icd 10 code for dermatitis
B00 Herpesviral [herpes simplex] infections
Excludes1: congenital herpesviral infections (P35.2)
Excludes2: anogenital herpesviral infection (A60.-) gammaherpesviral mononucleosis (B27.0-) herpangina (B08.5)
B00.0 Eczema herpeticum Kaposi’s varicelliform eruption
B00.1 Herpesviral vesicular dermatitis
Herpes simplex facialis
Herpes simplex labialis
Herpes simplex otitis externa
Vesicular dermatitis of ear
Vesicular dermatitis of lip
B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis Herpesviral pharyngitis
B00.3 Herpesviral meningitis
B00.4 Herpesviral encephalitis Herpesviral meningoencephalitis Simian B disease Excludes1: herpesviral encephalitis due to herpesvirus 6 and 7 (B10.01,
B10.09) non-simplex herpesviral encephalitis (B10.0-)
B00.5 Herpesviral ocular disease
B00.50 Herpesviral ocular disease, unspecified
B00.51 Herpesviral iridocyclitis Herpesviral iritis Herpesviral uveitis, anterior
B00.52 Herpesviral keratitis Herpesviral keratoconjunctivitis
B00.53 Herpesviral conjunctivitis
B00.59 Other herpesviral disease of eye Herpesviral dermatitis of eyelid
B00.7 Disseminated herpesviral disease Herpesviral sepsis
B00.8 Other forms of herpesviral infections
B00.81 Herpesviral hepatitis
B00.82 Herpes simplex myelitis
B00.89 Other herpesviral infection Herpesviral whitlow
B00.9 Herpesviral infection, unspecified Herpes simplex infection NOS
B08 Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified
Excludes1: vesicular stomatitis virus disease (A93.8)
B08.0 Other orthopoxvirus infections
Excludes2: monkeypox (B04)
B08.01 Cowpox and vaccinia not from vaccine
B08.010 Cowpox
B08.011 Vaccinia not from vaccine Excludes1: vaccinia (from vaccination) (generalized) (T88.1)
B08.02 Orf virus disease Contagious pustular dermatitis Ecthyma contagiosum
B08.03 Pseudocowpox [milker’s node]
B08.04 Paravaccinia, unspecified
B08.09 Other orthopoxvirus infections Orthopoxvirus infection NOS
B08.1 Molluscum contagiosum
B08.2 Exanthema subitum [sixth disease] Roseola infantum
B08.20 Exanthema subitum [sixth disease], unspecified Roseola infantum, unspecified
B08.21 Exanthema subitum [sixth disease] due to human herpesvirus 6 Roseola infantum due to human herpesvirus 6
B37 Candidiasis Includes: candidosis moniliasis
Excludes1: neonatal candidiasis (P37.5)
B37.0 Candidal stomatitis Oral thrush
B37.1 Pulmonary candidiasis Candidal bronchitis Candidal pneumonia
B37.2 Candidiasis of skin and nail Candidal onychia Candidal paronychia
Excludes2: diaper dermatitis (L22)
B37.3 Candidiasis of vulva and vagina Candidal vulvovaginitis Monilial vulvovaginitis Vaginal thrush
B37.4 Candidiasis of other urogenital sites
B37.41 Candidal cystitis and urethritis
B37.42 Candidal balanitis
B37.49 Other urogenital candidiasis Candidal pyelonephritis
B37.5 Candidal meningitis
B37.6 Candidal endocarditis
B37.7 Candidal sepsis Disseminated candidiasis Systemic candidiasis
B37.8 Candidiasis of other sites
B37.81 Candidal esophagitis
B37.82 Candidal enteritis Candidal proctitis
B37.83 Candidal cheilitis
B37.84 Candidal otitis externa
B37.89 Other sites of candidiasis Candidal osteomyelitis
B37.9 Candidiasis, unspecified Thrush NOS
Helminthiases (B65-B83)
B65 Schistosomiasis [bilharziasis]
Includes: snail fever
B65.0 Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
B65.1 Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
B65.2 Schistosomiasis due to Schistosoma japonicum Asiatic schistosomiasis
B65.3 Cercarial dermatitis Swimmer’s itch
B65.8 Other schistosomiasis
Infection due to Schistosoma intercalatum
Infection due to Schistosoma mattheei
Infection due to Schistosoma mekongi
B65.9 Schistosomiasis, unspecified
B88 Other infestations
B88.0 Other acariasis
Acarine dermatitis
Dermatitis due to Demodex species
Dermatitis due to Dermanyssus gallinae
Dermatitis due to Liponyssoides sanguineus
Trombiculosis
Excludes2: scabies (B86)
B88.1 Tungiasis [sandflea infestation]
B88.2 Other arthropod infestations Scarabiasis
B88.3 External hirudiniasis Leech infestation NOS
Excludes2: internal hirudiniasis (B83.4)
B88.8 Other specified infestations Ichthyoparasitism due to Vandellia cirrhosa Linguatulosis Porocephaliasis
B88.9 Infestation, unspecified Infestation (skin) NOS Infestation by mites NOS Skin parasites NOS
D89.8 Other specified disorders involving the immune mechanism, not elsewhere classified
D89.81 Graft-versus-host disease Code first underlying cause, such as: complications of transplanted organs and tissue (T86.-) complications of blood transfusion (T80.89)
Use additional code to identify associated manifestations, such as: desquamative dermatitis (L30.8) diarrhea (R19.7) elevated bilirubin (R17) hair loss (L65.9)
D89.810 Acute graft-versus-host disease
D89.811 Chronic graft-versus-host disease
D89.812 Acute on chronic graft-versus-host disease
D89.813 Graft-versus-host disease, unspecified
D89.82 Autoimmune lymphoproliferative syndrome [ALPS]
D89.89 Other specified disorders involving the immune mechanism, not elsewhere classified
Excludes1: human immunodeficiency virus disease (B20)
D89.9 Disorder involving the immune mechanism, unspecified
Immune disease NOS
E08.6 Diabetes mellitus due to underlying condition with other specified complications
E08.61 Diabetes mellitus due to underlying condition with diabetic arthropathy
E08.610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy Diabetes mellitus due to underlying condition with Charcot’s joints
E08.618 Diabetes mellitus due to underlying condition with other diabetic arthropathy
E08.62 Diabetes mellitus due to underlying condition with skin complications
E08.620 Diabetes mellitus due to underlying condition with diabetic dermatitis Diabetes mellitus due to underlying condition with diabetic necrobiosis lipoidica
E08.621 Diabetes mellitus due to underlying condition with foot ulcer Use additional code to identify site of ulcer (L97.4-, L97.5-)
E08.622 Diabetes mellitus due to underlying condition with other skin ulcer Use additional code to identify site of ulcer (L97.1-
L97.9, L98.41-L98.49)
E08.628 Diabetes mellitus due to underlying condition with other skin complications
E08.63 Diabetes mellitus due to underlying condition with oral complications
E08.630 Diabetes mellitus due to underlying condition with periodontal disease
E08.638 Diabetes mellitus due to underlying condition with other oral complications
E08.64 Diabetes mellitus due to underlying condition with hypoglycemia
E08.641 Diabetes mellitus due to underlying condition with hypoglycemia with coma
E08.649 Diabetes mellitus due to underlying condition with hypoglycemia without coma
E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
E08.69 Diabetes mellitus due to underlying condition with other specified complication Use additional code to identify complication
E08.8 Diabetes mellitus due to underlying condition with unspecified complications
E08.9 Diabetes mellitus due to underlying condition without complications
E10.6 Type 1 diabetes mellitus with other specified complications
E10.61 Type 1 diabetes mellitus with diabetic arthropathy
E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy
Type 1 diabetes mellitus with Charcot’s joints
E10.618 Type 1 diabetes mellitus with other diabetic arthropathy
E10.62 Type 1 diabetes mellitus with skin complications
E10.620 Type 1 diabetes mellitus with diabetic dermatitis Type 1 diabetes mellitus with diabetic necrobiosis lipoidica
E10.621 Type 1 diabetes mellitus with foot ulcer Use additional code to identify site of ulcer (L97.4-, L97.5-)
E10.622 Type 1 diabetes mellitus with other skin ulcer Use additional code to identify site of ulcer (L97.1-
L97.9, L98.41-L98.49)
E10.628 Type 1 diabetes mellitus with other skin complications
E10.63 Type 1 diabetes mellitus with oral complications
E10.630 Type 1 diabetes mellitus with periodontal disease
E10.638 Type 1 diabetes mellitus with other oral complications
E10.64 Type 1 diabetes mellitus with hypoglycemia
E10.641 Type 1 diabetes mellitus with hypoglycemia with coma
E10.649 Type 1 diabetes mellitus with hypoglycemia without coma
E13.6 Other specified diabetes mellitus with other specified complications
E13.61 Other specified diabetes mellitus with diabetic arthropathy
E13.610 Other specified diabetes mellitus with
diabetic neuropathic arthropathy
Other specified diabetes mellitus with Charcot’s joints
E13.618 Other specified diabetes mellitus with other diabetic arthropathy
E13.62 Other specified diabetes mellitus with skin complications
E13.620 Other specified diabetes mellitus with diabetic dermatitis Other specified diabetes mellitus with diabetic necrobiosis lipoidica
E13.621 Other specified diabetes mellitus with foot ulcer Use additional code to identify site of ulcer (L97.4-, L97.5-)
E13.622 Other specified diabetes mellitus with other skin ulcer Use additional code to identify site of ulcer (L97.1- L97.9, L98.41-L98.49)
E13.628 Other specified diabetes mellitus with other skin complications
E13.63 Other specified diabetes mellitus with oral complications
E13.630 Other specified diabetes mellitus with periodontal disease
E83.1 Disorders of iron metabolism
Excludes1: iron deficiency anemia (D50.-) sideroblastic anemia (D64.0-D64.3)
E83.10 Disorder of iron metabolism, unspecified
E83.11 Hemochromatosis
E83.19 Other disorders of iron metabolism
E83.2 Disorders of zinc metabolism Acrodermatitis enteropathica
E83.3 Disorders of phosphorus metabolism and phosphatases
Excludes1: adult osteomalacia (M83.-) osteoporosis (M80-)
E83.30 Disorder of phosphorus metabolism, unspecified
E83.31 Familial hypophosphatemia
Vitamin D-resistant osteomalacia
Vitamin D-resistant rickets
Excludes1: vitamin D-deficiency rickets (E55.0)
E83.32 Hereditary vitamin D-dependent rickets (type 1) (type 2) 25-hydroxyvitamin D 1-alpha-hydroxylase deficiency Pseudovitamin D deficiency Vitamin D receptor defect
E83.39 Other disorders of phosphorus metabolism
Acid phosphatase deficiency Hypophosphatasia
E83.4 Disorders of magnesium metabolism
E83.40 Disorders of magnesium metabolism, unspecified
E83.41 Hypermagnesemia
E83.42 Hypomagnesemia
E83.49 Other disorders of magnesium metabolism
E83.5 Disorders of calcium metabolism
Excludes1: chondrocalcinosis (M11.1-M11.2) hungry bone syndrome (E83.81) hyperparathyroidism (E21.0-E21.3)
E83.50 Unspecified disorder of calcium metabolism
E83.51 Hypocalcemia
E83.52 Hypercalcemia Familial hypocalciuric hypercalcemia
E83.59 Other disorders of calcium metabolism Idiopathic hypercalciuria
E83.8 Other disorders of mineral metabolism
E83.81 Hungry bone syndrome
E83.89 Other disorders of mineral metabolism
E83.9 Disorder of mineral metabolism, unspecified
F54 Psychological and behavioral factors associated with
disorders or diseases classified elsewhere
Psychological factors affecting physical conditions
Code first the associated physical disorder, such as:
asthma (J45.-)
dermatitis (L23-L25)
gastric ulcer (K25.-)
mucous colitis (K58.-)
ulcerative colitis (K51.-)
urticaria (L50.-)
Excludes2: tension-type headache (G44.2)
F68 Other disorders of adult personality and behavior
F68.1 Factitious disorder Compensation neurosis
Elaboration of physical symptoms for psychological reasons Hospital hopper syndrome M?nchhausen’s syndrome Peregrinating patient
Excludes2: factitial dermatitis (L98.1) person feigning illness (with obvious motivation) (Z76.5)
F68.10 Factitious disorder, unspecified
F68.11 Factitious disorder with predominantly psychological signs and symptoms
F68.12 Factitious disorder with predominantly physical signs and symptoms
F68.13 Factitious disorder with combined psychological and physical signs and symptoms
F68.8 Other specified disorders of adult personality and behavior
H01.1 Noninfectious dermatoses of eyelid
H01.11 Allergic dermatitis of eyelid Contact dermatitis of eyelid
H01.111 Allergic dermatitis of right upper eyelid
H01.112 Allergic dermatitis of right lower eyelid
H01.113 Allergic dermatitis of right eye, unspecified eyelid
H01.114 Allergic dermatitis of left upper eyelid
H01.115 Allergic dermatitis of left lower eyelid
H01.116 Allergic dermatitis of left eye, unspecified eyelid
H01.119 Allergic dermatitis of unspecified eye, unspecified eyelid
H01.12 Discoid lupus erythematosus of eyelid
H01.121 Discoid lupus erythematosus of right upper eyelid
H01.122 Discoid lupus erythematosus of right lower eyelid
H01.123 Discoid lupus erythematosus of right eye, unspecified eyelid
H01.124 Discoid lupus erythematosus of left upper eyelid
H01.125 Discoid lupus erythematosus of left lower eyelid
H01.126 Discoid lupus erythematosus of left eye, unspecified eyelid
H01.129 Discoid lupus erythematosus of unspecified eye, unspecified eyelid
H01.13 Eczematous dermatitis of eyelid
H01.131 Eczematous dermatitis of right upper eyelid
H01.132 Eczematous dermatitis of right lower eyelid
H01.133 Eczematous dermatitis of right eye, unspecified eyelid
H01.134 Eczematous dermatitis of left upper eyelid
H01.135 Eczematous dermatitis of left lower eyelid
H01.136 Eczematous dermatitis of left eye, unspecified eyelid
H01.139 Eczematous dermatitis of unspecified eye, unspecified eyelid
H01.14 Xeroderma of eyelid
H01.141 Xeroderma of right upper eyelid
H01.142 Xeroderma of right lower eyelid
H01.143 Xeroderma of right eye, unspecified eyelid
H01.144 Xeroderma of left upper eyelid
H01.145 Xeroderma of left lower eyelid
H01.146 Xeroderma of left eye, unspecified eyelid
H01.149 Xeroderma of unspecified eye, unspecified eyelid
H01.8 Other specified inflammations of eyelid
H61 Other disorders of external ear
H61.0 Chondritis and perichondritis of external ear Chondrodermatitis nodularis chronica helicis
Perichondritis of auricle
Perichondritis of pinna
H61.00 Unspecified perichondritis of external ear
H61.001 Unspecified perichondritis of right external ear
H61.002 Unspecified perichondritis of left external ear
H61.003 Unspecified perichondritis of external ear, bilateral
H61.009 Unspecified perichondritis of external ear, unspecified ear
H61.01 Acute perichondritis of external ear
H61.011 Acute perichondritis of right external ear
H61.012 Acute perichondritis of left external ear
H61.013 Acute perichondritis of external ear, bilateral
H61.019 Acute perichondritis of external ear, unspecified ear
H61.02 Chronic perichondritis of external ear
I83.1 Varicose veins of lower extremities with inflammation Stasis dermatitis
I83.10 Varicose veins of unspecified lower extremity with inflammation
I83.11 Varicose veins of right lower extremity with inflammation
I83.12 Varicose veins of left lower extremity with inflammation
L10-L14 Bullous disorders
L20-L30 Dermatitis and eczema
L40-L45 Papulosquamous disorders
L49-L54 Urticaria and erythema
L55-L59 Radiation-related disorders of the skin and subcutaneous tissue
L60-L75 Disorders of skin appendages
L76 Intraoperative and postprocedural complications of skin and subcutaneous tissue
L80-L99 Other disorders of the skin and subcutaneous tissue
Infections of the skin and subcutaneous tissue (L00- L08)
Use additional code (B95-B97) to identify infectious agent.
Excludes2: hordeolum (H00.0)
infective dermatitis (L30.3)
local infections of skin classified in Chapter 1
lupus panniculitis (L93.2)
panniculitis NOS (M79.3)
panniculitis of neck and back (M54.0-)
perl?che NOS (K13.0)
perl?che due to candidiasis (B37.0)
perl?che due to riboflavin deficiency (E53.0)
pyogenic granuloma (L98.0)
relapsing panniculitis [Weber-Christian] (M35.6)
viral warts (B07.-)
zoster (B02.-)
L08.0 Pyoderma Purulent dermatitis Septic dermatitis Suppurative dermatitis
Excludes1: pyoderma gangrenosum (L88) pyoderma vegetans (L08.81)
L12 Pemphigoid
Excludes1: herpes gestationis (O26.4-) impetigo herpetiformis (L40.1)
L12.0 Bullous pemphigoid
L12.1 Cicatricial pemphigoid Benign mucous membrane pemphigoid
L12.2 Chronic bullous disease of childhood Juvenile dermatitis herpetiformis
L12.3 Acquired epidermolysis bullosa
Excludes1: epidermolysis bullosa (congenital) (Q81.-)
L12.30 Acquired epidermolysis bullosa, unspecified
L12.31 Epidermolysis bullosa due to drug
Code first (T36-T50) to identify drug
L12.35 Other acquired epidermolysis bullosa
L12.8 Other pemphigoid
L12.9 Pemphigoid, unspecified
L13 Other bullous disorders
L13.0 Dermatitis herpetiformis Duhring’s disease
Hydroa herpetiformis
Excludes1: juvenile dermatitis herpetiformis (L12.2) senile dermatitis herpetiformis (L12.0)
L13.1 Subcorneal pustular dermatitis Sneddon-Wilkinson disease
L13.8 Other specified bullous disorders
L13.9 Bullous disorder, unspecified Dermatitis and eczema (L20-L30)
Note: In this block the terms dermatitis and eczema are used synonymously and interchangeably.
Excludes2: chronic (childhood) granulomatous disease (D71)
dermatitis gangrenosa (L88)
dermatitis herpetiformis (L13.0)
dry skin dermatitis (L85.3)
factitial dermatitis (L98.1)
perioral dermatitis (L71.0)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59) stasis dermatitis (I83.1-I83.2)
L20 Atopic dermatitis
L20.0 Besnier’s prurigo
L20.8 Other atopic dermatitis
Excludes2: circumscribed neurodermatitis (L28.0)
L20.81 Atopic neurodermatitis Diffuse neurodermatitis
L20.82 Flexural eczema
L20.83 Infantile (acute) (chronic) eczema
L20.84 Intrinsic (allergic) eczema
L20.89 Other atopic dermatitis
L20.9 Atopic dermatitis, unspecified
L21 Seborrheic dermatitis
Excludes2: infective dermatitis (L30.3)
seborrheic keratosis (L82.-)
L21.0 Seborrhea capitis Cradle cap
L21.1 Seborrheic infantile dermatitis
L21.8 Other seborrheic dermatitis
L21.9 Seborrheic dermatitis, unspecified
Seborrhea NOS
L22 Diaper dermatitis
Includes: Diaper erythema
Diaper rash
Psoriasiform diaper rash
L23 Allergic contact dermatitis
Code first (T36-T65), to identify drug or substance
Excludes1: allergy NOS (T78.40)
contact dermatitis NOS (L25.9)
dermatitis NOS (L30.9)
Excludes2: dermatitis due to substances taken internally (L27.-)
dermatitis of eyelid (H01.1-)
diaper dermatitis (L22)
eczema of external ear (H60.5-)
irritant contact dermatitis (L24.-)
perioral dermatitis (L71.0)
radiation-related disorders of the skin and subcutaneous tissue (L55- L59)
L23.0 Allergic contact dermatitis due to metals
Allergic contact dermatitis due to chromium
Allergic contact dermatitis due to nickel
L23.1 Allergic contact dermatitis due to adhesives
L23.2 Allergic contact dermatitis due to cosmetics
L23.3 Allergic contact dermatitis due to drugs in contact with skin
Excludes2: dermatitis due to ingested drugs and medicaments (L27.0- L27.1)
L23.4 Allergic contact dermatitis due to dyes
L23.5 Allergic contact dermatitis due to other chemical products
Allergic contact dermatitis due to cement
Allergic contact dermatitis due to insecticide
Allergic contact dermatitis due to plastic
Allergic contact dermatitis due to rubber
L23.6 Allergic contact dermatitis due to food in contact with the skin
Excludes2: dermatitis due to ingested food (L27.2)
L23.7 Allergic contact dermatitis due to plants, except food
Excludes2: allergy NOS due to pollen (J30.1)
L23.8 Allergic contact dermatitis due to other agents
L23.81 Allergic contact dermatitis due to animal (cat) (dog) dander
Allergic contact dermatitis due to animal (cat) (dog) hair
L23.89 Allergic contact dermatitis due to other agents
L23.9 Allergic contact dermatitis, unspecified cause
Allergic contact eczema NOS
L24 Irritant contact dermatitis
Code first (T36-T65) to identify drug or substance
Excludes1: allergy NOS (T78.40)
contact dermatitis NOS (L25.9)
dermatitis NOS (L30.9)
Excludes2: allergic contact dermatitis (L23.-)
dermatitis due to substances taken internally (L27.-)
dermatitis of eyelid (H01.1-)
diaper dermatitis (L22)
eczema of external ear (H60.5-)
perioral dermatitis (L71.0)
radiation-related disorders of the skin and subcutaneous tissue (L55- L59)
L24.0 Irritant contact dermatitis due to detergents
L24.1 Irritant contact dermatitis due to oils and greases
L24.2 Irritant contact dermatitis due to solvents
Irritant contact dermatitis due to chlorocompound
Irritant contact dermatitis due to cyclohexane
Irritant contact dermatitis due to ester
Irritant contact dermatitis due to glycol
Irritant contact dermatitis due to hydrocarbon
Irritant contact dermatitis due to ketone
L24.3 Irritant contact dermatitis due to cosmetics
L24.4 Irritant contact dermatitis due to drugs in contact with skin
L24.5 Irritant contact dermatitis due to other chemical products
Irritant contact dermatitis due to cement
Irritant contact dermatitis due to insecticide
Irritant contact dermatitis due to plastic
Irritant contact dermatitis due to rubber
L24.6 Irritant contact dermatitis due to food in contact with skin
Excludes2: dermatitis due to ingested food (L27.2)
L24.7 Irritant contact dermatitis due to plants, except food
Excludes2: allergy NOS to pollen (J30.1)
L24.8 Irritant contact dermatitis due to other agents
L24.81 Irritant contact dermatitis due to metals
Irritant contact dermatitis due to chromium
Irritant contact dermatitis due to nickel
L24.89 Irritant contact dermatitis due to other agents Irritant contact dermatitis due to dyes
L24.9 Irritant contact dermatitis, unspecified cause Irritant contact eczema NOS
L25 Unspecified contact dermatitis
Code first (T36-T65), to identify drug or substance
Excludes1: allergic contact dermatitis (L23.-)
allergy NOS (T78.40)
dermatitis NOS (L30.9)
irritant contact dermatitis (L24.-)
Excludes2: dermatitis due to ingested substances (L27.-)
dermatitis of eyelid (H01.1-)
eczema of external ear (H60.5-)
perioral dermatitis (L71.0)
radiation-related disorders of the skin and subcutaneous tissue (L55- L59)
L25.0 Unspecified contact dermatitis due to cosmetics
L25.1 Unspecified contact dermatitis due to drugs in contact with skin
Excludes2: dermatitis due to ingested drugs and medicaments (L27.0- L27.1)
L25.2 Unspecified contact dermatitis due to dyes
L25.3 Unspecified contact dermatitis due to other chemical products
Unspecified contact dermatitis due to cement
Unspecified contact dermatitis due to insecticide
L25.4 Unspecified contact dermatitis due to food in contact with skin
Excludes2: dermatitis due to ingested food (L27.2)
L25.5 Unspecified contact dermatitis due to plants, except food
Excludes1: nettle rash (L50.9)
Excludes2: allergy NOS due to pollen (J30.1)
L25.8 Unspecified contact dermatitis due to other agents
L25.9 Unspecified contact dermatitis, unspecified cause
Contact dermatitis (occupational) NOS
Contact eczema (occupational) NOS