Klinik für Unfallchirurgie und Orthopädie

Illnesses according to ICD

Service ICD number Number of cases Info
Intracranial injury S06.0 433
Fracture of femur S72.01 86
Fracture of forearm S52.51 82
Other intervertebral disc disorders M51.1 73
Other spondylopathies M48.06 65
Superficial injury of abdomen lower back and pelvis S30.0 60
Dorsalgia M54.4 55
Fracture of forearm S52.50 50
Fracture of femur S72.10 47
Fracture of lower leg including ankle S82.6 47
Fracture of lower leg including ankle S82.82 47
Gonarthrosis arthrosis of knee M17.1 46
Fracture of shoulder and upper arm S42.20 46
Other intervertebral disc disorders M51.2 41
Complications of internal orthopaedic prosthetic devices implants and grafts T84.04 41
Dorsalgia - Low back pain M54.5 38
Superficial injury of head S00.85 37
Coxarthrosis arthrosis of hip M16.1 32
Dislocation sprain and strain of joints and ligaments at neck level S13.4 31
Coxarthrosis arthrosis of hip - Osteoarthritis of hip unspecified M16.9 29
Fracture of lower leg including ankle S82.18 29
Fracture of lumbar spine and pelvis S32.01 28
Osteoporosis with pathological fracture M80.08 27
Gonarthrosis arthrosis of knee - Osteoarthritis of knee unspecified M17.9 25
Intracranial injury S06.6 25
Superficial injury of thorax S20.2 25
Intracranial injury S06.5 24
Fracture of ribs sternum and thoracic spine S22.06 24
Fracture of shoulder and upper arm S42.02 24
Fracture of shoulder and upper arm S42.21 24
Superficial injury of hip and thigh S70.0 23
Acquired deformities of fingers and toes M20.1 22
Fracture of forearm S52.01 22
Fracture of lumbar spine and pelvis S32.5 21
Fracture of ribs sternum and thoracic spine S22.42 20
Fracture of femur S72.11 20
Erysipelas A46 19
Cellulitis L03.10 19
Superficial injury of head S00.05 19
Fracture of ribs sternum and thoracic spine S22.44 19
Fracture of shoulder and upper arm S42.03 19
Fracture of shoulder and upper arm S42.3 19
Injury of muscle and tendon at lower leg level S86.0 19
Fracture of foot except ankle S92.3 19
Fracture of forearm S52.11 18
Fracture of forearm S52.6 18
Fracture of femur S72.3 18
Cervical disc disorders M50.1 16
Fracture of ribs sternum and thoracic spine S22.43 16
Fracture of lumbar spine and pelvis S32.1 16
Fracture of foot except ankle S92.0 16
Fracture of femur S72.2 15
Superficial injury of lower leg S80.1 14
Superficial injury of lower leg S80.0 13
Fracture of lower leg including ankle S82.21 13
Cellulitis L03.11 12
Fracture of shoulder and upper arm S42.29 12
Fracture of lower leg including ankle S82.81 12
Arthrosis of first carpometacarpal joint M18.1 11
Fracture of lumbar spine and pelvis S32.02 11
Fracture of lumbar spine and pelvis S32.03 11
Spread metastasis of cancer in otherwise unspecified areas of the body C79.5 10
Fracture of lower leg including ankle S82.0 10
Dorsalgia - Cervicalgia M54.2 9
Fracture of skull and facial bones S02.3 9
Intracranial injury S06.8 9
Fracture of ribs sternum and thoracic spine S22.32 9
Superficial injury of abdomen lower back and pelvis S30.1 9
Fracture of lumbar spine and pelvis S32.4 9
Fracture of forearm S52.52 9
Pyogenic arthritis unspecified M00.96 8
Superficial injury of head S00.95 8
S02.48 8
Open wound of lower leg S81.0 8
Open wound of lower leg S81.80 8
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.2 8
Other spondylopathies - Spinal stenosis cervical region M48.02 7
Dorsalgia - Radiculopathy lumbar region M54.16 7
Fracture of skull and facial bones S02.1 7
Fracture of neck S12.1 7
Injury of other and unspecified intrathoracic organs S27.0 7
Dislocation sprain and strain of joints and ligaments of shoulder girdle S43.1 7
Injury of muscle and tendon at shoulder and upper arm level S46.2 7
Fracture of femur S72.40 7
Fracture of lower leg including ankle S82.11 7
Dislocation sprain and strain of joints and ligaments of knee S83.6 7
Cervical disc disorders M50.0 6
Soft tissue disorders related to use overuse and pressure M70.2 6
Shoulder lesions M75.1 6
Superficial injury of shoulder and upper arm S40.0 6
Fracture of shoulder and upper arm S42.24 6
Dislocation sprain and strain of joints and ligaments of shoulder girdle S43.01 6
Injury of muscle and tendon at shoulder and upper arm level S46.0 6
Fracture of lower leg including ankle S82.28 6
Fracture of lower leg including ankle S82.31 6
Complications of procedures not elsewhere classified T81.8 6
Fibroblastic disorders - Palmar fascial fibromatosis Dupuytren M72.0 5
Osteoporosis with pathological fracture M80.05 5
Osteoporosis with pathological fracture M80.88 5
Disorders of continuity of bone M84.15 5
Disorders of continuity of bone M84.48 5
Inflammation of the bone and bone marrow osteomyelitis M86.46 5
Fracture of skull and facial bones S02.2 5
Dislocation sprain and strain of joints and ligaments of elbow S53.10 5
Dislocation sprain and strain of joints and ligaments of elbow S53.18 5
Fracture of lower leg including ankle S82.88 5
Complications of other internal prosthetic devices implants and grafts T85.72 5
Malignant neoplasm of prostate C61 4
Pneumonia organism unspecified - Lobar pneumonia unspecified organism J18.1 4
Pyogenic arthritis M00.06 4
Other joint disorders not elsewhere classified M25.55 4
Other inflammatory spondylopathies - Discitis unspecified lumbar region M46.46 4
Cervical disc disorders M50.2 4
Shoulder lesions M75.4 4
Other soft tissue disorders not elsewhere classified M79.65 4
Osteoporosis with pathological fracture M80.98 4
Fracture of ribs sternum and thoracic spine S22.03 4
Fracture of lumbar spine and pelvis S32.04 4
Fracture of shoulder and upper arm S42.01 4
Fracture of shoulder and upper arm S42.45 4
Fracture of forearm S52.20 4
Fracture of femur S72.08 4
Fracture of femur S72.43 4
Dislocation sprain and strain of joint and ligaments of hip S73.00 4
Injury of muscle and tendon at hip and thigh level S76.1 4
Fracture of lower leg including ankle S82.38 4
Open wound of ankle and foot S91.3 4
Diarrhoea and gastroenteritis of presumed infectious origin A09.0 not specified
Other septicaemia A41.0 not specified
Bacterial infection of unspecified site - Streptococcal infection unspecified site A49.1 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of tail of pancreas C25.2 not specified
Malignant neoplasm of bronchus and lung C34.1 not specified
Other malignant neoplasms of skin C44.4 not specified
Malignant neoplasm of peripheral nerves and autonomic nervous system C47.1 not specified
Malignant neoplasm of breast C50.9 not specified
Malignant neoplasm of spinal cord cranial nerves and other parts of central nervous system - Malignant neoplasm of cauda equina C72.1 not specified
Spread metastasis of cancer in otherwise unspecified areas of the body - Secondary malignant neoplasm of skin C79.2 not specified
Multiple myeloma and malignant plasma cell neoplasms - Multiple myeloma not having achieved remission C90.00 not specified
Monocytic leukaemia - Chronic myelomonocytic leukemia not having achieved remission C93.10 not specified
Melanocytic naevi - Melanocytic nevi of lip D22.0 not specified
Melanocytic naevi D22.3 not specified
Benign neoplasm of meninges - Benign neoplasm of spinal meninges D32.1 not specified
Neoplasm of uncertain or unknown behaviour of brain and central nervous system D43.7 not specified
Neoplasm of uncertain or unknown behaviour of other and unspecified sites - Neoplasm of uncertain behavior of bone and articular cartilage D48.0 not specified
Neoplasm of uncertain or unknown behaviour of other and unspecified sites - Neoplasm of uncertain behavior of connective and other soft tissue D48.1 not specified
Drug-induced aplastic anemia D61.19 not specified
Diabetes = type 1 diabetes mellitus insulin dependent from the start E10.75 not specified
Cushing syndrome - Pituitary-dependent Cushings disease E24.0 not specified
Volume depletion E86 not specified
Other disorders of fluid electrolyte and acid-base balance - Hypo-osmolality and hyponatremia E87.1 not specified
Delirium not induced by alcohol and other psychoactive substances F05.1 not specified
Encephalitis myelitis and encephalomyelitis G04.8 not specified
Intracranial and intraspinal abscess and granuloma - Intraspinal abscess and granuloma G06.1 not specified
Parkinson disease G20.11 not specified
Epilepsy G40.3 not specified
Mononeuropathies of upper limb G56.0 not specified
Mononeuropathies of upper limb G56.2 not specified
Mononeuropathies of upper limb G56.3 not specified
Other mononeuropathies - Intercostal neuropathy G58.0 not specified
Other polyneuropathies G62.88 not specified
Disorders of orbit H05.2 not specified
Disorders of vestibular function H81.1 not specified
Left ventricular failure unspecified I50.14 not specified
Other nontraumatic intracranial haemorrhage - Nontraumatic subacute subdural hemorrhage I62.02 not specified
Cerebral infarction I63.4 not specified
Other peripheral vascular diseases I73.0 not specified
Hypotension - Orthostatic hypotension I95.1 not specified
Respiratory conditions due to inhalation of chemicals gases fumes and vapours - Bronchitis and pneumonitis due to chemicals gases fumes and vapors J68.0 not specified
Pneumonitis due to solids and liquids - Pneumonitis due to inhalation of food and vomit J69.0 not specified
Postprocedural respiratory disorders not elsewhere classified J95.80 not specified
Gastritis and duodenitis K29.6 not specified
Paralytic ileus and intestinal obstruction without hernia K56.5 not specified
Other functional intestinal disorders - Other constipation K59.09 not specified
Other diseases of anus and rectum - Rectal prolapse K62.3 not specified
Other disorders of peritoneum - Hemoperitoneum K66.1 not specified
Cutaneous abscess furuncle and carbuncle L02.2 not specified
Cutaneous abscess furuncle and carbuncle L02.3 not specified
Cutaneous abscess furuncle and carbuncle L02.4 not specified
Cellulitis L03.01 not specified
Cellulitis L03.02 not specified
Acute lymphadenitis - Acute lymphadenitis of upper limb L04.2 not specified
Other local infections of skin and subcutaneous tissue L08.8 not specified
Atrophic disorders of skin - Scar conditions and fibrosis of skin L90.5 not specified
Pyogenic arthritis M00.01 not specified
Pyogenic arthritis M00.05 not specified
Pyogenic arthritis M00.07 not specified
Pyogenic arthritis - Staphylococcal arthritis vertebrae M00.08 not specified
Pyogenic arthritis M00.26 not specified
Pyogenic arthritis M00.87 not specified
Pyogenic arthritis unspecified M00.91 not specified
Inflammatory polyarthropathy M06.43 not specified
Gout M10.06 not specified
Gout M10.07 not specified
Gout unspecified M10.96 not specified
Other arthritis M13.15 not specified
Other arthritis M13.17 not specified
Coxarthrosis arthrosis of hip - Bilateral primary osteoarthritis of hip M16.0 not specified
Coxarthrosis arthrosis of hip M16.3 not specified
Coxarthrosis arthrosis of hip - Other unilateral secondary osteoarthritis of hip M16.7 not specified
Gonarthrosis arthrosis of knee M17.3 not specified
Other arthrosis M19.13 not specified
Other arthrosis M19.81 not specified
Other arthrosis - Primary osteoarthritis unspecified site M19.91 not specified
Acquired deformities of fingers and toes M20.2 not specified
Acquired deformities of fingers and toes M20.3 not specified
Disorders of patella M22.0 not specified
Internal derangement of knee M23.31 not specified
Internal derangement of knee M23.32 not specified
Internal derangement of knee M23.33 not specified
Internal derangement of knee M23.89 not specified
Other specific joint derangements M24.02 not specified
Other specific joint derangements M24.41 not specified
Other specific joint derangements M24.66 not specified
Other joint disorders not elsewhere classified M25.46 not specified
Spinal osteochondrosis - Adult osteochondrosis of spine lumbar region M42.16 not specified
Other deforming dorsopathies - Spondylolisthesis lumbar region M43.16 not specified
Other inflammatory spondylopathies - Discitis unspecified cervical region M46.42 not specified
Other inflammatory spondylopathies - Discitis unspecified thoracic region M46.44 not specified
Other inflammatory spondylopathies - Discitis unspecified thoracolumbar region M46.45 not specified
Other inflammatory spondylopathies - Discitis unspecified lumbosacral region M46.47 not specified
Other inflammatory spondylopathies - Other specified inflammatory spondylopathies lumbar region M46.86 not specified
Spondylosis - Other spondylosis with radiculopathy lumbar region M47.26 not specified
Other spondylopathies - Spinal stenosis site unspecified M48.00 not specified
Other spondylopathies - Spinal stenosis thoracic region M48.04 not specified
Other dorsopathies not elsewhere classified - Sacrococcygeal disorders not elsewhere classified M53.3 not specified
Dorsalgia - Radiculopathy thoracic region M54.14 not specified
Dorsalgia - Pain in thoracic spine M54.6 not specified
Dorsalgia M54.85 not specified
Dorsalgia unspecified M54.94 not specified
Inflammation of the muscles myositis M60.05 not specified
Other disorders of muscle M62.86 not specified
Other disorders of muscle M62.88 not specified
Synovitis and tenosynovitis M65.86 not specified
Spontaneous rupture of synovium and tendon M66.24 not specified
Spontaneous rupture of synovium and tendon M66.32 not specified
Soft tissue disorders related to use overuse and pressure M70.4 not specified
Soft tissue disorders related to use overuse and pressure M70.5 not specified
Soft tissue disorders related to use overuse and pressure M70.6 not specified
Other bursopathies M71.02 not specified
Other bursopathies M71.12 not specified
Other bursopathies M71.16 not specified
Other bursopathies - Other bursal cyst other site M71.38 not specified
Necrotizing fasciitis M72.66 not specified
Necrotizing fasciitis M72.67 not specified
Shoulder lesions M75.2 not specified
Shoulder lesions M75.5 not specified
Shoulder lesions M75.6 not specified
Other enthesopathies M77.1 not specified
Other enthesopathies M77.4 not specified
Residual foreign body in soft tissue M79.52 not specified
Other soft tissue disorders not elsewhere classified M79.60 not specified
Other soft tissue disorders not elsewhere classified M79.69 not specified
Other soft tissue disorders not elsewhere classified M79.85 not specified
Other soft tissue disorders not elsewhere classified M79.86 not specified
Osteoporosis with pathological fracture M80.07 not specified
Osteoporosis with pathological fracture M80.40 not specified
Osteoporosis with pathological fracture M80.45 not specified
Osteoporosis with pathological fracture M80.48 not specified
Osteoporosis with pathological fracture M80.85 not specified
Osteoporosis without pathological fracture M81.40 not specified
Disorders of continuity of bone M84.11 not specified
Disorders of continuity of bone M84.12 not specified
Disorders of continuity of bone M84.13 not specified
Disorders of continuity of bone M84.14 not specified
Disorders of continuity of bone M84.16 not specified
Disorders of continuity of bone M84.22 not specified
Disorders of continuity of bone M84.26 not specified
Disorders of continuity of bone M84.40 not specified
Disorders of continuity of bone M84.42 not specified
Disorders of continuity of bone M84.45 not specified
Other disorders of bone density and structure - Hyperostosis of skull M85.2 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.05 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.16 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.24 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.27 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.42 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.45 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.47 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.66 not specified
Osteomyelitis unspecified M86.97 not specified
Osteonecrosis M87.05 not specified
Osteonecrosis unspecified M87.95 not specified
Other disorders of bone M89.85 not specified
Chronic renal failure - Chronic kidney disease stage 4 severe N18.4 not specified
Other disorders of urinary system - Urinary tract infection site not specified N39.0 not specified
Gangrene not elsewhere classified R02.06 not specified
Gangrene not elsewhere classified R02.07 not specified
Pain in throat and chest - Chest pain on breathing R07.1 not specified
Pain in throat and chest - Precordial pain R07.2 not specified
Pain in throat and chest R07.3 not specified
Other symptoms and signs involving the circulatory and respiratory systems - Pleurisy R09.1 not specified
Nausea and vomiting R11 not specified
Abnormalities of gait and mobility R26.8 not specified
Syncope and collapse R55 not specified
Superficial injury of head S00.1 not specified
Open wound of head S01.80 not specified
S02.41 not specified
S02.42 not specified
Fracture of skull and facial bones S02.68 not specified
Fracture of skull and facial bones S02.8 not specified
Dislocation sprain and strain of joints and ligaments of head S03.4 not specified
Injury of eye and orbit S05.1 not specified
Injury of eye and orbit S05.8 not specified
Intracranial injury S06.20 not specified
Intracranial injury S06.21 not specified
Intracranial injury S06.33 not specified
Intracranial injury S06.4 not specified
Superficial injury of neck S10.85 not specified
Fracture of neck S12.0 not specified
Fracture of neck S12.21 not specified
Fracture of neck S12.23 not specified
Fracture of neck S12.24 not specified
Fracture of neck S12.25 not specified
Dislocation sprain and strain of joints and ligaments at neck level S13.0 not specified
Injury of nerves and spinal cord at neck level S14.13 not specified
Injury of muscle and tendon at neck level S16 not specified
Open wound of thorax S21.1 not specified
Fracture of ribs sternum and thoracic spine S22.02 not specified
Fracture of ribs sternum and thoracic spine S22.04 not specified
Fracture of ribs sternum and thoracic spine S22.05 not specified
Fracture of ribs sternum and thoracic spine S22.20 not specified
Fracture of ribs sternum and thoracic spine S22.22 not specified
Fracture of ribs sternum and thoracic spine S22.31 not specified
Injury of blood vessels of thorax S25.5 not specified
Injury of other and unspecified intrathoracic organs S27.1 not specified
Injury of other and unspecified intrathoracic organs S27.2 not specified
Injury of other and unspecified intrathoracic organs S27.31 not specified
Fracture of lumbar spine and pelvis S32.05 not specified
Fracture of lumbar spine and pelvis S32.2 not specified
Fracture of lumbar spine and pelvis S32.3 not specified
Injury of urinary and pelvic organs S37.01 not specified
Open wound of shoulder and upper arm S41.1 not specified
Open wound of shoulder and upper arm S41.80 not specified
Fracture of shoulder and upper arm S42.12 not specified
Fracture of shoulder and upper arm S42.14 not specified
Fracture of shoulder and upper arm S42.22 not specified
Fracture of shoulder and upper arm S42.23 not specified
Fracture of shoulder and upper arm S42.40 not specified
Fracture of shoulder and upper arm S42.41 not specified
Fracture of shoulder and upper arm S42.49 not specified
Dislocation sprain and strain of joints and ligaments of shoulder girdle S43.00 not specified
Dislocation sprain and strain of joints and ligaments of shoulder girdle S43.02 not specified
Dislocation sprain and strain of joints and ligaments of shoulder girdle S43.4 not specified
Dislocation sprain and strain of joints and ligaments of shoulder girdle S43.5 not specified
Superficial injury of forearm S50.1 not specified
Open wound of forearm S51.0 not specified
Open wound of forearm S51.80 not specified
Fracture of forearm S52.21 not specified
Fracture of forearm S52.30 not specified
Fracture of forearm S52.4 not specified
Fracture of forearm S52.59 not specified
Fracture of forearm S52.8 not specified
Dislocation sprain and strain of joints and ligaments of elbow S53.41 not specified
Injury of muscle and tendon at forearm level S56.2 not specified
Injury of muscle and tendon at forearm level S56.8 not specified
Superficial injury of wrist and hand S60.0 not specified
Superficial injury of wrist and hand S60.2 not specified
Open wound of wrist and hand S61.0 not specified
Open wound of wrist and hand S61.80 not specified
Fracture at wrist and hand level S62.17 not specified
Fracture at wrist and hand level S62.21 not specified
Fracture at wrist and hand level S62.30 not specified
Fracture at wrist and hand level S62.31 not specified
Fracture at wrist and hand level S62.32 not specified
Fracture at wrist and hand level S62.61 not specified
Dislocation sprain and strain of joints and ligaments at wrist and hand level S63.50 not specified
Injury of nerves at wrist and hand level S64.4 not specified
Injury of muscle and tendon at wrist and hand level S66.0 not specified
Injury of muscle and tendon at wrist and hand level S66.1 not specified
Injury of muscle and tendon at wrist and hand level S66.9 not specified
Crushing injury of wrist and hand S67.8 not specified
Superficial injury of hip and thigh S70.1 not specified
Open wound of hip and thigh S71.1 not specified
Fracture of femur S72.03 not specified
Fracture of femur S72.44 not specified
Injury of muscle and tendon at hip and thigh level S76.3 not specified
Injury of muscle and tendon at hip and thigh level S76.4 not specified
Superficial injury of lower leg S80.88 not specified
Fracture of lower leg including ankle S82.40 not specified
Fracture of lower leg including ankle S82.41 not specified
Fracture of lower leg including ankle S82.5 not specified
Dislocation sprain and strain of joints and ligaments of knee S83.0 not specified
Dislocation sprain and strain of joints and ligaments of knee S83.10 not specified
Dislocation sprain and strain of joints and ligaments of knee S83.2 not specified
Dislocation sprain and strain of joints and ligaments of knee S83.44 not specified
Dislocation sprain and strain of joints and ligaments of knee S83.53 not specified
Dislocation sprain and strain of joints and ligaments of knee S83.54 not specified
Injury of muscle and tendon at lower leg level S86.9 not specified
Superficial injury of ankle and foot S90.0 not specified
Superficial injury of ankle and foot S90.3 not specified
Fracture of foot except ankle S92.1 not specified
Fracture of foot except ankle S92.21 not specified
Fracture of foot except ankle S92.23 not specified
Fracture of foot except ankle S92.4 not specified
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.0 not specified
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.11 not specified
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.30 not specified
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.40 not specified
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.43 not specified
Burn and corrosion of trunk T21.22 not specified
Burn and corrosion of trunk T21.24 not specified
Burn and corrosion of hip and lower limb except ankle and foot T24.61 not specified
Poisoning by nonopioid analgesics antipyretics and antirheumatics T39.3 not specified
Asphyxiation T71 not specified
Effects of other external causes T75.4 not specified
Certain early complications of trauma not elsewhere classified T79.3 not specified
Certain early complications of trauma not elsewhere classified T79.62 not specified
Complications of procedures not elsewhere classified T81.0 not specified
Complications of procedures not elsewhere classified T81.3 not specified
Complications of procedures not elsewhere classified T81.4 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.05 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.11 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.12 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.14 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.16 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.20 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.4 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.5 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.7 not specified
Complications of other internal prosthetic devices implants and grafts T85.1 not specified
Examination and observation for other reasons - Encounter for examination and observation following transport accident Z04.1 not specified
Prophylactic surgery - Encounter for other prophylactic surgery Z40.8 not specified