Most Intra-operative & Post- procedural complications are included in Chapter 17 – Injury and Poisoning.

Anemia, document:

• Nutritional, specify:
  – Iron deficiency
  – Vitamin B12 deficiency
  – Folate deficiency (dietary or drug-induced)
  – Other (protein, megaloblastic)
• Hemolytic, specify:
  – Due to enzyme disorders
  – Sickle-cell disorders
  – Other hereditary or acquired
• Aplastic
• In other chronic diseases (specify the underlying disease)

Spleen document Intra-operative & Post-procedural complications, specify:

• Intra-operative (during) or Post-procedural (following)
• Hemorrhage, hematoma, accidental puncture or accidental laceration of the spleen
• Procedure on the spleen or other procedure

Intra-operative & Post-procedural complications are also included in other chapters based on specific site/system documentation.

Diabetes: Distinguished as “Uncontrolled” or “Not stated as uncontrolled”.

Diabetes, document:

• Type 1 diabetes mellitus
• Type 2 diabetes mellitus (default, if not specified)
• Drug or chemically induced diabetes mellitus
• Secondary diabetes mellitus (specify the cause)
• Specify complication(s), when applicable
• Specify use of insulin, when applicable

Obesity, document:

• Due to excess calories
• Drug-induced
• Identify body mass index

Diabetes: Distinguished as “With complications” or “Without complications”.
Gestational diabetes (in pregnancy) is reported in Chapter 15.