4: Short Description: Foot & mouth disease: Long Description:Coxsackievirus 16 (CA16) is one of the major pathogens associated with hand, foot, and mouth disease (HFMD) in infants and young children. It causes a blister-like rash that, as the name implies, involves the hands, feet and mouth. Hand, foot, and mouth disease (HFMD) spreads easily through: Person-to-person contact. Hand foot and mouth disease; Hand, foot and mouth disease. They usually appear on the tongue, gum and inside of the cheeks. M89. 9 - other international versions of ICD-10 M86. Diffuse mucous membrane involvement. [convert to ICD-9-CM]decreased appetite. ) How it is spread. Sharing of eating utensils or personal belongings. Choroba dłoni, stóp i jamy ustnej (HFMD, z ang. ICD-11 (foundation) 1726890736. IASR 2004;25(9):224 -5. Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified (B08) Enteroviral vesicular stomatitis with exanthem (B08. Coxsackievirus A type 16 (CVA16) is the etiologic agent involved in most cases of HFMD, but the illness is also associated with coxsackievirus A5, A7, A9, A10, B2, and B5 strains. HFMD Symptoms. an incurable disease of the immune system caused by a virus. Short description: Personal history of diseases of the ms sys and conn tiss The 2024 edition of ICD-10-CM Z87. It usually clears up by itself in 7 to 10 days. 2008 Second Asia International Conference on Modelling &. 6. HCC Plus. Here, we report a case of an adult patient with pre-existing eczema who presented with hand, foot, and mouth disease and atypical lesions distributed in areas of. The viruses spread from the infected person to another by. 006. 0Hand-foot-and-mouth disease often causes a rash of painful, blister-like lesions on the soles of the feet. Hand-foot-mouth disease (HFMD) is a common viral illness that usually affects infants and children younger than 5 years old. Hand, foot, and mouth disease (HFMD) is a viral infection caused by enteroviruses. Epidemiologic features of hand-foot-mouth disease and herpangina caused by enterovirus 71 in Taiwan, 1998-2005. K13. Zoster without complications. K13. 4. It may be on the sides of the tongue, inside the cheeks, and on the gums. 074. It is estimated that 10-15 million symptomatic infections occur annually in the U. Hand, foot and mouth disease (HFMD) is a prevalent infection among children in East and Southeast Asia caused by a group of human enteroviruses from the family Picornaviridae. Hand, foot, and mouth disease. 4 Enteroviral vesicular stomatitis with. It is generally a mild disease that lasts 7 to 10 days. ICD-9 Index; Chapter: 001–139; Section: 070-079;. So, it could be the flu or a flu-like virus that has sickened many of the students at the early grade levels, including the kindergartener that. Background. The rash of hand foot and mouth disease. K13. لا يوجد علاج محدد لمرض اليد والقدم والفم. 3 should only be used for claims with a date of service on or before September 30, 2015. Höstblåsor kallas på engelska ”Hand, foot and mouth disease” och förväxlas därför ibland med veterinärsjukdomen mul- och klövsjuka, som orsakas av ett helt annat virus. Abstract. Last Reviewed: May 11, 2023. [3] Broccolo F, Drago F, Ciccarese G, et al. After a day or two, you might see small painful sores (ulcers) on the throat and tonsils and a rash of very small blisters or red spots on the hands, feet and diaper area. The ICD-10 code for hand, foot, and mouth disease is B08. The rash of spots can look pink, red, or darker than. 849 is grouped within Diagnostic Related Group(s). This rash may occur on the palms and fingers of the hands, on the bottom of the feet, or on the buttocks. Infectious Agents Surveillance Report. Showing 276-300: ICD-10-CM Diagnosis Code M25. Pathological fracture in oth disease, right hand, init. , Tiing S. HFMD can also involve the hands, feet, buttocks, and/or genitalia. However, the association between socioeconomic factors and meteorological factors on HFMD is still unclear. 2019;26(1):75. พญ. Hand, foot, and mouth disease spreads through close personal contact, such as kissing or hugging, coughing and sneezing. Hand, foot and mouth disease (HFMD) is caused by a virus (usually from the coxsackie group of enteroviruses, particularly coxsackie virus A16). Health & Medicine. 9 may differ. Because HFMD is most commonly found in infants, young children, or school-age children under the age of five, outbreaks are. 4) cases were defined and classified clinically as: 1) mild: having papulovesicular rashes on the palms and soles, and multiple oral (mouth/tongue) ulcers,. Enterovirus 71 infection is associated with more severe infections that may involve the heart, lungs, and can also cause inflammation of the lining of the brain (. The main causative pathogens for HFMD are the enterovirus Coxsackievirus A16 and enterovirus 71 [1, 2]. 4 is a billable/specific code for hand, foot and mouth disease, a mild viral infection of children caused by coxsackieviruses. Mass of joint of hand; ICD-10-CM M25. Superficial foreign body of hand. Image 2. 3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 074. It is caused by a group of enteroviruses, most frequently Coxsackie A16 and Enterovirus-A71 (EV-A71). These viruses are a member of the picornaviruses belonging to the Picornaviridae family which includes non-enveloped single-stranded RNA viruses. 57. ส่วนแสดงผล. Crankiness. Hand-foot-and-mouth disease merupakan salah satu penyakit infeksi akut, disebabkan enterovirus nonpolio yang biasanya bersifat ringan dan swasirna. B08. The 2024 edition of ICD-10-CM B37. You the reader assume full responsibility for how you choose to use it. Pathological fracture in other disease, left foot, subsequent encounter for fracture with nonunion Path fracture in oth disease , l foot , subs for fx w nonunion ICD-10-CM Diagnosis Code M84. M72. Hand-foot-mouth disease is diagnosed by anamnesis such as contact history, clinical symptoms, and virus identification. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). This was the first year ICD-10-CM was implemented into the HIPAA code set. 3 should only be used for claims with a date of service on or before September 30, 2015. This viral infection is almost always safe and is caused by members of the enterovirus family, which are often more active in late summer. Request an appointment. This document provided a quick explanation of the differences between hand, foot and mouth disease (HFMD) and Monkeypox. 3 should only be used for claims with a date of service on or before September 30, 2015. instance of. Its symptoms include a painful rash on the feet and hands, as well as ulcers in the mouth. They begin as small red spots with blisters and then often become ulcers. sheep, cattle). 39. Diagnosis penyakit tangan, kaki, dan mulut (PTKM) atau hand, foot, and mouth disease (HFMD) didapat dari gambaran bercak atau ruam pada mukosa mulut ( oral exanthem ), lesi makular, makulopapular, atau vesikular pada area predisposisi sesuai nama penyakit. It is characterized by the development of sores or blisters on the hands, feet, and mouth. A general assessment of hydration status: dehydration can be a complication of HFMD due to reduced oral intake. B97. The virus can spread from person-to-person through tiny, air droplets that are released when the. 11 became effective on October 1, 2023. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The illness usually doesn't last more than a week or so. Cases were patients with severe. Type 1 Excludes. Showing 126-150: ICD-10-CM Diagnosis Code M84. Take over-the-counter medications to relieve fever and pain caused by mouth sores. Hand-foot-genital syndrome (HFGS) is characterized by limb malformations and urogenital defects. Penyakit HFMD disebabkan oleh infeksi virus Coxsackie dan Enterovirus. The first signs are usually a high temperature, sore throat and not wanting to eat. Hand Foot Mouth Disease Icd 10 Code. Mouth sores can make it painful to swallow, so your child may not want to drink much. Symptoms of hand, foot, and mouth disease (HFMD) usually include fever, mouth sores, and skin rash. Sjukdomen är inte anmälningspliktig. Icd 10 Hand Foot Mouth Disease: Symptoms, Treatment, and Prevention. In the United States it is more common for people to get HFMD from spring. However, consider seeking advice from an obstetrician if the woman is immunocompromised, or is within 3 weeks of delivery, as investigations to confirm the. [QxMD MEDLINE Link]. 4. Less of an appetite. [Observation on intestinal viral shedding time of hand, foot and mouth disease induced by coxsackievirus A6]. While generally a mild illness, some children will have fever, sore throat and tiredness and blisters which can be uncomfortable. Early symptoms of HFMD include: a high temperature (fever); usually around 38- 39°C (100. 049 [convert to ICD-9-CM] Idiopathic gout, unspecified hand. It mainly occurs in children under 10Hand-foot-and mouth disease (HFMD) is a mild, contagious viral infection of children caused by a group of coxsackieviruses chiefly coxsackievirus A16 and Human enterovirus 71. S. 449. In this blog post, we will explore the symptoms, treatment options, and. For children older than 6 years, give one teaspoon (5 ml) of Maalox or Mylanta as a mouthwash. Infants and children younger than 5 years old are more likely to get this disease. 4 [convert to ICD-9-CM] Enteroviral vesicular stomatitis with exanthem. Hand, foot and mouth disease is a common childhood illness that can affect adults. ICD 10 code for Personal history of other diseases of the musculoskeletal system and connective tissue. However, HFMD cases with severe or. 9 - other international versions of ICD-10 A49. Pathological fracture in oth disease, right hand, init. Penyakit ini sangat menular, ditandai adanya lesi pada mulut serta lesi kulit pada ekstremitas bagian distal. It affects both adults and children, although it is more common in children under the age of 5. sore throat. Coughing or sneezing. 2016;35(10):e285–300. The rash is commonly found on the hands and feet. Cause. Summary. They usually appear on the tongue, gum and inside of the. Epub 2014 Oct 19. 642GPractice Points. The infection may rarely affect adults. several different viruses, people can get the disease more than once. The 2024 edition of ICD-10-CM B02. 4 Enteroviral vesicular stomatitis with exanthem. B08. Introduction. The viruses that cause HFMD can be found in the nose and throat, fluid in the blisters and faeces of an infected person. Initial workup included a rapid antigen streptococcal test, rapid plasma reagin. Authors Yu Yamamoto 1 , Masami Matsumura 2 Affiliations 1 Division of General Medicine, Center for Community Medicine, Jichi Medical University, 3311-1 Yakushiji. After a few days mouth ulcers and a rash will appear. B08. A simple deterministic model for the spread of hand, foot and mouth disease (HFMD) in Sarawak. HFMD is a highly contagious disease that causes fever, cold symptoms, mouth sores, and rashes. 4 is correct though the wording of the code descriptor may seem to focus on the enteroviral stomatitis. Common signs and symptoms include fever, sore throat, tiredness, loss of appetite. The 2024 edition of ICD-10-CM B97. Log in. A monovalent vaccine has been developed in China protecting against enterovirus-71, bivalent vaccines preventing HFMD caused by two viruses are under development. hand, foot and mouth disease [a], czasami błędnie[ potrzebny przypis] zwana chorobą bostońską [1]) – choroba zakaźna, infekcja wywoływana przez grupę wirusów [2]. Medically Reviewed on 5/6/2022. 3 Hand, foot, mouth disease; 075 Mononucleosis; 076 Trachoma; 077 Other diseases of conjunctiva. Lips, gingiva, buccal mucosa, tongue, pharynx. Some. The virus starts with symptoms that are similar to the common cold, but it then produces tiny blisters. Hand-foot syndrome (HFS), or palmar-plantar erythrodysesthesia, is a skin reaction that affects the palms of your hands and the soles of your feet. Hand, foot and mouth disease. 1016/S1473-3099(14)70976-4. “If a child has typical hand, foot and mouth disease when they’re feeling better, we send them. Nose and throat secretions, such as saliva, drool, or nasal. Sjukdomen är inte anmälningspliktig. Cancer of the floor of. Demam dan Gejala seperti Flu. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Z86. The rash is commonly found on the hands and feet. Hand, foot, and mouth disease (HFMD) is a viral infection caused by human enteroviruses and transmitted through contact with saliva, nasal discharge, blisters, or rashes on the skin of a diseased person. In the past decades, particularly in the Asia-Pacific region, multiple. Hand-foot-and-mouth disease is an illness that causes sores or blisters in or on the mouth and on the hands, feet, and sometimes the buttocks and legs. Treatment: Topical Cream or Anti-Itch Lotion. Last Reviewed: May 11, 2023. B08. 5 plague (icd 10: a20. Most children have mild symptoms for 7 to 10 days. Hand, foot, and mouth disease. 3 is a legacy non-billable code used to specify a medical diagnosis of hand, foot, and mouth disease. Rash or small blisters on the palms of hands, soles of feet or buttocks. Puenpa J, Wanlapakorn N, Vongpunsawad S, Poovorawan Y. The illness resolved within 10 days of onset, although onychomadesis was seen on both big toes at follow-up 5 weeks later. HFMD is spread from person to person by direct contact with the nasal discharge, saliva, faeces, and fluid from the rash of an. With such epidemic characteristics and potential economic. Hand-foot-and-mouth disease (HFMD) is an acute viral illness that presents as a vesicular eruption in the mouth. B95. Symptoms are initiated with mild-to-moderate fever of short duration followed by oral and skin lesions. This code is used to classify and report cases of HFMD in medical records and. Showing 1-25: ICD-10-CM Diagnosis Code B08. Find out the ICD-10-CM codes for HFMD and how to. There is no need to rush your child to. Infection causes a vesicular eruption on the hands, feet, and oral mucosa. In most individuals, infection is asymptomatic or causes only mild symptoms. 62. Our case exemplifies the severe, atypical cases of hand, foot, and mouth disease that have been reported worldwide since. 0 tuberculosis and leprosy 5. Foot and Mouth disease of cattle, sheep and swine is not communicable to man. HFMD is also preventable, especially by practicing good hand hygiene. INTRODUCTION. 07. Hand, Foot, and Mouth Disease B08. Hand foot mouth disease (HFMD) is a common childhood infection that can potentially lead to serious complications. , the most common cause is Coxsackievirus A16. HFMD umumnya diawali dengan demam, nyeri. Pediatr Infect Dis J. 9 became effective on October 1, 2023. 4 is correct though the wording of the code descriptor may seem to focus on the enteroviral stomatitis rather than the exanthum. 078. If the disease is confined to the oral cavity it is almost indistinguishable from primary herpetic gingivostomatitis. B08. Palindromic rheumatism of hand; Palindromic. The symptoms of hand, foot and mouth disease usually develop between 3 and 5 days after being exposed to the infection. Targetlike cutaneous lesions. But. 4 is correct though the wording of the code descriptor may seem to focus on. [2–3] HFMD has. Children under 5 years old are more likely to get hand, foot, and mouth disease. Cause. Hand-foot-mouth disease (HFMD) is a common viral illness that usually affects infants and children younger than 5 years old. Hand foot and mouth disease; Hand, foot and mouth disease. In hand, foot and mouth disease , coxsackievirus 16 is usually the responsible virus. 179 [convert to ICD-9-CM] Kaschin-Beck disease, unspecified ankle and foot. Search About 1 items found relating to Hand-foot syndromeSymptoms of hand, foot and mouth disease. . CV-A6 and CV-A10 co-circulated in 85% of all epidemics. 1 tuberculosis (icd 10:a 15-a19) 5. 手足口病症状; 一个11个月大男孩口腔周围的典型病变: 症状: 疹: 类型: 病毒感染、coxsackievirus infectious disease[*]、皮膚感染、疾病: 分类和外部资源; 醫學專科: 傳染病學: ICD-11: 1F05. However, older children and adults can also get it. 2 Coxsackievirus A tipe 16 (CV A16) adalah penyebab tersering HFMDReviewed/Revised Jun 2023. But most cases of this illness – not to be confused with hoof-and-mouth disease, which affects animals, including cattle, pigs, sheep and goats – are not serious and are easily treatable. hand, foot, and mouth disease (HFMD) ini berupa luka atau lepuhan di mulut dan ruam pada kaki. 049. To explore. In this blog post, we will explore the Icd 10 Code for Hand Foot. Spesies enterovirus yang paling sering menyebabkan HFMD adalah Coxsackievirus dan Human Enterovirus 71 (HEV 71). K13. قد يساعد مخدر الفم الموضعي على تخفيف آلام تقرُّحات الفم. Hand, foot and mouth disease (HFMD) is a common infectious disease caused by several different viruses and found worldwide. But older children and adults can also contract hand. It causes a blister-like rash on your hands, feet and mouth. 6. Pemeriksaan penunjang tidak rutin diperlukan pada penyakit ini. 5 may differ. Hand, foot, and mouth disease usually starts with a fever, poor appetite, a vague feeling of being unwell (malaise), and sore throat. Hand, foot and mouth disease (HFMD) is a highly contagious viral infection characterized by typical maculopapular or vesicular eruptions on the hands and feet and in the oral cavity. 9 may differ. It mainly occurs in children under 10Hand, foot, and mouth disease usually begins with a fever, reduced appetite, sore throat, and feeling lethargic. Teens and adults can sometimes get the infection. A low grade fever can also occur. Most commonly, hand, foot, and mouth disease affects children younger than 5 years, but it can sometimes affect older children, adolescents, and adults. Hand, Foot, and Mouth Disease (HFMD) A Guide for Child Care Centers, Schools, and Families . But older children and adults can also contract hand. It occurs more often in children younger than 10 years old. Pengertian penyakit tangan, kaki, dan mulut (hfmd) Penyakit tangan, kaki, dan mulut adalah infeksi virus ringan dan menular, yang paling sering disebabkan oleh virus . Learn about the symptoms, treatment, and prevention of hand, foot, and mouth disease (HFMD), a common and contagious illness in children and adults. 0 and has a history of changes from 2015 to 2023. toes. Because HFMD is most commonly found in infants, young children, or school-age children under the age of five. Hand, foot and mouth disease is most common in children under 10, especially those under four. Showing 1-25: ICD-10-CM Diagnosis Code B08. Penyakit kaki, tangan, dan mulut atau penyakit KTM ( bahasa Inggris : hand, foot, and mouth disease, disingkat HFMD) adalah penyakit berjangkit infeksi yang disebabkan oleh virus RNA yang masuk dalam famili Picornaviridae ( pico dalam bahasa Spanyol berarti "kecil") dan genus Enterovirus (non polio) karena ciri khas penyakit ini yang. Separation of the nail plate from the nail bed because of cessation of activity in the nail matrix; nail shedding starting at the base; associated with hand-foot-and-mouth disease, trauma or. 849 [convert to ICD-9-CM] Other myositis, unspecified hand. • It is a common illness among infants and children younger than 5 years of age. 949. PTKM merupakan sindrom klinis yang ditandai dengan gambaran bercak atau ruam pada mukosa mulut ( oral exanthem ), lesi makular, makulopapular, atau vesikular pada tangan dan kaki, walaupun juga dapat melibatkan bokong dan genitalia. While generally a mild illness, some children will have fever, sore throat and tiredness and blisters which can be uncomfortable. This is the American ICD-10-CM version of M72. Hand, foot, and mouth disease (HFMD) is a common illness of infants and children. Hand, foot and mouth disease is a viral illness caused by coxsackievirus A16 and enterovirus 71. Barnen kan vara kvar på sin vanliga barntillsyn om deras allmäntillstånd tillåter det. Pathological fracture in other disease, left hand, subsequent encounter for fracture with delayed healing Path fx in oth disease , l hand , subs for fx w delay heal ICD-10-CM Diagnosis Code M84. Hand-foot-and-mouth disease is common in children but can also occur in adults. doi: 10. If the disease is confined to the oral cavity it is almost indistinguishable from primary herpetic gingivostomatitis. 401) as the initial diagnosis, based on HIS of five medical institutions for outpatient. Myositis of hand. Although the mechanism between onychomadesis and HFMD is still unclear, we propose that it is caused by the viral infection itself rather than severe systemic disease. Onychomadesis is characterized by. Hand, foot and mouth disease. This time is known as the incubation period. retrieved. Hand, foot, and mouth disease. Never give aspirin to children. Hand foot and mouth disease (HFMD) is fairly common a viral infection, which mainly affects infants and children. ศรัญญา ศรีจันท์ทองศิริ โรคมือเท้าปาก (Hand-Foot-and-Mouth-Disease) "โรคมือ เท้า ปาก" เป็นหนึ่งในกลุ่มอาการที่เกิดจากเชื้อ ENTEROVIRUS มีลักษณะเฉพาะ คือ มีตุ่มน้้า. The term exanthem is used to designate a rash caused by a virus. 3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 074. Reduced appetite. The 2nd stage usually starts a few days later and can include: mouth ulcers, which can be painful. But most cases of this illness – not to be confused with hoof-and-mouth disease, which affects animals, including cattle, pigs, sheep and goats – are not serious and are easily treatable. Feedback. However, it is important to be. Particularly in children, mouth sores can cause difficulty in swallowing, which can lead to dehydration. 500 results found. We suspected that adults’ inapparent infection might be the cause of the continued prevalence of HFMD/HA infection in mainland China. 0. Z20. Hand foot and mouth disease (HFMD) is a common childhood infection characterized typically by fever with mouth ulcers, eruption of vesiculo-papular rash over the hands, soles and/or buttocks. 828: V01. The 2024 edition of ICD-10-CM L40. Hand, foot and mouth disease has no specific treatment, although the Centers for Disease Control and Prevention (CDC) reports that most people get better on their own within seven to 10 days. Hand Foot Mouth Disease Icd 10 Code: Symptoms, Treatment, and Prevention. Hand, foot, and mouth disease. code range for the cause of diseases classifed elsewhere. A skin rash with red spots and sometimes withSigns and Symptoms of Hand Foot and Mouth Disease. 4. 8 :The ICD 10 code for Hand Foot Mouth disease is B08. 1 indication for 30 drugs (12 approved, 18 experimental) Typical findings in hand foot and mouth disease. Another virus of domestic animals (called. The history of enterovirus A71 outbreaks and molecular epidemiology in the Asia-Pacific Region. The infection usually starts with a mild to moderate fever, achiness and crankiness, followed by a small, red raised. Applicable To. 500 results found. not wanting to eat. 1. 4) 4. If the disease is confined to the oral cavity it is almost indistinguishable from primary herpetic gingivostomatitis. This is the American ICD-10-CM version of L40. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The lesions can look like the beginning of chickenpox. Oral lesions appear as vesicles. It’s a common side effect of some types of chemotherapy. 641A [convert to ICD-9-CM] Pathological fracture in other disease, right hand, initial encounter for fracture. HFMD is typically mild and usually clears up on its own within seven to 10 days. 349 [convert to ICD-9-CM] Palindromic rheumatism, unspecified hand. It affects predominantly children and/or immunocompromised adults. The infection may rarely affect adults. These spots can blister and become painful. Small mouth ulcers usually appear first on the cheeks, gums and sides of the tongue. 3 should only be used for claims with a date of service on or before September 30, 2015. Cause. You may bring your child to the polyclinic or see your family doctor. The palms are always involved and less consistently the soles, fingers, toes, tops of feet and backs of hands. A blister-like rash occurs in the mouth. ICD-10-CM Diagnosis Code R06. Introduction Hand, foot, and mouth disease (HFMD) is a common viral illness usually affecting infants and children but can affect adults. It is first reported in. The infection usually involves the hands, feet, mouth, and sometimes, even the genitals and buttocks. Hand-Foot-Mouth Disease (HFMD) is a common illness caused by a virus. ICD-10-CM Diagnosis Code Q71. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M25. Over-the-counter pain medications other than aspirin, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others), may help relieve general discomfort. Hand foot and mouth disease; Hand, foot and mouth disease. 9) 4. These symptoms are then followed by: Painful ulcers in the mouth, throat and tongue. Cause. Take over-the-counter medications to relieve fever and pain caused by mouth sores. ICD-11. Source: National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases. One to two days after fever onset, painful sores may develop in the mouth. โรคมือ เท้า ปาก (Hand, Foot, and Mouth Disease)โรคมือ เท้า ปาก หรือ Hand, Foot, and Mouth Disease (HFMD) คือโรคที่เกิดจากการติดเชื้อไวรัส Human enteroviruses ผ่านการสัมผัสกับน้ำลาย น้ำมูก ตุ่มน้ำใส. The Icd 10 Code for Hand Foot Mouth Disease is B08. 1 - other international versions of ICD-10 Z86. .