motifs de prise en charge pour un acte en rapport avec une PMA doivent être codés avec la catégorie Z31."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.2": {
    "code": "Z31.2",
    "description": "Fécondation in vitro",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Admission pour prélèvement ou implantation d’ovules",
      "FIV",
      "Aide Médicale à la procréation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "FIV (Fécondation In Vitro) : coder Z31.2 en diagnostic principal",
      "Agence de la Biomédecine – Financement de l’Aide Médicale à la Procréation, avril 2024, p. 10",
      "https://www.agence-biomedecine.fr/IMG/pdf/plaquette_financement_en_pegh_2023_vdef_2805.pdf"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.8": {
    "code": "Z31.8",
    "description": "Autres mesures procréatives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de la nouvelle Loi de bioéthique.",
      "NOTICE TECHNIQUE n° ATIH-693-16-2021 du 21 décembre 2021"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Des extensions à usage PMSI du code Z31.8, permettent de repérer les greffes de tissu ovarien, dans le cadre"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.0": {
    "code": "Z31.0",
    "description": "Tuboplastie ou vasoplastie après stérilisation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.1": {
    "code": "Z31.1",
    "description": "Insémination artificielle",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1015,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.3": {
    "code": "Z31.3",
    "description": "Autres méthodes de fécondation assistée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aide Médicale à la procréation"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "ICSI (Intra Cytoplasmic Sperm Injection) : coder Z31.3 en diagnostic principal",
      "Agence de la Biomédecine – Financement de l’Aide Médicale à la Procréation, avril 2024, p. 10",
      "https://www.agence-biomedecine.fr/IMG/pdf/plaquette_financement_en_pegh_2023_vdef_2805.pdf"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.4": {
    "code": "Z31.4",
    "description": "Recherches et tests en vue d’une procréation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Insufflation tubaire",
      "Spermogramme"
    ],
    "comprend": [],
    "exclusions": [
      "spermogramme après vasectomie (Z30.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.5": {
    "code": "Z31.5",
    "description": "Conseil génétique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.6": {
    "code": "Z31.6",
    "description": "Conseils et avis généraux en matière de procréation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.80": {
    "code": "Z31.80",
    "description": "Greffe de tissu ovarien pour conservation de la fertilité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.88": {
    "code": "Z31.88",
    "description": "Autres mesures et procédures procréatives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ponction épididymaire pour recueil de sperme"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z31.9": {
    "code": "Z31.9",
    "description": "Mesure procréative, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z32": {
    "code": "Z32",
    "description": "Examen et test de grossesse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "confirmées (Z32.1) de grossesse."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.125 : la catégorie Z32 concerne surtout les soins ambulatoires. Elle permet de coder les suspicions non confirmées (Z32.0) et"
    ]
  },
  "Z32.0": {
    "code": "Z32.0",
    "description": "Grossesse non (encore) confirmée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z32.1": {
    "code": "Z32.1",
    "description": "Grossesse confirmée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z33": {
    "code": "Z33",
    "description": "Grossesse constatée fortuitement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1016,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Grossesse SAI",
      "et odontologie – BO du 17 juillet 2025, p. 96",
      "Catégories Z34 et Z35 :"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La catégorie Z33 permet, dans le cas d’une femme enceinte hospitalisée pour un motif sans rapport avec sa grossesse, d’enregistrer",
      "celle-ci comme diagnostic associé lorsqu’elle se déroule normalement.",
      "Exemple : traumatisme de la jambe chez une femme enceinte ; DP : la lésion de la jambe ; diagnostic associé : Z33.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z34": {
    "code": "Z34",
    "description": "Surveillance d’une grossesse normale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z34.0": {
    "code": "Z34.0",
    "description": "Surveillance d’une première grossesse normale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z34.8": {
    "code": "Z34.8",
    "description": "Surveillance d’une autre grossesse normale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Si la seule raison de pratiquer la césarienne est une demande maternelle (césarienne de convenance), vous"
    ],
    "agora_refs": [
      "26586"
    ],
    "cocoa_notes": [
      "coderez Z34.0 ou Z34.8 (en DP) sans oublier un code Z37 en DAS. (AGORA - # 26586 le 5 mars 2010)"
    ]
  },
  "Z34.9": {
    "code": "Z34.9",
    "description": "Surveillance d’une grossesse normale, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Emploi des catégories Z35 et Z37",
      "divisé en 4 parties :",
      "– l’ante-partum : O10 à O48",
      "– le travail et l’accouchement : O60–O84",
      "– les suites de couches ou post-partum : O85–O92",
      "partum n’aboutissant pas à un accouchement ;"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le chapitre XV du volume 1 de la CIM-10 est consacré aux affections de la grossesse, de l’accouchement et de la puerpéralité. Il est",
      "– les grossesses qui se terminent par un avortement : O00 à O08",
      "Cependant, certains libellés du chapitre XV ne comportent pas de mention explicite limitant leur emploi à une de ces périodes : il en",
      "est ainsi, par exemple, des libellés consacrés à l’hypertension artérielle, au diabète ou aux embolies. Ils peuvent donc être employés",
      "indifféremment au cours de la grossesse, de l’accouchement ou du post-partum.",
      "De ce fait pour satisfaire à l’algorithme de groupage du PMSI en MCO :",
      "– un code de la catégorie Z35 Surveillance d’une grossesse à haut risque est obligatoire en DP ou en DA pour tout séjour d’ante-",
      "– un code de la catégorie Z37 Résultat de l’accouchement est obligatoire en DA pour tout séjour d’accouchement. On peut noter",
      "que les codes Z37 sont le compteur d’accouchement le plus fiable.",
      "ATIH – Consignes de codage – Gynécologie-Obstétrtique, Fascicule V – p.1-2 - Créé le 15 janvier 2009"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35": {
    "code": "Z35",
    "description": "Surveillance d’une grossesse à haut risque",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans le cas des hospitalisations de l’ante-partum, la mention d'un code Z35.– est indispensable à l'orientation correcte du",
      "résumé de sortie standardisé (RSS) dans les groupes homogènes de malades (GHM) de l'ante-partum.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.0": {
    "code": "Z35.0",
    "description": "Surveillance d’une grossesse avec antécédent de stérilité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.1": {
    "code": "Z35.1",
    "description": "Surveillance d’une grossesse avec antécédent d’avortement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1017,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• vésiculaire"
    ],
    "comprend": [],
    "exclusions": [
      "avortements à répétition : • sans mention de grossesse actuelle (N96)",
      "• soins au cours de la grossesse (O26.2)"
    ],
    "clinical_text": [
      "Surveillance d’une grossesse avec antécédent de môle : • hydatiforme",
      "Surveillance d’une grossesse avec d’autres antécédents obstétricaux pathologiques et difficultés"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.3": {
    "code": "Z35.3",
    "description": "Surveillance d’une grossesse avec antécédent de soins prénatals insuffisants",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Grossesse dissimulée",
      "# 15672 le 20 juin 2009)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Déni de grossesse : nous conseillons donc de coder Z35.3 et R41.8 R48.18 (l’anosognosie) qui correspond",
      "bien au symptôme observé. En cas de psychose avérée, un code du chapitre V peut être associé. (AGORA -"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.125 : Z35.3 comprend les grossesses médicalement non ou mal suivies."
    ]
  },
  "Z35.4": {
    "code": "Z35.4",
    "description": "Surveillance de grossesse avec multiparité élevée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "multiparité sans mention de grossesse actuelle (Z64.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.5": {
    "code": "Z35.5",
    "description": "Surveillance d’une primipare âgée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.6": {
    "code": "Z35.6",
    "description": "Surveillance d’une primipare très jeune",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.7": {
    "code": "Z35.7",
    "description": "Surveillance d’une grossesse à haut risque du fait de problèmes sociaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z35.8": {
    "code": "Z35.8",
    "description": "Surveillance d’autres grossesses à haut risque",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Si l’indication de la césarienne est posée en raison de l’âge maternel vous disposez des codes Z35.5, Z35.6"
    ],
    "agora_refs": [
      "26586"
    ],
    "cocoa_notes": [
      "ou Z35.8, (en DP) en associant un code Z37. (AGORA - # 26586 le 5 mars 2010)"
    ]
  },
  "Z35.9": {
    "code": "Z35.9",
    "description": "Surveillance de grossesse à haut risque, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36": {
    "code": "Z36",
    "description": "Dépistage prénatal",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "résultats anormaux constatés au cours de l’examen prénatal systématique de la mère (O28.-)",
      "soins prénatals de routine (Z34-Z35)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.0": {
    "code": "Z36.0",
    "description": "Dépistage prénatal d’anomalies chromosomiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Prélèvement placentaire (par voie vaginale)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.1": {
    "code": "Z36.1",
    "description": "Dépistage prénatal d’un taux élevé d’alpha-fœtoprotéines",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.2": {
    "code": "Z36.2",
    "description": "Autres dépistages prénatals par amniocentèse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.3": {
    "code": "Z36.3",
    "description": "Dépistage prénatal de malformations par échographie et autres méthodes physiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dépistage prénatal de retard de croissance du fœtus par échographie et autres méthodes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.5": {
    "code": "Z36.5",
    "description": "Dépistage prénatal d’iso-immunisation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.8": {
    "code": "Z36.8",
    "description": "Autres dépistages prénatals",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dépistage d’hémoglobinopathie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z36.9": {
    "code": "Z36.9",
    "description": "Dépistage prénatal, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1018,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37": {
    "code": "Z37",
    "description": "Résultat de l’accouchement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "de la mère.",
      "et odontologie – BO du 17 juillet 2025, p. 97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Cette catégorie sera utilisée comme code additionnel pour identifier le résultat de l’accouchement sur le dossier",
      "Catégorie Z37 : la mention d’un de ses codes comme diagnostic associé est indispensable au classement du RSS dans un GHM",
      "d’accouchement. Un code de cette catégorie doit donc être enregistré dans les RSS de tous les séjours comportant un accouchement.",
      "On rappelle que les codes Z37.- sont, dans le PMSI, le seul « compteur d’accouchements » fiable et exhaustif.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "A compter de 2011 les codes de la catégorie Z37 contenant une information d’enfant mort-né (Z37.1 à Z37.4, Z37.6 et Z37.7) font l’objet",
      "d’une extension en cinquième caractère pour identifier les enfants mort-nés après un accouchement à la suite d’une IMG. Cette extension",
      "est 0 hors interruption de la grossesse pour motif médical et 1 à la suite d’une interruption de la grossesse pour motif médical.",
      "ATIH – Consignes de codage –Gynécologie-Obstétrique, Fascicule V – Créé le 1er mars 2011"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.0": {
    "code": "Z37.0",
    "description": "Naissance unique, enfant vivant",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.1": {
    "code": "Z37.1",
    "description": "Naissance unique, enfant mort-né",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.10": {
    "code": "Z37.10",
    "description": "Naissance unique, enfant mort-né, hors interruption de la grossesse pour motif médical",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Naissance unique, enfant mort-né, à la suite d’une interruption de la grossesse pour motif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.2": {
    "code": "Z37.2",
    "description": "Naissance gémellaire, jumeaux nés vivants",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.3": {
    "code": "Z37.3",
    "description": "Naissance gémellaire, l’un des jumeaux né vivant, l’autre mort-né",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Naissance gémellaire, l’un des jumeaux né vivant, l’autre mort-né, hors interruption de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.4": {
    "code": "Z37.4",
    "description": "Naissance gémellaire, jumeaux mort-nés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.40": {
    "code": "Z37.40",
    "description": "Naissance gémellaire, jumeaux mort-nés, hors interruption de la grossesse pour motif médical",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Naissance gémellaire, jumeaux mort-nés, à la suite d’une interruption de la grossesse pour"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.5": {
    "code": "Z37.5",
    "description": "Autres naissances multiples, tous nés vivants",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": 3,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.6": {
    "code": "Z37.6",
    "description": "Autres naissances multiples, certains enfants nés vivants",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres naissances multiples, certains enfants nés vivants, hors interruption de la grossesse pour"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.7": {
    "code": "Z37.7",
    "description": "Autres naissances multiples, tous mort-nés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Autres naissances multiples, tous mort-nés, hors interruption de la grossesse pour motif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z37.9": {
    "code": "Z37.9",
    "description": "Résultat de l’accouchement, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1019,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Naissance : • multiple SAI",
      "• unique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.0": {
    "code": "Z38.0",
    "description": "Enfant unique né à l’hôpital est le code le plus fréquemment utilisé comme DP des résumés de séjour des nouveau-",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "chapitre).",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "nés, puisqu’il l’est pour tous ceux en bonne santé, venus au monde au cours d’une naissance unique dans un établissement",
      "de santé. Z38.0 est le code du DP du RUM du nouveau-né dont le séjour se déroule en maternité auprès de sa mère. Dans",
      "cette situation il ne justifie évidemment aucun DR. Lorsque le diagnostic principal du séjour d’un nouveau-né est un",
      "problème de santé, son code doit être d’abord cherché dans le chapitre XVI de la CIM–10 (puis, à défaut, dans un autre",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.1": {
    "code": "Z38.1",
    "description": "Enfant unique, né hors d’un hôpital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.2": {
    "code": "Z38.2",
    "description": "Enfant unique, lieu de naissance non précisé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Enfant né vivant SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.3": {
    "code": "Z38.3",
    "description": "Jumeaux, nés à l’hôpital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.4": {
    "code": "Z38.4",
    "description": "Jumeaux, nés hors d’un hôpital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.5": {
    "code": "Z38.5",
    "description": "Jumeaux, lieu de naissance non précisé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.6": {
    "code": "Z38.6",
    "description": "Autres naissances multiples, enfants nés à l’hôpital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.7": {
    "code": "Z38.7",
    "description": "Autres naissances multiples, enfants nés hors d’un hôpital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z38.8": {
    "code": "Z38.8",
    "description": "Autre naissances multiples, lieu de naissance non précisé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1020,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z39": {
    "code": "Z39",
    "description": "Soins et examens du post-partum",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1021,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Ce code est toujours requis pour les séjours du post-partum.",
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes CIM-10 de la catégorie O08 (complications consécutives à un avortement, une grossesse extra-utérine et molaire) ayant été",
      "réintégrés dans la liste des « Affections du post-partum et du post-abortum », à compter du 1er mars 2014, il n’est plus nécessaire de",
      "coder en DAS un code de la catégorie Z39 (Soins et examens du post-partum) pour les séjours du post-abortum.",
      "• il ne doit pas être enregistré d’acte d’accouchement dans le RUM ;",
      "• un code de la catégorie Z37 Résultat de l’accouchement doit être saisi en position de diagnostic associé.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z39.0": {
    "code": "Z39.0",
    "description": "Soins et examens immédiatement après l’accouchement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1021,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Soins et mise en observation, cas sans complications"
    ],
    "comprend": [],
    "exclusions": [
      "soins pour des complications du post-partum - voir chapitre XV"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z39.00": {
    "code": "Z39.00",
    "description": "Soins et examens immédiatement après un accouchement hors d’un établissement de santé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1021,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "L’extension Z39.00 Soins et examens immédiatement après un accouchement hors d’un établissement de santé créée pour",
      "la version 11c des GHM permet le codage d’un accouchement impromptu avant le départ pour la maternité, ou bien sur le",
      "chemin de celle-ci que cet accouchement ait eu lieu en présence du SMUR ou pas.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z39.08": {
    "code": "Z39.08",
    "description": "Soins et examens immédiatement après l’accouchement, autres et sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1021,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "bonne santé.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lorsqu’après accouchement dans un établissement de santé E1, une mère est transférée avec son enfant dans un",
      "établissement de santé E2 pour les soins du post-partum (soins standard, pas de complication, nouveau-né normal), en E2 :",
      "• le DP du RUM de la mère est codé Z39.08 Soins et examens immédiatement après l’accouchement, autres et sans précision;",
      "• le DP du RUM du nouveau-né est codé Z76.2 Surveillance médicale et soins médicaux d’autres nourrissons et enfants en",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Abcès post-allaitement survenant 3 semaines après l’accouchement : le post-partum prend fin au retour des premières règles",
      "après l’accouchement. C’est dans ce sens qu’il faut interpréter le terme « immédiatement » qui j’en conviens peut être"
    ],
    "agora_refs": [
      "63248"
    ],
    "cocoa_notes": [
      "apprécié différemment. Z39.08 est donc correct en DAS dans ce cas. (AGORA - # 63248 le 30 avril 2012)"
    ]
  },
  "Z39.1": {
    "code": "Z39.1",
    "description": "Soins et examens de l’allaitement maternel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1021,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Surveillance de l’allaitement"
    ],
    "comprend": [],
    "exclusions": [
      "troubles de la lactation (O92.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z39.2": {
    "code": "Z39.2",
    "description": "Contrôle de routine au cours du post-partum",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1021,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "spécifiques (Z40-Z54)",
      "et odontologie – BO du 17 juillet 2025, p. 97",
      "effectués pendant la prise en charge."
    ],
    "comprend": [],
    "exclusions": [
      "examen de contrôle pour surveillance médicale après traitement (Z08-Z09)"
    ],
    "clinical_text": [
      "Sujets ayant recours aux services de santé pour des actes médicaux et des soins",
      "Note Les catégories Z40-Z54 seront utilisées pour indiquer la raison de la prise en charge. Elles peuvent être utilisées",
      "pour des malades ayant déjà été traités pour une affection ou une lésion traumatique, mais nécessitant des",
      "examens de contrôle ou des soins prophylactiques, des soins de convalescence ou des soins médicaux pour",
      "consolider le traitement, soigner un état persistant, s’assurer qu’il n’y a pas eu de rechute ou pour la prévenir.",
      "Catégories Z40 à Z54 – Sujets ayant recours aux services de santé pour des actes médicaux et des soins spécifiques",
      "Les rubriques de ce groupe correspondent particulièrement au rôle décrit dans l’alinéa (a) de la première page du chapitre XXI de la",
      "CIM–10 : « Quand un sujet, malade ou non, entre en contact avec les services de santé pour une raison précise, par exemple pour",
      "recevoir des soins ou des services de niveau limité pour une affection en cours […] ».",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "médico-chirurgicaux. Il s’agit, comme dans le reste de la CIM, de motifs de prise en charge par les services de soins. Des intitulés tels",
      "que « dialyse extra-corporelle », « séance de radiothérapie » doivent être compris comme « prise en charge pour » dialyse,",
      "radiothérapie… L’emploi des codes du groupe Z50-Z54 ne dispense pas, le cas échéant, du codage des actes médico-chirurgicaux"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.126 : Ce groupe concerne les recours aux soins pour motif thérapeutique. On ne confondra pas ces catégories avec des actes"
    ]
  },
  "Z40": {
    "code": "Z40",
    "description": "Opération prophylactique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 131"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans la situation de prise en charge pour une intervention prophylactique, le DP fait appel à la catégorie Z40. [Règle T15].",
      "Exemple : Patiente hospitalisée pour mastectomie(s) prophylactique, DP : Z40.00 Ablation prophylactique du sein",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.0": {
    "code": "Z40.0",
    "description": "Opération prophylactique pour facteur de risque de tumeurs malignes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Admission pour ablation d’un organe à titre prophylactique",
      "maligne.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans le cadre des actes opératoires prophylactiques pour facteur de risque de tumeur maligne, des extensions, permettant",
      "de signaler l’organe opéré, ont été ajoutées au code Z40.0 Opération prophylactique pour facteur de risque de tumeur",
      "L’utilisation des codes Z40 concerne également les interventions réalisées à but thérapeutique ou prophylactique, dans le",
      "cadre de la prise en charge de tumeurs malignes portant sur d’autres localisations. Ainsi, dans le cadre du traitement d’un",
      "cancer du sein hormonosensible, une ovariectomie pour castration doit être codée avec le code Z40.01 en DP.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.00": {
    "code": "Z40.00",
    "description": "Ablation prophylactique de sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.01": {
    "code": "Z40.01",
    "description": "Ablation prophylactique d’organe de l’appareil génital féminin",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.02": {
    "code": "Z40.02",
    "description": "Ablation prophylactique d’organe de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.08": {
    "code": "Z40.08",
    "description": "Ablation prophylactique d’autres organes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.8": {
    "code": "Z40.8",
    "description": "Autres opérations prophylactiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z40.9": {
    "code": "Z40.9",
    "description": "Opération prophylactique, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1022,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41": {
    "code": "Z41",
    "description": "Thérapie sans raison médicale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "par une situation morbide.",
      "des catégories E65 et E66 et non Z41.1.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 98"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "(Z41.0 et Z41.1) et la circoncision rituelle (Z41.2). Comme le montre son titre, repris dans les intitulés de Z41.8 et Z41.9, la",
      "catégorie ne concerne pas que des interventions chirurgicales mais l’ensemble des soins médico-chirurgicaux non justifiés",
      "Cependant, en cas d’intervention chirurgicale motivée par une adiposité localisée ou une obésité, il faut utiliser les codes",
      "La catégorie Z41 comprend les soins « sans raison médicale », c’est-à-dire non motivés par un état morbide. Elle est",
      "notamment destinée au codage du DP des séjours pour chirurgie esthétique (Z41.0, Z41.1) et pour intervention dite de confort",
      "(Z41.80). Dans le cadre du PMSI, on désigne par chirurgie esthétique toute intervention de chirurgie plastique non prise en",
      "charge par l’assurance maladie obligatoire. On désigne par intervention « de confort » un acte médicotechnique autre que",
      "la chirurgie esthétique, non pris en charge par l’assurance maladie obligatoire.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.126 : Z41 concerne les recours aux soins sans motif médical, notamment pour les interventions à visée esthétique"
    ]
  },
  "Z41.0": {
    "code": "Z41.0",
    "description": "Implant de cheveux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.1": {
    "code": "Z41.1",
    "description": "Autres opérations plastiques pour raisons esthétiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Implant mammaire",
      "Exemples : séjour pour…",
      "par l’assurance maladie obligatoire : DP Z41.1 ;",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 98"
    ],
    "comprend": [],
    "exclusions": [
      "chirurgie plastique et correctrice pour cicatrice après traumatisme ou opération (Z42.-)"
    ],
    "clinical_text": [
      "Lorsqu’il s’agit de chirurgie esthétique le DP doit toujours être codé Z41.0 ou Z41.1, à l’exclusion de tout autre code ; le",
      "défaut corrigé peut être codé en position de diagnostic relié (DR).",
      "• mise en place de prothèses internes pour augmentation du volume mammaire à visée esthétique, non prise en charge",
      "• rhinoplastie à visée esthétique, non prise en charge par l’assurance maladie : DP Z41.1.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.2": {
    "code": "Z41.2",
    "description": "Circoncision rituelle et de routine",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.3": {
    "code": "Z41.3",
    "description": "Perçage du lobe de l’oreille",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.8": {
    "code": "Z41.8",
    "description": "Autres thérapies sans raison médicale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.80": {
    "code": "Z41.80",
    "description": "Intervention de confort",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "malades] à l’exclusion de tout autre code. [Règle T6]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "On désigne par intervention « de confort » un acte médicotechnique non pris en charge par l’assurance",
      "maladie obligatoire, autre que la chirurgie esthétique. Le DP de ces séjours doit être codé Z41.80 Intervention",
      "de confort [Code étendu créé pour la version 10 (2006) de la classification des groupes homogènes de",
      "S’agissant d’intervention « de confort », la règle est la même que pour la chirurgie esthétique. Si le médecin",
      "souhaite coder le motif de la demande, il peut l’être comme DR mais pas comme diagnostic associé (par",
      "exemple, hospitalisation pour traitement chirurgical de la myopie : DP Z41.80, DR H52.1 Myopie).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 130"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.88": {
    "code": "Z41.88",
    "description": "Autres thérapies sans raison médicale, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z41.9": {
    "code": "Z41.9",
    "description": "Thérapie sans raison médicale, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1023,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42": {
    "code": "Z42",
    "description": "Soins de contrôle comprenant une opération plastique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "en position de DR s’il respecte sa définition.",
      "Exemples : séjour pour…",
      "– rhinoplastie à visée esthétique : Z41.1 ;",
      "– rhinoplastie pour déviation de la cloison nasale : J34.2 ;",
      "– exérèse d’une cicatrice chéloïde : L91.0.",
      "et odontologie – BO du 17 juillet 2025, p. 98",
      "cellulaire sous cutané.",
      "et odontologie – BO du 17 juillet 2025, p. 130"
    ],
    "comprend": [
      "chirurgie plastique et correctrice pour cicatrice après traumatisme ou opération de réparation d’un tissu cicatriciel"
    ],
    "exclusions": [
      "chirurgie plastique : • comme traitement d’une lésion traumatique récente - coder à cette lésion traumatique voir",
      "chapitre XIX",
      "• pour des raisons esthétiques (Z41.1)"
    ],
    "clinical_text": [
      "La catégorie Z42 comprend les prises en charge pour des interventions chirurgicales plastiques réparatrices, nécessitées par les",
      "conséquences d’une intervention antérieure ou d’un traumatisme antérieurement traité (c’est le sens de « soins de contrôle »).",
      "Il résulte de ce qui vient d’être dit à propos des catégories Z41 et Z42 que la chirurgie plastique donne lieu à deux codages distincts :",
      "• lorsqu’il s’agit de chirurgie esthétique le DP doit toujours être codé Z41.0 ou Z41.1, à l’exclusion de tout autre code ; le défaut",
      "corrigé peut être codé en position de diagnostic relié (DR) ;",
      "• lorsqu’il s’agit de chirurgie plastique non esthétique, de réparation d’une lésion congénitale ou acquise, prise en charge par",
      "l’assurance maladie obligatoire, le DP doit être codé avec un autre code de la CIM–10 ; il peut s’agir d’un code des chapitres I",
      "à XIX ou d’un code de la catégorie Z42 ; le choix entre les deux possibilités obéit au principe général qui veut que le meilleur",
      "code soit le plus précis au regard de l’information à coder. Avec un DP codé Z42.– le motif de l’intervention peut être mentionné",
      "– mise en place de prothèses internes pour augmentation du volume mammaire à visée esthétique : Z41.1 ;",
      "– mise en place d’une prothèse mammaire interne après mastectomie : Z42.1 ;",
      "Il n’appartient pas au médecin responsable de l’information médicale ni au codeur de trancher entre chirurgie esthétique et autre",
      "chirurgie plastique, ni de décider si une intervention est de confort ou non. Il s’agit d’un choix qui est d’abord de la compétence du",
      "médecin qui dispense les soins, en cohérence avec la prise en charge par l’assurance maladie obligatoire.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Séjour pour dermolipectomie, par exemple dans les suites d’une prise en charge chirurgicale ou médicale d’une obésité morbide, prise",
      "en charge par l’Assurance Maladie Obligatoire : DP E65 Adiposité localisée, L98.7 Hypertrophie et affaissement de la peau et du tissu",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.0": {
    "code": "Z42.0",
    "description": "Soins de contrôle comprenant une opération plastique de la tête et du cou",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.1": {
    "code": "Z42.1",
    "description": "Soins de contrôle comprenant une opération plastique du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.2": {
    "code": "Z42.2",
    "description": "Soins de contrôle comprenant une opération plastique d’autres parties du tronc",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.3": {
    "code": "Z42.3",
    "description": "Soins de contrôle comprenant une opération plastique des extrémités supérieures",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.4": {
    "code": "Z42.4",
    "description": "Soins de contrôle comprenant une opération plastique des extrémités inférieures",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.8": {
    "code": "Z42.8",
    "description": "Soins de contrôle comprenant une opération plastique d’autres parties du corps",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z42.9": {
    "code": "Z42.9",
    "description": "Soins de contrôle comprenant une opération plastique, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1024,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "à Z47 ainsi que Z49.0. [Règle T7]",
      "et odontologie – BO du 17 juillet 2025, p. 130",
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans la situation de prise en charge pour soins spécifiques de stomies, prothèses, autres appareils, le DP fait appel aux catégories Z43",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "On comparera les catégories Z43 à Z46 avec les catégories Z93 à Z98 étudiées plus loin.",
      "Lorsqu’un code des catégories Z43 ou Z45 de la CIM–10 correspond à une prise en charge pour laquelle un code d’acte existe dans",
      "la CCAM, la saisie dans le même RUM du code Z43.- ou Z45.- en position de diagnostic associé (DA) en sus de celui de l’acte est",
      "redondante et n’est pas justifiée. Un tel emploi de « codes Z » serait incorrect au regard de la CIM–10.",
      "Exemples : dans le cas d’un séjour pour colectomie sans rétablissement de la continuité, il n’est pas justifié d’associer dans le même",
      "RUM le code de l’acte et Z43.3 en position de DA ; dans le cas d’un séjour pour pose de stimulateur cardiaque, il n’est pas justifié",
      "d’associer dans le même RUM le code de l’acte et Z45.0 en position de DA.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43": {
    "code": "Z43",
    "description": "Surveillance de stomies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1025,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend enlèvement d’un cathéter",
      "nettoyage",
      "obturation",
      "passage de sonde ou de bougie",
      "réfection",
      "et odontologie – BO du 17 juillet 2025, p. 98",
      "et odontologie – BO du 17 juillet 2025, p. 99",
      "Stomies intestinales"
    ],
    "comprend": [],
    "exclusions": [
      "complications de stomies (J95.0, K91.4, N99.5)",
      "mise en place et ajustement de prothèses et d’autres appareils (Z44-Z46)",
      "stomie ne nécessitant pas de soins médicaux (Z93.-)"
    ],
    "clinical_text": [
      "La catégorie Z43 est une rubrique de soins de stomie. Elle comprend des soins médicaux ponctuels (voir la note d’inclusion figurant",
      "sous le titre de la catégorie) incluant la fermeture de la stomie. Ces soins font habituellement l’objet d’un acte ou d’une prescription",
      "médicale. La catégorie Z43 exclut les soins habituels tels qu’effectués ou effectuables à domicile (soins quotidiens d’hygiène,",
      "changements de poche ou de canule de trachéostomie) qui se codent avec la catégorie Z93 (voir plus loin).",
      "Exemple : sujet ayant subi quelques mois plus tôt une résection sigmoïdienne pour perforation diverticulaire, ré-hospitalisé pour",
      "fermeture de la colostomie (rétablissement de la continuité colique) : le code du DP est Z43.3.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Lorsqu’un code des catégories Z43 ou Z45 de la CIM–10 correspond à une prise en charge pour laquelle un code d’acte existe dans la",
      "CCAM, la saisie dans le même RUM du code Z43.- ou Z45.- en position de diagnostic associé (DA) en sus de celui de l’acte est",
      "redondante et n’est pas justifiée. Un tel emploi de « codes Z » serait incorrect au regard de la CIM–10.",
      "Exemples : dans le cas d’un séjour pour colectomie sans rétablissement de la continuité, il n’est pas justifié d’associer dans le même RUM",
      "le code de l’acte et Z43.3 en position de DA ; dans le cas d’un séjour pour pose de stimulateur cardiaque, il n’est pas justifié d’associer",
      "dans le même RUM le code de l’acte et Z45.0 en position de DA.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Avec la catégorie Z43 un DR peut être mentionné s’il correspond à une affection effectivement présente lors du séjour et d’évolution",
      "chronique ou prolongée. Dans les autres situations il ne doit pas l’être.",
      "Manuel des groupes homogènes de malades - version 5.6 de la fonction groupage - BO 2000/2bis – p.34",
      "Il est important de différencier l’emploi des catégories Z43 Surveillance de stomies et Z93 Stomies.",
      "La première fait partie du groupe Z40-Z54 Sujets ayant recours aux services de santé pour des actes médicaux et des soins spécifiques.",
      "Elle concerne donc des patients pris en charge pour un motif thérapeutique. Z43.3 Surveillance de colostomie est ainsi employé, par",
      "exemple, pour une modification de la colostomie ou une fermeture programmée en l’absence de complications."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93": {
    "code": "Z93",
    "description": "Stomies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Elle s’oppose à la catégorie Z43.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 102",
      "polyhandicaps lourds."
    ],
    "comprend": [],
    "exclusions": [
      "complications de stomies (J95.0, K91.4, N99.5)",
      "stomies nécessitant une surveillance (Z43.-)",
      "présence de stomies qui ne sont pas l’objet de soins significatifs (cf Z43)."
    ],
    "clinical_text": [
      "La catégorie Z93 est une rubrique relative aux stomies. On l’emploie pour le codage des soins habituels tels qu’effectués",
      "ou effectuables à domicile (soins quotidiens d’hygiène, changements de poche, changements de canule de trachéostomie).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Les codes de la catégorie Z93 font partie de la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des",
      "Polyhandicap - Recommandations de codage pour l’identification du polyhandicap lourd, ATIH, mars 2022"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.131 : Z93 en toute logique ces codes ne peuvent être que complémentaires puisqu’ils sont faits pour signaler la"
    ]
  },
  "Z43.0": {
    "code": "Z43.0",
    "description": "Surveillance de trachéostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.1": {
    "code": "Z43.1",
    "description": "Surveillance de gastrostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "4 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.2": {
    "code": "Z43.2",
    "description": "Surveillance d’iléostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.3": {
    "code": "Z43.3",
    "description": "Surveillance de colostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.4": {
    "code": "Z43.4",
    "description": "Surveillance d’autres stomies de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "Drain de Kehr (drainage biliaire externe)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce drain est utilisé après une cholédocotomie pour effectuer une dérivation externe momentanée de la bile.",
      "Si on souhaite coder un séjour pour des soins en rapport avec sa présence (par exemple, son ablation",
      "programmée) en l’absence de complication, on emploie Z43.4 Surveillance d’autres stomies de l’appareil",
      "digestif : le drain de Kehr doit en effet être considéré comme une stomie digestive.",
      "ATIH – Consignes de codage – Maladies de l’appareil digestif, Fascicule II - Créé le 15 mars 2008"
    ],
    "agora_refs": [
      "89269"
    ],
    "cocoa_notes": [
      "Jéjunostomie (voir également Z93.4). (AGORA - # 89269 le 15 novembre 2013)"
    ]
  },
  "Z43.5": {
    "code": "Z43.5",
    "description": "Surveillance de cystostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.6": {
    "code": "Z43.6",
    "description": "Surveillance d’autres stomies des voies urinaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Néphrostomie",
      "Urétérostomie",
      "Urétrostomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.7": {
    "code": "Z43.7",
    "description": "Surveillance de vagin artificiel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.8": {
    "code": "Z43.8",
    "description": "Surveillance d’autres stomies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z43.9": {
    "code": "Z43.9",
    "description": "Surveillance d’une stomie non précisée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "en particulier prothétiques.",
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories Z44 à Z46 permettent de coder la mise en place, la surveillance et les soins, et l’ablation de certains dispositifs médicaux,",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z44": {
    "code": "Z44",
    "description": "Mise en place et ajustement d’appareils de prothèse externe",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "présence d’un appareil de prothèse (Z97.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.126 : Z44 concerne l’appareillage et les prothèses externes (membre, œil, sein…) mais pas les orthèses qui sont en Z46."
    ]
  },
  "Z44.0": {
    "code": "Z44.0",
    "description": "Mise en place et ajustement d’un bras artificiel (total) (partiel)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z44.1": {
    "code": "Z44.1",
    "description": "Mise en place et ajustement d’une jambe artificielle (totale) (partielle)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z44.2": {
    "code": "Z44.2",
    "description": "Mise en place et ajustement d’un œil artificiel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complication mécanique d’une prothèse oculaire (T85.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z44.3": {
    "code": "Z44.3",
    "description": "Mise en place et ajustement d’une prothèse externe du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1026,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z44.8": {
    "code": "Z44.8",
    "description": "Mise en place et ajustement d’autres appareils de prothèse externe",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z44.9": {
    "code": "Z44.9",
    "description": "Mise en place et ajustement d’un appareil de prothèse externe non précisé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "médicaux, en particulier prothétiques.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 99",
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories Z44 à Z46 permettent de coder la mise en place, la surveillance et les soins, et l’ablation de certains dispositifs",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Lorsqu’un code des catégories Z43 ou Z45 de la CIM–10 correspond à une prise en charge pour laquelle un code d’acte existe dans",
      "la CCAM, la saisie dans le même RUM du code Z43.- ou Z45.- en position de diagnostic associé (DA) en sus de celui de l’acte est",
      "redondante et n’est pas justifiée. Un tel emploi de « codes Z » serait incorrect au regard de la CIM–10.",
      "Exemples : dans le cas d’un séjour pour colectomie sans rétablissement de la continuité, il n’est pas justifié d’associer dans le même",
      "RUM le code de l’acte et Z43.3 en position de DA ; dans le cas d’un séjour pour pose de stimulateur cardiaque, il n’est pas justifié",
      "d’associer dans le même RUM le code de l’acte et Z45.0 en position de DA.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45": {
    "code": "Z45",
    "description": "Ajustement et entretien d’une prothèse interne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mauvais résultat fonctionnel ou autres complications d’un appareil - voir Index alphabétique présence",
      "de prothèses et d’autres appareils (Z95-Z97)",
      "peut être utilisée dans ces cas. L’index alphabétique de la CIM le confirme en indiquant par ex, pour accès vasculaire : ajustement,",
      "contrôle, entretien ou mise en place."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.127 : Bien que les mots « mise en place » soient absents du titre de la catégorie Z45 au contraire de Z44 et Z46, cette catégorie"
    ]
  },
  "Z45.0": {
    "code": "Z45.0",
    "description": "Ajustement et entretien de dispositifs cardiaques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Stimulateur cardiaque",
      "Pace-maker [PM]",
      "Défibrillateur (automatique) (implantable) [DAI]",
      "cardiaque est la cardiopathie qui la justifie, et non Z45.0."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Contrôle et vérification du générateur d’impulsions [pile] de dispositifs cardiaques",
      "Par convention, le diagnostic principal d’un séjour pour l’implantation d’un stimulateur ou d’un défibrillateur",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.1": {
    "code": "Z45.1",
    "description": "et Z45.2 comprennent les prises en charge pour mise en place et ablation de pompe à perfusion et de dispositif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(chambre implantable) [port à cath] [CIP]",
      "commentaire à propos de la catégorie Z49).",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "d’accès vasculaire ; notamment, Z45.2 est le code de mise en place, entretien et ablation d’un système diffuseur implantable",
      "Le DP des séjours pour mise en place d’une fistule de dialyse rénale sera codé Z49.0 et non Z45.2 (voir ci-dessous le",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.2": {
    "code": "Z45.2",
    "description": "Ajustement et entretien d’un dispositif d’accès vasculaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Chambre implantable [CIP]",
      "PICC Line [Peripherally Inserted Central Catheter]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.3": {
    "code": "Z45.3",
    "description": "Ajustement et entretien d’une prothèse auditive",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Implantée",
      "Prothèse (de) : • cochléaire",
      "• conduction osseuse"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.8": {
    "code": "Z45.8",
    "description": "Ajustement et entretien d’autres prothèses internes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.80": {
    "code": "Z45.80",
    "description": "Ajustement et entretien d’une prothèse interne urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sonde urétérale JJ [double J]"
    ],
    "comprend": [],
    "exclusions": [
      "sonde (urétro)vésicale (Z46.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.81": {
    "code": "Z45.81",
    "description": "Ajustement et entretien d’une prothèse interne génitale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1027,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "surveillance d’un dispositif contraceptif (intra-utérin) (Z30.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.82": {
    "code": "Z45.82",
    "description": "Ajustement et entretien d’une prothèse intra-oculaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mise en place et ajustement d’un œil artificiel (Z44.2)"
    ],
    "clinical_text": [
      "C’est le code Z45.82 qui est à utiliser pour l’implantation secondaire d’un cristallin artificiel faite un mois après une"
    ],
    "agora_refs": [
      "71142"
    ],
    "cocoa_notes": [
      "intervention de la cataracte. (AGORA - # 71142 le 2 novembre 2012)"
    ]
  },
  "Z45.83": {
    "code": "Z45.83",
    "description": "Ajustement et entretien d’une prothèse interne des voies aériennes supérieures",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Prothèse phonatoire œsotrachéale",
      "Larynx artificiel"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.84": {
    "code": "Z45.84",
    "description": "Ajustement et entretien d’une prothèse interne du système nerveux central",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Electrodes intra-crâniennes",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dérivation du liquide cérébrospinal ou céphalorachidien [LCR]",
      "Le DP des hospitalisations pour la mise en place d’un stimulateur du système nerveux central (cérébral ou médullaire) doit",
      "être codé Z45.84 Ajustement et entretien d’une prothèse interne du système nerveux central. Il s’agit en effet, en général, de",
      "séjours programmés spécifiquement réservés à l’acte médicotechnique de pose du stimulateur.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.88": {
    "code": "Z45.88",
    "description": "Ajustement et entretien d’autres prothèses internes précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z45.9": {
    "code": "Z45.9",
    "description": "Ajustement et entretien d’une prothèse interne non précisée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "en particulier prothétiques.",
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories Z44 à Z46 permettent de coder la mise en place, la surveillance et les soins, et l’ablation de certains dispositifs médicaux,",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46": {
    "code": "Z46",
    "description": "Mise en place et ajustement d’autres appareils",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "mauvais résultat fonctionnel ou autres complications d’un appareil - voir Index alphabétique présence",
      "de prothèses et d’autres appareils (Z95-Z97)",
      "renouvellement d’une ordonnance (Z76.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.0": {
    "code": "Z46.0",
    "description": "Mise en place et ajustement de lunettes et verres de contact",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.1": {
    "code": "Z46.1",
    "description": "Mise en place et ajustement d’un appareil auditif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Mise en place et ajustement d’autres appareils en rapport avec le système nerveux et les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.3": {
    "code": "Z46.3",
    "description": "Mise en place et ajustement d’une prothèse dentaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.4": {
    "code": "Z46.4",
    "description": "Mise en place et ajustement d’un appareil orthodontique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.5": {
    "code": "Z46.5",
    "description": "Mise en place et ajustement d’une iléostomie et autres dispositifs intestinaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "La pompe à DUODOPA permet d’administrer le traitement directement dans le jéjunum. Le code Z46.5"
    ],
    "agora_refs": [
      "169908"
    ],
    "cocoa_notes": [
      "correspondrait mieux à cette situation. (AGORA - # 169908 le 17 octobre 2018)"
    ]
  },
  "Z46.6": {
    "code": "Z46.6",
    "description": "Mise en place et ajustement d’un appareil urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pose ou entretien de sonde urinaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.7": {
    "code": "Z46.7",
    "description": "Mise en place et ajustement d’un appareil orthopédique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1028,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Armature orthopédique",
      "Ceinture orthopédique",
      "Chaussures orthopédique(s)",
      "Corset orthopédique"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z46.8": {
    "code": "Z46.8",
    "description": "Mise en place et ajustement d’autres appareils précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Fauteuil roulant"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les mises en place et réglages des ventilations non invasives [VNI] sont codés Z46.8 en DP. [l’affection respiratoire causale]",
      "Dans le cadre de la prise en charge des patients brûlés, comment coder la mise en place de vêtements compressifs ou de"
    ],
    "agora_refs": [
      "26590",
      "89647"
    ],
    "cocoa_notes": [
      "est codée en DR. (AGORA - # 26590 le 5 mars 2010)",
      "conformateurs ? je vous conseille de coder Z46.8 pour la mise en place. (AGORA - # 89647 le 22 novembre 2013)"
    ]
  },
  "Z46.9": {
    "code": "Z46.9",
    "description": "Mise en place et ajustement d’un appareil, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z47": {
    "code": "Z47",
    "description": "Autres soins de contrôle orthopédiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [
      "complications de prothèses, implants et greffes orthopédiques internes (T84.-)",
      "examen de contrôle après traitement d’une fracture (Z09.4)",
      "soins impliquant une rééducation (Z50.-)"
    ],
    "clinical_text": [
      "La catégorie Z47 est celle des soins faisant suite à un acte sur l’appareil locomoteur (on retrouve dans son intitulé la notion de « soins",
      "de contrôle » soulignée à propos de la catégorie Z42) : ablation de matériel d’ostéosynthèse, changement ou ablation d’appareil",
      "d’immobilisation… Z47.0 doit notamment être utilisé pour coder le DP des séjours pour ablation de matériel d’ostéosynthèse ; il ne faut",
      "pas, au terme de ces séjours, coder à nouveau la lésion osseuse initiale guérie ou consolidée, ni comme DP, ni comme DR, ni comme",
      "DA ; elle ne peut éventuellement être qu’une donnée à visée documentaire.",
      "Le DP des séjours pour retrait de prothèse temporaire de type espaceur [spacer], mise en place suite à une infection, et repose de",
      "prothèse définitive se code Z47.0 Soins de contrôle impliquant l’enlèvement d’une plaque et autre prothèse interne de fixation.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z47.0": {
    "code": "Z47.0",
    "description": "Soins de contrôle impliquant l’enlèvement d’une plaque et autre prothèse interne de fixation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Enlèvement de : • broche",
      "• plaque",
      "• tringle",
      "• vis"
    ],
    "comprend": [],
    "exclusions": [
      "enlèvement d’un appareil externe de fixation (Z47.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z47.8": {
    "code": "Z47.8",
    "description": "Autres soins de contrôle orthopédiques précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z47.80": {
    "code": "Z47.80",
    "description": "Soins de contrôle d’appareil externe de fixation ou de traction",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Changement, vérification ou enlèvement d’appareil externe de fixation ou de traction"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z47.88": {
    "code": "Z47.88",
    "description": "Autres soins de contrôle orthopédiques NCA",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "externe : plâtre, orthèse…"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Changement, vérification ou enlèvement d’un appareil de contention ou d’immobilisation"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z47.9": {
    "code": "Z47.9",
    "description": "Soin de contrôle orthopédique, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1029,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z48": {
    "code": "Z48",
    "description": "Autres soins de contrôle chirurgicaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [
      "examen de contrôle après : • chirurgie (Z09.0)",
      "• traitement d’une fracture (Z09.4)",
      "mise en place et ajustement de prothèses et d’autres appareils (Z44-Z46)",
      "soins de contrôle orthopédiques (Z47.-)",
      "surveillance de stomies (Z43.-)"
    ],
    "clinical_text": [
      "La catégorie Z48 peut être employée pour les soins post-interventionnels immédiats. Par soins post-interventionnels on entend",
      "notamment la surveillance post-opératoire et celle qui fait suite à un acte médico-technique tel qu’une intervention par voie",
      "endoscopique ou endovasculaire et l’imagerie interventionnelle.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Soins après pose de pace-maker : la catégorie Z48 correspond à des soins post-interventionnels généraux (pansements, constantes,",
      "douleur...) et peut être employée, lorsque de tels soins sont effectués, quel que soit l’organe opéré. Z95.0 constate la présence d’un",
      "stimulateur cardiaque qui ne nécessite pas de soins puisque ceux-ci sont classés à Z45.0. Le choix entre Z48.–, Z45.0 et Z95.0 dépend"
    ],
    "agora_refs": [
      "58710"
    ],
    "cocoa_notes": [
      "du dossier du patient. (AGORA - # 58710 le 14 février 2012)"
    ]
  },
  "Z48.0": {
    "code": "Z48.0",
    "description": "Surveillance des sutures et pansements chirurgicaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Changement de pansement",
      "Ablation de sutures"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z48.8": {
    "code": "Z48.8",
    "description": "Autres soins de contrôle chirurgicaux précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z48.9": {
    "code": "Z48.9",
    "description": "Soin de contrôle chirurgical, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z49": {
    "code": "Z49",
    "description": "Surveillance d’une dialyse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "C omprend préparation d’une dialyse et traitement",
      "confection d’une fistule.",
      "et odontologie – BO du 17 juillet 2025, p. 99"
    ],
    "comprend": [],
    "exclusions": [
      "sous dialyse rénale (Z99.2)"
    ],
    "clinical_text": [
      "La catégorie Z49, malgré la présence du mot « surveillance » dans son intitulé, comprend les prises en charge pour des actes de",
      "préparation à la dialyse rénale ; Z49.0 comprend ainsi la mise en place des fistules et cathéters de dialyse. En effet, en raison de la",
      "spécificité de cette catégorie et de son rôle dans la classification des GHM, il faut coder Z49.0 (et non Z45.2) le DP des séjours pour la",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z49.0": {
    "code": "Z49.0",
    "description": "Soins préparatoires en vue d’une dialyse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z49.1": {
    "code": "Z49.1",
    "description": "Dialyse extra-corporelle",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dialyse (rénale) SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le codage du diagnostic principal des séances d’hémodialyse utilise le code Z49.1 de la Classification internationale des",
      "maladies (CIM–10). Celui du diagnostic principal des séances d’entraînement à la dialyse péritonéale emploie les extensions"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z49.20": {
    "code": "Z49.20",
    "description": "Séance de dialyse péritonéale automatisée [DPA]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séance de dialyse péritonéale continue cyclique [DPCC]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z49.2": {
    "code": "Z49.2",
    "description": "Autres dialyses",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Dialyse péritonéale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z49.21": {
    "code": "Z49.21",
    "description": "Séance de dialyse péritonéale continue ambulatoire [DPCA]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1030,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50": {
    "code": "Z50",
    "description": "Soins impliquant une rééducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "conseils (Z70-Z71)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.0": {
    "code": "Z50.0",
    "description": "Rééducation des cardiaques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Réadaptation cardiaque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.1": {
    "code": "Z50.1",
    "description": "Autres thérapies physiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Exercices thérapeutiques et curatifs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.2": {
    "code": "Z50.2",
    "description": "Sevrage d’alcool",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.3": {
    "code": "Z50.3",
    "description": "Rééducation des drogués et après abus de médicaments",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.4": {
    "code": "Z50.4",
    "description": "Psychothérapie, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.5": {
    "code": "Z50.5",
    "description": "Orthophonie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rééducation du langage"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.6": {
    "code": "Z50.6",
    "description": "Education de la vision orthoptique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.7": {
    "code": "Z50.7",
    "description": "Ergothérapie et rééducation professionnelle, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.8": {
    "code": "Z50.8",
    "description": "Soins impliquant d’autres moyens de rééducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rééducation après tabagisme",
      "Thérapie concernant les activités de la vie quotidienne NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z50.9": {
    "code": "Z50.9",
    "description": "Soin impliquant une rééducation, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1031,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Rééducation SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51": {
    "code": "Z51",
    "description": "Autres soins médicaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1032,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "du chapitre XXI dans le volume 1).",
      "la CCAM pour enregistrer l’administration du médicament."
    ],
    "comprend": [],
    "exclusions": [
      "examen de contrôle après traitement (Z08-Z09)"
    ],
    "clinical_text": [
      "La catégorie Z51 est destinée au codage des prises en charges motivées par des actes thérapeutiques (radiothérapie, transfusion",
      "sanguine...). Son utilisation pour le codage du DP est une condition d’un enregistrement juste des séances au sens du PMSI en MCO,",
      "mais l’emploi de la catégorie Z51 ne leur est pas réservé. […]",
      "Lorsqu’un code Z51.0–, Z51.1, Z51.2, Z51.3-, Z51.5 ou Z51.8- est en position de DP, la maladie traitée est enregistrée comme DR chaque",
      "fois qu’elle respecte sa définition, ce qui est le plus souvent le cas. […]",
      "Lorsqu’un code de la catégorie Z51 de la CIM–10 correspond à une prise en charge pour laquelle un code d’acte existe dans la CCAM,",
      "la saisie dans le même RUM du code Z51.- en position de diagnostic associé (DA) en sus de celui de l’acte est redondante et n’est pas",
      "justifiée. Un tel emploi de « codes Z » serait incorrect au regard de la CIM–10 (se reporter aux explications données à la première page",
      "Exemple : la transfusion de concentrés de globules rouges d’un volume inférieur à une demi-masse sanguine se code FELF011 ; la",
      "mention, en sus, de Z51.30 en position de DA n’est pas justifiée.",
      "En l’absence d’acte dans la CCAM, Z51.1 Séance de chimiothérapie pour tumeur n’est ainsi pas concerné : la chimiothérapie anti-tumorale",
      "ne peut être enregistrée qu’avec ce code ; de même pour Z51.2 Autres formes de chimiothérapie dès lors qu’il n’existe pas d’acte dans"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.00": {
    "code": "Z51.00",
    "description": "Préparation à une radiothérapie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1032,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.0": {
    "code": "Z51.0",
    "description": "Séance de radiothérapie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1032,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.01": {
    "code": "Z51.01",
    "description": "Séance d’irradiation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1032,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.1": {
    "code": "Z51.1",
    "description": "code le DP des séjours pour chimiothérapie pour tumeur (voir aussi ce qui a été écrit plus haut à propos de la",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1032,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "chimioprophylaxie (catégorie Z29)).",
      "chimiothérapie pour tumeur.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 100",
      "• utilise le code Z51.1 de la CIM–10 ;",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 145"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les chimiothérapies intra-artérielles sans embolisation sont des traitements in situ liés à l’anatomie du foie qui permet cette",
      "technique. Comme toute chimiothérapie, le traitement est fait en séance. Dans ce cas, le DP est Z51.1 Séance de",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Le codage du diagnostic principal des séances de chimiothérapie pour tumeur :",
      "• la tumeur traitée est enregistrée comme diagnostic relié (DR).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.2": {
    "code": "Z51.2",
    "description": "est employé pour les autres séjours pour « chimiothérapie », dès lors que l’affection traitée n’est pas une tumeur. Le",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1033,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 100",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 133"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "mot chimiothérapie a en effet dans la CIM–10 son sens premier de « traitement par des moyens chimiques » (Se reporter à",
      "ce qui a été écrit plus haut à propos des catégories Z08 et Z09).",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "L’administration de produits dérivés du sang se code Z51.2 en DP si l’administration est thérapeutique, Z29.1 si elle est",
      "l’injection de fer (pour carence martiale) en injection unique : le DP doit être codée Z51.2 [Règle T10]",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Pompe à Apomorphine, pompe à Baclofène : le bon code est bien Z51.2 si le remplissage est associé à l’administration du"
    ],
    "agora_refs": [
      "64767",
      "162758"
    ],
    "cocoa_notes": [
      "prophylactique. C’est le clinicien qui précisera l’indication. (AGORA – # 64767 le 25 mai 2012)",
      "produit. (AGORA - # 162758 le 14 mai 2018)"
    ]
  },
  "Z51.3": {
    "code": "Z51.3",
    "description": "Transfusion sanguine (sans mention de diagnostic)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1033,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 100"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "on ne tiendra pas compte de l’indication « sans mention de diagnostic », désormais entre parenthèses. Elle est liée à l’esprit",
      "général du chapitre XXI de la CIM–10 et elle est sans conséquence pour le codage. Z51.3 a des extensions :",
      "• Z51.30 est le code du DP des séjours pour transfusion sanguine ;",
      "• Z51.31 est le code du DP des séjours pour aphérèse sanguine.",
      "Exemple : hospitalisation pour transfusion sanguine d’un patient atteint d’anémie réfractaire, Z51.30.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.30": {
    "code": "Z51.30",
    "description": "Séance de transfusion de produit sanguin labile",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1033,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Séance de transfusion de : • concentré de globules rouges",
      "• plasma frais congelé",
      "• préparation leucocytaire",
      "• préparation plaquettaire",
      "relié lorsque celle-ci en respecte sa définition."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le codage du diagnostic principal des séances de transfusion sanguine utilise le code Z51.30. On rappelle",
      "que l’indication « sans mention de diagnostic » contenue dans son intitulé, désormais entre parenthèses, est",
      "liée à l’esprit général du chapitre XXI de la CIM– 10 ; elle est sans conséquence pour le codage des séances",
      "de transfusion sanguine et n’empêche pas de coder la maladie motivant la transfusion comme diagnostic",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 149"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.31": {
    "code": "Z51.31",
    "description": "Séance d’aphérèse sanguine",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1033,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.4": {
    "code": "Z51.4",
    "description": "aurait aussi pu être proposé. (AGORA - # 97042 le 8 avril 2014)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1033,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "soins préparatoires en vue d’une dialyse (Z49.0)"
    ],
    "clinical_text": [
      "Hospitalisation avec intervention pour pose de repère sous surgiscope avant une intervention ultérieure",
      "pour biopsie stéréotaxique d’une lésion cérébrale : Z51.4 est le code adéquat. Nous incluons les soins"
    ],
    "agora_refs": [
      "95414"
    ],
    "cocoa_notes": [
      "chirurgicaux dans ce code. (AGORA - # 95414 le 14 mars 2014)"
    ]
  },
  "Z51.5": {
    "code": "Z51.5",
    "description": "Soins palliatifs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 133",
      "vasculaires cérébraux.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 64"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "du statut administratif de l’unité. Il faut aussi coder la maladie responsable. Il ne faut pas utiliser ce code par excès dans tous",
      "les cas de prise en charge médicale ou chirurgicale palliative. Dès lors qu’une affection précise est traitée spécifiquement",
      "(douleur…), surtout si elle motive un acte chirurgical (dérivation biliaire, intestinale..) il est préférable de la coder.",
      "Les soins palliatifs : dès lors que leur définition est respectée [Références : articles L. 1110-10, L. 6143-2-2, D. 6114-3 (7°), L.",
      "1112-4, L. 6114-2, D. 6143-37-1 du code de la santé publique. Circulaire n° DHOS/O2/DGS/SD5D n° 2002-98 du 19 février",
      "2002 relative à l’organisation des soins palliatifs et de l’accompagnement. Modalités de prise en charge de l’adulte nécessitant",
      "des soins palliatifs (Agence nationale d’évaluation et d’accréditation en santé – ANAES – décembre 2002). Circulaire",
      "DHOS/O2 n° 035601 du 5 mai 2004 et Guide annexé. Circulaire n° DHOS/O2/2008/99 du 25 mars 2008 relative à",
      "l’organisation des soins palliatifs], le DP est codé Z51.5 [Règle T11]",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Le codage d’un diagnostic relié est étendu à toutes les maladies prises en charge en soins palliatifs, par exemple les accidents",
      "ATIH Notice technique n° CIM-MF 1234-4-2011 du 28/12/2012 – p.6",
      "Le Diagnostic Relié [DR] est une maladie chronique ou de longue durée ou un état permanent, présent au moment du séjour",
      "objet du résumé. Une maladie justifiant des soins palliatifs entre dans ce cadre.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Le code Z51.5 appartient à la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des polyhandicaps lourds.",
      "Polyhandicap - Recommandations de codage pour l’identification du polyhandicap lourd, ATIH, mars 2022"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 : Z51.5 soins palliatifs a le sens de soins en phase terminale, d’accompagnement des mourants et ne préjuge pas"
    ]
  },
  "Z51.6": {
    "code": "Z51.6",
    "description": "Désensibilisation aux allergènes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.8": {
    "code": "Z51.8",
    "description": "Autres formes précisées de soins médicaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "prise en charge pendant les vacances (Z75.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.80": {
    "code": "Z51.80",
    "description": "Séance d’oxygénothérapie hyperbare",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.85": {
    "code": "Z51.85",
    "description": "Sédation profonde et continue maintenue jusqu’au décès [SPCMJD, loi Claeys Leonetti]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "dans les cas suivants :",
      "une souffrance réfractaire aux traitements ;",
      "médecin après la mise en œuvre d’une procédure collégiale.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 69"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser le code Z51.85 Sédation profonde continue maintenue jusqu’au décès (SPCMJD) comme DA pour décrire une sédation",
      "profonde et continue provoquant une altération de la conscience maintenue jusqu’au décès, associée à une analgésie et à",
      "l'arrêt de l'ensemble des traitements de maintien en vie (article L.1110-5-2 du code de santé publique), elle est mise en œuvre",
      "1° Lorsque le patient atteint d'une affection grave et incurable et dont le pronostic vital est engagé à court terme présente",
      "2° Lorsque la décision du patient, atteint d'une affection grave et incurable, d’engager son pronostic vital à court terme et",
      "susceptible d'entraîner une souffrance insupportable, prend la décision d’arrêter son traitement.",
      "3° Lorsque le patient ne peut pas exprimer sa volonté et que, au titre du refus de l'obstination déraisonnable telle que décrite",
      "dans l’article L. 1110-5-1 du code de santé publique, une décision d’arrêt du traitement de maintien en vie est prise par le",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.86": {
    "code": "Z51.86",
    "description": "Sédation palliative hors SPCMJD",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(syndrome d’asphyxie, hémorragie grave par exemple)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Utiliser le code Z51.86 Sédation palliative hors SPCMJD, comme DA, cette définition figure dans les recommandations HAS,",
      "de janvier 2020, « Antalgie des douleurs rebelles et pratiques sédatives chez l’adulte : prise en charge médicamenteuse en",
      "situations palliatives jusqu’en fin de vie ») : Sédation proportionnée, c’est-à-dire de profondeur et de durée proportionnelles",
      "au soulagement du symptôme. Elle concerne certaines situations de détresse vitale nécessitant un soulagement urgent",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 69-70"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.88": {
    "code": "Z51.88",
    "description": "Autres formes précisées de soins médicaux, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z51.9": {
    "code": "Z51.9",
    "description": "Soin médical, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1034,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52": {
    "code": "Z52",
    "description": "Donneurs d’organes et de tissus",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "prélèvements d’organes ou de tissus.",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 101"
    ],
    "comprend": [],
    "exclusions": [
      "examen d’un donneur éventuel (Z00.5)"
    ],
    "clinical_text": [
      "Les codes de la catégorie Z52 sont utilisés pour le codage du diagnostic principal du RSS produit pour un sujet admis aux fins de",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.0": {
    "code": "Z52.0",
    "description": "Donneur de sang",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Donneur de fractions • lymphocytes",
      "sanguines telles que: • plaquettes",
      "• cellules souches"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.1": {
    "code": "Z52.1",
    "description": "Donneur de peau",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.2": {
    "code": "Z52.2",
    "description": "Donneur d’os",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.3": {
    "code": "Z52.3",
    "description": "Donneur de moelle osseuse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.4": {
    "code": "Z52.4",
    "description": "Donneur de rein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.5": {
    "code": "Z52.5",
    "description": "Donneur de cornée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.6": {
    "code": "Z52.6",
    "description": "Donneur de foie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.7": {
    "code": "Z52.7",
    "description": "Donneur de cœur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.8": {
    "code": "Z52.8",
    "description": "Donneur d’autres organes et tissus",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1035,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.80": {
    "code": "Z52.80",
    "description": "8 Prélèvement d’ovocytes pour d’autres motifs précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Don d’ovocytes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.88": {
    "code": "Z52.88",
    "description": "Donneur d’autres organes et tissus, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z52.9": {
    "code": "Z52.9",
    "description": "Donneur d’organe ou de tissu non précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Donneur SAI",
      "spécifiques non effectués",
      "Exemples :",
      "– sortie contre avis médical ou par fuite ou fugue : Z53.2.",
      "et odontologie – BO du 17 juillet 2025, p. 101",
      "modalités :",
      "d’un RSS supposant une hospitalisation ;"
    ],
    "comprend": [],
    "exclusions": [
      "vaccination non faite (Z28.-)"
    ],
    "clinical_text": [
      "Sujets ayant recours aux services de santé pour des actes médicaux",
      "La catégorie Z53 permet le codage des circonstances dans lesquelles les soins envisagés ne peuvent être prodigués ; le mot acte de",
      "l’intitulé doit être lu avec l’acception étendue de « prestation de soins », « prise en charge ».",
      "– refus d’une transfusion sanguine pour motif de conviction : Z53.1 ;",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Dans le cas d’une hospitalisation pour une prise en charge prévue mais qui ne peut être réalisée, le codage du DP peut connaître deux",
      "1) Z53.– Sujets ayant recours aux services de santé pour des actes médicaux spécifiques, non effectués lorsque le motif de non réalisation",
      "ne justifie qu’une surveillance, sans qu’une affection ne soit mise en évidence ; cette circonstance ne peut être que rare, la production",
      "2) l’affection cause de la contre-indication lorsqu’elle nécessite une prise en charge diagnostique ou thérapeutique [Règle D4]",
      "• Hospitalisation programmée pour intervention chirurgicale ; une fièvre constatée à l’entrée fait annuler l’intervention; une",
      "hospitalisation de 48 heures ne permet pas d’identifier la cause de la fièvre; retour à domicile ; le diagnostic principal est la fièvre.",
      "• Hospitalisation programmée pour chimiothérapie anti-tumorale ; une fièvre est constatée à l’entrée et la chimiothérapie annulée ;",
      "l’hospitalisation permet le diagnostic et le traitement d’une pneumonie ; le diagnostic principal est la pneumonie.",
      "ATIH Notice technique n° CIM-MF 1234-4-2011 du 28/12/2012 – p.6",
      "Lorsqu’un patient a été admis pour un acte ou pour des soins qui n’ont pas pu être réalisés pour un des motifs classés dans la catégorie"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z53": {
    "code": "Z53",
    "description": "Sujets ayant recours aux services de santé pour des actes médicaux spécifiques, non effectués, le code Z53.– correspondant au motif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "et odontologie – BO du 17 juillet 2025, p. 71"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "peut-être enregistré comme DA, en complément du problème de santé finalement pris en charge.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z53.0": {
    "code": "Z53.0",
    "description": "Acte non effectué en raison de contre-indication",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z53.1": {
    "code": "Z53.1",
    "description": "Acte non effectué par décision du sujet pour raisons de conviction et de pression sociale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z53.2": {
    "code": "Z53.2",
    "description": "Acte non effectué par décision du sujet pour des raisons autres et non précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Hospitalisation écourtée : fugue, sortie contre avis médical (Instruction Gradation)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z53.8": {
    "code": "Z53.8",
    "description": "Acte non effectué pour d’autres raisons",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z53.9": {
    "code": "Z53.9",
    "description": "Acte non effectué, raison non précisée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54": {
    "code": "Z54",
    "description": "Convalescence",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.0": {
    "code": "Z54.0",
    "description": "Convalescence après intervention chirurgicale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.1": {
    "code": "Z54.1",
    "description": "Convalescence après radiothérapie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.2": {
    "code": "Z54.2",
    "description": "Convalescence après chimiothérapie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.3": {
    "code": "Z54.3",
    "description": "Convalescence après psychothérapie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.4": {
    "code": "Z54.4",
    "description": "Convalescence après traitement d’une fracture",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1036,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.7": {
    "code": "Z54.7",
    "description": "Convalescence après traitements combinés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1037,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Convalescence après traitements combinés classés en Z54.0-Z54.4"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.8": {
    "code": "Z54.8",
    "description": "Convalescence après un autre traitement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1037,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z54.9": {
    "code": "Z54.9",
    "description": "Convalescence après un traitement non précisé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1037,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "psycho-sociales (Z55-Z65)",
      "la CIM.",
      "recours aux services de santé pour d'autres motifs",
      "supplémentaire […] ».",
      "et odontologie – BO du 17 juillet 2025, p. 101",
      "PRÉCARITÉ"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sujets dont la santé peut être menacée par des conditions socio-économiques et",
      "professionnelle, familiale, dans la mesure où elles sont susceptibles de motiver ou d’influencer des demandes de soins. Ils témoignent",
      "de la définition très large donnée par l’OMS à l’état de santé.",
      "Des définitions sont données sous les titres des catégories Z60 à Z63. Pour aider au codage cf. liste des catégories au début du Vol I de",
      "Un libellé peut correspondre à des situations différentes. Par ex., Z55.3 peut désigner :",
      "- la cause de difficultés d’ordre psychologique, familial, social ou médical - ex : conflit familial dû à de mauvais résultats scolaires",
      "- ou la conséquence des mêmes difficultés – ex. : mauvais résultats scolaires du fait du divorce des parents, d’une surdité…",
      "- ou bien une situation sans cause ni conséquence particulière, citée incidemment en complément d’un autre motif de recours aux soins.",
      "Les codes de ces 2 groupes illustrent donc particulièrement la possibilité d’utiliser la majorité des codes du chapitre XXI, autant pour",
      "enregistrer un motif unique ou principal de recours aux soins, qu’en complément d’un code d’un autre chapitre.",
      "Catégories Z55 à Z76 - Sujets dont la santé peut être menacée par des conditions socio-économiques et psycho-sociales - Sujets ayant",
      "Elles permettent le codage de situations nombreuses et variées qui concernent tant l’hospitalisation que les soins externes. Elles",
      "répertorient des problèmes familiaux, sociaux, économiques, psychologiques, scolaires et professionnels, parmi lesquels des marqueurs",
      "de précarité socioéconomique qu’il est recommandé d’enregistrer dans le RUM. Il n’est guère d’autre moyen que la lecture du contenu",
      "de ces catégories pour prendre connaissance des possibilités de codage qu’elles offrent.",
      "Au regard de la note figurant à la première page du chapitre XXI, les catégories Z55 à Z76 correspondent à la fois à l’alinéa a : « Quand",
      "un sujet, malade ou non, entre en contact avec les services de santé […], par exemple, pour […] discuter d’un problème qui ne représente",
      "pas en soi une maladie ou un traumatisme » et à l’alinéa b : « […] des circonstances ou des problèmes qui influencent l’état d’un sujet,",
      "sans constituer en eux-mêmes une maladie ou un traumatisme. De tels facteurs peuvent […] être enregistrés comme facteur",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Pour mieux décrire les situations de précarité rencontrées par les patients et susceptibles d’avoir un impact sur leur prise en charge, des",
      "consignes d’utilisation de codes existants ont été apportées et des extensions nationales ont été créées en 2015.",
      "Ces codes peuvent être utilisés en position de diagnostic associé dès lors qu’ils en respectent la définition notamment en termes",
      "d’accroissement de la charge en soins ou lorsque les conditions socioéconomiques ont justifié une prise en charge particulière [Ces",
      "situations doivent être mentionnées dans le dossier médical notamment suite à l’intervention d’une assistante sociale.]",
      "Une définition et des consignes de codage sont précisées ci-dessous."
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : Z55-Z65 et Z70-Z76 : ces 2 groupes abordent l’individu dans ses dimensions sociales, psychologiques, scolaire,"
    ]
  },
  "Z55.00": {
    "code": "Z55.00",
    "description": "Analphabétisme et illettrisme",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne de plus de 15 ans qui présente une incapacité, d’origine non médicale, à lire un texte simple en",
      "le comprenant, à utiliser et à communiquer une information écrite dans la vie courante.",
      "Ce code fait partie de la liste des « Faible niveau d'éducation et analphabétisme » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.1": {
    "code": "Z55.1",
    "description": "Scolarisation inexistante ou inaccessible",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Faible niveau d'éducation et analphabétisme » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.0": {
    "code": "Z59.0",
    "description": "Sans abri",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Sans domicile fixe [SDF]",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Logement inadapté » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.10": {
    "code": "Z59.10",
    "description": "Logement insalubre ou impropre à l’habitation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Hébergement dans un lieu non destiné à l’habitation",
      "Logement présentant un danger pour la santé de ses occupants",
      "Squatt",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Logement insalubre » - caractéristiques socio-économiques",
      "Situation d'un patient infesté par des punaises de lit. En dehors des codes d'éventuelles complications",
      "infectieuses cutanées, le code T00.9 Lésions traumatiques superficielles multiples, sans précision peut être",
      "utilisé pour décrire des piqûres multiples d'insecte en lui associant le code W57.0 Morsure ou piqûre non",
      "venimeuse d'insectes et autres arthropodes, domicile et éventuellement le Z59.10 ou Z59.18 selon la"
    ],
    "agora_refs": [
      "268830"
    ],
    "cocoa_notes": [
      "situation. Coder d'abord le motif d'admission. (AGORA - # 268830 le 30 octobre 2024)"
    ]
  },
  "Z59.11": {
    "code": "Z59.11",
    "description": "Logement sans confort",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Logement sans confort sanitaire, c’est-à-dire lorsqu’un des éléments suivants est absent : eau",
      "courante, installation sanitaire, WC intérieurs. Un logement sans chauffage ou avec un moyen de",
      "chauffage sommaire, ou sans électricité est également considéré comme sans confort.",
      "Ce code fait partie de la liste des « Logement inadapté » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.12": {
    "code": "Z59.12",
    "description": "Logement inadéquat du fait de l’état de santé de la personne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Logement inadapté » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.50": {
    "code": "Z59.50",
    "description": "Absence totale de revenu, d’aide et de prestation financières",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne n’ayant aucun revenu (salaire, activité commerciale, prestation financière dont minima",
      "sociaux,…) ou personne n’ayant que la mendicité comme source de revenu.",
      "Ce code fait partie de la liste des « Faibles revenus » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.62": {
    "code": "Z59.62",
    "description": "Bénéficiaire de minima sociaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Faibles revenus » - caractéristiques socio-économiques",
      "Pour le code Z59.62, la liste des minima sociaux se veut en effet exhaustive et pourra évoluer en fonction"
    ],
    "agora_refs": [
      "126013"
    ],
    "cocoa_notes": [
      "des créations, modifications ou suppressions. (AGORA - # 126013 le 17 février 2016)"
    ]
  },
  "Z60.20": {
    "code": "Z60.20",
    "description": "Personne vivant seule à son domicile",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des \"Relations sociales et familiales insuffisantes\" - caractéristiques socio-",
      "Concernant le Z60.20 le Guide méthodologique précise que ce code concerne les personnes vivant seules",
      "à leur domicile, quel que soit leur sentiment de solitude ou d’isolement. Cela renvoie donc à la seule",
      "composition du foyer et au nombre de personnes résidant sous le même toit que la personne, quels que",
      "soient l’accompagnement ou les aides dont elle peut bénéficier de la part de professionnels ou de son",
      "entourage. On rappelle, par ailleurs, que ce code ne s’applique pas aux personnes résidant dans un"
    ],
    "agora_refs": [
      "126013"
    ],
    "cocoa_notes": [
      "établissement collectif. (AGORA - # 126013 le 17 février 2016)"
    ]
  },
  "Z60.30": {
    "code": "Z60.30",
    "description": "Difficultés liées à la langue",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Personne ayant des difficultés à comprendre le français, qui nécessite le recours à un interprète.",
      "Ce code fait partie de la liste des « Barrière de la langue » - caractéristiques socio-économiques",
      "Enfin, Z60.30 illustre les difficultés liées à la non-maîtrise de la langue (française en l’occurrence). C’est le",
      "besoin d’avoir recours à un interprète du fait de la difficulté de compréhension linguistique qui est à coder.",
      "La non-disponibilité d’un interprète ou le fait que ce rôle soit joué par l’entourage ou un tiers non"
    ],
    "agora_refs": [
      "126013"
    ],
    "cocoa_notes": [
      "professionnel ne remet pas en question l’utilisation de ce code. (AGORA - # 126013 le 17 février 2016)"
    ]
  },
  "Z55": {
    "code": "Z55",
    "description": "Difficultés liées à l’éducation et l’alphabétisation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles du développement psychologique (F80-F89)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.0": {
    "code": "Z55.0",
    "description": "Analphabétisme et faible niveau éducatif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.08": {
    "code": "Z55.08",
    "description": "Faibles niveaux éducatifs, autres et sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Faible niveau d'éducation et analphabétisme » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.2": {
    "code": "Z55.2",
    "description": "Échec aux examens",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.3": {
    "code": "Z55.3",
    "description": "Mauvais résultats scolaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.4": {
    "code": "Z55.4",
    "description": "Mauvaise adaptation éducative et difficultés avec les enseignants et les autres élèves",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.8": {
    "code": "Z55.8",
    "description": "Autres difficultés liées à l’éducation et l’alphabétisation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Enseignement inadéquat"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z55.9": {
    "code": "Z55.9",
    "description": "Difficulté liée à l’éducation et l’alphabétisation, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56": {
    "code": "Z56",
    "description": "Difficultés liées à l’emploi et au chômage",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "difficultés liées au logement et aux conditions économiques (Z59.-)",
      "exposition professionnelle à des facteurs de risques (Z57.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.0": {
    "code": "Z56.0",
    "description": "Chômage, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.1": {
    "code": "Z56.1",
    "description": "Changement d’emploi",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.2": {
    "code": "Z56.2",
    "description": "Menace de perte d’emploi",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de perte d’un emploi Z56.2."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : utilisation des codes en codage complémentaire : dépression favorisée par la menace"
    ]
  },
  "Z56.3": {
    "code": "Z56.3",
    "description": "Rythme de travail pénible",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.4": {
    "code": "Z56.4",
    "description": "Désaccord avec le supérieur et les collègues",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1038,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.5": {
    "code": "Z56.5",
    "description": "Mauvaise adaptation au travail",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conditions de travail difficiles",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Difficultés liées à l’emploi » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.6": {
    "code": "Z56.6",
    "description": "Autres difficultés physiques et mentales liées à l’emploi",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z56.7": {
    "code": "Z56.7",
    "description": "Difficultés liées à l’emploi, autres et sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57": {
    "code": "Z57",
    "description": "Exposition professionnelle à des facteurs de risque",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.0": {
    "code": "Z57.0",
    "description": "Exposition professionnelle au bruit",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.1": {
    "code": "Z57.1",
    "description": "Exposition professionnelle à des rayonnements",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.2": {
    "code": "Z57.2",
    "description": "Exposition professionnelle à la poussière",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.3": {
    "code": "Z57.3",
    "description": "Exposition professionnelle à d’autres polluants atmosphériques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Exposition professionnelle à des substances toxiques agricoles Substances solides, liquides, gaz"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.5": {
    "code": "Z57.5",
    "description": "Exposition professionnelle à des substances toxiques dans d’autres industries",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Substances solides, liquides, gaz ou émanations"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.6": {
    "code": "Z57.6",
    "description": "Exposition professionnelle à des températures extrêmes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.7": {
    "code": "Z57.7",
    "description": "Exposition professionnelle à des vibrations",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.8": {
    "code": "Z57.8",
    "description": "Exposition professionnelle à d’autres facteurs de risques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z57.9": {
    "code": "Z57.9",
    "description": "Exposition professionnelle à un facteur de risque, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58": {
    "code": "Z58",
    "description": "Difficultés liées à l’environnement physique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "exposition professionnelle (Z57.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.0": {
    "code": "Z58.0",
    "description": "Exposition au bruit",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.1": {
    "code": "Z58.1",
    "description": "Exposition à la pollution atmosphérique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "exposition à la fumée du tabac (Z58.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.2": {
    "code": "Z58.2",
    "description": "Exposition à la pollution de l’eau",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.3": {
    "code": "Z58.3",
    "description": "Exposition à la pollution du sol",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.4": {
    "code": "Z58.4",
    "description": "Exposition aux rayonnements",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.5": {
    "code": "Z58.5",
    "description": "Exposition à d’autres formes de pollution",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.6": {
    "code": "Z58.6",
    "description": "Approvisionnement insuffisant en eau potable",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "effets de la soif (T73.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.7": {
    "code": "Z58.7",
    "description": "Exposition à la fumée du tabac",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1039,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tabagisme passif"
    ],
    "comprend": [],
    "exclusions": [
      "troubles mentaux et du comportement liés à l’utilisation du tabac (F17.–)",
      "antécédents personnels d’abus de substances psycho-actives (Z86.4)",
      "difficultés liées à l’usage du tabac (Z72.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.8": {
    "code": "Z58.8",
    "description": "Autres difficultés liées à l’environnement physique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z58.9": {
    "code": "Z58.9",
    "description": "Difficulté liée à l’environnement physique, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59": {
    "code": "Z59",
    "description": "Difficultés liées au logement et aux conditions économiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "approvisionnement insuffisant en eau potable (Z58.6)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.1": {
    "code": "Z59.1",
    "description": "Logement inadéquat",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Manque de : • chauffage",
      "• place",
      "Voisinage non satisfaisant"
    ],
    "comprend": [],
    "exclusions": [
      "difficultés liées à l’environnement physique (Z58.-)",
      "l’absence de chauffage Z59.1."
    ],
    "clinical_text": [
      "Insuffisance technique du domicile empêchant des soins corrects"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : utilisation du code en codage complémentaire : retour au domicile retardé en raison de"
    ]
  },
  "Z59.13": {
    "code": "Z59.13",
    "description": "Logement en habitat temporaire ou de fortune",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1040,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "Cabane",
      "Camping",
      "Caravane",
      "Hôtel",
      "Mobil-Home",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Logement inadapté » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.18": {
    "code": "Z59.18",
    "description": "Logements inadéquats, autres et non précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Situation d'un patient infesté par des punaises de lit. En dehors des codes d'éventuelles complications",
      "infectieuses cutanées, le code T00.9 Lésions traumatiques superficielles multiples, sans précision peut être",
      "utilisé pour décrire des piqûres multiples d'insecte en lui associant le code W57.0 Morsure ou piqûre non",
      "venimeuse d'insectes et autres arthropodes, domicile et éventuellement le Z59.10 ou Z59.18 selon la"
    ],
    "agora_refs": [
      "268830"
    ],
    "cocoa_notes": [
      "situation. Coder d'abord le motif d'admission. (AGORA - # 268830 le 30 octobre 2024)"
    ]
  },
  "Z59.2": {
    "code": "Z59.2",
    "description": "Désaccord avec les voisins, les locataires et le propriétaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.3": {
    "code": "Z59.3",
    "description": "Difficulté liée à la vie en institution",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pensionnaire"
    ],
    "comprend": [],
    "exclusions": [
      "éducation dans une institution (Z62.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.4": {
    "code": "Z59.4",
    "description": "Alimentation défectueuse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "effets de la faim (T73.0)",
      "malnutrition (E40-E46)",
      "régime ou habitudes alimentaires inadéquates (Z72.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.5": {
    "code": "Z59.5",
    "description": "Pauvreté extrême",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.58": {
    "code": "Z59.58",
    "description": "Situations de pauvreté extrême, autres et sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Faibles revenus » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.6": {
    "code": "Z59.6",
    "description": "Faibles revenus",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.60": {
    "code": "Z59.60",
    "description": "Bénéficiaire de la CMUc l’aide de l’État à la complémentaire santé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Complémentaire santé solidaire (ex-CMU-C ou ACS)",
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Couverture maladie absente ou sous conditions de ressources » -",
      "Un minimum social est une allocation soumise à conditions de ressources. La CMUc n’est pas une allocation",
      "et n’est donc pas un minimum social. C’est le code Z59.60 qu’il faut utiliser pour renseigner de manière plus"
    ],
    "agora_refs": [
      "126013"
    ],
    "cocoa_notes": [
      "précise cette situation. (AGORA - # 126013 le 17 février 2016)"
    ]
  },
  "Z59.61": {
    "code": "Z59.61",
    "description": "Bénéficiaire de l’AME",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Couverture maladie absente ou sous conditions de ressources » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.68": {
    "code": "Z59.68",
    "description": "Faibles revenus, autres et non précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1041,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [
      "situation de pauvreté extrême (subdivisions de Z59.5)"
    ],
    "clinical_text": [
      "Ce code fait partie de la liste des « Faibles revenus » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.7": {
    "code": "Z59.7",
    "description": "Couverture sociale et secours insuffisants",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.70": {
    "code": "Z59.70",
    "description": "Absence de couverture sociale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Couverture maladie absente ou sous conditions de ressources » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.78": {
    "code": "Z59.78",
    "description": "Couverture sociale et secours insuffisants, autres et non précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR",
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Couverture maladie absente ou sous conditions de ressources » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.8": {
    "code": "Z59.8",
    "description": "Autres difficultés liées au logement et aux conditions économiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Logement isolé",
      "Problèmes avec des prêteurs",
      "Saisie d’hypothèque"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z59.9": {
    "code": "Z59.9",
    "description": "Difficulté liée au logement et aux conditions économiques, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60": {
    "code": "Z60",
    "description": "Difficultés liées à l’environnement social",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.0": {
    "code": "Z60.0",
    "description": "Difficultés d’ajustement aux transitions entre les différentes périodes de vie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Adaptation à la retraite ou à une pension",
      "Syndrome du « nid vide »"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.1": {
    "code": "Z60.1",
    "description": "Situation parentale atypique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Difficultés liées à une situation parentale (éducation des enfants) telle que famille monoparentale ou autre",
      "que celle dans laquelle les deux parents biologiques cohabitent."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.2": {
    "code": "Z60.2",
    "description": "Solitude",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Isolement socio-familial"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.28": {
    "code": "Z60.28",
    "description": "Solitudes, autres et non précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.3": {
    "code": "Z60.3",
    "description": "Difficultés liées à l’acculturation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1042,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Migration",
      "Transplantation sociale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.38": {
    "code": "Z60.38",
    "description": "Difficultés d’acculturation, autres et non précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Barrière culturelle » - caractéristiques socio-économiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.4": {
    "code": "Z60.4",
    "description": "Exclusion et rejet sociaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "comportement anormal.",
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [
      "cible d’une discrimination pour motifs raciaux ou religieux (Z60.5)"
    ],
    "clinical_text": [
      "Exclusion et rejet pour des motifs liés à la personne, tels qu’apparence physique, maladie ou",
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.5": {
    "code": "Z60.5",
    "description": "Cible d’une discrimination et d’une persécution",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "raisons liées à la personne.",
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [
      "exclusion et rejet sociaux (Z60.4)"
    ],
    "clinical_text": [
      "Discrimination ou persécution, réelle ou perçue comme telle, pour des raisons d’appartenance à",
      "un groupe (défini par la couleur de la peau, la religion, l’origine ethnique, etc.) et non pour des",
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.8": {
    "code": "Z60.8",
    "description": "Autres difficultés liées à l’environnement social",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z60.9": {
    "code": "Z60.9",
    "description": "Difficulté liée à l’environnement social, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61": {
    "code": "Z61",
    "description": "Difficultés liées à une enfance malheureuse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndromes dus à de mauvais traitements (T74.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.0": {
    "code": "Z61.0",
    "description": "Perte de relation affective pendant l’enfance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Perte d’une relation affectivement étroite, telle qu’un parent, un frère ou une sœur, un ami très",
      "proche ou un animal familier, liée à un décès, un départ définitif ou un rejet."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.1": {
    "code": "Z61.1",
    "description": "Départ du foyer pendant l’enfance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "période prolongée."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Séjour dans une famille adoptive, dans un hôpital ou autres institutions, ayant entraîné un stress",
      "psychosocial, ou activité tenant l’enfant éloigné contre son gré de son foyer pendant une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.2": {
    "code": "Z61.2",
    "description": "Changements dans le tissu des relations familiales pendant l’enfance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "frère ou d’une sœur."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Arrivée d’une nouvelle personne dans la famille, se traduisant par un changement négatif dans",
      "les relations de l’enfant. Couvre notamment le remariage d’un des parents ou la naissance d’un"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.3": {
    "code": "Z61.3",
    "description": "Evénements résultant de la perte de l’estime de soi pendant l’enfance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1043,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "- Y07.- Autres mauvais traitements pour préciser l’auteur",
      "- Y05 Viol ou tentative de viol"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Evénements résultant en une auto-évaluation négative de l’enfant, telle qu’échec dans des tâches",
      "exigeant un fort investissement personnel révélation ou découverte d’un événement personnel",
      "ou familial honteux ou traumatisant et autres expériences humiliantes.",
      "Suspicions de sévices sexuels : dans le cas d’un enfant Z61.4 ou Z61.5 est préférable. Z04.4 correspond plutôt à un cadre",
      "Le dictionnaire de l’Académie de Médecine (édition 2022) définit le « sévice sexuel dans l’enfance » : action d'un adulte",
      "visant, sous la contrainte, à l'exploitation sexuelle d'un enfant, qui peut s'accompagner de violences physiques, alors que",
      "l'enfant est incapable d’y résister psychologiquement et physiquement.",
      "Nous vous proposons de compléter au besoin et selon les circonstances ces codes par :",
      "- T74.2 Sévices sexuels et tout autre code du chapitre 19 pour identifier un traumatisme récent",
      "Difficultés liées à de possibles sévices sexuels infligés à un enfant par une personne de son"
    ],
    "agora_refs": [
      "66148"
    ],
    "cocoa_notes": [
      "médicolégal. (AGORA - # 66148 le 21 juin 2012)"
    ]
  },
  "Z61.6": {
    "code": "Z61.6",
    "description": "Difficultés liées à de possibles sévices physiques infligés à un enfant",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Difficultés liées à des incidents au cours desquels l’enfant a reçu par le passé de la part d’un adulte",
      "de sa famille des blessures d’une gravité telle qu’elles ont nécessité un traitement médical (par",
      "exemple fractures, ecchymoses marquées), ou qui ont impliqué des formes de violence anormales",
      "(comme frapper l’enfant avec un objet dur ou contondant, le brûler ou l’attacher).",
      "Utiliser au besoin un code Y07.- Autres mauvais traitements pour préciser l’auteur"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.7": {
    "code": "Z61.7",
    "description": "Expérience personnelle terrifiante",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Expérience comportant une menace pour l’avenir de l’enfant, telle qu’un enlèvement, une",
      "catastrophe naturelle où la vie est menacée, une blessure mettant en danger l’image de soi ou le",
      "sentiment de sécurité, ou la survenue d’un traumatisme grave chez une personne aimée."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.8": {
    "code": "Z61.8",
    "description": "Autres difficultés liées à une enfance malheureuse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z61.9": {
    "code": "Z61.9",
    "description": "Difficulté liée à une enfance malheureuse, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62": {
    "code": "Z62",
    "description": "Autres difficultés liées à l’éducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "syndromes dus à de mauvais traitements (T74.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.0": {
    "code": "Z62.0",
    "description": "Surveillance inadéquate de la part des parents",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ignorance de la part des parents de ce que fait l’enfant ou de l’endroit où il se trouve; manque d’autorité ;",
      "désintérêt ou absence de réaction lorsque l’enfant se trouve dans une situation dangereuse.",
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.1": {
    "code": "Z62.1",
    "description": "Surprotection parentale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Méthode d’éducation aboutissant à une infantilisation empêchant l’acquisition de l’indépendance."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.2": {
    "code": "Z62.2",
    "description": "Éducation dans une institution",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "côtés d’au moins l’un de ses parents."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Prise en charge éducative de groupe dans laquelle les responsabilités parentales sont essentiellement",
      "assumées par un établissement quelconque (pensionnat pour enfants, orphelinat, home d’enfants) ou séjour",
      "prolongé de l’enfant dans un hôpital, une maison de convalescence ou l’équivalent, sans la présence à ses"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.3": {
    "code": "Z62.3",
    "description": "Hostilité envers un enfant transformé en bouc émissaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "négatives)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comportement parental négatif axé spécifiquement sur l’enfant en tant qu’individu, persistant dans le temps",
      "et se répercutant sur plusieurs comportements de l’enfant (par exemple, parents qui accusent",
      "systématiquement l’enfant de tous les problèmes du ménage ou lui attribuent des caractéristiques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.4": {
    "code": "Z62.4",
    "description": "Négligence affective",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1044,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Parents s’adressant à l’enfant avec froideur ou impatience. Manque d’intérêt pour l’enfant, de",
      "compréhension de ses difficultés et absence de louanges et d’encouragement. Réaction irritée devant un",
      "comportement anxieux, absence de démonstrations d’affection physiques suffisantes et manque de chaleur."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.5": {
    "code": "Z62.5",
    "description": "Autres difficultés liées à des négligences dans l’éducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Manque d’expérience de travail et de jeu"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.6": {
    "code": "Z62.6",
    "description": "Pression parentale inappropriée et autres défauts de l’éducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Parents forçant l’enfant à se comporter de façon différente de la norme locale, que ce soit par rapport à son",
      "sexe (en habillant un garçon en fille), par rapport à son âge (en forçant un enfant à prendre des",
      "responsabilités plus lourdes qu’il ne peut en assumer pour son âge) ou pour d’autres raisons (obligeant",
      "l’enfant à entreprendre des activités contre son gré ou des activités trop difficiles pour lui)."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.8": {
    "code": "Z62.8",
    "description": "Autres difficultés précisées liées à l’éducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z62.9": {
    "code": "Z62.9",
    "description": "Difficulté liée à l’éducation, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "familiale"
    ],
    "comprend": [],
    "exclusions": [
      "difficultés liées à : • éducation (Z62.-)",
      "• enfance malheureuse (Z61.-)",
      "syndromes dus à de mauvais traitements (T74.-)",
      "familial Z63.-."
    ],
    "clinical_text": [
      "Autres difficultés liées à l’entourage immédiat, y compris la situation"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : utilisation du code en codage complémentaire, par ex. intoxication médicamenteuse volontaire due à un conflit"
    ]
  },
  "Z63.0": {
    "code": "Z63.0",
    "description": "Difficultés dans les rapports avec le conjoint ou le partenaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "(pouvant aller jusqu’à battre ou frapper).",
      "Conjugopathie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Désaccord entre les partenaires se traduisant par des crises aiguës ou prolongées, la généralisation de",
      "sentiments hostiles ou critiques ou une atmosphère persistante de violence interpersonnelle grave"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.1": {
    "code": "Z63.1",
    "description": "Difficultés dans les rapports avec les parents et les beaux-parents",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.2": {
    "code": "Z63.2",
    "description": "Soutien familial inadéquat",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.3": {
    "code": "Z63.3",
    "description": "Absence d’un des membres de la famille",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.4": {
    "code": "Z63.4",
    "description": "Disparition et décès d’un membre de la famille",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Décès présumé d’un membre de la famille",
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.5": {
    "code": "Z63.5",
    "description": "Dislocation de la famille par séparation et divorce",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.6": {
    "code": "Z63.6",
    "description": "Parent à charge au domicile, nécessitant des soins",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.7": {
    "code": "Z63.7",
    "description": "Autres événements difficiles ayant une incidence sur la famille et le foyer",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1045,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Difficultés liées à l’état sanitaire au sein de la famille",
      "Inquiétude (normale) pour une personne de la famille malade",
      "Isolement de la famille",
      "Membre de la famille malade ou perturbé",
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.8": {
    "code": "Z63.8",
    "description": "Autres difficultés précisées liées à l’entourage immédiat",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Discorde familiale SAI",
      "Réaction émotionnelle très vive à l’intérieur de la famille"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Communication inadéquate ou tourmentée à l’intérieur de la famille"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z63.9": {
    "code": "Z63.9",
    "description": "Difficulté liée à l’entourage immédiat, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z64": {
    "code": "Z64",
    "description": "Difficultés liées à certaines situations psychosociales",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z64.0": {
    "code": "Z64.0",
    "description": "Difficultés liées à une grossesse non désirée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "d’un code de la catégorie Z37 qui doit l’être, non Z64.0.",
      "L’interruption de la grossesse :",
      "l’IVG de l’ITG",
      "cause de la mort",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 70",
      "consignes de codage sont précisées :"
    ],
    "comprend": [],
    "exclusions": [
      "surveillance d’une grossesse à haut risque du fait de problèmes sociaux (Z35.7)"
    ],
    "clinical_text": [
      "Interruption de la grossesse : en cas d’interruption volontaire, le code Z64.0 Difficultés liées à une grossesse non désirée doit",
      "être enregistré comme DA ; en cas d’interruption pour motif médical après 22 semaines d’aménorrhée, c’est une extension",
      "• à compter de la V2023, le code Z64.0 n’est plus l’élément permettant d’orienter un séjour en racine d’IVG. Cette",
      "orientation est désormais réalisée à partir du DP en O04.-, codes dont les extensions permettent de différencier",
      "• le produit d’une interruption médicale de grossesse : à partir de vingt-deux semaines révolues d’aménorrhée ou",
      "d’un poids d’au moins cinq-cents grammes, il donne lieu à la production d’un RUM, dans lequel on enregistre la",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "Les codes concernant l’interruption médicale de grossesse étant déclinés en fonction du motif de l’interruption [....], les",
      "• le code Z64.0 Difficultés liées à une grossesse non désirée doit être codé en DAS lors des venues pour IVG",
      "médicamenteuse complète non compliquée (DP = O04.90 Interruption médicale de grossesse complète sans",
      "complication), ainsi qu’en cas d’IVG instrumentale si une poursuite de grossesse est constatée suite à l’IVG",
      "médicamenteuse (DP = O07.4 Échec d’une tentative d’avortement, sans complication). L’objectif du codage de Z64.0",
      "est l’orientation du séjour dans la racine 14Z08Z valorisée avec application du forfait adapté à la situation.",
      "• a contrario, il ne sera pas codé Z64.0 en DAS dans le cas d’une IVG compliquée ou incomplète, ou dans le cas",
      "d’une interruption médicale de grossesse pour cause embryonnaire ou fœtale et/ou maternelle.",
      "Notice technique ATIH n° CIM-MF-705-1-2019 du 23 novembre 2018, p. 5"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z64.1": {
    "code": "Z64.1",
    "description": "Difficultés liées à une multiparité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "surveillance de grossesse avec multiparité élevée (Z35.4)"
    ],
    "clinical_text": [
      "Recherche et acceptation d’interventions physiques, nutritionnelles et chimiques connues"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z64.4": {
    "code": "Z64.4",
    "description": "Désaccord avec les conseillers",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Désaccord avec : • responsable de la liberté surveillée",
      "• travailleur social"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65": {
    "code": "Z65",
    "description": "Difficultés liées à d’autres situations psychosociales",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lésion traumatique récente - voir Index alphabétique"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.0": {
    "code": "Z65.0",
    "description": "Condamnation, sans emprisonnement, après procès civil ou pénal",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.1": {
    "code": "Z65.1",
    "description": "Emprisonnement ou autre incarcération doit être enregistré en position de diagnostic associé lorsque",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "les soins ont été dispensés à une personne détenue."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 101"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.2": {
    "code": "Z65.2",
    "description": "Difficultés liées à une libération de prison",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1046,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.3": {
    "code": "Z65.3",
    "description": "Difficultés liées à d’autres situations juridiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Action judiciaire pour garde ou soutien d’enfant",
      "Arrestation",
      "Litige",
      "Poursuite",
      "Mesures d’assistance éducative",
      "Mesures de protection juridique",
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Prise en charge d’un enfant hospitalisé dans la suite d’une fugue de sa maison - en général enfant adressé",
      "aux urgences par la police - la raison de la fugue est souvent méconnue : en l’absence de précisions vous",
      "Ce code fait partie de la liste des « Mesures de protection juridique et mesures d’assistance éducative » -"
    ],
    "agora_refs": [
      "35644"
    ],
    "cocoa_notes": [
      "pouvez coder Z65.3. (AGORA - # 35644 le 3 septembre 2010)"
    ]
  },
  "Z65.4": {
    "code": "Z65.4",
    "description": "Victime d’un crime et d’actes terroristes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Victime de la torture"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.5": {
    "code": "Z65.5",
    "description": "Exposition à une catastrophe, une guerre et autres hostilités",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "cible d’une discrimination ou d’une persécution (Z60.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.8": {
    "code": "Z65.8",
    "description": "Autres difficultés précisées liées à des situations psychosociales",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z65.9": {
    "code": "Z65.9",
    "description": "Difficulté liée à des situations psycho-sociales, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "matière de sexualité"
    ],
    "comprend": [],
    "exclusions": [
      "conseils en matière de contraception et mesures procréatives (Z30-Z31)"
    ],
    "clinical_text": [
      "Conseils relatifs aux attitudes, comportement et orientation en"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : motifs uniques ou principaux de recours aux soins. Ils sont plus volontiers l’objet de soins ambulatoires, notamment"
    ]
  },
  "Z70.0": {
    "code": "Z70.0",
    "description": "Conseil relatif aux attitudes en matière de sexualité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "sexualité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Sujet préoccupé par son embarras, sa timidité ou toute autre attitude négative en matière de"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z70.1": {
    "code": "Z70.1",
    "description": "Conseil relatif au comportement et à l’orientation du sujet en matière de sexualité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Sujet préoccupé par : • absence de réaction",
      "• impuissance",
      "• multiplicité des partenaires",
      "• orientation sexuelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z70.2": {
    "code": "Z70.2",
    "description": "Conseil relatif au comportement et à l’orientation d’un tiers en matière de sexualité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• enfant",
      "• partenaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Avis demandé sur le comportement et l’orientation sexuelle de : • conjoint",
      "Conseil relatif à des préoccupations associées concernant les attitudes, le comportement et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z70.8": {
    "code": "Z70.8",
    "description": "Autres formes de conseils en matière de sexualité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Éducation sexuelle"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z70.9": {
    "code": "Z70.9",
    "description": "Conseil en matière de sexualité, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1047,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "avis médicaux, non classés ailleurs"
    ],
    "comprend": [],
    "exclusions": [
      "conseil en matière de : • contraception et mesures procréatives (Z30-Z31)",
      "• sexualité (Z70.-)"
    ],
    "clinical_text": [
      "Sujets en contact avec les services de santé pour d’autres conseils et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.0": {
    "code": "Z71.0",
    "description": "Personne consultant pour le compte d’un tiers",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avis ou traitement pour un tiers absent"
    ],
    "comprend": [],
    "exclusions": [
      "inquiétude (normale) pour une personne de la famille malade (Z63.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.1": {
    "code": "Z71.1",
    "description": "Sujet inquiet de son état de santé (sans diagnostic)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection non prouvée",
      "« Bien-portant » inquiet\""
    ],
    "comprend": [],
    "exclusions": [
      "mise en observation et examen médical pour suspicion de maladies (Z03.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.2": {
    "code": "Z71.2",
    "description": "Sujet consultant pour explications des résultats d’examen",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.3": {
    "code": "Z71.3",
    "description": "Surveillance et conseils diététiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "• allergies ou intolérances alimentaires",
      "• colite",
      "• diabète sucré",
      "• gastrite",
      "• hypercholestérolémie",
      "• obésité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Surveillance et conseils diététiques (dans le cas de) : • SAI"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.4": {
    "code": "Z71.4",
    "description": "Conseil et surveillance pour alcoolisme",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "procédures de rééducation pour sevrage d’alcool (Z50.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.5": {
    "code": "Z71.5",
    "description": "Conseil et surveillance pour toxicomanie et pharmacodépendance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rééducation des drogués et après abus de médicaments (Z50.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.6": {
    "code": "Z71.6",
    "description": "Conseil pour tabagisme",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "rééducation pour tabagisme (Z50.8)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.7": {
    "code": "Z71.7",
    "description": "Conseil à propos du virus de l’immunodéficience humaine [VIH]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.8": {
    "code": "Z71.8",
    "description": "Autres conseils précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Conseils à propos de la consanguinité",
      "janvier 2022)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "S'il s'agit d'une HDJ pour recevoir des conseils d'éducation thérapeutique sur la chimiothérapie orale (en",
      "dehors des examens de contrôles après une chimiothérapie), alors Z71.8 convient. (AGORA - # 223941 le 11"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z71.9": {
    "code": "Z71.9",
    "description": "Conseil, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Avis médical SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72": {
    "code": "Z72",
    "description": "Difficultés liées au mode de vie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "difficultés liées à (aux) : • conditions socio-économiques et psychosociales (Z55 à Z65)",
      "• orientation de son mode de vie (Z73.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.0": {
    "code": "Z72.0",
    "description": "Usage du tabac",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dépendance à l’égard du tabac (F17.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.1": {
    "code": "Z72.1",
    "description": "Consommation d’alcool",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1048,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dépendance à l’égard de l’alcool (F10.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.2": {
    "code": "Z72.2",
    "description": "Utilisation de drogues",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "abus de substances n’entraînant pas de dépendance (F55)",
      "dépendance à l’égard de substances psychoactives (F11 à F16, F19 avec le quatrième",
      "chiffre .2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.3": {
    "code": "Z72.3",
    "description": "Manque d’exercice physique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.4": {
    "code": "Z72.4",
    "description": "Régime et habitudes alimentaires inadéquats",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "alimentation défectueuse (Z59.4)",
      "malnutrition et autres carences nutritionnelles (E40 à E64)",
      "troubles (de) : • alimentation (F50.-)",
      "• du nourrisson et de l’enfant (F98.2 à F98.3)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.5": {
    "code": "Z72.5",
    "description": "Comportement sexuel à haut risque",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.6": {
    "code": "Z72.6",
    "description": "Jeu et pari",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "jeu pathologique (F63.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.8": {
    "code": "Z72.8",
    "description": "Autres difficultés liées au mode de vie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Comportement auto-destructeur"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z72.9": {
    "code": "Z72.9",
    "description": "Difficulté liée au mode de vie, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73": {
    "code": "Z73",
    "description": "Difficultés liées à l’orientation de son mode de vie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "difficultés liées aux conditions socio-économiques et psycho-sociales (Z55 à Z65)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.0": {
    "code": "Z73.0",
    "description": "Surmenage",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "État d’épuisement"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.1": {
    "code": "Z73.1",
    "description": "Accentuation de certains traits de la personnalité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "impatience, une combativité et un sentiment d’urgence)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Comportement de type A (caractérisé par une ambition sans frein, une nécessité de réussir, une"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.2": {
    "code": "Z73.2",
    "description": "Manque de repos et de loisirs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.3": {
    "code": "Z73.3",
    "description": "Stress, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Souffrance physique et mentale SAI"
    ],
    "comprend": [],
    "exclusions": [
      "lié à l’emploi ou au chômage (Z56.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.4": {
    "code": "Z73.4",
    "description": "Compétences sociales inadéquates, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.5": {
    "code": "Z73.5",
    "description": "Conflit sur le rôle social, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.6": {
    "code": "Z73.6",
    "description": "Limites imposées aux activités par une incapacité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "dépendance envers la personne qui donne les soins (Z74.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.8": {
    "code": "Z73.8",
    "description": "Autres difficultés liées à l’orientation de son mode de vie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z73.9": {
    "code": "Z73.9",
    "description": "Difficulté liée à l’orientation d’un mode de vie non précisé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1049,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "soins"
    ],
    "comprend": [],
    "exclusions": [
      "dépendance envers des machines ou des appareils auxiliaires NCA (Z99.-)"
    ],
    "clinical_text": [
      "Difficultés liées à une dépendance envers la personne qui donne les"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z74.0": {
    "code": "Z74.0",
    "description": "Besoin d’assistance du fait de mobilité restreinte",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "polyhandicaps lourds.",
      "– liste 3 p.9"
    ],
    "comprend": [],
    "exclusions": [
      "confiné au fauteuil, grabataire (R26.3)"
    ],
    "clinical_text": [
      "Le code Z74.0 appartient à la Liste 3 « critères de mobilité réduite » permettant le repérage des",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – août 2013"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z74.00": {
    "code": "Z74.00",
    "description": "Etat grabataire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z74.1": {
    "code": "Z74.1",
    "description": "Besoin d’assistance et de soins d’hygiène",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "polyhandicaps lourds.",
      "– liste 4 p.9-10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code Z74.1 appartient à la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – août 2013"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z74.2": {
    "code": "Z74.2",
    "description": "Besoin d’assistance à domicile, aucun autre membre du foyer n’étant capable d’assurer les soins est",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "employé lorsqu’une personne qui ne peut vivre à son domicile qu’avec une aide, doit être hospitalisée ou",
      "maintenu en hospitalisation du fait de l’absence ou de la défaillance de celle-ci.",
      "Exemple : personne handicapée à laquelle l’aide du conjoint est indispensable au maintien à domicile ;",
      "survenue d’une affection chez le conjoint imposant son hospitalisation ; l’épouse, incapable de vivre seule",
      "au domicile, est hospitalisée dans le même temps ; le DP du séjour de l’épouse est codé Z74.2.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 101",
      "Maintien à domicile impossible. Pour ces séjours il n’y a pas d’aggravation ni de rupture de stabilité d’une",
      "situation médicale connue, voire de symptôme qui permettraient de coder un DP : Z74.2 peut être employé",
      "Ce code fait partie de la liste des « Relations sociales et familiales insuffisantes » - caractéristiques socio-"
    ],
    "agora_refs": [
      "57280"
    ],
    "cocoa_notes": [
      "dans cette situation. (AGORA - # 57280 le 20 janvier 2012)"
    ]
  },
  "Z74.3": {
    "code": "Z74.3",
    "description": "Besoin d’une surveillance permanente",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "polyhandicaps lourds.",
      "– liste 4 p.9-10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code Z74.3 appartient à la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – août 2013"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z74.8": {
    "code": "Z74.8",
    "description": "Autres difficultés liées à une dépendance envers la personne qui donne les soins",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "polyhandicaps lourds.",
      "– liste 4 p.9-10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code Z74.8 appartient à la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – août 2013"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z74.9": {
    "code": "Z74.9",
    "description": "Difficulté liée à une dépendance envers la personne qui donne les soins, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1050,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "polyhandicaps lourds.",
      "– liste 4 p.9-10"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le code Z74.9 appartient à la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – août 2013"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75": {
    "code": "Z75",
    "description": "Difficultés liées aux installations médicales et autres soins de santé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.0": {
    "code": "Z75.0",
    "description": "Absence de services médicaux à domicile",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [
      "aucun autre membre du foyer n’étant capable d’assurer les soins (Z74.2)"
    ],
    "clinical_text": [
      "Ce code fait partie de la liste des « Réseau médical, paramédical et médico-social déficient » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.1": {
    "code": "Z75.1",
    "description": "Sujet attendant d’être admis ailleurs, dans un établissement adéquat ne doit être employé que si le",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "adéquat, non par un événement morbide.",
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "séjour ou la prolongation de l’hospitalisation est motivé par la seule attente de l’unité ou de l’établissement",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 101",
      "Ce code fait partie de la liste des « Réseau médical, paramédical et médico-social déficient » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.2": {
    "code": "Z75.2",
    "description": "Autre période d’attente pour investigation et traitement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.3": {
    "code": "Z75.3",
    "description": "Centres médicaux non disponibles et non accessibles",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "lit non disponible (Z75.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.4": {
    "code": "Z75.4",
    "description": "Autres organisations d’aide non disponibles et non accessibles",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Réseau médical, paramédical et médico-social déficient » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.5": {
    "code": "Z75.5",
    "description": "Prise en charge pendant les vacances",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "prendre des vacances."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins de santé dispensés à une personne normalement soignée à domicile pour permettre à sa famille de"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : prise en charge d’un vieillard pendant les vacances de sa famille :Z75.5"
    ]
  },
  "Z75.8": {
    "code": "Z75.8",
    "description": "Autres difficultés liées aux installations médicales et autres soins de santé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.80": {
    "code": "Z75.80",
    "description": "Sujet adressé dans un autre établissement, pour réalisation d’un acte",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "de « prestation de soins », « prise en charge ».",
      "d'un acte",
      "comme DA, au codage de la prestation extérieure."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dans l’intitulé de Z75.80 Sujet adressé dans un autre établissement, pour réalisation d’un acte, le sens du mot",
      "« acte » ne doit pas être limité à la notion d’acte médico-technique. Il doit être compris avec le sens large",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 102",
      "Éclairer les services de tutelle, qui pourraient s’étonner de voir figurer dans les RSA produits par A des actes",
      "que cet établissement n’est pas autorisé à réaliser (équipements ou activités soumis à autorisation) ou pour",
      "lesquels il n'est pas équipé ; telle est la fonction principale du code de la Classification internationale des",
      "maladies étendu pour la circonstance : Z75.80 Sujet adressé dans un autre établissement pour réalisation",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 31",
      "Transfert pour ou après la réalisation d’une prestation inter-établissement [PIE] : l’établissement de santé",
      "demandeur doit associer Z75.80 Sujet adressé dans un autre établissement pour la réalisation d’un acte",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 69",
      "Le code Z75.80 Sujet adressé dans un autre établissement pour la réalisation d’un acte doit être enregistré",
      "sur le résumé de l’établissement demandeur « A » dans le cadre d’une prestation inter-activités [PIA].",
      "Notice technique n°CIM-MF-408-2-2016 du 6 juin 2016 – ATIH – p.7"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.88": {
    "code": "Z75.88",
    "description": "Autres difficultés liées aux installations médicales et autres soins de santé, non classées ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1051,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Réseau médical, paramédical et médico-social déficient » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z75.9": {
    "code": "Z75.9",
    "description": "Difficulté liée aux installations médicales et autres soins de santé, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "caractéristiques socio-économiques",
      "ATIH - Fichier Excel, octobre 2022"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ce code fait partie de la liste des « Réseau médical, paramédical et médico-social déficient » -"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76": {
    "code": "Z76",
    "description": "Sujet ayant recours aux services de santé dans d’autres circonstances",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.0": {
    "code": "Z76.0",
    "description": "Renouvellement d’une ordonnance",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Renouvellement d’une ordonnance pour : • appareil, lunettes",
      "• médicaments"
    ],
    "comprend": [],
    "exclusions": [
      "délivrance d’un certificat médical (Z02.7)",
      "renouvellement d’une prescription pour contraception (Z30.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.1": {
    "code": "Z76.1",
    "description": "Surveillance médicale et soins médicaux des enfants trouvés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.2": {
    "code": "Z76.2",
    "description": "Surveillance médicale et soins médicaux d’autres nourrissons et enfants en bonne santé",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "telles que : • maladie de la mère",
      "• situation socio-économique difficile de la famille",
      "nouveau-né normal), dans E2 :",
      "et sans précision ;",
      "naissances."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Soins médicaux ou infirmiers ou • attente d’une famille adoptive ou d’un placement",
      "surveillance médicale d’enfants en • enfants trop nombreux à la maison pour pouvoir en",
      "bonne santé selon des circonstances assurer la prise en charge normale",
      "Lorsqu’après accouchement dans un établissement de santé E1, une mère est transférée avec son enfant",
      "dans un établissement de santé E2 pour les soins du post-partum (soins standard, pas de complication,",
      "• le DP du RUM de la mère est codé Z39.08 Soins et examens immédiatement après l’accouchement, autres",
      "• le DP du RUM du nouveau-né est codé Z76.2 Surveillance médicale et soins médicaux d’autres nourrissons",
      "et enfants en bonne santé. Les codes Z38.– ne permettent donc pas de dénombrer exactement les",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 97"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.128 et 129 : soustraction d’un enfant à des conditions de vie délétères : Z76.2"
    ]
  },
  "Z76.3": {
    "code": "Z76.3",
    "description": "Personne en bonne santé accompagnant un sujet malade",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.4": {
    "code": "Z76.4",
    "description": "Autres pensionnaires d’établissements de soins",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "sans abri (Z59.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.5": {
    "code": "Z76.5",
    "description": "Simulateur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "patient itinérant (F68.1)",
      "trouble factice (F68.1)"
    ],
    "clinical_text": [
      "Personne feignant d’être malade (avec une motivation évidente)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.8": {
    "code": "Z76.8",
    "description": "Sujet ayant recours aux services de santé dans d’autres circonstances précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Subdivisions d’une sous-catégorie inexistante : l’ATIH a créé les subdivisions Z76.800, Z76.850 et Z76.880",
      "de la sous-catégorie Z76.80… qui n’existe pas. En toute rigueur les codes auraient dû être respectivement"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.80": {
    "code": "Z76.80",
    "description": "0",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1052,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "en charge de l’IOA."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "[RCP] ayant établi la complexité d’une infection ostéoarticulaire",
      "Afin d’identifier les patients atteints d’une infection ostéo-articulaire (IOA) complexe [Instruction",
      "n°DGOS/PF2/2010/466 du 27 décembre 2010 relative au dispositif de prise en charge des infections ostéo-",
      "articulaires complexes] Z76.800 Sujet ayant recours aux services de santé après une réunion de concertation",
      "pluridisciplinaire [RCP] ayant établi la complexité d’une infection ostéo-articulaire doit être enregistré comme",
      "DA dès lors que le patient a fait l’objet d’une réunion de concertation pluridisciplinaire [RCP) visée par un",
      "centre interrégional de référence ayant confirmé le caractère complexe de l’IOA. Même si une seule RCP a",
      "été réalisée, Z76.800 doit être saisi dans les RUM de tous les séjours ultérieurs du patient motivés par la prise",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 102"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.85": {
    "code": "Z76.85",
    "description": "0 Enfant recevant du lait provenant d’un lactarium",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Pour identifier les nouveau-nés recevant du lait d’un lactarium, Z76.850 Enfant recevant du lait provenant",
      "d’un lactarium doit être enregistré comme DA dans le RUM de leur séjour.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en",
      "médecine, chirurgie, obstétrique et odontologie – BO du 17 juillet 2025, p. 102",
      "Sujet ayant recours aux services de santé dans d’autres circonstances précisées, non classées"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.88": {
    "code": "Z76.88",
    "description": "0",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z76.9": {
    "code": "Z76.9",
    "description": "Sujet ayant recours aux services de santé dans des circonstances non précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "familiaux et de certaines affections (Z80-Z99)",
      "Catégories Z80 à Z92 – Antécédents personnels et familiaux",
      "sens du Guide des situations cliniques",
      "et odontologie – BO du 17 juillet 2025, p. 102",
      "et odontologie – BO du 17 juillet 2025, p. 124"
    ],
    "comprend": [],
    "exclusions": [
      "dépistage spécial, autre examen ou investigation en raison d’antécédents familiaux ou personnels (Z00-Z13)",
      "examen de contrôle (Z08-Z09)",
      "mise en observation ou intervention au cours de la grossesse en raison d’un risque d’atteinte du fœtus (O35.-)",
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)",
      "trouble mental…)."
    ],
    "clinical_text": [
      "Sujets dont la santé peut être menacée en raison d’antécédents personnels et",
      "Ex : un homme dont le père est décédé d’un cancer du côlon veut s’assurer qu’il est indemne de cette maladie, ce que confirment les",
      "examens. Il n’est pas atteint de cancer du côlon, on ne code donc pas cette maladie. Il ne présente aucun symptôme, seule l’affection",
      "paternelle a motivé les investigations : on ne peut donc pas non plus utiliser un code du chapitre XVIII. Le codage est Z80.0-.",
      "Chez le même homme les examens ont montré des polyadénomes coliques : le codage est D12.- complété par Z80.0-.",
      "Les codes de ces catégories peuvent notamment être utilisés pour le codage du DP dans des situations de surveillance négative au",
      "Exemple : patient ayant un antécédent familial de cancer colique, hospitalisé pour coloscopie :",
      "– la coloscopie ne retrouve aucune lésion : le DP est Z80.00.",
      "Un DP d’antécédent personnel ou familial de maladie ne justifie jamais de DR.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Lors des séjours, en général programmés pour une situation d’examen diagnostique motivée par un antécédent personnel ou familial",
      "(de cancer ou de polyadénome colique, par exemple) ou par une symptomatologie quelconque (élévation du PSA, par exemple), le",
      "DP, en l’absence de mise en évidence du diagnostic, est la raison des explorations. [Règle D4]",
      "Exemples : l’antécédent (catégorie Z80 et suivantes), le facteur de risque ou le signe clinique ou paraclinique qui les a motivées, dans",
      "le respect du principe général selon lequel le code le plus juste est le plus précis par rapport à l’information à coder.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.130 : les catégories Z80 à Z84 permettent de coder les antécédents familiaux de maladies, classées selon leur nature (maligne,"
    ]
  },
  "Z80": {
    "code": "Z80",
    "description": "Antécédents familiaux de tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.0": {
    "code": "Z80.0",
    "description": "Antécédents familiaux de tumeur maligne des organes digestifs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C15 à C26"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.00": {
    "code": "Z80.00",
    "description": "Antécédents familiaux de tumeur maligne du tube digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C15 à C21"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.01": {
    "code": "Z80.01",
    "description": "Antécédents familiaux de tumeur maligne du système hépatobiliaire et du pancréas",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C22 à C25"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.02": {
    "code": "Z80.02",
    "description": "Antécédents familiaux de tumeur maligne de la rate",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C26.1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.09": {
    "code": "Z80.09",
    "description": "Antécédents familiaux de tumeur maligne des organes digestifs, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C26.0, C26.8, C26.9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.1": {
    "code": "Z80.1",
    "description": "Antécédents familiaux de tumeur maligne de la trachée, des bronches et des poumons",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1053,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C33 à C34"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.2": {
    "code": "Z80.2",
    "description": "Antécédents familiaux de tumeur maligne des autres organes respiratoires et intra-thoraciques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C30 à C32, C37 à C39"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents familiaux de tumeur maligne des voies aériennes supérieures et de l’oreille"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.21": {
    "code": "Z80.21",
    "description": "Antécédents familiaux de tumeur maligne du cœur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C38.0"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.28": {
    "code": "Z80.28",
    "description": "Antécédents familiaux de tumeur maligne d’autres organes intra-thoraciques précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C37.–, C38.1 à C38.8"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents familiaux de tumeur maligne des autres organes respiratoires et intra-thoraciques,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.3": {
    "code": "Z80.3",
    "description": "Antécédents familiaux de tumeur maligne du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C50.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.4": {
    "code": "Z80.4",
    "description": "Antécédents familiaux de tumeur maligne des organes génitaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C51-C63"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.5": {
    "code": "Z80.5",
    "description": "Antécédents familiaux de tumeur maligne des voies urinaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C64-C68"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.6": {
    "code": "Z80.6",
    "description": "Antécédents familiaux de leucémie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C91 à C95"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.7": {
    "code": "Z80.7",
    "description": "Antécédents familiaux d’autres tumeurs des tissus lymphoïde, hématopoïétique et apparentés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C81 à C90, C96.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.8": {
    "code": "Z80.8",
    "description": "Antécédents familiaux de tumeur maligne d’autres systèmes et organes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.80": {
    "code": "Z80.80",
    "description": "5 Antécédents familiaux de tumeur maligne des glandes endocrines",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C73 à C75"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.88": {
    "code": "Z80.88",
    "description": "0 Antécédents familiaux de tumeur maligne d’autres localisations",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C45 à C46, C48, C76 à C79, C97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z80.9": {
    "code": "Z80.9",
    "description": "Antécédent familial de tumeur maligne, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1054,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C80.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81": {
    "code": "Z81",
    "description": "Antécédents familiaux de troubles mentaux et du comportement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81.0": {
    "code": "Z81.0",
    "description": "Antécédents familiaux de retard mental",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F70 à F79"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81.1": {
    "code": "Z81.1",
    "description": "Antécédents familiaux d’abus d’alcool",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F10.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81.2": {
    "code": "Z81.2",
    "description": "Antécédents familiaux de tabagisme",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F17.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81.3": {
    "code": "Z81.3",
    "description": "Antécédents familiaux d’abus d’autres substances psychoactives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F11 à F16, F18 à F19"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81.4": {
    "code": "Z81.4",
    "description": "Antécédents familiaux d’abus d’autres substances",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F55"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z81.8": {
    "code": "Z81.8",
    "description": "Antécédents familiaux d’autres troubles mentaux et du comportement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés ailleurs en F00-F99",
      "conduisant à l’invalidité"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents familiaux de certaines incapacités et maladies chroniques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.0": {
    "code": "Z82.0",
    "description": "Antécédents familiaux d’épilepsie et autres affections neurologiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en G00-G99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.1": {
    "code": "Z82.1",
    "description": "Antécédents familiaux de cécité et perte de vision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en H54.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.2": {
    "code": "Z82.2",
    "description": "Antécédents familiaux de surdité et perte d’audition",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en H90-H91"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.3": {
    "code": "Z82.3",
    "description": "Antécédents familiaux d’accident cérébro-vasculaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antécédents familiaux d’AVC",
      "États mentionnés en I60 à I64"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.4": {
    "code": "Z82.4",
    "description": "Antécédents familiaux de cardiopathies ischémiques et autres maladies de l’appareil circulatoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en I00 à I52, I65 à I99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.5": {
    "code": "Z82.5",
    "description": "Antécédents familiaux d’asthme et autres maladies chroniques des voies respiratoires inférieures",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en J40-J47"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents familiaux d’arthrite et autres maladies du système ostéo-articulaire, des muscles et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z82.7": {
    "code": "Z82.7",
    "description": "Antécédents familiaux de malformations congénitales et anomalies chromosomiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1055,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en Q00-Q99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents familiaux d’autres incapacités et maladies chroniques conduisant à l’invalidité, non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83": {
    "code": "Z83",
    "description": "Antécédents familiaux d’autres maladies spécifiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "sujets en contact avec des maladies transmissibles dans la famille ou exposés à ces maladies (Z20.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.0": {
    "code": "Z83.0",
    "description": "Antécédents familiaux de maladie due au virus de l’immunodéficience humaine [VIH]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en B20-B24, O98.7"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.1": {
    "code": "Z83.1",
    "description": "Antécédents familiaux d’autres maladies infectieuses et parasitaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en A00 à B19, B25 à B94, B99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents familiaux de maladies du sang et des organes hématopoïétiques et de certains"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.3": {
    "code": "Z83.3",
    "description": "Antécédents familiaux de diabète sucré",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en E10-E14, O24.–"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.4": {
    "code": "Z83.4",
    "description": "Antécédents familiaux d’autres maladies endocriniennes, nutritionnelles et métaboliques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en E00 à E07, E15 à E90"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.5": {
    "code": "Z83.5",
    "description": "Antécédents familiaux de troubles de la vue et de l’audition",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.50": {
    "code": "Z83.50",
    "description": "Antécédents familiaux de maladies des organes de la vue",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en H00 à H53, H55-H59"
    ],
    "comprend": [],
    "exclusions": [
      "antécédents familiaux de cécité et perte de vision (Z82.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.51": {
    "code": "Z83.51",
    "description": "Antécédents familiaux de maladies des organes de l’audition",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en H60 à H83, H92 à H95"
    ],
    "comprend": [],
    "exclusions": [
      "antécédents familiaux de surdité et perte d’audition (Z82.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.6": {
    "code": "Z83.6",
    "description": "Antécédents familiaux de maladies de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en J00 à J39, J60 à J99"
    ],
    "comprend": [],
    "exclusions": [
      "antécédents familiaux de maladies chroniques des voies respiratoires inférieures (Z82.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.7": {
    "code": "Z83.7",
    "description": "Antécédents familiaux de maladies de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.70": {
    "code": "Z83.70",
    "description": "Antécédents familiaux de maladies du tube digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en K00 K20 à K67, K90-K93"
    ],
    "comprend": [],
    "exclusions": [
      "états mentionnés en K93.80"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.71": {
    "code": "Z83.71",
    "description": "Antécédents familiaux de maladies du système hépatobiliaire et du pancréas",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en K70 à K87"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.72": {
    "code": "Z83.72",
    "description": "Antécédents familiaux de maladies de la bouche et des dents",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en K00-K14, K93.80"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z83.79": {
    "code": "Z83.79",
    "description": "Antécédents familiaux de maladies de l’appareil digestif, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84": {
    "code": "Z84",
    "description": "Antécédents familiaux d’autres affections",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.0": {
    "code": "Z84.0",
    "description": "Antécédents familiaux de maladies de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en L00-L99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.1": {
    "code": "Z84.1",
    "description": "Antécédents familiaux de maladies rénales et de l’uretère",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N00 à N29"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.2": {
    "code": "Z84.2",
    "description": "Antécédents familiaux d’autres maladies de l’appareil génito-urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.20": {
    "code": "Z84.20",
    "description": "Antécédents familiaux d’autres maladies de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1056,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N30-N39, N99.0 à N99.1, N99.5 à N99.9",
      "R A"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.21": {
    "code": "Z84.21",
    "description": "Antécédents familiaux d’autres maladies de l’appareil génital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N40-N51, N70 à N98, N99.2 à N99.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.22": {
    "code": "Z84.22",
    "description": "Antécédents familiaux de maladies du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N60-N64"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.3": {
    "code": "Z84.3",
    "description": "Antécédents familiaux de consanguinité",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.8": {
    "code": "Z84.8",
    "description": "Antécédents familiaux d’autres affections précisées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.80": {
    "code": "Z84.80",
    "description": "Antécédents familiaux de tumeur non maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en D00 à D48"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z84.88": {
    "code": "Z84.88",
    "description": "Antécédents familiaux d’autres affections non classées ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "LES ANTÉCÉDENTS (PERSONNELS)",
      "le chapitre XXI (« codes Z »).",
      "Exemples :",
      "comme un antécédent ?",
      "adapté du chapitre II de la CIM–10.",
      "et odontologie – BO du 17 juillet 2025, pp. 82-83"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Une affection constituant un antécédent personnel – une maladie ancienne guérie – ne doit pas être enregistrée dans le résumé d’unité",
      "médicale (RUM) avec le code qu’on utiliserait si elle était présente (« active »), c’est-à-dire qu’elle ne doit pas être codée avec les",
      "chapitres I à XIX de la CIM–10 (sinon éventuellement comme une donnée à visée documentaire). La même règle s’impose dans le cas",
      "d’un antécédent familial, c’est-à-dire d’une affection dont le patient n’est personnellement pas atteint. Un antécédent personnel ou",
      "familial, au sens d’une affection dont le patient n’est plus ou n’est pas atteint au moment du séjour objet du RUM, doit être codé avec",
      "On trouve dans le chapitre XXI de la CIM–10 des catégories (Z80 à Z99) destinées au codage des antécédents.",
      "Les affections qui entrainent habituellement des séquelles font partie des exclusions de ces catégories.",
      "– Z86.1 Antécédents personnels de maladies infectieuses et parasitaires exclut les séquelles de maladies infectieuses et parasitaires ;",
      "– Z86.7 Antécédents personnels de maladies de l’appareil circulatoire exclut l’infarctus ancien, les séquelles de maladies cérébro-",
      "vasculaires et le syndrome post-infarctus [Z86.7 a des extensions, créées pour la version 11 des GHM (2009) : Z86.70 et Z86.71. Leur",
      "emploi est obligatoire (voir le Manuel des groupes homogènes de malades)].",
      "Le problème que pose l’utilisation des catégories d’antécédents en général, et d’antécédents personnels en particulier, est celui de la",
      "définition du mot « antécédent ». On retient la suivante : une affection ancienne qui n’existe plus et qui n’est pas cause de troubles",
      "résiduels [sinon on parlerait de séquelles, non d’antécédents] au moment de l’hospitalisation concernée par le recueil d’informations.",
      "Le problème concerne notamment les antécédents personnels de tumeur maligne : à partir de quand un cancer peut-il être considéré",
      "Le choix entre « cancer » et « antécédent de cancer » est d’abord une question médicale, il ne dépend pas du codeur au vu d’une",
      "information telle que « cancer datant de 3 ans » ou « cancer datant de 10 ans ». On s’est longtemps fondé sur un délai de cinq ans.",
      "Cette référence est de tradition purement orale, elle n’a jamais figuré dans aucun document officiel. Elle est médicalement erronée",
      "puisque la durée à partir de laquelle une rémission autorise à parler d’antécédent de cancer varie, en fonction notamment de l’organe",
      "atteint et du type histologique. Il ne faut plus se référer au délai de cinq ans.",
      "Si un clinicien estime qu’un cancer « extirpé chirurgicalement dans sa totalité » est devenu un antécédent, il faut le coder avec la",
      "catégorie Z85 de la CIM–10. S’il considère au contraire qu’il est trop tôt pour parler d’antécédent, il faut l’enregistrer au moyen du code",
      "Ainsi, il n’appartient pas au médecin responsable de l’information médicale ni au codeur de trancher entre cancer et antécédent de",
      "cancer. Ce diagnostic est de la compétence du médecin qui dispense les soins au patient.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85": {
    "code": "Z85",
    "description": "Antécédents personnels de tumeur maligne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "examen de contrôle après traitement d’une tumeur maligne (Z08.-)",
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.0": {
    "code": "Z85.0",
    "description": "Antécédents personnels de tumeur maligne des organes digestifs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.00": {
    "code": "Z85.00",
    "description": "Antécédents personnels de tumeur maligne du tube digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C15 à C21"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.01": {
    "code": "Z85.01",
    "description": "Antécédents personnels de tumeur maligne du système hépatobiliaire et du pancréas",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C22 à C25"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.02": {
    "code": "Z85.02",
    "description": "Antécédents personnels de tumeur maligne de la rate",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1057,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C26.1"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.09": {
    "code": "Z85.09",
    "description": "Antécédents personnels de tumeur maligne des organes digestifs, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C26.0, C26.8, C26.9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.1": {
    "code": "Z85.1",
    "description": "Antécédents personnels de tumeur maligne de la trachée, des bronches et des poumons",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnes en C33 à C34"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.2": {
    "code": "Z85.2",
    "description": "Antécédents personnels de tumeur maligne d’autres organes respiratoires et intra-thoraciques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents personnels de tumeur maligne des voies aériennes supérieures et de l’oreille"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.21": {
    "code": "Z85.21",
    "description": "Antécédents personnels de tumeur maligne du cœur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C38.0"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.28": {
    "code": "Z85.28",
    "description": "Antécédents personnels de tumeur maligne d’autres organes intra-thoraciques précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C37.–, C38.1 à C38.8"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents personnels de tumeur maligne des autres organes respiratoires et intra-"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.3": {
    "code": "Z85.3",
    "description": "Antécédents personnels de tumeur maligne du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C50.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.4": {
    "code": "Z85.4",
    "description": "Antécédents personnels de tumeur maligne des organes génitaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C51-C63"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.5": {
    "code": "Z85.5",
    "description": "Antécédents personnels de tumeur maligne des voies urinaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C64-C68"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.6": {
    "code": "Z85.6",
    "description": "Antécédents personnels de leucémie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C91-C95"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents personnels d’autres tumeurs malignes des tissus lymphoïde, hématopoïétique et"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.8": {
    "code": "Z85.8",
    "description": "Antécédents personnels de tumeurs malignes d’autres organes et systèmes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.80": {
    "code": "Z85.80",
    "description": "5 Antécédents personnels de tumeur maligne des glandes endocrines",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C73–C75"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.88": {
    "code": "Z85.88",
    "description": "0 Antécédents personnels de tumeur maligne d’autres localisations",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1058,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C45–C46, C48, C76–C79, C97"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z85.9": {
    "code": "Z85.9",
    "description": "Antécédents personnels de tumeur maligne, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en C80.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86": {
    "code": "Z86",
    "description": "Antécédents personnels de certaines autres maladies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.0": {
    "code": "Z86.0",
    "description": "Antécédents personnels d’autres tumeurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "tumeurs malignes (Z85.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.00": {
    "code": "Z86.00",
    "description": "5 Antécédents personnels de tumeur non maligne de la vessie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en D09.0, D30.3, D41.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.08": {
    "code": "Z86.08",
    "description": "0 Antécédents personnels de tumeur non maligne d’autres localisations",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.09": {
    "code": "Z86.09",
    "description": "0 Antécédents personnels de tumeur non maligne sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.1": {
    "code": "Z86.1",
    "description": "Antécédents personnels de maladies infectieuses et parasitaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en A00 à B89, B99"
    ],
    "comprend": [],
    "exclusions": [
      "séquelles de maladies infectieuses et parasitaires (B90 à B94)"
    ],
    "clinical_text": [
      "Antécédents personnels de maladies du sang et des organes hématopoïétiques et de certains"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.3": {
    "code": "Z86.3",
    "description": "Antécédents personnels de maladies endocriniennes, nutritionnelles et métaboliques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en E00-E90"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.4": {
    "code": "Z86.4",
    "description": "Antécédents personnels d’abus de substances psychoactives",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F10-F19"
    ],
    "comprend": [],
    "exclusions": [
      "dépendance actuelle (F10-F19 avec le quatrième chiffre .2)",
      "difficultés liées à l’usage de : • alcool (Z72.1)",
      "• tabac (Z72.0)",
      "• drogues (Z72.2)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.5": {
    "code": "Z86.5",
    "description": "Antécédents personnels d’autres troubles mentaux et du comportement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en F00-F09, F20-F99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.6": {
    "code": "Z86.6",
    "description": "Antécédents personnels de maladies du système nerveux et des organes des sens",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents personnels d’accidents ischémiques cérébraux transitoires et syndromes"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.61": {
    "code": "Z86.61",
    "description": "Antécédents personnels d’autres maladies du système nerveux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1059,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en G00 à G44, G47 à G99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.62": {
    "code": "Z86.62",
    "description": "Antécédents personnels de maladies des organes de la vue",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en H00-H59"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.63": {
    "code": "Z86.63",
    "description": "Antécédents personnels de maladies des organes de l’audition",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en H60-H95"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.7": {
    "code": "Z86.7",
    "description": "Antécédents personnels de maladies de l’appareil circulatoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "infarctus du myocarde, ancien (I25.2)",
      "séquelles de maladies cérébrovasculaires (I69.-)",
      "syndrome post-infarctus (I24.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z86.70": {
    "code": "Z86.70",
    "description": "Antécédents personnels de maladies cérébrovasculaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antécédents personnels d’AVC",
      "États mentionnés en I60–I68",
      "ATIH - Pôle nomenclature, 2011"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents d’AVC : le code Z86.70 Antécédents personnels de maladies cérébrovasculaires doit être",
      "employé dès que l’AVC est considéré comme ancien ou guéri et qu’il ne persiste aucune séquelle.",
      "Antécédents personnels de cardiopathies ischémiques et autres maladies de l’appareil"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87": {
    "code": "Z87",
    "description": "Antécédents personnels d’autres maladies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.0": {
    "code": "Z87.0",
    "description": "Antécédents personnels de maladies de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.00": {
    "code": "Z87.00",
    "description": "Antécédents personnels de maladies des voies respiratoires supérieures",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en J00–J06, J30–J39"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.01": {
    "code": "Z87.01",
    "description": "Antécédents personnels d’autres maladies de l’appareil respiratoire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en J09–J22, J40–J99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.09": {
    "code": "Z87.09",
    "description": "Antécédents personnels de maladies de l’appareil respiratoire sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.1": {
    "code": "Z87.1",
    "description": "Antécédents personnels de maladies de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.10": {
    "code": "Z87.10",
    "description": "Antécédents personnels de maladies de la bouche et des dents",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en K00–K14, K93.80"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.11": {
    "code": "Z87.11",
    "description": "Antécédents personnels de maladies du tube digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en K20–K38, K50–K63"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.12": {
    "code": "Z87.12",
    "description": "Antécédents personnels de maladies du système hépatobiliaire et du pancréas",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en K70–K87"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.19": {
    "code": "Z87.19",
    "description": "Antécédents personnels de maladies de l’appareil digestif sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.2": {
    "code": "Z87.2",
    "description": "Antécédents personnels de maladies de la peau et du tissu cellulaire sous-cutané",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en L00-L99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents personnels de maladies du système ostéo-articulaire, des muscles et du tissu"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.4": {
    "code": "Z87.4",
    "description": "Antécédents personnels de maladies de l’appareil génito-urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.40": {
    "code": "Z87.40",
    "description": "Antécédents personnels de maladies de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N00–N39, N99.0, N99.1, N99.5–N99.9"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.41": {
    "code": "Z87.41",
    "description": "Antécédents personnels de maladies de l’appareil génital",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1060,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N40–N51, N70-N98, N99.2–N99.4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.42": {
    "code": "Z87.42",
    "description": "Antécédents personnels de maladies du sein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en N60–N64"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Antécédents personnels de complications de la grossesse, de l’accouchement et de la"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.6": {
    "code": "Z87.6",
    "description": "Antécédents personnels de certaines affections dont l’origine se situe dans la période périnatale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en P00-P96"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.7": {
    "code": "Z87.7",
    "description": "Antécédents personnels de malformations congénitales et anomalies chromosomiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en Q00-Q99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.8": {
    "code": "Z87.8",
    "description": "Antécédents personnels d’autres états précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en S00-T98"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.80": {
    "code": "Z87.80",
    "description": "Antécédents personnels de lésion traumatique intra-crânienne",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en S06.-"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.81": {
    "code": "Z87.81",
    "description": "Antécédents personnels de traumatisme des membres et du bassin",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en S32.3-S32.5, S40-S99"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.82": {
    "code": "Z87.82",
    "description": "Antécédents personnels de traumatismes autres et non précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.83": {
    "code": "Z87.83",
    "description": "Antécédents personnels d’intoxication",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "États mentionnés en T36-T65"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z87.88": {
    "code": "Z87.88",
    "description": "Antécédents personnels d’autres états précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antécédents personnels d’allergie à des médicaments et des",
      "substances biologiques",
      "s’en assurer."
    ],
    "comprend": [],
    "exclusions": [
      "antécédents personnels de lésions auto-infligées (Z91.5)"
    ],
    "clinical_text": [
      "de leur sens. Signifient-ils que le patient a présenté une réaction allergique au cours de la période de soins à coder, ou bien",
      "décrivent-ils des antécédents d’une telle réaction, c’est à dire un « terrain » ? Il s’agit le plus souvent du 2ème cas, mais il faut",
      "Certains codes correspondant au 1er cas sont particulièrement imprécis :"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.130 : des intitulés tels que « allergie à la pénicilline » ou « allergie à l’iode » posent souvent aux codeurs la question"
    ]
  },
  "Z88.0": {
    "code": "Z88.0",
    "description": "Antécédents personnels d’allergie à la pénicilline",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.1": {
    "code": "Z88.1",
    "description": "Antécédents personnels d’allergie à d’autres antibiotiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.2": {
    "code": "Z88.2",
    "description": "Antécédents personnels d’allergie aux sulfamides",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.3": {
    "code": "Z88.3",
    "description": "Antécédents personnels d’allergie à d’autres agents anti-infectieux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.4": {
    "code": "Z88.4",
    "description": "Antécédents personnels d’allergie aux anesthésiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.5": {
    "code": "Z88.5",
    "description": "Antécédents personnels d’allergie aux narcotiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.6": {
    "code": "Z88.6",
    "description": "Antécédents personnels d’allergie aux analgésiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.7": {
    "code": "Z88.7",
    "description": "Antécédents personnels d’allergie aux sérum et vaccin",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1061,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.8": {
    "code": "Z88.8",
    "description": "Antécédents personnels d’allergie à d’autres médicaments et substances biologiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z88.9": {
    "code": "Z88.9",
    "description": "Antécédents personnels d’allergie à un médicament et une substance biologique, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89": {
    "code": "Z89",
    "description": "Absence acquise d’un membre",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "• post-traumatique"
    ],
    "comprend": [],
    "exclusions": [
      "absence congénitale de membres (Q71 à Q73)",
      "déformation de membres (M20 à M21)"
    ],
    "clinical_text": [
      "C omprend perte d’un membre : • après intervention chirurgicale"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.0": {
    "code": "Z89.0",
    "description": "Absence acquise de doigt(s) y compris le pouce, unilatérale",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.1": {
    "code": "Z89.1",
    "description": "Absence acquise de main et poignet",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.2": {
    "code": "Z89.2",
    "description": "Absence acquise d’un membre supérieur au-dessus du poignet",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Bras SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.3": {
    "code": "Z89.3",
    "description": "Absence acquise des deux membres supérieurs [tout niveau]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Absence acquise de doigt(s), bilatérale"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.4": {
    "code": "Z89.4",
    "description": "Absence acquise de pied et cheville",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Orteil(s)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.5": {
    "code": "Z89.5",
    "description": "Absence acquise d’un membre inférieur, au niveau du genou ou au-dessous",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.6": {
    "code": "Z89.6",
    "description": "Absence acquise d’un membre inférieur, au-dessus du genou",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Jambe SAI",
      "utilise le chapitre XIX (catégorie S48, S58…)."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "l’intitulé du code sous-jacent qui inclut la jambe au sens anatomique.",
      "On prendra garde de confondre l’amputation résultant d’un traumatisme ou d’un acte chirurgical antérieur,",
      "éventuellement ancien, avec l’amputation traumatique récente d’un membre. Le codage de cette dernière"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.130 : Z89.6 l’inclusion « jambe SAI » a le sens de « membre inférieur SAI », comme en témoigne"
    ]
  },
  "Z89.7": {
    "code": "Z89.7",
    "description": "Absence acquise des deux membres inférieurs [tout niveau, sauf orteils seuls]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.8": {
    "code": "Z89.8",
    "description": "Absence acquise à la fois de membres supérieurs et inférieurs [tout niveau]",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z89.9": {
    "code": "Z89.9",
    "description": "Absence acquise de membre, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90": {
    "code": "Z90",
    "description": "Absence acquise d’organes, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "absence : • congénitale - voir Index alphabétique",
      "• post-opératoire de : • glande endocrine (E89.-)",
      "• rate (D73.0)"
    ],
    "clinical_text": [
      "C omprend perte d’une partie du corps NCA après intervention chirurgicale ou post-traumatique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.0": {
    "code": "Z90.0",
    "description": "Absence acquise d’une partie de la tête et du cou",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Larynx, nez, œil"
    ],
    "comprend": [],
    "exclusions": [
      "dent (K08.1)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.1": {
    "code": "Z90.1",
    "description": "Absence acquise de sein(s)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Antécédent d’intervention de Halsted"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.2": {
    "code": "Z90.2",
    "description": "Absence acquise de poumon ou partie de poumon",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.3": {
    "code": "Z90.3",
    "description": "Absence acquise de partie d’estomac",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.4": {
    "code": "Z90.4",
    "description": "Absence acquise d’autres parties de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1062,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.5": {
    "code": "Z90.5",
    "description": "Absence acquise de rein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.6": {
    "code": "Z90.6",
    "description": "Absence acquise d’autres organes des voies urinaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.7": {
    "code": "Z90.7",
    "description": "Absence acquise d’organe(s) génital(aux)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z90.8": {
    "code": "Z90.8",
    "description": "Absence acquise d’autres organes",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "splénectomie (D73.0)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91": {
    "code": "Z91",
    "description": "Antécédents personnels de facteurs de risque, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "antécédents personnels d’abus de substances psycho-actives (Z86.4)",
      "exposition (à) : • pollution et autres difficultés liées à l’environnement physique (Z58.-)",
      "• professionnelle à des facteurs de risque (Z57.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.131 : Z91 comprend notamment la non-observance d’un traitement, des antécédents de tentative de suicide."
    ]
  },
  "Z91.0": {
    "code": "Z91.0",
    "description": "Antécédents personnels d’allergie, autre qu’à des médicaments et des substances biologiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "antécédents personnels d’allergie à des médicaments et des substances biologiques",
      "(Z88.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.1": {
    "code": "Z91.1",
    "description": "Antécédents personnels de non-observance d’un traitement médical et d’un régime",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.2": {
    "code": "Z91.2",
    "description": "Antécédents personnels de mauvaise hygiène personnelle",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.3": {
    "code": "Z91.3",
    "description": "Antécédents personnels de cycle veille/sommeil anormal",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "troubles du sommeil (G47.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.4": {
    "code": "Z91.4",
    "description": "Antécédents personnels de traumatisme psychologique, non classé ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.5": {
    "code": "Z91.5",
    "description": "Antécédents personnels de lésions auto-infligées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Intoxication volontaire",
      "Para-suicide",
      "Tentative de suicide [TS]",
      "Tentative d’autolyse [TA]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.50": {
    "code": "Z91.50",
    "description": "Antécédents personnels récents de lésions auto-infligées",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Survenue de lésions auto-infligées (traumatisme, intoxication…), désormais traitées, dans le mois précédent",
      "la prise en charge d’une personne, en particulier pour troubles mentaux et du comportement."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.58": {
    "code": "Z91.58",
    "description": "Antécédents personnels de lésions auto-infligées, autres et non précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.6": {
    "code": "Z91.6",
    "description": "Antécédents personnels d’autres traumatismes physiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.7": {
    "code": "Z91.7",
    "description": "Antécédent personnel de mutilation sexuelle féminine",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Circoncision féminine",
      "Excision des organes génitaux féminins",
      "Mutilations sexuelles féminines de type 1 - 4"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z91.8": {
    "code": "Z91.8",
    "description": "Antécédents personnels d’autres facteurs de risque précisés, non classés ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1063,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Abus SAI",
      "Sévices SAI",
      "Voir également T74 Syndromes dus à de mauvais traitements"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92": {
    "code": "Z92",
    "description": "Antécédents personnels de traitement médical",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "(actuelle)… »."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.131 : Z92 traitement prolongé, passé ou en cours, c’est le sens de la rédaction « ATCD personnels d’utilisation"
    ]
  },
  "Z92.0": {
    "code": "Z92.0",
    "description": "Antécédents personnels de contraception",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "conseil ou prise en charge de pratique actuelle d’une contraception (Z30.-)",
      "présence d’un dispositif contraceptif (intra-utérin) (Z97.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.1": {
    "code": "Z92.1",
    "description": "et Z92.2 : la complexité apparente de leur intitulé est due à l’acception étymologique large du mot « antécédent »",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "recours.",
      "réintroduire l’AVK après les soins dentaires).",
      "obstétrique et odontologie – BO du 17 juillet 2025, p. 102"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "qui est celle de la CIM–10. Ces codes peuvent être employés lorsqu’un recours aux soins est motivé par la prise d’un",
      "médicament prescrit antérieurement, que la prise soit poursuivie (« utilisation actuelle ») ou qu’elle ait cessé au moment du",
      "Exemple : patient porteur d’une valve cardiaque prothétique, prenant un antivitamine K (AVK) au long cours, hospitalisé",
      "pour extractions dentaires : le DP est l’affection dentaire, la prise de l’AVK (Z92.1) est un DAS (il a fallu surveiller l’INR,",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.2": {
    "code": "Z92.2",
    "description": "Antécédents personnels d’utilisation (actuelle) à long terme d’autres médicaments",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Aspirine"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.3": {
    "code": "Z92.3",
    "description": "Antécédents personnels d’irradiation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Radiothérapie"
    ],
    "comprend": [],
    "exclusions": [
      "exposition (à des) : • professionnelle à des rayonnements (Z57.1)",
      "• rayonnements dans l’environnement physique (Z58.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.4": {
    "code": "Z92.4",
    "description": "Antécédents personnels d’intervention chirurgicale importante, non classée ailleurs",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "états post-chirurgicaux (Z98.-)",
      "greffe d’organe ou de tissu (Z94.-)",
      "présence d’implants et de greffes fonctionnels (Z95-Z96)",
      "stomies (Z93.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.5": {
    "code": "Z92.5",
    "description": "Antécédents personnels de mesures de rééducation",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.6": {
    "code": "Z92.6",
    "description": "Antécédents personnels de chimiothérapie pour tumeur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.8": {
    "code": "Z92.8",
    "description": "Antécédents personnels d’autres traitements médicaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z92.9": {
    "code": "Z92.9",
    "description": "Antécédents personnels de traitement médical, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1064,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "et odontologie – BO du 17 juillet 2025, p. 103"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Lorsqu’un code des catégories Z93, Z95 ou Z96 de la CIM–10 correspond à une prise en charge pour laquelle un code d’acte existe",
      "dans la CCAM, la saisie dans le même RUM du code Z93.–, Z95.– ou Z96.– en position de diagnostic associé (DA) en sus de celui de",
      "l’acte est redondante et n’est pas justifiée. Un tel emploi de « codes Z » serait incorrect au regard de la CIM–10 [se reporter aux explications",
      "données à la première page du chapitre XXI dans le volume 1.].",
      "Exemples : dans le cas d’un séjour comportant une colectomie sans rétablissement de la continuité, il n’est pas justifié d’associer dans le",
      "même RUM le code de l’acte et Z93.3 en position de DA ; dans le cas d’un séjour de pose de stimulateur cardiaque, il n’est pas justifié",
      "d’associer dans le même RUM le code de l’acte et Z95.0 en position de DA ; dans le cas d’un séjour comportant une implantation de",
      "prothèse articulaire, il n’est pas justifié d’associer dans le même RUM le code de l’acte et Z96.6 en position de DA, etc…",
      "Pour autant, rien n’empêche de les coder en Diagnostic Associé Documentaire (DAD) dans la perspective d’une utilisation comme",
      "critères de requêtes dans la base de données de l’établissement.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.0": {
    "code": "Z93.0",
    "description": "Trachéostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.1": {
    "code": "Z93.1",
    "description": "Gastrostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.2": {
    "code": "Z93.2",
    "description": "Iléostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.3": {
    "code": "Z93.3",
    "description": "Colostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.4": {
    "code": "Z93.4",
    "description": "Autres stomies de l’appareil digestif",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.5": {
    "code": "Z93.5",
    "description": "Cystostomie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.6": {
    "code": "Z93.6",
    "description": "Autres stomies de l’appareil urinaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Néphrostomie",
      "Urétérostomie [Bricker]",
      "Urétrostomie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.8": {
    "code": "Z93.8",
    "description": "Autres stomies",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z93.9": {
    "code": "Z93.9",
    "description": "Stomie, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1065,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "cardiovasculaires ».",
      "Exemples :",
      "est codé Z95.1.",
      "et odontologie – BO du 17 juillet 2025, pp. 102-103"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories Z94 et Z95 sont employées pour coder le DP des situations de surveillance négative des porteurs d’organes greffés",
      "(Z94), de pontages coronaires et de prothèse endo-artérielle (stent), de prothèse valvulaire cardiaque et autres « implants et greffes",
      "– patient porteur d’un cœur transplanté, hospitalisé pour bilan de surveillance post-greffe ; aucune anomalie n’est constatée ; le DP",
      "du séjour est codé Z94.1 ; un rejet, en revanche, devrait être codé T86.2 ;",
      "– patient porteur d’un pontage coronaire hospitalisé pour bilan de surveillance ; aucune anomalie n’est constatée : le DP du séjour",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94": {
    "code": "Z94",
    "description": "Greffe d’organe et de tissu",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications d’organes ou tissus greffés - voir Index alphabétique",
      "présence de : • greffe vasculaire (Z95.-)",
      "• valvule cardiaque xénogénique (Z95.3)",
      "anormale qui demanderait un codage particulier, nous vous conseillons de préférer les codes de la catégorie Z94 à Z09.0,",
      "car ils sont plus précis."
    ],
    "clinical_text": [
      "C omprend organe ou tissu remplacé par greffe hétérologue ou homologue"
    ],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.131 : Z94 dans les cas de surveillance de patients greffés, en l’absence de complication ou de toute constatation"
    ]
  },
  "Z94.0": {
    "code": "Z94.0",
    "description": "Greffe de rein",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.1": {
    "code": "Z94.1",
    "description": "Greffe du cœur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "remplacement d’une valvule cardiaque (Z95.2-Z95.4)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.2": {
    "code": "Z94.2",
    "description": "Greffe de poumon",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.3": {
    "code": "Z94.3",
    "description": "Greffe de cœur et poumon",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.4": {
    "code": "Z94.4",
    "description": "Greffe de foie",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.5": {
    "code": "Z94.5",
    "description": "Greffe de peau",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": 3,
    "synonyms": [
      "Greffe de peau autogène"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.6": {
    "code": "Z94.6",
    "description": "Greffe d’os",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.7": {
    "code": "Z94.7",
    "description": "Greffe de cornée",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.8": {
    "code": "Z94.8",
    "description": "Autres greffes d’organes et de tissus",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.80": {
    "code": "Z94.80",
    "description": "9 Allogreffe de cellules souches hématopoïétiques, autres et sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.81": {
    "code": "Z94.81",
    "description": "Greffe de pancréas",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.82": {
    "code": "Z94.82",
    "description": "Greffe d’intestin",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1066,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.88": {
    "code": "Z94.88",
    "description": "Greffe d’organes et de tissus, autres",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Intestin"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z94.9": {
    "code": "Z94.9",
    "description": "Greffe d’organe et de tissu, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "cardiovasculaires ».",
      "Exemples :",
      "est codé Z95.1."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories Z94 et Z95 sont employées pour coder le DP des situations de surveillance négative des porteurs d’organes greffés",
      "(Z94), de pontages coronaires et de prothèse endo-artérielle (stent), de prothèse valvulaire cardiaque et autres « implants et greffes",
      "– patient porteur d’un cœur transplanté, hospitalisé pour bilan de surveillance post-greffe ; aucune anomalie n’est constatée ; le",
      "DP du séjour est codé Z94.1 ; un rejet, en revanche, devrait être codé T86.2 ;",
      "– patient porteur d’un pontage coronaire hospitalisé pour bilan de surveillance ; aucune anomalie n’est constatée : le DP du séjour",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie,",
      "obstétrique et odontologie – BO du 17 juillet 2025, pp. 102-103"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95": {
    "code": "Z95",
    "description": "est réservé aux implants et greffes cardiaques et vasculaires.",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96": {
    "code": "Z96",
    "description": "Présence d’autres implants fonctionnels",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications de prothèses, implants et greffes internes (T82 à T85)",
      "mise en place et ajustement de prothèses et d’autres appareils (Z44 à Z46)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.0": {
    "code": "Z95.0",
    "description": "Présence de dispositifs électroniques cardiaques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence de • défibrillateur cardiaque",
      "• défibrillateur cardioverteur implantable [DCI]",
      "• stimulateur cardiaque [Pace-maker] [PM]"
    ],
    "comprend": [],
    "exclusions": [
      "ajustement et entretien de dispositifs cardiaques (Z45.0)",
      "dépendance envers un cœur artificiel (Z99.4)"
    ],
    "clinical_text": [
      "• défibrillateur de thérapie de resynchronisation cardiaque [TRC]",
      "• stimulateur de thérapie de resynchronisation cardiaque [TRC]"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.1": {
    "code": "Z95.1",
    "description": "Présence d’un pontage aorto-coronaire",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.2": {
    "code": "Z95.2",
    "description": "Présence de prothèse d’une valvule cardiaque",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.3": {
    "code": "Z95.3",
    "description": "Présence d’une valvule cardiaque xénogénique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.4": {
    "code": "Z95.4",
    "description": "Présence d’une autre valvule cardiaque de remplacement",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.5": {
    "code": "Z95.5",
    "description": "Présence d’implant et de greffe vasculaires coronaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence de prothèse de l’artère coronaire",
      "Présence d’une endoprothèse coronaire [stent coronaire]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.8": {
    "code": "Z95.8",
    "description": "Présence d’autres implants et greffes cardiaques et vasculaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.80": {
    "code": "Z95.80",
    "description": "Présence d’une endoprothèse vasculaire périphérique",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Suites d’une angioplastie périphérique SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.88": {
    "code": "Z95.88",
    "description": "Présence d’autres implants et greffes cardiaques et vasculaires NCA",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence d’une prothèse intra-vasculaire NCA"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z95.9": {
    "code": "Z95.9",
    "description": "Présence d’implant et de greffe cardiaques et vasculaires, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1067,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "qu’en l’absence de complication.",
      "et odontologie – BO du 17 juillet 2025, p. 103"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les catégories Z96 et Z97 permettent le codage de la présence de divers implants, prothèses et appareils. Leur emploi n’est admissible",
      "En cas de soins nécessités par une complication, voir le chapitre XIX, groupe T80-T88.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.0": {
    "code": "Z96.0",
    "description": "Présence d’implants urogénitaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.1": {
    "code": "Z96.1",
    "description": "Présence d’implants intra-oculaires de cristallin",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pseudophakie"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.2": {
    "code": "Z96.2",
    "description": "Présence d’implants otologiques et audiologiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Appareil acoustique de conduction osseuse",
      "Cochlée",
      "Étrier",
      "Trompe d’Eustache",
      "Tube(s) de myringotomie [diabolo]"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.3": {
    "code": "Z96.3",
    "description": "Présence d’un larynx artificiel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.4": {
    "code": "Z96.4",
    "description": "Présence d’implants endocriniens",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Pompe à insuline"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.5": {
    "code": "Z96.5",
    "description": "Présence d’implants maxillaires et sur racines dentaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.6": {
    "code": "Z96.6",
    "description": "Présence d’implants d’articulations orthopédiques",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Remplacement de l’articulation de : • doigt",
      "• hanche (partielle) (totale) [PTH]",
      "• genou [PTG]",
      "• épaule"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.7": {
    "code": "Z96.7",
    "description": "Présence d’autres implants osseux et tendineux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Plaque crânienne"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.8": {
    "code": "Z96.8",
    "description": "Présence d’autres implants fonctionnels précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z96.9": {
    "code": "Z96.9",
    "description": "Présence d’implant fonctionnel, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97": {
    "code": "Z97",
    "description": "Présence d’autres appareils",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Il est utile de comparer Z95 à Z97 avec Z44 à Z46."
    ],
    "comprend": [],
    "exclusions": [
      "complications de prothèses, implants et greffes internes (T82 à T85)",
      "mise en place et ajustement de prothèse et d’autres appareils (Z44 à Z46)",
      "présence d’un appareil de drainage du liquide céphalo-rachidien (Z98.2)",
      "sanglante."
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": [
      "Aunis p.132 : Z97 cette catégorie regroupe les codes des appareils externes ou accessibles depuis l’extérieur du corps, par voie non"
    ]
  },
  "Z97.0": {
    "code": "Z97.0",
    "description": "Présence d’un œil artificiel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97.1": {
    "code": "Z97.1",
    "description": "Présence d’un membre artificiel (complet) (partiel)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97.2": {
    "code": "Z97.2",
    "description": "Présence d’une prothèse dentaire (complète) (partielle)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97.3": {
    "code": "Z97.3",
    "description": "Présence de lunettes et lentilles de contact",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1068,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97.4": {
    "code": "Z97.4",
    "description": "Présence d’appareil auditif externe",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97.5": {
    "code": "Z97.5",
    "description": "Présence d’un dispositif contraceptif (intra-utérin)",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence d’un stérilet",
      "Présence d’un DIU"
    ],
    "comprend": [],
    "exclusions": [
      "mise en place d’un dispositif intra-utérin (Z30.1)",
      "vérification, réinsertion et enlèvement d’un dispositif intra-utérin (Z30.5)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z97.8": {
    "code": "Z97.8",
    "description": "Présence d’autres appareils précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Présence de sonde urinaire (à demeure)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Peut-on coder une suppléance nocturne en O2 avec le code Z97.8 ? la catégorie Z97 comprend des",
      "appareils permanents, vous ne pouvez pas coder la suppléance en O2 avec cette catégorie. Il n’existe par"
    ],
    "agora_refs": [
      "63257"
    ],
    "cocoa_notes": [
      "ailleurs pas de code dans la CIM pour décrire cet état. (AGORA - # 63257 le 30 avril 2012)"
    ]
  },
  "Z98": {
    "code": "Z98",
    "description": "Autres états post-chirurgicaux",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "complications après un acte à visée diagnostique et thérapeutique ou postopératoires - voir Index",
      "alphabétique",
      "soins de contrôle médicaux et de convalescence (Z42-Z51, Z54.-)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z98.0": {
    "code": "Z98.0",
    "description": "Dérivation intestinale et anastomose",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z98.1": {
    "code": "Z98.1",
    "description": "Arthrodèse",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z98.2": {
    "code": "Z98.2",
    "description": "Présence d’un appareil de drainage du liquide céphalo-rachidien",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "Dérivation du LCR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z98.8": {
    "code": "Z98.8",
    "description": "Autres états post-chirurgicaux précisés",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "ailleurs",
      "l’utilisation régulière et durable de ce matériel.",
      "dialysés pour insuffisance rénale aiguë.",
      "et odontologie – BO du 17 juillet 2025, p. 103",
      "polyhandicaps lourds à l’exclusion des codes Z99.2 et Z99.4."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Dépendance envers des machines et appareils auxiliaires, non classée",
      "Catégorie Z99 – Dépendance envers des machines et appareils auxiliaires, non classée ailleurs",
      "Est dépendante envers une machine ou un appareil une personne atteinte d’une affection chronique dont la survie est subordonnée à",
      "C’est en ce sens que doit être comprise l’utilisation des codes de la catégorie Z99. Ils ne doivent pas être employés pour mentionner",
      "l’utilisation d’un matériel de ce type en phase aiguë : par exemple, Z99.0 Dépendance envers un aspirateur ou Z99.1 Dépendance envers",
      "un respirateur ne doivent pas servir à mentionner l’utilisation de ces matériels chez un patient sous ventilation mécanique pour",
      "insuffisance respiratoire aiguë, Z99.2 Dépendance envers une dialyse rénale ne peut pas être employé pour les séjours des patients",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Les codes de la catégorie Z99 appartiennent à la Liste 4 « restrictions extrêmes de l’autonomie » permettant le repérage des",
      "Polyhandicap - Recommandations de codage pour l’identification du polyhandicap lourd, ATIH, mars 2022"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.0": {
    "code": "Z99.0",
    "description": "Dépendance envers un aspirateur",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "2 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.1": {
    "code": "Z99.1",
    "description": "+8 Dépendance envers un respirateur : ventilation par un autre moyen",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1069,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.2": {
    "code": "Z99.2",
    "description": "+8 Dépendance envers une dialyse rénale autre",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1070,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.3": {
    "code": "Z99.3",
    "description": "Dépendance envers un fauteuil roulant",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1070,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.4": {
    "code": "Z99.4",
    "description": "Dépendance envers un cœur artificiel",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1070,
    "is_category": false,
    "severity": 2,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.8": {
    "code": "Z99.8",
    "description": "Dépendance envers d’autres machines et appareils auxiliaires",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1070,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ventilation nocturne pour syndrome d’apnée du sommeil",
      "un respirateur et son code n’est pas approprié"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Ventilation nocturne pour syndrome d’apnée du sommeil – voir également Z99.1+1",
      "Le code de la ventilation nocturne est Z99.8 et non pas Z99.1+1 car la ventilation par masque nasal concerne",
      "RAPPORT ANNUEL RELATIF AUX CAMPAGNES DE CONTRÔLE 2011 – 2015, avril 2017, p.24"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "Z99.9": {
    "code": "Z99.9",
    "description": "Dépendance envers une machine et un appareil auxiliaire, sans précision",
    "dagger_star": "",
    "chapter": "Facteurs influant sur l’état de santé et motifs de recours aux services de santé",
    "page": 1070,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Ce chapitre comprend les groupes suivants :",
      "CODES OMS RÉSÉRVÉS À UN USAGE URGENT",
      "et odontologie – BO du 17 juillet 2025, p. 84",
      "IDENTIFICATION DU POLYHANDICAP LOURD",
      "• une déficience mentale profonde ou une démence sévère ;",
      "• une mobilité réduite conséquence du trouble moteur ;",
      "appareil.",
      "• liste 2 : troubles moteurs (codes du chapitre G, Q et R)"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les codes U00-U49 sont utilisés par l’OMS pour une attribution provisoire à de nouvelles maladies d’étiologie incertaine. Pour les",
      "situations où de nouveaux problèmes de santé surviendraient et nécessiteraient d’être identifiés et suivis de manière urgente dans les",
      "systèmes d’information, l’OMS a retenu 10 codes d’attente dans la catégorie U07.",
      "Ces catégories et sous-catégories doivent être disponibles dans tous les systèmes électroniques à tout moment et utilisées, sans délai,",
      "selon les instructions de l’OMS adaptées au PMSI et publiées sur le site de l’ATIH. Ces codes, dont le libellé d’attente est Usage urgent",
      "par l’OMS, leur utilisation est proscrite et conduit à un groupage en erreur. En 2020, les consignes OMS données pour les codes en",
      "lien avec la crise sanitaire permettent d’utiliser ces codes spécifiques, sans groupage en erreur.",
      "Guide méthodologique de production des informations relatives à l’activité médicale et à sa facturation en médecine, chirurgie, obstétrique",
      "Le polyhandicap se définit par l’association de quatre critères :",
      "• un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "• une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un",
      "Pour permettre l’identification du polyhandicap lourd dans les recueils d’informations du PMSI, quatre listes de codes de la CIM–10",
      "ont été élaborées sous le contrôle de la Société française de pédiatrie et de la Société française de neuropédiatrie :",
      "• liste 1 : déficiences mentales ou psychiatriques sévères (codes du chapitre F)",
      "• liste 3 : critères de mobilité réduite (codes des chapitres R et Z)",
      "• liste 4 : restrictions extrêmes de l’autonomie (codes des chapitres U et Z).",
      "Un code au moins de chacune des quatre listes doit être présent dans le RSS pour affirmer le polyhandicap lourd.",
      "Voir les listes et recommandations pour le codage du polyhandicap lourd sur le site Internet de l’ATIH.",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 2"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U04": {
    "code": "U04",
    "description": "Syndrome respiratoire aigu sévère [SRAS]",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1072,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U04.9": {
    "code": "U04.9",
    "description": "Syndrome respiratoire aigu sévère [SRAS], sans précision",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1072,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U06": {
    "code": "U06",
    "description": "Maladie due au virus Zika",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1072,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Depuis le 1er janvier 2019, la maladie due au virus Zika est classée en A92.5"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07": {
    "code": "U07",
    "description": "Codes pour usage urgent",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1072,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.0": {
    "code": "U07.0",
    "description": "Affection liée au vapotage",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1072,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Affection liée à la cigarette électronique [e-ciqarette]",
      "Affection liée au dabbing",
      "Atteinte pulmonaire liée à la cigarette électronique",
      "Atteinte pulmonaire liée au dabbing",
      "cliniques",
      "À noter :",
      "2/ Un diagnostic positif de COVID-19 peut correspondre :",
      "ce cas la mention « virus identifié » dans son libellé ;",
      "ATIH - Consignes de codage COVID-19 – 13 avril 2021, p. 4",
      "p. 5 identifié] identifié]",
      "Diagnostic de COVID-19 retenu sur la",
      "symptomatologie respiratoire et/ou signes"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "EVALI - [lésion pulmonaire associée à l'utilisation de e-ciqarette ou de vapotaqe]",
      "Utiliser, au besoin, un code supplémentaire pour identifier la pneumonie ou d'autres manifestations",
      "1/ Les codes étendus de U07.1- sont utilisés, à l’exception de U07.13, pour identifier les cas confirmés par la biologie, et,",
      "quand le prélèvement biologique n’est pas effectué ou non conclusif, les cas diagnostiqués à partir de la clinique, du",
      "contexte épidémiologique, de la radiologie, ou d’autres moyens diagnostiques.",
      "- à un cas pour lequel le virus SARS-CoV-2 a été identifié par un prélèvement biologique (ex : PCR), le code comporte dans",
      "- à un cas pour lequel le virus SARS-CoV-2 n’a pas été identifié par un prélèvement biologique soit parce que le prélèvement",
      "n’a pas été effectué soit parce qu’il n’était pas conclusif. Le code comporte dans ce cas la mention « virus non identifié »",
      "dans son libellé. Cette situation inclut les patients « faux négatifs » quand le diagnostic de COVID-19 est retenu par le",
      "clinicien sur d’autres éléments que le prélèvement biologique (ex. : signes cliniques d’infection respiratoire aiguë et signes",
      "visibles en tomodensitométrie thoracique évocateurs de COVID-19).",
      "COVID-19 Cas confirmé, prélèvement Prélèvement non effectué ou",
      "ATIH - Consignes de codage COVID-19 – 13 avril 2021, biologique positif [virus non conclusif [virus non"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.10": {
    "code": "U07.10",
    "description": "COVID-19, forme respiratoire, virus identifié",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.1": {
    "code": "U07.1",
    "description": "COVID-19",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "Infection coronavirale, siège non précisé (B34.2)",
      "Coronavirus, cause de maladies classées dans d'autres chapitres (B97.2)",
      "Syndrome respiratoire aigu sévère [SRAS], sans précision (U04.9)"
    ],
    "clinical_text": [
      "Utiliser, au besoin, un code supplémentaire pour identifier la pneumonie ou d'autres manifestations cliniques"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.11": {
    "code": "U07.11",
    "description": "COVID-19, forme respiratoire, virus non identifié",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.12": {
    "code": "U07.12",
    "description": "Porteur de SARS-CoV-2 asymptomatique",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Note Bien entendu cela implique que le virus soit identifié"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.13": {
    "code": "U07.13",
    "description": "Autres examens et mises en observation en lien avec l'épidémie de COVID-19",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Personne contact",
      "Personne co-exposée",
      "Cas possible secondairement infirmé"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Dont nouveau-né de mère COVID-19 positive, diagnostic de COVID-19 non retenu cliniquement",
      "ni radiologiquement avec prélèvement non effectué ou non conclusif"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.14": {
    "code": "U07.14",
    "description": "COVID-19, autres formes cliniques, virus identifié",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.15": {
    "code": "U07.15",
    "description": "COVID-19, autres formes cliniques, virus non identifié",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.2": {
    "code": "U07.2",
    "description": "Usage urgent de U07.2",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.3": {
    "code": "U07.3",
    "description": "Usage urgent de U07.3",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.4": {
    "code": "U07.4",
    "description": "Usage urgent de U07.4",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.5": {
    "code": "U07.5",
    "description": "Usage urgent de U07.5",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.6": {
    "code": "U07.6",
    "description": "Usage urgent de U07.6",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.7": {
    "code": "U07.7",
    "description": "Usage urgent de U07.7",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U07.8": {
    "code": "U07.8",
    "description": "Usage urgent de U07.8",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1073,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U08": {
    "code": "U08",
    "description": "Antécédents personnels de COVID-19",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U08.9": {
    "code": "U08.9",
    "description": "Antécédents personnels de COVID-19, sans précision",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "pas être utilisé comme cause initiale de décès."
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Ce code est utilisé pour enregistrer un épisode antérieur de COVID-19, confirmé ou probable,",
      "qui influence l’état de santé d’une personne qui ne présente plus la maladie. Ce code ne doit"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U09": {
    "code": "U09",
    "description": "Affection post COVID-19",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U09.9": {
    "code": "U09.9",
    "description": "Affection post COVID-19, sans précision",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Note Ce code sert à établir un lien avec une infection COVID-19.",
      "Ce code ne doit pas être utilisé pour les cas présentant encore l’infection COVID-19. Il peut en",
      "revanche être utilisé après un épisode de COVID-19 guéri ou présumé guéri, qui présente encore",
      "des symptômes ou une affection en lien avec le COVID-19 (fatigue, anosmie, …)"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U10": {
    "code": "U10",
    "description": "Syndrome inflammatoire multi-systémique associé au COVID-19",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U10.9": {
    "code": "U10.9",
    "description": "Syndrome inflammatoire multi-systémique associé au COVID-19, sans précision",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Tempête de cytokines, contemporaine du COVID-19",
      "Syndrome Kawasaki-Like, contemporain du COVID-19",
      "COVID-19"
    ],
    "comprend": [],
    "exclusions": [
      "Syndrome adéno-cutanéo-muqueux [Kawasaki] (M30.3)"
    ],
    "clinical_text": [
      "Syndrome inflammatoire multi-systémique pédiatrique [PIMS], contemporain du COVID-19",
      "Syndrome inflammatoire multi-systémique chez les enfants [MIS-C], contemporain du"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U11": {
    "code": "U11",
    "description": "Nécessité d’une vaccination contre le COVID-19",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U11.9": {
    "code": "U11.9",
    "description": "Nécessité d’une vaccination contre le COVID-19, sans précision",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1074,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Vaccination prophylactique anti-COVID-19",
      "cours de leur usage thérapeutique"
    ],
    "comprend": [],
    "exclusions": [
      "Vaccination non faite (Z28.-)"
    ],
    "clinical_text": [
      "Note Ce code ne doit pas être utilisé pour les comparaisons internationales ou pour les statistiques",
      "primaires de mortalité. Ce code sera utilisé pour identifier une personne malade ou non qui a",
      "recours à un service de santé dans le but spécifique de recevoir un vaccin contre le COVID-19",
      "Vaccins contre le COVID-19 ayant provoqué des effets indésirables au",
      "Vaccins contre le COVID-19 ayant provoqué des effets indésirables au cours de leur usage"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83": {
    "code": "U83",
    "description": "Résistance aux autres antibiotiques",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "antibiotiques.",
      "0 Situation d’infection",
      "1 Situation de portage sain"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes doivent être utilisées comme caractère supplémentaire en sixième position pour indiquer si la",
      "situation de résistance concerne un germe responsable d’une infection en cours ou une situation de portage sain :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82": {
    "code": "U82",
    "description": "Résistance aux antibiotiques bétalactamines [bétalactames]",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "0 Situation d’infection",
      "1 Situation de portage sain"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Les subdivisions suivantes doivent être utilisées comme caractère supplémentaire en sixième position pour indiquer si la situation de",
      "résistance concerne un germe responsable d’une infection en cours ou une situation de portage sain :"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.0": {
    "code": "U82.0",
    "description": "+1 Résistance à la pénicilline, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.1": {
    "code": "U82.1",
    "description": "Résistance à la méthicilline",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.10": {
    "code": "U82.10",
    "description": "1 Staphylococcus aureus résistant à la méthicilline [SARM], situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.18": {
    "code": "U82.18",
    "description": "1 Staphylocoques, autres et non précisés, résistants à la méthicilline, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.2": {
    "code": "U82.2",
    "description": "+1 Résistance par bêta-lactamases à spectre étendu [BLSE], situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.8": {
    "code": "U82.8",
    "description": "+1 Résistance à d’autres antibiotiques bêta-lactamines, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U82.9": {
    "code": "U82.9",
    "description": "+1 Résistance aux antibiotiques bêta-lactamines, non précisée, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.0": {
    "code": "U83.0",
    "description": "+1 Résistance à la vancomycine, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1076,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.1": {
    "code": "U83.1",
    "description": "+1 Résistance à d’autres antibiotiques apparentés à la vancomycine, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1077,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.2": {
    "code": "U83.2",
    "description": "+1 Résistance aux quinolones, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1077,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.7": {
    "code": "U83.7",
    "description": "Résistance à de multiples antibiotiques",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1077,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.70": {
    "code": "U83.70",
    "description": "1 Bactérie hautement résistante émergente [BHRe], situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1077,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "3 SMR"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.71": {
    "code": "U83.71",
    "description": "1 Bactérie multirésistante [BMR], situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1077,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.78": {
    "code": "U83.78",
    "description": "1 Autres résistances à de multiples antibiotiques, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1077,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.8": {
    "code": "U83.8",
    "description": "+1 Résistance à un seul autre antibiotique précisé, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U83.9": {
    "code": "U83.9",
    "description": "+1 Résistance à un seul antibiotique non précisé, situation de portage sain",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84": {
    "code": "U84",
    "description": "Résistance aux autres antimicrobiens",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "antimicrobiens."
    ],
    "comprend": [],
    "exclusions": [
      "résistance aux antibiotiques (U82–U83)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.0": {
    "code": "U84.0",
    "description": "Résistance aux médicaments antiparasitaires",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Résistance à la quinine et à ses composés"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.1": {
    "code": "U84.1",
    "description": "Résistance aux médicaments antifongiques",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.2": {
    "code": "U84.2",
    "description": "Résistance aux médicaments antiviraux",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.3": {
    "code": "U84.3",
    "description": "Résistance aux médicaments antituberculeux",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": 4,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.7": {
    "code": "U84.7",
    "description": "Résistance à de multiples médicaments antimicrobiens",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [
      "résistance à de multiples antibiotiques seulement (U83.7)"
    ],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.8": {
    "code": "U84.8",
    "description": "Résistance à un autre antimicrobien précisé",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U84.9": {
    "code": "U84.9",
    "description": "Résistance à un antimicrobien non précisé",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "Résistance médicamenteuse SAI"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U85": {
    "code": "U85",
    "description": "Résistance aux médicaments antinéoplasiques",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1078,
    "is_category": true,
    "severity": null,
    "synonyms": [
      "Non réponse aux médicaments antinéoplasiques",
      "Cancer réfractaire"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U90": {
    "code": "U90",
    "description": "Autres formes de pharmaco-résistance",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1079,
    "is_category": true,
    "severity": null,
    "synonyms": [],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U90.0": {
    "code": "U90.0",
    "description": "Résistance aux antiépileptiques",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1079,
    "is_category": false,
    "severity": 2,
    "synonyms": [
      "une déficience mentale profonde ou une démence sévère ;",
      "une mobilité réduite conséquence du trouble moteur ;"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Le polyhandicap se définit par l’association de quatre critères :",
      "un trouble moteur à type de paralysie partielle ou totale, d’ataxie, de tremblements sévères, de dyskinésie ou de dystonie ;",
      "une restriction extrême de l’autonomie caractérisée par la dépendance permanente envers une tierce personne ou un appareil.",
      "Ce code fait partie de la liste 4 « restrictions extrêmes de l’autonomie ».",
      "Polyhandicap – Recommandations de codage pour l’identification du polyhandicap lourd – ATIH – mars 2022, p. 10"
    ],
    "agora_refs": [],
    "cocoa_notes": []
  },
  "U90.9": {
    "code": "U90.9",
    "description": "Résistances à un traitement, autres et sans précision",
    "dagger_star": "",
    "chapter": "Codes d’utilisation particulière",
    "page": 1079,
    "is_category": false,
    "severity": null,
    "synonyms": [
      "le médecin ayant pris en charge le patient ;",
      "• Ce code est recueilli en diagnostic associé.",
      "considéré comme complet.",
      "Codage :",
      "✓ DP U07.10 COVID-19, forme respiratoire, virus identifié",
      "NOTICE TECHNIQUE n° ATIH-693-16-2021 du 21 décembre 2021"
    ],
    "comprend": [],
    "exclusions": [],
    "clinical_text": [
      "Codage d’un séjour pour COVID malgré un schéma vaccinal complet",
      "Le code U90.9 Résistances à un traitement, autres et sans précision est recommandé :",
      "• Pour tout séjour lié à une infection COVID malgré la mise en œuvre d’un schéma vaccinal considéré comme complet par",
      "Exemple : patient hospitalisé pour infection respiratoire aiguë avec identification du SARS-Cov-2 malgré un schéma vaccinal",
      "✓ DAS U90.9 Résistances à un traitement, autres et sans précision",
      "Si ce séjour survient dans un contexte de déficit immunitaire, il est recommandé de coder ce contexte en diagnostic associé."
    ],
    "agora_refs": [],
    "cocoa_notes": []
  }
}