CLASSIFICATION OF DISEASES AND INJURIES

1.  INFECTIOUS AND PARASITIC DISEASES (001-139)

Note:   Categories for "late effects" of infectious and parasitic diseases are to be found at 137-139.

Includes:            diseases generally recognized as communicable or transmissible as well as a few diseases of unknown but possibly infectious origin

Excludes:            acute respiratory infections (460-466)

carrier or suspected carrier of infectious organism (V02.0-V02.9)

certain localized infections

influenza (487.0-487.8)

INTESTINAL INFECTIOUS DISEASES (001-009)

Excludes:            helminthiases (120.0-129)

001       Cholera

001.0            Due to Vibrio cholerae

001.1            Due to Vibrio cholerae el tor

001.9            Cholera, unspecified

002       Typhoid and paratyphoid fevers

002.0            Typhoid fever

Typhoid (fever) (infection) [any site]

002.1            Paratyphoid fever A

002.2            Paratyphoid fever B

002.3            Paratyphoid fever C

002.9            Paratyphoid fever, unspecified

003       Other salmonella infections

Includes:            infection or food poisoning by Salmonella [any serotype]

003.0            Salmonella gastroenteritis

Salmonellosis

003.1            Salmonella septicemia

003.2            Localized salmonella infections

003.20      Localized salmonella infection, unspecified

003.21      Salmonella meningitis

003.22      Salmonella pneumonia

003.23      Salmonella arthritis

003.24      Salmonella osteomyelitis

003.29      Other

003.8            Other specified salmonella infections

003.9            Salmonella infection, unspecified

004            Shigellosis

Includes:            bacillary dysentery

004.0            Shigella dysenteriae

Infection by group A Shigella (Schmitz) (Shiga)

004.1            Shigella flexneri

Infection by group B Shigella

004.2            Shigella boydii

Infection by group C Shigella

004.3            Shigella sonnei

Infection by group D Shigella

004.8            Other specified shigella infections

004.9            Shigellosis, unspecified

005       Other food poisoning (bacterial)

Excludes:            salmonella infections (003.0-003.9)

toxic effect of:

food contaminants (989.7)

noxious foodstuffs (988.0-988.9)

005.0            Staphylococcal food poisoning

Staphylococcal toxemia specified as due to food

005.1            Botulism

Food poisoning due to Clostridium botulinum

005.2            Food poisoning due to Clostridium perfringens [C. welchii]

Enteritis necroticans

005.3            Food poisoning due to other Clostridia

005.4            Food poisoning due to Vibrio parahaemolyticus

005.8            Other bacterial food poisoning

Excludes:            salmonella food poisoning (003.0-003.9)

005.81      Food poisoning due to Vibrio vulnificus

005.89      Other bacterial food poisoning

Food poisoning due to Bacillus cereus

005.9            Food poisoning, unspecified

006            Amebiasis

Includes:            infection due to Entamoeba histolytica

Excludes:            amebiasis due to organisms other than Entamoeba histolytica (007.8)

006.0            Acute amebic dysentery without mention of abscess

Acute amebiasis

006.1            Chronic intestinal amebiasis without mention of abscess

Chronic:

amebiasis

amebic dysentery

006.2            Amebic nondysenteric colitis

006.3            Amebic liver abscess

Hepatic amebiasis

006.4            Amebic lung abscess

Amebic abscess of lung (and liver)

006.5            Amebic brain abscess

Amebic abscess of brain (and liver) (and lung)

006.6            Amebic skin ulceration

Cutaneous amebiasis

006.8            Amebic infection of other sites

Amebic:

appendicitis

balanitis

Ameboma

Excludes:            specific infections by free-living amebae (136.2)

006.9            Amebiasis, unspecified

Amebiasis NOS

007       Other protozoal intestinal diseases

Includes:            protozoal:

colitis

diarrhea

dysentery

007.0            Balantidiasis

Infection by Balantidium coli

007.1            Giardiasis

Infection by Giardia lamblia

Lambliasis

007.2            Coccidiosis

Infection by Isospora belli and Isospora hominis

Isosporiasis

007.3            Intestinal trichomoniasis

007.4            Cryptosporidiosis

007.5            Cyclosporiasis

007.8            Other specified protozoal intestinal diseases

Amebiasis due to organisms other than Entamoeba histolytica

007.9            Unspecified protozoal intestinal disease

Flagellate diarrhea

Protozoal dysentery NOS

008            Intestinal infections due to other organisms

Includes:            any condition classifiable to 009.0-009.3 with mention of the responsible organisms

Excludes:            food poisoning by these organisms (005.0-005.9)

008.0            Escherichia coli [E. coli]

008.00      E. coli, unspecified

E. coli enteritis NOS

008.01      Enteropathogenic E. coli

008.02      Enterotoxigenic E. coli

008.03      Enteroinvasive E. coli

008.04      Enterohemorrhagic E. coli

008.09      Other intestinal E. coli infections

008.1            Arizona group of paracolon bacilli

008.2            Aerobacter aerogenes

Enterobacter aerogenes

008.3            Proteus (mirabilis) (morganii)

008.4            Other specified bacteria

008.41      Staphylococcus

Staphylococcal enterocolitis

008.42      Pseudomonas

008.43      Campylobacter

008.44      Yersinia enterocolitica

008.45      Clostridium difficile

Pseudomembranous colitis

008.46      Other anaerobes

Anaerobic enteritis NOS

Gram-negative anaerobes

Bacteroides (fragilis)

008.47      Other gram-negative bacteria

Gram-negative enteritis NOS

Excludes:            gram-negative anaerobes (008.46)

008.49      Other

008.5            Bacterial enteritis, unspecified

008.6            Enteritis due to specified virus

008.61      Rotavirus

008.62      Adenovirus

008.63      Norwalk virus

Norwalk-like agent

008.64      Other small round viruses [SRV's]

Small round virus NOS

008.65      Calcivirus

008.66      Astrovirus

008.67      Enterovirus NEC

Coxsackie virus

Echovirus

Excludes:            poliovirus (045.0-045.9)

008.69      Other viral enteritis

Torovirus

008.8            Other organism, not elsewhere classified

Viral:

enteritis NOS

gastroenteritis

Excludes:            influenza with involvement of gastrointestinal tract (487.8)

009       Ill-defined intestinal infections

Excludes:            diarrheal disease or intestinal infection due to specified organism (001.0-008.8)

diarrhea following gastrointestinal surgery (564.4)

intestinal malabsorption (579.0-579.9)

ischemic enteritis (557.0-557.9)

other noninfectious gastroenteritis and colitis (558.1-558.9)

regional enteritis (555.0-555.9)

ulcerative colitis (556)

009.0            Infectious colitis, enteritis, and gastroenteritis

Colitis (septic)

Dysentery:

NOS

catarrhal

hemorrhagic

Enteritis (septic)

Gastroenteritis (septic)

009.1            Colitis, enteritis, and gastroenteritis of presumed infectious origin

Excludes:            colitis NOS (558.9)

enteritis NOS (558.9)

gastroenteritis NOS (558.9)

009.2            Infectious diarrhea

Diarrhea:

dysenteric

epidemic

Infectious diarrheal disease NOS

009.3            Diarrhea of presumed infectious origin

Excludes:            diarrhea NOS (787.91)

TUBERCULOSIS (010-018)

Includes:            infection by Mycobacterium tuberculosis (human) (bovine)

Excludes:            congenital tuberculosis (771.2)

late effects of tuberculosis (137.0-137.4)

The following fifth-digit subclassification is for use with categories 010-018:

0            unspecified

1            bacteriological or histological examination not done

2            bacteriological or histological examination unknown (at present)

3            tubercle bacilli found (in sputum) by microscopy

4            tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture

5            tubercle bacilli not found by bacteriological examination, but tuberculosis confirmed histologically

6            tubercle bacilli not found by bacteriological or histological examination, but tuberculosis confirmed by other methods [inoculation of animals]

010       Primary tuberculous infection

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

010.0            Primary tuberculous infection

Excludes:            nonspecific reaction to tuberculin skin test without active tuberculosis (795.5)

positive PPD (795.5)

positive tuberculin skin test without active tuberculosis (795.5)

010.1            Tuberculous pleurisy in primary progressive tuberculosis

010.8            Other primary progressive tuberculosis

Excludes:            tuberculous erythema nodosum (017.1)

010.9            Primary tuberculous infection, unspecified

011            Pulmonary tuberculosis

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

Use additional code to identify any associated silicosis (502)

011.0            Tuberculosis of lung, infiltrative

011.1            Tuberculosis of lung, nodular

011.2            Tuberculosis of lung with cavitation

011.3            Tuberculosis of bronchus

Excludes:            isolated bronchial tuberculosis (012.2)

011.4            Tuberculous fibrosis of lung

011.5            Tuberculous bronchiectasis

011.6            Tuberculous pneumonia [any form]

011.7            Tuberculous pneumothorax

011.8            Other specified pulmonary tuberculosis

011.9            Pulmonary tuberculosis, unspecified

Respiratory tuberculosis NOS

Tuberculosis of lung NOS

012       Other respiratory tuberculosis

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

Excludes:            respiratory tuberculosis, unspecified (011.9)

012.0            Tuberculous pleurisy

Tuberculosis of pleura

Tuberculous empyema

Tuberculous hydrothorax

Excludes:            pleurisy with effusion without mention of cause (511.9)

tuberculous pleurisy in primary progressive tuberculosis (010.1)

012.1            Tuberculosis of intrathoracic lymph nodes

Tuberculosis of lymph nodes:

hilar

mediastinal

tracheobronchial

Tuberculous tracheobronchial adenopathy

Excludes:            that specified as primary (010.0-010.9)

012.2            Isolated tracheal or bronchial tuberculosis

012.3            Tuberculous laryngitis

Tuberculosis of glottis

012.8            Other specified respiratory tuberculosis

Tuberculosis of:

mediastinum

nasopharynx

nose (septum)

sinus [any nasal]

013            Tuberculosis of meninges and central nervous system

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

013.0            Tuberculous meningitis

Tuberculosis of meninges (cerebral) (spinal)

Tuberculous:

leptomeningitis

meningoencephalitis

Excludes:            tuberculoma of meninges (013.1)

013.1            Tuberculoma of meninges

013.2            Tuberculoma of brain

Tuberculosis of brain (current disease)

013.3            Tuberculous abscess of brain

013.4            Tuberculoma of spinal cord

013.5            Tuberculous abscess of spinal cord

013.6            Tuberculous encephalitis or myelitis

013.8            Other specified tuberculosis of central nervous system

013.9            Unspecified tuberculosis of central nervous system

Tuberculosis of central nervous system NOS

014            Tuberculosis of intestines, peritoneum, and mesenteric glands

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

014.0            Tuberculous peritonitis

Tuberculous ascites

014.8            Other

Tuberculosis (of):

anus

intestine (large) (small)

mesenteric glands

rectum

retroperitoneal (lymph nodes)

Tuberculous enteritis

015            Tuberculosis of bones and joints

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

Use additional code to identify manifestation, as:

tuberculous:

arthropathy (711.4)

necrosis of bone (730.8)

osteitis (730.8)

osteomyelitis (730.8)

synovitis (727.01)

tenosynovitis (727.01)

015.0            Vertebral column

Pott's disease

Use additional code to identify manifestation, as:

curvature of spine [Pott's] (737.4)

kyphosis (737.4)

spondylitis (720.81)

015.1            Hip

015.2            Knee

015.5            Limb bones

Tuberculous dactylitis

015.6            Mastoid

Tuberculous mastoiditis

015.7            Other specified bone

015.8            Other specified joint

015.9            Tuberculosis of unspecified bones and joints

016            Tuberculosis of genitourinary system

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

016.0            Kidney

Renal tuberculosis

Use additional code to identify manifestation, as:

tuberculous:

nephropathy (583.81)

pyelitis (590.81)

pyelonephritis (590.81)

016.1            Bladder

016.2            Ureter

016.3            Other urinary organs

016.4            Epididymis

016.5            Other male genital organs

Use additional code to identify manifestation, as:

tuberculosis of:

prostate (601.4)

seminal vesicle (608.81)

testis (608.81)

016.6            Tuberculous oophoritis and salpingitis

016.7            Other female genital organs

Tuberculous:

cervicitis

endometritis

016.9            Genitourinary tuberculosis, unspecified

017            Tuberculosis of other organs

Requires fifth digit. See beginning of section 010-018 for codes and definitions.

017.0            Skin and subcutaneous cellular tissue

Lupus:

exedens

vulgaris

Scrofuloderma

Tuberculosis:

colliquativa

cutis

lichenoides

papulonecrotica

verrucosa cutis

Excludes:            lupus erythematosus (695.4)

disseminated (710.0)

lupus NOS (710.0)

nonspecific reaction to tuberculin skin test without active tuberculosis (795.5)

positive PPD (795.5)

positive tuberculin skin test without active tuberculosis (795.5)

017.1            Erythema nodosum with hypersensitivity reaction in tuberculosis

Bazin's disease

Erythema:

induratum

nodosum, tuberculous

Tuberculosis indurativa

Excludes:            erythema nodosum NOS (695.2)

017.2            Peripheral lymph nodes

Scrofula

Scrofulous abscess

Tuberculous adenitis

Excludes:            tuberculosis of lymph nodes:

bronchial and mediastinal (012.1)

mesenteric and retroperitoneal (014.8)

tuberculous tracheobronchial adenopathy (012.1)

017.3            Eye

Use additional code to identify manifestation, as:

tuberculous:

episcleritis (379.09)

interstitial keratitis (370.59)

iridocyclitis, chronic (364.11)

keratoconjunctivitis (phlyctenular) (370.31)

017.4            Ear

Tuberculosis of ear

Tuberculous otitis media

Excludes:            tuberculous mastoiditis (015.6)

017.5            Thyroid gland

017.6            Adrenal glands

Addison's disease, tuberculous

017.7            Spleen

017.8            Esophagus

017.9            Other specified organs

Use additional code to identify manifestation, as:

tuberculosis of:

endocardium [any valve] (424.91)

myocardium (422.0)

pericardium (420.0)

018       Miliary tuberculosis

Includes:            tuberculosis:

disseminated

generalized

miliary, whether of a single specified site, multiple sites, or unspecified site

polyserositis

018.0            Acute miliary tuberculosis

018.8            Other specified miliary tuberculosis

018.9            Miliary tuberculosis, unspecified

ZOONOTIC BACTERIAL DISEASES (020-027)

020       Plague

Includes:            infection by Yersinia [Pasteurella] pestis

020.0            Bubonic

020.1            Cellulocutaneous

020.2            Septicemic

020.3            Primary pneumonic

020.4            Secondary pneumonic

020.5            Pneumonic, unspecified

020.8            Other specified types of plague

Abortive plague

Ambulatory plague

Pestis minor

020.9            Plague, unspecified

021            Tularemia

Includes:            deerfly fever

infection by Francisella [Pasteurella] tularensis

rabbit fever

021.0            Ulceroglandular tularemia

021.1            Enteric tularemia

Tularemia:

cryptogenic

intestinal

typhoidal

021.2            Pulmonary tularemia

Bronchopneumonic tularemia

021.3            Oculoglandular tularemia

021.8            Other specified tularemia

Tularemia:

generalized or disseminated

glandular

021.9            Unspecified tularemia

022       Anthrax

022.0            Cutaneous anthrax

Malignant pustule

022.1            Pulmonary anthrax

Respiratory anthrax

Wool-sorters' disease

022.2            Gastrointestinal anthrax

022.3            Anthrax septicemia

022.8            Other specified manifestations of anthrax

022.9            Anthrax, unspecified

023            Brucellosis

Includes:            fever:

Malta

Mediterranean

undulant

023.0            Brucella melitensis

023.1            Brucella abortus

023.2            Brucella suis

023.3            Brucella canis

023.8            Other brucellosis

Infection by more than one organism

023.9            Brucellosis, unspecified

024            Glanders

Infection by:

Actinobacillus mallei

Malleomyces mallei

Pseudomonas mallei

Farcy

Malleus

025            Melioidosis

Infection by:

Malleomyces pseudomallei

Pseudomonas pseudomallei

Whitmore's bacillus

Pseudoglanders

026       Rat-bite fever

026.0            Spirillary fever

Rat-bite fever due to Spirillum minor [S. minus]

Sodoku

026.1            Streptobacillary fever

Epidemic arthritic erythema

Haverhill fever

Rat-bite fever due to Streptobacillus moniliformis

026.9            Unspecified rat-bite fever

027       Other zoonotic bacterial diseases

027.0            Listeriosis

Infection by Listeria monocytogenes

Septicemia by Listeria monocytogenes

Use additional code to identify manifestations, as meningitis (320.7)

Excludes:            congenital listeriosis (771.2)

027.1            Erysipelothrix infection

Erysipeloid (of Rosenbach)

Infection by Erysipelothrix insidiosa [E. rhusiopathiae]

Septicemia by Erysipelothrix insidiosa [E. rhusiopathiae]

027.2            Pasteurellosis

Pasteurella pseudotuberculosis infection by Pasteurella multocida [P. septica]

Mesenteric adenitis by Pasteurella multocida [P. septica]

Septic infection (cat bite) (dog bite) by Pasteurella multocida [P. septica]

Excludes:            infection by:

Francisella [Pasteurella] tularensis (021.0-021.9)

Yersinia [Pasteurella] pestis (020.0-020.9)

027.8            Other specified zoonotic bacterial diseases

027.9            Unspecified zoonotic bacterial disease

OTHER BACTERIAL DISEASES (030-041)

Excludes:            bacterial venereal diseases (098.0-099.9)

bartonellosis (088.0)

030       Leprosy

Includes:            Hansen's disease

infection by Mycobacterium leprae

030.0            Lepromatous [type L]

Lepromatous leprosy (macular) (diffuse) (infiltrated) (nodular) (neuritic)

030.1            Tuberculoid [type T]

Tuberculoid leprosy (macular) (maculoanesthetic) (major) (minor) (neuritic)

030.2            Indeterminate [group I]

Indeterminate [uncharacteristic] leprosy (macular) (neuritic)

030.3            Borderline [group B]

Borderline or dimorphous leprosy (infiltrated) (neuritic)

030.8            Other specified leprosy

030.9            Leprosy, unspecified

031            Diseases due to other mycobacteria

031.0            Pulmonary

Infection by Mycobacterium:

avium

intracellulare [Battey bacillus]

kansasii

Battey disease

031.1            Cutaneous

Buruli ulcer

Infection by Mycobacterium:

marinum [M. balnei]

ulcerans

031.2            Disseminated

Disseminated mycobacterium avium-intracellulare complex (DMAC)

Mycobacterium avium-intracellulare complex (MAC) bacteremia

031.8            Other specified mycobacterial diseases

031.9            Unspecified diseases due to mycobacteria

Atypical mycobacterium infection NOS

032            Diphtheria

Includes:            infection by Corynebacterium diphtheriae

032.0            Faucial diphtheria

Membranous angina, diphtheritic

032.1            Nasopharyngeal diphtheria

032.2            Anterior nasal diphtheria

032.3            Laryngeal diphtheria

Laryngotracheitis, diphtheritic

032.8            Other specified diphtheria

032.81      Conjunctival diphtheria

Pseudomembranous diphtheritic conjunctivitis

032.82      Diphtheritic myocarditis

032.83      Diphtheritic peritonitis

032.84      Diphtheritic cystitis

032.85      Cutaneous diphtheria

032.89      Other

032.9            Diphtheria, unspecified

033            Whooping cough

Includes:            pertussis

Use additional code to identify any associated pneumonia (484.3)

033.0            Bordetella pertussis [B. pertussis]

033.1            Bordetella parapertussis [B. parapertussis]

033.8            Whooping cough due to other specified organism

Bordetella bronchiseptica [B. bronchiseptica]

033.9            Whooping cough, unspecified organism

034            Streptococcal sore throat and scarlet fever

034.0            Streptococcal sore throat

Septic:

angina

sore throat

Streptococcal:

angina

laryngitis

pharyngitis

tonsillitis

034.1            Scarlet fever

Scarlatina

Excludes:            parascarlatina (057.8)

035            Erysipelas

Excludes:            postpartum or puerperal erysipelas (670)

036            Meningococcal infection

036.0            Meningococcal meningitis

Cerebrospinal fever (meningococcal)

Meningitis:

cerebrospinal

epidemic

036.1            Meningococcal encephalitis

036.2            Meningococcemia

Meningococcal septicemia

036.3            Waterhouse-Friderichsen syndrome, meningococcal

Meningococcal hemorrhagic adrenalitis

Meningococcic adrenal syndrome

Waterhouse-Friderichsen syndrome NOS

036.4            Meningococcal carditis

036.40      Meningococcal carditis, unspecified

036.41      Meningococcal pericarditis

036.42      Meningococcal endocarditis

036.43      Meningococcal myocarditis

036.8            Other specified meningococcal infections

036.81      Meningococcal optic neuritis

036.82      Meningococcal arthropathy

036.89      Other

036.9            Meningococcal infection, unspecified

Meningococcal infection NOS

037       Tetanus

Excludes:            tetanus:

complicating:

abortion (634-638 with .0, 639.0)

ectopic or molar pregnancy (639.0)

neonatorum (771.3)

puerperal (670)

038            Septicemia

Excludes:            bacteremia (790.7)

septicemia (sepsis) of newborn (771.81)

038.0            Streptococcal septicemia

038.1            Staphylococcal septicemia

038.10      Staphylococcal septicemia, unspecified

038.11      Staphylococcus aureus septicemia

038.19      Other staphylococcal septicemia

038.2            Pneumococcal septicemia [Streptococcus pneumoniae septicemia]

038.3            Septicemia due to anaerobes

Septicemia due to bacteroides

Excludes:            gas gangrene (040.0)

that due to anaerobic streptococci (038.0)

038.4            Septicemia due to other gram-negative organisms

038.40      Gram-negative organism, unspecified

Gram-negative septicemia NOS

038.41      Hemophilus influenzae [H. influenzae]

038.42      Escherichia coli [E. coli]

038.43      Pseudomonas

038.44      Serratia

038.49      Other

038.8            Other specified septicemias

Excludes:            septicemia (due to):

anthrax (022.3)

gonococcal (098.89)

herpetic (054.5)

meningococcal (036.2)

septicemic plague (020.2)

038.9            Unspecified septicemia

Septicemia NOS

Excludes:            bacteremia NOS (790.7)

039            Actinomycotic infections

Includes:            actinomycotic mycetoma

infection by Actinomycetales, such as species of Actinomyces, Actinomadura, Nocardia, Streptomyces

maduromycosis (actinomycotic)

schizomycetoma (actinomycotic)

039.0            Cutaneous

Erythrasma

Trichomycosis axillaris

039.1            Pulmonary

Thoracic actinomycosis

039.2            Abdominal

039.3            Cervicofacial

039.4            Madura foot

Excludes:            madura foot due to mycotic infection (117.4)

039.8            Of other specified sites

039.9            Of unspecified site

Actinomycosis NOS

Maduromycosis NOS

Nocardiosis NOS

040       Other bacterial diseases

Excludes:            bacteremia NOS (790.7)

bacterial infection NOS (041.9)

040.0            Gas gangrene

Gas bacillus infection or gangrene

Infection by Clostridium:

histolyticum

oedematiens

perfringens [welchii]

septicum

sordellii

Malignant edema

Myonecrosis, clostridial

Myositis, clostridial

040.1            Rhinoscleroma

040.2            Whipple's disease

Intestinal lipodystrophy

040.3            Necrobacillosis

040.8            Other specified bacterial diseases

040.81      Tropical pyomyositis

040.82      Toxic shock syndrome

Use additional code to identify the organism

040.89      Other

041            Bacterial infection in conditions classified elsewhere and of unspecified site

Note:    This category is provided to be used as an additional code to identify the bacterial agent in diseases classified elsewhere. This category will also be used to classify bacterial infections of unspecified nature or site.

Excludes:            bacteremia NOS (790.7)

septicemia (038.0-038.9)

041.0            Streptococcus

041.00      Streptococcus, unspecified

041.01      Group A

041.02      Group B

041.03      Group C

041.04      Group D [Enterococcus]

041.05      Group G

041.09      Other Streptococcus

041.1            Staphylococcus

041.10      Staphylococcus, unspecified

041.11      Staphylococcus aureus

041.19      Other Staphylococcus

041.2            Pneumococcus

041.3            Friedländer's bacillus

Infection by Klebsiella pneumoniae

041.4            Escherichia coli [E.coli]

041.5            Hemophilus influenzae [H. influenzae]

041.6            Proteus (mirabilis) (morganii)

041.7            Pseudomonas

041.8            Other specified bacterial infections

041.81      Mycoplasma

Eaton's agent

Pleuropneumonia-like organisms [PPLO]

041.82      Bacillus fragilis

041.83      Clostridium perfringens

041.84      Other anaerobes

Gram-negative anaerobes

Bacteroides (fragilis)

Excludes:            Helicobacter pylori (041.86)

041.85      Other gram-negative organisms

Aerobacter aerogenes

Gram-negative bacteria NOS

Mima polymorpha

Serratia

Excludes:            gram-negative anaerobes (041.84)

041.86      Helicobacter pylori (H. pylori)

041.89      Other specified bacteria

041.9            Bacterial infection, unspecified

HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION (042)

042       Human immunodeficiency virus [HIV] disease

Acquired immune deficiency syndrome

Acquired immunodeficiency syndrome

AIDS

AIDS-like syndrome

AIDS-related complex

ARC

HIV infection, symptomatic

Use additional code(s) to identify all manifestations of HIV

Use additional code to identify HIV-2 infection (079.53)

Excludes:            asymptomatic HIV infection status (V08)

exposure to HIV virus (V01.7)

nonspecific serologic evidence of HIV (795.71)

POLIOMYELITIS AND OTHER NON-ARTHROPOD-BORNE VIRAL DISEASES OF CENTRAL NERVOUS SYSTEM (045-049)

045       Acute poliomyelitis

Excludes:            late effects of acute poliomyelitis (138)

The following fifth-digit subclassification is for use with category 045:

0            poliovirus, unspecified type

1            poliovirus type I

2            poliovirus type II

3            poliovirus type III

045.0            Acute paralytic poliomyelitis specified as bulbar

Infantile paralysis (acute) specified as bulbar

Poliomyelitis (acute) (anterior) specified as bulbar

Polioencephalitis (acute) (bulbar)

Polioencephalomyelitis (acute) (anterior) (bulbar)

045.1            Acute poliomyelitis with other paralysis

Paralysis:

acute atrophic, spinal

infantile, paralytic

Poliomyelitis (acute) with paralysis except bulbar

anterior with paralysis except bulbar

epidemic with paralysis except bulbar

045.2            Acute nonparalytic poliomyelitis

Poliomyelitis (acute) specified as nonparalytic

anterior specified as nonparalytic

epidemic specified as nonparalytic

045.9            Acute poliomyelitis, unspecified

Infantile paralysis unspecified whether paralytic or nonparalytic

Poliomyelitis (acute) unspecified whether paralytic or nonparalytic

anterior unspecified whether paralytic or nonparalytic

epidemic unspecified whether paralytic or nonparalytic

046       Slow virus infection of central nervous system

046.0            Kuru

046.1            Jakob-Creutzfeldt disease

Subacute spongiform encephalopathy

046.2            Subacute sclerosing panencephalitis

Dawson's inclusion body encephalitis

Van Bogaert's sclerosing leukoencephalitis

046.3            Progressive multifocal leukoencephalopathy

Multifocal leukoencephalopathy NOS

046.8            Other specified slow virus infection of central nervous system

046.9            Unspecified slow virus infection of central nervous system

047            Meningitis due to enterovirus

Includes:            meningitis:

abacterial

aseptic

viral

Excludes:            meningitis due to:

adenovirus (049.1)

arthropod-borne virus (060.0-066.9)

leptospira (100.81)

virus of:

herpes simplex (054.72)

herpes zoster (053.0)

lymphocytic choriomeningitis (049.0)

mumps (072.1)

poliomyelitis (045.0-045.9)

any other infection specifically classified elsewhere

047.0            Coxsackie virus

047.1            ECHO virus

Meningo-eruptive syndrome

047.8            Other specified viral meningitis

047.9            Unspecified viral meningitis

Viral meningitis NOS

048       Other enterovirus diseases of central nervous system

Boston exanthem

049       Other non-arthropod-borne viral diseases of central nervous system

Excludes:            late effects of viral encephalitis (139.0)

049.0            Lymphocytic choriomeningitis

Lymphocytic:

meningitis (serous) (benign)

meningoencephalitis (serous) (benign)

049.1            Meningitis due to adenovirus

049.8            Other specified non-arthropod-borne viral diseases of central nervous system

Encephalitis:

acute:

inclusion body

necrotizing

epidemic

lethargica

Rio Bravo

von Economo's disease

049.9            Unspecified non-arthropod-borne viral diseases of central nervous system

Viral encephalitis NOS

VIRAL DISEASES ACCOMPANIED BY EXANTHEM (050-057)

Excludes:            arthropod-borne viral diseases (060.0-066.9)

Boston exanthem (048)

050            Smallpox

050.0            Variola major

Hemorrhagic (pustular) smallpox

Malignant smallpox

Purpura variolosa

050.1            Alastrim

Variola minor

050.2            Modified smallpox

Varioloid

050.9            Smallpox, unspecified

051       Cowpox and paravaccinia

051.0            Cowpox

Vaccinia not from vaccination

Excludes:            vaccinia (generalized) (from vaccination) (999.0)

051.1            Pseudocowpox

Milkers' node

051.2            Contagious pustular dermatitis

Ecthyma contagiosum

Orf

051.9            Paravaccinia, unspecified

052            Chickenpox

052.0            Postvaricella encephalitis

Postchickenpox encephalitis

052.1            Varicella (hemorrhagic) pneumonitis

052.7            With other specified complications

052.8            With unspecified complication

052.9            Varicella without mention of complication

Chickenpox NOS

Varicella NOS

053       Herpes zoster

Includes:            shingles

zona

053.0            With meningitis

053.1            With other nervous system complications

053.10      With unspecified nervous system complication

053.11      Geniculate herpes zoster

Herpetic geniculate ganglionitis

053.12      Postherpetic trigeminal neuralgia

053.13      Postherpetic polyneuropathy

053.19      Other

053.2            With ophthalmic complications

053.20      Herpes zoster dermatitis of eyelid

Herpes zoster ophthalmicus

053.21      Herpes zoster keratoconjunctivitis

053.22      Herpes zoster iridocyclitis

053.29      Other

053.7            With other specified complications

053.71      Otitis externa due to herpes zoster

053.79      Other

053.8            With unspecified complication

053.9            Herpes zoster without mention of complication

Herpes zoster NOS

054       Herpes simplex

Excludes:            congenital herpes simplex (771.2)

054.0            Eczema herpeticum

Kaposi's varicelliform eruption

054.1            Genital herpes

054.10      Genital herpes, unspecified

Herpes progenitalis

054.11      Herpetic vulvovaginitis

054.12      Herpetic ulceration of vulva

054.13      Herpetic infection of penis

054.19      Other

054.2            Herpetic gingivostomatitis

054.3            Herpetic meningoencephalitis

Herpes encephalitis

Simian B disease

054.4            With ophthalmic complications

054.40      With unspecified ophthalmic complication

054.41      Herpes simplex dermatitis of eyelid

054.42      Dendritic keratitis

054.43      Herpes simplex disciform keratitis

054.44      Herpes simplex iridocyclitis

054.49      Other

054.5            Herpetic septicemia

054.6            Herpetic whitlow

Herpetic felon

054.7            With other specified complications

054.71      Visceral herpes simplex

054.72      Herpes simplex meningitis

054.73      Herpes simplex otitis externa

054.79      Other

054.8            With unspecified complication

054.9            Herpes simplex without mention of complication

055            Measles

Includes:            morbilli

rubeola

055.0            Postmeasles encephalitis

055.1            Postmeasles pneumonia

055.2            Postmeasles otitis media

055.7            With other specified complications

055.71      Measles keratoconjunctivitis

Measles keratitis

055.79      Other

055.8            With unspecified complication

055.9            Measles without mention of complication

056       Rubella

Includes:            German measles

Excludes:            congenital rubella (771.0)

056.0            With neurological complications

056.00      With unspecified neurological complication

056.01      Encephalomyelitis due to rubella

Encephalitis due to rubella

Meningoencephalitis due to rubella

056.09      Other

056.7            With other specified complications

056.71      Arthritis due to rubella

056.79      Other

056.8            With unspecified complications

056.9            Rubella without mention of complication

057       Other viral exanthemata

057.0            Erythema infectiosum [fifth disease]

057.8            Other specified viral exanthemata

Dukes (-Filatow) disease

Exanthema subitum [sixth disease]

Fourth disease

Parascarlatina

Pseudoscarlatina

Roseola infantum

057.9            Viral exanthem, unspecified

ARTHROPOD-BORNE VIRAL DISEASES (060-066)

Use additional code to identify any associated meningitis (321.2)

Excludes:            late effects of viral encephalitis (139.0)

060       Yellow fever

060.0            Sylvatic

Yellow fever:

jungle

sylvan

060.1            Urban

060.9            Yellow fever, unspecified

061       Dengue

Breakbone fever

Excludes:            hemorrhagic fever caused by dengue virus (065.4)

062            Mosquito-borne viral encephalitis

062.0            Japanese encephalitis

Japanese B encephalitis

062.1            Western equine encephalitis

062.2            Eastern equine encephalitis

Excludes:            Venezuelan equine encephalitis (066.2)

062.3            St. Louis encephalitis

062.4            Australian encephalitis

Australian arboencephalitis

Australian X disease

Murray Valley encephalitis

062.5            California virus encephalitis

Encephalitis:

California

La Crosse

Tahyna fever

062.8            Other specified mosquito-borne viral encephalitis

Encephalitis by Ilheus virus

Excludes: West Nile virus (066.4)

062.9            Mosquito-borne viral encephalitis, unspecified

063       Tick-borne viral encephalitis

Includes:            diphasic meningoencephalitis

063.0            Russian spring-summer [taiga] encephalitis

063.1            Louping ill

063.2            Central European encephalitis

063.8            Other specified tick-borne viral encephalitis

Langat encephalitis

Powassan encephalitis

063.9            Tick-borne viral encephalitis, unspecified

064       Viral encephalitis transmitted by other and unspecified arthropods

Arthropod-borne viral encephalitis, vector unknown

Negishi virus encephalitis

Excludes:            viral encephalitis NOS (049.9)

065            Arthropod-borne hemorrhagic fever

065.0            Crimean hemorrhagic fever [CHF Congo virus]

Central Asian hemorrhagic fever

065.1            Omsk hemorrhagic fever

065.2            Kyasanur Forest disease

065.3            Other tick-borne hemorrhagic fever

065.4            Mosquito-borne hemorrhagic fever

Chikungunya hemorrhagic fever

Dengue hemorrhagic fever

Excludes:            Chikungunya fever (066.3)

dengue (061)

yellow fever (060.0-060.9)

065.8            Other specified arthropod-borne hemorrhagic fever

Mite-borne hemorrhagic fever

065.9            Arthropod-borne hemorrhagic fever, unspecified

Arbovirus hemorrhagic fever NOS

066       Other arthropod-borne viral diseases

066.0            Phlebotomus fever

Changuinola fever

Sandfly fever

066.1            Tick-borne fever

Nairobi sheep disease

Tick fever:

American mountain

Colorado

Kemerovo

Quaranfil

066.2            Venezuelan equine fever

Venezuelan equine encephalitis

066.3            Other mosquito-borne fever

Fever (viral):

Bunyamwera

Bwamba

Chikungunya

Guama

Mayaro

Mucambo

O'Nyong-Nyong

Oropouche

Pixuna

Rift valley

Ross river

Wesselsbron

Zika

Excludes:            dengue (061)

yellow fever (060.0-060.9)

066.4            West Nile fever

West Nile encephalitis

West Nile encelphalomyelitis

West Nile virus

066.8            Other specified arthropod-borne viral diseases

Chandipura fever

Piry fever

066.9            Arthropod-borne viral disease, unspecified

Arbovirus infection NOS

OTHER DISEASES DUE TO VIRUSES AND CHLAMYDIAE (070-079)

070       Viral hepatitis

Includes:            viral hepatitis (acute) (chronic)

Excludes:            cytomegalic inclusion virus hepatitis (078.5)

The following fifth-digit subclassification is for use with categories 070.2 and 070.3:

0            acute or unspecified, without mention of hepatitis delta

1            acute or unspecified, with hepatitis delta

2            chronic, without mention of hepatitis delta

3            chronic, with hepatitis delta

070.0            Viral hepatitis A with hepatic coma

070.1            Viral hepatitis A without mention of hepatic coma

Infectious hepatitis

070.2            Viral hepatitis B with hepatic coma

070.3            Viral hepatitis B without mention of hepatic coma

Serum hepatitis

070.4            Other specified viral hepatitis with hepatic coma

070.41      Acute or unspecified hepatitis C with hepatic coma

070.42      Hepatitis delta without mention of active hepatitis B disease with hepatic coma

Hepatitis delta with hepatitis B carrier state

070.43      Hepatitis E with hepatic coma

070.44      Chronic hepatitis C with hepatic coma

070.49      Other specified viral hepatitis with hepatic coma

070.5            Other specified viral hepatitis without mention of hepatic coma

070.51      Acute or unspecified hepatitis C without mention of hepatic coma

070.52      Hepatitis delta without mention of active hepatitis B disease or hepatic coma

070.53      Hepatitis E without mention of hepatic coma

070.54      Chronic hepatitis C without mention of hepatic coma

070.59      Other specified viral hepatitis without mention of hepatic coma

070.6            Unspecified viral hepatitis with hepatic coma

070.9            Unspecified viral hepatitis without mention of hepatic coma

Viral hepatitis NOS

071       Rabies

Hydrophobia

Lyssa

072       Mumps

072.0            Mumps orchitis

072.1            Mumps meningitis

072.2            Mumps encephalitis

Mumps meningoencephalitis

072.3            Mumps pancreatitis

072.7            Mumps with other specified complications

072.71      Mumps hepatitis

072.72      Mumps polyneuropathy

072.79      Other

072.8            Mumps with unspecified complication

072.9            Mumps without mention of complication

Epidemic parotitis

Infectious parotitis

073            Ornithosis

Includes:            parrot fever

psittacosis

073.0            With pneumonia

Lobular pneumonitis due to ornithosis

073.7            With other specified complications

073.8            With unspecified complication

073.9            Ornithosis, unspecified

074       Specific diseases due to Coxsackie virus

Excludes:            Coxsackie virus:

infection NOS (079.2)

meningitis (047.0)

074.0            Herpangina

Vesicular pharyngitis

074.1            Epidemic pleurodynia

Bornholm disease

Devil's grip

Epidemic:

myalgia

myositis

074.2            Coxsackie carditis

074.20      Coxsackie carditis, unspecified

074.21      Coxsackie pericarditis

074.22      Coxsackie endocarditis

074.23      Coxsackie myocarditis

            Aseptic myocarditis of newborn

074.3            Hand, foot, and mouth disease

Vesicular stomatitis and exanthem

074.8            Other specified diseases due to Coxsackie virus

Acute lymphonodular pharyngitis

075            Infectious mononucleosis

Glandular fever

Monocytic angina

Pfeiffer's disease

076            Trachoma

Excludes:            late effect of trachoma (139.1)

076.0            Initial stage

Trachoma dubium

076.1            Active stage

Granular conjunctivitis (trachomatous)

Trachomatous:

follicular conjunctivitis

pannus

076.9            Trachoma, unspecified

Trachoma NOS

077       Other diseases of conjunctiva due to viruses and Chlamydiae

Excludes:            ophthalmic complications of viral diseases classified elsewhere

077.0            Inclusion conjunctivitis

Paratrachoma

Swimming pool conjunctivitis

Excludes:            inclusion blennorrhea (neonatal) (771.6)

077.1            Epidemic keratoconjunctivitis

Shipyard eye

077.2            Pharyngoconjunctival fever

Viral pharyngoconjunctivitis

077.3            Other adenoviral conjunctivitis

Acute adenoviral follicular conjunctivitis

077.4            Epidemic hemorrhagic conjunctivitis

Apollo:

conjunctivitis

disease

Conjunctivitis due to enterovirus type 70

Hemorrhagic conjunctivitis (acute) (epidemic)

077.8            Other viral conjunctivitis

Newcastle conjunctivitis

077.9            Unspecified diseases of conjunctiva due to viruses and Chlamydiae

077.98      Due to Chlamydiae

077.99      Due to viruses

Viral conjunctivitis NOS

078       Other diseases due to viruses and Chlamydiae

Excludes:            viral infection NOS (079.0-079.9)

viremia NOS (790.8)

078.0            Molluscum contagiosum

078.1            Viral warts

Viral warts due to human papillomavirus

078.10      Viral warts, unspecified

Condyloma NOS

Verruca NOS:

NOS

Vulgaris

Warts (infectious)

078.11      Condyloma acuminatum

078.19      Other specified viral warts

Genital warts NOS

Verruca

plana

plantaris

078.2            Sweating fever

Miliary fever

Sweating disease

078.3            Cat-scratch disease

Benign lymphoreticulosis (of inoculation)

Cat-scratch fever

078.4            Foot and mouth disease

Aphthous fever

Epizootic:

aphthae

stomatitis

078.5            Cytomegaloviral disease

Cytomegalic inclusion disease

Salivary gland virus disease

Use additional code to identify manifestation, as:

cytomegalic inclusion virus:

hepatitis (573.1)

pneumonia (484.1)

Excludes:            congenital cytomegalovirus infection (771.1)

078.6            Hemorrhagic nephrosonephritis

Hemorrhagic fever:

epidemic

Korean

Russian with renal syndrome

078.7            Arenaviral hemorrhagic fever

Hemorrhagic fever:

Argentine

Bolivian

Junin virus

Machupo virus

078.8            Other specified diseases due to viruses and Chlamydiae

Excludes:            epidemic diarrhea (009.2)

lymphogranuloma venereum (099.1)

078.81      Epidemic vertigo

078.82      Epidemic vomiting syndrome

Winter vomiting disease

078.88      Other specified diseases due to Chlamydiae

078.89      Other specified diseases due to viruses

Epidemic cervical myalgia

Marburg disease

Tanapox

079       Viral and chlamydial infection in conditions classified elsewhere and of unspecified site

Note:    This category is provided to be used as an additional code to identify the viral agent in diseases classifiable elsewhere. This category will also be used to classify virus infection of unspecified nature or site.

079.0            Adenovirus

079.1            ECHO virus

079.2            Coxsackie virus

079.3            Rhinovirus

079.4            Human papillomavirus

079.5            Retrovirus

Excludes:            human immunodeficiency virus, type 1 [HIV-1] (042)

human T-cell lymphotrophic virus, type III [HTLV-III] (042)

lymphadenopathy-associated virus [LAV] (042)

079.50      Retrovirus, unspecified

079.51      Human T-cell lymphotrophic virus, type I [HTLV-I]

079.52      Human T-cell lymphotrophic virus, type II [HTLV-II]

079.53      Human immunodeficiency virus, type 2 [HIV-2]

079.59      Other specified retrovirus

079.6            Respiratory syncytial virus (RSV)

079.8            Other specified viral and chlamydial infections

079.81      Hantavirus

079.88      Other specified chlamydial infection

079.89      Other specified viral infection

079.9            Unspecified viral and chlamydial infections

Excludes:            viremia NOS (790.8)

079.98      Unspecified chlamydial infection

Chlamydial infection NOS

079.99      Unspecified viral infection

Viral infection NOS

RICKETTSIOSES AND OTHER ARTHROPOD-BORNE DISEASES (080-088)

Excludes:            arthropod-borne viral diseases (060.0-066.9)

080       Louse-borne [epidemic] typhus

Typhus (fever):

classical

epidemic

exanthematic NOS

louse-borne

081       Other typhus

081.0            Murine [endemic] typhus

Typhus (fever):

endemic

flea-borne

081.1            Brill's disease

Brill-Zinsser disease

Recrudescent typhus (fever)

081.2            Scrub typhus

Japanese river fever

Kedani fever

Mite-borne typhus

Tsutsugamushi

081.9            Typhus, unspecified

Typhus (fever) NOS

082       Tick-borne rickettsioses

082.0            Spotted fevers

Rocky mountain spotted fever

Sao Paulo fever

082.1            Boutonneuse fever

African tick typhus

India tick typhus

Kenya tick typhus

Marseilles fever

Mediterranean tick fever

082.2            North Asian tick fever

Siberian tick typhus

082.3            Queensland tick typhus

082.4            Ehrlichiosis

082.40      Ehrlichiosis, unspecified

082.41      Ehrlichiosis chaffeensis [E. chaffeensis]

082.49      Other ehrlichiosis

082.8            Other specified tick-borne rickettsioses

Lone star fever

082.9            Tick-borne rickettsiosis, unspecified

Tick-borne typhus NOS

083       Other rickettsioses

083.0            Q fever

083.1            Trench fever

Quintan fever

Wolhynian fever

083.2            Rickettsialpox

Vesicular rickettsiosis

083.8            Other specified rickettsioses

083.9            Rickettsiosis, unspecified

084       Malaria

Note:   Subcategories 084.0-084.6 exclude the listed conditions with mention of pernicious complications (084.8-084.9).

Excludes:            congenital malaria (771.2)

084.0            Falciparum malaria [malignant tertian]

Malaria (fever):

by Plasmodium falciparum

subtertian

084.1            Vivax malaria [benign tertian]

Malaria (fever) by Plasmodium vivax

084.2            Quartan malaria

Malaria (fever) by Plasmodium malariae

Malariae malaria

084.3            Ovale malaria

Malaria (fever) by Plasmodium ovale

084.4            Other malaria

Monkey malaria

084.5            Mixed malaria

Malaria (fever) by more than one parasite

084.6            Malaria, unspecified

Malaria (fever) NOS

084.7            Induced malaria

Therapeutically induced malaria

Excludes:            accidental infection from syringe, blood transfusion, etc. (084.0-084.6, above, according to parasite species)

transmission from mother to child during delivery (771.2)

084.8            Blackwater fever

Hemoglobinuric:

fever (bilious)

malaria

Malarial hemoglobinuria

084.9            Other pernicious complications of malaria

Algid malaria

Cerebral malaria

Use additional code to identify complication, as:

malarial:

hepatitis (573.2)

nephrosis (581.81)

085            Leishmaniasis

085.0            Visceral [kala-azar]

Dumdum fever

Infection by Leishmania:

donovani

infantum

Leishmaniasis:

dermal, post-kala-azar

Mediterranean

visceral (Indian)

085.1            Cutaneous, urban

Aleppo boil

Baghdad boil

Delhi boil

Infection by Leishmania tropica (minor)

Leishmaniasis, cutaneous:

dry form

late

recurrent

ulcerating

Oriental sore

085.2            Cutaneous, Asian desert

Infection by Leishmania tropica major

Leishmaniasis, cutaneous:

acute necrotizing

rural

wet form

zoonotic form

085.3            Cutaneous, Ethiopian

Infection by Leishmania ethiopica

Leishmaniasis, cutaneous:

diffuse

lepromatous

085.4            Cutaneous, American

Chiclero ulcer

Infection by Leishmania mexicana

Leishmaniasis tegumentaria diffusa

085.5            Mucocutaneous (American)

Espundia

Infection by Leishmania braziliensis

Uta

085.9            Leishmaniasis, unspecified

086            Trypanosomiasis

Use additional code to identify manifestations, as:

trypanosomiasis:

encephalitis (323.2)

meningitis (321.3)

086.0            Chagas' disease with heart involvement

American trypanosomiasis with heart involvement

Infection by Trypanosoma cruzi with heart involvement

Any condition classifiable to 086.2 with heart involvement

086.1            Chagas' disease with other organ involvement

American trypanosomiasis with involvement of organ other than heart

Infection by Trypanosoma cruzi with involvement of organ other than heart

Any condition classifiable to 086.2 with involvement of organ other than heart

086.2            Chagas' disease without mention of organ involvement

American trypanosomiasis

Infection by Trypanosoma cruzi

086.3            Gambian trypanosomiasis

Gambian sleeping sickness

Infection by Trypanosoma gambiense

086.4            Rhodesian trypanosomiasis

Infection by Trypanosoma rhodesiense

Rhodesian sleeping sickness

086.5            African trypanosomiasis, unspecified

Sleeping sickness NOS

086.9            Trypanosomiasis, unspecified

087            Relapsing fever

Includes:            recurrent fever

087.0            Louse-borne

087.1            Tick-borne

087.9            Relapsing fever, unspecified

088       Other arthropod-borne diseases

088.0            Bartonellosis

Carrión's disease

Oroya fever

Verruga peruana

088.8            Other specified arthropod-borne diseases

088.81      Lyme disease

Erythema chronicum migrans

088.82      Babesiosis

Babesiasis

088.89      Other

088.9            Arthropod-borne disease, unspecified

SYPHILIS AND OTHER VENEREAL DISEASES (090-099)

Excludes:            nonvenereal endemic syphilis (104.0)

urogenital trichomoniasis (131.0)

090            Congenital syphilis

090.0            Early congenital syphilis, symptomatic

Congenital syphilitic:

choroiditis

coryza (chronic)

hepatomegaly

mucous patches

periostitis

splenomegaly

Syphilitic (congenital):

epiphysitis

osteochondritis

pemphigus

Any congenital syphilitic condition specified as early or manifest less than two years after birth

090.1            Early congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after birth

090.2            Early congenital syphilis, unspecified

Congenital syphilis NOS, less than two years after birth

090.3            Syphilitic interstitial keratitis

Syphilitic keratitis:

parenchymatous

punctata profunda

Excludes:            interstitial keratitis NOS (370.50)

090.4            Juvenile neurosyphilis

Use additional code to identify any associated mental disorder

090.40      Juvenile neurosyphilis, unspecified

Congenital neurosyphilis

Dementia paralytica juvenilis

Juvenile:

general paresis

tabes

taboparesis

090.41      Congenital syphilitic encephalitis

090.42      Congenital syphilitic meningitis

090.49      Other

090.5            Other late congenital syphilis, symptomatic

Gumma due to congenital syphilis

Hutchinson's teeth

Syphilitic saddle nose

Any congenital syphilitic condition specified as late or manifest two years or more after birth

090.6            Late congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after birth

090.7            Late congenital syphilis, unspecified

Congenital syphilis NOS, two years or more after birth

090.9            Congenital syphilis, unspecified

091       Early syphilis, symptomatic

Excludes:            early cardiovascular syphilis (093.0-093.9)

early neurosyphilis (094.0-094.9)

091.0            Genital syphilis (primary)

Genital chancre

091.1            Primary anal syphilis

091.2            Other primary syphilis

Primary syphilis of:

breast

fingers

lip

tonsils

091.3            Secondary syphilis of skin or mucous membranes

Condyloma latum

Secondary syphilis of:

anus

mouth

pharynx

skin

tonsils

vulva

091.4            Adenopathy due to secondary syphilis

Syphilitic adenopathy (secondary)

Syphilitic lymphadenitis (secondary)

091.5            Uveitis due to secondary syphilis

091.50      Syphilitic uveitis, unspecified

091.51      Syphilitic chorioretinitis (secondary)

091.52      Syphilitic iridocyclitis (secondary)

091.6            Secondary syphilis of viscera and bone

091.61      Secondary syphilitic periostitis

091.62      Secondary syphilitic hepatitis

Secondary syphilis of liver

091.69      Other viscera

091.7            Secondary syphilis, relapse

Secondary syphilis, relapse (treated) (untreated)

091.8            Other forms of secondary syphilis

091.81      Acute syphilitic meningitis (secondary)

091.82      Syphilitic alopecia

091.89      Other

091.9            Unspecified secondary syphilis

092       Early syphilis, latent

Includes:            syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after infection

092.0            Early syphilis, latent, serological relapse after treatment

092.9            Early syphilis, latent, unspecified

093            Cardiovascular syphilis

093.0            Aneurysm of aorta, specified as syphilitic

Dilatation of aorta, specified as syphilitic

093.1            Syphilitic aortitis

093.2            Syphilitic endocarditis

093.20      Valve, unspecified

Syphilitic ostial coronary disease

093.21      Mitral valve

093.22      Aortic valve

Syphilitic aortic incompetence or stenosis

093.23      Tricuspid valve

093.24      Pulmonary valve

093.8            Other specified cardiovascular syphilis

093.81      Syphilitic pericarditis

093.82      Syphilitic myocarditis

093.89      Other

093.9            Cardiovascular syphilis, unspecified

094            Neurosyphilis

Use additional code to identify any associated mental disorder

094.0            Tabes dorsalis

Locomotor ataxia (progressive)

Posterior spinal sclerosis (syphilitic)

Tabetic neurosyphilis

Use additional code to identify manifestation, as:

neurogenic arthropathy [Charcot's joint disease] (713.5)

094.1            General paresis

Dementia paralytica

General paralysis (of the insane) (progressive)

Paretic neurosyphilis

Taboparesis

094.2            Syphilitic meningitis

Meningovascular syphilis

Excludes:            acute syphilitic meningitis (secondary) (091.81)

094.3            Asymptomatic neurosyphilis

094.8            Other specified neurosyphilis

094.81      Syphilitic encephalitis

094.82      Syphilitic Parkinsonism

094.83      Syphilitic disseminated retinochoroiditis

094.84      Syphilitic optic atrophy

094.85      Syphilitic retrobulbar neuritis

094.86      Syphilitic acoustic neuritis

094.87      Syphilitic ruptured cerebral aneurysm

094.89      Other

094.9            Neurosyphilis, unspecified

Gumma (syphilitic) of central nervous system NOS

Syphilis (early) (late) of central nervous system NOS

Syphiloma of central nervous system NOS

095       Other forms of late syphilis, with symptoms

Includes:            gumma (syphilitic)

tertiary, or unspecified stage

095.0            Syphilitic episcleritis

095.1            Syphilis of lung

095.2            Syphilitic peritonitis

095.3            Syphilis of liver

095.4            Syphilis of kidney

095.5            Syphilis of bone

095.6            Syphilis of muscle

Syphilitic myositis

095.7            Syphilis of synovium, tendon, and bursa

Syphilitic:

bursitis

synovitis

095.8            Other specified forms of late symptomatic syphilis

Excludes:            cardiovascular syphilis (093.0-093.9)

neurosyphilis (094.0-094.9)

095.9            Late symptomatic syphilis, unspecified

096       Late syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after infection

097       Other and unspecified syphilis

097.0            Late syphilis, unspecified

097.1            Latent syphilis, unspecified

Positive serological reaction for syphilis

097.9            Syphilis, unspecified

Syphilis (acquired) NOS

Excludes:            syphilis NOS causing death under two years of age (090.9)

098            Gonococcal infections

098.0            Acute, of lower genitourinary tract

Gonococcal:

Bartholinitis (acute)

urethritis (acute)

vulvovaginitis (acute)

Gonorrhea (acute):

NOS

genitourinary (tract) NOS

098.1            Acute, of upper genitourinary tract

098.10      Gonococcal infection (acute) of upper genitourinary tract, site unspecified

098.11      Gonococcal cystitis (acute)

Gonorrhea (acute) of bladder

098.12      Gonococcal prostatitis (acute)

098.13      Gonococcal epididymo-orchitis (acute)

Gonococcal orchitis (acute)

098.14      Gonococcal seminal vesiculitis (acute)

Gonorrhea (acute) of seminal vesicle

098.15      Gonococcal cervicitis (acute)

Gonorrhea (acute) of cervix

098.16      Gonococcal endometritis (acute)

Gonorrhea (acute) of uterus

098.17      Gonococcal salpingitis, specified as acute

098.19      Other

098.2            Chronic, of lower genitourinary tract

Gonococcal specified as chronic or with duration of two months or more:

Bartholinitis specified as chronic or with duration of two months or more

urethritis specified as chronic or with duration of two months or more

vulvovaginitis specified as chronic or with duration of two months or more

Gonorrhea specified as chronic or with duration of two months or more:

NOS specified as chronic or with duration of two months or more

genitourinary (tract) specified as chronic or with duration of two months or more

Any condition classifiable to 098.0 specified as chronic or with duration of two months or more

098.3            Chronic, of upper genitourinary tract

Any condition classifiable to 098.1 stated as chronic or with a duration of two months or more

098.30      Chronic gonococcal infection of upper genitourinary tract, site unspecified

098.31      Gonococcal cystitis, chronic

Any condition classifiable to 098.11, specified as chronic

Gonorrhea of bladder, chronic

098.32      Gonococcal prostatitis, chronic

Any condition classifiable to 098.12, specified as chronic

098.33      Gonococcal epididymo-orchitis, chronic

Any condition classifiable to 098.13, specified as chronic

Chronic gonococcal orchitis

098.34      Gonococcal seminal vesiculitis, chronic

Any condition classifiable to 098.14, specified as chronic

Gonorrhea of seminal vesicle, chronic

098.35      Gonococcal cervicitis, chronic

Any condition classifiable to 098.15, specified as chronic

Gonorrhea of cervix, chronic

098.36      Gonococcal endometritis, chronic

Any condition classifiable to 098.16, specified as chronic

098.37      Gonococcal salpingitis (chronic)

098.39      Other

098.4            Gonococcal infection of eye

098.40      Gonococcal conjunctivitis (neonatorum)

Gonococcal ophthalmia (neonatorum)

098.41      Gonococcal iridocyclitis

098.42      Gonococcal endophthalmia

098.43      Gonococcal keratitis

098.49      Other

098.5            Gonococcal infection of joint

098.50      Gonococcal arthritis

Gonococcal infection of joint NOS

098.51      Gonococcal synovitis and tenosynovitis

098.52      Gonococcal bursitis

098.53      Gonococcal spondylitis

098.59      Other

Gonococcal rheumatism

098.6            Gonococcal infection of pharynx

098.7            Gonococcal infection of anus and rectum

Gonococcal proctitis

098.8            Gonococcal infection of other specified sites

098.81      Gonococcal keratosis (blennorrhagica)

098.82      Gonococcal meningitis

098.83      Gonococcal pericarditis

098.84      Gonococcal endocarditis

098.85      Other gonococcal heart disease

098.86      Gonococcal peritonitis

098.89      Other

Gonococcemia

099       Other venereal diseases

099.0            Chancroid

Bubo (inguinal):

chancroidal

due to Hemophilus ducreyi

Chancre:

Ducrey's simple soft

Ulcus molle (cutis) (skin)

099.1            Lymphogranuloma venereum

Climatic or tropical bubo

(Durand-) Nicolas-Favre disease

Esthiomene

Lymphogranuloma inguinale

099.2            Granuloma inguinale

Donovanosis

Granuloma pudendi (ulcerating)

Granuloma venereum

Pudendal ulcer

099.3            Reiter's disease

Reiter's syndrome

Use additional code for associated:

arthropathy (711.1)

conjunctivitis (372.33)

099.4            Other nongonococcal urethritis [NGU]

099.40      Unspecified

Nonspecific urethritis

099.41      Chlamydia trachomatis

099.49      Other specified organism

099.5            Other venereal diseases due to Chlamydia trachomatis

Excludes:            Chlamydia trachomatis infection of conjunctiva (076.0-076.9, 077.0, 077.9)

Lymphogranuloma venereum (099.1)

099.50      Unspecified site

099.51      Pharynx

099.52      Anus and rectum

099.53      Lower genitourinary sites

Excludes:            urethra (099.41)

Use additional code to specify site of infection, such as:

bladder (595.4)

cervix (616.0)

vagina and vulva (616.11)

099.54      Other genitourinary sites

Use additional code to specify site of infection, such as:

pelvic inflammatory disease NOS (614.9)

testis and epididymis (604.91)

099.55      Unspecified genitourinary site

099.56      Peritoneum

Perihepatitis

099.59      Other specified site

099.8            Other specified venereal diseases

099.9            Venereal disease, unspecified

OTHER SPIROCHETAL DISEASES (100-104)

100            Leptospirosis

100.0            Leptospirosis icterohemorrhagica

Leptospiral or spirochetal jaundice (hemorrhagic)

Weil's disease

100.8            Other specified leptospiral infections

100.81      Leptospiral meningitis (aseptic)

100.89      Other

Fever:

Fort Bragg

pretibial

swamp

Infection by Leptospira:

australis

bataviae

pyrogenes

100.9            Leptospirosis, unspecified

101            Vincent's angina

Acute necrotizing ulcerative:

gingivitis

stomatitis

Fusospirochetal pharyngitis

Spirochetal stomatitis

Trench mouth

Vincent's:

gingivitis

infection [any site]

102       Yaws

Includes:            frambesia

pian

102.0            Initial lesions

Chancre of yaws

Frambesia, initial or primary

Initial frambesial ulcer

Mother yaw

102.1            Multiple papillomata and wet crab yaws

Butter yaws

Frambesioma

Pianoma

Plantar or palmar papilloma of yaws

102.2            Other early skin lesions

Early yaws (cutaneous) (macular) (papular) (maculopapular) (micropapular)

Frambeside of early yaws

Cutaneous yaws, less than five years after infection

102.3            Hyperkeratosis

Ghoul hand

Hyperkeratosis, palmar or plantar (early) (late) due to yaws

Worm-eaten soles

102.4            Gummata and ulcers

Nodular late yaws (ulcerated)

Gummatous frambeside

102.5            Gangosa

Rhinopharyngitis mutilans

102.6            Bone and joint lesions

Goundou of yaws (late)

Gumma, bone of yaws (late)

Gummatous osteitis or periostitis of yaws (late)

Hydrarthrosis of yaws (early) (late)

Osteitis of yaws (early) (late)

Periostitis (hypertrophic) of yaws (early) (late)

102.7            Other manifestations

Juxta-articular nodules of yaws

Mucosal yaws

102.8            Latent yaws

Yaws without clinical manifestations, with positive serology

102.9            Yaws, unspecified

103       Pinta

103.0            Primary lesions

Chancre (primary) of pinta [carate]

Papule (primary) of pinta [carate]

Pintid of pinta [carate]

103.1            Intermediate lesions

Erythematous plaques of pinta [carate]

Hyperchromic lesions of pinta [carate]

Hyperkeratosis of pinta [carate]

103.2            Late lesions

Cardiovascular lesions of pinta [carate]

Skin lesions of pinta [carate]:

achromic of pinta [carate]

cicatricial of pinta [carate]

dyschromic of pinta [carate]

Vitiligo of pinta [carate]

103.3            Mixed lesions

Achromic and hyperchromic skin lesions of pinta [carate]

103.9            Pinta, unspecified

104       Other spirochetal infection

104.0            Nonvenereal endemic syphilis

Bejel

Njovera

104.8            Other specified spirochetal infections

Excludes:            relapsing fever (087.0-087.9)

syphilis (090.0-097.9)

104.9            Spirochetal infection, unspecified

MYCOSES (110-118)

Use additional code to identify manifestation, as:

arthropathy (711.6)

meningitis (321.0-321.1)

otitis externa (380.15)

Excludes:            infection by Actinomycetales, such as species of Actinomyces, Actinomadura, Nocardia, Streptomyces (039.0-039.9)

110            Dermatophytosis

Includes:            infection by species of Epidermophyton, Microsporum, and Trichophyton

tinea, any type except those in 111

110.0            Of scalp and beard

Kerion

Sycosis, mycotic

Trichophytic tinea [black dot tinea], scalp

110.1            Of nail

Dermatophytic onychia

Onychomycosis

Tinea unguium

110.2            Of hand

Tinea manuum

110.3            Of groin and perianal area

Dhobie itch

Eczema marginatum

Tinea cruris

110.4            Of foot

Athlete's foot

Tinea pedis

110.5            Of the body

Herpes circinatus

Tinea imbricata [Tokelau]

110.6            Deep seated dermatophytosis

Granuloma trichophyticum

Majocchi's granuloma

110.8            Of other specified sites

110.9            Of unspecified site

Favus NOS

Microsporic tinea NOS

Ringworm NOS

111            Dermatomycosis, other and unspecified

111.0            Pityriasis versicolor

Infection by Malassezia [Pityrosporum] furfur

Tinea flava

Tinea versicolor

111.1            Tinea nigra

Infection by Cladosporium species

Keratomycosis nigricans

Microsporosis nigra

Pityriasis nigra

Tinea palmaris nigra

111.2            Tinea blanca

Infection by Trichosporon (beigelii) cutaneum

White piedra

111.3            Black piedra

Infection by Piedraia hortai

111.8            Other specified dermatomycoses

111.9            Dermatomycosis, unspecified

112            Candidiasis

Includes:            infection by Candida species

moniliasis

Excludes:            neonatal monilial infection (771.7)

112.0            Of mouth

Thrush (oral)

112.1            Of vulva and vagina

Candidal vulvovaginitis

Monilial vulvovaginitis

112.2            Of other urogenital sites

Candidal balanitis

112.3            Of skin and nails

Candidal intertrigo

Candidal onychia

Candidal perionyxis [paronychia]

112.4            Of lung

Candidal pneumonia

112.5            Disseminated

Systemic candidiasis

112.8            Of other specified sites

112.81      Candidal endocarditis

112.82      Candidal otitis externa

Otomycosis in moniliasis

112.83      Candidal meningitis

112.84      Candidal esophagitis

112.85      Candidal enteritis

112.89      Other

112.9            Of unspecified site

114            Coccidioidomycosis

Includes:            infection by Coccidioides (immitis)

Posada-Wernicke disease

114.0            Primary coccidioidomycosis (pulmonary)

Acute pulmonary coccidioidomycosis

Coccidioidomycotic pneumonitis

Desert rheumatism

Pulmonary coccidioidomycosis

San Joaquin Valley fever

114.1            Primary extrapulmonary coccidioidomycosis

Chancriform syndrome

Primary cutaneous coccidioidomycosis

114.2            Coccidioidal meningitis

114.3            Other forms of progressive coccidioidomycosis

Coccidioidal granuloma

Disseminated coccidioidomycosis

114.4            Chronic pulmonary coccidioidomycosis

114.5            Pulmonary coccidioidomycosis, unspecified

114.9            Coccidioidomycosis, unspecified

115            Histoplasmosis

The following fifth-digit subclassification is for use with category 115:

0            without mention of manifestation

1            meningitis

2            retinitis

3            pericarditis

4            endocarditis

5            pneumonia

9            other

115.0            Infection by Histoplasma capsulatum

American histoplasmosis

Darling's disease

Reticuloendothelial cytomycosis

Small form histoplasmosis

115.1            Infection by Histoplasma duboisii

African histoplasmosis

Large form histoplasmosis

115.9            Histoplasmosis, unspecified

Histoplasmosis NOS

116            Blastomycotic infection

116.0            Blastomycosis

Blastomycotic dermatitis

Chicago disease

Cutaneous blastomycosis

Disseminated blastomycosis

Gilchrist's disease

Infection by Blastomyces [Ajellomyces] dermatitidis

North American blastomycosis

Primary pulmonary blastomycosis

116.1            Paracoccidioidomycosis

Brazilian blastomycosis

Infection by Paracoccidioides [Blastomyces] brasiliensis

Lutz-Splendore-Almeida disease

Mucocutaneous-lymphangitic paracoccidioidomycosis

Pulmonary paracoccidioidomycosis

South American blastomycosis

Visceral paracoccidioidomycosis

116.2            Lobomycosis

Infections by Loboa [Blastomyces] loboi

Keloidal blastomycosis

Lobo's disease

117       Other mycoses

117.0            Rhinosporidiosis

Infection by Rhinosporidium seeberi

117.1            Sporotrichosis

Cutaneous sporotrichosis

Disseminated sporotrichosis

Infection by Sporothrix [Sporotrichum] schenckii

Lymphocutaneous sporotrichosis

Pulmonary sporotrichosis

Sporotrichosis of the bones

117.2            Chromoblastomycosis

Chromomycosis

Infection by Cladosporidium carrionii, Fonsecaea compactum, Fonsecaea pedrosoi, Phialophora verrucosa

117.3            Aspergillosis

Infection by Aspergillus species, mainly A. fumigatus, A. flavus group, A. terreus group

117.4            Mycotic mycetomas

Infection by various genera and species of Ascomycetes and Deuteromycetes, such as Acremonium [Cephalosporium] falciforme, Neotestudina rosatii, Madurella grisea, Madurella mycetomii, Pyrenochaeta romeroi, Zopfia [Leptosphaeria] senegalensis

Madura foot, mycotic

Maduromycosis, mycotic

Excludes:            actinomycotic mycetomas (039.0-039.9)

117.5            Cryptococcosis

Busse-Buschke's disease

European cryptococcosis

Infection by Cryptococcus neoformans

Pulmonary cryptococcosis

Systemic cryptococcosis

Torula

117.6            Allescheriosis [Petriellidosis]

Infections by Allescheria [Petriellidium] boydii [Monosporium apiospermum]

Excludes:            mycotic mycetoma (117.4)

117.7            Zygomycosis [Phycomycosis or Mucormycosis]

Infection by species of Absidia, Basidiobolus, Conidiobolus, Cunninghamella, Entomophthora, Mucor, Rhizopus, Saksenaea

117.8            Infection by dematiacious fungi [Phaehyphomycosis]

Infection by dematiacious fungi, such as Cladosporium trichoides [bantianum], Dreschlera hawaiiensis, Phialophora gougerotii, Phialophora jeanselmi

117.9            Other and unspecified mycoses

118            Opportunistic mycoses

Infection of skin, subcutaneous tissues, and/or organs by a wide variety of fungi generally considered to be pathogenic to compromised hosts only (e.g., infection by species of Alternaria, Dreschlera, Fusarium)

HELMINTHIASES (120-129)

120            Schistosomiasis [bilharziasis]

120.0            Schistosoma haematobium

Vesical schistosomiasis NOS

120.1            Schistosoma mansoni

Intestinal schistosomiasis NOS

120.2            Schistosoma japonicum

Asiatic schistosomiasis NOS

Katayama disease or fever

120.3            Cutaneous

Cercarial dermatitis

Infection by cercariae of Schistosoma

Schistosome dermatitis

Swimmers' itch

120.8            Other specified schistosomiasis

Infection by Schistosoma:

bovis

intercalatum

mattheii

Infection by Schistosoma spindale

Schistosomiasis chestermani

120.9            Schistosomiasis, unspecified

Blood flukes NOS

Hemic distomiasis

121       Other trematode infections

121.0            Opisthorchiasis

Infection by:

cat liver fluke

Opisthorchis (felineus) (tenuicollis) (viverrini)

121.1            Clonorchiasis

Biliary cirrhosis due to clonorchiasis

Chinese liver fluke disease

Hepatic distomiasis due to Clonorchis sinensis

Oriental liver fluke disease

121.2            Paragonimiasis

Infection by Paragonimus

Lung fluke disease (oriental)

Pulmonary distomiasis

121.3            Fascioliasis

Infection by Fasciola:

gigantica

hepatica

Liver flukes NOS

Sheep liver fluke infection

121.4            Fasciolopsiasis

Infection by Fasciolopsis (buski)

Intestinal distomiasis

121.5            Metagonimiasis

Infection by Metagonimus yokogawai

121.6            Heterophyiasis

Infection by:

Heterophyes heterophyes

Stellantchasmus falcatus

121.8            Other specified trematode infections

Infection by:

Dicrocoelium dendriticum

Echinostoma ilocanum

Gastrodiscoides hominis

121.9            Trematode infection, unspecified

Distomiasis NOS

Fluke disease NOS

122            Echinococcosis

Includes:            echinococciasis

hydatid disease

hydatidosis

122.0            Echinococcus granulosus infection of liver

122.1            Echinococcus granulosus infection of lung

122.2            Echinococcus granulosus infection of thyroid

122.3            Echinococcus granulosus infection, other

122.4            Echinococcus granulosus infection, unspecified

122.5            Echinococcus multilocularis infection of liver

122.6            Echinococcus multilocularis infection, other

122.7            Echinococcus multilocularis infection, unspecified

122.8            Echinococcosis, unspecified, of liver

122.9            Echinococcosis, other and unspecified

123       Other cestode infection

123.0            Taenia solium infection, intestinal form

Pork tapeworm (adult) (infection)

123.1            Cysticercosis

Cysticerciasis

Infection by Cysticercus cellulosae [larval form of Taenia solium]

123.2            Taenia saginata infection

Beef tapeworm (infection)

Infection by Taeniarhynchus saginatus

123.3            Taeniasis, unspecified

123.4            Diphyllobothriasis, intestinal

Diphyllobothrium (adult) (latum) (pacificum) infection

Fish tapeworm (infection)

123.5            Sparganosis [larval diphyllobothriasis]

Infection by:

Diphyllobothrium larvae

Sparganum (mansoni) (proliferum)

Spirometra larvae

123.6            Hymenolepiasis

Dwarf tapeworm (infection)

Hymenolepis (diminuta) (nana) infection

Rat tapeworm (infection)

123.8            Other specified cestode infection

Diplogonoporus (grandis) infection

Dipylidium (caninum) infection

Dog tapeworm (infection)

123.9            Cestode infection, unspecified

Tapeworm (infection) NOS

124            Trichinosis

Trichinella spiralis infection

Trichinellosis

Trichiniasis

125       Filarial infection and dracontiasis

125.0            Bancroftian filariasis

Chyluria due to Wuchereria bancrofti

Elephantiasis due to Wuchereria bancrofti

Infection due to Wuchereria bancrofti

Lymphadenitis due to Wuchereria bancrofti

Lymphangitis due to Wuchereria bancrofti

Wuchereriasis

125.1            Malayan filariasis

Brugia filariasis due to Brugia [Wuchereria] malayi

Chyluria due to Brugia [Wuchereria] malayi

Elephantiasis due to Brugia [Wuchereria] malayi

Infection due to Brugia [Wuchereria] malayi

Lymphadenitis due to Brugia [Wuchereria] malayi

Lymphangitis due to Brugia [Wuchereria] malayi

125.2            Loiasis

Eyeworm disease of Africa

Loa loa infection

125.3            Onchocerciasis

Onchocerca volvulus infection

Onchocercosis

125.4            Dipetalonemiasis

Infection by:

Acanthocheilonema perstans

Dipetalonema perstans

125.5            Mansonella ozzardi infection

Filariasis ozzardi

125.6            Other specified filariasis

Dirofilaria infection

Infection by:

Acanthocheilonema streptocerca

Dipetalonema streptocerca

125.7            Dracontiasis

Guinea-worm infection

Infection by Dracunculus medinensis

125.9            Unspecified filariasis

126            Ancylostomiasis and necatoriasis

Includes:            cutaneous larva migrans due to Ancylostoma

hookworm (disease) (infection)

uncinariasis

126.0            Ancylostoma duodenale

126.1            Necator americanus

126.2            Ancylostoma braziliense

126.3            Ancylostoma ceylanicum

126.8            Other specified Ancylostoma

126.9            Ancylostomiasis and necatoriasis, unspecified

Creeping eruption NOS

Cutaneous larva migrans NOS

127       Other intestinal helminthiases

127.0            Ascariasis

Ascaridiasis

Infection by Ascaris lumbricoides

Roundworm infection

127.1            Anisakiasis

Infection by Anisakis larva

127.2            Strongyloidiasis

Infection by Strongyloides stercoralis

Excludes:            trichostrongyliasis (127.6)

127.3            Trichuriasis

Infection by Trichuris trichiuria

Trichocephaliasis

Whipworm (disease) (infection)

127.4            Enterobiasis

Infection by Enterobius vermicularis

Oxyuriasis

Oxyuris vermicularis infection

Pinworm (disease) (infection)

Threadworm infection

127.5            Capillariasis

Infection by Capillaria philippinensis

Excludes:            infection by Capillaria hepatica (128.8)

127.6            Trichostrongyliasis

Infection by Trichostrongylus species

127.7            Other specified intestinal helminthiasis

Infection by:

Oesophagostomum apiostomum and related species

Ternidens diminutus

other specified intestinal helminth

Physalopteriasis

127.8            Mixed intestinal helminthiasis

Infection by intestinal helminths classified to more than one of the categories 120.0-127.7

Mixed helminthiasis NOS

127.9            Intestinal helminthiasis, unspecified

128       Other and unspecified helminthiases

128.0            Toxocariasis

Larva migrans visceralis

Toxocara (canis) (cati) infection

Visceral larva migrans syndrome

128.1            Gnathostomiasis

Infection by Gnathostoma spinigerum and related species

128.8            Other specified helminthiasis

Infection by:

Angiostrongylus cantonensis

Capillaria hepatica

other specified helminth

128.9            Helminth infection, unspecified

Helminthiasis NOS

Worms NOS

129            Intestinal parasitism, unspecified

OTHER INFECTIOUS AND PARASITIC DISEASES (130-136)

130            Toxoplasmosis

Includes:            infection by toxoplasma gondii

toxoplasmosis (acquired)

Excludes:            congenital toxoplasmosis (771.2)

130.0            Meningoencephalitis due to toxoplasmosis

Encephalitis due to acquired toxoplasmosis

130.1            Conjunctivitis due to toxoplasmosis

130.2            Chorioretinitis due to toxoplasmosis

Focal retinochoroiditis due to acquired toxoplasmosis

130.3            Myocarditis due to toxoplasmosis

130.4            Pneumonitis due to toxoplasmosis

130.5            Hepatitis due to toxoplasmosis

130.7            Toxoplasmosis of other specified sites

130.8            Multisystemic disseminated toxoplasmosis

Toxoplasmosis of multiple sites

130.9            Toxoplasmosis, unspecified

131            Trichomoniasis

Includes:            infection due to Trichomonas (vaginalis)

131.0            Urogenital trichomoniasis

131.00      Urogenital trichomoniasis, unspecified

Fluor (vaginalis) trichomonal or due to Trichomonas (vaginalis)

Leukorrhea (vaginalis) trichomonal or due to Trichomonas (vaginalis)

131.01      Trichomonal vulvovaginitis

Vaginitis, trichomonal or due to Trichomonas (vaginalis)

131.02      Trichomonal urethritis

131.03      Trichomonal prostatitis

131.09      Other

131.8            Other specified sites

Excludes:            intestinal (007.3)

131.9            Trichomoniasis, unspecified

132            Pediculosis and phthirus infestation

132.0            Pediculus capitis [head louse]

132.1            Pediculus corporis [body louse]

132.2            Phthirus pubis [pubic louse]

Pediculus pubis

132.3            Mixed infestation

Infestation classifiable to more than one of the categories 132.0-132.2

132.9            Pediculosis, unspecified

133            Acariasis

133.0            Scabies

Infestation by Sarcoptes scabiei

Norwegian scabies

Sarcoptic itch

133.8            Other acariasis

Chiggers

Infestation by:

Demodex folliculorum

Trombicula

133.9            Acariasis, unspecified

Infestation by mites NOS

134       Other infestation

134.0            Myiasis

Infestation by:

Dermatobia (hominis)

fly larvae

Gasterophilus (intestinalis)

maggots

Oestrus ovis

134.1            Other arthropod infestation

Infestation by:

chigoe

sand flea

Tunga penetrans

Jigger disease

Scarabiasis

Tungiasis

134.2            Hirudiniasis

Hirudiniasis (external) (internal)

Leeches (aquatic) (land)

134.8            Other specified infestations

134.9            Infestation, unspecified

Infestation (skin) NOS

Skin parasites NOS

135            Sarcoidosis

Besnier-Boeck-Schaumann disease

Lupoid (miliary) of Boeck

Lupus pernio (Besnier)

Lymphogranulomatosis, benign (Schaumann's)

Sarcoid (any site):

NOS

Boeck

Darier-Roussy

Uveoparotid fever

136       Other and unspecified infectious and parasitic diseases

136.0            Ainhum

Dactylolysis spontanea

136.1            Behçet's syndrome

136.2            Specific infections by free-living amebae

Meningoencephalitis due to Naegleria

136.3            Pneumocystosis

Pneumonia due to Pneumocystis carinii

136.4            Psorospermiasis

136.5            Sarcosporidiosis

Infection by Sarcocystis lindemanni

136.8            Other specified infectious and parasitic diseases

Candiru infestation

136.9            Unspecified infectious and parasitic diseases

Infectious disease NOS

Parasitic disease NOS

LATE EFFECTS OF INFECTIOUS AND PARASITIC DISEASES (137-139)

137       Late effects of tuberculosis

Note:    This category is to be used to indicate conditions classifiable to 010-018 as the cause of late effects, which are themselves classified elsewhere. The "late effects" include those specified as such, as sequelae, or as due to old or inactive tuberculosis, without evidence of active disease.

137.0            Late effects of respiratory or unspecified tuberculosis

137.1            Late effects of central nervous system tuberculosis

137.2            Late effects of genitourinary tuberculosis

137.3            Late effects of tuberculosis of bones and joints

137.4            Late effects of tuberculosis of other specified organs

138       Late effects of acute poliomyelitis

Note:    This category is to be used to indicate conditions classifiable to 045 as the cause of late effects, which are themselves classified elsewhere.  The "late effects" include conditions specified as such, or as sequelae, or as due to old or inactive poliomyelitis, without evidence of active disease.

139       Late effects of other infectious and parasitic diseases

Note:    This category is to be used to indicate conditions classifiable to categories 001-009, 020-041, 046-136 as the cause of late effects, which are themselves classified elsewhere.  The "late effects" include conditions specified as such; they also include sequela of diseases classifiable to the above categories if there is evidence that the disease itself is no longer present.

139.0            Late effects of viral encephalitis

Late effects of conditions classifiable to 049.8-049.9, 062-064

139.1            Late effects of trachoma

Late effects of conditions classifiable to 076

139.8            Late effects of other and unspecified infectious and parasitic diseases

2.  NEOPLASMS (140-239)

1.            Content:

This chapter contains the following broad groups:

140-195      Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphatic and hematopoietic tissue

196-198      Malignant neoplasms, stated or presumed to be secondary, of specified sites

199      Malignant neoplasms, without specification of site

200-208      Malignant neoplasms, stated or presumed to be primary, of lymphatic and hematopoietic tissue

210-229      Benign neoplasms

230-234      Carcinoma in situ

235-238      Neoplasms of uncertain behavior [see Note, at beginning of section 235-238]

239      Neoplasms of unspecified nature

2.            Functional activity

All neoplasms are classified in this chapter, whether or not functionally active. An additional code from Chapter 3 may be used to identify such functional activity associated with any neoplasm, e.g.:

catecholamine-producing malignant pheochromocytoma of adrenal:

   code 194.0, additional code 255.6

basophil adenoma of pituitary with Cushing's syndrome:

   code 227.3, additional code 255.0

3.            Morphology [Histology]

For those wishing to identify the histological type of neoplasms, a comprehensive coded nomenclature, which comprises the morphology rubrics of the ICD-Oncology, is given after the E-code chapter.

4.            Malignant neoplasms overlapping site boundaries

Categories 140-195 are for the classification of primary malignant neoplasms according to their point of origin.  A malignant neoplasm that overlaps two or more subcategories within a three-digit rubric and whose point of origin cannot be determined should be classified to the subcategory .8 "Other."  For example, "carcinoma involving tip and ventral surface of tongue" should be assigned to 141.8. On the other hand, "carcinoma of tip of tongue, extending to involve the ventral surface" should be coded to 141.2, as the point of origin, the tip, is known.  Three subcategories (149.8, 159.8, 165.8) have been provided for malignant neoplasms that overlap the boundaries of three-digit rubrics within certain systems.  Overlapping malignant neoplasms that cannot be classified as indicated above should be assigned to the appropriate subdivision of category 195 (Malignant neoplasm of other and ill-defined sites).

MALIGNANT NEOPLASM OF LIP, ORAL CAVITY, AND PHARYNX (140-149)

Excludes:            carcinoma in situ (230.0)

140            Malignant neoplasm of lip

Excludes:            skin of lip (173.0)

140.0            Upper lip, vermilion border

Upper lip:

NOS

external

lipstick area

140.1            Lower lip, vermilion border

Lower lip:

NOS

external

lipstick area

140.3            Upper lip, inner aspect

Upper lip:

buccal aspect

frenulum

mucosa

oral aspect

140.4            Lower lip, inner aspect

Lower lip:

buccal aspect

frenulum

mucosa

oral aspect

140.5            Lip, unspecified, inner aspect

Lip, not specified whether upper or lower:

buccal aspect

frenulum

mucosa

oral aspect

140.6            Commissure of lip

Labial commissure

140.8            Other sites of lip

Malignant neoplasm of contiguous or overlapping sites of lip whose point of origin cannot be determined

140.9            Lip, unspecified, vermilion border

Lip, not specified as upper or lower:

NOS

external

lipstick area

141            Malignant neoplasm of tongue

141.0            Base of tongue

Dorsal surface of base of tongue

Fixed part of tongue NOS

141.1            Dorsal surface of tongue

Anterior two-thirds of tongue, dorsal surface

Dorsal tongue NOS

Midline of tongue

Excludes:            dorsal surface of base of tongue (141.0)

141.2            Tip and lateral border of tongue

141.3            Ventral surface of tongue

Anterior two-thirds of tongue, ventral surface

Frenulum linguae

141.4            Anterior two-thirds of tongue, part unspecified

Mobile part of tongue NOS

141.5            Junctional zone

Border of tongue at junction of fixed and mobile parts at insertion of anterior tonsillar pillar

141.6            Lingual tonsil

141.8            Other sites of tongue

Malignant neoplasm of contiguous or overlapping sites of tongue whose point of origin cannot be determined

141.9            Tongue, unspecified

Tongue NOS

142            Malignant neoplasm of major salivary glands

Includes:            salivary ducts

Excludes:            malignant neoplasm of minor salivary glands:

NOS (145.9)

buccal mucosa (145.0)

soft palate (145.3)

tongue (141.0-141.9)

tonsil, palatine (146.0)

142.0            Parotid gland

142.1            Submandibular gland

Submaxillary gland

142.2            Sublingual gland

142.8            Other major salivary glands

Malignant neoplasm of contiguous or overlapping sites of salivary glands and ducts whose point of origin cannot be determined

142.9            Salivary gland, unspecified

Salivary gland (major) NOS

143            Malignant neoplasm of gum

Includes:            alveolar (ridge) mucosa

gingiva (alveolar) (marginal)

interdental papillae

Excludes:            malignant odontogenic neoplasms (170.0-170.1)

143.0            Upper gum

143.1            Lower gum

143.8            Other sites of gum

Malignant neoplasm of contiguous or overlapping sites of gum whose point of origin cannot be determined

143.9            Gum, unspecified

144            Malignant neoplasm of floor of mouth

144.0            Anterior portion

Anterior to the premolar-canine junction

144.1            Lateral portion

144.8            Other sites of floor of mouth

Malignant neoplasm of contiguous or overlapping sites of floor of mouth whose point of origin cannot be determined

144.9            Floor of mouth, part unspecified

145            Malignant neoplasm of other and unspecified parts of mouth

Excludes:            mucosa of lips (140.0-140.9)

145.0            Cheek mucosa

Buccal mucosa

Cheek, inner aspect

145.1            Vestibule of mouth

Buccal sulcus (upper) (lower)

Labial sulcus (upper) (lower)

145.2            Hard palate

145.3            Soft palate

Excludes:            nasopharyngeal [posterior] [superior] surface of soft palate (147.3)

145.4            Uvula

145.5            Palate, unspecified

Junction of hard and soft palate

Roof of mouth

145.6            Retromolar area

145.8            Other specified parts of mouth

Malignant neoplasm of contiguous or overlapping sites of mouth whose point of origin cannot be determined

145.9            Mouth, unspecified

Buccal cavity NOS

Minor salivary gland, unspecified site

Oral cavity NOS

146            Malignant neoplasm of oropharynx

146.0            Tonsil

Tonsil:

NOS

faucial

palatine

Excludes:            lingual tonsil (141.6)

pharyngeal tonsil (147.1)

146.1            Tonsillar fossa

146.2            Tonsillar pillars (anterior) (posterior)

Faucial pillar

Glossopalatine fold

Palatoglossal arch

Palatopharyngeal arch

146.3            Vallecula

Anterior and medial surface of the pharyngoepiglottic fold

146.4            Anterior aspect of epiglottis

Epiglottis, free border [margin]

Glossoepiglottic fold(s)

Excludes:            epiglottis:

NOS (161.1)

suprahyoid portion (161.1)

146.5            Junctional region

Junction of the free margin of the epiglottis, the aryepiglottic fold, and the pharyngoepiglottic fold

146.6            Lateral wall of oropharynx

146.7            Posterior wall of oropharynx

146.8            Other specified sites of oropharynx

Branchial cleft

Malignant neoplasm of contiguous or overlapping sites of oropharynx whose point of origin cannot be determined

146.9            Oropharynx, unspecified

147            Malignant neoplasm of nasopharynx

147.0            Superior wall

Roof of nasopharynx

147.1            Posterior wall

Adenoid

Pharyngeal tonsil

147.2            Lateral wall

Fossa of Rosenmüller

Opening of auditory tube

Pharyngeal recess

147.3            Anterior wall

Floor of nasopharynx

Nasopharyngeal [posterior] [superior] surface of soft palate

Posterior margin of nasal septum and choanae

147.8            Other specified sites of nasopharynx

Malignant neoplasm of contiguous or overlapping sites of nasopharynx whose point of origin cannot be determined

147.9            Nasopharynx, unspecified

Nasopharyngeal wall NOS

148            Malignant neoplasm of hypopharynx

148.0            Postcricoid region

148.1            Pyriform sinus

Pyriform fossa

148.2            Aryepiglottic fold, hypopharyngeal aspect

Aryepiglottic fold or interarytenoid fold:

NOS

marginal zone

Excludes:            aryepiglottic fold or interarytenoid fold, laryngeal aspect (161.1)

148.3            Posterior hypopharyngeal wall

148.8            Other specified sites of hypopharynx

Malignant neoplasm of contiguous or overlapping sites of hypopharynx whose point of origin cannot be determined

148.9            Hypopharynx, unspecified

Hypopharyngeal wall NOS

Hypopharynx NOS

149            Malignant neoplasm of other and ill-defined sites within the lip, oral cavity, and pharynx

149.0            Pharynx, unspecified

149.1            Waldeyer's ring

149.8            Other

Malignant neoplasms of lip, oral cavity, and pharynx whose point of origin cannot be assigned to any one of the categories 140-148

Excludes:            "book leaf" neoplasm [ventral surface of tongue and floor of mouth] (145.8)

149.9            Ill-defined

MALIGNANT NEOPLASM OF DIGESTIVE ORGANS AND PERITONEUM (150-159)

Excludes:            carcinoma in situ (230.1-230.9)

150            Malignant neoplasm of esophagus

150.0            Cervical esophagus

150.1            Thoracic esophagus

150.2            Abdominal esophagus

Excludes:            adenocarcinoma (151.0)

cardio-esophageal junction (151.0)

150.3            Upper third of esophagus

Proximal third of esophagus

150.4            Middle third of esophagus

150.5            Lower third of esophagus

Distal third of esophagus

Excludes:            adenocarcinoma (151.0)

cardio-esophageal junction (151.0)

150.8            Other specified part

Malignant neoplasm of contiguous or overlapping sites of esophagus whose point of origin cannot be determined

150.9            Esophagus, unspecified

151            Malignant neoplasm of stomach

151.0            Cardia

Cardiac orifice

Cardio-esophageal junction

Excludes:            squamous cell carcinoma (150.2, 150.5)

151.1            Pylorus

Prepylorus

Pyloric canal

151.2            Pyloric antrum

Antrum of stomach NOS

151.3            Fundus of stomach

151.4            Body of stomach

151.5            Lesser curvature, unspecified

Lesser curvature, not classifiable to 151.1-151.4

151.6            Greater curvature, unspecified

Greater curvature, not classifiable to 151.0-151.4

151.8            Other specified sites of stomach

Anterior wall, not classifiable to 151.0-151.4

Posterior wall, not classifiable to 151.0-151.4

Malignant neoplasm of contiguous or overlapping sites of stomach whose point of origin cannot be determined

151.9            Stomach, unspecified

Carcinoma ventriculi

Gastric cancer

152            Malignant neoplasm of small intestine, including duodenum

152.0            Duodenum

152.1            Jejunum

152.2            Ileum

Excludes:            ileocecal valve (153.4)

152.3            Meckel's diverticulum

152.8            Other specified sites of small intestine

Duodenojejunal junction

Malignant neoplasm of contiguous or overlapping sites of small intestine whose point of origin cannot be determined

152.9            Small intestine, unspecified

153            Malignant neoplasm of colon

153.0            Hepatic flexure

153.1            Transverse colon

153.2            Descending colon

Left colon

153.3            Sigmoid colon

Sigmoid (flexure)

Excludes:            rectosigmoid junction (154.0)

153.4            Cecum

Ileocecal valve

153.5            Appendix

153.6            Ascending colon

Right colon

153.7            Splenic flexure

153.8            Other specified sites of large intestine

Malignant neoplasm of contiguous or overlapping sites of colon whose point of origin cannot be determined

Excludes:            ileocecal valve (153.4)

rectosigmoid junction (154.0)

153.9            Colon, unspecified

Large intestine NOS

154            Malignant neoplasm of rectum, rectosigmoid junction, and anus

154.0            Rectosigmoid junction

Colon with rectum

Rectosigmoid (colon)

154.1            Rectum

Rectal ampulla

154.2            Anal canal

Anal sphincter

Excludes:            skin of anus (172.5, 173.5)

154.3            Anus, unspecified

Excludes:            anus:

margin (172.5, 173.5)

skin (172.5, 173.5)

perianal skin (172.5, 173.5)

154.8            Other

Anorectum

Cloacogenic zone

Malignant neoplasm of contiguous or overlapping sites of rectum, rectosigmoid junction, and anus whose point of origin cannot be determined

155            Malignant neoplasm of liver and intrahepatic bile ducts

155.0            Liver, primary

Carcinoma:

liver, specified as primary

hepatocellular

liver cell

Hepatoblastoma

155.1            Intrahepatic bile ducts

Canaliculi biliferi

Interlobular:

bile ducts

biliary canals

Intrahepatic:

biliary passages

canaliculi

gall duct

Excludes:            hepatic duct (156.1)

155.2            Liver, not specified as primary or secondary

156            Malignant neoplasm of gallbladder and extrahepatic bile ducts

156.0            Gallbladder

156.1            Extrahepatic bile ducts

Biliary duct or passage

NOS

Common bile duct

Cystic duct

Hepatic duct

Sphincter of Oddi

156.2            Ampulla of Vater

156.8            Other specified sites of gallbladder and extrahepatic bile ducts

Malignant neoplasm of contiguous or overlapping sites of gallbladder and extrahepatic bile ducts whose point of origin cannot be determined

156.9            Biliary tract, part unspecified

Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts

157            Malignant neoplasm of pancreas

157.0            Head of pancreas

157.1            Body of pancreas

157.2            Tail of pancreas

157.3            Pancreatic duct

Duct of:

Santorini

Wirsung

157.4            Islets of Langerhans

Islets of Langerhans, any part of pancreas

Use additional code to identify any functional activity

157.8            Other specified sites of pancreas

Ectopic pancreatic tissue

Malignant neoplasm of contiguous or overlapping sites of pancreas whose point of origin cannot be determined

157.9            Pancreas, part unspecified

158            Malignant neoplasm of retroperitoneum and peritoneum

158.0            Retroperitoneum

Periadrenal tissue

Perinephric tissue

Perirenal tissue

Retrocecal tissue

158.8            Specified parts of peritoneum

Cul-de-sac (of Douglas)

Mesentery

Mesocolon

Omentum

Peritoneum:

parietal

pelvic

Rectouterine pouch

Malignant neoplasm of contiguous or overlapping sites of retroperitoneum and peritoneum whose point of origin cannot be determined

158.9            Peritoneum, unspecified

159            Malignant neoplasm of other and ill-defined sites within the digestive organs and peritoneum

159.0            Intestinal tract, part unspecified

Intestine NOS

159.1            Spleen, not elsewhere classified

Angiosarcoma of spleen

Fibrosarcoma of spleen

Excludes:            Hodgkin's disease (201.0-201.9)

lymphosarcoma (200.1)

reticulosarcoma (200.0)

159.8            Other sites of digestive system and intra-abdominal organs

Malignant neoplasm of digestive organs and peritoneum whose point of origin cannot be assigned to any one of the categories 150-158

Excludes:            anus and rectum (154.8)

cardio-esophageal junction (151.0)

colon and rectum (154.0)

159.9            Ill-defined

Alimentary canal or tract NOS

Gastrointestinal tract NOS

Excludes:            abdominal NOS (195.2)

intra-abdominal NOS (195.2)

MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS (160-165)

Excludes:            carcinoma in situ (231.0-231.9)

160            Malignant neoplasm of nasal cavities, middle ear, and accessory sinuses

160.0            Nasal cavities

Cartilage of nose

Conchae, nasal

Internal nose

Septum of nose

Vestibule of nose

Excludes:            nasal bone (170.0)

nose NOS (195.0)

olfactory bulb (192.0)

posterior margin of septum and choanae (147.3)

skin of nose (172.3, 173.3)

turbinates (170.0)

160.1            Auditory tube, middle ear, and mastoid air cells

Antrum tympanicum

Eustachian tube

Tympanic cavity

Excludes:            auditory canal (external) (172.2, 173.2)

bone of ear (meatus) (170.0)

cartilage of ear (171.0)

ear (external) (skin) (172.2, 173.2)

160.2            Maxillary sinus

Antrum (Highmore) (maxillary)

160.3            Ethmoidal sinus

160.4            Frontal sinus

160.5            Sphenoidal sinus

160.8            Other

Malignant neoplasm of contiguous or overlapping sites of nasal cavities, middle ear, and accessory sinuses whose point of origin cannot be determined

160.9            Accessory sinus, unspecified

161            Malignant neoplasm of larynx

161.0            Glottis

Intrinsic larynx

Laryngeal commissure (anterior) (posterior)

True vocal cord

Vocal cord NOS

161.1            Supraglottis

Aryepiglottic fold or interarytenoid fold, laryngeal aspect

Epiglottis (suprahyoid portion) NOS

Extrinsic larynx

False vocal cords

Posterior (laryngeal) surface of epiglottis

Ventricular bands

Excludes:            anterior aspect of epiglottis (146.4)

aryepiglottic fold or interarytenoid fold:

NOS (148.2)

hypopharyngeal aspect (148.2)

marginal zone (148.2)

161.2            Subglottis

161.3            Laryngeal cartilages

Cartilage:

arytenoid

cricoid

cuneiform

thyroid

161.8            Other specified sites of larynx

Malignant neoplasm of contiguous or overlapping sites of larynx whose point of origin cannot be determined

161.9            Larynx, unspecified

162            Malignant neoplasm of trachea, bronchus, and lung

162.0            Trachea

Cartilage of trachea

Mucosa of trachea

162.2            Main bronchus

Carina

Hilus of lung

162.3            Upper lobe, bronchus or lung

162.4            Middle lobe, bronchus or lung

162.5            Lower lobe, bronchus or lung

162.8            Other parts of bronchus or lung

Malignant neoplasm of contiguous or overlapping sites of bronchus or lung whose point of origin cannot be determined

162.9            Bronchus and lung, unspecified

163            Malignant neoplasm of pleura

163.0            Parietal pleura

163.1            Visceral pleura

163.8            Other specified sites of pleura

Malignant neoplasm of contiguous or overlapping sites of pleura whose point of origin cannot be determined

163.9            Pleura, unspecified

164            Malignant neoplasm of thymus, heart, and mediastinum

164.0            Thymus

164.1            Heart

Endocardium

Epicardium

Myocardium

Pericardium

Excludes:            great vessels (171.4)

164.2            Anterior mediastinum

164.3            Posterior mediastinum

164.8            Other

Malignant neoplasm of contiguous or overlapping sites of thymus, heart, and mediastinum whose point of origin cannot be determined

164.9            Mediastinum, part unspecified

165            Malignant neoplasm of other and ill-defined sites within the respiratory system and intrathoracic organs

165.0            Upper respiratory tract, part unspecified

165.8            Other

Malignant neoplasm of respiratory and intrathoracic organs whose point of origin cannot be assigned to any one of the categories 160-164

165.9            Ill-defined sites within the respiratory system

Respiratory tract NOS

Excludes:            intrathoracic NOS (195.1)

thoracic NOS (195.1)

MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST (170-176)

Excludes:            carcinoma in situ:

breast (233.0)

skin (232.0-232.9)

170            Malignant neoplasm of bone and articular cartilage

Includes:            cartilage (articular) (joint)

periosteum

Excludes:            bone marrow NOS (202.9)

cartilage:

ear (171.0)

eyelid (171.0)

larynx (161.3)

nose (160.0)

synovia (171.0-171.9)

170.0            Bones of skull and face, except mandible

Bone:

ethmoid

frontal

malar

nasal

occipital

orbital

parietal

sphenoid

temporal

zygomatic

Maxilla (superior)

Turbinate

Upper jaw bone

Vomer

Excludes:            carcinoma, any type except intraosseous or odontogenic:

maxilla, maxillary (sinus) (160.2)

upper jaw bone (143.0)

jaw bone (lower) (170.1)

170.1            Mandible

Inferior maxilla

Jaw bone NOS

Lower jaw bone

Excludes:            carcinoma, any type except intraosseous or odontogenic:

jaw bone NOS (143.9)

lower (143.1)

upper jaw bone (170.0)

170.2            Vertebral column, excluding sacrum and coccyx

Spinal column

Spine

Vertebra

Excludes:            sacrum and coccyx (170.6)

170.3            Ribs, sternum, and clavicle

Costal cartilage

Costovertebral joint

Xiphoid process

170.4            Scapula and long bones of upper limb

Acromion

Bones NOS of upper limb

Humerus

Radius

Ulna

170.5            Short bones of upper limb

Carpal

Cuneiform, wrist

Metacarpal

Navicular, of hand

Phalanges of hand

Pisiform

Scaphoid (of hand)

Semilunar or lunate

Trapezium

Trapezoid

Unciform

170.6            Pelvic bones, sacrum, and coccyx

Coccygeal vertebra

Ilium

Ischium

Pubic bone

Sacral vertebra

170.7            Long bones of lower limb

Bones NOS of lower limb

Femur

Fibula

Tibia

170.8            Short bones of lower limb

Astragalus [talus]

Calcaneus

Cuboid

Cuneiform, ankle

Metatarsal

Navicular (of ankle)

Patella

Phalanges of foot

Tarsal

170.9            Bone and articular cartilage, site unspecified

171            Malignant neoplasm of connective and other soft tissue

Includes:            blood vessel

bursa

fascia

fat

ligament, except uterine

muscle

peripheral, sympathetic, and parasympathetic nerves and ganglia

synovia

tendon (sheath)

Excludes:            cartilage (of):

articular (170.0-170.9)

larynx (161.3)

nose (160.0)

connective tissue:

breast (174.0-175.9)

internal organs­code to malignant neoplasm of the site [e.g., leiomyosarcoma of stomach, 151.9]

heart (164.1)

uterine ligament (183.4)

171.0            Head, face, and neck

Cartilage of:

ear

eyelid

171.2            Upper limb, including shoulder

Arm

Finger

Forearm

Hand

171.3            Lower limb, including hip

Foot

Leg

Popliteal space

Thigh

Toe

171.4            Thorax

Axilla

Diaphragm

Great vessels

Excludes:            heart (164.1)

mediastinum (164.2-164.9)

thymus (164.0)

171.5            Abdomen

Abdominal wall

Hypochondrium

Excludes:            peritoneum (158.8)

retroperitoneum (158.0)

171.6            Pelvis

Buttock

Groin

Inguinal region

Perineum

Excludes:            pelvic peritoneum (158.8)

retroperitoneum (158.0)

uterine ligament, any (183.3-183.5)

171.7            Trunk, unspecified

Back NOS

Flank NOS

171.8            Other specified sites of connective and other soft tissue

Malignant neoplasm of contiguous or overlapping sites of connective tissue whose point of origin cannot be determined

171.9            Connective and other soft tissue, site unspecified

172            Malignant melanoma of skin

Includes:            melanocarcinoma

melanoma (skin) NOS

Excludes:            skin of genital organs (184.0-184.9, 187.1-187.9)

sites other than skin­code to malignant neoplasm of the site

172.0            Lip

Excludes:            vermilion border of lip (140.0-140.1, 140.9)

172.1            Eyelid, including canthus

172.2            Ear and external auditory canal

Auricle (ear)

Auricular canal, external

External [acoustic] meatus

Pinna

172.3            Other and unspecified parts of face

Cheek (external)

Chin

Eyebrow

Forehead

Nose, external

Temple

172.4            Scalp and neck

172.5            Trunk, except scrotum

Axilla

Breast

Buttock

Groin

Perianal skin

Perineum

Umbilicus

Excludes:            anal canal (154.2)

anus NOS (154.3)

scrotum (187.7)

172.6            Upper limb, including shoulder

Arm

Finger

Forearm

Hand

172.7            Lower limb, including hip

Ankle

Foot

Heel

Knee

Leg

Popliteal area

Thigh

Toe

172.8            Other specified sites of skin

Malignant melanoma of contiguous or overlapping sites of skin whose point of origin cannot be determined

172.9            Melanoma of skin, site unspecified

173       Other malignant neoplasm of skin

Includes:            malignant neoplasm of:

sebaceous glands

sudoriferous, sudoriparous glands

sweat glands

Excludes:            Kaposi's sarcoma (176.0-176.9)

malignant melanoma of skin (172.0-172.9)

skin of genital organs (184.0-184.9, 187.1-187.9)

173.0            Skin of lip

Excludes:            vermilion border of lip (140.0-140.1, 140.9)

173.1            Eyelid, including canthus

Excludes:            cartilage of eyelid (171.0)

173.2            Skin of ear and external auditory canal

Auricle (ear)

Auricular canal, external

External meatus

Pinna

Excludes:            cartilage of ear (171.0)

173.3            Skin of other and unspecified parts of face

Cheek, external

Chin

Eyebrow

Forehead

Nose, external

Temple

173.4            Scalp and skin of neck

173.5            Skin of trunk, except scrotum

Axillary fold

Perianal skin

Skin of:

abdominal wall

anus

back

breast

buttock

chest wall

groin

perineum

Umbilicus

Excludes:            anal canal (154.2)

anus NOS (154.3)

skin of scrotum (187.7)

173.6            Skin of upper limb, including shoulder

Arm

Finger

Forearm

Hand

173.7            Skin of lower limb, including hip

Ankle

Foot

Heel

Knee

Leg

Popliteal area

Thigh

Toe

173.8            Other specified sites of skin

Malignant neoplasm of contiguous or overlapping sites of skin whose point of origin cannot be determined

173.9            Skin, site unspecified

174            Malignant neoplasm of female breast

Includes:            breast (female)

connective tissue

soft parts

Paget's disease of:

breast

nipple

Excludes:            skin of breast (172.5, 173.5)

174.0            Nipple and areola

174.1            Central portion

174.2            Upper-inner quadrant

174.3            Lower-inner quadrant

174.4            Upper-outer quadrant

174.5            Lower-outer quadrant

174.6            Axillary tail

174.8            Other specified sites of female breast

Ectopic sites

Inner breast

Lower breast

Midline of breast

Outer breast

Upper breast

Malignant neoplasm of contiguous or overlapping sites of breast whose point of origin cannot be determined

174.9            Breast (female), unspecified

175            Malignant neoplasm of male breast

Excludes:            skin of breast (172.5, 173.5)

175.0            Nipple and areola

175.9            Other and unspecified sites of male breast

Ectopic breast tissue, male

176            Kaposi's sarcoma

176.0            Skin

176.1            Soft tissue

Includes:            blood vessel

connective tissue

fascia

ligament

lymphatic(s) NEC

muscle

Excludes:            lymph glands and nodes (176.5)

176.2            Palate

176.3            Gastrointestinal sites

176.4            Lung

176.5            Lymph nodes

176.8            Other specified sites

Includes:            oral cavity NEC

176.9            Unspecified

Viscera NOS

MALIGNANT NEOPLASM OF GENITOURINARY ORGANS (179-189)

Excludes:            carcinoma in situ (233.1-233.9)

179            Malignant neoplasm of uterus, part unspecified

180            Malignant neoplasm of cervix uteri

Includes:            invasive malignancy [carcinoma]

Excludes:            carcinoma in situ (233.1)

180.0            Endocervix

Cervical canal NOS

Endocervical canal

Endocervical gland

180.1            Exocervix

180.8            Other specified sites of cervix

Cervical stump

Squamocolumnar junction of cervix

Malignant neoplasm of contiguous or overlapping sites of cervix uteri whose point of origin cannot be determined

180.9            Cervix uteri, unspecified

181            Malignant neoplasm of placenta

Choriocarcinoma NOS

Chorioepithelioma NOS

Excludes:            chorioadenoma (destruens) (236.1)

hydatidiform mole (630)

malignant (236.1)

invasive mole (236.1)

male choriocarcinoma NOS (186.0-186.9)

182            Malignant neoplasm of body of uterus

Excludes:            carcinoma in situ (233.2)

182.0            Corpus uteri, except isthmus

Cornu

Endometrium

Fundus

Myometrium

182.1            Isthmus

Lower uterine segment

182.8            Other specified sites of body of uterus

Malignant neoplasm of contiguous or overlapping sites of body of uterus whose point of origin cannot be determined

Excludes:            uterus NOS (179)

183            Malignant neoplasm of ovary and other uterine adnexa

Excludes:            Douglas' cul-de-sac (158.8)

183.0            Ovary

Use additional code to identify any functional activity

183.2            Fallopian tube

Oviduct

Uterine tube

183.3            Broad ligament

Mesovarium

Parovarian region

183.4            Parametrium

Uterine ligament NOS

Uterosacral ligament

183.5            Round ligament

183.8            Other specified sites of uterine adnexa

Tubo-ovarian

Utero-ovarian

Malignant neoplasm of contiguous or overlapping sites of ovary and other uterine adnexa whose point of origin cannot be determined

183.9            Uterine adnexa, unspecified

184            Malignant neoplasm of other and unspecified female genital organs

Excludes:            carcinoma in situ (233.3)

184.0            Vagina

Gartner's duct

Vaginal vault

184.1            Labia majora

Greater vestibular [Bartholin's] gland

184.2            Labia minora

184.3            Clitoris

184.4            Vulva, unspecified

External female genitalia NOS

Pudendum

184.8            Other specified sites of female genital organs

Malignant neoplasm of contiguous or overlapping sites of female genital organs whose point of origin cannot be determined

184.9            Female genital organ, site unspecified

Female genitourinary tract NOS

185            Malignant neoplasm of prostate

Excludes:            seminal vesicles (187.8)

186            Malignant neoplasm of testis

Use additional code to identify any functional activity

186.0            Undescended testis

Ectopic testis

Retained testis

186.9            Other and unspecified testis

Testis:

NOS

descended

scrotal

187            Malignant neoplasm of penis and other male genital organs

187.1            Prepuce

Foreskin

187.2            Glans penis

187.3            Body of penis

Corpus cavernosum

187.4            Penis, part unspecified

Skin of penis NOS

187.5            Epididymis

187.6            Spermatic cord

Vas deferens

187.7            Scrotum

Skin of scrotum

187.8            Other specified sites of male genital organs

Seminal vesicle

Tunica vaginalis

Malignant neoplasm of contiguous or overlapping sites of penis and other male genital organs whose point of origin cannot be determined

187.9            Male genital organ, site unspecified

Male genital organ or tract NOS

188            Malignant neoplasm of bladder

Excludes:            carcinoma in situ (233.7)

188.0            Trigone of urinary bladder

188.1            Dome of urinary bladder

188.2            Lateral wall of urinary bladder

188.3            Anterior wall of urinary bladder

188.4            Posterior wall of urinary bladder

188.5            Bladder neck

Internal urethral orifice

188.6            Ureteric orifice

188.7            Urachus

188.8            Other specified sites of bladder

Malignant neoplasm of contiguous or overlapping sites of bladder whose point of origin cannot be determined

188.9            Bladder, part unspecified

Bladder wall NOS

189            Malignant neoplasm of kidney and other and unspecified urinary organs

189.0            Kidney, except pelvis

Kidney NOS

Kidney parenchyma

189.1            Renal pelvis

Renal calyces

Ureteropelvic junction

189.2            Ureter

Excludes:            ureteric orifice of bladder (188.6)

189.3            Urethra

Excludes:            urethral orifice of bladder (188.5)

189.4            Paraurethral glands

189.8            Other specified sites of urinary organs

Malignant neoplasm of contiguous or overlapping sites of kidney and other urinary organs whose point of origin cannot be determined

189.9            Urinary organ, site unspecified

Urinary system NOS

MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES (190-199)

Excludes:            carcinoma in situ (234.0-234.9)

190            Malignant neoplasm of eye

Excludes:            carcinoma in situ (234.0)

eyelid (skin) (172.1, 173.1)

cartilage (171.0)

optic nerve (192.0)

orbital bone (170.0)

190.0            Eyeball, except conjunctiva, cornea, retina, and choroid

Ciliary body

Crystalline lens

Iris

Sclera

Uveal tract

190.1            Orbit

Connective tissue of orbit

Extraocular muscle

Retrobulbar

Excludes:            bone of orbit (170.0)

190.2            Lacrimal gland

190.3            Conjunctiva

190.4            Cornea

190.5            Retina

190.6            Choroid

190.7            Lacrimal duct

Lacrimal sac

Nasolacrimal duct

190.8            Other specified sites of eye

Malignant neoplasm of contiguous or overlapping sites of eye whose point of origin cannot be determined

190.9            Eye, part unspecified

191            Malignant neoplasm of brain

Excludes:            cranial nerves (192.0)

retrobulbar area (190.1)

191.0            Cerebrum, except lobes and ventricles

Basal ganglia

Cerebral cortex

Corpus striatum

Globus pallidus

Hypothalamus

Thalamus

191.1            Frontal lobe

191.2            Temporal lobe

Hippocampus

Uncus

191.3            Parietal lobe

191.4            Occipital lobe

191.5            Ventricles

Choroid plexus

Floor of ventricle

191.6            Cerebellum NOS

Cerebellopontine angle

191.7            Brain stem

Cerebral peduncle

Medulla oblongata

Midbrain

Pons

191.8            Other parts of brain

Corpus callosum

Tapetum

Malignant neoplasm of contiguous or overlapping sites of brain whose point of origin cannot be determined

191.9            Brain, unspecified

Cranial fossa NOS

192            Malignant neoplasm of other and unspecified parts of nervous system

Excludes:            peripheral, sympathetic, and parasympathetic nerves and ganglia (171.0-171.9)

192.0            Cranial nerves

Olfactory bulb

192.1            Cerebral meninges

Dura (mater)

Falx (cerebelli) (cerebri)

Meninges NOS

Tentorium

192.2            Spinal cord

Cauda equina

192.3            Spinal meninges

192.8            Other specified sites of nervous system

Malignant neoplasm of contiguous or overlapping sites of other parts of nervous system whose point of origin cannot be determined

192.9            Nervous system, part unspecified

Nervous system (central) NOS

Excludes:            meninges NOS (192.1)

193            Malignant neoplasm of thyroid gland

Sipple's syndrome

Thyroglossal duct

Use additional code to identify any functional activity

194            Malignant neoplasm of other endocrine glands and related structures

Use additional code to identify any functional activity

Excludes:            islets of Langerhans (157.4)

ovary (183.0)

testis (186.0-186.9)

thymus (164.0)

194.0            Adrenal gland

Adrenal cortex

Adrenal medulla

Suprarenal gland

194.1            Parathyroid gland

194.3            Pituitary gland and craniopharyngeal duct

Craniobuccal pouch

Hypophysis

Rathke's pouch

Sella turcica

194.4            Pineal gland

194.5            Carotid body

194.6            Aortic body and other paraganglia

Coccygeal body

Glomus jugulare

Para-aortic body

194.8            Other

Pluriglandular involvement NOS

Note:            If the sites of multiple involvements are known, they should be coded separately.

194.9            Endocrine gland, site unspecified

195            Malignant neoplasm of other and ill-defined sites

Includes:            malignant neoplasms of contiguous sites, not elsewhere classified, whose point of origin cannot be determined

Excludes:            malignant neoplasm:

lymphatic and hematopoietic tissue (200.0-208.9)

secondary sites (196.0-198.8)

unspecified site (199.0-199.1)

195.0            Head, face, and neck

Cheek NOS

Jaw NOS

Nose NOS

Supraclavicular region NOS

195.1            Thorax

Axilla

Chest (wall) NOS

Intrathoracic NOS

195.2            Abdomen

Intra-abdominal NOS

195.3            Pelvis

Groin

Inguinal region NOS

Presacral region

Sacrococcygeal region

Sites overlapping systems within pelvis, as:

rectovaginal (septum)

rectovesical (septum)

195.4            Upper limb

195.5            Lower limb

195.8            Other specified sites

Back NOS

Flank NOS

Trunk NOS

196            Secondary and unspecified malignant neoplasm of lymph nodes

Excludes:            any malignant neoplasm of lymph nodes, specified as primary (200.0-202.9)

Hodgkin's disease (201.0-201.9)

lymphosarcoma (200.1)

reticulosarcoma (200.0)

other forms of lymphoma (202.0-202.9)

196.0            Lymph nodes of head, face, and neck

Cervical

Cervicofacial

Scalene

Supraclavicular

196.1            Intrathoracic lymph nodes

Bronchopulmonary

Intercostal

Mediastinal

Tracheobronchial

196.2            Intra-abdominal lymph nodes

Intestinal

Mesenteric

Retroperitoneal

196.3            Lymph nodes of axilla and upper limb

Brachial

Epitrochlear

Infraclavicular

Pectoral

196.5            Lymph nodes of inguinal region and lower limb

Femoral

Groin

Popliteal

Tibial

196.6            Intrapelvic lymph nodes

Hypogastric

Iliac

Obturator

Parametrial

196.8            Lymph nodes of multiple sites

196.9            Site unspecified

Lymph nodes NOS

197            Secondary malignant neoplasm of respiratory and digestive systems

Excludes:            lymph node metastasis (196.0-196.9)

197.0            Lung

Bronchus

197.1            Mediastinum

197.2            Pleura

197.3            Other respiratory organs

Trachea

197.4            Small intestine, including duodenum

197.5            Large intestine and rectum

197.6            Retroperitoneum and peritoneum

197.7            Liver, specified as secondary

197.8            Other digestive organs and spleen

198            Secondary malignant neoplasm of other specified sites

Excludes:            lymph node metastasis (196.0-196.9)

198.0            Kidney

198.1            Other urinary organs

198.2            Skin

Skin of breast

198.3            Brain and spinal cord

198.4            Other parts of nervous system

Meninges (cerebral) (spinal)

198.5            Bone and bone marrow

198.6            Ovary

198.7            Adrenal gland

Suprarenal gland

198.8            Other specified sites

198.81      Breast

Excludes:            skin of breast (198.2)

198.82      Genital organs

198.89      Other

Excludes:            retroperitoneal lymph nodes (196.2)

199            Malignant neoplasm without specification of site

199.0            Disseminated

Carcinomatosis unspecified site (primary) (secondary)

Generalized:

cancer unspecified site (primary) (secondary)

malignancy unspecified site (primary) (secondary)

Multiple cancer unspecified site (primary) (secondary)

199.1            Other

Cancer unspecified site (primary) (secondary)

Carcinoma unspecified site (primary) (secondary)

Malignancy unspecified site (primary) (secondary)

MALIGNANT NEOPLASM OF LYMPHATIC AND HEMATOPOIETIC TISSUE (200-208)

Excludes:            secondary neoplasm of:

bone marrow (198.5)

spleen (197.8)

secondary and unspecified neoplasm of lymph nodes (196.0-196.9)

The following fifth-digit subclassification is for use with categories 200-202:

0            unspecified site, extranodal and solid organ sites

1            lymph nodes of head, face, and neck

2            intrathoracic lymph nodes

3            intra-abdominal lymph nodes

4            lymph nodes of axilla and upper limb

5            lymph nodes of inguinal region and lower limb

6            intrapelvic lymph nodes

7            spleen

8            lymph nodes of multiple sites

200            Lymphosarcoma and reticulosarcoma

Requires fifth digit. See note before section 200 for codes and definitions.

200.0            Reticulosarcoma

Lymphoma (malignant):

histiocytic (diffuse):

nodular

pleomorphic cell type

reticulum cell type

Reticulum cell sarcoma:

NOS

pleomorphic cell type

200.1            Lymphosarcoma

Lymphoblastoma (diffuse)

Lymphoma (malignant):

lymphoblastic (diffuse)

lymphocytic (cell type) (diffuse)

lymphosarcoma type

Lymphosarcoma:

NOS

diffuse NOS

lymphoblastic (diffuse)

lymphocytic (diffuse)

prolymphocytic

Excludes:            lymphosarcoma:

follicular or nodular (202.0)

mixed cell type (200.8)

lymphosarcoma cell leukemia (207.8)

200.2            Burkitt's tumor or lymphoma

Malignant lymphoma, Burkitt's type

200.8            Other named variants

Lymphoma (malignant):

lymphoplasmacytoid type

mixed lymphocytic-histiocytic (diffuse)

Lymphosarcoma, mixed cell type (diffuse)

Reticulolymphosarcoma (diffuse)

201            Hodgkin's disease

Requires fifth digit. See note before section 200 for codes and definitions.

201.0            Hodgkin's paragranuloma

201.1            Hodgkin's granuloma

201.2            Hodgkin's sarcoma

201.4            Lymphocytic-histiocytic predominance

201.5            Nodular sclerosis

Hodgkin's disease, nodular sclerosis:

NOS

cellular phase

201.6            Mixed cellularity

201.7            Lymphocytic depletion

Hodgkin's disease, lymphocytic depletion:

NOS

diffuse fibrosis

reticular type

201.9            Hodgkin's disease, unspecified

Hodgkin's:

disease NOS

lymphoma NOS

Malignant:

lymphogranuloma

lymphogranulomatosis

202       Other malignant neoplasms of lymphoid and histiocytic tissue

Requires fifth digit. See note before section 200 for codes and definitions.

202.0            Nodular lymphoma

Brill-Symmers disease

Lymphoma:

follicular (giant)

lymphocytic, nodular

Lymphosarcoma:

follicular (giant)

nodular

Reticulosarcoma, follicular or nodular

202.1            Mycosis fungoides

202.2            Sézary's disease

202.3            Malignant histiocytosis

Histiocytic medullary reticulosis

Malignant:

reticuloendotheliosis

reticulosis

202.4            Leukemic reticuloendotheliosis

Hairy-cell leukemia

202.5            Letterer-Siwe disease

Acute:

differentiated progressive histiocytosis

histiocytosis X (progressive)

infantile reticuloendotheliosis

reticulosis of infancy

Excludes:            Hand-Schüller-Christian disease (277.8)

histiocytosis (acute) (chronic) (277.8)

histiocytosis X (chronic) (277.8)

202.6            Malignant mast cell tumors

Malignant:

mastocytoma

mastocytosis

Mast cell sarcoma

Systemic tissue mast cell disease

Excludes:            mast cell leukemia (207.8)

202.8            Other lymphomas

Lymphoma (malignant):

NOS

diffuse

Excludes:            benign lymphoma (229.0)

202.9            Other and unspecified malignant neoplasms of lymphoid and histiocytic tissue

Malignant neoplasm of bone marrow NOS

203       Multiple myeloma and immunoproliferative neoplasms

The following fifth-digit subclassification is for use with category 203:

0            without mention of remission

1 in remission

203.0            Multiple myeloma

Kahler's disease

Myelomatosis

Excludes:            solitary myeloma (238.6)

203.1            Plasma cell leukemia

Plasmacytic leukemia

203.8            Other immunoproliferative neoplasms

204            Lymphoid leukemia

Includes:            leukemia:

lymphatic

lymphoblastic

lymphocytic

lymphogenous

The following fifth-digit subclassification is for use with category 204:

0            without mention of remission

1 in remission

204.0            Acute

Excludes:            acute exacerbation of chronic lymphoid leukemia (204.1)

204.1            Chronic

204.2            Subacute

204.8            Other lymphoid leukemia

Aleukemic leukemia:

lymphatic

lymphocytic

lymphoid

204.9            Unspecified lymphoid leukemia

205       Myeloid leukemia

Includes:            leukemia:

granulocytic

myeloblastic

myelocytic

myelogenous

myelomonocytic

myelosclerotic

myelosis

The following fifth-digit subclassification is for use with category 205:

0            without mention of remission

1 in remission

205.0            Acute

Acute promyelocytic leukemia

Excludes:            acute exacerbation of chronic myeloid leukemia (205.1)

205.1            Chronic

Eosinophilic leukemia

Neutrophilic leukemia

205.2            Subacute

205.3            Myeloid sarcoma

Chloroma

Granulocytic sarcoma

205.8            Other myeloid leukemia

Aleukemic leukemia:

granulocytic

myelogenous

myeloid

Aleukemic myelosis

205.9            Unspecified myeloid leukemia

206            Monocytic leukemia

Includes:            leukemia:

histiocytic

monoblastic

monocytoid

The following fifth-digit subclassification is for use with category 206:

0            without mention of remission

1 in remission

206.0            Acute

Excludes:            acute exacerbation of chronic monocytic leukemia (206.1)

206.1            Chronic

206.2            Subacute

206.8            Other monocytic leukemia

Aleukemic:

monocytic leukemia

monocytoid leukemia

206.9            Unspecified monocytic leukemia

207       Other specified leukemia

Excludes:            leukemic reticuloendotheliosis (202.4)

plasma cell leukemia (203.1)

The following fifth-digit subclassification is for use with category 207:

0            without mention of remission

1 in remission

207.0            Acute erythremia and erythroleukemia

Acute erythremic myelosis

Di Guglielmo's disease

Erythremic myelosis

207.1            Chronic erythremia

Heilmeyer-Schöner disease

207.2            Megakaryocytic leukemia

Megakaryocytic myelosis

Thrombocytic leukemia

207.8            Other specified leukemia

Lymphosarcoma cell leukemia

208            Leukemia of unspecified cell type

The following fifth-digit subclassification is for use with category 208:

0            without mention of remission

1 in remission

208.0            Acute

Acute leukemia NOS

Blast cell leukemia

Stem cell leukemia

Excludes:            acute exacerbation of chronic unspecified leukemia (208.1)

208.1            Chronic

Chronic leukemia NOS

208.2            Subacute

Subacute leukemia NOS

208.8            Other leukemia of unspecified cell type

208.9            Unspecified leukemia

Leukemia NOS

BENIGN NEOPLASMS (210-229)

210       Benign neoplasm of lip, oral cavity, and pharynx

Excludes:            cyst (of):

jaw (526.0-526.2, 526.89)

oral soft tissue (528.4)

radicular (522.8)

210.0            Lip

Frenulum labii

Lip (inner aspect) (mucosa) (vermilion border)

Excludes:            labial commissure (210.4)

skin of lip (216.0)

210.1            Tongue

Lingual tonsil

210.2            Major salivary glands

Gland:

parotid

sublingual

submandibular

Excludes:            benign neoplasms of minor salivary glands:

NOS (210.4)

buccal mucosa (210.4)

lips (210.0)

palate (hard) (soft) (210.4)

tongue (210.1)

tonsil, palatine (210.5)

210.3            Floor of mouth

210.4            Other and unspecified parts of mouth

Gingiva

Gum (upper) (lower)

Labial commissure

Oral cavity NOS

Oral mucosa

Palate (hard) (soft)

Uvula

Excludes:            benign odontogenic neoplasms of bone (213.0-213.1)

developmental odontogenic cysts (526.0)

mucosa of lips (210.0)

nasopharyngeal [posterior] [superior] surface of soft palate (210.7)

210.5            Tonsil

Tonsil (faucial) (palatine)

Excludes:            lingual tonsil (210.1)

pharyngeal tonsil (210.7)

tonsillar:

fossa (210.6)

pillars (210.6)

210.6            Other parts of oropharynx

Branchial cleft or vestiges

Epiglottis, anterior aspect

Fauces NOS

Mesopharynx NOS

Tonsillar:

fossa

pillars

Vallecula

Excludes:            epiglottis:

NOS (212.1)

suprahyoid portion (212.1)

210.7            Nasopharynx

Adenoid tissue

Lymphadenoid tissue

Pharyngeal tonsil

Posterior nasal septum

210.8            Hypopharynx

Arytenoid fold

Laryngopharynx

Postcricoid region

Pyriform fossa

210.9            Pharynx, unspecified

Throat NOS

211       Benign neoplasm of other parts of digestive system

211.0            Esophagus

211.1            Stomach

Body of stomach

Cardia of stomach

Fundus of stomach

Cardiac orifice

Pylorus

211.2            Duodenum, jejunum, and ileum

Small intestine NOS

Excludes:            ampulla of Vater (211.5)

ileocecal valve (211.3)

211.3            Colon

Appendix

Cecum

Ileocecal valve

Large intestine NOS

Excludes:            rectosigmoid junction (211.4)

211.4            Rectum and anal canal

Anal canal or sphincter

Anus NOS

Rectosigmoid junction

Excludes:            anus:

margin (216.5)

skin (216.5)

perianal skin (216.5)

211.5            Liver and biliary passages

Ampulla of Vater

Common bile duct

Cystic duct

Gallbladder

Hepatic duct

Sphincter of Oddi

211.6            Pancreas, except islets of Langerhans

211.7            Islets of Langerhans

Islet cell tumor

Use additional code to identify any functional activity

211.8            Retroperitoneum and peritoneum

Mesentery

Mesocolon

Omentum

Retroperitoneal tissue

211.9            Other and unspecified site

Alimentary tract NOS

Digestive system NOS

Gastrointestinal tract NOS

Intestinal tract NOS

Intestine NOS

Spleen, not elsewhere classified

212       Benign neoplasm of respiratory and intrathoracic organs

212.0            Nasal cavities, middle ear, and accessory sinuses

Cartilage of nose

Eustachian tube

Nares

Septum of nose

Sinus:

ethmoidal

frontal

maxillary

sphenoidal

Excludes:            auditory canal (external) (216.2)

bone of:

ear (213.0)

nose [turbinates] (213.0)

cartilage of ear (215.0)

ear (external) (skin) (216.2)

nose NOS (229.8)

skin (216.3)

olfactory bulb (225.1)

polyp of:

accessory sinus (471.8)

ear (385.30-385.35)

nasal cavity (471.0)

posterior margin of septum and choanae (210.7)

212.1            Larynx

Cartilage:

arytenoid

cricoid

cuneiform

thyroid

Epiglottis (suprahyoid portion) NOS

Glottis

Vocal cords (false) (true)

Excludes:            epiglottis, anterior aspect (210.6)

polyp of vocal cord or larynx (478.4)

212.2            Trachea

212.3            Bronchus and lung

Carina

Hilus of lung

212.4            Pleura

212.5            Mediastinum

212.6            Thymus

212.7            Heart

Excludes:            great vessels (215.4)

212.8            Other specified sites

212.9            Site unspecified

Respiratory organ NOS

Upper respiratory tract NOS

Excludes:            intrathoracic NOS (229.8)

thoracic NOS (229.8)

213       Benign neoplasm of bone and articular cartilage

Includes:            cartilage (articular) (joint)

periosteum

Excludes:            cartilage of:

ear (215.0)

eyelid (215.0)

larynx (212.1)

nose (212.0)

exostosis NOS (726.91)

synovia (215.0-215.9)

213.0            Bones of skull and face

Excludes:            lower jaw bone (213.1)

213.1            Lower jaw bone

213.2            Vertebral column, excluding sacrum and coccyx

213.3            Ribs, sternum, and clavicle

213.4            Scapula and long bones of upper limb

213.5            Short bones of upper limb

213.6            Pelvic bones, sacrum, and coccyx

213.7            Long bones of lower limb

213.8            Short bones of lower limb

213.9            Bone and articular cartilage, site unspecified

214       Lipoma

Includes:            angiolipoma

fibrolipoma

hibernoma

lipoma (fetal) (infiltrating) (intramuscular)

myelolipoma

myxolipoma

214.0            Skin and subcutaneous tissue of face

214.1            Other skin and subcutaneous tissue

214.2            Intrathoracic organs

214.3            Intra-abdominal organs

214.4            Spermatic cord

214.8            Other specified sites

214.9            Lipoma, unspecified site

215       Other benign neoplasm of connective and other soft tissue

Includes:            blood vessel

bursa

fascia

ligament

muscle

peripheral, sympathetic, and parasympathetic nerves and ganglia

synovia

tendon (sheath)

Excludes:            cartilage:

articular (213.0-213.9)

larynx (212.1)

nose (212.0)

connective tissue of:

breast (217)

internal organ, except lipoma and hemangioma­code to benign neoplasm of the site

lipoma (214.0-214.9)

215.0            Head, face, and neck

215.2            Upper limb, including shoulder

215.3            Lower limb, including hip

215.4            Thorax

Excludes:            heart (212.7)

mediastinum (212.5)

thymus (212.6)

215.5            Abdomen

Abdominal wall

Hypochondrium

215.6            Pelvis

Buttock

Groin

Inguinal region

Perineum

Excludes:            uterine:

leiomyoma (218.0-218.9)

ligament, any (221.0)

215.7            Trunk, unspecified

Back NOS

Flank NOS

215.8            Other specified sites

215.9            Site unspecified

216       Benign neoplasm of skin

Includes:            blue nevus

dermatofibroma

hydrocystoma

pigmented nevus

syringoadenoma

syringoma

Excludes:            skin of genital organs (221.0-222.9)

216.0            Skin of lip

Excludes:            vermilion border of lip (210.0)

216.1            Eyelid, including canthus

Excludes:            cartilage of eyelid (215.0)

216.2            Ear and external auditory canal

Auricle (ear)

Auricular canal, external

External meatus

Pinna

Excludes:            cartilage of ear (215.0)

216.3            Skin of other and unspecified parts of face

Cheek, external

Eyebrow

Nose, external

Temple

216.4            Scalp and skin of neck

216.5            Skin of trunk, except scrotum

Axillary fold

Perianal skin

Skin of:

abdominal wall

anus

back

breast

buttock

chest wall

groin

perineum

Umbilicus

Excludes:            anal canal (211.4)

anus NOS (211.4)

skin of scrotum (222.4)

216.6            Skin of upper limb, including shoulder

216.7            Skin of lower limb, including hip

216.8            Other specified sites of skin

216.9            Skin, site unspecified

217       Benign neoplasm of breast

Breast (male) (female)

connective tissue

glandular tissue

soft parts

Excludes:            adenofibrosis (610.2)

benign cyst of breast (610.0)

fibrocystic disease (610.1)

skin of breast (216.5)

218       Uterine leiomyoma

Includes:            fibroid (bleeding) (uterine)

uterine:

fibromyoma

myoma

218.0            Submucous leiomyoma of uterus

218.1            Intramural leiomyoma of uterus

Interstitial leiomyoma of uterus

218.2            Subserous leiomyoma of uterus

Subperitoneal leiomyoma of uterus

218.9            Leiomyoma of uterus, unspecified

219       Other benign neoplasm of uterus

219.0            Cervix uteri

219.1            Corpus uteri

Endometrium

Fundus

Myometrium

219.8            Other specified parts of uterus

219.9            Uterus, part unspecified

220       Benign neoplasm of ovary

Use additional code to identify any functional activity (256.0-256.1)

Excludes:            cyst:

corpus albicans (620.2)

corpus luteum (620.1)

endometrial (617.1)

follicular (atretic) (620.0)

graafian follicle (620.0)

ovarian NOS (620.2)

retention (620.2)

221       Benign neoplasm of other female genital organs

Includes:            adenomatous polyp

benign teratoma

Excludes:            cyst:

epoophoron (752.11)

fimbrial (752.11)

Gartner's duct (752.11)

parovarian (752.11)

221.0            Fallopian tube and uterine ligaments

Oviduct

Parametrium

Uterine ligament (broad) (round) (uterosacral)

Uterine tube

221.1            Vagina

221.2            Vulva

Clitoris

External female genitalia NOS

Greater vestibular [Bartholin's] gland

Labia (majora) (minora)

Pudendum

Excludes:            Bartholin's (duct) (gland) cyst (616.2)

221.8            Other specified sites of female genital organs

221.9            Female genital organ, site unspecified

Female genitourinary tract NOS

222       Benign neoplasm of male genital organs

222.0            Testis

Use additional code to identify any functional activity

222.1            Penis

Corpus cavernosum

Glans penis

Prepuce

222.2            Prostate

Excludes:            adenomatous hyperplasia of prostate (600.2)

prostatic:

adenoma (600.2)

enlargement (600.0)

hypertrophy (600.0)

222.3            Epididymis

222.4            Scrotum

Skin of scrotum

222.8            Other specified sites of male genital organs

Seminal vesicle

Spermatic cord

222.9            Male genital organ, site unspecified

Male genitourinary tract NOS

223       Benign neoplasm of kidney and other urinary organs

223.0            Kidney, except pelvis

Kidney NOS

Excludes:            renal:

calyces (223.1)

pelvis (223.1)

223.1            Renal pelvis

223.2            Ureter

Excludes:            ureteric orifice of bladder (223.3)

223.3            Bladder

223.8            Other specified sites of urinary organs

223.81      Urethra

Excludes:            urethral orifice of bladder (223.3)

223.89      Other

Paraurethral glands

223.9            Urinary organ, site unspecified

Urinary system NOS

224       Benign neoplasm of eye

Excludes:            cartilage of eyelid (215.0)

eyelid (skin) (216.1)

optic nerve (225.1)

orbital bone (213.0)

224.0            Eyeball, except conjunctiva, cornea, retina, and choroid

Ciliary body

Iris

Sclera

Uveal tract

224.1            Orbit

Excludes:            bone of orbit (213.0)

224.2            Lacrimal gland

224.3            Conjunctiva

224.4            Cornea

224.5            Retina

Excludes:            hemangioma of retina (228.03)

224.6            Choroid

224.7            Lacrimal duct

Lacrimal sac

Nasolacrimal duct

224.8            Other specified parts of eye

224.9            Eye, part unspecified

225       Benign neoplasm of brain and other parts of nervous system

Excludes:            hemangioma (228.02)

neurofibromatosis (237.7)

peripheral, sympathetic, and parasympathetic nerves and ganglia (215.0-215.9)

retrobulbar (224.1)

225.0            Brain

225.1            Cranial nerves

225.2            Cerebral meninges

Meninges NOS

Meningioma (cerebral)

225.3            Spinal cord

Cauda equina

225.4            Spinal meninges

Spinal meningioma

225.8            Other specified sites of nervous system

225.9            Nervous system, part unspecified

Nervous system (central) NOS

Excludes:            meninges NOS (225.2)

226       Benign neoplasm of thyroid glands

Use additional code to identify any functional activity

227       Benign neoplasm of other endocrine glands and related structures

Use additional code to identify any functional activity

Excludes:            ovary (220)

pancreas (211.6)

testis (222.0)

227.0            Adrenal gland

Suprarenal gland

227.1            Parathyroid gland

227.3            Pituitary gland and craniopharyngeal duct (pouch)

Craniobuccal pouch

Hypophysis

Rathke's pouch

Sella turcica

227.4            Pineal gland

Pineal body

227.5            Carotid body

227.6            Aortic body and other paraganglia

Coccygeal body

Glomus jugulare

Para-aortic body

227.8            Other

227.9            Endocrine gland, site unspecified

228            Hemangioma and lymphangioma, any site

Includes:            angioma (benign) (cavernous) (congenital) NOS

cavernous nevus

glomus tumor

hemangioma (benign) (congenital)

Excludes:            benign neoplasm of spleen, except hemangioma and lymphangioma (211.9)

glomus jugulare (227.6)

nevus:

NOS (216.0-216.9)

blue or pigmented (216.0-216.9)

vascular (757.32)

228.0            Hemangioma, any site

228.00      Of unspecified site

228.01      Of skin and subcutaneous tissue

228.02      Of intracranial structures

228.03      Of retina

228.04      Of intra-abdominal structures

Peritoneum

Retroperitoneal tissue

228.09      Of other sites

Systemic angiomatosis

228.1            Lymphangioma, any site

Congenital lymphangioma

Lymphatic nevus

229       Benign neoplasm of other and unspecified sites

229.0            Lymph nodes

Excludes:            lymphangioma (228.1)

229.8            Other specified sites

Intrathoracic NOS

Thoracic NOS

229.9            Site unspecified

CARCINOMA IN SITU (230-234)

Includes:            Bowen's disease

erythroplasia

Queyrat's erythroplasia

Excludes:            leukoplakia­see Alphabetic Index

230            Carcinoma in situ of digestive organs

230.0            Lip, oral cavity, and pharynx

Gingiva

Hypopharynx

Mouth [any part]

Nasopharynx

Oropharynx

Salivary gland or duct

Tongue

Excludes:            aryepiglottic fold or interarytenoid fold, laryngeal aspect (231.0)

epiglottis:

NOS (231.0)

suprahyoid portion (231.0)

skin of lip (232.0)

230.1            Esophagus

230.2            Stomach

Body of stomach

Cardia of stomach

Fundus of stomach

Cardiac orifice

Pylorus

230.3            Colon

Appendix

Cecum

Ileocecal valve

Large intestine NOS

Excludes:            rectosigmoid junction (230.4)

230.4            Rectum

Rectosigmoid junction

230.5            Anal canal

Anal sphincter

230.6            Anus, unspecified

Excludes:            anus:

margin (232.5)

skin (232.5)

perianal skin (232.5)

230.7            Other and unspecified parts of intestine

Duodenum

Ileum

Jejunum

Small intestine NOS

Excludes:            ampulla of Vater (230.8)

230.8            Liver and biliary system

Ampulla of Vater

Common bile duct

Cystic duct

Gallbladder

Hepatic duct

Sphincter of Oddi

230.9            Other and unspecified digestive organs

Digestive organ NOS

Gastrointestinal tract NOS

Pancreas

Spleen

231            Carcinoma in situ of respiratory system

231.0            Larynx

Cartilage:

arytenoid

cricoid

cuneiform

thyroid

Epiglottis:

NOS

posterior surface

suprahyoid portion

Vocal cords (false) (true)

Excludes:            aryepiglottic fold or interarytenoid fold:

NOS (230.0)

hypopharyngeal aspect (230.0)

marginal zone (230.0)

231.1            Trachea

231.2            Bronchus and lung

Carina

Hilus of lung

231.8            Other specified parts of respiratory system

Accessory sinuses

Middle ear

Nasal cavities

Pleura

Excludes:            ear (external) (skin) (232.2)

nose NOS (234.8)

skin (232.3)

231.9            Respiratory system, part unspecified

Respiratory organ NOS

232            Carcinoma in situ of skin

Includes:            pigment cells

232.0            Skin of lip

Excludes:            vermilion border of lip (230.0)

232.1            Eyelid, including canthus

232.2            Ear and external auditory canal

232.3            Skin of other and unspecified parts of face

232.4            Scalp and skin of neck

232.5            Skin of trunk, except scrotum

Anus, margin

Axillary fold

Perianal skin

Skin of:

abdominal wall

anus

back

breast

buttock

chest wall

groin

perineum

Umbilicus

Excludes:            anal canal (230.5)

anus NOS (230.6)

skin of genital organs (233.3, 233.5-233.6)

232.6            Skin of upper limb, including shoulder

232.7            Skin of lower limb, including hip

232.8            Other specified sites of skin

232.9            Skin, site unspecified

233            Carcinoma in situ of breast and genitourinary system

233.0            Breast

Excludes:            Paget's disease (174.0-174.9)

skin of breast (232.5)

233.1            Cervix uteri

233.2            Other and unspecified parts of uterus

233.3            Other and unspecified female genital organs

233.4            Prostate

233.5            Penis

233.6            Other and unspecified male genital organs

233.7            Bladder

233.9            Other and unspecified urinary organs

234            Carcinoma in situ of other and unspecified sites

234.0            Eye

Excludes:            cartilage of eyelid (234.8)

eyelid (skin) (232.1)

optic nerve (234.8)

orbital bone (234.8)

234.8            Other specified sites

Endocrine gland [any]

234.9            Site unspecified

Carcinoma in situ NOS

NEOPLASMS OF UNCERTAIN BEHAVIOR (235-238)

Note:   Categories 235-238 classify by site certain histo-morphologically well-defined neoplasms, the subsequent behavior of which cannot be predicted from the present appearance.

235            Neoplasm of uncertain behavior of digestive and respiratory systems

235.0            Major salivary glands

Gland:

parotid

sublingual

submandibular

Excludes:            minor salivary glands (235.1)

235.1            Lip, oral cavity, and pharynx

Gingiva

Hypopharynx

Minor salivary glands

Mouth

Nasopharynx

Oropharynx

Tongue

Excludes:            aryepiglottic fold or interarytenoid fold, laryngeal aspect (235.6)

epiglottis:

NOS (235.6)

suprahyoid portion (235.6)

skin of lip (238.2)

235.2            Stomach, intestines, and rectum

235.3            Liver and biliary passages

Ampulla of Vater

Bile ducts [any]

Gallbladder

Liver

235.4            Retroperitoneum and peritoneum

235.5            Other and unspecified digestive organs

Anal:

canal

sphincter

Anus NOS

Esophagus

Pancreas

Spleen

Excludes:            anus:

margin (238.2)

skin (238.2)

perianal skin (238.2)

235.6            Larynx

Excludes:            aryepiglottic fold or interarytenoid fold:

NOS (235.1)

hypopharyngeal aspect (235.1)

marginal zone (235.1)

235.7            Trachea, bronchus, and lung

235.8            Pleura, thymus, and mediastinum

235.9            Other and unspecified respiratory organs

Accessory sinuses

Middle ear

Nasal cavities

Respiratory organ NOS

Excludes:            ear (external) (skin) (238.2)

nose (238.8)

skin (238.2)

236            Neoplasm of uncertain behavior of genitourinary organs

236.0            Uterus

236.1            Placenta

Chorioadenoma (destruens)

Invasive mole

Malignant hydatid(iform) mole

236.2            Ovary

Use additional code to identify any functional activity

236.3            Other and unspecified female genital organs

236.4            Testis

Use additional code to identify any functional activity

236.5            Prostate

236.6            Other and unspecified male genital organs

236.7            Bladder

236.9            Other and unspecified urinary organs

236.90      Urinary organ, unspecified

236.91      Kidney and ureter

236.99      Other

237            Neoplasm of uncertain behavior of endocrine glands and nervous system

237.0            Pituitary gland and craniopharyngeal duct

Use additional code to identify any functional activity

237.1            Pineal gland

237.2            Adrenal gland

Suprarenal gland

Use additional code to identify any functional activity

237.3            Paraganglia

Aortic body

Carotid body

Coccygeal body

Glomus jugulare

237.4            Other and unspecified endocrine glands

Parathyroid gland

Thyroid gland

237.5            Brain and spinal cord

237.6            Meninges

Meninges:

NOS

cerebral

spinal

237.7            Neurofibromatosis

von Recklinghausen's disease

 

237.70      Neurofibromatosis, unspecified

 

237.71      Neurofibromatosis, type 1 [von Recklinghausen's disease]

 

237.72      Neurofibromatosis, type 2 [acoustic neurofibromatosis]

237.9            Other and unspecified parts of nervous system

Cranial nerves

Excludes:            peripheral, sympathetic, and parasympathetic nerves and ganglia (238.1)

238            Neoplasm of uncertain behavior of other and unspecified sites and tissues

238.0            Bone and articular cartilage

Excludes:            cartilage:

ear (238.1)

eyelid (238.1)

larynx (235.6)

nose (235.9)

synovia (238.1)

238.1            Connective and other soft tissue

Peripheral, sympathetic, and parasympathetic nerves and ganglia

Excludes:            cartilage (of):

articular (238.0)

larynx (235.6)

nose (235.9)

connective tissue of breast (238.3)

238.2            Skin

Excludes:            anus NOS (235.5)

skin of genital organs (236.3, 236.6)

vermilion border of lip (235.1)

238.3            Breast

Excludes:            skin of breast (238.2)

238.4            Polycythemia vera

238.5            Histiocytic and mast cells

Mast cell tumor NOS

Mastocytoma NOS

238.6            Plasma cells

Plasmacytoma NOS

Solitary myeloma

238.7            Other lymphatic and hematopoietic tissues

Disease:

lymphoproliferative (chronic) NOS

myeloproliferative (chronic) NOS

Idiopathic thrombocythemia

Megakaryocytic myelosclerosis

Myelodysplastic syndrome

Myelosclerosis with myeloid metaplasia

Panmyelosis (acute)

Excludes:            myelofibrosis (289.8)

myelosclerosis NOS (289.8)

myelosis:

NOS (205.9)

megakaryocytic (207.2)

238.8            Other specified sites

Eye

Heart

Excludes:            eyelid (skin) (238.2)

cartilage (238.1)

238.9            Site unspecified

NEOPLASMS OF UNSPECIFIED NATURE (239)

239            Neoplasms of unspecified nature

Note:   Category 239 classifies by site neoplasms of unspecified morphology and behavior. The term "mass," unless otherwise stated, is not to be regarded as a neoplastic growth.

Includes:            "growth" NOS

neoplasm NOS

new growth NOS

tumor NOS

239.0            Digestive system

Excludes:            anus:

margin (239.2)

skin (239.2)

perianal skin (239.2)

239.1            Respiratory system

239.2            Bone, soft tissue, and skin

Excludes:            anal canal (239.0)

anus NOS (239.0)

bone marrow (202.9)

cartilage:

larynx (239.1)

nose (239.1)

connective tissue of breast (239.3)

skin of genital organs (239.5)

vermilion border of lip (239.0)

239.3            Breast

Excludes:            skin of breast (239.2)

239.4            Bladder

239.5            Other genitourinary organs

239.6            Brain

Excludes:            cerebral meninges (239.7)

cranial nerves (239.7)

239.7            Endocrine glands and other parts of nervous system

Excludes:            peripheral, sympathetic, and parasympathetic nerves and ganglia (239.2)

239.8            Other specified sites

Excludes:            eyelid (skin) (239.2)

cartilage (239.2)

great vessels (239.2)

optic nerve (239.7)

239.9            Site unspecified

3.  ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND IMMUNITY DISORDERS (240-279)

Excludes:            endocrine and metabolic disturbances specific

to the fetus and newborn (775.0-775.9)

Note:    All neoplasms, whether functionally active or not, are classified in Chapter 2. Codes in Chapter 3 (i.e., 242.8, 246.0, 251-253, 255-259) may be used to identify such functional activity associated with any neoplasm, or by ectopic endocrine tissue.

DISORDERS OF THYROID GLAND (240-246)

240       Simple and unspecified goiter

240.0            Goiter, specified as simple

Any condition classifiable to 240.9, specified as simple

240.9            Goiter, unspecified

Enlargement of thyroid

Goiter or struma:

NOS

diffuse colloid

endemic

hyperplastic

nontoxic (diffuse)

parenchymatous

sporadic

Excludes:            congenital (dyshormonogenic) goiter (246.1)

241            Nontoxic nodular goiter

Excludes:            adenoma of thyroid (226)

cystadenoma of thyroid (226)

241.0            Nontoxic uninodular goiter

Thyroid nodule

Uninodular goiter (nontoxic)

241.1            Nontoxic multinodular goiter

Multinodular goiter (nontoxic)

241.9            Unspecified nontoxic nodular goiter

Adenomatous goiter

Nodular goiter (nontoxic) NOS

Struma nodosa (simplex)

242            Thyrotoxicosis with or without goiter

Excludes:            neonatal thyrotoxicosis (775.3)

The following fifth-digit subclassification is for use with category 242:

0            without mention of thyrotoxic crisis or storm

1            with mention of thyrotoxic crisis or storm

242.0            Toxic diffuse goiter

Basedow's disease

Exophthalmic or toxic goiter NOS

Graves' disease

Primary thyroid hyperplasia

242.1            Toxic uninodular goiter

Thyroid nodule, toxic or with hyperthyroidism

Uninodular goiter, toxic or with hyperthyroidism

242.2            Toxic multinodular goiter

Secondary thyroid hyperplasia

242.3            Toxic nodular goiter, unspecified

Adenomatous goiter, toxic or with hyperthyroidism

Nodular goiter, toxic or with hyperthyroidism

Struma nodosa, toxic or with hyperthyroidism

Any condition classifiable to 241.9 specified as toxic or with hyperthyroidism

242.4            Thyrotoxicosis from ectopic thyroid nodule

242.8            Thyrotoxicosis of other specified origin

Overproduction of thyroid-stimulating hormone [TSH]

Thyrotoxicosis:

factitia from ingestion of excessive thyroid material

Use additional E code to identify cause, if drug-induced

242.9            Thyrotoxicosis without mention of goiter or other cause

Hyperthyroidism NOS

Thyrotoxicosis NOS

243            Congenital hypothyroidism

Congenital thyroid insufficiency

Cretinism (athyrotic) (endemic)

Use additional code to identify associated mental retardation

Excludes:            congenital (dyshormonogenic) goiter (246.1)

244            Acquired hypothyroidism

Includes:            athyroidism (acquired)

hypothyroidism (acquired)

myxedema (adult) (juvenile)

thyroid (gland) insufficiency (acquired)

244.0            Postsurgical hypothyroidism

244.1            Other postablative hypothyroidism

Hypothyroidism following therapy, such as irradiation

244.2            Iodine hypothyroidism

Hypothyroidism resulting from administration or ingestion of iodide

Use additional E to identify drug

244.3            Other iatrogenic hypothyroidism

Hypothyroidism resulting from:

P-aminosalicylic acid [PAS]

Phenylbutazone

Resorcinol

Iatrogenic hypothyroidism NOS

Use additional E to identify drug

244.8            Other specified acquired hypothyroidism

Secondary hypothyroidism NEC

244.9            Unspecified hypothyroidism

Hypothyroidism, primary or NOS

Myxedema, primary or NOS

245            Thyroiditis

245.0            Acute thyroiditis

Abscess of thyroid

Thyroiditis:

nonsuppurative, acute

pyogenic

suppurative

Use additional code to identify organism

245.1            Subacute thyroiditis

Thyroiditis:

de Quervain's

giant cell

granulomatous

viral

245.2            Chronic lymphocytic thyroiditis

Hashimoto's disease

Struma lymphomatosa

Thyroiditis:

autoimmune

lymphocytic (chronic)

245.3            Chronic fibrous thyroiditis

Struma fibrosa

Thyroiditis:

invasive (fibrous)

ligneous

Riedel's

245.4            Iatrogenic thyroiditis

Use additional E to identify cause

245.8            Other and unspecified chronic thyroiditis

Chronic thyroiditis:

NOS

nonspecific

245.9            Thyroiditis, unspecified

Thyroiditis NOS

246       Other disorders of thyroid

246.0            Disorders of thyrocalcitonin secretion

Hypersecretion of calcitonin or thyrocalcitonin

246.1            Dyshormonogenic goiter

Congenital (dyshormonogenic) goiter

Goiter due to enzyme defect in synthesis of thyroid hormone

Goitrous cretinism (sporadic)

246.2            Cyst of thyroid

Excludes:            cystadenoma of thyroid (226)

246.3            Hemorrhage and infarction of thyroid

246.8            Other specified disorders of thyroid

Abnormality of thyroid-binding globulin

Atrophy of thyroid

Hyper-TBG-nemia

Hypo-TBG-nemia

246.9            Unspecified disorder of thyroid

DISEASES OF OTHER ENDOCRINE GLANDS (250-259)

250            Diabetes mellitus

Excludes:            gestational diabetes (648.8)

hyperglycemia NOS (790.6)

neonatal diabetes mellitus (775.1)

nonclinical diabetes (790.2)

The following fifth-digit subclassification is for use with category 250:

0            type II [non-insulin dependent type] [NIDDM type] [adult-onset type] or unspecified type, not stated as uncontrolled

Fifth-digit 0 is for use for type II, adult-onset, diabetic patients, even if the patient requires insulin

1            type I [insulin dependent type] [IDDM] [juvenile type], not stated as uncontrolled

2            type II [non-insulin dependent type] [NIDDM type] [adult-onset type] or unspecified type, uncontrolled

Fifth-digit II is for use for type II, adult-onset, diabetic patients, even if the patient requires insulin

3            type I [insulin dependent type] [IDDM] [juvenile type], uncontrolled

250.0            Diabetes mellitus without mention of complication

Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9

Diabetes (mellitus) NOS

250.1            Diabetes with ketoacidosis

Diabetic:

acidosis without mention of coma

ketosis without mention of coma

250.2            Diabetes with hyperosmolarity

Hyperosmolar (nonketotic) coma

250.3            Diabetes with other coma

Diabetic coma (with ketoacidosis)

Diabetic hypoglycemic coma

Insulin coma NOS

Excludes:            diabetes with hyperosmolar coma (250.2)

250.4            Diabetes with renal manifestations

Use additional code to identify manifestation, as:

diabetic:

nephropathy NOS (583.81)

nephrosis (581.81)

intercapillary glomerulosclerosis (581.81)

Kimmelstiel-Wilson syndrome (581.81)

250.5            Diabetes with ophthalmic manifestations

Use additional code to identify manifestation, as:

diabetic:

blindness (369.00-369.9)

cataract (366.41)

glaucoma (365.44)

retinal edema (362.83)

retinopathy (362.01-362.02)

250.6            Diabetes with neurological manifestations

Use additional code to identify manifestation, as:

diabetic:

amyotrophy (358.1)

mononeuropathy (354.0-355.9)

neurogenic arthropathy (713.5)

peripheral autonomic neuropathy (337.1)

polyneuropathy (357.2)

250.7            Diabetes with peripheral circulatory disorders

Use additional code to identify manifestation, as:

diabetic:

gangrene (785.4)

peripheral angiopathy (443.81)

250.8            Diabetes with other specified manifestations

Diabetic hypoglycemia

Hypoglycemic shock

Use additional code to identify manifestation, as:

any associated ulceration (707.10-707.9)

diabetic bone changes (731.8)

Use additional E code to identify cause, if drug-induced

250.9            Diabetes with unspecified complication

251       Other disorders of pancreatic internal secretion

251.0            Hypoglycemic coma

Iatrogenic hyperinsulinism

Non-diabetic insulin coma

Use additional E code to identify cause, if drug-induced

Excludes:            hypoglycemic coma in diabetes mellitus (250.3)

251.1            Other specified hypoglycemia

Hyperinsulinism:

NOS

ectopic

functional

Hyperplasia of pancreatic islet beta cells NOS

Excludes:            hypoglycemia in diabetes mellitus (250.8)

hypoglycemia in infant of diabetic mother (775.0)

hypoglycemic coma (251.0)

neonatal hypoglycemia (775.6)

Use additional E code to identify cause, if drug-induced

251.2            Hypoglycemia, unspecified

Hypoglycemia:

NOS

reactive

spontaneous

Excludes:            hypoglycemia:

with coma (251.0)

in diabetes mellitus (250.8)

leucine-induced (270.3)

251.3            Postsurgical hypoinsulinemia

Hypoinsulinemia following complete or partial pancreatectomy

Postpancreatectomy hyperglycemia

251.4            Abnormality of secretion of glucagon

Hyperplasia of pancreatic islet alpha cells with glucagon excess

251.5            Abnormality of secretion of gastrin

Hyperplasia of pancreatic alpha cells with gastrin excess

Zollinger-Ellison syndrome

251.8            Other specified disorders of pancreatic internal secretion

251.9            Unspecified disorder of pancreatic internal secretion

Islet cell hyperplasia NOS

252            Disorders of parathyroid gland

252.0            Hyperparathyroidism

Hyperplasia of parathyroid

Osteitis fibrosa cystica generalisata

von Recklinghausen's disease of bone

Excludes:            ectopic hyperparathyroidism (259.3)

secondary hyperparathyroidism (of renal origin) (588.8)

252.1            Hypoparathyroidism

Parathyroiditis (autoimmune)

Tetany:

parathyroid

parathyroprival

Excludes:            pseudohypoparathyroidism (275.49)

pseudopseudohypoparathyroidism (275.49)

tetany NOS (781.7)

transitory neonatal hypoparathyroidism (775.4)

252.8            Other specified disorders of parathyroid gland

Cyst of parathyroid gland

Hemorrhage of parathyroid gland

252.9            Unspecified disorder of parathyroid gland

253            Disorders of the pituitary gland and its hypothalamic control

Includes:            the listed conditions whether the disorder is in the pituitary or the hypothalamus

Excludes:            Cushing's syndrome (255.0)

253.0            Acromegaly and gigantism

Overproduction of growth hormone

253.1            Other and unspecified anterior pituitary hyperfunction

Forbes-Albright syndrome

Excludes:            overproduction of:

ACTH (255.3)

thyroid-stimulating hormone [TSH] (242.8)

253.2            Panhypopituitarism

Cachexia, pituitary

Necrosis of pituitary (postpartum)

Pituitary insufficiency NOS

Sheehan's syndrome

Simmonds' disease

Excludes:            iatrogenic hypopituitarism (253.7)

253.3            Pituitary dwarfism

Isolated deficiency of (human) growth hormone [HGH]

Lorain-Levi dwarfism

253.4            Other anterior pituitary disorders

Isolated or partial deficiency of an anterior pituitary hormone, other than growth hormone

Prolactin deficiency

253.5            Diabetes insipidus

Vasopressin deficiency

Excludes:            nephrogenic diabetes insipidus (588.1)

253.6            Other disorders of neurohypophysis

Syndrome of inappropriate secretion of antidiuretic hormone [ADH]

Excludes:            ectopic antidiuretic hormone secretion (259.3)

253.7            Iatrogenic pituitary disorders

Hypopituitarism:

hormone-induced

hypophysectomy-induced

postablative

radiotherapy-induced

Use additional E code to identify cause

253.8            Other disorders of the pituitary and other syndromes of diencephalohypophyseal origin

Abscess of pituitary

Adiposogenital dystrophy

Cyst of Rathke's pouch

Fröhlich's syndrome

Excludes:            craniopharyngioma (237.0)

253.9            Unspecified

Dyspituitarism

254            Diseases of thymus gland

Excludes:            aplasia or dysplasia with immunodeficiency (279.2)

hypoplasia with immunodeficiency (279.2)

myasthenia gravis (358.0)

254.0            Persistent hyperplasia of thymus

Hypertrophy of thymus

254.1            Abscess of thymus

254.8            Other specified diseases of thymus gland

Atrophy of thymus

Cyst of thymus

Excludes:            thymoma (212.6)

254.9            Unspecified disease of thymus gland

255            Disorders of adrenal glands

Includes:            the listed conditions whether the basic disorder is in the adrenals or is pituitary-induced

255.0            Cushing's syndrome

Adrenal hyperplasia due to excess ACTH

Cushing's syndrome:

NOS

iatrogenic

idiopathic

pituitary-dependent

Ectopic ACTH syndrome

Iatrogenic syndrome of excess cortisol

Overproduction of cortisol

Use additional E code to identify cause, if drug-induced

Excludes:            congenital adrenal hyperplasia (255.2)

255.1            Hyperaldosteronism

Aldosteronism (primary) (secondary)

Bartter's syndrome

Conn's syndrome

255.2            Adrenogenital disorders

Adrenogenital syndromes, virilizing or feminizing, whether acquired or associated with congenital adrenal hyperplasia consequent on inborn enzyme defects in hormone synthesis

Achard-Thiers syndrome

Congenital adrenal hyperplasia

Female adrenal pseudohermaphroditism

Male:

macrogenitosomia praecox

sexual precocity with adrenal hyperplasia

Virilization (female) (suprarenal)

Excludes:            adrenal hyperplasia due to excess ACTH (255.0)

isosexual virilization (256.4)

255.3            Other corticoadrenal overactivity

Acquired benign adrenal androgenic overactivity

Overproduction of ACTH

255.4            Corticoadrenal insufficiency

Addisonian crisis

Addison's disease NOS

Adrenal:

atrophy (autoimmune)

calcification

crisis

hemorrhage

infarction

insufficiency NOS

Excludes:            tuberculous Addison's disease (017.6)

255.5            Other adrenal hypofunction

Adrenal medullary insufficiency

Excludes:            Waterhouse-Friderichsen syndrome (meningococcal) (036.3)

255.6            Medulloadrenal hyperfunction

Catecholamine secretion by pheochromocytoma

255.8            Other specified disorders of adrenal glands

Abnormality of cortisol-binding globulin

255.9            Unspecified disorder of adrenal glands

256       Ovarian dysfunction

256.0            Hyperestrogenism

256.1            Other ovarian hyperfunction

Hypersecretion of ovarian androgens

256.2            Postablative ovarian failure

Ovarian failure:

iatrogenic

postirradiation

postsurgical

Use additional code for states associated with artificial menopause (627.4)

Excludes:            acquired absence of ovary (V45.77)

asymptomatic age-related (natural) postmenopausal status (V49.81)

256.3            Other ovarian failure

Use additional code for states associated with natural menopause (627.2)

Excludes:            asymptomatic age-related (natural) postmenopausal status (V49.81)

256.31      Premature menopause

256.39      Other ovarian failure

Delayed menarche

Ovarian hypofunction

Primary ovarian failure NOS

256.4            Polycystic ovaries

Isosexual virilization Stein-Leventhal syndrome

256.8            Other ovarian dysfunction

256.9            Unspecified ovarian dysfunction

257            Testicular dysfunction

257.0            Testicular hyperfunction

Hypersecretion of testicular hormones

257.1            Postablative testicular hypofunction

Testicular hypofunction:

iatrogenic

postirradiation

postsurgical

257.2            Other testicular hypofunction

Defective biosynthesis of testicular androgen

Eunuchoidism:

NOS

hypogonadotropic

Failure:

Leydig's cell, adult

seminiferous tubule, adult

Testicular hypogonadism

Excludes:            azoospermia (606.0)

257.8            Other testicular dysfunction

Goldberg-Maxwell syndrome

Male pseudohermaphroditism with testicular feminization

Testicular feminization

257.9            Unspecified testicular dysfunction

258            Polyglandular dysfunction and related disorders

258.0            Polyglandular activity in multiple endocrine adenomatosis

Wermer's syndrome

258.1            Other combinations of endocrine dysfunction

Lloyd's syndrome

Schmidt's syndrome

258.8            Other specified polyglandular dysfunction

258.9            Polyglandular dysfunction, unspecified

259       Other endocrine disorders

259.0            Delay in sexual development and puberty, not elsewhere classified

Delayed puberty

259.1            Precocious sexual development and puberty, not elsewhere classified

Sexual precocity:

NOS

constitutional

cryptogenic

idiopathic

259.2            Carcinoid syndrome

Hormone secretion by carcinoid tumors

259.3            Ectopic hormone secretion, not elsewhere classified

Ectopic:

antidiuretic hormone secretion [ADH]

hyperparathyroidism

Excludes:            ectopic ACTH syndrome (255.0)

259.4            Dwarfism, not elsewhere classified

Dwarfism:

NOS

constitutional

Excludes:            dwarfism:

achondroplastic (756.4)

intrauterine (759.7)

nutritional (263.2)

pituitary (253.3)

renal (588.0)

progeria (259.8)

259.8            Other specified endocrine disorders

Pineal gland dysfunction

Progeria

Werner's syndrome

259.9            Unspecified endocrine disorder

Disturbance:

endocrine NOS

hormone NOS

Infantilism NOS

NUTRITIONAL DEFICIENCIES (260-269)

Excludes:            deficiency anemias (280.0-281.9)

260            Kwashiorkor

Nutritional edema with dyspigmentation of skin and hair

261            Nutritional marasmus

Nutritional atrophy

Severe calorie deficiency

Severe malnutrition NOS

262       Other severe protein-calorie malnutrition

Nutritional edema without mention of dyspigmentation of skin and hair

263       Other and unspecified protein-calorie malnutrition

263.0            Malnutrition of moderate degree

263.1            Malnutrition of mild degree

263.2            Arrested development following protein-calorie malnutrition

Nutritional dwarfism

Physical retardation due to malnutrition

263.8            Other protein-calorie malnutrition

263.9            Unspecified protein-calorie malnutrition

Dystrophy due to malnutrition

Malnutrition (calorie) NOS

Excludes:            nutritional deficiency NOS (269.9)

264       Vitamin A deficiency

264.0            With conjunctival xerosis

264.1            With conjunctival xerosis and Bitot's spot

Bitot's spot in the young child

264.2            With corneal xerosis

264.3            With corneal ulceration and xerosis

264.4            With keratomalacia

264.5            With night blindness

264.6            With xerophthalmic scars of cornea

264.7            Other ocular manifestations of vitamin A deficiency

Xerophthalmia due to vitamin A deficiency

264.8            Other manifestations of vitamin A deficiency

Follicular keratosis due to vitamin A deficiency

Xeroderma due to vitamin A deficiency

264.9            Unspecified vitamin A deficiency

Hypovitaminosis A NOS

265            Thiamine and niacin deficiency states

265.0            Beriberi

265.1            Other and unspecified manifestations of thiamine deficiency

Other vitamin B1 deficiency states

265.2            Pellagra

Deficiency:

niacin (-tryptophan)

nicotinamide

nicotinic acid

vitamin PP

Pellagra (alcoholic)

266            Deficiency of B-complex components

266.0            Ariboflavinosis

Riboflavin [vitamin B2] deficiency

266.1            Vitamin B6 deficiency

Deficiency:

pyridoxal

pyridoxamine

pyridoxine

Vitamin B6 deficiency syndrome

Excludes:            vitamin B6-responsive sideroblastic anemia (285.0)

266.2            Other B-complex deficiencies

Deficiency:

cyanocobalamin

folic acid

vitamin B12

Excludes:            combined system disease with anemia (281.0-281.1)

deficiency anemias (281.0-281.9)

subacute degeneration of spinal cord with anemia (281.0-281.1)

266.9            Unspecified vitamin B deficiency

267            Ascorbic acid deficiency

Deficiency of vitamin C

Scurvy

Excludes:            scorbutic anemia (281.8)

268       Vitamin D deficiency

Excludes:            vitamin D-resistant:

osteomalacia (275.3)

rickets (275.3)

268.0            Rickets, active

Excludes:            celiac rickets (579.0)

renal rickets (588.0)

268.1            Rickets, late effect

Any condition specified as due to rickets and stated to be a late effect or sequela of rickets

Use additional code to identify the nature of late effect

268.2            Osteomalacia, unspecified

268.9            Unspecified vitamin D deficiency

Avitaminosis D

269       Other nutritional deficiencies

269.0            Deficiency of vitamin K

Excludes:            deficiency of coagulation factor due to vitamin K deficiency (286.7)

vitamin K deficiency of newborn (776.0)

269.1            Deficiency of other vitamins

Deficiency:

vitamin E

vitamin P

269.2            Unspecified vitamin deficiency

Multiple vitamin deficiency NOS

269.3            Mineral deficiency, not elsewhere classified

Deficiency:

calcium, dietary

iodine

Excludes:            deficiency:

calcium NOS (275.40)

potassium (276.8)

sodium (276.1)

269.8            Other nutritional deficiency

Excludes:            adult failure to thrive (783.7)

failure to thrive in childhood (783.41)

feeding problems (783.3)

newborn (779.3)

269.9            Unspecified nutritional deficiency

OTHER METABOLIC AND IMMUNITY DISORDERS (270-279)

Use additional code to identify any associated mental retardation

270            Disorders of amino-acid transport and metabolism

Excludes:            abnormal findings without manifest disease (790.0-796.9)

disorders of purine and pyrimidine metabolism (277.1-277.2)

gout (274.0-274.9)

270.0            Disturbances of amino-acid transport

Cystinosis

Cystinuria

Fanconi (-de Toni) (-Debré) syndrome

Glycinuria (renal)

Hartnup disease

270.1            Phenylketonuria [PKU]

Hyperphenylalaninemia

270.2            Other disturbances of aromatic amino-acid metabolism

Albinism

Alkaptonuria

Alkaptonuric ochronosis

Disturbances of metabolism of tyrosine and tryptophan

Homogentisic acid defects

Hydroxykynureninuria

Hypertyrosinemia

Indicanuria

Kynureninase defects

Oasthouse urine disease

Ochronosis

Tyrosinosis

Tyrosinuria

Waardenburg syndrome

Excludes:            vitamin B6-deficiency syndrome (266.1)

270.3            Disturbances of branched-chain amino-acid metabolism

Disturbances of metabolism of leucine, isoleucine, and valine

Hypervalinemia

Intermittent branched-chain ketonuria

Leucine-induced hypoglycemia

Leucinosis

Maple syrup urine disease

270.4            Disturbances of sulphur-bearing amino-acid metabolism

Cystathioninemia

Cystathioninuria

Disturbances of metabolism of methionine, homocystine, and cystathionine

Homocystinuria

Hypermethioninemia

Methioninemia

270.5            Disturbances of histidine metabolism

Carnosinemia

Histidinemia

Hyperhistidinemia

Imidazole aminoaciduria

270.6            Disorders of urea cycle metabolism

Argininosuccinic aciduria

Citrullinemia

Disorders of metabolism of ornithine, citrulline, argininosuccinic acid, arginine, and ammonia

Hyperammonemia

Hyperornithinemia

270.7            Other disturbances of straight-chain amino-acid metabolism

Glucoglycinuria

Glycinemia (with methylmalonic acidemia)

Hyperglycinemia

Hyperlysinemia

Pipecolic acidemia

Saccharopinuria

Other disturbances of metabolism of glycine, threonine, serine, glutamine, and lysine

270.8            Other specified disorders of amino-acid metabolism

Alaninemia

Ethanolaminuria

Glycoprolinuria

Hydroxyprolinemia

Hyperprolinemia

Iminoacidopathy

Prolinemia

Prolinuria

Sarcosinemia

270.9            Unspecified disorder of amino-acid metabolism

271            Disorders of carbohydrate transport and metabolism

Excludes:            abnormality of secretion of glucagon (251.4)

diabetes mellitus (250.0-250.9)

hypoglycemia NOS (251.2)

mucopolysaccharidosis (277.5)

271.0            Glycogenosis

Amylopectinosis

Glucose-6-phosphatase deficiency

Glycogen storage disease

McArdle's disease

Pompe's disease

von Gierke's disease

271.1            Galactosemia

Galactose-1-phosphate uridyl transferase deficiency

Galactosuria

271.2            Hereditary fructose intolerance

Essential benign fructosuria

Fructosemia

271.3            Intestinal disaccharidase deficiencies and disaccharide malabsorption

Intolerance or malabsorption (congenital) (of):

glucose-galactose

lactose

sucrose-isomaltose

271.4            Renal glycosuria

Renal diabetes

271.8            Other specified disorders of carbohydrate transport and metabolism

Essential benign pentosuria

Fucosidosis

Glycolic aciduria

Hyperoxaluria (primary)

Mannosidosis

Oxalosis

Xylosuria

Xylulosuria

271.9            Unspecified disorder of carbohydrate transport and metabolism

272            Disorders of lipoid metabolism

Excludes:            localized cerebral lipidoses (330.1)

272.0            Pure hypercholesterolemia

Familial hypercholesterolemia

Fredrickson Type IIa hyperlipoproteinemia

Hyperbetalipoproteinemia

Hyperlipidemia, Group A

Low-density-lipoid-type [LDL] hyperlipoproteinemia

272.1            Pure hyperglyceridemia

Endogenous hyperglyceridemia

Fredrickson Type IV hyperlipoproteinemia

Hyperlipidemia, Group B

Hyperprebetalipoproteinemia

Hypertriglyceridemia, essential

Very-low-density-lipoid-type [VLDL] hyperlipoproteinemia

272.2            Mixed hyperlipidemia

Broad- or floating-betalipoproteinemia

Fredrickson Type IIb or III hyperlipoproteinemia

Hypercholesterolemia with endogenous hyperglyceridemia

Hyperbetalipoproteinemia with prebetalipoproteinemia

Tubo-eruptive xanthoma

Xanthoma tuberosum

272.3            Hyperchylomicronemia

Bürger-Grütz syndrome

Fredrickson type I or V hyperlipoproteinemia

Hyperlipidemia, Group D

Mixed hyperglyceridemia

272.4            Other and unspecified hyperlipidemia

Alpha-lipoproteinemia

Combined hyperlipidemia

Hyperlipidemia NOS

Hyperlipoproteinemia NOS

272.5            Lipoprotein deficiencies

Abetalipoproteinemia

Bassen-Kornzweig syndrome

High-density lipoid deficiency

Hypoalphalipoproteinemia

Hypobetalipoproteinemia (familial)

272.6            Lipodystrophy

Barraquer-Simons disease

Progressive lipodystrophy

Use additional E code to identify cause, if iatrogenic

Excludes:            intestinal lipodystrophy (040.2)

272.7            Lipidoses

Chemically induced lipidosis

Disease:

Anderson's

Fabry's

Gaucher's

I cell [mucolipidosis I]

lipoid storage NOS

Niemann-Pick

pseudo-Hurler's or mucolipidosis III

triglyceride storage, Type I or II

Wolman's or triglyceride storage, Type III

Mucolipidosis II

Primary familial xanthomatosis

Excludes:            cerebral lipidoses (330.1)

Tay-Sachs disease (330.1)

272.8            Other disorders of lipoid metabolism

Hoffa's disease or liposynovitis prepatellaris

Launois-Bensaude's lipomatosis

Lipoid dermatoarthritis

272.9            Unspecified disorder of lipoid metabolism

273            Disorders of plasma protein metabolism

Excludes:            agammaglobulinemia and hypogammaglobulinemia (279.0-279.2)

coagulation defects (286.0-286.9)

hereditary hemolytic anemias (282.0-282.9)

273.0            Polyclonal hypergammaglobulinemia

Hypergammaglobulinemic purpura:

benign primary

Waldenström's

273.1            Monoclonal paraproteinemia

Benign monoclonal hypergammaglobulinemia [BMH]

Monoclonal gammopathy:

NOS

associated with lymphoplasmacytic dyscrasias

benign

Paraproteinemia:

benign (familial)

secondary to malignant or inflammatory disease

273.2            Other paraproteinemias

Cryoglobulinemic:

purpura

vasculitis

Mixed cryoglobulinemia

273.3            Macroglobulinemia

Macroglobulinemia (idiopathic) (primary)

Waldenström's macroglobulinemia

273.8            Other disorders of plasma protein metabolism

Abnormality of transport protein

Bisalbuminemia

273.9            Unspecified disorder of plasma protein metabolism

274       Gout

Excludes:            lead gout (984.0-984.9)

274.0            Gouty arthropathy

274.1            Gouty nephropathy

274.10      Gouty nephropathy, unspecified

274.11      Uric acid nephrolithiasis

274.19      Other

274.8            Gout with other specified manifestations

274.81      Gouty tophi of ear

274.82      Gouty tophi of other sites

Gouty tophi of heart

274.89      Other

Use additional code to identify manifestations, as:

gouty:

iritis (364.11)

neuritis (357.4)

274.9            Gout, unspecified

275            Disorders of mineral metabolism

Excludes:            abnormal findings without manifest disease (790.0-796.9)

275.0            Disorders of iron metabolism

Bronzed diabetes

Hemochromatosis

Pigmentary cirrhosis (of liver)

Excludes:            anemia:

iron deficiency (280.0-280.9)

sideroblastic (285.0)

275.1            Disorders of copper metabolism

Hepatolenticular degeneration

Wilson's disease

275.2            Disorders of magnesium metabolism

Hypermagnesemia

Hypomagnesemia

275.3            Disorders of phosphorus metabolism

Familial hypophosphatemia

Hypophosphatasia

Vitamin D-resistant:

osteomalacia

rickets

275.4            Disorders of calcium metabolism

Excludes:            parathyroid disorders (252.0-252.9)

vitamin D deficiency (268.0-268.9)

275.40      Unspecified disorder of calcium metabolism

275.41      Hypocalcemia

275.42      Hypercalcemia

275.49      Other disorders of calcium metabolism

Nephrocalcinosis

Pseudohypoparathyroidism

Pseudopseudohypoparathyroidism

275.8            Other specified disorders of mineral metabolism

275.9            Unspecified disorder of mineral metabolism

276            Disorders of fluid, electrolyte, and acid-base balance

Excludes:            diabetes insipidus (253.5)

familial periodic paralysis (359.3)

276.0            Hyperosmolality and/or hypernatremia

Sodium [Na] excess

Sodium [Na] overload

276.1            Hyposmolality and/or hyponatremia

Sodium [Na] deficiency

276.2            Acidosis

Acidosis:

NOS

lactic

metabolic

respiratory

Excludes:            diabetic acidosis (250.1)

276.3            Alkalosis

Alkalosis:

NOS

metabolic

respiratory

276.4            Mixed acid-base balance disorder

Hypercapnia with mixed acid-base disorder

276.5            Volume depletion

Dehydration

Depletion of volume of plasma or extracellular fluid

Hypovolemia

Excludes:            hypovolemic shock:

postoperative (998.0)

traumatic (958.4)

276.6            Fluid overload

Fluid retention

Excludes:            ascites (789.5)

localized edema (782.3)

276.7            Hyperpotassemia

Hyperkalemia

Potassium [K]:

excess

intoxication

overload

276.8            Hypopotassemia

Hypokalemia

Potassium [K] deficiency

276.9            Electrolyte and fluid disorders not elsewhere classified

Electrolyte imbalance

Hyperchloremia

Hypochloremia

Excludes:            electrolyte imbalance:

associated with hyperemesis gravidarum  (643.1)

complicating labor and delivery (669.0)

following abortion and ectopic or molar pregnancy (634-638 with .4, 639.4)

277       Other and unspecified disorders of metabolism

277.0            Cystic fibrosis

Fibrocystic disease of the pancreas

Mucoviscidosis

277.00      Without mention of meconium ileus

Cystic fibrosis NOS

277.01      With meconium ileus

Meconium:

ileus (of newborn)

obstruction of intestine in mucoviscidosis

277.02      With pulmonary manifestations

Cystic fibrosis with pulmonary exacerbation

Use additional code to identify any infectious organism present, such as:

pseudomonas (041.7)

277.03      With gastrointestinal manifestations

Excludes:            with meconium ileus (277.01)

277.09      With other manifestations

277.1            Disorders of porphyrin metabolism

Hematoporphyria

Hematoporphyrinuria

Hereditary coproporphyria

Porphyria

Porphyrinuria

Protocoproporphyria

Protoporphyria

Pyrroloporphyria

277.2            Other disorders of purine and pyrimidine metabolism

Hypoxanthine-guanine-phosphoribosyltransferase deficiency [HG-PRT deficiency]

Lesch-Nyhan syndrome

Xanthinuria

Excludes:            gout (274.0-274.9)

orotic aciduric anemia (281.4)

277.3            Amyloidosis

Amyloidosis:

NOS

inherited systemic

nephropathic

neuropathic (Portuguese) (Swiss)

secondary

Benign paroxysmal peritonitis

Familial Mediterranean fever

Hereditary cardiac amyloidosis

277.4            Disorders of bilirubin excretion

Hyperbilirubinemia:

congenital

constitutional

Syndrome:

Crigler-Najjar

Dubin-Johnson

Gilbert's

Rotor's

Excludes:            hyperbilirubinemias specific to the perinatal period (774.0-774.7)

277.5            Mucopolysaccharidosis

Gargoylism

Hunter's syndrome

Hurler's syndrome

Lipochondrodystrophy

Maroteaux-Lamy syndrome

Morquio-Brailsford disease

Osteochondrodystrophy

Sanfilippo's syndrome

Scheie's syndrome

277.6            Other deficiencies of circulating enzymes

Alpha 1-antitrypsin deficiency

Hereditary angioedema

277.7            Dysmetabolic syndrome X

Use additional code for associated manifestation, such as:

cardiovascular disease (414.00-414.06)

obesity (278.00-278.01)

277.8            Other specified disorders of metabolism

Hand-Schüller-Christian disease

Histiocytosis (acute) (chronic)

Histiocytosis X (chronic)

Excludes:            histiocytosis:

acute differentiated progressive (202.5)

X, acute (progressive) (202.5)

277.9            Unspecified disorder of metabolism

Enzymopathy NOS

278       Obesity and other hyperalimentation

Excludes:            hyperalimentation NOS (783.6)

poisoning by vitamins NOS (963.5)

polyphagia (783.6)

278.0            Obesity

Excludes:            adiposogenital dystrophy (253.8)

obesity of endocrine origin NOS (259.9)

278.00      Obesity, unspecified

Obesity NOS

278.01      Morbid obesity

278.1            Localized adiposity

Fat pad

278.2            Hypervitaminosis A

278.3            Hypercarotinemia

278.4            Hypervitaminosis D

278.8            Other hyperalimentation

279            Disorders involving the immune mechanism

279.0            Deficiency of humoral immunity

279.00      Hypogammaglobulinemia, unspecified

Agammaglobulinemia NOS

279.01      Selective IgA immunodeficiency

279.02      Selective IgM immunodeficiency

279.03      Other selective immunoglobulin deficiencies

Selective deficiency of IgG

279.04      Congenital hypogammaglobulinemia

Agammaglobulinemia:

Bruton's type

X-linked

279.05      Immunodeficiency with increased IgM

Immunodeficiency with hyper-IgM:

autosomal recessive

X-linked

279.06      Common variable immunodeficiency

Dysgammaglobulinemia (acquired) (congenital) (primary)

Hypogammaglobulinemia:

acquired primary

congenital non-sex-linked

sporadic

279.09      Other

Transient hypogammaglobulinemia of infancy

279.1            Deficiency of cell-mediated immunity

279.10      Immunodeficiency with predominant T-cell defect, unspecified

279.11      DiGeorge's syndrome

Pharyngeal pouch syndrome

Thymic hypoplasia

279.12      Wiskott-Aldrich syndrome

279.13      Nezelof's syndrome

Cellular immunodeficiency with abnormal immunoglobulin deficiency

279.19      Other

Excludes:            ataxia-telangiectasia (334.8)

279.2            Combined immunity deficiency

Agammaglobulinemia:

autosomal recessive

Swiss-type

X-linked recessive

Severe combined immunodeficiency [SCID]

Thymic:

alymphoplasia

aplasia or dysplasia with immunodeficiency

Excludes:            thymic hypoplasia (279.11)

279.3            Unspecified immunity deficiency

279.4            Autoimmune disease, not elsewhere classified

Autoimmune disease NOS

Excludes:            transplant failure or rejection (996.80-996.89)

279.8            Other specified disorders involving the immune mechanism

Single complement [C1-C9] deficiency or dysfunction

279.9            Unspecified disorder of immune mechanism

4.  DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS (280-289)

280       Iron deficiency anemias

Includes:            anemia:

asiderotic

hypochromic-microcytic

sideropenic

Excludes:            familial microcytic anemia (282.4)

280.0            Secondary to blood loss (chronic)

Normocytic anemia due to blood loss

Excludes:            acute posthemorrhagic anemia (285.1)

280.1            Secondary to inadequate dietary iron intake

280.8            Other specified iron deficiency anemias

Paterson-Kelly syndrome

Plummer-Vinson syndrome

Sideropenic dysphagia

280.9            Iron deficiency anemia, unspecified

Anemia:

achlorhydric

chlorotic

idiopathic hypochromic

iron [Fe] deficiency NOS

281       Other deficiency anemias

281.0            Pernicious anemia

Anemia:

Addison's

Biermer's

congenital pernicious

Congenital intrinsic factor [Castle's] deficiency

Excludes:            combined system disease without mention of anemia (266.2)

subacute degeneration of spinal cord without mention of anemia (266.2)

281.1            Other vitamin B12 deficiency anemia

Anemia:

vegan's

vitamin B12 deficiency (dietary)

due to selective vitamin B12 malabsorption with proteinuria

Syndrome:

Imerslund's

Imerslund-Gräsbeck

Excludes:            combined system disease without mention of anemia (266.2)

subacute degeneration of spinal cord without mention of anemia (266.2)

281.2            Folate-deficiency anemia

Congenital folate malabsorption

Folate or folic acid deficiency anemia:

NOS

dietary

drug-induced

Goat's milk anemia

Nutritional megaloblastic anemia (of infancy)

Use additional E code to identify drug

281.3            Other specified megaloblastic anemias, not elsewhere classified

Combined B12 and folate-deficiency anemia

Refractory megaloblastic anemia

281.4            Protein-deficiency anemia

Amino-acid-deficiency anemia

281.8            Anemia associated with other specified nutritional deficiency

Scorbutic anemia

281.9            Unspecified deficiency anemia

Anemia:

dimorphic

macrocytic

megaloblastic NOS

nutritional NOS

simple chronic

282            Hereditary hemolytic anemias

282.0            Hereditary spherocytosis

Acholuric (familial) jaundice

Congenital hemolytic anemia (spherocytic)

Congenital spherocytosis

Minkowski-Chauffard syndrome

Spherocytosis (familial)

Excludes:            hemolytic anemia of newborn (773.0-773.5)

282.1            Hereditary elliptocytosis

Elliptocytosis (congenital)

Ovalocytosis (congenital) (hereditary)

282.2            Anemias due to disorders of glutathione metabolism

Anemia:

6-phosphogluconic dehydrogenase deficiency

enzyme deficiency, drug-induced

erythrocytic glutathione deficiency

glucose-6-phosphate dehydrogenase [G-6-PD] deficiency

glutathione-reductase deficiency

hemolytic nonspherocytic (hereditary), type I

Disorder of pentose phosphate pathway

Favism

282.3            Other hemolytic anemias due to enzyme deficiency

Anemia:

hemolytic nonspherocytic (hereditary), type II

hexokinase deficiency

pyruvate kinase [PK] deficiency

triosephosphate isomerase deficiency

282.4            Thalassemias

Cooley's anemia

Hereditary leptocytosis

Mediterranean anemia (with other hemoglobinopathy)

Microdrepanocytosis

Sickle-cell thalassemia

Thalassemia (alpha) (beta) (intermedia) (major) (minima) (minor) (mixed) (trait) (with other hemoglobinopathy)

Thalassemia-Hb-S disease

Excludes:            sickle-cell:

anemia (282.60-282.69)

trait (282.5)

282.5            Sickle-cell trait

Hb-AS genotype

Hemoglobin S [Hb-S] trait

Heterozygous:

hemoglobin S

Hb-S

Excludes:            that with other hemoglobinopathy (282.60-282.69)

that with thalassemia (282.4)

282.6            Sickle-cell anemia

Excludes:            sickle-cell thalassemia (282.4)

sickle-cell trait (282.5)

282.60      Sickle-cell anemia, unspecified

282.61      Hb-S disease without mention of crisis

282.62      Hb-S disease with mention of crisis

Sickle-cell crisis NOS

282.63      Sickle-cell/Hb-C disease

Hb-S/Hb-C disease

282.69      Other

Disease:

Hb-S/Hb-D

Hb-S/Hb-E

sickle-cell/Hb-D

sickle-cell/Hb-E

282.7            Other hemoglobinopathies

Abnormal hemoglobin NOS

Congenital Heinz-body anemia

Disease:

Hb-Bart's

hemoglobin C [Hb-C]

hemoglobin D [Hb-D]

hemoglobin E [Hb-E]

hemoglobin Zurich [Hb-Zurich]

Hemoglobinopathy NOS

Hereditary persistence of fetal hemoglobin [HPFH]

Unstable hemoglobin hemolytic disease

Excludes:            familial polycythemia (289.6)

hemoglobin M [Hb-M] disease (289.7)

high-oxygen-affinity hemoglobin (289.0)

282.8            Other specified hereditary hemolytic anemias

Stomatocytosis

282.9            Hereditary hemolytic anemia, unspecified

Hereditary hemolytic anemia NOS

283            Acquired hemolytic anemias

283.0            Autoimmune hemolytic anemias

Autoimmune hemolytic disease (cold type) (warm type)

Chronic cold hemagglutinin disease

Cold agglutinin disease or hemoglobinuria

Hemolytic anemia:

cold type (secondary) (symptomatic)

drug-induced

warm type (secondary) (symptomatic)

Use additional E code to identify cause,  if drug-induced

Excludes:            Evans' syndrome (287.3)

hemolytic disease of newborn (773.0-773.5)

283.1            Non-autoimmune hemolytic anemias

283.10      Non-autoimmune hemolytic anemia, unspecified

283.11      Hemolytic-uremic syndrome

283.19      Other non-autoimmune hemolytic anemias

Hemolytic anemia:

mechanical

microangiopathic

toxic

Use additional E code to identify cause

283.2            Hemoglobinuria due to hemolysis from external causes

Acute intravascular hemolysis

Hemoglobinuria:

from exertion

march

paroxysmal (cold) (nocturnal)

due to other hemolysis

Marchiafava-Micheli syndrome

Use additional E code to identify cause

283.9            Acquired hemolytic anemia, unspecified

Acquired hemolytic anemia NOS

Chronic idiopathic hemolytic anemia

284       Aplastic anemia

284.0            Constitutional aplastic anemia

Aplasia, (pure) red cell:

congenital

of infants

primary

Blackfan-Diamond syndrome

Familial hypoplastic anemia

Fanconi's anemia

Pancytopenia with malformations

284.8            Other specified aplastic anemias

Aplastic anemia (due to):

chronic systemic disease

drugs

infection

radiation

toxic (paralytic)

Pancytopenia (acquired)

Red cell aplasia (acquired) (adult) (pure) (with thymoma)

Use additional E code to identify cause

284.9            Aplastic anemia, unspecified

Anemia:

aplastic (idiopathic) NOS

aregenerative

hypoplastic NOS

nonregenerative

refractory

Medullary hypoplasia

285       Other and unspecified anemias

285.0            Sideroblastic anemia

Anemia:

hypochromic with iron loading

sideroachrestic

sideroblastic

acquired

congenital

hereditary

primary

refractory

secondary (drug-induced) (due to disease)

sex-linked hypochromic

vitamin B6-responsive

Pyridoxine-responsive (hypochromic) anemia

Use additional E code to identify cause, if drug-induced

285.1            Acute posthemorrhagic anemia

Anemia due to acute blood loss

Excludes:            anemia due to chronic blood loss (280.0)

blood loss anemia NOS (280.0)

285.2            Anemia in chronic illness

285.21      Anemia in end-stage renal disease

285.22      Anemia in neoplastic disease

285.29      Anemia of other chronic illness

285.8            Other specified anemias

Anemia:

dyserythropoietic (congenital)

dyshematopoietic (congenital)

leukoerythroblastic

von Jaksch's

Infantile pseudoleukemia

285.9            Anemia, unspecified

Anemia:

NOS

essential

normocytic, not due to blood loss

profound

progressive

secondary

Oligocythemia

Excludes:            anemia (due to):

blood loss:

acute (285.1)

chronic or unspecified (280.0)

iron deficiency (280.0-280.9)

286            Coagulation defects

286.0            Congenital factor VIII disorder

Antihemophilic globulin [AHG] deficiency

Factor VIII (functional) deficiency

Hemophilia:

NOS

A

classical

familial

hereditary

Subhemophilia

Excludes:            factor VIII deficiency with vascular defect (286.4)

286.1            Congenital factor IX disorder

Christmas disease

Deficiency:

factor IX (functional)

plasma thromboplastin component [PTC]

Hemophilia B

286.2            Congenital factor XI deficiency

Hemophilia C

Plasma thromboplastin antecedent [PTA] deficiency

Rosenthal's disease

286.3            Congenital deficiency of other clotting factors

Congenital afibrinogenemia

Deficiency:

AC globulin

factor:

I [fibrinogen]

II [prothrombin]

V [labile]

VII [stable]

X [Stuart-Prower]

XII [Hageman]

XIII [fibrin stabilizing]

Laki-Lorand factor

proaccelerin

Disease:

Owren's

Stuart-Prower

Dysfibrinogenemia (congenital)

Dysprothrombinemia (constitutional)

Hypoproconvertinemia

Hypoprothrombinemia (hereditary)

Parahemophilia

286.4            von Willebrand's disease

Angiohemophilia (A) (B)

Constitutional thrombopathy

Factor VIII deficiency with vascular defect

Pseudohemophilia type B

Vascular hemophilia

von Willebrand's (-Jürgens') disease

Excludes:            factor VIII deficiency:

NOS (286.0)

with functional defect (286.0)

hereditary capillary fragility (287.8)

286.5            Hemorrhagic disorder due to circulating anticoagulants

Antithrombinemia

Antithromboplastinemia

Antithromboplastino-genemia

Hyperheparinemia

Increase in:

anti-VIIIa

anti-IXa

anti-Xa

anti-XIa

antithrombin

Systemic lupus erythematosus [SLE] inhibitor

Use additional E code to identify cause, if drug-induced

286.6            Defibrination syndrome

Afibrinogenemia, acquired

Consumption coagulopathy

Diffuse or disseminated intravascular coagulation [DIC syndrome]

Fibrinolytic hemorrhage, acquired

Hemorrhagic fibrinogenolysis

Pathologic fibrinolysis

Purpura:

fibrinolytic

fulminans

Excludes:            that complicating:

abortion (634-638 with .1, 639.1)

pregnancy or the puerperium (641.3, 666.3)

disseminated intravascular coagulation in newborn (776.2)

286.7            Acquired coagulation factor deficiency

Deficiency of coagulation factor due to:

liver disease

vitamin K deficiency

Hypoprothrombinemia, acquired

Excludes:            vitamin K deficiency of newborn (776.0)

Use additional E-code to identify cause, if drug-induced

286.9            Other and unspecified coagulation defects

Defective coagulation NOS

Deficiency, coagulation factor NOS

Delay, coagulation

Disorder:

coagulation

hemostasis

Excludes:            abnormal coagulation profile (790.92)

hemorrhagic disease of newborn (776.0)

that complicating:

abortion (634-638 with .1, 639.1)

pregnancy or the puerperium (641.3, 666.3)

287       Purpura and other hemorrhagic conditions

Excludes:            hemorrhagic thrombocythemia (238.7)

purpura fulminans (286.6)

287.0            Allergic purpura

Peliosis rheumatica

Purpura:

anaphylactoid

autoimmune

Henoch's

nonthrombocytopenic:

hemorrhagic

idiopathic

rheumatica

Schönlein-Henoch

vascular

Vasculitis, allergic

Excludes:            hemorrhagic purpura (287.3)

purpura annularis telangiectodes (709.1)

287.1            Qualitative platelet defects

Thrombasthenia (hemorrhagic) (hereditary)

Thrombocytasthenia

Thrombocytopathy (dystrophic)

Thrombopathy (Bernard-Soulier)

Excludes:            von Willebrand's disease (286.4)

287.2            Other nonthrombocytopenic purpuras

Purpura:

NOS

senile

simplex

287.3            Primary thrombocytopenia

Evans' syndrome

Megakaryocytic hypoplasia

Purpura, thrombocytopenic

congenital

hereditary

idiopathic

Thrombocytopenia:

congenital

hereditary

primary

Tidal platelet dysgenesis

Excludes:            thrombotic thrombocytopenic purpura (446.6)

transient thrombocytopenia of newborn (776.1)

287.4            Secondary thrombocytopenia

Posttransfusion purpura

Thrombocytopenia (due to):

dilutional

drugs

extracorporeal circulation of blood

massive blood transfusion

platelet alloimmunization

Use additional E code to identify cause

Excludes:            transient thrombocytopenia of newborn (776.1)

287.5            Thrombocytopenia, unspecified

287.8            Other specified hemorrhagic conditions

Capillary fragility (hereditary)

Vascular pseudohemophilia

287.9            Unspecified hemorrhagic conditions

Hemorrhagic diathesis (familial)

288            Diseases of white blood cells

Excludes:            leukemia (204.0-208.9)

288.0            Agranulocytosis

Infantile genetic agranulocytosis

Kostmann's syndrome

Neutropenia:

NOS

cyclic

drug-induced

immune

periodic

toxic

Neutropenic splenomegaly

Use additional E code to identify drug or other cause

Excludes:            transitory neonatal neutropenia (776.7)

288.1            Functional disorders of polymorphonuclear neutrophils

Chronic (childhood) granulomatous disease

Congenital dysphagocytosis

Job's syndrome

Lipochrome histiocytosis (familial)

Progressive septic granulomatosis

288.2            Genetic anomalies of leukocytes

Anomaly (granulation) (granulocyte) or syndrome:

Alder's (-Reilly)

Chédiak-Steinbrinck (-Higashi)

Jordan's

May-Hegglin

Pelger-Huet

Hereditary:

hypersegmentation

hyposegmentation

leukomelanopathy

288.3            Eosinophilia

Eosinophilia

allergic

hereditary

idiopathic

secondary

Eosinophilic leukocytosis

Excludes:            Löffler's syndrome (518.3)

pulmonary eosinophilia (518.3)

288.8            Other specified disease of white blood cells

Leukemoid reaction

lymphocytic

monocytic

myelocytic

Leukocytosis

Lymphocytopenia

Lymphocytosis (symptomatic)

Lymphopenia

Monocytosis (symptomatic)

Plasmacytosis

Excludes:            immunity disorders (279.0-279.9)

288.9            Unspecified disease of white blood cells

289       Other diseases of blood and blood-forming organs

289.0            Polycythemia, secondary

High-oxygen-affinity hemoglobin

Polycythemia:

acquired

benign

due to:

fall in plasma volume

high altitude

emotional

erythropoietin

hypoxemic

nephrogenous

relative

spurious

stress

Excludes:            polycythemia:

neonatal (776.4)

primary (238.4)

vera (238.4)

289.1            Chronic lymphadenitis

Chronic:

adenitis any lymph node, except mesenteric

lymphadenitis any lymph node, except mesenteric

Excludes:            acute lymphadenitis (683)

mesenteric (289.2)

enlarged glands NOS (785.6)

289.2            Nonspecific mesenteric lymphadenitis

Mesenteric lymphadenitis (acute) (chronic)

289.3            Lymphadenitis, unspecified, except mesenteric

289.4            Hypersplenism

"Big spleen" syndrome

Dyssplenism

Hypersplenia

Excludes:            primary splenic neutropenia (288.0)

289.5            Other diseases of spleen

289.50      Disease of spleen, unspecified

289.51      Chronic congestive splenomegaly

289.59      Other

Lien migrans

Perisplenitis

Splenic:

abscess

atrophy

cyst

fibrosis

infarction

rupture, nontraumatic

Splenitis

Wandering spleen

Excludes:            bilharzial splenic fibrosis (120.0-120.9)

hepatolienal fibrosis (571.5)

splenomegaly NOS (789.2)

289.6            Familial polycythemia

Familial:

benign polycythemia

erythrocytosis

289.7            Methemoglobinemia

Congenital NADH [DPNH]-methemoglobin-reductase deficiency

Hemoglobin M [Hb-M] disease

Methemoglobinemia:

NOS

acquired (with sulfhemoglobinemia)

hereditary

toxic

Stokvis' disease

Sulfhemoglobinemia

Use additional E code to identify cause

289.8            Other specified diseases of blood and blood-forming organs

Hypergammaglobulinemia

Myelofibrosis

Pseudocholinesterase deficiency

289.9            Unspecified diseases of blood and blood-forming organs

Blood dyscrasia NOS

Erythroid hyperplasia

5.  MENTAL DISORDERS (290-319)

In the International Classification of Diseases, 9th Revision (ICD-9), the corresponding Chapter V, "Mental Disorders," includes a glossary which defines the contents of each category. The introduction to Chapter V in ICD-9 indicates that the glossary is intended so that psychiatrists can make the diagnosis based on the descriptions provided rather than from the category titles.  Lay coders are instructed to code whatever diagnosis the physician records.

Chapter 5, "Mental Disorders," in ICD-9-CM uses the standard classification format with inclusion and exclusion terms, omitting the glossary as part of the main text.

The mental disorders section of ICD-9-CM has been expanded to incorporate additional psychiatric disorders not listed in ICD-9. The glossary from ICD-9 does not contain all these terms. It now appears in Appendix B, which also contains descriptions and definitions for the terms added in ICD-9-CM. Some of these were provided by the American Psychiatric Association's Task Force on Nomenclature and Statistics who are preparing the Diagnostic and Statistical Manual, Third Edition (DSM-III), and others from A Psychiatric Glossary.

The American Psychiatric Association provided invaluable assistance in modifying Chapter 5 of ICD-9-CM to incorporate detail useful to American clinicians and gave permission to use material from the aforementioned sources.

1.   Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 9th Revision, World Health Organization, Geneva, Switzerland, 1975.

2.   American Psychiatric Association, Task Force on Nomenclature and Statistics, Robert L. Spitzer, M.D., Chairman.

3.   A Psychiatric Glossary, Fourth Edition, American Psychiatric Association, Washington, D.C., 1975.

PSYCHOSES (290-299)

Excludes:            mental retardation (317-319)

ORGANIC PSYCHOTIC CONDITIONS (290-294)

Includes:            psychotic organic brain syndrome

Excludes:            nonpsychotic syndromes of organic etiology (310.0-310.9)

psychoses classifiable to 295-298 and without impairment of orientation, comprehension, calculation, learning capacity, and judgement, but associated with physical disease, injury, or condition affecting the brain [e.g., following childbirth] (295.0-298.8)

290       Senile and presenile organic psychotic conditions

Code first the associated neurological condition

Excludes:            dementia not classified as senile, presenile, or arteriosclerotic (294.10-294.11)

psychoses classifiable to 295-298 occurring in the senium without dementia or delirium (295.0-298.8)

senility with mental changes of nonpsychotic severity (310.1)

transient organic psychotic conditions (293.0-293.9)

290.0            Senile dementia, uncomplicated

Senile dementia:

NOS

simple type

Excludes:            mild memory disturbances, not amounting to dementia, associated with senile brain disease (310.1)

senile dementia with:

delirium or confusion (290.3)

delusional [paranoid] features (290.20)

depressive features (290.21)

290.1            Presenile dementia

Brain syndrome with presenile brain disease

Excludes:            arteriosclerotic dementia (290.40-290.43)

dementia associated with other cerebral conditions (294.10-294.11)

290.10      Presenile dementia, uncomplicated

Presenile dementia:

NOS

simple type

290.11      Presenile dementia with delirium

Presenile dementia with acute confusional state

290.12      Presenile dementia with delusional features

Presenile dementia, paranoid type

290.13      Presenile dementia with depressive features

Presenile dementia, depressed type

290.2            Senile dementia with delusional or depressive features

Excludes:            senile dementia:

NOS (290.0)

with delirium and/or confusion (290.3)

290.20      Senile dementia with delusional features

Senile dementia, paranoid type

Senile psychosis NOS

290.21      Senile dementia with depressive features

290.3            Senile dementia with delirium

Senile dementia with acute confusional state

Excludes:            senile:

dementia NOS (290.0)

psychosis NOS (290.20)

290.4            Arteriosclerotic dementia

Multi-infarct dementia or psychosis

Use additional code to identify cerebral atherosclerosis (437.0)

Excludes:            suspected cases with no clear evidence of arteriosclerosis (290.9)

290.40      Arteriosclerotic dementia,uncomplicated

Arteriosclerotic dementia:

NOS

simple type

290.41      Arteriosclerotic dementia with delirium

Arteriosclerotic dementia with acute confusional state

290.42      Arteriosclerotic dementia with delusional features

Arteriosclerotic dementia, paranoid type

290.43      Arteriosclerotic dementia with depressive features

Arteriosclerotic dementia, depressed type

290.8            Other specified senile psychotic conditions

Presbyophrenic psychosis

290.9            Unspecified senile psychotic condition

291            Alcoholic psychoses

Excludes:            alcoholism without psychosis (303.0-303.9)

291.0            Alcohol withdrawal delirium

Alcoholic delirium

Delirium tremens

Excludes:            alcohol withdrawal (291.81)

291.1            Alcohol amnestic syndrome

Alcoholic polyneuritic psychosis

Korsakoff's psychosis, alcoholic

Wernicke-Korsakoff syndrome (alcoholic)

291.2            Other alcoholic dementia

Alcoholic dementia NOS

Alcoholism associated with dementia NOS

Chronic alcoholic brain syndrome

291.3            Alcohol withdrawal hallucinosis

Alcoholic:

hallucinosis (acute)

psychosis with hallucinosis

Excludes:            alcohol withdrawal with delirium (291.0)

schizophrenia (295.0-295.9) and paranoid states (297.0-297.9) taking the form of chronic hallucinosis with clear consciousness in an alcoholic

291.4            Idiosyncratic alcohol intoxication

Pathologic:

alcohol intoxication

drunkenness

Excludes:            acute alcohol intoxication (305.0)

in alcoholism (303.0)

simple drunkenness (305.0)

291.5            Alcoholic jealousy

Alcoholic:

paranoia

psychosis, paranoid type

Excludes:            nonalcoholic paranoid states (297.0-297.9)

schizophrenia, paranoid type (295.3)

291.8            Other specified alcoholic psychosis

291.81      Alcohol withdrawal

Alcohol:

abstinence syndrome or symptoms

withdrawal syndrome or symptoms

Excludes:            alcohol withdrawal:

delirium (291.0)

hallucinosis (291.3)

delirium tremens (291.0)

291.89      Other

291.9            Unspecified alcoholic psychosis

Alcoholic:

mania NOS

psychosis NOS

Alcoholism (chronic) with psychosis

292       Drug psychoses

Includes:            drug-induced mental disorders

organic brain syndrome associated with consumption of drugs

Use additional code for any associated drug dependence (304.0-304.9)

Use additional E code to identify drug

292.0            Drug withdrawal syndrome

Drug:

abstinence syndrome or symptoms

withdrawal syndrome or symptoms

292.1            Paranoid and/or hallucinatory states induced by drugs

292.11      Drug-induced organic delusional syndrome

Paranoid state induced by drugs

292.12      Drug-induced hallucinosis

Hallucinatory state induced by drugs

Excludes:            states following LSD or other hallucinogens, lasting only a few days or less ["bad trips"] (305.3)

292.2            Pathological drug intoxication

Drug reaction resulting in brief psychotic states

NOS

idiosyncratic

pathologic

Excludes:            expected brief psychotic reactions to hallucinogens ["bad trips"] (305.3)

physiological side-effects of drugs (e.g., dystonias)

292.8            Other specified drug-induced mental disorders

292.81      Drug-induced delirium

292.82      Drug-induced dementia

292.83      Drug-induced amnestic syndrome

292.84      Drug-induced organic affective syndrome

Depressive state induced by drugs

292.89      Other

Drug-induced organic personality syndrome

292.9            Unspecified drug-induced mental disorder

Organic psychosis NOS due to or associated with drugs

293            Transient organic psychotic conditions

Includes:            transient organic mental disorders not associated with alcohol or drugs

Code first the associated physical or neurological condition

Excludes:            confusional state or delirium superimposed on  senile dementia (290.3)

dementia due to:

alcohol (291.0-291.9)

arteriosclerosis (290.40-290.43)

drugs (292.82)

senility (290.0)

293.0            Acute delirium

Acute:

confusional state

infective psychosis

organic reaction

posttraumatic organic psychosis

psycho-organic syndrome

Acute psychosis associated with endocrine, metabolic, or cerebrovascular disorder

Epileptic:

confusional state

twilight state

293.1            Subacute delirium

Subacute:

confusional state

infective psychosis

organic reaction

posttraumatic organic psychosis

psycho-organic syndrome

psychosis associated with endocrine or metabolic disorder

293.8            Other specified transient organic mental disorders

293.81      Organic delusional syndrome

Transient organic psychotic condition, paranoid type

293.82      Organic hallucinosis syndrome

Transient organic psychotic condition, hallucinatory type

293.83      Organic affective syndrome

Transient organic psychotic condition, depressive type

293.84      Organic anxiety syndrome

293.89      Other

293.9            Unspecified transient organic mental disorder

Organic psychosis:

infective NOS

posttraumatic NOS

transient NOS

Psycho-organic syndrome

294       Other organic psychotic conditions (chronic)

Includes:            organic psychotic brain syndromes (chronic), not elsewhere classified

294.0            Amnestic syndrome

Korsakoff's psychosis or syndrome (nonalcoholic)

Excludes:            alcoholic:

amnestic syndrome (291.1)

Korsakoff's psychosis (291.1)

294.1            Dementia in conditions classified elsewhere

Code first any underlying physical condition as:

dementia in:

Alzheimer's disease (331.0)

cerebral lipidoses (330.1)

epilepsy (345.0-345.9)

general paresis [syphilis] (094.1)

hepatolenticular degeneration (275.1)

Huntington's chorea (333.4)

Jakob-Creutzfeldt disease (046.1)

multiple sclerosis (340)

Pick's disease of the brain (331.1)

polyarteritis nodosa (446.0)

syphilis (094.1)

Excludes:            dementia:

arteriosclerotic (290.40-290.43)

presenile (290.10-290.13)

senile (290.0)

epileptic psychosis NOS (294.8)

294.10      Dementia in conditions classified elsewhere without behavioral disturbance

Dementia in conditions classified elsewhere NOS

294.11      Dementia in conditions classified elsewhere with behavioral disturbance

Aggressive behavior

Combative behavior

Violent behavior

Wandering off

294.8            Other specified organic brain syndromes (chronic)

Epileptic psychosis NOS

Mixed paranoid and affective organic psychotic states

Use additional code for associated epilepsy (345.0-345.9)

Excludes:            mild memory disturbances, not amounting to dementia (310.1)

294.9            Unspecified organic brain syndrome (chronic)

Organic psychosis (chronic)

OTHER PSYCHOSES (295-299)

Use additional code to identify any associated physical disease, injury, or condition affecting the brain with psychoses classifiable to 295-298

295            Schizophrenic disorders

Includes:            schizophrenia of the types described in 295.0-295.9 occurring in children

Excludes:            childhood type schizophrenia (299.9)

infantile autism (299.0)

The following fifth-digit subclassification is for use with category 295:

0            unspecified

1            subchronic

2            chronic

3            subchronic with acute exacerbation

4            chronic with acute exacerbation

5 in remission

295.0            Simple type

Schizophrenia simplex

Excludes:            latent schizophrenia (295.5)

295.1            Disorganized type

Hebephrenia

Hebephrenic type schizophrenia

295.2            Catatonic type

Catatonic (schizophrenia):

agitation

excitation

excited type

stupor

withdrawn type

Schizophrenic:

catalepsy

catatonia

flexibilitas cerea

295.3            Paranoid type

Paraphrenic schizophrenia

Excludes:            involutional paranoid state (297.2)

paranoia (297.1)

paraphrenia (297.2)

295.4            Acute schizophrenic episode

Oneirophrenia

Schizophreniform:

attack

disorder

psychosis, confusional type

Excludes:            acute forms of schizophrenia of:

catatonic type (295.2)

hebephrenic type (295.1)

paranoid type (295.3)

simple type (295.0)

undifferentiated type (295.8)

295.5            Latent schizophrenia

Latent schizophrenic reaction

Schizophrenia:

borderline

incipient

prepsychotic

prodromal

pseudoneurotic

pseudopsychopathic

Excludes:            schizoid personality (301.20-301.22)

295.6            Residual schizophrenia

Chronic undifferentiated schizophrenia

Restzustand (schizophrenic)

Schizophrenic residual state

295.7            Schizo-affective type

Cyclic schizophrenia

Mixed schizophrenic and affective psychosis

Schizo-affective psychosis

Schizophreniform psychosis, affective type

295.8            Other specified types of schizophrenia

Acute (undifferentiated) schizophrenia

Atypical schizophrenia

Cenesthopathic schizophrenia

Excludes:            infantile autism (299.0)

295.9            Unspecified schizophrenia

Schizophrenia:

NOS

mixed NOS

undifferentiated NOS

Schizophrenic reaction NOS

Schizophreniform psychosis NOS

296       Affective psychoses

Includes:            episodic affective disorders

Excludes:            neurotic depression (300.4)

reactive depressive psychosis (298.0)

reactive excitation (298.1)

The following fifth-digit subclassification is for use with categories 296.0-296.6:

0            unspecified

1            mild

2            moderate

3            severe, without mention of psychotic behavior

4            severe, specified as with psychotic behavior

5 in partial or unspecified remission

6 in full remission

296.0            Manic disorder, single episode

Hypomania (mild) NOS single episode or unspecified

Hypomanic psychosis single episode or unspecified

Mania (monopolar) NOS single episode or unspecified

Manic-depressive psychosis or reaction, single episode or unspecified:

hypomanic, single episode or unspecified

manic, single episode or unspecified

Excludes:            circular type, if there was a previous attack of depression (296.4)

296.1            Manic disorder, recurrent episode

Any condition classifiable to 296.0, stated to be recurrent

Excludes:            circular type, if there was a previous attack of depression (296.4)

296.2            Major depressive disorder, single episode

Depressive psychosis, single episode or unspecified

Endogenous depression, single episode or unspecified

Involutional melancholia, single episode or unspecified

Manic-depressive psychosis or reaction, depressed type, single episode or unspecified

Monopolar depression, single episode or unspecified

Psychotic depression, single episode or unspecified

Excludes:            circular type, if previous attack was of manic type (296.5)

depression NOS (311)

reactive depression (neurotic) (300.4)

psychotic (298.0)

296.3            Major depressive disorder, recurrent episode

Any condition classifiable to 296.2, stated to be recurrent

Excludes:            circular type, if previous attack was of manic type (296.5)

depression NOS (311)

reactive depression (neurotic) (300.4)

psychotic (298.0)

296.4            Bipolar affective disorder, manic

Bipolar disorder, now manic

Manic-depressive psychosis, circular type but currently manic

Excludes:            brief compensatory or rebound mood swings (296.99)

296.5            Bipolar affective disorder, depressed

Bipolar disorder, now depressed

Manic-depressive psychosis, circular type but currently depressed

Excludes:            brief compensatory or rebound mood swings (296.99)

296.6            Bipolar affective disorder, mixed

Manic-depressive psychosis, circular type, mixed

296.7            Bipolar affective disorder, unspecified

Atypical bipolar affective disorder NOS

Manic-depressive psychosis, circular type, current condition not specified as either manic or depressive

296.8            Manic-depressive psychosis, other and unspecified

296.80      Manic-depressive psychosis, unspecified

Manic-depressive:

reaction NOS

syndrome NOS

296.81      Atypical manic disorder

296.82      Atypical depressive disorder

296.89      Other

Manic-depressive psychosis, mixed type

296.9            Other and unspecified affective psychoses

Excludes:            psychogenic affective psychoses (298.0-298.8)

296.90      Unspecified affective psychosis

Affective psychosis NOS

Melancholia NOS

296.99      Other specified affective psychoses

Mood swings:

brief compensatory

rebound

297            Paranoid states (Delusional disorders)

Includes:            paranoid disorders

Excludes:            acute paranoid reaction (298.3)

alcoholic jealousy or paranoid state (291.5)

paranoid schizophrenia (295.3)

297.0            Paranoid state, simple

297.1            Paranoia

Chronic paranoid psychosis

Sander's disease

Systematized delusions

Excludes:            paranoid personality disorder (301.0)

297.2            Paraphrenia

Involutional paranoid state

Late paraphrenia

Paraphrenia (involutional)

297.3            Shared paranoid disorder

Folie à deux

Induced psychosis or paranoid disorder

297.8            Other specified paranoid states

Paranoia querulans

Sensitiver Beziehungswahn

Excludes:            acute paranoid reaction or state (298.3)

senile paranoid state (290.20)

297.9            Unspecified paranoid state

Paranoid:

disorder NOS

psychosis NOS

reaction NOS

state NOS

298       Other nonorganic psychoses

Includes:            psychotic conditions due to or provoked by:

emotional stress

environmental factors as major part of etiology

298.0            Depressive type psychosis

Psychogenic depressive psychosis

Psychotic reactive depression

Reactive depressive psychosis

Excludes:            manic-depressive psychosis, depressed type (296.2-296.3)

neurotic depression (300.4)

reactive depression NOS (300.4)

298.1            Excitative type psychosis

Acute hysterical psychosis

Psychogenic excitation

Reactive excitation

Excludes:            manic-depressive psychosis, manic type (296.0-296.1)

298.2            Reactive confusion

Psychogenic confusion

Psychogenic twilight state

Excludes:            acute confusional state (293.0)

298.3            Acute paranoid reaction

Acute psychogenic paranoid psychosis

Bouffée délirante

Excludes:            paranoid states (297.0-297.9)

298.4            Psychogenic paranoid psychosis

Protracted reactive paranoid psychosis

298.8            Other and unspecified reactive psychosis

Brief reactive psychosis NOS

Hysterical psychosis

Psychogenic psychosis NOS

Psychogenic stupor

Excludes:            acute hysterical psychosis (298.1)

298.9            Unspecified psychosis

Atypical psychosis

Psychosis NOS

299            Psychoses with origin specific to childhood

Includes:            pervasive developmental disorders

Excludes:            adult type psychoses occurring in childhood, as:

affective disorders (296.0-296.9)

manic-depressive disorders (296.0-296.9)

schizophrenia (295.0-295.9)

The following fifth-digit subclassification is for use with category 299:

0            current or active state

1            residual state

299.0            Infantile autism

Childhood autism

Infantile psychosis

Kanner's syndrome

Excludes:            disintegrative psychosis (299.1)

Heller's syndrome (299.1)

schizophrenic syndrome of childhood (299.9)

299.1            Disintegrative psychosis

Heller's syndrome

Use additional code to identify any associated neurological disorder

Excludes:            infantile autism (299.0)

schizophrenic syndrome of childhood (299.9)

299.8            Other specified early childhood psychoses

Atypical childhood psychosis

Borderline psychosis of childhood

Excludes:            simple stereotypes without psychotic disturbance (307.3)

299.9            Unspecified

Child psychosis NOS

Schizophrenia, childhood type NOS

Schizophrenic syndrome of childhood NOS

Excludes:            schizophrenia of adult type occurring in childhood (295.0-295.9)

NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS (300-316)

300       Neurotic disorders

300.0            Anxiety states

Excludes:            anxiety in:

acute stress reaction (308.0)

transient adjustment reaction (309.24)

neurasthenia (300.5)

psychophysiological disorders (306.0-306.9)

separation anxiety (309.21)

300.00      Anxiety state, unspecified

Anxiety:

neurosis

reaction

state (neurotic)

Atypical anxiety disorder

300.01      Panic disorder

Panic:

attack

state

300.02      Generalized anxiety disorder

300.09      Other

300.1            Hysteria

Excludes:            adjustment reaction (309.0-309.9)

anorexia nervosa (307.1)

gross stress reaction (308.0-308.9)

hysterical personality (301.50-301.59)

psychophysiologic disorders (306.0-306.9)

300.10      Hysteria, unspecified

300.11      Conversion disorder

Astasia-abasia, hysterical

Conversion hysteria or reaction

Hysterical:

blindness

deafness

paralysis

300.12      Psychogenic amnesia

Hysterical amnesia

300.13      Psychogenic fugue

Hysterical fugue

300.14      Multiple personality

Dissociative identity disorder

300.15      Dissociative disorder or reaction, unspecified

300.16      Factitious illness with psychological symptoms

Compensation neurosis

Ganser's syndrome, hysterical

300.19      Other and unspecified factitious illness

Factitious illness (with physical symptoms) NOS

Excludes:            multiple operations or hospital addiction syndrome (301.51)

300.2            Phobic disorders

Excludes:            anxiety state not associated with a specific situation or object (300.00-300.09)

obsessional phobias (300.3)

300.20      Phobia, unspecified

Anxiety-hysteria NOS

Phobia NOS

300.21      Agoraphobia with panic attacks

Fear of:

open spaces with panic attacks

streets with panic attacks

travel with panic attacks

300.22      Agoraphobia without mention of panic attacks

Any condition classifiable to 300.21 without mention of panic attacks

300.23      Social phobia

Fear of:

eating in public

public speaking

washing in public

300.29      Other isolated or simple phobias

Acrophobia

Animal phobias

Claustrophobia

Fear of crowds

300.3            Obsessive-compulsive disorders

Anancastic neurosis

Compulsive neurosis

Obsessional phobia [any]

Excludes:            obsessive-compulsive symptoms occurring in:

endogenous depression (296.2-296.3)

organic states (e.g., encephalitis) schizophrenia (295.0-295.9)

300.4            Neurotic depression

Anxiety depression

Depression with anxiety

Depressive reaction

Dysthymic disorder

Neurotic depressive state

Reactive depression

Excludes:            adjustment reaction with depressive symptoms (309.0-309.1)

depression NOS (311)

manic-depressive psychosis, depressed type (296.2-296.3)

reactive depressive psychosis (298.0)

300.5            Neurasthenia

Fatigue neurosis

Nervous debility

Psychogenic:

asthenia

general fatigue

Use additional code to identify any associated physical disorder

Excludes:            anxiety state (300.00-300.09)

neurotic depression (300.4)

psychophysiological disorders (306.0-306.9)

specific nonpsychotic mental disorders following organic brain damage (310.0-310.9)

300.6            Depersonalization syndrome

Depersonalization disorder

Derealization (neurotic)

Neurotic state with depersonalization episode

Excludes:            depersonalization associated with:

anxiety (300.00-300.09)

depression (300.4)

manic-depressive disorder or psychosis (296.0-296.9)

schizophrenia (295.0-295.9)

300.7            Hypochondriasis

Body dysmorphic disorder

Excludes:            hypochondriasis in:

hysteria (300.10-300.19)

manic-depressive psychosis, depressed type (296.2-296.3)

neurasthenia (300.5)

obsessional disorder (300.3)

schizophrenia (295.0-295.9)

300.8            Other neurotic disorders

300.81      Somatization disorder

Briquet's disorder

Severe somatoform disorder

300.82      Undifferentiated somatoform disorder

Atypical somatoform disorder

Somatoform disorder NOS

300.89      Other

Occupational neurosis, including writers' cramp

Psychasthenia

Psychasthenic neurosis

300.9            Unspecified neurotic disorder

Neurosis NOS

Psychoneurosis NOS

301            Personality disorders

Includes:            character neurosis

Use additional code to identify any associated neurosis or psychosis, or physical condition

Excludes:            nonpsychotic personality disorder associated with organic brain syndromes (310.0-310.9)

301.0            Paranoid personality disorder

Fanatic personality

Paranoid personality (disorder)

Paranoid traits

Excludes:            acute paranoid reaction (298.3)

alcoholic paranoia (291.5)

paranoid schizophrenia (295.3)

paranoid states (297.0-297.9)

301.1            Affective personality disorder

Excludes:            affective psychotic disorders (296.0-296.9)

neurasthenia (300.5)

neurotic depression (300.4)

301.10      Affective personality disorder, unspecified

301.11      Chronic hypomanic personality disorder

Chronic hypomanic disorder

Hypomanic personality

301.12      Chronic depressive personality disorder

Chronic depressive disorder

Depressive character or personality

301.13      Cyclothymic disorder

Cycloid personality

Cyclothymia

Cyclothymic personality

301.2            Schizoid personality disorder

Excludes:            schizophrenia (295.0-295.9)

301.20      Schizoid personality disorder, unspecified

301.21      Introverted personality

301.22      Schizotypal personality

301.3            Explosive personality disorder

Aggressive:

personality

reaction

Aggressiveness

Emotional instability (excessive)

Pathological emotionality

Quarrelsomeness

Excludes:            dyssocial personality (301.7)

hysterical neurosis (300.10-300.19)

301.4            Compulsive personality disorder

Anancastic personality

Obsessional personality

Excludes:            obsessive-compulsive disorder (300.3)

phobic state (300.20-300.29)

301.5            Histrionic personality disorder

Excludes:            hysterical neurosis (300.10-300.19)

301.50      Histrionic personality disorder, unspecified

Hysterical personality NOS

301.51      Chronic factitious illness with physical symptoms

Hospital addiction syndrome

Multiple operations syndrome

Munchausen syndrome

301.59      Other histrionic personality disorder

Personality:

emotionally unstable

labile

psychoinfantile

301.6            Dependent personality disorder

Asthenic personality

Inadequate personality

Passive personality

Excludes:            neurasthenia (300.5)

passive-aggressive personality (301.84)

301.7            Antisocial personality disorder

Amoral personality

Asocial personality

Dyssocial personality

Personality disorder with predominantly sociopathic or asocial manifestation

Excludes:            disturbance of conduct without specifiable personality disorder (312.0-312.9)

explosive personality (301.3)

301.8            Other personality disorders

301.81      Narcissistic personality

301.82      Avoidant personality

301.83      Borderline personality

301.84      Passive-aggressive personality

301.89      Other

Personality:

eccentric

"haltlose" type

immature

masochistic

psychoneurotic

Excludes:            psychoinfantile personality (301.59)

301.9            Unspecified personality disorder

Pathological personality NOS

Personality disorder NOS

Psychopathic:

constitutional state

personality (disorder)

302       Sexual deviations and disorders

Excludes:            sexual disorder manifest in:

organic brain syndrome (290.0-294.9, 310.0-310.9)

psychosis (295.0-298.9)

302.0            Ego-dystonic homosexuality

Ego-dystonic lesbianism

Homosexual conflict disorder

Excludes:            homosexual pedophilia (302.2)

302.1            Zoophilia

Bestiality

302.2            Pedophilia

302.3            Transvestism

Excludes:            trans-sexualism (302.5)

302.4            Exhibitionism

302.5            Trans-sexualism

Excludes:            transvestism (302.3)

302.50      With unspecified sexual history

302.51      With asexual history

302.52      With homosexual history

302.53      With heterosexual history

302.6            Disorders of psychosexual identity

Feminism in boys

Gender identity disorder of childhood

Excludes:            gender identity disorder in adult (302.85)

homosexuality (302.0)

trans-sexualism (302.50-302.53)

transvestism (302.3)

302.7            Psychosexual dysfunction

Excludes:            impotence of organic origin (607.84)

normal transient symptoms from ruptured hymen

transient or occasional failures of erection due to fatigue, anxiety, alcohol, or drugs

302.70      Psychosexual dysfunction, unspecified

302.71      With inhibited sexual desire

302.72      With inhibited sexual excitement

Frigidity

Impotence

302.73      With inhibited female orgasm

302.74      With inhibited male orgasm

302.75      With premature ejaculation

302.76      With functional dyspareunia

Dyspareunia, psychogenic

302.79      With other specified psychosexual dysfunctions

302.8            Other specified psychosexual disorders

302.81      Fetishism

302.82      Voyeurism

302.83      Sexual masochism

302.84      Sexual sadism

302.85      Gender identity disorder of adolescent or adult life

302.89      Other

Nymphomania

Satyriasis

302.9            Unspecified psychosexual disorder

Pathologic sexuality NOS

Sexual deviation NOS

303       Alcohol dependence syndrome

Use additional code to identify any associated condition, as:

alcoholic psychoses (291.0-291.9)

drug dependence (304.0-304.9)

physical complications of alcohol, such as:

cerebral degeneration (331.7)

cirrhosis of liver (571.2)

epilepsy (345.0-345.9)

gastritis (535.3)

hepatitis (571.1)

liver damage NOS (571.3)

Excludes:            drunkenness NOS (305.0)

The following fifth-digit subclassification is for use with category 303:

0            unspecified

1            continuous

2            episodic

3 in remission

303.0            Acute alcoholic intoxication

Acute drunkenness in alcoholism

303.9            Other and unspecified alcohol dependence

Chronic alcoholism

Dipsomania

304       Drug dependence

Excludes:            nondependent abuse of drugs (305.1-305.9)

The following fifth-digit subclassification is for use with category 304:

0            unspecified

1            continuous

2            episodic

3 in remission

304.0            Opioid type dependence

Heroin

Meperidine

Methadone

Morphine

Opium

Opium alkaloids and their derivatives

Synthetics with morphine-like effects

304.1            Barbiturate and similarly acting sedative or hypnotic dependence

Barbiturates

Nonbarbiturate sedatives and tranquilizers with a similar effect:

chlordiazepoxide

diazepam

glutethimide

meprobamate

methaqualone

304.2            Cocaine dependence

Coca leaves and derivatives

304.3            Cannabis dependence

Hashish

Hemp

Marihuana

304.4            Amphetamine and other psychostimulant dependence

Methylphenidate

Phenmetrazine

304.5            Hallucinogen dependence

Dimethyltryptamine [DMT]

Lysergic acid diethylamide [LSD] and derivatives

Mescaline

Psilocybin

304.6            Other specified drug dependence

Absinthe addiction

Glue sniffing

Excludes:            tobacco dependence (305.1)

304.7            Combinations of opioid type drug with any other

304.8            Combinations of drug dependence excluding opioid type drug

304.9            Unspecified drug dependence

Drug addiction NOS

Drug dependence NOS

305            Nondependent abuse of drugs

Note:    Includes cases where a person, for whom no other diagnosis is possible, has come under medical care because of the maladaptive effect of a drug on which he is not dependent and that he has taken on his own initiative to the detriment of his health or social functioning.

Excludes:            alcohol dependence syndrome (303.0-303.9)

drug dependence (304.0-304.9)

drug withdrawal syndrome (292.0)

poisoning by drugs or medicinal substances (960.0-979.9)

The following fifth-digit subclassification is for use with codes 305.0, 305.2-305.9

0            unspecified

1            continuous

2            episodic

3 in remission

305.0            Alcohol abuse

Drunkenness NOS

Excessive drinking of alcohol NOS

"Hangover" (alcohol)

Inebriety NOS

Excludes:            acute alcohol intoxication in alcoholism (303.0)

alcoholic psychoses (291.0-291.9)

305.1            Tobacco use disorder

Tobacco dependence

Excludes:            history of tobacco use (V15.82)

305.2            Cannabis abuse

305.3            Hallucinogen abuse

Acute intoxication from hallucinogens ["bad trips"]

LSD reaction

305.4            Barbiturate and similarly acting sedative or hypnotic abuse

305.5            Opioid abuse

305.6            Cocaine abuse

305.7            Amphetamine or related acting sympathomimetic abuse

305.8            Antidepressant type abuse

305.9            Other, mixed, or unspecified drug abuse

"Laxative habit"

Misuse of drugs NOS

Nonprescribed use of drugs or patent medicinals

306            Physiological malfunction arising from mental factors

Includes:            psychogenic:

physical symptoms not involving tissue damage

physiological manifestations not involving tissue damage

Excludes:            hysteria (300.11-300.19)

physical symptoms secondary to a psychiatric disorder classified elsewhere

psychic factors associated with physical conditions involving tissue damage classified elsewhere (316)

specific nonpsychotic mental disorders following organic brain damage (310.0-310.9)

306.0            Musculoskeletal

Psychogenic paralysis

Psychogenic torticollis

Excludes:            Gilles de la Tourette's syndrome (307.23)

paralysis as hysterical or conversion reaction (300.11)

tics (307.20-307.22)

306.1            Respiratory

Psychogenic:

air hunger

cough

hiccough

hyperventilation

yawning

Excludes:            psychogenic asthma (316 and 493.9)

306.2            Cardiovascular

Cardiac neurosis

Cardiovascular neurosis

Neurocirculatory asthenia

Psychogenic cardiovascular disorder

Excludes:            psychogenic paroxysmal tachycardia (316 and 427.2)

306.3            Skin

Psychogenic pruritus

Excludes:            psychogenic:

alopecia (316 and 704.00)

dermatitis (316 and 692.9)

eczema (316 and 691.8 or 692.9)

urticaria (316 and 708.0-708.9)

306.4            Gastrointestinal

Aerophagy

Cyclical vomiting, psychogenic

Diarrhea, psychogenic

Nervous gastritis

Psychogenic dyspepsia

Excludes:            cyclical vomiting NOS (536.2)

globus hystericus (300.11)

mucous colitis (316 and 564.9)

psychogenic:

cardiospasm (316 and 530.0)

duodenal ulcer (316 and 532.0-532.9)

gastric ulcer (316 and 531.0-531.9)

peptic ulcer NOS (316 and 533.0-533.9)

vomiting NOS (307.54)

306.5            Genitourinary

Excludes:            enuresis, psychogenic (307.6)

frigidity (302.72)

impotence (302.72)

psychogenic dyspareunia (302.76)

306.50      Psychogenic genitourinary malfunction, unspecified

306.51      Psychogenic vaginismus

Functional vaginismus

306.52      Psychogenic dysmenorrhea

306.53      Psychogenic dysuria

306.59      Other

306.6            Endocrine

306.7            Organs of special sense

Excludes:            hysterical blindness or deafness (300.11)

psychophysical visual disturbances (368.16)

306.8            Other specified psychophysiological malfunction

Bruxism

Teeth grinding

306.9            Unspecified psychophysiological malfunction

Psychophysiologic disorder NOS

Psychosomatic disorder NOS

307       Special symptoms or syndromes, not elsewhere classified

Note:    This category is intended for use if the psychopathology is manifested by a single specific symptom or group of symptoms which is not part of an organic illness or other mental disorder classifiable elsewhere.

Excludes:            those due to mental disorders classified elsewhere

those of organic origin

307.0            Stammering and stuttering

Excludes:            dysphasia (784.5)

lisping or lalling (307.9)

retarded development of speech (315.31-315.39)

307.1            Anorexia nervosa

Excludes:            eating disturbance NOS (307.50)

feeding problem (783.3)

of nonorganic origin (307.59)

loss of appetite (783.0)

of nonorganic origin (307.59)

307.2            Tics

Excludes:            nail-biting or thumb-sucking (307.9)

stereotypes occurring in isolation (307.3)

tics of organic origin (333.3)

307.20      Tic disorder, unspecified

307.21      Transient tic disorder of childhood

307.22      Chronic motor tic disorder

307.23      Gilles de la Tourette's disorder

Motor-verbal tic disorder

307.3            Stereotyped repetitive movements

Body-rocking

Head banging

Spasmus nutans

Stereotypes NOS

Excludes:            tics (307.20-307.23)

of organic origin (333.3)

307.4            Specific disorders of sleep of nonorganic origin

Excludes:            narcolepsy (347)

those of unspecified cause (780.50-780.59)

307.40      Nonorganic sleep disorder, unspecified

307.41      Transient disorder of initiating or maintaining sleep

Hyposomnia associated with acute or intermittent emotional reactions or conflicts

Insomnia associated with acute or intermittent emotional reactions or conflicts

Sleeplessness associated with acute or intermittent emotional reactions or conflicts

307.42      Persistent disorder of initiating or maintaining sleep

Hyposomnia, insomnia, or sleeplessness associated with:

anxiety

conditioned arousal

depression (major) (minor)

psychosis

307.43      Transient disorder of initiating or maintaining wakefulness

Hypersomnia associated with acute or intermittent emotional reactions or conflicts

307.44      Persistent disorder of initiating or maintaining wakefulness

Hypersomnia associated with depression (major) (minor)

307.45      Phase-shift disruption of 24-hour sleep-wake cycle

Irregular sleep-wake rhythm, nonorganic origin

Jet lag syndrome

Rapid time-zone change

Shifting sleep-work schedule

307.46      Somnambulism or night terrors

307.47      Other dysfunctions of sleep stages or arousal from sleep

Nightmares:

NOS

REM-sleep type

Sleep drunkenness

307.48      Repetitive intrusions of sleep

Repetitive intrusion of sleep with:

atypical polysomnographic features

environmental disturbances

repeated REM-sleep interruptions

307.49      Other

"Short-sleeper"

Subjective insomnia complaint

307.5            Other and unspecified disorders of eating

Excludes:            anorexia:

nervosa (307.1)

of unspecified cause (783.0)

overeating, of unspecified cause (783.6)

vomiting:

NOS (787.0)

cyclical (536.2)

psychogenic (306.4)

307.50      Eating disorder, unspecified

307.51      Bulimia

Overeating of nonorganic origin

307.52      Pica

Perverted appetite of nonorganic origin

307.53      Psychogenic rumination

Regurgitation, of nonorganic origin, of food with reswallowing

Excludes:            obsessional rumination (300.3)

307.54      Psychogenic vomiting

307.59      Other

Infantile feeding disturbances of nonorganic origin

Loss of appetite of nonorganic origin

307.6            Enuresis

Enuresis (primary) (secondary) of nonorganic origin

Excludes:            enuresis of unspecified cause (788.3)

307.7            Encopresis

Encopresis (continuous) (discontinuous) of nonorganic origin

Excludes:            encopresis of unspecified cause (787.6)

307.8            Psychalgia

307.80      Psychogenic pain, site unspecified

307.81      Tension headache

Excludes:            headache:

NOS (784.0)

migraine (346.0-346.9)

307.89      Other

Psychogenic backache

Excludes:            pains not specifically attributable to a psychological cause (in):

back (724.5)

joint (719.4)

limb (729.5)

lumbago (724.2)

rheumatic (729.0)

307.9            Other and unspecified special symptoms or syndromes, not elsewhere classified

Hair plucking

Lalling

Lisping

Masturbation

Nail-biting

Thumb-sucking

308       Acute reaction to stress

Includes:            catastrophic stress

combat fatigue

gross stress reaction (acute)

transient disorders in response to exceptional physical or mental stress which usually subside within hours or days

Excludes:            adjustment reaction or disorder (309.0-309.9)

chronic stress reaction (309.1-309.9)

308.0            Predominant disturbance of emotions

Anxiety as acute reaction to exceptional [gross] stress

Emotional crisis as acute reaction to exceptional [gross] stress

Panic state as acute reaction to exceptional [gross] stress

308.1            Predominant disturbance of consciousness

Fugues as acute reaction to exceptional [gross] stress

308.2            Predominant psychomotor disturbance

Agitation states as acute reaction to exceptional [gross] stress

Stupor as acute reaction to exceptional [gross] stress

308.3            Other acute reactions to stress

Acute situational disturbance

Brief or acute posttraumatic stress disorder

Excludes:            prolonged posttraumatic emotional disturbance (309.81)

308.4            Mixed disorders as reaction to stress

308.9            Unspecified acute reaction to stress

309            Adjustment reaction

Includes:            adjustment disorders

reaction (adjustment) to chronic stress

Excludes:            acute reaction to major stress (308.0-308.9)

neurotic disorders (300.0-300.9)

309.0            Brief depressive reaction

Adjustment disorder with depressed mood

Grief reaction

Excludes:            affective psychoses (296.0-296.9)

neurotic depression (300.4)

prolonged depressive reaction (309.1)

psychogenic depressive psychosis (298.0)

309.1            Prolonged depressive reaction

Excludes:            affective psychoses (296.0-296.9)

brief depressive reaction (309.0)

neurotic depression (300.4)

psychogenic depressive psychosis (298.0)

309.2            With predominant disturbance of other emotions

309.21      Separation anxiety disorder

309.22      Emancipation disorder of adolescence and early adult life

309.23      Specific academic or work inhibition

309.24      Adjustment reaction with anxious mood

309.28      Adjustment reaction with mixed emotional features

Adjustment reaction with anxiety and depression

309.29      Other

Culture shock

309.3            With predominant disturbance of conduct

Conduct disturbance as adjustment reaction

Destructiveness as adjustment reaction

Excludes:            destructiveness in child (312.9)

disturbance of conduct NOS (312.9)

dyssocial behavior without manifest psychiatric disorder (V71.01-V71.02)

personality disorder with predominantly sociopathic or asocial manifestations (301.7)

309.4            With mixed disturbance of emotions and conduct

309.8            Other specified adjustment reactions

309.81      Prolonged posttraumatic stress disorder

Chronic posttraumatic stress disorder

Concentration camp syndrome

Excludes:            posttraumatic brain syndrome:

nonpsychotic (310.2)

psychotic (293.0-293.9)

309.82      Adjustment reaction with physical symptoms

309.83      Adjustment reaction with withdrawal

Elective mutism as adjustment reaction

Hospitalism (in children) NOS

309.89      Other

309.9            Unspecified adjustment reaction

Adaptation reaction NOS

Adjustment reaction NOS

310       Specific nonpsychotic mental disorders due to organic brain damage

Excludes:            neuroses, personality disorders, or other nonpsychotic conditions occurring in a form similar to that seen with functional disorders but in association with a physical condition (300.0-300.9, 301.0-301.9)

310.0            Frontal lobe syndrome

Lobotomy syndrome

Postleucotomy syndrome [state]

Excludes:            postcontusion syndrome (310.2)

310.1            Organic personality syndrome

Cognitive or personality change of other type, of nonpsychotic severity

Mild memory disturbance

Organic psychosyndrome of nonpsychotic severity

Presbyophrenia NOS

Senility with mental changes of nonpsychotic severity

310.2            Postconcussion syndrome

Postcontusion syndrome or encephalopathy

Posttraumatic brain syndrome, nonpsychotic

Status postcommotio cerebri

Excludes:            any organic psychotic conditions following head injury (293.0-294.0)

frontal lobe syndrome (310.0)

postencephalitic syndrome (310.8)

310.8            Other specified nonpsychotic mental disorders following organic brain damage

Postencephalitic syndrome

Other focal (partial) organic psychosyndromes

310.9            Unspecified nonpsychotic mental disorder following organic brain damage

311            Depressive disorder, not elsewhere classified

Depressive disorder NOS

Depressive state NOS

Depression NOS

Excludes:            acute reaction to major stress with depressive symptoms (308.0)

affective personality disorder (301.10-301.13)

affective psychoses (296.0-296.9)

brief depressive reaction (309.0)

depressive states associated with stressful events (309.0-309.1)

disturbance of emotions specific to childhood and adolescence, with misery and unhappiness (313.1)

mixed adjustment reaction with depressive symptoms (309.4)

neurotic depression (300.4)

prolonged depressive adjustment reaction (309.1)

psychogenic depressive psychosis (298.0)

312            Disturbance of conduct, not elsewhere classified

Excludes:            adjustment reaction with disturbance of conduct (309.3)

drug dependence (304.0-304.9)

dyssocial behavior without manifest psychiatric disorder (V71.01-V71.02)

personality disorder with predominantly sociopathic or asocial manifestations (301.7)

sexual deviations (302.0-302.9)

The following fifth-digit subclassification is for use with categories 312.0-312.2:

0            unspecified

1            mild

2            moderate

3            severe

312.0            Undersocialized conduct disorder, aggressive type

Aggressive outburst

Anger reaction

Unsocialized aggressive disorder

312.1            Undersocialized conduct disorder, unaggressive type

Childhood truancy, unsocialized

Solitary stealing

Tantrums

312.2            Socialized conduct disorder

Childhood truancy, socialized

Group delinquency

Excludes:            gang activity without manifest psychiatric disorder (V71.01)

312.3            Disorders of impulse control, not elsewhere classified

312.30      Impulse control disorder, unspecified

312.31      Pathological gambling

312.32      Kleptomania

312.33      Pyromania

312.34      Intermittent explosive disorder

312.35      Isolated explosive disorder

312.39      Other

312.4            Mixed disturbance of conduct and emotions

Neurotic delinquency

Excludes:            compulsive conduct disorder (312.3)

312.8            Other specified disturbances of conduct, not elsewhere classified

312.81      Conduct disorder, childhood onset type

312.82      Conduct disorder, adolescent onset type

312.89      Other conduct disorder

312.9            Unspecified disturbance of conduct

Delinquency (juvenile)

313            Disturbance of emotions specific to childhood and adolescence

Excludes:            adjustment reaction (309.0-309.9)

emotional disorder of neurotic type (300.0-300.9)

masturbation, nail-biting, thumb-sucking, and other isolated symptoms (307.0-307.9)

313.0            Overanxious disorder

Anxiety and fearfulness of childhood and adolescence

Overanxious disorder of childhood and adolescence

Excludes:            abnormal separation anxiety (309.21)

anxiety states (300.00-300.09)

hospitalism in children (309.83)

phobic state (300.20-300.29)

313.1            Misery and unhappiness disorder

Excludes:            depressive neurosis (300.4)

313.2            Sensitivity, shyness, and social withdrawal disorder

Excludes:            infantile autism (299.0)

schizoid personality (301.20-301.22)

schizophrenia (295.0-295.9)

313.21      Shyness disorder of childhood

Sensitivity reaction of childhood or adolescence

313.22      Introverted disorder of childhood

Social withdrawal of childhood or  adolescence

Withdrawal reaction of childhood or  adolescence

313.23      Elective mutism

Excludes:            elective mutism as adjustment reaction (309.83)

313.3            Relationship problems

Sibling jealousy

Excludes:            relationship problems associated with aggression, destruction, or other forms of conduct disturbance (312.0-312.9)

313.8            Other or mixed emotional disturbances of childhood or adolescence

313.81      Oppositional disorder

313.82      Identity disorder

313.83      Academic underachievement disorder

313.89      Other

313.9            Unspecified emotional disturbance of childhood

314            Hyperkinetic syndrome of childhood

Excludes:            hyperkinesis as symptom of underlying disorder­code the underlying disorder

314.0            Attention deficit disorder

Adult

Child

314.00      Without mention of hyperactivity

Predominantly inattentive type

314.01      With hyperactivity

Combined type

Overactivity NOS

Predominantly hyperactive/impulsive type

Simple disturbance of attention with overactivity

314.1            Hyperkinesis with developmental delay

Developmental disorder of hyperkinesis

Use additional code to identify any associated neurological disorder

314.2            Hyperkinetic conduct disorder

Hyperkinetic conduct disorder without developmental delay

Excludes:            hyperkinesis with significant delays in specific skills (314.1)

314.8            Other specified manifestations of hyperkinetic syndrome

314.9            Unspecified hyperkinetic syndrome

Hyperkinetic reaction of childhood or adolescence NOS

Hyperkinetic syndrome NOS

315       Specific delays in development

Excludes:            that due to a neurological disorder (320.0-389.9)

315.0            Specific reading disorder

315.00      Reading disorder, unspecified

315.01      Alexia

315.02      Developmental dyslexia

315.09      Other

Specific spelling difficulty

315.1            Specific arithmetical disorder

Dyscalculia

315.2            Other specific learning difficulties

Excludes:            specific arithmetical disorder (315.1)

specific reading disorder (315.00-315.09)

315.3            Developmental speech or language disorder

315.31      Developmental language disorder

Developmental aphasia

Expressive language disorder

Word deafness

Excludes:            acquired aphasia (784.3)

elective mutism (309.83, 313.0, 313.23)

315.32      Receptive language disorder (mixed)

Receptive expressive language disorder

315.39      Other

Developmental articulation disorder

Dyslalia

Excludes:            lisping and lalling (307.9)

stammering and stuttering (307.0)

315.4            Coordination disorder

Clumsiness syndrome

Dyspraxia syndrome

Specific motor development disorder

315.5            Mixed development disorder

315.8            Other specified delays in development

315.9            Unspecified delay in development

Developmental disorder NOS

316       Psychic factors associated with diseases classified elsewhere

Psychologic factors in physical conditions classified elsewhere

Use additional code to identify the associated physical condition, as:

psychogenic:

asthma (493.9)

dermatitis (692.9)

duodenal ulcer (532.0-532.9)

eczema (691.8, 692.9)

gastric ulcer (531.0-531.9)

mucous colitis (564.9)

paroxysmal tachycardia (427.2)

ulcerative colitis (556)

urticaria (708.0-708.9)

psychosocial dwarfism (259.4)

Excludes:            physical symptoms and physiological malfunctions, not involving tissue damage, of mental origin (306.0-306.9)

MENTAL RETARDATION (317-319)

Use additional code(s) to identify any associated psychiatric or physical condition(s)

317       Mild mental retardation

High-grade defect

IQ 50-70

Mild mental subnormality

318       Other specified mental retardation

318.0            Moderate mental retardation

IQ 35-49

Moderate mental subnormality

318.1            Severe mental retardation

IQ 20-34

Severe mental subnormality

318.2            Profound mental retardation

IQ under 20

Profound mental subnormality

319            Unspecified mental retardation

Mental deficiency NOS

Mental subnormality NOS

6.  DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS (320-389)

INFLAMMATORY DISEASES OF THE CENTRAL NERVOUS SYSTEM (320-326)

320            Bacterial meningitis

Includes:            arachnoiditis bacterial

leptomeningitis bacterial

meningitis bacterial

meningoencephalitis bacterial

meningomyelitis bacterial

pachymeningitis bacterial

320.0            Hemophilus meningitis

Meningitis due to Hemophilus influenzae [H. influenzae]

320.1            Pneumococcal meningitis

320.2            Streptococcal meningitis

320.3            Staphylococcal meningitis

320.7            Meningitis in other bacterial diseases classified elsewhere

Code first underlying disease as:

actinomycosis (039.8)

listeriosis (027.0)

typhoid fever (002.0)

whooping cough (033.0-033.9)

Excludes:            meningitis (in):

epidemic (036.0)

gonococcal (098.82)

meningococcal (036.0)

salmonellosis (003.21)

syphilis:

NOS (094.2)

congenital (090.42)

meningovascular (094.2)

secondary (091.81)

tuberculosis (013.0)

320.8            Meningitis due to other specified bacteria

320.81      Anaerobic meningitis

Gram-negative anaerobes

Bacteroides (fragilis)

320.82      Meningitis due to gram-negative bacteria, not elsewhere classified

Aerobacter aerogenes

Escherichia coli [E. coli]

Friedlander bacillus

Klebsiella pneumoniae

Proteus morganii

Pseudomonas

Excludes:            gram-negative anaerobes (320.81)

320.89      Meningitis due to other specified bacteria

Bacillus pyocyaneus

320.9            Meningitis due to unspecified bacterium

Meningitis:

bacterial NOS

purulent NOS

pyogenic NOS

suppurative NOS

321            Meningitis due to other organisms

Includes:            arachnoiditis due to organisms other than bacteria

leptomeningitis due to organisms other than bacteria

meningitis due to organisms other than bacteria

pachymeningitis due to organisms other than bacteria

321.0            Cryptococcal meningitis

Code first underlying disease (117.5)

321.1            Meningitis in other fungal diseases

Code first underlying disease (110.0-118)

Excludes:            meningitis in:

candidiasis (112.83)

coccidioidomycosis (114.2)

histoplasmosis (115.01, 115.11, 115.91)

321.2            Meningitis due to viruses not elsewhere classified

Code first underlying disease, as:

meningitis due to arbovirus (060.0-066.9)

Excludes:            meningitis (due to):

abacterial (047.0-047.9)

adenovirus (049.1)

aseptic NOS (047.9)

Coxsackie (virus) (047.0)

ECHO virus (047.1)

enterovirus (047.0-047.9)

herpes simplex virus (054.72)

herpes zoster virus (053.0)

lymphocytic choriomeningitis virus (049.0)

mumps (072.1)

viral NOS (047.9)

meningo-eruptive syndrome (047.1)

321.3            Meningitis due to trypanosomiasis

Code first underlying disease (086.0-086.9)

321.4            Meningitis in sarcoidosis

Code first underlying disease (135)

321.8            Meningitis due to other nonbacterial organisms classified elsewhere

Code first underlying disease

Excludes:            leptospiral meningitis (100.81)

322            Meningitis of unspecified cause

Includes:            arachnoiditis with no organism specified as cause

leptomeningitis with no organism specified as cause

meningitis with no organism specified as cause

pachymeningitis with no organism specified as cause

322.0            Nonpyogenic meningitis

Meningitis with clear cerebrospinal fluid

322.1            Eosinophilic meningitis

322.2            Chronic meningitis

322.9            Meningitis, unspecified

323            Encephalitis, myelitis, and encephalomyelitis

Includes:            acute disseminated encephalomyelitis

meningoencephalitis, except bacterial

meningomyelitis, except bacterial

myelitis (acute):

ascending

transverse

Excludes:            bacterial:

meningoencephalitis (320.0-320.9)

meningomyelitis (320.0-320.9)

323.0            Encephalitis in viral diseases classified elsewhere

Code first underlying disease, as:

cat-scratch disease (078.3)

infectious mononucleosis (075)

ornithosis (073.7)

Excludes:            encephalitis (in):

arthropod-borne viral (062.0-064)

herpes simplex (054.3)

mumps (072.2)

poliomyelitis (045.0-045.9)

rubella (056.01)

slow virus infections of central nervous system (046.0-046.9)

other viral diseases of central nervous system (049.8-049.9)

viral NOS (049.9)

323.1            Encephalitis in rickettsial diseases classified elsewhere

Code first underlying disease (080-083.9)

323.2            Encephalitis in protozoal diseases classified elsewhere

Code first underlying disease, as:

malaria (084.0-084.9)

trypanosomiasis (086.0-086.9)

323.4            Other encephalitis due to infection classified elsewhere

Code first underlying disease

Excludes:            encephalitis (in):

meningococcal (036.1)

syphilis:

NOS (094.81)

congenital (090.41)

toxoplasmosis (130.0)

tuberculosis (013.6)

meningoencephalitis due to free-living ameba [Naegleria] (136.2)

323.5            Encephalitis following immunization procedures

Encephalitis postimmunization or postvaccinal

Encephalomyelitis postimmunization or postvaccinal

Use additional E code to identify vaccine

323.6            Postinfectious encephalitis

Code first underlying disease

Excludes:            encephalitis:

postchickenpox (052.0)

postmeasles (055.0)

323.7            Toxic encephalitis

Code first underlying cause, as:

carbon tetrachloride (982.1)

hydroxyquinoline derivatives (961.3)

lead (984.0-984.9)

mercury (985.0)

thallium (985.8)

323.8            Other causes of encephalitis

323.9            Unspecified cause of encephalitis

324            Intracranial and intraspinal abscess

324.0            Intracranial abscess

Abscess (embolic):

cerebellar

cerebral

Abscess (embolic) of brain [any part]:

epidural

extradural

otogenic

subdural

Excludes:            tuberculous (013.3)

324.1            Intraspinal abscess

Abscess (embolic) of spinal cord [any part]:

epidural

extradural

subdural

Excludes:            tuberculous (013.5)

324.9            Of unspecified site

Extradural or subdural abscess NOS

325            Phlebitis and thrombophlebitis of intracranial venous sinuses

Embolism of cavernous, lateral, or other intracranial or unspecified intracranial venous sinus

Endophlebitis of cavernous, lateral, or other intracranial or unspecified intracranial venous sinus

Phlebitis, septic or suppurative of cavernous, lateral, or other intracranial or unspecified intracranial venous sinus

Thrombophlebitis of cavernous, lateral, or other intracranial or unspecified intracranial venous sinus

Thrombosis of cavernous, lateral, or other intracranial or unspecified intracranial venous sinus

Excludes:            that specified as:

complicating pregnancy, childbirth, or the puerperium (671.5)

of nonpyogenic origin (437.6)

326       Late effects of intracranial abscess or pyogenic infection

Note:    This category is to be used to indicate conditions whose primary classification is to 320-325 [excluding 320.7, 321.0-321.8, 323.0-323.4, 323.6-323.7] as the cause of late effects, themselves classifiable elsewhere. The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the resolution of the causal condition.

Use additional code to identify condition, as:

hydrocephalus (331.4)

paralysis (342.0-342.9, 344.0-344.9)

HEREDITARY AND DEGENERATIVE DISEASES OF THE CENTRAL NERVOUS SYSTEM (330-337)

Excludes:            hepatolenticular degeneration (275.1)

multiple sclerosis (340)

other demyelinating diseases of central nervous system (341.0-341.9)

330       Cerebral degenerations usually manifest in childhood

Use additional code to identify associated mental retardation

330.0            Leukodystrophy

Krabbe's disease

Leukodystrophy:

NOS

globoid cell

metachromatic

sudanophilic

Pelizaeus-Merzbacher disease

Sulfatide lipidosis

330.1            Cerebral lipidoses

Amaurotic (familial) idiocy

Disease:

Batten

Jansky-Bielschowsky

Kufs'

Spielmeyer-Vogt

Tay-Sachs

Gangliosidosis

330.2            Cerebral degeneration in generalized lipidoses

Code first underlying disease, as:

Fabry's disease (272.7)

Gaucher's disease (272.7)

Niemann-Pick disease (272.7)

sphingolipidosis (272.7)

330.3            Cerebral degeneration of childhood in other diseases classified elsewhere

Code first underlying disease, as:

Hunter's disease (277.5)

mucopolysaccharidosis (277.5)

330.8            Other specified cerebral degenerations in childhood

Alpers' disease or gray-matter degeneration

Infantile necrotizing encephalomyelopathy

Leigh's disease

Subacute necrotizing encephalopathy or encephalomyelopathy

330.9            Unspecified cerebral degeneration in childhood

331       Other cerebral degenerations

331.0            Alzheimer's disease

331.1            Pick's disease

331.2            Senile degeneration of brain

Excludes:            senility NOS (797)

331.3            Communicating hydrocephalus

Excludes:            congenital hydrocephalus (741.0, 742.3)

331.4            Obstructive hydrocephalus

Acquired hydrocephalus NOS

Excludes:            congenital hydrocephalus (741.0, 742.3)

331.7            Cerebral degeneration in diseases classified elsewhere

Code first underlying disease, as:

alcoholism (303.0-303.9)

beriberi (265.0)

cerebrovascular disease (430-438)

congenital hydrocephalus (741.0, 742.3)

neoplastic disease (140.0-239.9)

myxedema (244.0-244.9)

vitamin B12 deficiency (266.2)

Excludes:            cerebral degeneration in:

Jakob-Creutzfeldt disease (046.1)

progressive multifocal leukoencephalopathy (046.3)

subacute spongiform encephalopathy (046.1)

331.8            Other cerebral degeneration

331.81      Reye's syndrome

331.89      Other

Cerebral ataxia

331.9            Cerebral degeneration, unspecified

332            Parkinson's disease

332.0            Paralysis agitans

Parkinsonism or Parkinson's disease:

NOS

idiopathic

primary

332.1            Secondary Parkinsonism

Parkinsonism due to drugs

Use additional E code to identify drug, if drug-induced

Excludes:            Parkinsonism (in):

Huntington's disease (333.4)

progressive supranuclear palsy (333.0)

Shy-Drager syndrome (333.0)

syphilitic (094.82)

333       Other extrapyramidal disease and abnormal movement disorders

Includes:            other forms of extrapyramidal, basal ganglia, or striatopallidal disease

Excludes:            abnormal movements of head NOS (781.0)

333.0            Other degenerative diseases of the basal ganglia

Atrophy or degeneration:

olivopontocerebellar [Déjérine-Thomas syndrome]

pigmentary pallidal [Hallervorden-Spatz disease] striatonigral

Parkinsonian syndrome associated with:

idiopathic orthostatic hypotension

symptomatic orthostatic hypotension

Progressive supranuclear ophthalmoplegia

Shy-Drager syndrome

333.1            Essential and other specified forms of tremor

Benign essential tremor

Familial tremor

Use additional E code to identify drug, if drug-induced

Excludes:            tremor NOS (781.0)

333.2            Myoclonus

Familial essential myoclonus

Progressive myoclonic epilepsy

Unverricht-Lundborg disease

Use additional E code to identify drug, if drug-induced

333.3            Tics of organic origin

Excludes:            Gilles de la Tourette's syndrome (307.23)

habit spasm (307.22)

tic NOS (307.20)

Use additional E code to identify drug, if drug-induced

333.4            Huntington's chorea

333.5            Other choreas

Hemiballism(us)

Paroxysmal choreo-athetosis

Excludes:            Sydenham's or rheumatic chorea (392.0-392.9)

Use additional E code to identify drug, if drug-induced

333.6            Idiopathic torsion dystonia

Dystonia:

deformans progressiva

musculorum deformans

(Schwalbe-) Ziehen-Oppenheim disease

333.7            Symptomatic torsion dystonia

Athetoid cerebral palsy [Vogt's disease]

Double athetosis (syndrome)

Use additional E code to identify drug, if drug-induced

333.8            Fragments of torsion dystonia

Use additional E code to identify drug, if drug-induced

333.81      Blepharospasm

333.82      Orofacial dyskinesia

333.83      Spasmodic torticollis

Excludes:            torticollis:

NOS (723.5)

hysterical (300.11)

psychogenic (306.0)

333.84      Organic writers' cramp

Excludes:            psychogenic (300.89)

333.89      Other

333.9            Other and unspecified extrapyramidal diseases and abnormal movement disorders

333.90      Unspecified extrapyramidal disease and abnormal movement disorder

333.91      Stiff-man syndrome

333.92      Neuroleptic malignant syndrome

Use additional E to identify drug

333.93      Benign shuddering attacks

333.99      Other

Restless legs

334            Spinocerebellar disease

Excludes:            olivopontocerebellar degeneration (333.0)

peroneal muscular atrophy (356.1)

334.0            Friedreich's ataxia

334.1            Hereditary spastic paraplegia

334.2            Primary cerebellar degeneration

Cerebellar ataxia:

Marie's

Sanger-Brown

Dyssynergia cerebellaris myoclonica

Primary cerebellar degeneration:

NOS

hereditary

sporadic

334.3            Other cerebellar ataxia

Cerebellar ataxia NOS

Use additional E code to identify drug, if drug-induced

334.4            Cerebellar ataxia in diseases classified elsewhere

Code first underlying disease, as:

alcoholism (303.0-303.9)

myxedema (244.0-244.9)

neoplastic disease (140.0-239.9)

334.8            Other spinocerebellar diseases

Ataxia-telangiectasia [Louis-Bar syndrome]

Corticostriatal-spinal degeneration

334.9            Spinocerebellar disease, unspecified

335       Anterior horn cell disease

335.0            Werdnig-Hoffmann disease

Infantile spinal muscular atrophy

Progressive muscular atrophy of infancy

335.1            Spinal muscular atrophy

335.10      Spinal muscular atrophy, unspecified

335.11      Kugelberg-Welander disease

Spinal muscular atrophy:

familial

juvenile

335.19      Other

Adult spinal muscular atrophy

335.2            Motor neuron disease

335.20      Amyotrophic lateral sclerosis

Motor neuron disease (bulbar) (mixed type)

335.21      Progressive muscular atrophy

Duchenne-Aran muscular atrophy

Progressive muscular atrophy (pure)

335.22      Progressive bulbar palsy

335.23      Pseudobulbar palsy

335.24      Primary lateral sclerosis

335.29      Other

335.8            Other anterior horn cell diseases

335.9            Anterior horn cell disease, unspecified

336       Other diseases of spinal cord

336.0            Syringomyelia and syringobulbia

336.1            Vascular myelopathies

Acute infarction of spinal cord (embolic) (nonembolic)

Arterial thrombosis of spinal cord

Edema of spinal cord

Hematomyelia

Subacute necrotic myelopathy

336.2            Subacute combined degeneration of spinal cord in diseases classified elsewhere

Code first underlying disease, as:

pernicious anemia (281.0)

other vitamin B12 deficiency anemia (281.1)

vitamin B12 deficiency (266.2)

336.3            Myelopathy in other diseases classified elsewhere

Code first underlying disease, as:

myelopathy in neoplastic disease (140.0-239.9)

Excludes:            myelopathy in:

intervertebral disc disorder (722.70-722.73)

spondylosis (721.1, 721.41-721.42, 721.91)

336.8            Other myelopathy

Myelopathy:

drug-induced

radiation-induced

Use additional E code to identify cause

336.9            Unspecified disease of spinal cord

Cord compression NOS

Myelopathy NOS

Excludes:            myelitis (323.0-323.9)

spinal (canal) stenosis (723.0, 724.00-724.09)

337            Disorders of the autonomic nervous system

Includes:            disorders of peripheral autonomic, sympathetic, parasympathetic, or vegetative system

Excludes:            familial dysautonomia [Riley-Day syndrome] (742.8)

337.0            Idiopathic peripheral autonomic neuropathy

Carotid sinus syncope or syndrome

Cervical sympathetic dystrophy or paralysis

337.1            Peripheral autonomic neuropathy in disorders classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

diabetes (250.6)

337.2            Reflex sympathetic dystrophy

337.20      Reflex sympathetic dystrophy, unspecified

337.21      Reflex sympathetic dystrophy of the upper limb

337.22      Reflex sympathetic dystrophy of the lower limb

337.29      Reflex sympathetic dystrophy of other specified site

337.3            Autonomic dysreflexia

Use additional code to identify the cause, such as:

decubitus ulcer (707.0)

fecal impaction (560.39)

urinary tract infection (599.0)

337.9            Unspecified disorder of autonomic nervous system

OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349)

340       Multiple sclerosis

Disseminated or multiple sclerosis:

NOS

brain stem

cord

generalized

341       Other demyelinating diseases of central nervous system

341.0            Neuromyelitis optica

341.1            Schilder's disease

Balo's concentric sclerosis

Encephalitis periaxialis:

concentrica [Balo's]

diffusa [Schilder's]

341.8            Other demyelinating diseases of central nervous system

Central demyelination of corpus callosum

Central pontine myelinosis

Marchiafava (-Bignami) disease

341.9            Demyelinating disease of central nervous system, unspecified

342            Hemiplegia and hemiparesis

Note:    This category is to be used when hemiplegia (complete) (incomplete) is reported without further specification, or is stated to be old or long-standing but of unspecified cause.  The category is also for use in multiple coding to identify these types of hemiplegia resulting from any cause.

Excludes:            congenital (343.1)

hemiplegia due to late effect of cerebrovascular accident (438.20-438.22)

infantile NOS (343.4)

The following fifth-digits are for use with codes 342.0-342.9

0            affecting unspecified side

1            affecting dominant side

2            affecting nondominant side

342.0            Flaccid hemiplegia

342.1            Spastic hemiplegia

342.8            Other specified hemiplegia

342.9            Hemiplegia, unspecified

343       Infantile cerebral palsy

Includes:            cerebral:

palsy NOS

spastic infantile paralysis

congenital spastic paralysis (cerebral)

Little's disease

paralysis (spastic) due to birth injury:

intracranial

spinal

Excludes:            hereditary cerebral paralysis, such as:

hereditary spastic paraplegia (334.1)

Vogt's disease (333.7)

spastic paralysis specified as noncongenital or noninfantile (344.0-344.9)

343.0            Diplegic

Congenital diplegia

Congenital paraplegia

343.1            Hemiplegic

Congenital hemiplegia

Excludes:            infantile hemiplegia NOS (343.4)

343.2            Quadriplegic

Tetraplegic

343.3            Monoplegic

343.4            Infantile hemiplegia

Infantile hemiplegia (postnatal) NOS

343.8            Other specified infantile cerebral palsy

343.9            Infantile cerebral palsy, unspecified

Cerebral palsy NOS

344       Other paralytic syndromes

Note:    This category is to be used when the listed conditions are reported without further specification or are stated to be old or long-standing but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.

Includes:            paralysis (complete) (incomplete), except as classifiable to 342 and 343

Excludes:            congenital or infantile cerebral palsy (343.0-343.9)

hemiplegia (342.0-342.9)

congenital or infantile (343.1, 343.4)

344.0            Quadriplegia and quadriparesis

344.00      Quadriplegia, unspecified

344.01      C1-C4, complete

344.02      C1-C4, incomplete

344.03      C5-C7, complete

344.04      C5-C7, incomplete

344.09      Other

344.1            Paraplegia

Paralysis of both lower limbs

Paraplegia (lower)

344.2            Diplegia of upper limbs

Diplegia (upper)

Paralysis of both upper limbs

344.3            Monoplegia of lower limb

Paralysis of lower limb

Excludes:            monoplegia of lower limb due to late effect of cerebrovascular accident (438.40-438.42)

344.30      Affecting unspecified side

344.31      Affecting dominant side

344.32      Affecting nondominant side

344.4            Monoplegia of upper limb

Paralysis of upper limb

Excludes:            monoplegia of upper limb due to late effect of cerebrovascular accident (438.30-438.32)

344.40      Affecting unspecified side

344.41      Affecting dominant side

344.42      Affecting nondominant side

344.5            Unspecified monoplegia

344.6            Cauda equina syndrome

344.60      Without mention of neurogenic bladder

344.61      With neurogenic bladder

Acontractile bladder

Autonomic hyperreflexia of bladder

Cord bladder

Detrusor hyperreflexia

344.8            Other specified paralytic syndromes

344.81      Locked-in state

344.89      Other specified paralytic syndrome

344.9            Paralysis, unspecified

345            Epilepsy

The following fifth-digit subclassification is for use with categories 345.0, .1, .4-.9:

0            without mention of intractable epilepsy

1            with intractable epilepsy

Excludes:            progressive myoclonic epilepsy (333.2)

345.0            Generalized nonconvulsive epilepsy

Absences:

atonic

typical

Minor epilepsy

Petit mal

Pykno-epilepsy

Seizures:

akinetic

atonic

345.1            Generalized convulsive epilepsy

Epileptic seizures:

clonic

myoclonic

tonic

tonic-clonic

Grand mal

Major epilepsy

Excludes:            convulsions:

NOS (780.3)

infantile (780.3)

newborn (779.0)

infantile spasms (345.6)

345.2            Petit mal status

Epileptic absence status

345.3            Grand mal status

Status epilepticus NOS

Excludes:            epilepsia partialis continua (345.7) status:

psychomotor (345.7)

temporal lobe (345.7)

345.4            Partial epilepsy, with impairment of consciousness

Epilepsy:

limbic system

partial:

secondarily generalized

with memory and ideational disturbances

psychomotor

psychosensory

temporal lobe

Epileptic automatism

345.5            Partial epilepsy, without mention of impairment of consciousness

Epilepsy:

Bravais-Jacksonian NOS

focal (motor) NOS

Jacksonian NOS

motor partial

partial NOS

sensory-induced

somatomotor

somatosensory

visceral

visual

345.6            Infantile spasms

Hypsarrhythmia

Lightning spasms

Salaam attacks

Excludes:            salaam tic (781.0)

345.7            Epilepsia partialis continua

Kojevnikov's epilepsy

345.8            Other forms of epilepsy

Epilepsy:

cursive [running]

gelastic

345.9            Epilepsy, unspecified

Epileptic convulsions, fits, or seizures NOS

Excludes:            convulsive seizure or fit NOS (780.3)

346            Migraine

The following fifth-digit subclassification is for use with category 346:

0            without mention of intractable migraine

1            with intractable migraine, so stated

346.0            Classical migraine

Migraine preceded or accompanied by transient focal neurological phenomena

Migraine with aura

346.1            Common migraine

Atypical migraine

Sick headache

346.2            Variants of migraine

Cluster headache

Histamine cephalgia

Horton's neuralgia

Migraine:

abdominal

basilar

lower half

retinal

Neuralgia:

ciliary

migrainous

346.8            Other forms of migraine

Migraine:

hemiplegic

ophthalmoplegic

346.9            Migraine, unspecified

347            Cataplexy and narcolepsy

348       Other conditions of brain

348.0            Cerebral cysts

Arachnoid cyst

Porencephalic cyst

Porencephaly, acquired

Pseudoporencephaly

348.1            Anoxic brain damage

Excludes:            that occurring in:

abortion (634-638 with .7, 639.8)

ectopic or molar pregnancy (639.8)

labor or delivery (668.2, 669.4)

that of newborn (767.0, 768.0-768.9, 772.1-772.2)

Use additional E code to identify cause

348.2            Benign intracranial hypertension

Pseudotumor cerebri

Excludes:            hypertensive encephalopathy (437.2)

348.3            Encephalopathy, unspecified

348.4            Compression of brain

Compression brain (stem)

Herniation brain (stem)

Posterior fossa compression syndrome

348.5            Cerebral edema

348.8            Other conditions of brain

Cerebral:

calcification

fungus

348.9            Unspecified condition of brain

349       Other and unspecified disorders of the nervous system

349.0            Reaction to spinal or lumbar puncture

Headache following lumbar puncture

349.1            Nervous system complications from surgically implanted device

Excludes:            immediate postoperative complications (997.00-997.09)

mechanical complications of nervous system device (996.2)

349.2            Disorders of meninges, not elsewhere classified

Adhesions, meningeal (cerebral) (spinal)

Cyst, spinal meninges

Meningocele, acquired

Pseudomeningocele, acquired

349.8            Other specified disorders of nervous system

349.81      Cerebrospinal fluid rhinorrhea

Excludes:            cerebrospinal fluid otorrhea (388.61)

349.82      Toxic encephalopathy

Use additional E code to identify cause

349.89      Other

349.9            Unspecified disorders of nervous system

Disorder of nervous system (central) NOS

DISORDERS OF THE PERIPHERAL NERVOUS SYSTEM (350-359)

Excludes:            diseases of:

acoustic [8th] nerve (388.5)

oculomotor [3rd, 4th, 6th] nerves (378.0-378.9)

optic [2nd] nerve (377.0-377.9)

peripheral autonomic nerves (337.0-337.9)

neuralgia NOS or "rheumatic" (729.2)

neuritis NOS or "rheumatic" (729.2)

radiculitis NOS or "rheumatic" (729.2)

peripheral neuritis in pregnancy (646.4)

350            Trigeminal nerve disorders

Includes:            disorders of 5th cranial nerve

350.1            Trigeminal neuralgia

Tic douloureux

Trifacial neuralgia

Trigeminal neuralgia NOS

Excludes:            postherpetic (053.12)

350.2            Atypical face pain

350.8            Other specified trigeminal nerve disorders

350.9            Trigeminal nerve disorder, unspecified

351       Facial nerve disorders

Includes:            disorders of 7th cranial nerve

Excludes:            that in newborn (767.5)

351.0            Bell's palsy

Facial palsy

351.1            Geniculate ganglionitis

Geniculate ganglionitis NOS

Excludes:            herpetic (053.11)

351.8            Other facial nerve disorders

Facial myokymia

Melkersson's syndrome

351.9            Facial nerve disorder, unspecified

352            Disorders of other cranial nerves

352.0            Disorders of olfactory [1st] nerve

352.1            Glossopharyngeal neuralgia

352.2            Other disorders of glossopharyngeal [9th] nerve

352.3            Disorders of pneumogastric [10th] nerve

Disorders of vagal nerve

Excludes:            paralysis of vocal cords or larynx (478.30-478.34)

352.4            Disorders of accessory [11th] nerve

352.5            Disorders of hypoglossal [12th] nerve

352.6            Multiple cranial nerve palsies

Collet-Sicard syndrome

Polyneuritis cranialis

352.9            Unspecified disorder of cranial nerves

353       Nerve root and plexus disorders

Excludes:            conditions due to:

intervertebral disc disorders (722.0-722.9)

spondylosis (720.0-721.9)

vertebrogenic disorders (723.0-724.9)

353.0            Brachial plexus lesions

Cervical rib syndrome

Costoclavicular syndrome

Scalenus anticus syndrome

Thoracic outlet syndrome

Excludes:            brachial neuritis or radiculitis NOS (723.4)

that in newborn (767.6)

353.1            Lumbosacral plexus lesions

353.2            Cervical root lesions, not elsewhere classified

353.3            Thoracic root lesions, not elsewhere classified

353.4            Lumbosacral root lesions, not elsewhere classified

353.5            Neuralgic amyotrophy

Parsonage-Aldren-Turner syndrome

353.6            Phantom limb (syndrome)

353.8            Other nerve root and plexus disorders

353.9            Unspecified nerve root and plexus disorder

354            Mononeuritis of upper limb and mononeuritis multiplex

354.0            Carpal tunnel syndrome

Median nerve entrapment

Partial thenar atrophy

354.1            Other lesion of median nerve

Median nerve neuritis

354.2            Lesion of ulnar nerve

Cubital tunnel syndrome

Tardy ulnar nerve palsy

354.3            Lesion of radial nerve

Acute radial nerve palsy

354.4            Causalgia of upper limb

Excludes:            causalgia:

NOS (355.9)

lower limb (355.71)

354.5            Mononeuritis multiplex

Combinations of single conditions classifiable to 354 or 355

354.8            Other mononeuritis of upper limb

354.9            Mononeuritis of upper limb, unspecified

355            Mononeuritis of lower limb

355.0            Lesion of sciatic nerve

Excludes:            sciatica NOS (724.3)

355.1            Meralgia paresthetica

Lateral cutaneous femoral nerve of thigh compression or syndrome

355.2            Other lesion of femoral nerve

355.3            Lesion of lateral popliteal nerve

Lesion of common peroneal nerve

355.4            Lesion of medial popliteal nerve

355.5            Tarsal tunnel syndrome

355.6            Lesion of plantar nerve

Morton's metatarsalgia, neuralgia, or neuroma

355.7            Other mononeuritis of lower limb

355.71      Causalgia of lower limb

Excludes:            causalgia:

NOS (355.9)

upper limb (354.4)

355.79      Other mononeuritis of lower limb

355.8            Mononeuritis of lower limb, unspecified

355.9            Mononeuritis of unspecified site

Causalgia NOS

Excludes:            causalgia:

lower limb (355.71)

upper limb (354.4)

356            Hereditary and idiopathic peripheral neuropathy

356.0            Hereditary peripheral neuropathy

Déjérine-Sottas disease

356.1            Peroneal muscular atrophy

Charcot-Marie-Tooth disease

Neuropathic muscular atrophy

356.2            Hereditary sensory neuropathy

356.3            Refsum's disease

Heredopathia atactica polyneuritiformis

356.4            Idiopathic progressive polyneuropathy

356.8            Other specified idiopathic peripheral neuropathy

Supranuclear paralysis

356.9            Unspecified

357            Inflammatory and toxic neuropathy

357.0            Acute infective polyneuritis

Guillain-Barre syndrome

Postinfectious polyneuritis

357.1            Polyneuropathy in collagen vascular disease

Code first underlying disease, as:

disseminated lupus erythematosus (710.0)

polyarteritis nodosa (446.0)

rheumatoid arthritis (714.0)

357.2            Polyneuropathy in diabetes

Code first underlying disease (250.6)

357.3            Polyneuropathy in malignant disease

Code first underlying disease (140.0-208.9)

357.4            Polyneuropathy in other diseases classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

beriberi (265.0)

deficiency of B vitamins (266.0-266.9)

diphtheria (032.0-032.9)

hypoglycemia (251.2)

pellagra (265.2)

porphyria (277.1)

sarcoidosis (135)

uremia (585)

Excludes:            polyneuropathy in:

herpes zoster (053.13)

mumps (072.72)

357.5            Alcoholic polyneuropathy

357.6            Polyneuropathy due to drugs

Use additional E code to identify drug

357.7            Polyneuropathy due to other toxic agents

Use additional E code to identify toxic agent

357.8            Other

357.81      Chronic inflammatory demyelinating polyneuritis

357.82      Critical illness polyneuropathy

Acute motor neuropathy

357.89      Other inflammatory and toxic neuropathy

357.9            Unspecified

358            Myoneural disorders

358.0            Myasthenia gravis

358.1            Myasthenic syndromes in diseases classified elsewhere

Amyotrophy from stated cause classified elsewhere

Eaton-Lambert syndrome from stated cause classified elsewhere

Code first underlying disease, as:

botulism (005.1)

diabetes mellitus (250.6)

hypothyroidism (244.0-244.9)

malignant neoplasm (140.0-208.9)

pernicious anemia (281.0)

thyrotoxicosis (242.0-242.9)

358.2            Toxic myoneural disorders

Use additional E code to identify toxic agent

358.8            Other specified myoneural disorders

358.9            Myoneural disorders, unspecified

359            Muscular dystrophies and other myopathies

Excludes:            idiopathic polymyositis (710.4)

359.0            Congenital hereditary muscular dystrophy

Benign congenital myopathy

Central core disease

Centronuclear myopathy

Myotubular myopathy

Nemaline body disease

Excludes:            arthrogryposis multiplex congenita (754.89)

359.1            Hereditary progressive muscular dystrophy

Muscular dystrophy:

NOS

distal

Duchenne

Erb's

fascioscapulohumeral

Gower's

Landouzy-Déjérine

limb-girdle

ocular

oculopharyngeal

359.2            Myotonic disorders

Dystrophia myotonica

Eulenburg's disease

Myotonia congenita

Paramyotonia congenita

Steinert's disease

Thomsen's disease

359.3            Familial periodic paralysis

Hypokalemic familial periodic paralysis

359.4            Toxic myopathy

Use additional E code to identify toxic agent

359.5            Myopathy in endocrine diseases classified elsewhere

Code first underlying disease, as:

Addison's disease (255.4)

Cushing's syndrome (255.0)

hypopituitarism (253.2)

myxedema (244.0-244.9)

thyrotoxicosis (242.0-242.9)

359.6            Symptomatic inflammatory myopathy in diseases classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

disseminated lupus erythematosus (710.0)

malignant neoplasm (140.0-208.9)

polyarteritis nodosa (446.0)

rheumatoid arthritis (714.0)

sarcoidosis (135)

scleroderma (710.1)

Sjögren's disease (710.2)

359.8            Other myopathies

359.81      Critical illness myopathy

Acute necrotizing myopathy

Acute quadriplegic myopathy

Intensive care (ICU) myopathy

Myopathy of critical illness

359.89      Other myopathies

359.9            Myopathy, unspecified

DISORDERS OF THE EYE AND ADNEXA (360-379)

360            Disorders of the globe

Includes:            disorders affecting multiple structures of eye

360.0            Purulent endophthalmitis

360.00      Purulent endophthalmitis, unspecified

360.01      Acute endophthalmitis

360.02      Panophthalmitis

360.03      Chronic endophthalmitis

360.04      Vitreous abscess

360.1            Other endophthalmitis

360.11      Sympathetic uveitis

360.12      Panuveitis

360.13      Parasitic endophthalmitis NOS

360.14      Ophthalmia nodosa

360.19      Other

Phacoanaphylactic endophthalmitis

360.2            Degenerative disorders of globe

360.20      Degenerative disorder of globe, unspecified

360.21      Progressive high (degenerative) myopia

Malignant myopia

360.23      Siderosis

360.24      Other metallosis

Chalcosis

360.29      Other

Excludes:            xerophthalmia (264.7)

360.3            Hypotony of eye

360.30      Hypotony, unspecified

360.31      Primary hypotony

360.32      Ocular fistula causing hypotony

360.33      Hypotony associated with other ocular disorders

360.34      Flat anterior chamber

360.4            Degenerated conditions of globe

360.40      Degenerated globe or eye, unspecified

360.41      Blind hypotensive eye

Atrophy of globe

Phthisis bulbi

360.42      Blind hypertensive eye

Absolute glaucoma

360.43      Hemophthalmos, except current injury

Excludes:            traumatic (871.0-871.9, 921.0-921.9)

360.44      Leucocoria

360.5            Retained (old) intraocular foreign body, magnetic

Excludes:            current penetrating injury with magnetic foreign body (871.5)

retained (old) foreign body of orbit (376.6)

360.50      Foreign body, magnetic, intraocular, unspecified

360.51      Foreign body, magnetic, in anterior chamber

360.52      Foreign body, magnetic, in iris or ciliary body

360.53      Foreign body, magnetic, in lens

360.54      Foreign body, magnetic, in vitreous

360.55      Foreign body, magnetic, in posterior wall

360.59      Foreign body, magnetic, in other or multiple sites

360.6            Retained (old) intraocular foreign body, nonmagnetic

Retained (old) foreign body:

NOS

nonmagnetic

Excludes:            current penetrating injury with (nonmagnetic) foreign body (871.6)

retained (old) foreign body in orbit (376.6)

360.60      Foreign body, intraocular, unspecified

360.61      Foreign body in anterior chamber

360.62      Foreign body in iris or ciliary body

360.63      Foreign body in lens

360.64      Foreign body in vitreous

360.65      Foreign body in posterior wall

360.69      Foreign body in other or multiple sites

360.8            Other disorders of globe

360.81      Luxation of globe

360.89      Other

360.9            Unspecified disorder of globe

361       Retinal detachments and defects

361.0            Retinal detachment with retinal defect

Rhegmatogenous retinal detachment

Excludes:            detachment of retinal pigment epithelium (362.42-362.43)

retinal detachment (serous) (without defect) (361.2)

361.00      Retinal detachment with retinal defect, unspecified

361.01      Recent detachment, partial, with single defect

361.02      Recent detachment, partial, with multiple defects

361.03      Recent detachment, partial, with giant tear

361.04      Recent detachment, partial, with retinal dialysis

Dialysis (juvenile) of retina (with detachment)

361.05      Recent detachment, total or subtotal

361.06      Old detachment, partial

Delimited old retinal detachment

361.07      Old detachment, total or subtotal

361.1            Retinoschisis and retinal cysts

Excludes:            juvenile retinoschisis (362.73)

microcystoid degeneration of retina (362.62)

parasitic cyst of retina (360.13)

361.10      Retinoschisis, unspecified

361.11      Flat retinoschisis

361.12      Bullous retinoschisis

361.13      Primary retinal cysts

361.14      Secondary retinal cysts

361.19      Other

Pseudocyst of retina

361.2            Serous retinal detachment

Retinal detachment without retinal defect

Excludes:            central serous retinopathy (362.41)

retinal pigment epithelium detachment (362.42-362.43)

361.3            Retinal defects without detachment

Excludes:            chorioretinal scars after surgery for detachment (363.30-363.35)

peripheral retinal degeneration without defect (362.60-362.66)

361.30      Retinal defect, unspecified

Retinal break(s) NOS

361.31      Round hole of retina without detachment

361.32      Horseshoe tear of retina without detachment

Operculum of retina without mention of detachment

361.33      Multiple defects of retina without detachment

361.8            Other forms of retinal detachment

361.81      Traction detachment of retina

Traction detachment with vitreoretinal organization

361.89      Other

361.9            Unspecified retinal detachment

362       Other retinal disorders

Excludes:            chorioretinal scars (363.30-363.35)

chorioretinitis (363.0-363.2)

362.0            Diabetic retinopathy

Code first diabetes (250.5)

362.01      Background diabetic retinopathy

Diabetic macular edema

Diabetic retinal edema

Diabetic retinal microaneurysms

Diabetic retinopathy NOS

362.02      Proliferative diabetic retinopathy

362.1            Other background retinopathy and retinal vascular changes

362.10      Background retinopathy, unspecified

362.11      Hypertensive retinopathy

362.12      Exudative retinopathy

Coats' syndrome

362.13      Changes in vascular appearance

Vascular sheathing of retina

Use additional code for any associated atherosclerosis (440.8)

362.14      Retinal microaneurysms NOS

362.15      Retinal telangiectasia

362.16      Retinal neovascularization NOS

Neovascularization:

choroidal

subretinal

362.17      Other intraretinal microvascular abnormalities

Retinal varices

362.18      Retinal vasculitis

Eales' disease

Retinal:

arteritis

endarteritis

perivasculitis

phlebitis

362.2            Other proliferative retinopathy

362.21      Retrolental fibroplasia

362.29      Other nondiabetic proliferative retinopathy

362.3            Retinal vascular occlusion

362.30      Retinal vascular occlusion, unspecified

362.31      Central retinal artery occlusion

362.32      Arterial branch occlusion

362.33      Partial arterial occlusion

Hollenhorst plaque

Retinal microembolism

362.34      Transient arterial occlusion

Amaurosis fugax

362.35      Central retinal vein occlusion

362.36      Venous tributary (branch) occlusion

362.37      Venous engorgement

Occlusion:

of retinal vein

incipient of retinal vein

partial of retinal vein

362.4            Separation of retinal layers

Excludes:            retinal detachment (serous) (361.2)

rhegmatogenous (361.00-361.07)

362.40      Retinal layer separation, unspecified

362.41      Central serous retinopathy

362.42      Serous detachment of retinal pigment epithelium

Exudative detachment of retinal pigment epithelium

362.43      Hemorrhagic detachment of retinal pigment epithelium

362.5            Degeneration of macula and posterior pole

Excludes:            degeneration of optic disc (377.21-377.24)

hereditary retinal degeneration [dystrophy] (362.70-362.77)

362.50      Macular degeneration (senile), unspecified

362.51      Nonexudative senile macular degeneration

Senile macular degeneration:

atrophic

dry

362.52      Exudative senile macular degeneration

Kuhnt-Junius degeneration

Senile macular degeneration:

disciform

wet

362.53      Cystoid macular degeneration

Cystoid macular edema

362.54      Macular cyst, hole, or pseudohole

362.55      Toxic maculopathy

Use additional E to identify drug, if drug induced

362.56      Macular puckering

Preretinal fibrosis

362.57      Drusen (degenerative)

362.6            Peripheral retinal degenerations

Excludes:            hereditary retinal degeneration [dystrophy] (362.70-362.77)

retinal degeneration with retinal defect (361.00-361.07)

362.60      Peripheral retinal degeneration, unspecified

362.61      Paving stone degeneration

362.62      Microcystoid degeneration

Blessig's cysts

Iwanoff's cysts

362.63      Lattice degeneration

Palisade degeneration of retina

362.64      Senile reticular degeneration

362.65      Secondary pigmentary degeneration

Pseudoretinitis pigmentosa

362.66      Secondary vitreoretinal degenerations

362.7            Hereditary retinal dystrophies

362.70      Hereditary retinal dystrophy, unspecified

362.71      Retinal dystrophy in systemic or cerebroretinal lipidoses

Code first underlying disease, as:

cerebroretinal lipidoses (330.1)

systemic lipidoses (272.7)

362.72      Retinal dystrophy in other systemic disorders and syndromes

Code first underlying disease, as:

Bassen-Kornzweig syndrome (272.5)

Refsum's disease (356.3)

362.73      Vitreoretinal dystrophies

Juvenile retinoschisis

362.74      Pigmentary retinal dystrophy

Retinal dystrophy, albipunctate

Retinitis pigmentosa

362.75      Other dystrophies primarily involving the sensory retina

Progressive cone (-rod) dystrophy

Stargardt's disease

362.76      Dystrophies primarily involving the retinal pigment epithelium

Fundus flavimaculatus

Vitelliform dystrophy

362.77      Dystrophies primarily involving Bruch's membrane

Dystrophy:

hyaline

pseudoinflammatory foveal

Hereditary drusen

362.8            Other retinal disorders

Excludes:            chorioretinal inflammations (363.0-363.2)

chorioretinal scars (363.30-363.35)

362.81      Retinal hemorrhage

Hemorrhage:

preretinal

retinal (deep) (superficial)

subretinal

362.82      Retinal exudates and deposits

362.83      Retinal edema

Retinal:

cotton wool spots

edema (localized) (macular) (peripheral)

362.84      Retinal ischemia

362.85      Retinal nerve fiber bundle defects

362.89      Other retinal disorders

362.9            Unspecified retinal disorder

363            Chorioretinal inflammations, scars, and other disorders of choroid

363.0            Focal chorioretinitis and focal retinochoroiditis

Excludes:            focal chorioretinitis or retinochoroiditis in:

histoplasmosis (115.02, 115.12, 115.92)

toxoplasmosis (130.2)

congenital infection (771.2)

363.00      Focal chorioretinitis, unspecified

Focal:

choroiditis or chorioretinitis NOS

retinitis or retinochoroiditis NOS

363.01      Focal choroiditis and chorioretinitis, juxtapapillary

363.03      Focal choroiditis and chorioretinitis of other posterior pole

363.04      Focal choroiditis and chorioretinitis, peripheral

363.05      Focal retinitis and retinochoroiditis, juxtapapillary

Neuroretinitis

363.06      Focal retinitis and retinochoroiditis, macular or paramacular

363.07      Focal retinitis and retinochoroiditis of other posterior pole

363.08      Focal retinitis and retinochoroiditis, peripheral

363.1            Disseminated chorioretinitis and disseminated retinochoroiditis

Excludes:            disseminated choroiditis or chorioretinitis in secondary syphilis (091.51)

neurosyphilitic disseminated retinitis or retinochoroiditis (094.83)

retinal (peri)vasculitis (362.18)

363.10      Disseminated chorioretinitis, unspecified

Disseminated:

choroiditis or chorioretinitis NOS

retinitis or retinochoroiditis NOS

363.11      Disseminated choroiditis and chorioretinitis, posterior pole

363.12      Disseminated choroiditis and chorioretinitis, peripheral

363.13      Disseminated choroiditis and chorioretinitis, generalized

Code first any underlying disease, as:

tuberculosis (017.3)

363.14      Disseminated retinitis and retinochoroiditis, metastatic

363.15      Disseminated retinitis and retinochoroiditis, pigment epitheliopathy

Acute posterior multifocal placoid pigment epitheliopathy

363.2            Other and unspecified forms of chorioretinitis and retinochoroiditis

Excludes:            panophthalmitis (360.02)

sympathetic uveitis (360.11)

uveitis NOS (364.3)

363.20      Chorioretinitis, unspecified

Choroiditis NOS

Retinitis NOS

Uveitis, posterior NOS

363.21      Pars planitis

Posterior cyclitis

363.22      Harada's disease

363.3            Chorioretinal scars

Scar (postinflammatory) (postsurgical) (posttraumatic):

choroid

retina

363.30      Chorioretinal scar, unspecified

363.31      Solar retinopathy

363.32      Other macular scars

363.33      Other scars of posterior pole

363.34      Peripheral scars

363.35      Disseminated scars

363.4            Choroidal degenerations

363.40      Choroidal degeneration, unspecified

Choroidal sclerosis NOS

363.41      Senile atrophy of choroid

363.42      Diffuse secondary atrophy of choroid

363.43      Angioid streaks of choroid

363.5            Hereditary choroidal dystrophies

Hereditary choroidal atrophy:

partial [choriocapillaris]

total [all vessels]

363.50      Hereditary choroidal dystrophy or atrophy, unspecified

363.51      Circumpapillary dystrophy of choroid, partial

363.52      Circumpapillary dystrophy of choroid, total

Helicoid dystrophy of choroid

363.53      Central dystrophy of choroid, partial

Dystrophy, choroidal:

central areolar

circinate

363.54      Central choroidal atrophy, total

Dystrophy, choroidal:

central gyrate

serpiginous

363.55      Choroideremia

363.56      Other diffuse or generalized dystrophy, partial

Diffuse choroidal sclerosis

363.57      Other diffuse or generalized dystrophy, total

Generalized gyrate atrophy, choroid

363.6            Choroidal hemorrhage and rupture

363.61      Choroidal hemorrhage, unspecified

363.62      Expulsive choroidal hemorrhage

363.63      Choroidal rupture

363.7            Choroidal detachment

363.70      Choroidal detachment, unspecified

363.71      Serous choroidal detachment

363.72      Hemorrhagic choroidal detachment

363.8            Other disorders of choroid

363.9            Unspecified disorder of choroid

364            Disorders of iris and ciliary body

364.0            Acute and subacute iridocyclitis

Anterior uveitis, acute, subacute

Cyclitis, acute, subacute

Iridocyclitis, acute, subacute

Iritis, acute, subacute

Excludes:            gonococcal (098.41)

herpes simplex (054.44)

herpes zoster (053.22)

364.00      Acute and subacute iridocyclitis, unspecified

364.01      Primary iridocyclitis

364.02      Recurrent iridocyclitis

364.03      Secondary iridocyclitis, infectious

364.04      Secondary iridocyclitis, noninfectious

Aqueous:

cells

fibrin

flare

364.05      Hypopyon

364.1            Chronic iridocyclitis

Excludes:            posterior cyclitis (363.21)

364.10      Chronic iridocyclitis, unspecified

364.11      Chronic iridocyclitis in diseases classified elsewhere

Code first underlying disease, as:

sarcoidosis (135)

tuberculosis (017.3)

Excludes:            syphilitic iridocyclitis (091.52)

364.2            Certain types of iridocyclitis

Excludes:            posterior cyclitis (363.21)

sympathetic uveitis (360.11)

364.21      Fuchs' heterochromic cyclitis

364.22      Glaucomatocyclitic crises

364.23      Lens-induced iridocyclitis

364.24      Vogt-Koyanagi syndrome

364.3            Unspecified iridocyclitis

Uveitis NOS

364.4            Vascular disorders of iris and ciliary body

364.41      Hyphema

Hemorrhage of iris or ciliary body

364.42      Rubeosis iridis

Neovascularization of iris or ciliary body

364.5            Degenerations of iris and ciliary body

364.51      Essential or progressive iris atrophy

364.52      Iridoschisis

364.53      Pigmentary iris degeneration

Acquired heterochromia of iris

Pigment dispersion syndrome of iris

Translucency of iris

364.54      Degeneration of pupillary margin

Atrophy of sphincter of iris

Ectropion of pigment epithelium of iris

364.55      Miotic cysts of pupillary margin

364.56      Degenerative changes of chamber angle

364.57      Degenerative changes of ciliary body

364.59      Other iris atrophy

Iris atrophy (generalized) (sector shaped)

364.6            Cysts of iris, ciliary body, and anterior chamber

Excludes:            miotic pupillary cyst (364.55)

parasitic cyst (360.13)

364.60      Idiopathic cysts

364.61      Implantation cysts

Epithelial down-growth, anterior chamber

Implantation cysts (surgical) (traumatic)

364.62      Exudative cysts of iris or anterior chamber

364.63      Primary cyst of pars plana

364.64      Exudative cyst of pars plana

364.7            Adhesions and disruptions of iris and ciliary body

Excludes:            flat anterior chamber (360.34)

364.70      Adhesions of iris, unspecified

Synechiae (iris) NOS

364.71      Posterior synechiae

364.72      Anterior synechiae

364.73      Goniosynechiae

Peripheral anterior synechiae

364.74      Pupillary membranes

Iris bombé

Pupillary:

occlusion

seclusion

364.75      Pupillary abnormalities

Deformed pupil

Ectopic pupil

Rupture of sphincter, pupil

364.76      Iridodialysis

364.77      Recession of chamber angle

364.8            Other disorders of iris and ciliary body

Prolapse of iris NOS

Excludes:            prolapse of iris in recent wound (871.1)

364.9            Unspecified disorder of iris and ciliary body

365            Glaucoma

Excludes:            blind hypertensive eye [absolute glaucoma] (360.42)

congenital glaucoma (743.20-743.22)

365.0            Borderline glaucoma [glaucoma suspect]

365.00      Preglaucoma, unspecified

365.01      Open angle with borderline findings

Open angle with:

borderline intraocular pressure

cupping of optic discs

365.02      Anatomical narrow angle

365.03      Steroid responders

365.04      Ocular hypertension

365.1            Open-angle glaucoma

365.10      Open-angle glaucoma, unspecified

Wide-angle glaucoma NOS

365.11      Primary open angle glaucoma

Chronic simple glaucoma

365.12      Low tension glaucoma

365.13      Pigmentary glaucoma

365.14      Glaucoma of childhood

Infantile or juvenile glaucoma

365.15      Residual stage of open angle glaucoma

365.2            Primary angle-closure glaucoma

365.20      Primary angle-closure glaucoma, unspecified

365.21      Intermittent angle-closure glaucoma

Angle-closure glaucoma:

interval

subacute

365.22      Acute angle-closure glaucoma

365.23      Chronic angle-closure glaucoma

365.24      Residual stage of angle-closure glaucoma

365.3            Corticosteroid-induced glaucoma

365.31      Glaucomatous stage

365.32      Residual stage

365.4            Glaucoma associated with congenital anomalies, dystrophies, and systemic syndromes

365.41      Glaucoma associated with chamber angle anomalies

Code first associated disorder, as:

Axenfeld's anomaly (743.44)

Rieger's anomaly or syndrome (743.44)

365.42      Glaucoma associated with anomalies of iris

Code first associated disorder, as:

aniridia (743.45)

essential iris atrophy (364.51)

365.43      Glaucoma associated with other anterior segment anomalies

Code first associated disorder, as:

microcornea (743.41)

365.44      Glaucoma associated with systemic syndromes

Code first associated disease, as:

neurofibromatosis (237.7)

Sturge-Weber (-Dimitri) syndrome (759.6)

365.5            Glaucoma associated with disorders of the lens

365.51      Phacolytic glaucoma

Use additional code for associated hypermature cataract (366.18)

365.52      Pseudoexfoliation glaucoma

Use additional code for associated pseudoexfoliation of capsule (366.11)

365.59      Glaucoma associated with other lens disorders

Use additional code for associated disorder, as:

dislocation of lens (379.33-379.34)

spherophakia (743.36)

365.6            Glaucoma associated with other ocular disorders

365.60      Glaucoma associated with unspecified ocular disorder

365.61      Glaucoma associated with pupillary block

Use additional code for associated disorder, as:

seclusion of pupil [iris bombé] (364.74)

365.62      Glaucoma associated with ocular inflammations

Use additional code for associated disorder, as:

glaucomatocyclitic crises (364.22)

iridocyclitis (364.0-364.3)

365.63      Glaucoma associated with vascular disorders

Use additional code for associated disorder, as:

central retinal vein occlusion (362.35)

hyphema (364.41)

365.64      Glaucoma associated with tumors or cysts

Use additional code for associated disorder, as:

benign neoplasm (224.0-224.9)

epithelial down-growth (364.61)

malignant neoplasm (190.0-190.9)

365.65      Glaucoma associated with ocular trauma

Use additional code for associated condition, as:

contusion of globe (921.3)

recession of chamber angle (364.77)

365.8            Other specified forms of glaucoma

365.81      Hypersecretion glaucoma

365.82      Glaucoma with increased episcleral venous pressure

365.83      Aqueous misdirection

Malignant glaucoma

365.89      Other specified glaucoma

365.9            Unspecified glaucoma

366            Cataract

Excludes:            congenital cataract (743.30-743.34)

366.0            Infantile, juvenile, and presenile cataract

366.00      Nonsenile cataract, unspecified

366.01      Anterior subcapsular polar cataract

366.02      Posterior subcapsular polar cataract

366.03      Cortical, lamellar, or zonular cataract

366.04      Nuclear cataract

366.09      Other and combined forms of nonsenile cataract

366.1            Senile cataract

366.10      Senile cataract, unspecified

366.11      Pseudoexfoliation of lens capsule

366.12      Incipient cataract

Cataract:

coronary

immature NOS

punctate

Water clefts

366.13      Anterior subcapsular polar senile cataract

366.14      Posterior subcapsular polar senile cataract

366.15      Cortical senile cataract

366.16      Nuclear sclerosis

Cataracta brunescens

Nuclear cataract

366.17      Total or mature cataract

366.18      Hypermature cataract

Morgagni cataract

366.19      Other and combined forms of senile cataract

366.2            Traumatic cataract

366.20      Traumatic cataract, unspecified

366.21      Localized traumatic opacities

Vossius' ring

366.22      Total traumatic cataract

366.23      Partially resolved traumatic cataract

366.3            Cataract secondary to ocular disorders

366.30      Cataracta complicata, unspecified

366.31      Glaucomatous flecks (subcapsular)

Code first underlying glaucoma (365.0-365.9)

366.32      Cataract in inflammatory disorders

Code first underlying condition, as:

chronic choroiditis (363.0-363.2)

366.33      Cataract with neovascularization

Code first underlying condition, as:

chronic iridocyclitis (364.10)

366.34      Cataract in degenerative disorders

Sunflower cataract

Code first underlying condition, as:

chalcosis (360.24)

degenerative myopia (360.21)

pigmentary retinal dystrophy (362.74)

366.4            Cataract associated with other disorders

366.41      Diabetic cataract

Code first diabetes (250.5)

366.42      Tetanic cataract

Code first underlying disease as:

calcinosis (275.40)

hypoparathyroidism (252.1)

366.43      Myotonic cataract

Code first underlying disorder (359.2)

366.44      Cataract associated with other syndromes

Code first underlying condition, as:

craniofacial dysostosis (756.0)

galactosemia (271.1)

366.45      Toxic cataract

Drug-induced cataract

Use additional E to identify drug or other toxic substance

366.46      Cataract associated with radiation and other physical influences

Use additional E to identify cause

366.5            After-cataract

366.50      After-cataract, unspecified

Secondary cataract NOS

366.51      Soemmering's ring

366.52      Other after-cataract, not obscuring vision

366.53      After-cataract, obscuring vision

366.8            Other cataract

Calcification of lens

366.9            Unspecified cataract

367            Disorders of refraction and accommodation

367.0            Hypermetropia

Far-sightedness

Hyperopia

367.1            Myopia

Near-sightedness

367.2            Astigmatism

367.20      Astigmatism, unspecified

367.21      Regular astigmatism

367.22      Irregular astigmatism

367.3            Anisometropia and aniseikonia

367.31      Anisometropia

367.32      Aniseikonia

367.4            Presbyopia

367.5            Disorders of accommodation

367.51      Paresis of accommodation

Cycloplegia

367.52      Total or complete internal ophthalmoplegia

367.53      Spasm of accommodation

367.8            Other disorders of refraction and accommodation

367.81      Transient refractive change

367.89      Other

Drug-induced disorders of refraction and accommodation

Toxic disorders of refraction and accommodation

367.9            Unspecified disorder of refraction and accommodation

368       Visual disturbances

Excludes:            electrophysiological disturbances (794.11-794.14)

368.0            Amblyopia ex anopsia

368.00      Amblyopia, unspecified

368.01      Strabismic amblyopia

Suppression amblyopia

368.02      Deprivation amblyopia

368.03      Refractive amblyopia

368.1            Subjective visual disturbances

368.10      Subjective visual disturbance, unspecified

368.11      Sudden visual loss

368.12      Transient visual loss

Concentric fading

Scintillating scotoma

368.13      Visual discomfort

Asthenopia

Eye strain

Photophobia

368.14      Visual distortions of shape and size

Macropsia

Metamorphopsia

Micropsia

368.15      Other visual distortions and entoptic phenomena

Photopsia

Refractive:

diplopia

polyopia

Visual halos

368.16      Psychophysical visual disturbances

Visual:

agnosia

disorientation syndrome

hallucinations

368.2            Diplopia

Double vision

368.3            Other disorders of binocular vision

368.30      Binocular vision disorder, unspecified

368.31      Suppression of binocular vision

368.32      Simultaneous visual perception without fusion

368.33      Fusion with defective stereopsis

368.34      Abnormal retinal correspondence

368.4            Visual field defects

368.40      Visual field defect, unspecified

368.41      Scotoma involving central area

Scotoma:

central

centrocecal

paracentral

368.42      Scotoma of blind spot area

Enlarged:

angioscotoma

blind spot

Paracecal scotoma

368.43      Sector or arcuate defects

Scotoma:

arcuate

Bjerrum

Seidel

368.44      Other localized visual field defect

Scotoma:

NOS

ring

Visual field defect:

nasal step

peripheral

368.45      Generalized contraction or constriction

368.46      Homonymous bilateral field defects

Hemianopsia (altitudinal) (homonymous)

Quadrant anopia

368.47      Heteronymous bilateral field defects

Hemianopsia:

binasal

bitemporal

368.5            Color vision deficiencies

Color blindness

368.51      Protan defect

Protanomaly

Protanopia

368.52      Deutan defect

Deuteranomaly

Deuteranopia

368.53      Tritan defect

Tritanomaly

Tritanopia

368.54      Achromatopsia

Monochromatism (cone) (rod)

368.55      Acquired color vision deficiencies

368.59      Other color vision deficiencies

368.6            Night blindness

368.60      Night blindness, unspecified

368.61      Congenital night blindness

Hereditary night blindness

Oguchi's disease

368.62      Acquired night blindness

Excludes:            that due to vitamin A deficiency (264.5)

368.63      Abnormal dark adaptation curve

Abnormal threshold of cones or rods

Delayed adaptation of cones or rods

368.69      Other night blindness

368.8            Other specified visual disturbances

Blurred vision NOS

368.9            Unspecified visual disturbance

369            Blindness and low vision

Excludes:            correctable impaired vision due to refractive errors (367.0-367.9)

Note:    Visual impairment refers to a functional limitation of the eye (e.g., limited visual acuity or visual field). It should be distinguished from visual disability, indicating a limitation of the abilities of the individual (e.g., limited reading skills, vocational skills), and from visual handicap, indicating a limitation of personal and socioeconomic independence (e.g., limited mobility, limited employability).

The levels of impairment defined in the table after 369.9 are based on the recommendations of the WHO Study Group on Prevention of Blindness (Geneva, November 6-10, 1972; WHO Technical Report Series 518), and of the International Council of Ophthalmology (1976).

Note that definitions of blindness vary in different settings.

For international reporting, WHO defines blindness as profound impairment. This definition can be applied to blindness of one eye (369.1, 369.6) and to blindness of the individual (369.0).

For determination of benefits in the U.S.A., the definition of legal blindness as severe impairment is often used.  This definition applies to blindness of the individual only.

369.0            Profound impairment, both eyes

369.00      Impairment level not further specified

Blindness:

NOS according to WHO definition

both eyes

369.01      Better eye:  total impairment; lesser eye:  total impairment

369.02      Better eye:  near-total impairment; lesser eye:  not further specified

369.03      Better eye:  near-total impairment; lesser eye:  total impairment

369.04      Better eye:  near-total impairment; lesser eye:  near-total impairment

369.05      Better eye:  profound impairment; lesser eye:  not further specified

369.06      Better eye:  profound impairment; lesser eye:  total impairment

369.07      Better eye:  profound impairment; lesser eye:  near-total impairment

369.08      Better eye:  profound impairment; lesser eye:  profound impairment

369.1            Moderate or severe impairment, better eye, profound impairment lesser eye

369.10      Impairment level not further specified

Blindness, one eye, low vision other eye

369.11      Better eye:  severe impairment; lesser eye:  blind, not further specified

369.12      Better eye:  severe impairment; lesser eye:  total impairment

369.13      Better eye:  severe impairment; lesser eye:  near-total impairment

369.14      Better eye:  severe impairment; lesser eye:  profound impairment

369.15      Better eye:  moderate impairment; lesser eye:  blind, not further specified

369.16      Better eye:  moderate impairment; lesser eye:  total impairment

369.17      Better eye:  moderate impairment; lesser eye:  near-total impairment

369.18      Better eye:  moderate impairment; lesser eye:  profound impairment

369.2            Moderate or severe impairment, both eyes

369.20      Impairment level not further specified

Low vision, both eyes NOS

369.21      Better eye:  severe impairment; lesser eye:  not further specified

369.22      Better eye:  severe impairment; lesser eye:  severe impairment

369.23      Better eye:  moderate impairment; lesser eye:  not further specified

369.24      Better eye:  moderate impairment; lesser eye:  severe impairment

369.25      Better eye:  moderate impairment; lesser eye:  moderate impairment

369.3            Unqualified visual loss, both eyes

Excludes:            blindness NOS:

legal [U.S.A. definition] (369.4)

WHO definition (369.00)

369.4            Legal blindness, as defined in U.S.A.

Blindness NOS according to U.S.A. definition

Excludes:            legal blindness with specification of impairment level (369.01-369.08, 369.11-369.14, 369.21-369.22)

369.6            Profound impairment, one eye

369.60      Impairment level not further specified

Blindness, one eye

369.61      One eye:  total impairment; other eye:  not specified

369.62      One eye:  total impairment; other eye:  near-normal vision

369.63      One eye:  total impairment; other eye:  normal vision

369.64      One eye:  near-total impairment; other eye:  not specified

369.65      One eye:  near-total impairment; other eye:  near-normal vision

369.66      One eye:  near-total impairment; other eye:  normal vision

369.67      One eye:  profound impairment; other eye:  not specified

369.68      One eye:  profound impairment; other eye:  near-normal vision

369.69      One eye:  profound impairment; other eye:  normal vision

369.7            Moderate or severe impairment, one eye

369.70      Impairment level not further specified

Low vision, one eye

369.71      One eye:  severe impairment; other eye:  not specified

369.72      One eye:  severe impairment; other eye:  near-normal vision

369.73      One eye:  severe impairment; other eye:  normal vision

369.74      One eye:  moderate impairment; other eye:  not specified

369.75      One eye:  moderate impairment; other eye:  near-normal vision

369.76      One eye:  moderate impairment; other eye:  normal vision

369.8            Unqualified visual loss, one eye

369.9            Unspecified visual loss

----------------------------------------------------------------------
                   |                                   |  Additional
Classification     |   LEVELS OF VISUAL IMPAIRMENT     |   descriptors
-------------------------------------------------------|   which may
        |          | Visual acuity and/or visual field |   be en-
"legal" |  WHO     |  limitation (whichever is worse)  |   countered
--------|----------|-----------------------------------|--------------
        |          |                                   |
        |          |     RANGE OF NORMAL VISION        |
        |          | 20/10  20/13  20/16  20/20  20/25 |
        | (NEAR-)  |  2.0    1.6    1.25   1.0    0.8  |
        | NORMAL   |-----------------------------------|--------------
        | VISION   |                                   |
        |          |     NEAR-NORMAL VISION            |
        |          |        20/30  20/40  20/50  20/60 |
        |          |  0.7    0.6    0.5    0.4    0.3  |
        |----------|-----------------------------------|--------------
        |          |     MODERATE VISUAL IMPAIRMENT    |
        |          | 20/70  20/80  20/100 20/125 20/160| Moderate 
        | LOW      |         0.25   0.20   0.16   0.12 |    low vision
--------| VISION   |-----------------------------------|--------------
        |          |     SEVERE VISUAL IMPAIRMENT      | Severe
        |          | 20/200 20/250 20/320 20/400       |    low vision,
        |          |  0.10   0.08   0.06   0.05        | "Legal"
        |          | Visual field: 20 degrees or less  |    blindness
        |----------|-----------------------------------|--------------
LEGAL   |          |      PROFOUND VISUAL IMPAIRMENT   | Profound
BLIND-  |          | 20/500 20/630 20/800 20/1000      |    low vision,
NESS    |          |  0.04   0.03   0.025  0.02        | Moderate
(U.S.A.)|          |                                   |    blindness
        | BLINDNESS|  Count fingers at: less than 3m   |
        |          |                        (10 ft)    |
        |          |  Visual field: 10 degrees or less | 
        |          |-----------------------------------|--------------
        |          |    NEAR-TOTAL VISUAL IMPAIRMENT   | Severe
        |          | Visual acuity: less than 0.02     |    blindness,
        |          |                   (20/1000)       |
        |          |                                   |
both    |  (WHO)   | Count fingers: 1m (3 ft) or less  |
eyes    |          | Hand movements: 5m (15 ft) or less| Near-total
        |  one or  | Light projection, light perception|    blindness
        |  both    | Visual field: 5 degrees or less   |
        |  eyes    |-----------------------------------|--------------
        |          |    TOTAL VISUAL IMPAIRMENT        | Total
        |          | No light perception (NLP)         |    blindness
--------|----------|--------------------------------------------------  
Visual acuity refers to best achievable acuity with correction.

Non-listed Snellen fractions may be classified by converting to the nearest decimal equivalent, e.g. 10/200 = 0.05, 6/30 = 0.20.

CF (count fingers) without designation of distance, may be classified to profound impairment.

HM (hand motion) without designation of distance, may be classified to near-total impairment.

Visual field measurements refer to the largest field diameter for a 1/100 white test object.

370       Keratitis

370.0            Corneal ulcer

Excludes:            that due to vitamin A deficiency (264.3)

370.00      Corneal ulcer, unspecified

370.01      Marginal corneal ulcer

370.02      Ring corneal ulcer

370.03      Central corneal ulcer

370.04      Hypopyon ulcer

Serpiginous ulcer

370.05      Mycotic corneal ulcer

370.06      Perforated corneal ulcer

370.07      Mooren's ulcer

370.2            Superficial keratitis without conjunctivitis

Excludes:            dendritic [herpes simplex] keratitis (054.42)

370.20      Superficial keratitis, unspecified

370.21      Punctate keratitis

Thygeson's superficial punctate keratitis

370.22      Macular keratitis

Keratitis:

areolar

nummular

stellate

striate

370.23      Filamentary keratitis

370.24      Photokeratitis

Snow blindness

Welders' keratitis

370.3            Certain types of keratoconjunctivitis

370.31      Phlyctenular keratoconjunctivitis

Phlyctenulosis

Use additional code for any associated tuberculosis (017.3)

370.32      Limbar and corneal involvement in vernal conjunctivitis

Use additional code for vernal conjunctivitis (372.13)

370.33      Keratoconjunctivitis sicca, not specified as Sjögren's

Excludes:            Sjögren's syndrome (710.2)

370.34      Exposure keratoconjunctivitis

370.35      Neurotrophic keratoconjunctivitis

370.4            Other and unspecified keratoconjunctivitis

370.40      Keratoconjunctivitis, unspecified

Superficial keratitis with conjunctivitis NOS

370.44      Keratitis or keratoconjunctivitis in exanthema

Code first underlying condition (050.0-052.9)

Excludes:            herpes simplex (054.43)

herpes zoster (053.21)

measles (055.71)

370.49      Other

Excludes:            epidemic keratoconjunctivitis (077.1)

370.5            Interstitial and deep keratitis

370.50      Interstitial keratitis, unspecified

370.52      Diffuse interstitial keratitis

Cogan's syndrome

370.54      Sclerosing keratitis

370.55      Corneal abscess

370.59      Other

Excludes:            disciform herpes simplex keratitis (054.43)

syphilitic keratitis (090.3)

370.6            Corneal neovascularization

370.60      Corneal neovascularization, unspecified

370.61      Localized vascularization of cornea

370.62      Pannus (corneal)

370.63      Deep vascularization of cornea

370.64      Ghost vessels (corneal)

370.8            Other forms of keratitis

370.9            Unspecified keratitis

371       Corneal opacity and other disorders of cornea

371.0            Corneal scars and opacities

Excludes:            that due to vitamin A deficiency (264.6)

371.00      Corneal opacity, unspecified

Corneal scar NOS

371.01      Minor opacity of cornea

Corneal nebula

371.02      Peripheral opacity of cornea

Corneal macula not interfering with central vision

371.03      Central opacity of cornea

Corneal:

leucoma interfering with central vision

macula interfering with central vision

371.04      Adherent leucoma

371.05      Phthisical cornea

Code first underlying tuberculosis (017.3)

371.1            Corneal pigmentations and deposits

371.10      Corneal deposit, unspecified

371.11      Anterior pigmentations

Stähli's lines

371.12      Stromal pigmentations

Hematocornea

371.13      Posterior pigmentations

Krukenberg spindle

371.14      Kayser-Fleischer ring

371.15      Other deposits associated with metabolic disorders

371.16      Argentous deposits

371.2            Corneal edema

371.20      Corneal edema, unspecified

371.21      Idiopathic corneal edema

371.22      Secondary corneal edema

371.23      Bullous keratopathy

371.24      Corneal edema due to wearing of contact lenses

371.3            Changes of corneal membranes

371.30      Corneal membrane change, unspecified

371.31      Folds and rupture of Bowman's membrane

371.32      Folds in Descemet's membrane

371.33      Rupture in Descemet's membrane

371.4            Corneal degenerations

371.40      Corneal degeneration, unspecified

371.41      Senile corneal changes

Arcus senilis

Hassall-Henle bodies

371.42      Recurrent erosion of cornea

Excludes:            Mooren's ulcer (370.07)

371.43      Band-shaped keratopathy

371.44      Other calcerous degenerations of cornea

371.45      Keratomalacia NOS

Excludes:            that due to vitamin A deficiency (264.4)

371.46      Nodular degeneration of cornea

Salzmann's nodular dystrophy

371.48      Peripheral degenerations of cornea

Marginal degeneration of cornea [Terrien's]

371.49      Other

Discrete colliquative keratopathy

371.5            Hereditary corneal dystrophies

371.50      Corneal dystrophy, unspecified

371.51      Juvenile epithelial corneal dystrophy

371.52      Other anterior corneal dystrophies

Corneal dystrophy:

microscopic cystic

ring-like

371.53      Granular corneal dystrophy

371.54      Lattice corneal dystrophy

371.55      Macular corneal dystrophy

371.56      Other stromal corneal dystrophies

Crystalline corneal dystrophy

371.57      Endothelial corneal dystrophy

Combined corneal dystrophy

Cornea guttata

Fuchs' endothelial dystrophy

371.58      Other posterior corneal dystrophies

Polymorphous corneal dystrophy

371.6            Keratoconus

371.60      Keratoconus, unspecified

371.61      Keratoconus, stable condition

371.62      Keratoconus, acute hydrops

371.7            Other corneal deformities

371.70      Corneal deformity, unspecified

371.71      Corneal ectasia

371.72      Descemetocele

371.73      Corneal staphyloma

371.8            Other corneal disorders

371.81      Corneal anesthesia and hypoesthesia

371.82      Corneal disorder due to contact lens

Excludes:            corneal edema due to contact lens (371.24)

371.89      Other

371.9            Unspecified corneal disorder

372            Disorders of conjunctiva

Excludes:            keratoconjunctivitis (370.3-370.4)

372.0            Acute conjunctivitis

372.00      Acute conjunctivitis, unspecified

372.01      Serous conjunctivitis, except viral

Excludes:            viral conjunctivitis NOS (077.9)

372.02      Acute follicular conjunctivitis

Conjunctival folliculosis NOS

Excludes:            conjunctivitis:

adenoviral (acute follicular) (077.3)

epidemic hemorrhagic (077.4)

inclusion (077.0)

Newcastle (077.8)

epidemic keratoconjunctivitis (077.1)

pharyngoconjunctival fever (077.2)

372.03      Other mucopurulent conjunctivitis

Catarrhal conjunctivitis

Excludes:            blennorrhea neonatorum (gonococcal) (098.40)

neonatal conjunctivitis (771.6)

ophthalmia neonatorum NOS (771.6)

372.04      Pseudomembranous conjunctivitis

Membranous conjunctivitis

Excludes:            diphtheritic conjunctivitis (032.81)

372.05      Acute atopic conjunctivitis

372.1            Chronic conjunctivitis

372.10      Chronic conjunctivitis, unspecified

372.11      Simple chronic conjunctivitis

372.12      Chronic follicular conjunctivitis

372.13      Vernal conjunctivitis

372.14      Other chronic allergic conjunctivitis

372.15      Parasitic conjunctivitis

Code first underlying disease as:

filariasis (125.0-125.9)

mucocutaneous leishmaniasis (085.5)

372.2            Blepharoconjunctivitis

372.20      Blepharoconjunctivitis, unspecified

372.21      Angular blepharoconjunctivitis

372.22      Contact blepharoconjunctivitis

372.3            Other and unspecified conjunctivitis

372.30      Conjunctivitis, unspecified

372.31      Rosacea conjunctivitis

Code first underlying rosacea dermatitis (695.3)

372.33      Conjunctivitis in mucocutaneous disease

Code first underlying disease as:

erythema multiforme (695.1)

Reiter's disease (099.3)

Excludes:            ocular pemphigoid (694.61)

372.39      Other

372.4            Pterygium

Excludes:            pseudopterygium (372.52)

372.40      Pterygium, unspecified

372.41      Peripheral pterygium, stationary

372.42      Peripheral pterygium, progressive

372.43      Central pterygium

372.44      Double pterygium

372.45      Recurrent pterygium

372.5            Conjunctival degenerations and deposits

372.50      Conjunctival degeneration, unspecified

372.51      Pinguecula

372.52      Pseudopterygium

372.53      Conjunctival xerosis

Excludes:            conjunctival xerosis due to vitamin A deficiency (264.0, 264.1, 264.7)

372.54      Conjunctival concretions

372.55      Conjunctival pigmentations

Conjunctival argyrosis

372.56      Conjunctival deposits

372.6            Conjunctival scars

372.61      Granuloma of conjunctiva

372.62      Localized adhesions and strands of conjunctiva

372.63      Symblepharon

Extensive adhesions of conjunctiva

372.64      Scarring of conjunctiva

Contraction of eye socket (after enucleation)

372.7            Conjunctival vascular disorders and cysts

372.71      Hyperemia of conjunctiva

372.72      Conjunctival hemorrhage

Hyposphagma

Subconjunctival hemorrhage

372.73      Conjunctival edema

Chemosis of conjunctiva

Subconjunctival edema

372.74      Vascular abnormalities of conjunctiva

Aneurysm(ata) of conjunctiva

372.75      Conjunctival cysts

372.8            Other disorders of conjunctiva

372.81      Conjunctivochalasis

372.89      Other disorders of conjunctiva

372.9            Unspecified disorder of conjunctiva

373            Inflammation of eyelids

373.0            Blepharitis

Excludes:            blepharoconjunctivitis (372.20-372.22)

373.00      Blepharitis, unspecified

373.01      Ulcerative blepharitis

373.02      Squamous blepharitis

373.1            Hordeolum and other deep inflammation of eyelid

373.11      Hordeolum externum

Hordeolum NOS

Stye

373.12      Hordeolum internum

Infection of meibomian gland

373.13      Abscess of eyelid

Furuncle of eyelid

373.2            Chalazion

Meibomian (gland) cyst

Excludes:            infected meibomian gland (373.12)

373.3            Noninfectious dermatoses of eyelid

373.31      Eczematous dermatitis of eyelid

373.32      Contact and allergic dermatitis of eyelid

373.33      Xeroderma of eyelid

373.34      Discoid lupus erythematosus of eyelid

373.4            Infective dermatitis of eyelid of types resulting in deformity

Code first underlying disease, as:

leprosy (030.0-030.9)

lupus vulgaris (tuberculous) (017.0)

yaws (102.0-102.9)

373.5            Other infective dermatitis of eyelid

Code first underlying disease, as:

actinomycosis (039.3)

impetigo (684)

mycotic dermatitis (110.0-111.9)

vaccinia (051.0)

postvaccination (999.0)

Excludes:            herpes:

simplex (054.41)

zoster (053.20)

373.6            Parasitic infestation of eyelid

Code first underlying disease, as:

leishmaniasis (085.0-085.9)

loiasis (125.2)

onchocerciasis (125.3)

pediculosis (132.0)

373.8            Other inflammations of eyelids

373.9            Unspecified inflammation of eyelid

374       Other disorders of eyelids

374.0            Entropion and trichiasis of eyelid

374.00      Entropion, unspecified

374.01      Senile entropion

374.02      Mechanical entropion

374.03      Spastic entropion

374.04      Cicatricial entropion

374.05      Trichiasis without entropion

374.1            Ectropion

374.10      Ectropion, unspecified

374.11      Senile ectropion

374.12      Mechanical ectropion

374.13      Spastic ectropion

374.14      Cicatricial ectropion

374.2            Lagophthalmos

374.20      Lagophthalmos, unspecified

374.21      Paralytic lagophthalmos

374.22      Mechanical lagophthalmos

374.23      Cicatricial lagophthalmos

374.3            Ptosis of eyelid

374.30      Ptosis of eyelid, unspecified

374.31      Paralytic ptosis

374.32      Myogenic ptosis

374.33      Mechanical ptosis

374.34      Blepharochalasis

Pseudoptosis

374.4            Other disorders affecting eyelid function

Excludes:            blepharoclonus (333.81)

blepharospasm (333.81)

facial nerve palsy (351.0)

third nerve palsy or paralysis (378.51-378.52)

tic (psychogenic) (307.20-307.23)

organic (333.3)

374.41      Lid retraction or lag

374.43      Abnormal innervation syndrome

Jaw-blinking

Paradoxical facial movements

374.44      Sensory disorders

374.45      Other sensorimotor disorders

Deficient blink reflex

374.46      Blepharophimosis

Ankyloblepharon

374.5            Degenerative disorders of eyelid and periocular area

374.50      Degenerative disorder of eyelid, unspecified

374.51      Xanthelasma

Xanthoma (planum) (tuberosum) of eyelid

Code first underlying condition (272.0-272.9)

374.52      Hyperpigmentation of eyelid

Chloasma

Dyspigmentation

374.53      Hypopigmentation of eyelid

Vitiligo of eyelid

374.54      Hypertrichosis of eyelid

374.55      Hypotrichosis of eyelid

Madarosis of eyelid

374.56      Other degenerative disorders of skin affecting eyelid

374.8            Other disorders of eyelid

374.81      Hemorrhage of eyelid

Excludes:            black eye (921.0)

374.82      Edema of eyelid

Hyperemia of eyelid

374.83      Elephantiasis of eyelid

374.84      Cysts of eyelids

Sebaceous cyst of eyelid

374.85      Vascular anomalies of eyelid

374.86      Retained foreign body of eyelid

374.87      Dermatochalasis

374.89      Other disorders of eyelid

374.9            Unspecified disorder of eyelid

375            Disorders of lacrimal system

375.0            Dacryoadenitis

375.00      Dacryoadenitis, unspecified

375.01      Acute dacryoadenitis

375.02      Chronic dacryoadenitis

375.03      Chronic enlargement of lacrimal gland

375.1            Other disorders of lacrimal gland

375.11      Dacryops

375.12      Other lacrimal cysts and cystic degeneration

375.13      Primary lacrimal atrophy

375.14      Secondary lacrimal atrophy

375.15      Tear film insufficiency, unspecified

Dry eye syndrome

375.16      Dislocation of lacrimal gland

375.2            Epiphora

375.20      Epiphora, unspecified as to cause

375.21      Epiphora due to excess lacrimation

375.22      Epiphora due to insufficient drainage

375.3            Acute and unspecified inflammation of lacrimal passages

Excludes:            neonatal dacryocystitis (771.6)

375.30      Dacryocystitis, unspecified

375.31      Acute canaliculitis, lacrimal

375.32      Acute dacryocystitis

Acute peridacryocystitis

375.33      Phlegmonous dacryocystitis

375.4            Chronic inflammation of lacrimal passages

375.41      Chronic canaliculitis

375.42      Chronic dacryocystitis

375.43      Lacrimal mucocele

375.5            Stenosis and insufficiency of lacrimal passages

375.51      Eversion of lacrimal punctum

375.52      Stenosis of lacrimal punctum

375.53      Stenosis of lacrimal canaliculi

375.54      Stenosis of lacrimal sac

375.55      Obstruction of nasolacrimal duct, neonatal

Excludes:            congenital anomaly of nasolacrimal duct (743.65)

375.56      Stenosis of nasolacrimal duct, acquired

375.57      Dacryolith

375.6            Other changes of lacrimal passages

375.61      Lacrimal fistula

375.69      Other

375.8            Other disorders of lacrimal system

375.81      Granuloma of lacrimal passages

375.89      Other

375.9            Unspecified disorder of lacrimal system

376            Disorders of the orbit

376.0            Acute inflammation of orbit

376.00      Acute inflammation of orbit, unspecified

376.01      Orbital cellulitis

Abscess of orbit

376.02      Orbital periostitis

376.03      Orbital osteomyelitis

376.04      Tenonitis

376.1            Chronic inflammatory disorders of orbit

376.10      Chronic inflammation of orbit, unspecified

376.11      Orbital granuloma

Pseudotumor (inflammatory) of orbit

376.12      Orbital myositis

376.13      Parasitic infestation of orbit

Code first underlying disease, as:

hydatid infestation of orbit (122.3, 122.6, 122.9)

myiasis of orbit (134.0)

376.2            Endocrine exophthalmos

Code first underlying thyroid disorder (242.0-242.9)

376.21      Thyrotoxic exophthalmos

376.22      Exophthalmic ophthalmoplegia

376.3            Other exophthalmic conditions

376.30      Exophthalmos, unspecified

376.31      Constant exophthalmos

376.32      Orbital hemorrhage

376.33      Orbital edema or congestion

376.34      Intermittent exophthalmos

376.35      Pulsating exophthalmos

376.36      Lateral displacement of globe

376.4            Deformity of orbit

376.40      Deformity of orbit, unspecified

376.41      Hypertelorism of orbit

376.42      Exostosis of orbit

376.43      Local deformities due to bone disease

376.44      Orbital deformities associated with craniofacial deformities

376.45      Atrophy of orbit

376.46      Enlargement of orbit

376.47      Deformity due to trauma or surgery

376.5            Enophthalmos

376.50      Enophthalmos, unspecified as to cause

376.51      Enophthalmos due to atrophy of orbital tissue

376.52      Enophthalmos due to trauma or surgery

376.6            Retained (old) foreign body following penetrating wound of orbit

Retrobulbar foreign body

376.8            Other orbital disorders

376.81      Orbital cysts

Encephalocele of orbit

376.82      Myopathy of extraocular muscles

376.89      Other

376.9            Unspecified disorder of orbit

377            Disorders of optic nerve and visual pathways

377.0            Papilledema

377.00      Papilledema, unspecified

377.01      Papilledema associated with increased intracranial pressure

377.02      Papilledema associated with decreased ocular pressure

377.03      Papilledema associated with retinal disorder

377.04      Foster-Kennedy syndrome

377.1            Optic atrophy

377.10      Optic atrophy, unspecified

377.11      Primary optic atrophy

Excludes:            neurosyphilitic optic atrophy (094.84)

377.12      Postinflammatory optic atrophy

377.13      Optic atrophy associated with retinal dystrophies

377.14      Glaucomatous atrophy [cupping] of optic disc

377.15      Partial optic atrophy

Temporal pallor of optic disc

377.16      Hereditary optic atrophy

Optic atrophy:

dominant hereditary

Leber's

377.2            Other disorders of optic disc

377.21      Drusen of optic disc

377.22      Crater-like holes of optic disc

377.23      Coloboma of optic disc

377.24      Pseudopapilledema

377.3            Optic neuritis

Excludes:            meningococcal optic neuritis (036.81)

377.30      Optic neuritis, unspecified

377.31      Optic papillitis

377.32      Retrobulbar neuritis (acute)

Excludes:            syphilitic retrobulbar neuritis (094.85)

377.33      Nutritional optic neuropathy

377.34      Toxic optic neuropathy

Toxic amblyopia

377.39      Other

Excludes:            ischemic optic neuropathy (377.41)

377.4            Other disorders of optic nerve

377.41      Ischemic optic neuropathy

377.42      Hemorrhage in optic nerve sheaths

377.49      Other

Compression of optic nerve

377.5            Disorders of optic chiasm

377.51      Associated with pituitary neoplasms and disorders

377.52      Associated with other neoplasms

377.53      Associated with vascular disorders

377.54      Associated with inflammatory disorders

377.6            Disorders of other visual pathways

377.61      Associated with neoplasms

377.62      Associated with vascular disorders

377.63      Associated with inflammatory disorders

377.7            Disorders of visual cortex

Excludes:            visual:

agnosia (368.16)

hallucinations (368.16)

halos (368.15)

377.71      Associated with neoplasms

377.72      Associated with vascular disorders

377.73      Associated with inflammatory disorders

377.75      Cortical blindness

377.9            Unspecified disorder of optic nerve and visual pathways

378            Strabismus and other disorders of binocular eye movements

Excludes:            nystagmus and other irregular eye movements (379.50-379.59)

378.0            Esotropia

Convergent concomitant strabismus

Excludes:            intermittent esotropia (378.20-378.22)

378.00      Esotropia, unspecified

378.01      Monocular esotropia

378.02      Monocular esotropia with A pattern

378.03      Monocular esotropia with V pattern

378.04      Monocular esotropia with other noncomitancies

Monocular esotropia with X or Y pattern

378.05      Alternating esotropia

378.06      Alternating esotropia with A pattern

378.07      Alternating esotropia with V pattern

378.08      Alternating esotropia with other noncomitancies

Alternating esotropia with X or Y pattern

378.1            Exotropia

Divergent concomitant strabismus

Excludes:            intermittent exotropia (378.20, 378.23-378.24)

378.10      Exotropia, unspecified

378.11      Monocular exotropia

378.12      Monocular exotropia with A pattern

378.13      Monocular exotropia with V pattern

378.14      Monocular exotropia with other noncomitancies

Monocular exotropia with X or Y pattern

378.15      Alternating exotropia

378.16      Alternating exotropia with A pattern

378.17      Alternating exotropia with V pattern

378.18      Alternating exotropia with other noncomitancies

Alternating exotropia with X or Y pattern

378.2            Intermittent heterotropia

Excludes:            vertical heterotropia (intermittent) (378.31)

378.20      Intermittent heterotropia, unspecified

Intermittent:

esotropia NOS

exotropia NOS

378.21      Intermittent esotropia, monocular

378.22      Intermittent esotropia, alternating

378.23      Intermittent exotropia, monocular

378.24      Intermittent exotropia, alternating

378.3            Other and unspecified heterotropia

378.30      Heterotropia, unspecified

378.31      Hypertropia

Vertical heterotropia (constant) (intermittent)

378.32      Hypotropia

378.33      Cyclotropia

378.34      Monofixation syndrome

Microtropia

378.35      Accommodative component in esotropia

378.4            Heterophoria

378.40      Heterophoria, unspecified

378.41      Esophoria

378.42      Exophoria

378.43      Vertical heterophoria

378.44      Cyclophoria

378.45      Alternating hyperphoria

378.5            Paralytic strabismus

378.50      Paralytic strabismus, unspecified

378.51      Third or oculomotor nerve palsy, partial

378.52      Third or oculomotor nerve palsy, total

378.53      Fourth or trochlear nerve palsy

378.54      Sixth or abducens nerve palsy

378.55      External ophthalmoplegia

378.56      Total ophthalmoplegia

378.6            Mechanical strabismus

378.60      Mechanical strabismus, unspecified

378.61      Brown's (tendon) sheath syndrome

378.62      Mechanical strabismus from other musculofascial disorders

378.63      Limited duction associated with other conditions

378.7            Other specified strabismus

378.71      Duane's syndrome

378.72      Progressive external ophthalmoplegia

378.73      Strabismus in other neuromuscular disorders

378.8            Other disorders of binocular eye movements

Excludes:            nystagmus (379.50-379.56)

378.81      Palsy of conjugate gaze

378.82      Spasm of conjugate gaze

378.83      Convergence insufficiency or palsy

378.84      Convergence excess or spasm

378.85      Anomalies of divergence

378.86      Internuclear ophthalmoplegia

378.87      Other dissociated deviation of eye movements

Skew deviation

378.9            Unspecified disorder of eye movements

Ophthalmoplegia NOS

Strabismus NOS

379       Other disorders of eye

379.0            Scleritis and episcleritis

Excludes:            syphilitic episcleritis (095.0)

379.00      Scleritis, unspecified

Episcleritis NOS

379.01      Episcleritis periodica fugax

379.02      Nodular episcleritis

379.03      Anterior scleritis

379.04      Scleromalacia perforans

379.05      Scleritis with corneal involvement

Scleroperikeratitis

379.06      Brawny scleritis

379.07      Posterior scleritis

Sclerotenonitis

379.09      Other

Scleral abscess

379.1            Other disorders of sclera

Excludes:            blue sclera (743.47)

379.11      Scleral ectasia

Scleral staphyloma NOS

379.12      Staphyloma posticum

379.13      Equatorial staphyloma

379.14      Anterior staphyloma, localized

379.15      Ring staphyloma

379.16      Other degenerative disorders of sclera

379.19      Other

379.2            Disorders of vitreous body

379.21      Vitreous degeneration

Vitreous:

cavitation

detachment

liquefaction

379.22      Crystalline deposits in vitreous

Asteroid hyalitis

Synchysis scintillans

379.23      Vitreous hemorrhage

379.24      Other vitreous opacities

Vitreous floaters

379.25      Vitreous membranes and strands

379.26      Vitreous prolapse

379.29      Other disorders of vitreous

Excludes:            vitreous abscess (360.04)

379.3            Aphakia and other disorders of lens

Excludes:            after-cataract (366.50-366.53)

379.31      Aphakia

Excludes:            cataract extraction status (V45.61)

379.32      Subluxation of lens

379.33      Anterior dislocation of lens

379.34      Posterior dislocation of lens

379.39      Other disorders of lens

379.4            Anomalies of pupillary function

379.40      Abnormal pupillary function, unspecified

379.41      Anisocoria

379.42      Miosis (persistent), not due to miotics

379.43      Mydriasis (persistent), not due to mydriatics

379.45      Argyll Robertson pupil, atypical

Argyll Robertson phenomenon or pupil, nonsyphilitic

Excludes:            Argyll Robertson pupil (syphilitic) (094.89)

379.46      Tonic pupillary reaction

Adie's pupil or syndrome

379.49      Other

Hippus

Pupillary paralysis

379.5            Nystagmus and other irregular eye movements

379.50      Nystagmus, unspecified

379.51      Congenital nystagmus

379.52      Latent nystagmus

379.53      Visual deprivation nystagmus

379.54      Nystagmus associated with disorders of the vestibular system

379.55      Dissociated nystagmus

379.56      Other forms of nystagmus

379.57      Deficiencies of saccadic eye movements

Abnormal optokinetic response

379.58      Deficiencies of smooth pursuit movements

379.59      Other irregularities of eye movements

Opsoclonus

379.8            Other specified disorders of eye and adnexa

379.9            Unspecified disorder of eye and adnexa

379.90      Disorder of eye, unspecified

379.91      Pain in or around eye

379.92      Swelling or mass of eye

379.93      Redness or discharge of eye

379.99      Other ill-defined disorders of eye

Excludes:            blurred vision NOS (368.8)

DISEASES OF THE EAR AND MASTOID PROCESS (380-389)

380            Disorders of external ear

380.0            Perichondritis of pinna

Perichondritis of auricle

380.00      Perichondritis of pinna, unspecified

380.01      Acute perichondritis of pinna

380.02      Chronic perichondritis of pinna

380.1            Infective otitis externa

380.10      Infective otitis externa, unspecified

Otitis externa (acute):

NOS

circumscribed

diffuse

hemorrhagica

infective NOS

380.11      Acute infection of pinna

Excludes:            furuncular otitis externa (680.0)

380.12      Acute swimmers' ear

Beach ear

Tank ear

380.13      Other acute infections of external ear

Code first underlying disease, as:

erysipelas (035)

impetigo (684)

seborrheic dermatitis (690.10-690.18)

Excludes:            herpes simplex (054.73)

herpes zoster (053.71)

380.14      Malignant otitis externa

380.15      Chronic mycotic otitis externa

Code first underlying disease, as:

aspergillosis (117.3)

otomycosis NOS (111.9)

Excludes:            candidal otitis externa (112.82)

380.16      Other chronic infective otitis externa

Chronic infective otitis externa NOS

380.2            Other otitis externa

380.21      Cholesteatoma of external ear

Keratosis obturans of external ear (canal)

Excludes:            cholesteatoma NOS (385.30-385.35)

postmastoidectomy (383.32)

380.22      Other acute otitis externa

Acute otitis externa:

actinic

chemical

contact

eczematoid

reactive

380.23      Other chronic otitis externa

Chronic otitis externa NOS

380.3            Noninfectious disorders of pinna

380.30      Disorder of pinna, unspecified

380.31      Hematoma of auricle or pinna

380.32      Acquired deformities of auricle or pinna

Excludes:            cauliflower ear (738.7)

380.39      Other

Excludes:            gouty tophi of ear (274.81)

380.4            Impacted cerumen

Wax in ear

380.5            Acquired stenosis of external ear canal

Collapse of external ear canal

380.50      Acquired stenosis of external ear canal, unspecified as to cause

380.51      Secondary to trauma

380.52      Secondary to surgery

380.53      Secondary to inflammation

380.8            Other disorders of external ear

380.81      Exostosis of external ear canal

380.89      Other

380.9            Unspecified disorder of external ear

381            Nonsuppurative otitis media and Eustachian tube disorders

381.0            Acute nonsuppurative otitis media

Acute tubotympanic catarrh

Otitis media, acute or subacute:

catarrhal

exudative

transudative

with effusion

Excludes:            otitic barotrauma (993.0)

381.00      Acute nonsuppurative otitis media, unspecified

381.01      Acute serous otitis media

Acute or subacute secretory otitis media

381.02      Acute mucoid otitis media

Acute or subacute seromucinous otitis media

Blue drum syndrome

381.03      Acute sanguinous otitis media

381.04      Acute allergic serous otitis media

381.05      Acute allergic mucoid otitis media

381.06      Acute allergic sanguinous otitis media

381.1            Chronic serous otitis media

Chronic tubotympanic catarrh

381.10      Chronic serous otitis media, simple or unspecified

381.19      Other

Serosanguinous chronic otitis media

381.2            Chronic mucoid otitis media

Glue ear

Excludes:            adhesive middle ear disease (385.10-385.19)

381.20      Chronic mucoid otitis media, simple or unspecified

381.29      Other

Mucosanguinous chronic otitis media

381.3            Other and unspecified chronic nonsuppurative otitis media

Otitis media, chronic:

allergic

exudative

secretory

seromucinous

transudative

with effusion

381.4            Nonsuppurative otitis media, not specified as acute or chronic

Otitis media:

allergic

catarrhal

exudative

mucoid

secretory

seromucinous

serous

transudative

with effusion

381.5            Eustachian salpingitis

381.50      Eustachian salpingitis, unspecified

381.51      Acute Eustachian salpingitis

381.52      Chronic Eustachian salpingitis

381.6            Obstruction of Eustachian tube

Stenosis of Eustachian tube

Stricture of Eustachian tube

381.60      Obstruction of Eustachian tube, unspecified

381.61      Osseous obstruction of Eustachian tube

Obstruction of Eustachian tube from cholesteatoma, polyp, or other osseous lesion

381.62      Intrinsic cartilagenous obstruction of Eustachian tube

381.63      Extrinsic cartilagenous obstruction of Eustachian tube

Compression of Eustachian tube

381.7            Patulous Eustachian tube

381.8            Other disorders of Eustachian tube

381.81      Dysfunction of Eustachian tube

381.89      Other

381.9            Unspecified Eustachian tube disorder

382            Suppurative and unspecified otitis media

382.0            Acute suppurative otitis media

Otitis media, acute:

necrotizing NOS

purulent

382.00      Acute suppurative otitis media without spontaneous rupture of ear drum

382.01      Acute suppurative otitis media with spontaneous rupture of ear drum

382.02      Acute suppurative otitis media in diseases classified elsewhere

Code first underlying disease, as:

influenza (487.8)

scarlet fever (034.1)

Excludes:            postmeasles otitis (055.2)

382.1            Chronic tubotympanic suppurative otitis media

Benign chronic suppurative otitis media (with anterior perforation of ear drum)

Chronic tubotympanic disease (with anterior perforation of ear drum)

382.2            Chronic atticoantral suppurative otitis media

Chronic atticoantral disease (with posterior or superior marginal perforation of ear drum)

Persistent mucosal disease (with posterior or superior marginal perforation of ear drum)

382.3            Unspecified chronic suppurative otitis media

Chronic purulent otitis media

Excludes:            tuberculous otitis media (017.4)

382.4            Unspecified suppurative otitis media

Purulent otitis media NOS

382.9            Unspecified otitis media

Otitis media:

NOS

acute NOS

chronic NOS

383            Mastoiditis and related conditions

383.0            Acute mastoiditis

Abscess of mastoid

Empyema of mastoid

383.00      Acute mastoiditis without complications

383.01      Subperiosteal abscess of mastoid

383.02      Acute mastoiditis with other complications

Gradenigo's syndrome

383.1            Chronic mastoiditis

Caries of mastoid

Fistula of mastoid

Excludes:            tuberculous mastoiditis (015.6)

383.2            Petrositis

Coalescing osteitis of petrous bone

Inflammation of petrous bone

Osteomyelitis of petrous bone

383.20      Petrositis, unspecified

383.21      Acute petrositis

383.22      Chronic petrositis

383.3            Complications following mastoidectomy

383.30      Postmastoidectomy complication, unspecified

383.31      Mucosal cyst of postmastoidectomy cavity

383.32      Recurrent cholesteatoma of postmastoidectomy cavity

383.33      Granulations of postmastoidectomy cavity

Chronic inflammation of postmastoidectomy cavity

383.8            Other disorders of mastoid

383.81      Postauricular fistula

383.89      Other

383.9            Unspecified mastoiditis

384       Other disorders of tympanic membrane

384.0            Acute myringitis without mention of otitis media

384.00      Acute myringitis, unspecified

Acute tympanitis NOS

384.01      Bullous myringitis

Myringitis bullosa hemorrhagica

384.09      Other

384.1            Chronic myringitis without mention of otitis media

Chronic tympanitis

384.2            Perforation of tympanic membrane

Perforation of ear drum:

NOS

persistent posttraumatic

postinflammatory

Excludes:            otitis media with perforation of tympanic membrane (382.00-382.9)

traumatic perforation [current injury] (872.61)

384.20      Perforation of tympanic membrane, unspecified

384.21      Central perforation of tympanic membrane

384.22      Attic perforation of tympanic membrane

Pars flaccida

384.23      Other marginal perforation of tympanic membrane

384.24      Multiple perforations of tympanic membrane

384.25      Total perforation of tympanic membrane

384.8            Other specified disorders of tympanic membrane

384.81      Atrophic flaccid tympanic membrane

Healed perforation of ear drum

384.82      Atrophic nonflaccid tympanic membrane

384.9            Unspecified disorder of tympanic membrane

385       Other disorders of middle ear and mastoid

Excludes:            mastoiditis (383.0-383.9)

385.0            Tympanosclerosis

385.00      Tympanosclerosis, unspecified as to involvement

385.01      Tympanosclerosis involving tympanic membrane only

385.02      Tympanosclerosis involving tympanic membrane and ear ossicles

385.03      Tympanosclerosis involving tympanic membrane, ear ossicles, and middle ear

385.09      Tympanosclerosis involving other combination of structures

385.1            Adhesive middle ear disease

Adhesive otitis

Otitis media:

chronic adhesive

fibrotic

Excludes:            glue ear (381.20-381.29)

385.10      Adhesive middle ear disease, unspecified as to involvement

385.11      Adhesions of drum head to incus

385.12      Adhesions of drum head to stapes

385.13      Adhesions of drum head to promontorium

385.19      Other adhesions and combinations

385.2            Other acquired abnormality of ear ossicles

385.21      Impaired mobility of malleus

Ankylosis of malleus

385.22      Impaired mobility of other ear ossicles

Ankylosis of ear ossicles, except malleus

385.23      Discontinuity or dislocation of ear ossicles

385.24      Partial loss or necrosis of ear ossicles

385.3            Cholesteatoma of middle ear and mastoid

Cholesterosis of (middle) ear

Epidermosis of (middle) ear

Keratosis of (middle) ear

Polyp of (middle) ear

Excludes:            cholesteatoma:

external ear canal (380.21)

recurrent of postmastoidectomy cavity (383.32)

385.30      Cholesteatoma, unspecified

385.31      Cholesteatoma of attic

385.32      Cholesteatoma of middle ear

385.33      Cholesteatoma of middle ear and mastoid

385.35      Diffuse cholesteatosis

385.8            Other disorders of middle ear and mastoid

385.82      Cholesterin granuloma

385.83      Retained foreign body of middle ear

385.89      Other

385.9            Unspecified disorder of middle ear and mastoid

386            Vertiginous syndromes and other disorders of vestibular system

Excludes:            vertigo NOS (780.4)

386.0            Méniére's disease

Endolymphatic hydrops

Lermoyez's syndrome

Méniére's syndrome or vertigo

386.00      Méniére's disease, unspecified

Méniére's disease (active)

386.01      Active Méniére's disease, cochleovestibular

386.02      Active Méniére's disease, cochlear

386.03      Active Méniére's disease, vestibular

386.04      Inactive Méniére's disease

Méniére's disease in remission

386.1            Other and unspecified peripheral vertigo

Excludes:            epidemic vertigo (078.81)

386.10      Peripheral vertigo, unspecified

386.11      Benign paroxysmal positional vertigo

Benign paroxysmal positional nystagmus

386.12      Vestibular neuronitis

Acute (and recurrent) peripheral vestibulopathy

386.19      Other

Aural vertigo

Otogenic vertigo

386.2            Vertigo of central origin

Central positional nystagmus

Malignant positional vertigo

386.3            Labyrinthitis

386.30      Labyrinthitis, unspecified

386.31      Serous labyrinthitis

Diffuse labyrinthitis

386.32      Circumscribed labyrinthitis

Focal labyrinthitis

386.33      Suppurative labyrinthitis

Purulent labyrinthitis

386.34      Toxic labyrinthitis

386.35      Viral labyrinthitis

386.4            Labyrinthine fistula

386.40      Labyrinthine fistula, unspecified

386.41      Round window fistula

386.42      Oval window fistula

386.43      Semicircular canal fistula

386.48      Labyrinthine fistula of combined sites

386.5            Labyrinthine dysfunction

386.50      Labyrinthine dysfunction, unspecified

386.51      Hyperactive labyrinth, unilateral

386.52      Hyperactive labyrinth, bilateral

386.53      Hypoactive labyrinth, unilateral

386.54      Hypoactive labyrinth, bilateral

386.55      Loss of labyrinthine reactivity, unilateral

386.56      Loss of labyrinthine reactivity, bilateral

386.58      Other forms and combinations

386.8            Other disorders of labyrinth

386.9            Unspecified vertiginous syndromes and labyrinthine disorders

387            Otosclerosis

Includes:            otospongiosis

387.0            Otosclerosis involving oval window, nonobliterative

387.1            Otosclerosis involving oval window, obliterative

387.2            Cochlear otosclerosis

Otosclerosis involving:

otic capsule

round window

387.8            Other otosclerosis

387.9            Otosclerosis, unspecified

388       Other disorders of ear

388.0            Degenerative and vascular disorders of ear

388.00      Degenerative and vascular disorders, unspecified

388.01      Presbyacusis

388.02      Transient ischemic deafness

388.1            Noise effects on inner ear

388.10      Noise effects on inner ear, unspecified

388.11      Acoustic trauma (explosive) to ear

Otitic blast injury

388.12      Noise-induced hearing loss

388.2            Sudden hearing loss, unspecified

388.3            Tinnitus

388.30      Tinnitus, unspecified

388.31      Subjective tinnitus

388.32      Objective tinnitus

388.4            Other abnormal auditory perception

388.40      Abnormal auditory perception, unspecified

388.41      Diplacusis

388.42      Hyperacusis

388.43      Impairment of auditory discrimination

388.44      Recruitment

388.5            Disorders of acoustic nerve

Acoustic neuritis

Degeneration of acoustic or eighth nerve

Disorder of acoustic or eighth nerve

Excludes:            acoustic neuroma (225.1)

syphilitic acoustic neuritis (094.86)

388.6            Otorrhea

388.60      Otorrhea, unspecified

Discharging ear NOS

388.61      Cerebrospinal fluid otorrhea

Excludes:            cerebrospinal fluid rhinorrhea (349.81)

388.69      Other

Otorrhagia

388.7            Otalgia

388.70      Otalgia, unspecified

Earache NOS

388.71      Otogenic pain

388.72      Referred pain

388.8            Other disorders of ear

388.9            Unspecified disorder of ear

389       Hearing loss

389.0            Conductive hearing loss

Conductive deafness

389.00      Conductive hearing loss, unspecified

389.01      Conductive hearing loss, external ear

389.02      Conductive hearing loss, tympanic membrane

389.03      Conductive hearing loss, middle ear

389.04      Conductive hearing loss, inner ear

389.08      Conductive hearing loss of combined types

389.1            Sensorineural hearing loss

Perceptive hearing loss or deafness

Excludes:            abnormal auditory perception (388.40-388.44)

psychogenic deafness (306.7)

389.10      Sensorineural hearing loss, unspecified

389.11      Sensory hearing loss

389.12      Neural hearing loss

389.14      Central hearing loss

389.18      Sensorineural hearing loss of combined types

389.2            Mixed conductive and sensorineural hearing loss

Deafness or hearing loss of type classifiable to 389.0 with type classifiable to 389.1

389.7            Deaf mutism, not elsewhere classifiable

Deaf, nonspeaking

389.8            Other specified forms of hearing loss

389.9            Unspecified hearing loss

Deafness NOS

7.  DISEASES OF THE CIRCULATORY SYSTEM (390-459)

ACUTE RHEUMATIC FEVER (390-392)

390            Rheumatic fever without mention of heart involvement

Arthritis, rheumatic, acute or subacute

Rheumatic fever (active) (acute)

Rheumatism, articular, acute or subacute

Excludes:            that with heart involvement (391.0-391.9)

391            Rheumatic fever with heart involvement

Excludes:            chronic heart diseases of rheumatic origin (393.0-398.9) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process

391.0            Acute rheumatic pericarditis

Rheumatic:

fever (active) (acute) with pericarditis

pericarditis (acute)

Any condition classifiable to 390 with pericarditis

Excludes:            that not specified as rheumatic (420.0-420.9)

391.1            Acute rheumatic endocarditis

Rheumatic:

endocarditis, acute

fever (active) (acute) with endocarditis or valvulitis

valvulitis acute

Any condition classifiable to 390 with endocarditis or valvulitis

391.2            Acute rheumatic myocarditis

Rheumatic fever (active) (acute) with myocarditis

Any condition classifiable to 390 with myocarditis

391.8            Other acute rheumatic heart disease

Rheumatic:

fever (active) (acute) with other or multiple types of heart involvement

pancarditis, acute

Any condition classifiable to 390 with other or multiple types of heart involvement

391.9            Acute rheumatic heart disease, unspecified

Rheumatic:

carditis, acute

fever (active) (acute) with unspecified type of heart involvement

heart disease, active or acute

Any condition classifiable to 390 with unspecified type of heart involvement

392            Rheumatic chorea

Includes:            Sydenham's chorea

Excludes:            chorea:

NOS (333.5)

Huntington's (333.4)

392.0            With heart involvement

Rheumatic chorea with heart involvement of any type classifiable to 391

392.9            Without mention of heart involvement

CHRONIC RHEUMATIC HEART DISEASE (393-398)

393       Chronic rheumatic pericarditis

Adherent pericardium, rheumatic

Chronic rheumatic:

mediastinopericarditis

myopericarditis

Excludes:            pericarditis NOS or not specified as rheumatic (423.0-423.9)

394            Diseases of mitral valve

Excludes:            that with aortic valve involvement (396.0-396.9)

394.0            Mitral stenosis

Mitral (valve):

obstruction (rheumatic)

stenosis NOS

394.1            Rheumatic mitral insufficiency

Rheumatic mitral:

incompetence

regurgitation

Excludes:            that not specified as rheumatic (424.0)

394.2            Mitral stenosis with insufficiency

Mitral stenosis with incompetence or regurgitation

394.9            Other and unspecified mitral valve diseases

Mitral (valve):

disease (chronic)

failure

395            Diseases of aortic valve

Excludes:            that not specified as rheumatic (424.1)

that with mitral valve involvement (396.0-396.9)

395.0            Rheumatic aortic stenosis

Rheumatic aortic (valve) obstruction

395.1            Rheumatic aortic insufficiency

Rheumatic aortic:

incompetence

regurgitation

395.2            Rheumatic aortic stenosis with insufficiency

Rheumatic aortic stenosis with incompetence or regurgitation

395.9            Other and unspecified rheumatic aortic diseases

Rheumatic aortic (valve) disease

396            Diseases of mitral and aortic valves

Includes:            involvement of both mitral and aortic valves, whether specified as rheumatic or not

396.0            Mitral valve stenosis and aortic valve stenosis

Atypical aortic (valve) stenosis

Mitral and aortic (valve) obstruction (rheumatic)

396.1            Mitral valve stenosis and aortic valve insufficiency

396.2            Mitral valve insufficiency and aortic valve stenosis

396.3            Mitral valve insufficiency and aortic valve insufficiency

Mitral and aortic (valve):

incompetence

regurgitation

396.8            Multiple involvement of mitral and aortic valves

Stenosis and insufficiency of mitral or aortic valve with stenosis or insufficiency, or both, of the other valve

396.9            Mitral and aortic valve diseases, unspecified

397            Diseases of other endocardial structures

397.0            Diseases of tricuspid valve

Tricuspid (valve) (rheumatic):

disease

insufficiency

obstruction

regurgitation

stenosis

397.1            Rheumatic diseases of pulmonary valve

Excludes:            that not specified as rheumatic (424.3)

397.9            Rheumatic diseases of endocardium, valve unspecified

Rheumatic:

endocarditis (chronic)

valvulitis (chronic)

Excludes:            that not specified as rheumatic (424.90-424.99)

398       Other rheumatic heart disease

398.0            Rheumatic myocarditis

Rheumatic degeneration of myocardium

Excludes:            myocarditis not specified as rheumatic (429.0)

398.9            Other and unspecified rheumatic heart diseases

398.90      Rheumatic heart disease, unspecified

Rheumatic:

carditis

heart disease NOS

Excludes:            carditis not specified as rheumatic (429.89)

heart disease NOS not specified as rheumatic (429.9)

398.91      Rheumatic heart failure (congestive)

Rheumatic left ventricular failure

398.99      Other

HYPERTENSIVE DISEASE (401-405)

Excludes:            that complicating pregnancy, childbirth, or the puerperium (642.0-642.9)

that involving coronary vessels (410.00-414.9)

401            Essential hypertension

Includes:            high blood pressure

hyperpiesia

hyperpiesis

hypertension (arterial) (essential) (primary) (systemic)

hypertensive vascular:

degeneration

disease

Excludes:            elevated blood pressure without diagnosis of hypertension (796.2)

pulmonary hypertension (416.0-416.9)

that involving vessels of:

brain (430-438)

eye (362.11)

401.0            Malignant

401.1            Benign

401.9            Unspecified

402            Hypertensive heart disease

Includes:            hypertensive:

cardiomegaly

cardiopathy

cardiovascular disease

heart (disease) (failure)

any condition classifiable to 428, 429.0-429.3, 429.8, 429.9 due to hypertension

Use additional code to specify type of heart failure (428.0, 428.20-428.23, 428.30-428.33, 428.40-428.43)

402.0            Malignant

402.00      Without heart failure

402.01      With heart failure

402.1            Benign

402.10      Without heart failure

402.11      With heart failure

402.9            Unspecified

402.90      Without heart failure

402.91      With heart failure

403            Hypertensive renal disease

Includes:            arteriolar nephritis

arteriosclerosis of:

kidney

renal arterioles

arteriosclerotic nephritis (chronic) (interstitial)

hypertensive:

nephropathy

renal failure

uremia (chronic)

nephrosclerosis

renal sclerosis with hypertension

any condition classifiable to 585, 586, or 587 with any condition classifiable to 401

Excludes:            acute renal failure (584.5-584.9)

renal disease stated as not due to hypertension

renovascular hypertension (405.0-405.9 with fifth-digit 1)

The following fifth-digit subclassification is for use with category 403:

0            without mention of renal failure

1            with renal failure

403.0            Malignant

403.1            Benign

403.9            Unspecified

404            Hypertensive heart and renal disease

Includes:            disease:

cardiorenal

cardiovascular renal

any condition classifiable to 402 with any condition classifiable to 403

Use additional code to specify type of heart failure (428.0, 428.20-428.23, 428.30-428.33, 428.40-428.43)

The following fifth-digit subclassification is for use with category 404:

0            without mention of heart failure or renal failure

1            with heart failure

2            with renal failure

3            with heart failure and renal failure

404.0            Malignant

404.1            Benign

404.9            Unspecified

405            Secondary hypertension

405.0            Malignant

405.01      Renovascular

405.09      Other

405.1            Benign

405.11      Renovascular

405.19      Other

405.9            Unspecified

405.91      Renovascular

405.99      Other

ISCHEMIC HEART DISEASE (410-414)

Includes:            that with mention of hypertension

Use additional code to identify presence of hypertension (401.0-405.9)

410       Acute myocardial infarction

Includes:            cardiac infarction

coronary (artery):

embolism

occlusion

rupture

thrombosis

infarction of heart, myocardium, or ventricle

rupture of heart, myocardium, or ventricle

any condition classifiable to 414.1-414.9 specified as acute or with a stated duration of 8 weeks or less

The following fifth-digit subclassification is for use with category 410:

0            episode of care unspecified

   Use when the source document does not contain sufficient information for the assignment of fifth-digit 1 or 2.

1            initial episode of care

   Use fifth-digit 1 to designate the first episode of care (regardless of facility site) for a newly diagnosed myocardial infarction.  The fifth-digit 1 is assigned regardless of the number of times a patient may be transferred during the initial episode of care.

2            subsequent episode of care

   Use fifth-digit 2 to designate an episode of care following the initial episode when the patient is admitted for further observation, evaluation or treatment for a myocardial infarction that has received initial treatment, but is still less than 8 weeks old.

410.0            Of anterolateral wall

410.1            Of other anterior wall

Infarction:

anterior (wall) NOS (with contiguous portion of intraventricular septum)

anteroapical (with contiguous portion of intraventricular septum)

anteroseptal (with contiguous portion of intraventricular septum)

410.2            Of inferolateral wall

410.3            Of inferoposterior wall

410.4            Of other inferior wall

Infarction:

diaphragmatic wall NOS (with contiguous portion of intraventricular septum)

inferior (wall) NOS (with contiguous portion of intraventricular septum)

410.5            Of other lateral wall

Infarction:

apical-lateral

basal-lateral

high lateral

posterolateral

410.6            True posterior wall infarction

Infarction:

posterobasal

strictly posterior

410.7            Subendocardial infarction

Nontransmural infarction

410.8            Of other specified sites

Infarction of:

atrium

papillary muscle

septum alone

410.9            Unspecified site

Acute myocardial infarction NOS

Coronary occlusion NOS

411       Other acute and subacute forms of ischemic heart disease

411.0            Postmyocardial infarction syndrome

Dressler's syndrome

411.1            Intermediate coronary syndrome

Impending infarction

Preinfarction angina

Preinfarction syndrome

Unstable angina

Excludes:            angina (pectoris) (413.9)

decubitus (413.0)

411.8            Other

411.81      Acute coronary occlusion without myocardial infarction

Acute coronary (artery):

embolism without or not resulting in myocardial infarction

obstruction without or not resulting in myocardial infarction

occlusion without or not resulting in myocardial infarction

thrombosis without or not resulting in myocardial infarction

Excludes:            obstruction without infarction due to atherosclerosis (414.00-414.06)

occlusion without infarction due to atherosclerosis (414.00-414.06)

411.89      Other

Coronary insufficiency (acute)

Subendocardial ischemia

412       Old myocardial infarction

Healed myocardial infarction

Past myocardial infarction diagnosed on ECG [EKG] or other special investigation, but currently presenting no symptoms

413       Angina pectoris

413.0            Angina decubitus

Nocturnal angina

413.1            Prinzmetal angina

Variant angina pectoris

413.9            Other and unspecified angina pectoris

Angina:

NOS

cardiac

of effort

Anginal syndrome

Status anginosus

Stenocardia

Syncope anginosa

Excludes:            preinfarction angina (411.1)

414       Other forms of chronic ischemic heart disease

Excludes:            arteriosclerotic cardiovascular disease [ASCVD] (429.2)

cardiovascular:

arteriosclerosis or sclerosis (429.2)

degeneration or disease (429.2)

414.0            Coronary atherosclerosis

Arteriosclerotic heart disease [ASHD]

Atherosclerotic heart disease

Coronary (artery):

arteriosclerosis

arteritis or endarteritis

atheroma

sclerosis

stricture

Excludes:            embolism of graft (996.72)

occlusion NOS of graft (996.72)

thrombus of graft (996.72)

414.00      Of unspecified type of vessel, native or graft

414.01      Of native coronary artery

414.02      Of autologous biological bypass graft

414.03      Of nonautologous biological bypass graft

414.04      Of artery bypass graft

Internal mammary artery

414.05      Of unspecified type of bypass graft

Bypass graft NOS

414.06      Of coronary artery of transplanted heart

414.1            Aneurysm and dissection of heart

414.10      Aneurysm of heart (wall)

Aneurysm (arteriovenous):

mural

ventricular

414.11      Aneurysm of coronary vessels

Aneurysm (arteriovenous) of coronary vessels

414.12      Dissection of coronary artery

414.19      Other aneurysm of heart

Arteriovenous fistula, acquired, of heart

414.8            Other specified forms of chronic ischemic heart disease

Chronic coronary insufficiency

Ischemia, myocardial (chronic)

Any condition classifiable to 410 specified as chronic, or presenting with symptoms after 8 weeks from date of infarction

Excludes:            coronary insufficiency (acute) (411.89)

414.9            Chronic ischemic heart disease, unspecified

Ischemic heart disease NOS

DISEASES OF PULMONARY CIRCULATION (415-417)

415       Acute pulmonary heart disease

415.0            Acute cor pulmonale

Excludes:            cor pulmonale NOS (416.9)

415.1            Pulmonary embolism and infarction

Pulmonary (artery) (vein):

apoplexy

embolism

infarction (hemorrhagic)

thrombosis

Excludes:            that complicating:

abortion (634-638 with .6, 639.6)

ectopic or molar pregnancy (639.6)

pregnancy, childbirth, or the puerperium (673.0-673.8)

415.11      Iatrogenic pulmonary embolism and infarction

415.19      Other

416       Chronic pulmonary heart disease

416.0            Primary pulmonary hypertension

Idiopathic pulmonary arteriosclerosis

Pulmonary hypertension (essential) (idiopathic) (primary)

416.1            Kyphoscoliotic heart disease

416.8            Other chronic pulmonary heart diseases

Pulmonary hypertension, secondary

416.9            Chronic pulmonary heart disease, unspecified

Chronic cardiopulmonary disease

Cor pulmonale (chronic) NOS

417       Other diseases of pulmonary circulation

417.0            Arteriovenous fistula of pulmonary vessels

Excludes:            congenital arteriovenous fistula (747.3)

417.1            Aneurysm of pulmonary artery

Excludes:            congenital aneurysm (747.3)

417.8            Other specified diseases of pulmonary circulation

Pulmonary:

arteritis

endarteritis

Rupture of pulmonary vessel

Stricture of pulmonary vessel

417.9            Unspecified disease of pulmonary circulation

OTHER FORMS OF HEART DISEASE (420-429)

420       Acute pericarditis

Includes:            acute:

mediastinopericarditis

myopericarditis

pericardial effusion

pleuropericarditis

pneumopericarditis

Excludes:            acute rheumatic pericarditis (391.0)

postmyocardial infarction syndrome [Dressler's] (411.0)

420.0            Acute pericarditis in diseases classified elsewhere

Code first underlying disease, as:

actinomycosis (039.8)

amebiasis (006.8)

nocardiosis (039.8)

tuberculosis (017.9)

uremia (585)

Excludes:            pericarditis (acute) (in):

Coxsackie (virus) (074.21)

gonococcal (098.83)

histoplasmosis (115.0-115.9 with fifth-digit 3)

meningococcal infection (036.41)

syphilitic (093.81)

420.9            Other and unspecified acute pericarditis

420.90      Acute pericarditis, unspecified

Pericarditis (acute):

NOS

infective NOS

sicca

420.91      Acute idiopathic pericarditis

Pericarditis, acute:

benign

nonspecific

viral

420.99      Other

Pericarditis (acute):

pneumococcal

purulent

staphylococcal

streptococcal

suppurative

Pneumopyopericardium

Pyopericardium

Excludes:            pericarditis in diseases classified elsewhere (420.0)

421       Acute and subacute endocarditis

421.0            Acute and subacute bacterial endocarditis

Endocarditis (acute) (chronic) (subacute):

bacterial

infective NOS

lenta

malignant

purulent

septic

ulcerative

vegetative

Infective aneurysm

Subacute bacterial endocarditis [SBE]

Use additional code, if desired, to identify infectious organism [e.g., Streptococcus 041.0, Staphylococcus 041.1]

421.1            Acute and subacute infective endocarditis in diseases classified elsewhere

Code first underlying disease, as:

blastomycosis (116.0)

Q fever (083.0)

typhoid (fever) (002.0)

Excludes:            endocarditis (in):

Coxsackie (virus) (074.22)

gonococcal (098.84)

histoplasmosis (115.0-115.9 with fifth-digit 4)

meningococcal infection (036.42)

monilial (112.81)

421.9            Acute endocarditis, unspecified

Endocarditis, acute or subacute

Myoendocarditis, acute or subacute

Periendocarditis, acute or subacute

Excludes:            acute rheumatic endocarditis (391.1)

422       Acute myocarditis

Excludes:            acute rheumatic myocarditis (391.2)

422.0            Acute myocarditis in diseases classified elsewhere

Code first underlying disease, as:

myocarditis (acute):

influenzal (487.8)

tuberculous (017.9)

Excludes:            myocarditis (acute) (due to):

aseptic, of newborn (074.23)

Coxsackie (virus) (074.23)

diphtheritic (032.82)

meningococcal infection (036.43)

syphilitic (093.82)

toxoplasmosis (130.3)

422.9            Other and unspecified acute myocarditis

422.90      Acute myocarditis, unspecified

Acute or subacute (interstitial) myocarditis

422.91      Idiopathic myocarditis

Myocarditis (acute or subacute):

Fiedler's

giant cell

isolated (diffuse) (granulomatous)

nonspecific granulomatous

422.92      Septic myocarditis

Myocarditis, acute or subacute:

pneumococcal

staphylococcal

Use additional code to identify infectious organism [e.g., Staphylococcus 041.1]

Excludes:            myocarditis, acute or subacute:

in bacterial diseases classified elsewhere (422.0)

streptococcal (391.2)

422.93      Toxic myocarditis

422.99      Other

423       Other diseases of pericardium

Excludes:            that specified as rheumatic (393)

423.0            Hemopericardium

423.1            Adhesive pericarditis

Adherent pericardium

Fibrosis of pericardium

Milk spots

Pericarditis:

adhesive

obliterative

Soldiers' patches

423.2            Constrictive pericarditis

Concato's disease

Pick's disease of heart (and liver)

423.8            Other specified diseases of pericardium

Calcification of pericardium

Fistula of pericardium

423.9            Unspecified disease of pericardium

424       Other diseases of endocardium

Excludes:            bacterial endocarditis (421.0-421.9)

rheumatic endocarditis (391.1, 394.0-397.9)

syphilitic endocarditis (093.20-093.24)

424.0            Mitral valve disorders

Mitral (valve):

incompetence NOS of specified cause, except rheumatic

insufficiency NOS of specified cause, except rheumatic

regurgitation NOS of specified cause, except rheumatic

Excludes:            mitral (valve):

disease (394.9)

failure (394.9)

stenosis (394.0)

the listed conditions:

specified as rheumatic (394.1)

unspecified as to cause but with mention of:

diseases of aortic valve (396.0-396.9)

mitral stenosis or obstruction (394.2)

424.1            Aortic valve disorders

Aortic (valve):

incompetence NOS of specified cause, except rheumatic

insufficiency NOS of specified cause, except rheumatic

regurgitation NOS of specified cause, except rheumatic

stenosis NOS of specified cause, except rheumatic

Excludes:            hypertrophic subaortic stenosis (425.1)

that specified as rheumatic (395.0-395.9)

that of unspecified cause but with mention of diseases of mitral valve (396.0-396.9)

424.2            Tricuspid valve disorders, specified as nonrheumatic

Tricuspid valve:

incompetence of specified cause, except rheumatic

insufficiency of specified cause, except rheumatic

regurgitation of specified cause, except rheumatic

stenosis of specified cause, except rheumatic

Excludes:            rheumatic or of unspecified cause (397.0)

424.3            Pulmonary valve disorders

Pulmonic:

incompetence NOS

insufficiency NOS

regurgitation NOS

stenosis NOS

Excludes:            that specified as rheumatic (397.1)

424.9            Endocarditis, valve unspecified

424.90      Endocarditis, valve unspecified, unspecified cause

Endocarditis (chronic):

NOS

nonbacterial thrombotic

Valvular:

incompetence of unspecified valve,unspecified cause

insufficiency of unspecified valve,unspecified cause

regurgitation of unspecified valve,unspecified cause

stenosis of unspecified valve,unspecified cause

Valvulitis (chronic)

424.91      Endocarditis in diseases classified elsewhere

Code first underlying disease, as:

atypical verrucous endocarditis [Libman-Sacks] (710.0)

disseminated lupus erythematosus (710.0)

tuberculosis (017.9)

Excludes:            syphilitic (093.20-093.24)

424.99      Other

Any condition classifiable to 424.90 with specified cause, except rheumatic

Excludes:            endocardial fibroelastosis (425.3)

that specified as rheumatic (397.9)

425            Cardiomyopathy

Includes:            myocardiopathy

425.0            Endomyocardial fibrosis

425.1            Hypertrophic obstructive cardiomyopathy

Hypertrophic subaortic stenosis (idiopathic)

425.2            Obscure cardiomyopathy of Africa

Becker's disease

Idiopathic mural endomyocardial disease

425.3            Endocardial fibroelastosis

Elastomyofibrosis

425.4            Other primary cardiomyopathies

Cardiomyopathy:

NOS

congestive

constrictive

familial

hypertrophic

idiopathic

nonobstructive

obstructive

restrictive

Cardiovascular collagenosis

425.5            Alcoholic cardiomyopathy

425.7            Nutritional and metabolic cardiomyopathy

Code first underlying disease, as:

amyloidosis (277.3)

beriberi (265.0)

cardiac glycogenosis (271.0)

mucopolysaccharidosis (277.5)

thyrotoxicosis (242.0-242.9)

Excludes:            gouty tophi of heart (274.82)

425.8            Cardiomyopathy in other diseases classified elsewhere

Code first underlying disease, as:

Friedreich's ataxia (334.0)

myotonia atrophica (359.2)

progressive muscular dystrophy (359.1)

sarcoidosis (135)

Excludes:            cardiomyopathy in Chagas' disease (086.0)

425.9            Secondary cardiomyopathy, unspecified

426            Conduction disorders

426.0            Atrioventricular block, complete

Third degree atrioventricular block

426.1            Atrioventricular block, other and unspecified

426.10      Atrioventricular block, unspecified

Atrioventricular [AV] block (incomplete) (partial)

426.11      First degree atrioventricular block

Incomplete atrioventricular block, first degree

Prolonged P-R interval NOS

426.12      Mobitz (type) II atrioventricular block

Incomplete atrioventricular block:

Mobitz (type) II

second degree, Mobitz (type) II

426.13      Other second degree atrioventricular block

Incomplete atrioventricular block:

Mobitz (type) I [Wenckebach's]

second degree:

NOS

Mobitz (type) I

with 2:1 atrioventricular response [block]

Wenckebach's phenomenon

426.2            Left bundle branch hemiblock

Block:

left anterior fascicular

left posterior fascicular

426.3            Other left bundle branch block

Left bundle branch block:

NOS

anterior fascicular with posterior fascicular

complete

main stem

426.4            Right bundle branch block

426.5            Bundle branch block, other and unspecified

426.50      Bundle branch block, unspecified

426.51      Right bundle branch block and left posterior fascicular block

426.52      Right bundle branch block and left anterior fascicular block

426.53      Other bilateral bundle branch block

Bifascicular block NOS

Bilateral bundle branch block NOS

Right bundle branch with left bundle branch block (incomplete) (main stem)

426.54      Trifascicular block

426.6            Other heart block

Intraventricular block:

NOS

diffuse

myofibrillar

Sinoatrial block

Sinoauricular block

426.7            Anomalous atrioventricular excitation

Atrioventricular conduction:

accelerated

accessory

pre-excitation

Ventricular pre-excitation

Wolff-Parkinson-White syndrome

426.8            Other specified conduction disorders

426.81      Lown-Ganong-Levine syndrome

Syndrome of short P-R interval, normal QRS complexes, and supraventricular tachycardias

426.89      Other

Dissociation:

atrioventricular [AV]

interference

isorhythmic

Nonparoxysmal AV nodal tachycardia

426.9            Conduction disorder, unspecified

Heart block NOS

Stokes-Adams syndrome

427       Cardiac dysrhythmias

Excludes:            that complicating:

abortion (634-638 with .7, 639.8)

ectopic or molar pregnancy (639.8)

labor or delivery (668.1, 669.4)

427.0            Paroxysmal supraventricular tachycardia

Paroxysmal tachycardia:

atrial [PAT]

atrioventricular [AV]

junctional

nodal

427.1            Paroxysmal ventricular tachycardia

Ventricular tachycardia (paroxysmal)

427.2            Paroxysmal tachycardia, unspecified

Bouveret-Hoffmann syndrome

Paroxysmal tachycardia:

NOS

essential

427.3            Atrial fibrillation and flutter

427.31      Atrial fibrillation

427.32      Atrial flutter

427.4            Ventricular fibrillation and flutter

427.41      Ventricular fibrillation

427.42      Ventricular flutter

427.5            Cardiac arrest

Cardiorespiratory arrest

427.6            Premature beats

427.60      Premature beats, unspecified

Ectopic beats

Extrasystoles

Extrasystolic arrhythmia

Premature contractions or systoles NOS

427.61      Supraventricular premature beats

Atrial premature beats, contractions, or systoles

427.69      Other

Ventricular premature beats, contractions, or systoles

427.8            Other specified cardiac dysrhythmias

427.81      Sinoatrial node dysfunction

Sinus bradycardia:

persistent

severe

Syndrome:

sick sinus

tachycardia-bradycardia

Excludes:            sinus bradycardia NOS (427.89)

427.89      Other

Rhythm disorder:

coronary sinus

ectopic

nodal

Wandering (atrial) pacemaker

Excludes:            carotid sinus syncope (337.0)

neonatal bradycardia (779.81)

neonatal tachycardia (779.82)

reflex bradycardia (337.0)

tachycardia NOS (785.0)

427.9            Cardiac dysrhythmia, unspecified

Arrhythmia (cardiac) NOS

428       Heart failure

Code, if applicable, heart failure due to hypertension first (402.0-402.9, with fifth-digit 1 or 404.0-404.9 with fifth-digit 1 or 3)

Excludes:            rheumatic (398.91)

that complicating:

abortion (634-638 with .7, 639.8)

ectopic or molar pregnancy (639.8)

labor or delivery (668.1, 669.4)

428.0            Congestive heart failure, unspecified

Congestive heart disease

Right heart failure (secondary to left heart failure)

Excludes:            fluid overload NOS (276.6)

428.1            Left heart failure

Acute edema of lung with heart disease NOS or heart failure

Acute pulmonary edema with heart disease NOS or heart failure

Cardiac asthma

Left ventricular failure

428.2            Systolic heart failure

Excludes:            combined systolic and diastolic heart failure (428.40-428.43)

428.20      Unspecified

428.21      Acute

428.22      Chronic

428.23      Acute on chronic

428.3            Diastolic heart failure

Excludes:            combined systolic and diastolic heart failure (428.40-428.43)

428.30      Unspecified

428.31      Acute

428.32      Chronic

428.33      Acute on chronic

428.4            Combined systolic and diastolic heart failure

428.40      Unspecified

428.41      Acute

428.42      Chronic

428.43      Acute on chronic

428.9            Heart failure, unspecified

Cardiac failure NOS

Heart failure NOS

Myocardial failure NOS

Weak heart

429       Ill-defined descriptions and complications of heart disease

429.0            Myocarditis, unspecified

Myocarditis (with mention of arteriosclerosis):

NOS (with mention of arteriosclerosis)

chronic (interstitial) (with mention of arteriosclerosis)

fibroid (with mention of arteriosclerosis)

senile (with mention of arteriosclerosis)

Use additional code to identify presence of arteriosclerosis

Excludes:            acute or subacute (422.0-422.9)

rheumatic (398.0)

acute (391.2)

that due to hypertension (402.0-402.9)

429.1            Myocardial degeneration

Degeneration of heart or myocardium (with mention of arteriosclerosis):

fatty (with mention of arteriosclerosis)

mural (with mention of arteriosclerosis)

muscular (with mention of arteriosclerosis)

Myocardial (with mention of arteriosclerosis):

degeneration (with mention of arteriosclerosis)

disease (with mention of arteriosclerosis)

Use additional code to identify presence of arteriosclerosis

Excludes:            that due to hypertension (402.0-402.9)

429.2            Cardiovascular disease, unspecified

Arteriosclerotic cardiovascular disease [ASCVD]

Cardiovascular arteriosclerosis

Cardiovascular:

degeneration (with mention of arteriosclerosis)

disease (with mention of arteriosclerosis)

sclerosis (with mention of arteriosclerosis)

Use additional code to identify presence of arteriosclerosis

Excludes:            that due to hypertension (402.0-402.9)

429.3            Cardiomegaly

Cardiac:

dilatation

hypertrophy

Ventricular dilatation

Excludes:            that due to hypertension (402.0-402.9)

429.4            Functional disturbances following cardiac surgery

Cardiac insufficiency following cardiac surgery or due to prosthesis

Heart failure following cardiac surgery or due to prosthesis

Postcardiotomy syndrome

Postvalvulotomy syndrome

Excludes:            cardiac failure in the immediate postoperative period (997.1)

429.5            Rupture of chordae tendineae

429.6            Rupture of papillary muscle

429.7            Certain sequelae of myocardial infarction, not elsewhere classified

Use additional code to identify the associated myocardial infarction:

with onset of 8 weeks or less (410.00-410.92)

with onset of more than 8 weeks (414.8)

Excludes:            congenital defects of heart (745, 746)

coronary aneurysm (414.11)

disorders of papillary muscle (429.6, 429.81)

postmyocardial infarction syndrome (411.0)

rupture of chordae tendineae (429.5)

429.71      Acquired cardiac septal defect

Excludes:            acute septal infarction (410.00-410.92)

429.79      Other

Mural thrombus (atrial) (ventricular) acquired, following myocardial infarction

429.8            Other ill-defined heart diseases

429.81      Other disorders of papillary muscle

Papillary muscle:

atrophy

degeneration

dysfunction

incompetence

incoordination

scarring

429.82      Hyperkinetic heart disease

429.89      Other

Carditis

Excludes:            that due to hypertension (402.0-402.9)

429.9            Heart disease, unspecified

Heart disease (organic) NOS

Morbus cordis NOS

Excludes:            that due to hypertension (402.0-402.9)

CEREBROVASCULAR DISEASE (430-438)

Includes:            with mention of hypertension (conditions classifiable to 401-405)

Use additional code to identify presence of hypertension

Excludes:            any condition classifiable to 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0)

iatrogenic cerebrovascular infarction or hemorrhage (997.02)

430            Subarachnoid hemorrhage

Meningeal hemorrhage

Ruptured:

berry aneurysm

(congenital) cerebral aneurysm NOS

Excludes:            syphilitic ruptured cerebral aneurysm (094.87)

431            Intracerebral hemorrhage

Hemorrhage (of):

basilar

bulbar

cerebellar

cerebral

cerebromeningeal

cortical

internal capsule

intrapontine

pontine

subcortical

ventricular

Rupture of blood vessel in brain

432       Other and unspecified intracranial hemorrhage

432.0            Nontraumatic extradural hemorrhage

Nontraumatic epidural hemorrhage

432.1            Subdural hemorrhage

Subdural hematoma, nontraumatic

432.9            Unspecified intracranial hemorrhage

Intracranial hemorrhage NOS

433            Occlusion and stenosis of precerebral arteries

The following fifth-digit subclassification is for use with category 433:

0            without mention of cerebral infarction

1            with cerebral infarction

Includes:            embolism of basilar, carotid, and vertebral arteries

narrowing of basilar, carotid, and vertebral arteries

obstruction of basilar, carotid, and vertebral arteries

thrombosis of basilar, carotid, and vertebral arteries

Excludes:            insufficiency NOS of precerebral arteries (435.0-435.9)

433.0            Basilar artery

433.1            Carotid artery

433.2            Vertebral artery

433.3            Multiple and bilateral

433.8            Other specified precerebral artery

433.9            Unspecified precerebral artery

Precerebral artery NOS

434            Occlusion of cerebral arteries

The following fifth-digit subclassification is for use with category 434:

0            without mention of cerebral infarction

1            with cerebral infarction

434.0            Cerebral thrombosis

Thrombosis of cerebral arteries

434.1            Cerebral embolism

434.9            Cerebral artery occlusion, unspecified

435            Transient cerebral ischemia

Includes:            cerebrovascular insufficiency (acute) with transient focal neurological signs and symptoms

insufficiency of basilar, carotid, and vertebral arteries

spasm of cerebral arteries

Excludes:            acute cerebrovascular insufficiency NOS (437.1)

that due to any condition classifiable to 433 (433.0-433.9)

435.0            Basilar artery syndrome

435.1            Vertebral artery syndrome

435.2            Subclavian steal syndrome

435.3            Vertebrobasilar artery syndrome

435.8            Other specified transient cerebral ischemias

435.9            Unspecified transient cerebral ischemia

Impending cerebrovascular accident

Intermittent cerebral ischemia

Transient ischemic attack [TIA]

436       Acute, but ill-defined, cerebrovascular disease

Apoplexy, apoplectic:

NOS

attack

cerebral

seizure

Cerebral seizure

Cerebrovascular accident [CVA] NOS

Stroke

Excludes:            any condition classifiable to categories 430-435

postoperative cerebrovascular accident (997.02)

437       Other and ill-defined cerebrovascular disease

437.0            Cerebral atherosclerosis

Atheroma of cerebral arteries

Cerebral arteriosclerosis

437.1            Other generalized ischemic cerebrovascular disease

Acute cerebrovascular insufficiency NOS

Cerebral ischemia (chronic)

437.2            Hypertensive encephalopathy

437.3            Cerebral aneurysm, nonruptured

Internal carotid artery, intracranial portion

Internal carotid artery NOS

Excludes:            congenital cerebral aneurysm, nonruptured (747.81)

internal carotid artery, extracranial portion (442.81)

437.4            Cerebral arteritis

437.5            Moyamoya disease

437.6            Nonpyogenic thrombosis of intracranial venous sinus

Excludes:            pyogenic (325)

437.7            Transient global amnesia

437.8            Other

437.9            Unspecified

Cerebrovascular disease or lesion NOS

438       Late effects of cerebrovascular disease

Note:    This category is to be used to indicate conditions in 430-437 as the cause of late effects.  The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the onset of the causal condition.

438.0            Cognitive deficits

438.1            Speech and language deficits

438.10      Speech and language deficit, unspecified

438.11      Aphasia

438.12      Dysphasia

438.19      Other speech and language deficits

438.2            Hemiplegia/hemiparesis

438.20      Hemiplegia affecting unspecified side

438.21      Hemiplegia affecting dominant side

438.22      Hemiplegia affecting nondominant side

438.3            Monoplegia of upper limb

438.30      Monoplegia of upper limb affecting unspecified side

438.31      Monoplegia of upper limb affecting dominant side

438.32      Monoplegia of upper limb affecting nondominant side

438.4            Monoplegia of lower limb

438.40      Monoplegia of lower limb affecting unspecified side

438.41      Monoplegia of lower limb affecting dominant side

438.42      Monoplegia of lower limb affecting nondominant side

438.5            Other paralytic syndrome

Use additional code to identify type of paralytic syndrome, such as:

locked-in state (344.81)

quadriplegia (344.00-344.09)

Excludes:            late effects of cerebrovascular accident with:

hemiplegia/hemiparesis (438.20-438.22)

monoplegia of lower limb (438.40-438.42)

monoplegia of upper limb (438.40-438.42)

438.50      Other paralytic syndrome affecting unspecified side

438.51      Other paralytic syndrome affecting dominant side

438.52      Other paralytic syndrome affecting nondominant side

438.53      Other paralytic syndrome, bilateral

438.6            Alterations of sensations

Use additional code to identify the altered sensation

438.7            Disturbances of vision

Use additional code to identify the visual disturbance

438.8            Other late effects of cerebrovascular disease

438.81      Apraxia

438.82      Dysphagia

438.83      Facial weakness

Facial droop

438.84      Ataxia

438.85      Vertigo

438.89      Other late effects of cerebroascular disease

Use additional code to identify the late effect

438.9            Unspecified late effects of cerebrovascular disease

DISEASES OF ARTERIES, ARTERIOLES, AND CAPILLARIES (440-448)

440            Atherosclerosis

Includes:            arteriolosclerosis

arteriosclerosis (obliterans) (senile)

arteriosclerotic vascular disease

atheroma

degeneration:

arterial

arteriovascular

vascular

endarteritis deformans or obliterans

senile:

arteritis

endarteritis

Excludes:            atheroembolism (445.01-445.89)

atherosclerosis of bypass graft of the extremities (440.30-440.32)

440.0            Of aorta

440.1            Of renal artery

Excludes:            atherosclerosis of renal arterioles (403.00-403.91)

440.2            Of native arteries of the extremities

Excludes:            atherosclerosis of bypass graft of the extremities (440.30-440.32)

440.20      Atherosclerosis of the extremities, unspecified

440.21      Atherosclerosis of the extremities with intermittent claudication

440.22      Atherosclerosis of the extremities with rest pain

Any condition classifiable to 440.21

440.23      Atherosclerosis of the extremities with ulceration

Any condition classifiable to 440.21-440.22

Use additional code for any associated ulceration (707.10-707.9)

440.24      Atherosclerosis of the extremities with gangrene

Any condition classifiable to 440.21, 440.22, and 440.23 with ischemic gangrene 785.4

Excludes:            gas gangrene 040.0

440.29      Other

440.3            Of bypass graft of the extremities

Excludes:            atherosclerosis of native artery of the extremity (440.21-440.24)

embolism [occlusion NOS] [thrombus] of graft (996.74)

440.30      Of unspecified graft

440.31      Of autologous vein bypass graft

440.32      Of nonautologous vein bypass graft

440.8            Of other specified arteries

Excludes:            basilar (433.0)

carotid (433.1)

cerebral (437.0)

coronary (414.00-414.06)

mesenteric (557.1)

precerebral (433.0-433.9)

pulmonary (416.0)

vertebral (433.2)

440.9            Generalized and unspecified atherosclerosis

Arteriosclerotic vascular disease NOS

Excludes:            arteriosclerotic cardiovascular disease [ASCVD] (429.2)

441       Aortic aneurysm and dissection

Excludes:            syphilitic aortic aneurysm (093.0)

traumatic aortic aneurysm (901.0, 902.0)

441.0            Dissection of aorta

441.00      Unspecified site

441.01      Thoracic

441.02      Abdominal

441.03      Thoracoabdominal

441.1            Thoracic aneurysm, ruptured

441.2            Thoracic aneurysm without mention of rupture

441.3            Abdominal aneurysm, ruptured

441.4            Abdominal aneurysm without mention of rupture

441.5            Aortic aneurysm of unspecified site, ruptured

Rupture of aorta NOS

441.6            Thoracoabdominal aneurysm, ruptured

441.7            Thoracoabdominal aneurysm, without mention of rupture

441.9            Aortic aneurysm of unspecified site without mention of rupture

Aneurysm

Dilatation of aorta

Hyaline necrosis of aorta

442       Other aneurysm

Includes:            aneurysm (ruptured) (cirsoid) (false) (varicose)

aneurysmal varix

Excludes:            arteriovenous aneurysm or fistula:

acquired (447.0)

congenital (747.60-747.69)

traumatic (900.0-904.9)

442.0            Of artery of upper extremity

442.1            Of renal artery

442.2            Of iliac artery

442.3            Of artery of lower extremity

Aneurysm:

femoral artery

popliteal artery

442.8            Of other specified artery

442.81      Artery of neck

Aneurysm of carotid artery (common) (external) (internal, extracranial portion)

Excludes:            internal carotid artery, intracranial portion (437.3)

442.82      Subclavian artery

442.83      Splenic artery

442.84      Other visceral artery

Aneurysm:

celiac artery

gastroduodenal artery

gastroepiploic artery

hepatic artery

pancreaticoduodenal artery

superior mesenteric artery

442.89      Other

Aneurysm:

mediastinal artery

spinal artery

Excludes:            cerebral (nonruptured) (437.3)

congenital (747.81)

ruptured (430)

coronary (414.11)

heart (414.10)

pulmonary (417.1)

442.9            Of unspecified site

443       Other peripheral vascular disease

443.0            Raynaud's syndrome

Raynaud's:

disease

phenomenon (secondary)

Use additional code to identify gangrene (785.4)

443.1            Thromboangiitis obliterans [Buerger's disease]

Presenile gangrene

443.2            Other arterial dissection

Excludes:            dissection of aorta (441.00-441.03)

dissection of coronary arteries (414.12)

443.21      Dissection of carotid artery

443.22      Dissection of iliac artery

443.23      Dissection of renal artery

443.24      Dissection of vertebral artery

443.29      Dissection of other artery

443.8            Other specified peripheral vascular diseases

443.81      Peripheral angiopathy in diseases classified elsewhere

Code first underlying disease, as:

diabetes mellitus (250.7)

443.89      Other

Acrocyanosis

Acroparesthesia:

simple [Schultze's type]

vasomotor [Nothnagel's type]

Erythrocyanosis

Erythromelalgia

Excludes:            chilblains (991.5)

frostbite (991.0-991.3)

immersion foot (991.4)

443.9            Peripheral vascular disease, unspecified

Intermittent claudication NOS

Peripheral:

angiopathy NOS

vascular disease NOS

Spasm of artery

Excludes:            atherosclerosis of the arteries of the extremities (440.20-440.22)

spasm of cerebral artery (435.0-435.9)

444       Arterial embolism and thrombosis

Includes:            infarction:

embolic

thrombotic

occlusion

Excludes:            atheroembolism (445.01-445.89)

that complicating:

abortion (634-638 with .6, 639.6)

ectopic or molar pregnancy (639.6)

pregnancy, childbirth, or the puerperium (673.0-673.8)

444.0            Of abdominal aorta

Aortic bifurcation syndrome

Aortoiliac obstruction

Leriche's syndrome

Saddle embolus

444.1            Of thoracic aorta

Embolism or thrombosis of aorta (thoracic)

444.2            Of arteries of the extremities

444.21      Upper extremity

444.22      Lower extremity

Arterial embolism or thrombosis:

femoral

peripheral NOS

popliteal

Excludes:            iliofemoral (444.81)

444.8            Of other specified artery

444.81      Iliac artery

444.89      Other

Excludes:            basilar (433.0)

carotid (433.1)

cerebral (434.0-434.9)

coronary (410.00-410.92)

mesenteric (557.0)

ophthalmic (362.30-362.34)

precerebral (433.0-433.9)

pulmonary (415.19)

renal (593.81)

retinal (362.30-362.34)

vertebral (433.2)

444.9            Of unspecified artery

445            Atheroembolism

Includes:      Atherothrombotic microembolism

Cholesterol embolism

445.0            Of extremities

445.01      Upper extremity

445.02      Lower extremity

445.8            Of other sites

445.81      Kidney

Use additional code for any associated kidney failure (584, 585)

445.89      Other site

446            Polyarteritis nodosa and allied conditions

446.0            Polyarteritis nodosa

Disseminated necrotizing periarteritis

Necrotizing angiitis

Panarteritis (nodosa)

Periarteritis (nodosa)

446.1            Acute febrile mucocutaneous lymph node syndrome [MCLS]

Kawasaki disease

446.2            Hypersensitivity angiitis

Excludes:            antiglomerular basement membrane disease without pulmonary hemorrhage (583.89)

446.20      Hypersensitivity angiitis, unspecified

446.21      Goodpasture's syndrome

Antiglomerular basement membrane antibody-mediated nephritis with pulmonary hemorrhage

Use additional code to identify renal disease (583.81)

446.29      Other specified hypersensitivity angiitis

446.3            Lethal midline granuloma

Malignant granuloma of face

446.4            Wegener's granulomatosis

Necrotizing respiratory granulomatosis

Wegener's syndrome

446.5            Giant cell arteritis

Cranial arteritis

Horton's disease

Temporal arteritis

446.6            Thrombotic microangiopathy

Moschcowitz's syndrome

Thrombotic thrombocytopenic purpura

446.7            Takayasu's disease

Aortic arch arteritis

Pulseless disease

447       Other disorders of arteries and arterioles

447.0            Arteriovenous fistula, acquired

Arteriovenous aneurysm, acquired

Excludes:            cerebrovascular (437.3)

coronary (414.19)

pulmonary (417.0)

surgically created arteriovenous shunt or fistula:

complication (996.1, 996.61-996.62)

status or presence (V45.1)

traumatic (900.0-904.9)

447.1            Stricture of artery

447.2            Rupture of artery

Erosion of artery

Fistula, except arteriovenous of artery

Ulcer of artery

Excludes:            traumatic rupture of artery (900.0-904.9)

447.3            Hyperplasia of renal artery

Fibromuscular hyperplasia of renal artery

447.4            Celiac artery compression syndrome

Celiac axis syndrome

Marable's syndrome

447.5            Necrosis of artery

447.6            Arteritis, unspecified

Aortitis NOS

Endarteritis NOS

Excludes:            arteritis, endarteritis:

aortic arch (446.7)

cerebral (437.4)

coronary (414.00-414.06)

deformans (440.0-440.9)

obliterans (440.0-440.9)

pulmonary (417.8)

senile (440.0-440.9)

polyarteritis NOS (446.0)

syphilitic aortitis (093.1)

447.8            Other specified disorders of arteries and arterioles

Fibromuscular hyperplasia of arteries, except renal

447.9            Unspecified disorders of arteries and arterioles

448       Disease of capillaries

448.0            Hereditary hemorrhagic telangiectasia

Rendu-Osler-Weber disease

448.1            Nevus, non-neoplastic

Nevus:

araneus

senile

spider

stellar

Excludes:            neoplastic (216.0-216.9)

port wine (757.32)

strawberry (757.32)

448.9            Other and unspecified capillary diseases

Capillary:

hemorrhage

hyperpermeability

thrombosis

Excludes:            capillary fragility (hereditary) (287.8)

DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES OF CIRCULATORY SYSTEM (451-459)

451            Phlebitis and thrombophlebitis

Includes:            endophlebitis

inflammation, vein

periphlebitis

suppurative phlebitis

Use additional E code to identify drug if drug-induced

Excludes:            that complicating:

abortion (634-638 with .7, 639.8)

ectopic or molar pregnancy (639.8)

pregnancy, childbirth, or the puerperium (671.0-671.9)

that due to or following:

implant or catheter device (996.61-996.62)

infusion, perfusion, or transfusion (999.2)

451.0            Of superficial vessels of lower extremities

Saphenous vein (greater) (lesser)

451.1            Of deep vessels of lower extremities

451.11      Femoral vein (deep) (superficial)

451.19      Other

Femoropopliteal vein

Popliteal vein

Tibial vein

451.2            Of lower extremities, unspecified

451.8            Of other sites

Excludes:            intracranial venous sinus (325)

nonpyogenic (437.6)

portal (vein) (572.1)

451.81      Iliac vein

451.82      Of superficial veins of upper extremities

Antecubital vein

Basilic vein

Cephalic vein

451.83      Of deep veins of upper extremities

Brachial vein

Radial vein

Ulnar vein

451.84      Of upper extremities, unspecified

451.89      Other

Axillary vein

Jugular vein

Subclavian vein

Thrombophlebitis of breast (Mondor's disease)

451.9            Of unspecified site

452       Portal vein thrombosis

Portal (vein) obstruction

Excludes:            hepatic vein thrombosis (453.0)

phlebitis of portal vein (572.1)

453       Other venous embolism and thrombosis

Excludes:

that complicating:

abortion (634-638 with .7, 639.8)

ectopic or molar pregnancy (639.8)

pregnancy, childbirth, or the puerperium (671.0-671.9)

that with inflammation, phlebitis, and thrombophlebitis (451.0-451.9)

453.0            Budd-Chiari syndrome

Hepatic vein thrombosis

453.1            Thrombophlebitis migrans

453.2            Of vena cava

453.3            Of renal vein

453.8            Of other specified veins

Excludes:            cerebral (434.0-434.9)

coronary (410.00-410.92)

intracranial venous sinus (325)

nonpyogenic (437.6)

mesenteric (557.0)

portal (452)

precerebral (433.0-433.9)

pulmonary (415.19)

453.9            Of unspecified site

Embolism of vein

Thrombosis (vein)

454            Varicose veins of lower extremities

Excludes:            that complicating pregnancy, childbirth, or the puerperium (671.0)

454.0            With ulcer

Varicose ulcer (lower extremity, any part)

Varicose veins with ulcer of lower extremity [any part] or of unspecified site

Any condition classifiable to 454.9 with ulcer or specified as ulcerated

454.1            With inflammation

Stasis dermatitis

Varicose veins with inflammation of lower extremity [any part] or of unspecified site

Any condition classifiable to 454.9 with inflammation or specified as inflamed

454.2            With ulcer and inflammation

Varicose veins with ulcer and inflammation of lower extremity [any part] or of unspecified site

Any condition classifiable to 454.9 with ulcer and inflammation

454.8            With other complications

Edema

Pain

Swelling

454.9            Asymptomatic varicose veins

Phlebectasia of lower extremity [any part] or of unspecified site

Varicose veins NOS

Varicose veins of lower extremity [any part] or of unspecified site

Varix of lower extremity [any part] or of unspecified site

455            Hemorrhoids

Includes:            hemorrhoids (anus) (rectum)

piles

varicose veins, anus or rectum

Excludes:            that complicating pregnancy, childbirth, or the puerperium (671.8)

455.0            Internal hemorrhoids without mention of complication

455.1            Internal thrombosed hemorrhoids

455.2            Internal hemorrhoids with other complication

Internal hemorrhoids:

bleeding

prolapsed

strangulated

ulcerated

455.3            External hemorrhoids without mention of complication

455.4            External thrombosed hemorrhoids

455.5            External hemorrhoids with other complication

External hemorrhoids:

bleeding

prolapsed

strangulated

ulcerated

455.6            Unspecified hemorrhoids without mention of complication

Hemorrhoids NOS

455.7            Unspecified thrombosed hemorrhoids

Thrombosed hemorrhoids, unspecified whether internal or external

455.8            Unspecified hemorrhoids with other complication

Hemorrhoids, unspecified whether internal or external:

bleeding

prolapsed

strangulated

ulcerated

455.9            Residual hemorrhoidal skin tags

Skin tags, anus or rectum

456            Varicose veins of other sites

456.0            Esophageal varices with bleeding

456.1            Esophageal varices without mention of bleeding

456.2            Esophageal varices in diseases classified elsewhere

Code first underlying disease, as:

cirrhosis of liver (571.0-571.9)

portal hypertension (572.3)

456.20      With bleeding

456.21      Without mention of bleeding

456.3            Sublingual varices

456.4            Scrotal varices

Varicocele

456.5            Pelvic varices

Varices of broad ligament

456.6            Vulval varices

Varices of perineum

Excludes:            that complicating pregnancy, childbirth, or the puerperium (671.1)

456.8            Varices of other sites

Varicose veins of nasal septum (with ulcer)

Excludes:            placental varices (656.7)

retinal varices (362.17)

varicose ulcer of unspecified site (454.0)

varicose veins of unspecified site (454.9)

457            Noninfectious disorders of lymphatic channels

457.0            Postmastectomy lymphedema syndrome

Elephantiasis due to mastectomy

Obliteration of lymphatic vessel due to mastectomy

457.1            Other lymphedema

Elephantiasis (nonfilarial) NOS

Lymphangiectasis

Lymphedema:

acquired (chronic)

praecox

secondary

Obliteration, lymphatic vessel

Excludes:            elephantiasis (nonfilarial):

congenital (757.0)

eyelid (374.83)

vulva (624.8)

457.2            Lymphangitis

Lymphangitis:

NOS

chronic

subacute

Excludes:            acute lymphangitis (682.0-682.9)

457.8            Other noninfectious disorders of lymphatic channels

Chylocele (nonfilarial)

Chylous:

ascites

cyst

Lymph node or vessel:

fistula

infarction

rupture

Excludes:            chylocele:

filarial (125.0-125.9)

tunica vaginalis (nonfilarial) (608.84)

457.9            Unspecified noninfectious disorder of lymphatic channels

458            Hypotension

Includes:            hypopiesis

Excludes:            cardiovascular collapse (785.50)

maternal hypotension syndrome (669.2)

shock (785.50-785.59)

Shy-Drager syndrome (333.0)

458.0            Orthostatic hypotension

Hypotension:

orthostatic (chronic)

postural

458.1            Chronic hypotension

Permanent idiopathic hypotension

458.2            Iatrogenic hypotension

Postoperative hypotension

458.8            Other specified hypotension

458.9            Hypotension, unspecified

Hypotension (arterial) NOS

459       Other disorders of circulatory system

459.0            Hemorrhage, unspecified

Rupture of blood vessel NOS

Spontaneous hemorrhage NEC

Excludes:            hemorrhage:

gastrointestinal NOS (578.9)

in newborn NOS (772.9)

secondary or recurrent following trauma (958.2)

traumatic rupture of blood vessel (900.0-904.9)

459.1            Postphlebitic syndrome

Chronic venous hypertension due to deep vein thrombosis

Excludes:            chronic venous hypertension without deep vein thrombosis (459.30-459.39)

459.10      Postphlebetic syndrome without complications

Asymptomatic postphlebetic syndrome

Postphlebetic syndrome NOS

459.11      Postphlebetic syndrome with ulcer

459.12      Postphlebetic syndrome with inflammation

459.13      Postphlebetic syndrome with ulcer and inflammation

459.19      Postphlebetic syndrome with other complication

459.2            Compression of vein

Stricture of vein

Vena cava syndrome (inferior) (superior)

459.3            Chronic venous hypertension (idiopathic)

Stasis edema

Excludes:            chronic venous hypertension due to deep vein thrombosis (459.10-459.19)

varicose veins (454.0-454.9)

459.30      Chronic venous hypertension without complications

Asymptomatic chronic venous hypertension

Chronic venous hypertension NOS

459.31      Chronic venous hypertension with ulcer

459.32      Chronic venous hypertension with inflammation

459.33      Chronic venous hypertension with ulcer and inflammation

459.39      Chronic venous hypertension with other complication

459.8            Other specified disorders of circulatory system

459.81      Venous (peripheral) insufficiency, unspecified

Chronic venous insufficiency NOS

Use additional code for any associated ulceration (707.10-707.9)

459.89      Other

Collateral circulation (venous), any site

Phlebosclerosis

Venofibrosis

459.9            Unspecified circulatory system disorder

8.  DISEASES OF THE RESPIRATORY SYSTEM (460-519)

Use additional code to identify infectious organism

ACUTE RESPIRATORY INFECTIONS (460-466)

Excludes:            pneumonia and influenza (480.0-487.8)

460       Acute nasopharyngitis [common cold]

Coryza (acute)

Nasal catarrh, acute

Nasopharyngitis:

NOS

acute

infective NOS

Rhinitis:

acute

infective

Excludes:            nasopharyngitis, chronic (472.2)

pharyngitis:

acute or unspecified (462)

chronic (472.1)

rhinitis:

allergic (477.0-477.9)

chronic or unspecified (472.0)

sore throat:

acute or unspecified (462)

chronic (472.1)

461       Acute sinusitis

Includes:            abscess, acute, of sinus (accessory) (nasal)

empyema, acute, of sinus (accessory) (nasal)

infection, acute, of sinus (accessory) (nasal)

inflammation, acute, of sinus (accessory) (nasal)

suppuration, acute, of sinus (accessory) (nasal)

Excludes:            chronic or unspecified sinusitis (473.0-473.9)

461.0            Maxillary

Acute antritis

461.1            Frontal

461.2            Ethmoidal

461.3            Sphenoidal

461.8            Other acute sinusitis

Acute pansinusitis

461.9            Acute sinusitis, unspecified

Acute sinusitis NOS

462       Acute pharyngitis

Acute sore throat NOS

Pharyngitis (acute):

NOS

gangrenous

infective

phlegmonous

pneumococcal

staphylococcal

suppurative

ulcerative

Sore throat (viral) NOS

Viral pharyngitis

Excludes:            abscess:

peritonsillar [quinsy] (475)

pharyngeal NOS (478.29)

retropharyngeal (478.24)

chronic pharyngitis (472.1)

infectious mononucleosis (075)

that specified as (due to):

Coxsackie (virus) (074.0)

gonococcus (098.6)

herpes simplex (054.79)

influenza (487.1)

septic (034.0)

streptococcal (034.0)

463       Acute tonsillitis

Tonsillitis (acute):

NOS

follicular

gangrenous

infective

pneumococcal

septic

staphylococcal

suppurative

ulcerative

viral

Excludes:            chronic tonsillitis (474.0)

hypertrophy of tonsils (474.1)

peritonsillar abscess [quinsy] (475)

sore throat:

acute or NOS (462)

septic (034.0)

streptococcal tonsillitis (034.0)

464       Acute laryngitis and tracheitis

Excludes:            that associated with influenza (487.1)

that due to Streptococcus (034.0)

464.0            Acute laryngitis

Laryngitis (acute):

NOS

edematous

Hemophilus influenzae [H. influenzae]

pneumococcal

septic

suppurative

ulcerative

Excludes:            chronic laryngitis (476.0-476.1)

influenzal laryngitis (487.1)

464.00      Without mention of obstruction

464.01      With obstruction

464.1            Acute tracheitis

Tracheitis (acute):

NOS

catarrhal

viral

Excludes:            chronic tracheitis (491.8)

464.10      Without mention of obstruction

464.11      With obstruction

464.2            Acute laryngotracheitis

Laryngotracheitis (acute)

Tracheitis (acute) with laryngitis (acute)

Excludes:            chronic laryngotracheitis (476.1)

464.20      Without mention of obstruction

464.21      With obstruction

464.3            Acute epiglottitis

Viral epiglottitis

Excludes:            epiglottitis, chronic (476.1)

464.30      Without mention of obstruction

464.31      With obstruction

464.4            Croup

Croup syndrome

464.5            Supraglottitis, unspecified

464.50      Without mention of obstruction

464.51      With obstruction

465       Acute upper respiratory infections of multiple or unspecified sites

Excludes:            upper respiratory infection due to:

influenza (487.1)

Streptococcus (034.0)

465.0            Acute laryngopharyngitis

465.8            Other multiple sites

Multiple URI

465.9            Unspecified site

Acute URI NOS

Upper respiratory infection (acute)

466       Acute bronchitis and bronchiolitis

Includes:            that with:

bronchospasm

obstruction

466.0            Acute bronchitis

Bronchitis, acute or subacute:

fibrinous

membranous

pneumococcal

purulent

septic

viral

with tracheitis

Croupous bronchitis

Tracheobronchitis, acute

Excludes:            acute bronchitis with:

bronchiectasis (494.1)

chronic obstructive pulmonary disease (491.21)

466.1            Acute bronchiolitis

Bronchiolitis (acute)

Capillary pneumonia

466.11      Acute bronchiolitis due to respiratory syncytial virus (RSV)

466.19      Acute bronchiolitis due to other infectious organisms

Use additional code to identify organism

OTHER DISEASES OF THE UPPER RESPIRATORY TRACT (470-478)

470            Deviated nasal septum

Deflected septum (nasal) (acquired)

Excludes:            congenital (754.0)

471       Nasal polyps

Excludes:            adenomatous polyps (212.0)

471.0            Polyp of nasal cavity

Polyp:

choanal

nasopharyngeal

471.1            Polypoid sinus degeneration

Woakes' syndrome or ethmoiditis

471.8            Other polyp of sinus

Polyp of sinus:

accessory

ethmoidal

maxillary

sphenoidal

471.9            Unspecified nasal polyp

Nasal polyp NOS

472       Chronic pharyngitis and nasopharyngitis

472.0            Chronic rhinitis

Ozena

Rhinitis:

NOS

atrophic

granulomatous

hypertrophic

obstructive

purulent

ulcerative

Excludes:            allergic rhinitis (477.0-477.9)

472.1            Chronic pharyngitis

Chronic sore throat

Pharyngitis:

atrophic

granular (chronic)

hypertrophic

472.2            Chronic nasopharyngitis

Excludes:            acute or unspecified nasopharyngitis (460)

473       Chronic sinusitis

Includes:            abscess (chronic) of sinus (accessory) (nasal)

empyema (chronic) of sinus (accessory) (nasal)

infection (chronic) of sinus (accessory) (nasal)

suppuration (chronic) of sinus (accessory) (nasal)

Excludes:            acute sinusitis (461.0-461.9)

473.0            Maxillary

Antritis (chronic)

473.1            Frontal

473.2            Ethmoidal

Excludes:            Woakes' ethmoiditis (471.1)

473.3            Sphenoidal

473.8            Other chronic sinusitis

Pansinusitis (chronic)

473.9            Unspecified sinusitis (chronic)

Sinusitis (chronic) NOS

474       Chronic disease of tonsils and adenoids

474.0            Chronic tonsillitis and adenoiditis

Excludes:            acute or unspecified tonsillitis (463)

474.00      Chronic tonsillitis

474.01      Chronic adenoiditis

474.02      Chronic tonsillitis and adenoiditis

474.1            Hypertrophy of tonsils and adenoids

Enlargement of tonsils or adenoids

Hyperplasia of tonsils or adenoids

Hypertrophy of tonsils or adenoids

Excludes : that with:

adenoiditis (474.01)

adenoiditis and tonsillitis (474.02)

tonsillitis (474.00)

474.10      Tonsils with adenoids

474.11      Tonsils alone

474.12      Adenoids alone

474.2            Adenoid vegetations

474.8            Other chronic disease of tonsils and adenoids

Amygdalolith

Calculus, tonsil

Cicatrix of tonsil (and adenoid)

Tonsillar tag

Ulcer, tonsil

474.9            Unspecified chronic disease of tonsils and adenoids

Disease (chronic) of tonsils (and adenoids)

475            Peritonsillar abscess

Abscess of tonsil

Peritonsillar cellulitis

Quinsy

Excludes:            tonsillitis:

acute or NOS (463)

chronic (474.0)

476       Chronic laryngitis and laryngotracheitis

476.0            Chronic laryngitis

Laryngitis:

catarrhal

hypertrophic

sicca

476.1            Chronic laryngotracheitis

Laryngitis, chronic, with tracheitis (chronic)

Tracheitis, chronic, with laryngitis

Excludes:            chronic tracheitis (491.8)

laryngitis and tracheitis, acute or unspecified (464.00-464.51)

477       Allergic rhinitis

Includes:            allergic rhinitis (nonseasonal) (seasonal)

hay fever

spasmodic rhinorrhea

Excludes:            allergic rhinitis with asthma (bronchial) (493.0)

477.0            Due to pollen

Pollinosis

477.1            Due to food

477.8            Due to other allergen

477.9            Cause unspecified

478       Other diseases of upper respiratory tract

478.0            Hypertrophy of nasal turbinates

478.1            Other diseases of nasal cavity and sinuses

Abscess of nose (septum)

Necrosis of nose (septum)

Ulcer of nose (septum)

Cyst or mucocele of sinus (nasal)

Rhinolith

Excludes:            varicose ulcer of nasal septum (456.8)

478.2            Other diseases of pharynx, not elsewhere classified

478.20      Unspecified disease of pharynx

478.21      Cellulitis of pharynx or nasopharynx

478.22      Parapharyngeal abscess

478.24      Retropharyngeal abscess

478.25      Edema of pharynx or nasopharynx

478.26      Cyst of pharynx or nasopharynx

478.29      Other

Abscess of pharynx or nasopharynx

Excludes:            ulcerative pharyngitis (462)

478.3            Paralysis of vocal cords or larynx

478.30      Paralysis, unspecified

Laryngoplegia

Paralysis of glottis

478.31      Unilateral, partial

478.32      Unilateral, complete

478.33      Bilateral, partial

478.34      Bilateral, complete

478.4            Polyp of vocal cord or larynx

Excludes:            adenomatous polyps (212.1)

478.5            Other diseases of vocal cords

Abscess of vocal cords

Cellulitis of vocal cords

Granuloma of vocal cords

Leukoplakia of vocal cords

Chorditis (fibrinous) (nodosa) (tuberosa)

Singers' nodes

478.6            Edema of larynx

Edema (of):

glottis

subglottic

supraglottic

478.7            Other diseases of larynx, not elsewhere classified

478.70      Unspecified disease of larynx

478.71      Cellulitis and perichondritis of larynx

478.74      Stenosis of larynx

478.75      Laryngeal spasm

Laryngismus (stridulus)

478.79      Other

Abscess of larynx

Necrosis of larynx

Obstruction of larynx

Pachyderma of larynx

Ulcer of larynx

Excludes:            ulcerative laryngitis (464.00-464.01)

478.8            Upper respiratory tract hypersensitivity reaction, site unspecified

Excludes:            hypersensitivity reaction of lower respiratory tract, as:

extrinsic allergic alveolitis (495.0-495.9)

pneumoconiosis (500-505)

478.9            Other and unspecified diseases of upper respiratory tract

Abscess of trachea

Cicatrix of trachea

PNEUMONIA AND INFLUENZA (480-487)

Excludes:            pneumonia:

allergic or eosinophilic (518.3)

aspiration:

NOS (507.0)

newborn (770.1)

solids and liquids (507.0-507.8)

congenital (770.0)

lipoid (507.1)

passive (514)

rheumatic (390)

480       Viral pneumonia

480.0            Pneumonia due to adenovirus

480.1            Pneumonia due to respiratory syncytial virus

480.2            Pneumonia due to parainfluenza virus

480.8            Pneumonia due to other virus not elsewhere classified

Excludes:            congenital rubella pneumonitis (771.0)

influenza with pneumonia, any form (487.0)

pneumonia complicating viral diseases classified elsewhere (484.1-484.8)

480.9            Viral pneumonia, unspecified

481            Pneumococcal pneumonia [Streptococcus pneumoniae pneumonia]

Lobar pneumonia, organism unspecified

482       Other bacterial pneumonia

482.0            Pneumonia due to Klebsiella pneumoniae

482.1            Pneumonia due to Pseudomonas

482.2            Pneumonia due to Hemophilus influenzae [H. influenzae]

482.3            Pneumonia due to Streptococcus

Excludes:            Streptococcus pneumoniae pneumonia (481)

482.30      Streptococcus, unspecified

482.31      Group A

482.32      Group B

482.39      Other Streptococcus

482.4            Pneumonia due to Staphylococcus

482.40      Pneumonia due to Staphylococcus, unspecified

482.41      Pneumonia due to Staphylococcus aureus

482.49      Other Staphylococcus pneumonia

482.8            Pneumonia due to other specified bacteria

Excludes:            pneumonia complicating infectious disease classified elsewhere (484.1-484.8)

482.81      Anaerobes

Gram-negative anaerobes

Bacteroides (melaninogenicus)

482.82      Escherichia coli [E. coli]

482.83      Other gram-negative bacteria

Gram-negative pneumonia NOS

Proteus

Serratia marcescens

Excludes:            gram-negative anaerobes (482.81)

Legionnaires' disease (482.84)

482.84      Legionnaires' disease

482.89      Other specified bacteria

482.9            Bacterial pneumonia unspecified

483            Pneumonia due to other specified organism

483.0            Mycoplasma pneumoniae

Eaton's agent

Pleuropneumonia-like organisms [PPLO]

483.1            Chlamydia

483.8            Other specified organism

484            Pneumonia in infectious diseases classified elsewhere

Excludes:            influenza with pneumonia, any form (487.0)

484.1            Pneumonia in cytomegalic inclusion disease

Code first underlying disease, as: (078.5)

484.3            Pneumonia in whooping cough

Code first underlying disease, as: (033.0-033.9)

484.5            Pneumonia in anthrax

Code first underlying disease (022.1)

484.6            Pneumonia in aspergillosis

Code first underlying disease (117.3)

484.7            Pneumonia in other systemic mycoses

Code first underlying disease

Excludes:            pneumonia in:

candidiasis (112.4)

coccidioidomycosis (114.0)

histoplasmosis (115.0-115.9 with fifth-digit 5)

484.8            Pneumonia in other infectious diseases classified elsewhere

Code first underlying disease, as:

Q fever (083.0)

typhoid fever (002.0)

Excludes:            pneumonia in:

actinomycosis (039.1)

measles (055.1)

nocardiosis (039.1)

ornithosis (073.0)

Pneumocystis carinii (136.3)

salmonellosis (003.22)

toxoplasmosis (130.4)

tuberculosis (011.6)

tularemia (021.2)

varicella (052.1)

485            Bronchopneumonia, organism unspecified

Bronchopneumonia:

hemorrhagic

terminal

Pleurobronchopneumonia

Pneumonia:

lobular

segmental

Excludes:            bronchiolitis (acute) (466.11- 466.19)

chronic (491.8)

lipoid pneumonia (507.1)

486            Pneumonia, organism unspecified

Excludes:            hypostatic or passive pneumonia (514)

influenza with pneumonia, any form (487.0)

inhalation or aspiration pneumonia due to foreign materials (507.0-507.8)

pneumonitis due to fumes and vapors (506.0)

487            Influenza

Excludes:            Hemophilus influenzae [H. influenzae]:

infection NOS (041.5)

laryngitis (464.00-464.01)

meningitis (320.0)

pneumonia (482.2)

487.0            With pneumonia

Influenza with pneumonia, any form

Influenzal:

bronchopneumonia

pneumonia

487.1            With other respiratory manifestations

Influenza NOS

Influenzal:

laryngitis

pharyngitis

respiratory infection (upper) (acute)

487.8            With other manifestations

Encephalopathy due to influenza

Influenza with involvement of gastrointestinal tract

Excludes:            "intestinal flu" [viral gastroenteritis] (008.8)

CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ALLIED CONDITIONS (490-496)

490            Bronchitis, not specified as acute or chronic

Bronchitis NOS:

catarrhal

with tracheitis NOS

Tracheobronchitis NOS

Excludes:            bronchitis:

allergic NOS (493.9)

asthmatic NOS (493.9)

due to fumes and vapors (506.0)

491       Chronic bronchitis

Excludes:            chronic obstructive asthma (493.2)

491.0            Simple chronic bronchitis

Catarrhal bronchitis, chronic

Smokers' cough

491.1            Mucopurulent chronic bronchitis

Bronchitis (chronic) (recurrent):

fetid

mucopurulent

purulent

491.2            Obstructive chronic bronchitis

Bronchitis:

emphysematous

obstructive (chronic) (diffuse)

Bronchitis with:

chronic airway obstruction

emphysema

Excludes:            asthmatic bronchitis (acute) (NOS) 493.9

chronic obstructive asthma 493.2

491.20      Without mention of acute exacerbation

Emphysema with chronic bronchitis

491.21      With acute exacerbation

Acute bronchitis with chronic obstructive pulmonary disease [COPD]

Acute and chronic obstructive bronchitis

Acute exacerbation of chronic obstructive pulmonary disease [COPD]

Emphysema with acute and chronic bronchitis

Exludes:            chronic obstructive asthma with acute exacerbation 493.22

491.8            Other chronic bronchitis

Chronic:

tracheitis

tracheobronchitis

491.9            Unspecified chronic bronchitis

492            Emphysema

492.0            Emphysematous bleb

Giant bullous emphysema

Ruptured emphysematous bleb

Tension pneumatocele

Vanishing lung

492.8            Other emphysema

Emphysema (lung or pulmonary):

NOS

centriacinar

centrilobular

obstructive

panacinar

panlobular

unilateral

vesicular

MacLeod's syndrome

Swyer-James syndrome

Unilateral hyperlucent lung

Excludes:            emphysema:

with both acute and chronic bronchitis (491.21)

with chronic bronchitis (491.2)

compensatory (518.2)

due to fumes and vapors (506.4)

interstitial (518.1)

newborn (770.2)

mediastinal (518.1)

surgical (subcutaneous) (998.81)

traumatic (958.7)

with chronic bronchitis (491.20)

493       Asthma

Excludes:            wheezing NOS (786.07)

The following fifth-digit subclassification is for use with category 493:

0            without mention of status asthmaticus or acute exacerbation or unspecified

1            with status asthmaticus

2            with acute exacerbation

493.0            Extrinsic asthma

Asthma:

allergic with stated cause

atopic

childhood

hay

platinum

Hay fever with asthma

Excludes:            asthma: 

allergic NOS (493.9)

detergent (507.8)

miners' (500)

wood (495.8)

493.1            Intrinsic asthma

Late-onset asthma

493.2            Chronic obstructive asthma

Asthma with chronic obstructive pulmonary disease (COPD)

Chronic asthmatic bronchitis

Excludes:            acute bronchitis (466.0)

chronic obstructive bronchitis (491.2)

493.9            Asthma, unspecified

Asthma (bronchial) (allergic NOS)

Bronchitis:

allergic

asthmatic

494            Bronchiectasis

Bronchiectasis (fusiform) (postinfectious) (recurrent)

Bronchiolectasis

Excludes:            congenital (748.61)

tuberculous bronchiectasis (current disease) (011.5)

494.0            Bronchiectasis without acute exacerbation

494.1            Bronchiectasis with acute exacerbation

Acute bronchitis with bronchiectasis

495            Extrinsic allergic alveolitis

Includes:            allergic alveolitis and pneumonitis due to inhaled organic dust particles of fungal, thermophilic actinomycete, or other origin

495.0            Farmers' lung

495.1            Bagassosis

495.2            Bird-fanciers' lung

Budgerigar-fanciers' disease or lung

Pigeon-fanciers' disease or lung

495.3            Suberosis

Cork-handlers' disease or lung

495.4            Malt workers' lung

Alveolitis due to Aspergillus clavatus

495.5            Mushroom workers' lung

495.6            Maple bark-strippers' lung

Alveolitis due to Cryptostroma corticale

495.7            "Ventilation" pneumonitis

Allergic alveolitis due to fungal, thermophilic actinomycete, and other organisms growing in ventilation [air conditioning] systems

495.8            Other specified allergic alveolitis and pneumonitis

Cheese-washers' lung

Coffee workers' lung

Fish-meal workers' lung

Furriers' lung

Grain-handlers' disease or lung

Pituitary snuff-takers' disease

Sequoiosis or red-cedar asthma

Wood asthma

495.9            Unspecified allergic alveolitis and pneumonitis

Alveolitis, allergic (extrinsic)

Hypersensitivity pneumonitis

496       Chronic airway obstruction, not elsewhere classified

Chronic:

nonspecific lung disease

obstructive lung disease

obstructive pulmonary disease [COPD] NOS

Note:    This code is not to be used with any code from categories 491-493

Excludes:            chronic obstructive lung disease [COPD] specified (as) (with):

allergic alveolitis (495.0-495.9)

asthma (493.2)

bronchiectasis (494.0-494.1)

bronchitis (491.20-491.21) with emphysema (491.20-491.21)

emphysema (492.0-492.8)

PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS (500-508)

500       Coal workers' pneumoconiosis

Anthracosilicosis

Anthracosis

Black lung disease

Coal workers' lung

Miners' asthma

501            Asbestosis

502            Pneumoconiosis due to other silica or silicates

Pneumoconiosis due to talc

Silicotic fibrosis (massive) of lung

Silicosis (simple) (complicated)

503            Pneumoconiosis due to other inorganic dust

Aluminosis (of lung)

Bauxite fibrosis (of lung)

Berylliosis

Graphite fibrosis (of lung)

Siderosis

Stannosis

504            Pneumonopathy due to inhalation of other dust

Byssinosis

Cannabinosis

Flax-dressers' disease

Excludes:            allergic alveolitis (495.0-495.9)

asbestosis (501)

bagassosis (495.1)

farmers' lung (495.0)

505            Pneumoconiosis, unspecified

506            Respiratory conditions due to chemical fumes and vapors

Use additional E code to identify cause

506.0            Bronchitis and pneumonitis due to fumes and vapors

Chemical bronchitis (acute)

506.1            Acute pulmonary edema due to fumes and vapors

Chemical pulmonary edema (acute)

Excludes:            acute pulmonary edema NOS (518.4)

chronic or unspecified pulmonary edema (514)

506.2            Upper respiratory inflammation due to fumes and vapors

506.3            Other acute and subacute respiratory conditions due to fumes and vapors

506.4            Chronic respiratory conditions due to fumes and vapors

Emphysema (diffuse) (chronic) due to inhalation of chemical fumes and vapors

Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemical fumes and vapors

Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors

506.9            Unspecified respiratory conditions due to fumes and vapors

Silo-fillers' disease

507            Pneumonitis due to solids and liquids

Excludes:            fetal aspiration pneumonitis (770.1)

507.0            Due to inhalation of food or vomitus

Aspiration pneumonia (due to):

NOS

food (regurgitated)

gastric secretions

milk

saliva

vomitus

507.1            Due to inhalation of oils and essences

Lipoid pneumonia (exogenous)

Excludes:            endogenous lipoid pneumonia (516.8)

507.8            Due to other solids and liquids

Detergent asthma

508            Respiratory conditions due to other and unspecified external agents

Use additional E code to identify cause

508.0            Acute pulmonary manifestations due to radiation

Radiation pneumonitis

508.1            Chronic and other pulmonary manifestations due to radiation

Fibrosis of lung following radiation

508.8            Respiratory conditions due to other specified external agents

508.9            Respiratory conditions due to unspecified external agent

OTHER DISEASES OF RESPIRATORY SYSTEM (510-519)

510            Empyema

Use additional code to identify infectious organism (041.0-041.9)

Excludes:            abscess of lung (513.0)

510.0            With fistula

Fistula:

bronchocutaneous

bronchopleural

hepatopleural

mediastinal

pleural

thoracic

Any condition classifiable to 510.9 with fistula

510.9            Without mention of fistula

Abscess:

pleura

thorax

Empyema (chest) (lung) (pleura)

Fibrinopurulent pleurisy

Pleurisy:

purulent

septic

seropurulent

suppurative

Pyopneumothorax

Pyothorax

511       Pleurisy

Excludes:            malignant pleural effusion (197.2)

pleurisy with mention of tuberculosis, current disease (012.0)

511.0            Without mention of effusion or current tuberculosis

Adhesion, lung or pleura

Calcification of pleura

Pleurisy (acute) (sterile):

diaphragmatic

fibrinous

interlobar

Pleurisy:

NOS

pneumococcal

staphylococcal

streptococcal

Thickening of pleura

511.1            With effusion, with mention of a bacterial cause other than tuberculosis

Pleurisy with effusion (exudative) (serous):

pneumococcal

staphylococcal

streptococcal

other specified nontuberculous bacterial cause

511.8            Other specified forms of effusion, except tuberculous

Encysted pleurisy

Hemopneumothorax

Hemothorax

Hydropneumothorax

Hydrothorax

Excludes:            traumatic (860.2-860.5, 862.29, 862.39)

511.9            Unspecified pleural effusion

Pleural effusion NOS

Pleurisy:

exudative

serofibrinous

serous

with effusion NOS

512            Pneumothorax

512.0            Spontaneous tension pneumothorax

512.1            Iatrogenic pneumothorax

Postoperative pneumothorax

512.8            Other spontaneous pneumothorax

Pneumothorax:

NOS

acute

chronic

Excludes:            pneumothorax:

congenital (770.2)

traumatic (860.0-860.1, 860.4-860.5)

tuberculous, current disease (011.7)

513            Abscess of lung and mediastinum

513.0            Abscess of lung

Abscess (multiple) of lung

Gangrenous or necrotic pneumonia

Pulmonary gangrene or necrosis

513.1            Abscess of mediastinum

514            Pulmonary congestion and hypostasis

Hypostatic:

bronchopneumonia

pneumonia

Passive pneumonia

Pulmonary congestion (chronic) (passive)

Pulmonary edema:

NOS

chronic

Excludes:            acute pulmonary edema:

NOS (518.4)

with mention of heart disease or failure (428.1)

515            Postinflammatory pulmonary fibrosis

Cirrhosis of lung chronic or unspecified

Fibrosis of lung (atrophic) (confluent) (massive) (perialveolar) (peribronchial) chronic or unspecified

Induration of lung chronic or unspecified

516       Other alveolar and parietoalveolar pneumonopathy

516.0            Pulmonary alveolar proteinosis

516.1            Idiopathic pulmonary hemosiderosis

Essential brown induration of lung

Code first underlying disease (275.0)

516.2            Pulmonary alveolar microlithiasis

516.3            Idiopathic fibrosing alveolitis

Alveolar capillary block

Diffuse (idiopathic) (interstitial) pulmonary fibrosis

Hamman-Rich syndrome

516.8            Other specified alveolar and parietoalveolar pneumonopathies

Endogenous lipoid pneumonia

Interstitial pneumonia (desquamative) (lymphoid)

Excludes:            lipoid pneumonia, exogenous or unspecified (507.1)

516.9            Unspecified alveolar and parietoalveolar pneumonopathy

517       Lung involvement in conditions classified elsewhere

Excludes:            rheumatoid lung (714.81)

517.1            Rheumatic pneumonia

Code first underlying disease (390)

517.2            Lung involvement in systemic sclerosis

Code first underlying disease (710.1)

517.8            Lung involvement in other diseases classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

polymyositis (710.4)

sarcoidosis (135)

Sjögren's disease (710.2)

systemic lupus erythematosus (710.0)

Excludes:            syphilis (095.1)

518       Other diseases of lung

518.0            Pulmonary collapse

Atelectasis

Collapse of lung

Middle lobe syndrome

Excludes:            atelectasis:

congenital (partial) (770.5)

primary (770.4)

tuberculous, current disease (011.8)

518.1            Interstitial emphysema

Mediastinal emphysema

Excludes:            surgical (subcutaneous) emphysema (998.81)

that in fetus or newborn (770.2)

traumatic emphysema (958.7)

518.2            Compensatory emphysema

518.3            Pulmonary eosinophilia

Eosinophilic asthma

Löffler's syndrome

Pneumonia:

allergic

eosinophilic

Tropical eosinophilia

518.4            Acute edema of lung, unspecified

Acute pulmonary edema NOS

Pulmonary edema, postoperative

Excludes:            pulmonary edema:

acute, with mention of heart disease or failure (428.1)

chronic or unspecified (514)

due to external agents (506.0-508.9)

518.5            Pulmonary insufficiency following trauma and surgery

Adult respiratory distress syndrome

Pulmonary insufficiency following:

shock

surgery

trauma

Shock lung

Excludes:            adult respiratory distress syndrome associated with other conditions (518.82)

pneumonia:

aspiration (507.0)

hypostatic (514)

respiratory failure in other conditions (518.81, 518.83-518.84)

518.6            Allergic bronchopulmonary aspergillosis

518.8            Other diseases of lung

518.81      Acute respiratory failure

Respiratory failure NOS

Excludes:            acute and chronic respiratory failure (518.84)

acute respiratory distress (518.82)

chronic respiratory failure (518.83)

respiratory arrest (799.1)

respiratory failure, newborn (770.84)

518.82      Other pulmonary insufficiency, not elsewhere classified

Acute respiratory distress

Acute respiratory insufficiency

Adult respiratory distress syndrome NEC

Excludes:            adult respiratory distress syndrome associated with trauma or surgery (518.5)

pulmonary insufficiency following trauma or surgery (518.5)

respiratory distress:

NOS (786.09)

newborn (770.89)

syndrome, newborn (769)

shock lung (518.5)

518.83      Chronic respiratory failure

518.84      Acute and chronic respiratory failure
Acute on chronic respiratory failure

518.89      Other diseases of lung, not elsewhere classified

Broncholithiasis

Calcification of lung

Lung disease NOS

Pulmolithiasis

519       Other diseases of respiratory system

519.0            Tracheostomy complications

519.00      Tracheostomy complication, unspecified

519.01      Infection of tracheostomy

Use additional code to identify type of infection, such as:

abscess or cellulitis of neck (682.1)

septicemia (038.0-038.9)

Use additional code to identify organism (041.00-041.9)

519.02      Mechanical complication of tracheostomy

Tracheal stenosis due to tracheostomy

519.09      Other tracheostomy complications

Hemorrhage due to tracheostomy

Tracheoesophageal fistula due to tracheostomy

519.1            Other diseases of trachea and bronchus, not elsewhere classified

Calcification of bronchus or trachea

Stenosis of bronchus or trachea

Ulcer of bronchus or trachea

519.2            Mediastinitis

519.3            Other diseases of mediastinum, not elsewhere classified

Fibrosis of mediastinum

Hernia of mediastinum

Retraction of mediastinum

519.4            Disorders of diaphragm

Diaphragmitis

Paralysis of diaphragm

Relaxation of diaphragm

Excludes:            congenital defect of diaphragm (756.6)

diaphragmatic hernia (551-553 with .3)

congenital (756.6)

519.8            Other diseases of respiratory system, not elsewhere classified

519.9            Unspecified disease of respiratory system

Respiratory disease (chronic) NOS

9.  DISEASES OF THE DIGESTIVE SYSTEM (520-579)

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAWS (520-529)

520            Disorders of tooth development and eruption

520.0            Anodontia

Absence of teeth (complete) (congenital) (partial)

Hypodontia

Oligodontia

Excludes:            acquired absence of teeth (525.10-525.19)

520.1            Supernumerary teeth

Distomolar

Fourth molar

Mesiodens

Paramolar

Supplemental teeth

Excludes:            supernumerary roots (520.2)

520.2            Abnormalities of size and form

Concrescence of teeth

Fusion of teeth

Gemination of teeth

Dens evaginatus

Dens in dente

Dens invaginatus

Enamel pearls

Macrodontia

Microdontia

Peg-shaped [conical] teeth

Supernumerary roots

Taurodontism

Tuberculum paramolare

Excludes:            that due to congenital syphilis (090.5)

tuberculum Carabelli, which is regarded as a normal variation

520.3            Mottled teeth

Dental fluorosis

Mottling of enamel

Nonfluoride enamel opacities

520.4            Disturbances of tooth formation

Aplasia and hypoplasia of cementum

Dilaceration of tooth

Enamel hypoplasia (neonatal) (postnatal) (prenatal)

Horner's teeth

Hypocalcification of teeth

Regional odontodysplasia

Turner's tooth

Excludes:            Hutchinson's teeth and mulberry molars in congenital syphilis (090.5)

mottled teeth (520.3)

520.5            Hereditary disturbances in tooth structure, not elsewhere classified

Amelogenesis imperfecta

Dentinogenesis imperfecta

Odontogenesis imperfecta

Dentinal dysplasia

Shell teeth

520.6            Disturbances in tooth eruption

Teeth:

embedded

impacted

natal

neonatal

primary [deciduous]:

persistent

shedding, premature

Tooth eruption:

late

obstructed

premature

Excludes:            exfoliation of teeth (attributable to disease of surrounding tissues) (525.0-525.19)

impacted or embedded teeth with abnormal position of such teeth or adjacent teeth (524.3)

520.7            Teething syndrome

520.8            Other specified disorders of tooth development and eruption

Color changes during tooth formation

Pre-eruptive color changes

Excludes:            posteruptive color changes (521.7)

520.9            Unspecified disorder of tooth development and eruption

521            Diseases of hard tissues of teeth

521.0            Dental caries

521.00      Dental caries, unspecified

521.01      Dental caries limited to enamel

Initial caries

White spot lesion

521.02      Dental caries extending into dentine

521.03      Dental caries extending into pulp

521.04      Arrested dental caries

521.05      Odontoclasia

Infantile melanodontia

Melanodontoclasia

Excludes:            internal and external resorption of teeth (521.4)

521.09      Other dental caries

521.1            Excessive attrition

Approximal wear

Occlusal wear

521.2            Abrasion

Abrasion of teeth:

dentifrice

habitual

occupational

ritual

traditional

Wedge defect NOS of teeth

521.3            Erosion

Erosion of teeth:

NOS

due to:

medicine

persistent vomiting

idiopathic

occupational

521.4            Pathological resorption

Internal granuloma of pulp

Resorption of tooth or root (external) (internal)

521.5            Hypercementosis

Cementation hyperplasia

521.6            Ankylosis of teeth

521.7            Posteruptive color changes

Staining [discoloration] of teeth:

NOS

due to:

drugs

metals

pulpal bleeding

Excludes:            accretions [deposits] on teeth (523.6)

pre-eruptive color changes (520.8)

521.8            Other specified diseases of hard tissues of teeth

Irradiated enamel

Sensitive dentin

521.9            Unspecified disease of hard tissues of teeth

522            Diseases of pulp and periapical tissues

522.0            Pulpitis

Pulpal:

abscess

polyp

Pulpitis:

acute

chronic (hyperplastic) (ulcerative)

suppurative

522.1            Necrosis of the pulp

Pulp gangrene

522.2            Pulp degeneration

Denticles

Pulp calcifications

Pulp stones

522.3            Abnormal hard tissue formation in pulp

Secondary or irregular dentin

522.4            Acute apical periodontitis of pulpal origin

522.5            Periapical abscess without sinus

Abscess:

dental

dentoalveolar

Excludes:            periapical abscess with sinus (522.7)

522.6            Chronic apical periodontitis

Apical or periapical granuloma

Apical periodontitis NOS

522.7            Periapical abscess with sinus

Fistula:

alveolar process

dental

522.8            Radicular cyst

Cyst:

apical (periodontal)

periapical

radiculodental

residual radicular

Excludes:            lateral developmental or lateral periodontal cyst (526.0)

522.9            Other and unspecified diseases of pulp and periapical tissues

523       Gingival and periodontal diseases

523.0            Acute gingivitis

Excludes:            acute necrotizing ulcerative gingivitis (101)

herpetic gingivostomatitis (054.2)

523.1            Chronic gingivitis

Gingivitis (chronic):

NOS

desquamative

hyperplastic

simple marginal

ulcerative

Gingivostomatitis

Excludes:            herpetic gingivostomatitis (054.2)

523.2            Gingival recession

Gingival recession (generalized) (localized) (postinfective) (postoperative)

523.3            Acute periodontitis

Acute:

pericementitis

pericoronitis

Paradontal abscess

Periodontal abscess

Excludes:            acute apical periodontitis (522.4)

periapical abscess (522.5, 522.7)

523.4            Chronic periodontitis

Alveolar pyorrhea

Chronic pericoronitis

Pericementitis (chronic)

Periodontitis:

NOS

complex

simplex

Excludes:            chronic apical periodontitis (522.6)

523.5            Periodontosis

523.6            Accretions on teeth

Dental calculus:

subgingival

supragingival

Deposits on teeth:

betel

materia alba

soft

tartar

tobacco

523.8            Other specified periodontal diseases

Giant cell:

epulis

peripheral granuloma

Gingival:

cysts

enlargement NOS

fibromatosis

Gingival polyp

Periodontal lesions due to traumatic occlusion

Peripheral giant cell granuloma

Excludes:            leukoplakia of gingiva (528.6)

523.9            Unspecified gingival and periodontal disease

524            Dentofacial anomalies, including malocclusion

524.0            Major anomalies of jaw size

Excludes:            hemifacial atrophy or hypertrophy (754.0)

unilateral condylar hyperplasia or hypoplasia of mandible

524.00      Unspecified anomaly

524.01      Maxillary hyperplasia

524.02      Mandibular hyperplasia

524.03      Maxillary hypoplasia

524.04      Mandibular hypoplasia

524.05      Macrogenia

524.06      Microgenia

524.09      Other specified anomaly

524.1            Anomalies of relationship of jaw to cranial base

524.10      Unspecified anomaly

Prognathism

Retrognathism

524.11      Maxillary asymmetry

524.12      Other jaw asymmetry

524.19      Other specified anomaly

524.2            Anomalies of dental arch relationship

Crossbite (anterior) (posterior)

Disto-occlusion

Mesio-occlusion

Midline deviation

Open bite (anterior) (posterior)

Overbite (excessive):

deep

horizontal

vertical

Overjet

Posterior lingual occlusion of mandibular teeth

Soft tissue impingement

Excludes:            hemifacial atrophy or hypertrophy (754.0)

unilateral condylar hyperplasia or hypoplasia of mandible (526.89)

524.3            Anomalies of tooth position

Crowding of tooth, teeth

Diastema of tooth, teeth

Displacement of tooth, teeth

Rotation of tooth, teeth

Spacing, abnormal, of tooth, teeth

Transposition of tooth, teeth

Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth

524.4            Malocclusion, unspecified

524.5            Dentofacial functional abnormalities

Abnormal jaw closure

Malocclusion due to:

abnormal swallowing

mouth breathing

tongue, lip, or finger habits

524.6            Temporomandibular joint disorders

Excludes:            current temporomandibular joint:

dislocation (830.0-830.1)

strain (848.1)

524.60      Temporomandibular joint disorders, unspecified

Temporomandibular joint-pain-dysfunction syndrome [TMJ]

524.61      Adhesions and ankylosis (bony or fibrous)

524.62      Arthralgia of temporomandibular joint

524.63      Articular disc disorder (reducing or nonreducing)

524.69      Other specified temporomandibular joint disorders

524.7            Dental alveolar anomalies

524.70      Unspecified alveolar anomaly

524.71      Alveolar maxillary hyperplasia

524.72      Alveolar mandibular hyperplasia

524.73      Alveolar maxillary hypoplasia

524.74      Alveolar mandibular hypoplasia

524.79      Other specified alveolar anomaly

524.8            Other specified dentofacial anomalies

524.9            Unspecified dentofacial anomalies

525       Other diseases and conditions of the teeth and supporting structures

525.0            Exfoliation of teeth due to systemic causes

525.1            Loss of teeth due to trauma, extraction, or periodontal disease

525.10      Acquired absence of teeth, unspecified

Edentulism

Tooth extraction status, NOS

525.11      Loss of teeth due to trauma

525.12      Loss of teeth due to periodontal disease

525.13      Loss of teeth due to caries

525.19      Other loss of teeth

525.2            Atrophy of edentulous alveolar ridge

525.3            Retained dental root

525.8            Other specified disorders of the teeth and supporting structures

Enlargement of alveolar ridge NOS

Irregular alveolar process

525.9            Unspecified disorder of the teeth and supporting structures

526            Diseases of the jaws

526.0            Developmental odontogenic cysts

Cyst:

dentigerous

eruption

follicular

lateral developmental

lateral periodontal

primordial

Keratocyst

Excludes:            radicular cyst (522.8)

526.1            Fissural cysts of jaw

Cyst:

globulomaxillary

incisor canal

median anterior maxillary

median palatal

nasopalatine

palatine of papilla

Excludes:            cysts of oral soft tissues (528.4)

526.2            Other cysts of jaws

Cyst of jaw:

NOS

aneurysmal

hemorrhagic

traumatic

526.3            Central giant cell (reparative) granuloma

Excludes:            peripheral giant cell granuloma (523.8)

526.4            Inflammatory conditions

Abscess of jaw (acute) (chronic) (suppurative)

Osteitis of jaw (acute) (chronic) (suppurative)

Osteomyelitis (neonatal) of jaw (acute) (chronic) (suppurative)

Periostitis of jaw (acute) (chronic) (suppurative)

Sequestrum of jaw bone

Excludes:            alveolar osteitis (526.5)

526.5            Alveolitis of jaw

Alveolar osteitis

Dry socket

526.8            Other specified diseases of the jaws

526.81      Exostosis of jaw

Torus mandibularis

Torus palatinus

526.89      Other

Cherubism

Fibrous dysplasia of jaw(s)

Latent bone cyst of jaw(s)

Osteoradionecrosis of jaw(s)

Unilateral condylar hyperplasia or hypoplasia of mandible

526.9            Unspecified disease of the jaws

527            Diseases of the salivary glands

527.0            Atrophy

527.1            Hypertrophy

527.2            Sialoadenitis

Parotitis:

NOS

allergic

toxic

Sialoangitis

Sialodochitis

Excludes:            epidemic or infectious parotitis (072.0-072.9)

uveoparotid fever (135)

527.3            Abscess

527.4            Fistula

Excludes:            congenital fistula of salivary gland (750.24)

527.5            Sialolithiasis

Calculus of salivary gland or duct

Stone of salivary gland or duct

Sialodocholithiasis

527.6            Mucocele

Mucous:

extravasation cyst of salivary gland

retention cyst of salivary gland

Ranula

527.7            Disturbance of salivary secretion

Hyposecretion

Ptyalism

Sialorrhea

Xerostomia

527.8            Other specified diseases of the salivary glands

Benign lymphoepithelial lesion of salivary gland

Sialectasia

Sialosis

Stenosis of salivary duct

Stricture of salivary duct

527.9            Unspecified disease of the salivary glands

528            Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue

528.0            Stomatitis

Stomatitis:

NOS

ulcerative

Vesicular stomatitis

Excludes:            stomatitis:

acute necrotizing ulcerative (101)

aphthous (528.2)

gangrenous (528.1)

herpetic (054.2)

Vincent's (101)

528.1            Cancrum oris

Gangrenous stomatitis

Noma

528.2            Oral aphthae

Aphthous stomatitis

Canker sore

Periadenitis mucosa necrotica recurrens

Recurrent aphthous ulcer

Stomatitis herpetiformis

Excludes:            herpetic stomatitis (054.2)

528.3            Cellulitis and abscess

Cellulitis of mouth (floor)

Ludwig's angina

Oral fistula

Excludes:            abscess of tongue (529.0)

cellulitis or abscess of lip (528.5)

fistula (of):

dental (522.7)

lip (528.5)

gingivitis (523.0-523.1)

528.4            Cysts

Dermoid cyst of mouth

Epidermoid cyst of mouth

Epstein's pearl of mouth

Lymphoepithelial cyst of mouth

Nasoalveolar cyst of mouth

Nasolabial cyst of mouth

Excludes:            cyst:

gingiva (523.8)

tongue (529.8)

528.5            Diseases of lips

Abscess of lip(s)

Cellulitis of lip(s)

Fistula of lip(s)

Hypertrophy of lip(s)

Cheilitis:

NOS

angular

Cheilodynia

Cheilosis

Excludes:            actinic cheilitis (692.79)

congenital fistula of lip (750.25)

leukoplakia of lips (528.6)

528.6            Leukoplakia of oral mucosa, including tongue

Leukokeratosis of oral mucosa

Leukoplakia of:

gingiva

lips

tongue

Excludes:            carcinoma in situ (230.0, 232.0)

leukokeratosis nicotina palati (528.7)

528.7            Other disturbances of oral epithelium, including tongue

Erythroplakia of mouth or tongue

Focal epithelial hyperplasia of mouth or tongue

Leukoedema of mouth or tongue

Leukokeratosis nicotina palati

Excludes:            carcinoma in situ (230.0, 232.0)

leukokeratosis NOS (702)

528.8            Oral submucosal fibrosis, including of tongue

528.9            Other and unspecified diseases of the oral soft tissues

Cheek and lip biting

Denture sore mouth

Denture stomatitis

Melanoplakia

Papillary hyperplasia of palate

Eosinophilic granuloma of oral mucosa

Irritative hyperplasia of oral mucosa

Pyogenic granuloma of oral mucosa

Ulcer (traumatic) of oral mucosa

529            Diseases and other conditions of the tongue

529.0            Glossitis

Abscess of tongue

Ulceration (traumatic) of tongue

Excludes:            glossitis:

benign migratory (529.1)

Hunter's (529.4)

median rhomboid (529.2)

Moeller's (529.4)

529.1            Geographic tongue

Benign migratory glossitis

Glossitis areata exfoliativa

529.2            Median rhomboid glossitis

529.3            Hypertrophy of tongue papillae

Black hairy tongue

Coated tongue

Hypertrophy of foliate papillae

Lingua villosa nigra

529.4            Atrophy of tongue papillae

Bald tongue

Glazed tongue

Glossitis:

Hunter's

Moeller's

Glossodynia exfoliativa

Smooth atrophic tongue

529.5            Plicated tongue

Fissured tongue

Furrowed tongue

Scrotal tongue

Excludes:            fissure of tongue, congenital (750.13)

529.6            Glossodynia

Glossopyrosis

Painful tongue

Excludes:            glossodynia exfoliativa (529.4)

529.8            Other specified conditions of the tongue

Atrophy (of) tongue

Crenated (of) tongue

Enlargement (of) tongue

Hypertrophy (of) tongue

Glossocele

Glossoptosis

Excludes:            erythroplasia of tongue (528.7)

leukoplakia of tongue (528.6)

macroglossia (congenital) (750.15)

microglossia (congenital) (750.16)

oral submucosal fibrosis (528.8)

529.9            Unspecified condition of the tongue

DISEASES OF ESOPHAGUS, STOMACH, AND DUODENUM (530-537)

530            Diseases of esophagus

Excludes:            esophageal varices (456.0-456.2)

530.0            Achalasia and cardiospasm

Achalasia (of cardia)

Aperistalsis of esophagus

Megaesophagus

Excludes:            congenital cardiospasm (750.7)

530.1            Esophagitis

Abscess of esophagus

Esophagitis:

NOS

chemical

peptic

postoperative

regurgitant

Use additional E code to identify cause, if induced by chemical

Excludes:            tuberculous esophagitis (017.8)

530.10      Esophagitis, unspecified

530.11      Reflux esophagitis

530.12      Acute esophagitis

530.19      Other esophagitis

530.2            Ulcer of esophagus

Ulcer of esophagus

fungal

peptic

Ulcer of esophagus due to ingestion of:

aspirin

chemicals

medicines

Use additional E code to identify cause, if induced by chemical or drug

530.3            Stricture and stenosis of esophagus

Compression of esophagus

Obstruction of esophagus

Excludes:            congenital stricture of esophagus (750.3)

530.4            Perforation of esophagus

Rupture of esophagus

Excludes:            traumatic perforation of esophagus (862.22, 862.32, 874.4-874.5)

530.5            Dyskinesia of esophagus

Corkscrew esophagus

Curling esophagus

Esophagospasm

Spasm of esophagus

Excludes:            cardiospasm (530.0)

530.6            Diverticulum of esophagus, acquired

Diverticulum, acquired:

epiphrenic

pharyngoesophageal

pulsion

subdiaphragmatic

traction

Zenker's (hypopharyngeal)

Esophageal pouch, acquired

Esophagocele, acquired

Excludes:            congenital diverticulum of esophagus (750.4)

530.7            Gastroesophageal laceration-hemorrhage syndrome

Mallory-Weiss syndrome

530.8            Other specified disorders of esophagus

530.81      Esophageal reflux

Gastroesophageal reflux

Excludes:            reflux esophagitis (530.11)

530.82      Esophageal hemorrhage

Excludes:            hemorrhage due to esophageal varices (456.0-456.2)

530.83      Esophageal leukoplakia

530.84      Tracheoesophageal fistula

Excludes:            congenital tracheoesophageal fistula (750.3)

530.89      Other

Excludes:            Paterson-Kelly syndrome (280.8)

530.9            Unspecified disorder of esophagus

531       Gastric ulcer

Includes:            ulcer (peptic):

prepyloric

pylorus

stomach

Use additional E code to identify drug, if drug-induced

Excludes:            peptic ulcer NOS (533.0-533.9)

The following fifth-digit subclassification is for use with category 531:

0            without mention of obstruction

1            with obstruction

531.0            Acute with hemorrhage

531.1            Acute with perforation

531.2            Acute with hemorrhage and perforation

531.3            Acute without mention of hemorrhage or perforation

531.4            Chronic or unspecified with hemorrhage

531.5            Chronic or unspecified with perforation

531.6            Chronic or unspecified with hemorrhage and perforation

531.7            Chronic without mention of hemorrhage or perforation

531.9            Unspecified as acute or chronic, without mention of hemorrhage or perforation

532            Duodenal ulcer

Includes:            erosion (acute) of duodenum

ulcer (peptic):

duodenum

postpyloric

Use additional E code to identify drug, if drug-induced

Excludes:            peptic ulcer NOS (533.0-533.9)

The following fifth-digit subclassification is for use with category 532:

0            without mention of obstruction

1            with obstruction

532.0            Acute with hemorrhage

532.1            Acute with perforation

532.2            Acute with hemorrhage and perforation

532.3            Acute without mention of hemorrhage or perforation

532.4            Chronic or unspecified with hemorrhage

532.5            Chronic or unspecified with perforation

532.6            Chronic or unspecified with hemorrhage and perforation

532.7            Chronic without mention of hemorrhage or perforation

532.9            Unspecified as acute or chronic, without mention of hemorrhage or perforation

533       Peptic ulcer, site unspecified

Includes:            gastroduodenal ulcer NOS

peptic ulcer NOS

stress ulcer NOS

Use additional E code to identify drug, if drug-induced

Excludes:            peptic ulcer:

duodenal (532.0-532.9)

gastric (531.0-531.9)

The following fifth-digit subclassification is for use with category 533:

0            without mention of obstruction

1            with obstruction

533.0            Acute with hemorrhage

533.1            Acute with perforation

533.2            Acute with hemorrhage and perforation

533.3            Acute without mention of hemorrhage and perforation

533.4            Chronic or unspecified with hemorrhage

533.5            Chronic or unspecified with perforation

533.6            Chronic or unspecified with hemorrhage and perforation

533.7            Chronic without mention of hemorrhage or perforation

533.9            Unspecified as acute or chronic, without mention of hemorrhage or perforation

534            Gastrojejunal ulcer

Includes:            ulcer (peptic) or erosion:

anastomotic

gastrocolic

gastrointestinal

gastrojejunal

jejunal

marginal

stomal

Excludes:            primary ulcer of small intestine (569.82)

The following fifth-digit subclassification is for use with category 534:

0            without mention of obstruction

1            with obstruction

534.0            Acute with hemorrhage

534.1            Acute with perforation

534.2            Acute with hemorrhage and perforation

534.3            Acute without mention of hemorrhage or perforation

534.4            Chronic or unspecified with hemorrhage

534.5            Chronic or unspecified with perforation

534.6            Chronic or unspecified with hemorrhage and perforation

534.7            Chronic without mention of hemorrhage or perforation

534.9            Unspecified as acute or chronic, without mention of hemorrhage or perforation

535            Gastritis and duodenitis

The following fifth-digit subclassification is for use with category 535:

0            without mention of hemorrhage

1            with hemorrhage

535.0            Acute gastritis

535.1            Atrophic gastritis

Gastritis:

atrophic-hyperplastic

chronic (atrophic)

535.2            Gastric mucosal hypertrophy

Hypertrophic gastritis

535.3            Alcoholic gastritis

535.4            Other specified gastritis

Gastritis:

allergic

bile induced

irritant

superficial

toxic

535.5            Unspecified gastritis and gastroduodenitis

535.6            Duodenitis

536            Disorders of function of stomach

Excludes:            functional disorders of stomach specified as psychogenic (306.4)

536.0            Achlorhydria

536.1            Acute dilatation of stomach

Acute distention of stomach

536.2            Persistent vomiting

Habit vomiting

Persistent vomiting [not of pregnancy]

Uncontrollable vomiting

Excludes:            excessive vomiting in pregnancy (643.0-643.9)

vomiting NOS (787.0)

536.3            Gastroparesis

536.4            Gastrostomy complications

536.40      Gastrostomy complication, unspecified

536.41      Infection of gastrostomy

Use additional code to identify type of infection, such as:

abscess or cellulitis of abdomen (682.2)

septicemia (038.0-038.9)

Use additional code to identify organism (041.00-041.9)

536.42      Mechanical complication of gastrostomy

536.49      Other gastrostomy complications

536.8            Dyspepsia and other specified disorders of function of stomach

Achylia gastrica

Hourglass contraction of stomach

Hyperacidity

Hyperchlorhydria

Hypochlorhydria

Indigestion

Excludes:            achlorhydria (536.0)

heartburn (787.1)

536.9            Unspecified functional disorder of stomach

Functional gastrointestinal:

disorder

disturbance

irritation

537       Other disorders of stomach and duodenum

537.0            Acquired hypertrophic pyloric stenosis

Constriction of pylorus, acquired or adult

Obstruction of pylorus, acquired or adult

Stricture of pylorus, acquired or adult

Excludes:            congenital or infantile pyloric stenosis (750.5)

537.1            Gastric diverticulum

Excludes:            congenital diverticulum of stomach (750.7)

537.2            Chronic duodenal ileus

537.3            Other obstruction of duodenum

Cicatrix of duodenum

Stenosis of duodenum

Stricture of duodenum

Volvulus of duodenum

Excludes:            congenital obstruction of duodenum (751.1)

537.4            Fistula of stomach or duodenum

Gastrocolic fistula

Gastrojejunocolic fistula

537.5            Gastroptosis

537.6            Hourglass stricture or stenosis of stomach

Cascade stomach

Excludes:            congenital hourglass stomach (750.7)

hourglass contraction of stomach (536.8)

537.8            Other specified disorders of stomach and duodenum

537.81      Pylorospasm

Excludes:            congenital pylorospasm (750.5)

537.82      Angiodysplasia of stomach and duodenum without mention of hemorrhage

537.83      Angiodysplasia of stomach and duodenum with hemorrhage

537.84      Dieulafoy lesion (hemorrhagic) of stomach and duodenum

537.89      Other

Gastric or duodenal:

prolapse

rupture

Intestinal metaplasia of gastric mucosa

Passive congestion of stomach

Excludes:            diverticula of duodenum (562.00-562.01)

gastrointestinal hemorrhage (578.0-578.9)

537.9            Unspecified disorder of stomach and duodenum

APPENDICITIS (540-543)

540       Acute appendicitis

540.0            With generalized peritonitis

Appendicitis (acute) with:  perforation, peritonitis (generalized), rupture:

fulminating

gangrenous

obstructive

Cecitis (acute) with:  perforation, peritonitis (generalized), rupture

Rupture of appendix

Excludes:            acute appendicitis with peritoneal abscess (540.1)

540.1            With peritoneal abscess

Abscess of appendix

With generalized peritonitis

540.9            Without mention of peritonitis

Acute:

appendicitis without mention of perforation, peritonitis, or rupture:

fulminating

gangrenous

inflamed

obstructive

cecitis without mention of perforation, peritonitis, or rupture

541            Appendicitis, unqualified

542       Other appendicitis

Appendicitis:

chronic

recurrent

relapsing

subacute

Excludes:            hyperplasia (lymphoid) of appendix (543.0)

543       Other diseases of appendix

543.0            Hyperplasia of appendix (lymphoid)

543.9            Other and unspecified diseases of appendix

Appendicular or appendiceal:

colic

concretion

fistula

Diverticulum of appendix

Fecalith of appendix

Intussusception of appendix

Mucocele of appendix

Stercolith of appendix

HERNIA OF ABDOMINAL CAVITY (550-553)

Includes:            hernia:

            acquired

            congenital, except diaphragmatic or hiatal

550       Inguinal hernia

Includes:            bubonocele

inguinal hernia (direct) (double) (indirect) (oblique) (sliding)

scrotal hernia

The following fifth-digit subclassification is for use with category 550:

0            unilateral or unspecified (not specified as recurrent)

   Unilateral NOS

1            unilateral or unspecified, recurrent

2            bilateral (not specified as recurrent)

   Bilateral NOS

3            bilateral, recurrent

550.0            Inguinal hernia, with gangrene

Inguinal hernia with gangrene (and obstruction)

550.1            Inguinal hernia, with obstruction, without mention of gangrene

Inguinal hernia with mention of incarceration, irreducibility, or strangulation

550.9            Inguinal hernia, without mention of obstruction or gangrene

Inguinal hernia NOS

551       Other hernia of abdominal cavity, with gangrene

Includes:            that with gangrene (and obstruction)

551.0            Femoral hernia with gangrene

551.00      Unilateral or unspecified (not specified as recurrent)

Femoral hernia NOS with gangrene

551.01      Unilateral or unspecified, recurrent

551.02      Bilateral (not specified as recurrent)

551.03      Bilateral, recurrent

551.1            Umbilical hernia with gangrene

Parumbilical hernia specified as gangrenous

551.2            Ventral hernia with gangrene

551.20      Ventral, unspecified, with gangrene

551.21      Incisional, with gangrene

Hernia:

postoperative specified as gangrenous

recurrent, ventral specified as gangrenous

551.29      Other

Epigastric hernia specified as gangrenous

551.3            Diaphragmatic hernia with gangrene

Hernia:

hiatal (esophageal) (sliding) specified as gangrenous

paraesophageal specified as gangrenous

Thoracic stomach specified as gangrenous

Excludes:            congenital diaphragmatic hernia (756.6)

551.8            Hernia of other specified sites, with gangrene

Any condition classifiable to 553.8 if specified as gangrenous

551.9            Hernia of unspecified site, with gangrene

Any condition classifiable to 553.9 if specified as gangrenous

552       Other hernia of abdominal cavity, with obstruction, but without mention of gangrene

Excludes:            that with mention of gangrene (551.0-551.9)

552.0            Femoral hernia with obstruction

Femoral hernia specified as incarcerated, irreducible, strangulated, or causing obstruction

552.00      Unilateral or unspecified (not specified as recurrent)

552.01      Unilateral or unspecified, recurrent

552.02      Bilateral (not specified as recurrent)

552.03      Bilateral, recurrent

552.1            Umbilical hernia with obstruction

Parumbilical hernia specified as incarcerated, irreducible, strangulated, or causing obstruction

552.2            Ventral hernia with obstruction

Ventral hernia specified as incarcerated, irreducible, strangulated, or causing obstruction

552.20      Ventral, unspecified, with obstruction

552.21      Incisional, with obstruction

Hernia:

postoperative specified as incarcerated, irreducible, strangulated, or causing obstruction

recurrent, ventral specified as incarcerated, irreducible, strangulated, or causing obstruction

552.29      Other

Epigastric hernia specified as incarcerated, irreducible, strangulated, or causing obstruction

552.3            Diaphragmatic hernia with obstruction

Hernia:

hiatal (esophageal) (sliding) specified as incarcerated, irreducible, strangulated, or causing obstruction

paraesophageal specified as incarcerated, irreducible, strangulated, or causing obstruction

Thoracic stomach specified as incarcerated, irreducible, strangulated, or causing obstruction

Excludes:            congenital diaphragmatic hernia (756.6)

552.8            Hernia of other specified sites, with obstruction

Any condition classifiable to 553.8 if specified as incarcerated, irreducible, strangulated, or causing obstruction

552.9            Hernia of unspecified site, with obstruction

Any condition classifiable to 553.9 if specified as incarcerated, irreducible, strangulated, or causing obstruction

553       Other hernia of abdominal cavity without mention of obstruction or gangrene

Excludes:            the listed conditions with mention of:

gangrene (and obstruction) (551.0-551.9)

obstruction (552.0-552.9)

553.0            Femoral hernia

553.00      Unilateral or unspecified (not specified as recurrent)

Femoral hernia NOS

553.01      Unilateral or unspecified, recurrent

553.02      Bilateral (not specified as recurrent)

553.03      Bilateral, recurrent

553.1            Umbilical hernia

Parumbilical hernia

553.2            Ventral hernia

553.20      Ventral, unspecified

553.21      Incisional

Hernia:

postoperative

recurrent, ventral

553.29      Other

Hernia:

epigastric

spigelian

553.3            Diaphragmatic hernia

Hernia:

hiatal (esophageal) (sliding)

paraesophageal

Thoracic stomach

Excludes:            congenital:

diaphragmatic hernia (756.6)

hiatal hernia (750.6)

esophagocele (530.6)

553.8            Hernia of other specified sites

Hernia:

ischiatic

ischiorectal

lumbar

obturator

pudendal

retroperitoneal

sciatic

Other abdominal hernia of specified site

Excludes:            vaginal enterocele (618.6)

553.9            Hernia of unspecified site

Enterocele

Epiplocele

Hernia:

NOS

interstitial

intestinal

intra-abdominal

Rupture (nontraumatic)

Sarcoepiplocele

NONINFECTIOUS ENTERITIS AND COLITIS (555-558)

555            Regional enteritis

Includes:            Crohn's disease

Granulomatous enteritis

Excludes:            ulcerative colitis (556)

555.0            Small intestine

Ileitis:

regional

segmental

terminal

Regional enteritis or Crohn's disease of:

duodenum

ileum

jejunum

555.1            Large intestine

Colitis:

granulomatous

regional

transmural

Regional enteritis or Crohn's disease of:

colon

large bowel

rectum

555.2            Small intestine with large intestine

Regional ileocolitis

555.9            Unspecified site

Crohn's disease NOS

Regional enteritis NOS

556            Ulcerative colitis

556.0            Ulcerative (chronic) enterocolitis

556.1            Ulcerative (chronic) ileocolitis

556.2            Ulcerative (chronic) proctitis

556.3            Ulcerative (chronic) proctosigmoiditis

556.4            Pseudopolyposis of colon

556.5            Left-sided ulcerative (chronic) colitis

556.6            Universal ulcerative (chronic) colitis

Pancolitis

556.8            Other ulcerative colitis

556.9            Ulcerative colitis, unspecified

Ulcerative enteritis NOS

557            Vascular insufficiency of intestine

Excludes:            necrotizing enterocolitis of the newborn (777.5)

557.0            Acute vascular insufficiency of intestine

Acute:

hemorrhagic enterocolitis

ischemic colitis, enteritis, or enterocolitis

massive necrosis of intestine

Bowel infarction

Embolism of mesenteric artery

Fulminant enterocolitis

Hemorrhagic necrosis of intestine

Infarction of appendices epiploicae

Intestinal gangrene

Intestinal infarction (acute) (agnogenic) (hemorrhagic) (nonocclusive)

Mesenteric infarction (embolic) (thrombotic)

Necrosis of intestine

Terminal hemorrhagic enteropathy

Thrombosis of mesenteric artery

557.1            Chronic vascular insufficiency of intestine

Angina, abdominal

Chronic ischemic colitis, enteritis, or enterocolitis

Ischemic stricture of intestine

Mesenteric:

angina

artery syndrome (superior)

vascular insufficiency

557.9            Unspecified vascular insufficiency of intestine

Alimentary pain due to vascular insufficiency

Ischemic colitis, enteritis, or enterocolitis NOS

558       Other and unspecified noninfectious gastroenteritis and colitis

Excludes:            infectious:

colitis, enteritis, or gastroenteritis (009.0-009.1)

diarrhea (009.2-009.3)

558.1            Gastroenteritis and colitis due to radiation

Radiation enterocolitis

558.2            Toxic gastroenteritis and colitis

Use additional E code to identify cause

558.3            Allergic gastroenteritis and colitis

558.9            Other and unspecified noninfectious gastroenteritis and colitis

Colitis, NOS, dietetic, or noninfectious

Enteritis, NOS, dietetic, or noninfectious

Gastroenteritis, NOS, dietetic, or noninfectious

Ileitis, NOS, dietetic or noninfectious

Jejunitis, NOS, dietetic, or noninfectious

Sigmoiditis, NOS, dietetic, or noninfectious

OTHER DISEASES OF INTESTINES AND PERITONEUM (560-569)

560            Intestinal obstruction without mention of hernia

Excludes:            duodenum (537.2-537.3)

inguinal hernia with obstruction (550.1)

intestinal obstruction complicating hernia (552.0-552.9)

mesenteric:

embolism (557.0)

infarction (557.0)

thrombosis (557.0)

neonatal intestinal obstruction (277.01, 777.1-777.2, 777.4)

560.0            Intussusception

Intussusception (colon) (intestine) (rectum)

Invagination of intestine or colon

Excludes:            intussusception of appendix (543.9)

560.1            Paralytic ileus

Adynamic ileus

Ileus (of intestine) (of bowel) (of colon)

Paralysis of intestine or colon

Excludes:            gallstone ileus (560.31)

560.2            Volvulus

Knotting of intestine, bowel, or colon

Strangulation of intestine, bowel, or colon

Torsion of intestine, bowel, or colon

Twist of intestine, bowel, or colon

560.3            Impaction of intestine

560.30      Impaction of intestine, unspecified

Impaction of colon

560.31      Gallstone ileus

Obstruction of intestine by gallstone

560.39      Other

Concretion of intestine

Enterolith

Fecal impaction

560.8            Other specified intestinal obstruction

560.81      Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection)

Excludes:            adhesions without obstruction (568.0)

560.89      Other

Mural thickening causing obstruction

Excludes:            ischemic stricture of intestine (557.1)

560.9            Unspecified intestinal obstruction

Enterostenosis

Obstruction of intestine or colon

Occlusion of intestine or colon

Stenosis of intestine or colon

Stricture of intestine or colon

Excludes:            congenital stricture or stenosis of intestine (751.1-751.2)

562            Diverticula of intestine

Use additional code to identify any associated:

peritonitis (567.0-567.9)

Excludes:            congenital diverticulum of colon (751.5)

diverticulum of appendix (543.9)

Meckel's diverticulum (751.0)

562.0            Small intestine

562.00      Diverticulosis of small intestine (without mention of hemorrhage)

Diverticulosis:

duodenum without mention of diverticulitis

ileum without mention of diverticulitis

jejunum without mention of diverticulitis

562.01      Diverticulitis of small intestine (without mention of hemorrhage)

Diverticulitis (with diverticulosis):

duodenum

ileum

jejunum

small intestine

562.02      Diverticulosis of small intestine with hemorrhage

562.03      Diverticulitis of small intestine with hemorrhage

562.1            Colon

562.10      Diverticulosis of colon (without mention of hemorrhage)

Diverticulosis without mention of diverticulitis:

NOS

intestine (large) without mention of diverticulitis

Diverticular disease (colon) without mention of diverticulitis

562.11      Diverticulitis of colon without mention of hemorrhage

Diverticulitis (with diverticulosis):

NOS

colon

intestine (large)

562.12      Diverticulosis of colon with hemorrhage

562.13      Diverticulitis of colon with hemorrhage

564            Functional digestive disorders, not elsewhere classified

Excludes:            functional disorders of stomach (536.0-536.9)

those specified as psychogenic (306.4)

564.0            Constipation

Excludes:            psychogenic constipation (306.4)

564.00      Constipation, unspecified

564.01      Slow transit constipation

564.02      Outlet dysfunction constipation

564.09      Other constipation

564.1            Irritable bowel syndrome

Irritable colon

Spastic colon

564.2            Postgastric surgery syndromes

Dumping syndrome

Jejunal syndrome

Postgastrectomy syndrome

Postvagotomy syndrome

Excludes:            malnutrition following gastrointestinal surgery (579.3)

postgastrojejunostomy ulcer (534.0-534.9)

564.3            Vomiting following gastrointestinal surgery

Vomiting (bilious) following gastrointestinal surgery

564.4            Other postoperative functional disorders

Diarrhea following gastrointestinal surgery

Excludes:            colostomy and enterostomy complications (569.60-569.69)

564.5            Functional diarrhea

Excludes:            diarrhea:

NOS (787.91)

psychogenic (306.4)

564.6            Anal spasm

Proctalgia fugax

564.7            Megacolon, other than Hirschsprung's

Dilatation of colon

Excludes:            megacolon:

congenital [Hirschsprung's] (751.3)

toxic (556)

564.8            Other specified functional disorders of intestine

Excludes:            malabsorption (579.0-579.9)

564.81      Neurogenic bowel

564.89      Other functional disorders of intestine

Atony of colon

564.9            Unspecified functional disorder of intestine

565       Anal fissure and fistula

565.0            Anal fissure

Tear of anus, nontraumatic

Excludes:            traumatic (863.89, 863.99)

565.1            Anal fistula

Fistula:

anorectal

rectal

rectum to skin

Excludes:            fistula of rectum to internal organs­see Alphabetic Index

ischiorectal fistula (566)

rectovaginal fistula (619.1)

566            Abscess of anal and rectal regions

Abscess:

ischiorectal

perianal

perirectal

Cellulitis:

anal

perirectal

rectal

Ischiorectal fistula

567            Peritonitis

Excludes:            peritonitis:

benign paroxysmal (277.3)

pelvic, female (614.5, 614.7)

periodic familial (277.3)

puerperal (670)

with or following:

abortion (634-638 with .0, 639.0)

appendicitis (540.0-540.1)

ectopic or molar pregnancy (639.0)

567.0            Peritonitis in infectious diseases classified elsewhere

Code first underlying disease

Excludes:            peritonitis:

gonococcal (098.86)

syphilitic (095.2)

tuberculous (014.0)

567.1            Pneumococcal peritonitis

567.2            Other suppurative peritonitis

Abscess (of):

abdominopelvic

mesenteric

omentum

peritoneum

retrocecal

retroperitoneal

subdiaphragmatic

subhepatic

subphrenic

Peritonitis (acute):

general

pelvic, male

subphrenic

suppurative

567.8            Other specified peritonitis

Chronic proliferative peritonitis

Fat necrosis of peritoneum

Mesenteric saponification

Peritonitis due to:

bile

urine

567.9            Unspecified peritonitis

Peritonitis:

NOS

of unspecified cause

568       Other disorders of peritoneum

568.0            Peritoneal adhesions (postoperative) (postinfection)

Adhesions (of):

abdominal (wall)

diaphragm

intestine

male pelvis

mesenteric

omentum

stomach

Adhesive bands

Excludes:            adhesions:

pelvic, female (614.6)

with obstruction:

duodenum (537.3)

intestine (560.81)

568.8            Other specified disorders of peritoneum

568.81      Hemoperitoneum (nontraumatic)

568.82      Peritoneal effusion (chronic)

Excludes:            ascites NOS (789.5)

568.89      Other

Peritoneal:

cyst

granuloma

568.9            Unspecified disorder of peritoneum

569       Other disorders of intestine

569.0            Anal and rectal polyp

Anal and rectal polyp NOS

Excludes:            adenomatous anal and rectal polyp (211.4)

569.1            Rectal prolapse

Procidentia:

anus (sphincter)

rectum (sphincter)

Proctoptosis

Prolapse:

anal canal

rectal mucosa

Excludes:            prolapsed hemorrhoids (455.2, 455.5)

569.2            Stenosis of rectum and anus

Stricture of anus (sphincter)

569.3            Hemorrhage of rectum and anus

Excludes:            gastrointestinal bleeding NOS (578.9)

melena (578.1)

569.4            Other specified disorders of rectum and anus

569.41      Ulcer of anus and rectum

Solitary ulcer of anus (sphincter) or rectum (sphincter)

Stercoral ulcer of anus (sphincter) or rectum (sphincter)

569.42      Anal or rectal pain

569.49      Other

Granuloma of rectum (sphincter)

Rupture of rectum (sphincter)

Hypertrophy of anal papillae

Proctitis NOS

Excludes:            fistula of rectum to:

internal organs  see­Alphabetic Index

skin (565.1)

hemorrhoids (455.0-455.9)

incontinence of sphincter ani (787.6)

569.5            Abscess of intestine

Excludes:            appendiceal abscess (540.1)

569.6            Colostomy and enterostomy complications

569.60      Colostomy and enterostomy complication, unspecified

569.61      Infection of colostomy and enterostomy

Use additional code to specify type of infection, such as:

abscess or cellulits of abdomen (682.2)

septicemia (038.0-038.9)

Use additional code to identify organism (041.00-041.9)

569.62            Mechanical complication of colostomy and enterostomy

Malfunction of colostomy and enterostomy

569.69      Other complication

Fistula

Hernia

Prolapse

569.8            Other specified disorders of intestine

569.81      Fistula of intestine, excluding rectum and anus

Fistula:

abdominal wall

enterocolic

enteroenteric

ileorectal

Excludes:            fistula of intestine to internal organs­see Alphabetic Index

persistent postoperative fistula (998.6)

569.82      Ulceration of intestine

Primary ulcer of intestine

Ulceration of colon

Excludes:            that with perforation (569.83)

569.83      Perforation of intestine

569.84      Angiodysplasia of intestine (without mention of hemorrhage)

569.85      Angiodysplasia of intestine with hemorrhage

569.86      Dieulafoy lesion (hemorrhagic) of intestine

569.89      Other

Enteroptosis

Granuloma of intestine

Prolapse of intestine

Pericolitis

Perisigmoiditis

Visceroptosis

Excludes:            gangrene of intestine, mesentery, or omentum (557.0)

hemorrhage of intestine NOS (578.9)

obstruction of intestine (560.0-560.9)

569.9            Unspecified disorder of intestine

OTHER DISEASES OF DIGESTIVE SYSTEM (570-579)

570       Acute and subacute necrosis of liver

Acute hepatic failure

Acute or subacute hepatitis, not specified as infective

Necrosis of liver (acute) (diffuse) (massive) (subacute)

Parenchymatous degeneration of liver

Yellow atrophy (liver) (acute) (subacute)

Excludes:            icterus gravis of newborn (773.0-773.2)

serum hepatitis (070.2-070.3)

that with:

abortion (634-638 with .7, 639.8)

ectopic or molar pregnancy (639.8)

pregnancy, childbirth, or the puerperium (646.7)

viral hepatitis (070.0-070.9)

571       Chronic liver disease and cirrhosis

571.0            Alcoholic fatty liver

571.1            Acute alcoholic hepatitis

Acute alcoholic liver disease

571.2            Alcoholic cirrhosis of liver

Florid cirrhosis

Laennec's cirrhosis (alcoholic)

571.3            Alcoholic liver damage, unspecified

571.4            Chronic hepatitis

Excludes:            viral hepatitis (acute) (chronic) (070.0-070.9)

571.40      Chronic hepatitis, unspecified

571.41      Chronic persistent hepatitis

571.49      Other

Chronic hepatitis:

active

aggressive

Recurrent hepatitis

571.5            Cirrhosis of liver without mention of alcohol

Cirrhosis of liver:

NOS

cryptogenic

macronodular

micronodular

posthepatitic

postnecrotic

Healed yellow atrophy (liver)

Portal cirrhosis

571.6            Biliary cirrhosis

Chronic nonsuppurative destructive cholangitis

Cirrhosis:

cholangitic

cholestatic

571.8            Other chronic nonalcoholic liver disease

Chronic yellow atrophy (liver)

Fatty liver, without mention of alcohol

571.9            Unspecified chronic liver disease without mention of alcohol

572       Liver abscess and sequelae of chronic liver disease

572.0            Abscess of liver

Excludes:            amebic liver abscess (006.3)

572.1            Portal pyemia

Phlebitis of portal vein

Portal thrombophlebitis

Pylephlebitis

Pylethrombophlebitis

572.2            Hepatic coma

Hepatic encephalopathy

Hepatocerebral intoxication

Portal-systemic encephalopathy

572.3            Portal hypertension

572.4            Hepatorenal syndrome

Excludes:            that following delivery (674.8)

572.8            Other sequelae of chronic liver disease

573       Other disorders of liver

Excludes:            amyloid or lardaceous degeneration of liver (277.3)

congenital cystic disease of liver (751.62)

glycogen infiltration of liver (271.0)

hepatomegaly NOS (789.1)

portal vein obstruction (452)

573.0            Chronic passive congestion of liver

573.1            Hepatitis in viral diseases classified elsewhere

Code first underlying disease, as:

Coxsackie virus disease (074.8)

cytomegalic inclusion virus disease (078.5)

infectious mononucleosis (075)

Excludes:            hepatitis (in):

mumps (072.71)

viral (070.0-070.9)

yellow fever (060.0-060.9)

573.2            Hepatitis in other infectious diseases classified elsewhere

Code first underlying disease, as:

malaria (084.9)

Excludes:            hepatitis in:

late syphilis (095.3)

secondary syphilis (091.62)

toxoplasmosis (130.5)

573.3            Hepatitis, unspecified

Toxic (noninfectious) hepatitis

Use additional E code to identify cause

573.4            Hepatic infarction

573.8            Other specified disorders of liver

Hepatoptosis

573.9            Unspecified disorder of liver

574            Cholelithiasis

The following fifth-digit subclassification is for use with category 574:

0            without mention of obstruction

1            with obstruction

574.0            Calculus of gallbladder with acute cholecystitis

Biliary calculus with acute cholecystitis

Calculus of cystic duct with acute cholecystitis

Cholelithiasis with acute cholecystitis

Any condition classifiable to 574.2 with acute cholecystitis

574.1            Calculus of gallbladder with other cholecystitis

Biliary calculus with cholecystitis

Calculus of cystic duct with cholecystitis

Cholelithiasis with cholecystitis

Cholecystitis with cholelithiasis NOS

Any condition classifiable to 574.2 with cholecystitis (chronic)

574.2            Calculus of gallbladder without mention of cholecystitis

Biliary:

calculus NOS

colic NOS

Calculus of cystic duct

Cholelithiasis NOS

Colic (recurrent) of gallbladder

Gallstone (impacted)

574.3            Calculus of bile duct with acute cholecystitis

Calculus of bile duct [any] with acute cholecystitis

Choledocholithiasis with acute cholecystitis

Any condition classifiable to 574.5 with acute cholecystitis

574.4            Calculus of bile duct with other cholecystitis

Calculus of bile duct [any] with cholecystitis (chronic)

Choledocholithiasis with cholecystitis (chronic)

Any condition classifiable to 574.5 with cholecystitis (chronic)

574.5            Calculus of bile duct without mention of cholecystitis

Calculus of:

bile duct [any]

common duct

hepatic duct

Choledocholithiasis

Hepatic:

colic (recurrent)

lithiasis

574.6            Calculus of gallbladder and bile duct with acute cholecystitis

Any condition classifiable to 574.0 and 574.3

574.7            Calculus of gallbladder and bile duct with other cholecystitis

Any condition classifiable to 574.1 and 574.4

574.8            Calculus of gallbladder and bile duct with acute and chronic cholecystitis

Any condition classifiable to 574.6 and 574.7

574.9            Calculus of gallbladder and bile duct without cholecystitis

Any condition classifiable to 574.2 and 574.5

575       Other disorders of gallbladder

575.0            Acute cholecystitis

Abscess of gallbladder without mention of calculus

Angiocholecystitis without mention of calculus

Cholecystitis without mention of calculus:

emphysematous (acute)

gangrenous

suppurative

Empyema of gallbladder without mention of calculus

Gangrene of gallbladder without mention of calculus

Excludes:            that with:

acute and chronic cholecystitis (575.12)

choledocholithiasis (574.3)

choledocholithiasis and cholelithiasis (574.6)

cholelithiasis (574.0)

575.1            Other cholecystitis

Cholecystitis without mention of calculus:

NOS without mention of calculus

chronic without mention of calculus

Excludes:            that with:

choledocholithiasis (574.4)

choledocholithiasis and cholelithiasis (574.8)

cholelithiasis (574.1)

575.10      Cholecystitis, unspecified

Cholecystitis NOS

575.11      Chronic cholecystitis

575.12      Acute and chronic cholecystitis

575.2            Obstruction of gallbladder

Occlusion of cystic duct or gallbladder without mention of calculus

Stenosis of cystic duct or gallbladder without mention of calculus

Stricture of cystic duct or gallbladder without mention of calculus

575.3            Hydrops of gallbladder

Mucocele of gallbladder

575.4            Perforation of gallbladder

Rupture of cystic duct or gallbladder

575.5            Fistula of gallbladder

Fistula:

cholecystoduodenal

cholecystoenteric

575.6            Cholesterolosis of gallbladder

Strawberry gallbladder

575.8            Other specified disorders of gallbladder

Adhesions (of) cystic duct gallbladder

Atrophy (of) cystic duct gallbladder

Cyst (of) cystic duct gallbladder

Hypertrophy (of) cystic duct gallbladder

Nonfunctioning (of) cystic duct gallbladder

Ulcer (of) cystic duct gallbladder

Biliary dyskinesia

Excludes:            Hartmann's pouch of intestine (V44.3)

nonvisualization of gallbladder (793.3)

575.9            Unspecified disorder of gallbladder

576       Other disorders of biliary tract

Excludes:            that involving the:

cystic duct (575.0-575.9)

gallbladder (575.0-575.9)

576.0            Postcholecystectomy syndrome

576.1            Cholangitis

Cholangitis:

NOS

acute

ascending

chronic

primary

recurrent

sclerosing

secondary

stenosing

suppurative

576.2            Obstruction of bile duct

Occlusion of bile duct, except cystic duct, without mention of calculus

Stenosis of bile duct, except cystic duct, without mention of calculus

Stricture of bile duct, except cystic duct, without mention of calculus

Excludes:            congenital (751.61)

that with calculus (574.3-574.5 with fifth-digit 1)

576.3            Perforation of bile duct

Rupture of bile duct, except cystic duct

576.4            Fistula of bile duct

Choledochoduodenal fistula

576.5            Spasm of sphincter of Oddi

576.8            Other specified disorders of biliary tract

Adhesions of bile duct [any]

Atrophy of bile duct [any]

Cyst of bile duct [any]

Hypertrophy of bile duct [any]

Stasis of bile duct [any]

Ulcer of bile duct [any]

Excludes:            congenital choledochal cyst (751.69)

576.9            Unspecified disorder of biliary tract

577            Diseases of pancreas

577.0            Acute pancreatitis

Abscess of pancreas

Necrosis of pancreas:

acute

infective

Pancreatitis:

NOS

acute (recurrent)

apoplectic

hemorrhagic

subacute

suppurative

Excludes:            mumps pancreatitis (072.3)

577.1            Chronic pancreatitis

Chronic pancreatitis:

NOS

infectious

interstitial

Pancreatitis:

painless

recurrent

relapsing

577.2            Cyst and pseudocyst of pancreas

577.8            Other specified diseases of pancreas

Atrophy of pancreas

Calculus of pancreas

Cirrhosis of pancreas

Fibrosis of pancreas

Pancreatic:

infantilism

necrosis:

NOS

aseptic

fat

Pancreatolithiasis

Excludes:            fibrocystic disease of pancreas (277.00-277.09)

islet cell tumor of pancreas (211.7)

pancreatic steatorrhea (579.4)

577.9            Unspecified disease of pancreas

578            Gastrointestinal hemorrhage

Excludes:            that with mention of:

angiodysplasia of stomach and duodenum (537.83)

angiodysplasia of intestine (569.85)

diverticulitis, intestine:

large (562.13)

small (562.03)

diverticulosis, intestine:

large (562.12)

small (562.02)

gastritis and duodenitis (535.0-535.6)

ulcer:

duodenal, gastric, gastrojejunal, or peptic (531.00-534.91)

578.0            Hematemesis

Vomiting of blood

578.1            Blood in stool

Melena

Excludes:            melena of the newborn (772.4, 777.3)

occult blood (792.1)

578.9            Hemorrhage of gastrointestinal tract, unspecified

Gastric hemorrhage

Intestinal hemorrhage

579            Intestinal malabsorption

579.0            Celiac disease

Celiac:

crisis

infantilism

rickets

Gee (-Herter) disease

Gluten enteropathy

Idiopathic steatorrhea

Nontropical sprue

579.1            Tropical sprue

Sprue:

NOS

tropical

Tropical steatorrhea

579.2            Blind loop syndrome

Postoperative blind loop syndrome

579.3            Other and unspecified postsurgical nonabsorption

Hypoglycemia following gastrointestinal surgery

Malnutrition following gastrointestinal surgery

579.4            Pancreatic steatorrhea

579.8            Other specified intestinal malabsorption

Enteropathy:

exudative

protein-losing

Steatorrhea (chronic)

579.9            Unspecified intestinal malabsorption

Malabsorption syndrome NOS

10.  DISEASES OF THE GENITOURINARY SYSTEM (580-629)

NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589)

Excludes:            hypertensive renal disease (403.00-403.91)

580       Acute glomerulonephritis

Includes:            acute nephritis

580.0            With lesion of proliferative glomerulonephritis

Acute (diffuse) proliferative glomerulonephritis

Acute poststreptococcal glomerulonephritis

580.4            With lesion of rapidly progressive glomerulonephritis

Acute nephritis with lesion of necrotizing glomerulitis

580.8            With other specified pathological lesion in kidney

580.81      Acute glomerulonephritis in diseases classified elsewhere

Code first underlying disease, as:

infectious hepatitis (070.0-070.9)

mumps (072.79)

subacute bacterial endocarditis (421.0)

typhoid fever (002.0)

580.89      Other

Glomerulonephritis, acute, with lesion of:

exudative nephritis

interstitial (diffuse) (focal) nephritis

580.9            Acute glomerulonephritis with unspecified pathological lesion in kidney

Glomerulonephritis: specified as acute

NOS specified as acute

hemorrhagic specified as acute

Nephritis specified as acute

Nephropathy specified as acute

581            Nephrotic syndrome

581.0            With lesion of proliferative glomerulonephritis

581.1            With lesion of membranous glomerulonephritis

Epimembranous nephritis

Idiopathic membranous glomerular disease

Nephrotic syndrome with lesion of:

focal glomerulosclerosis

sclerosing membranous glomerulonephritis

segmental hyalinosis

581.2            With lesion of membranoproliferative glomerulonephritis

Nephrotic syndrome with lesion (of):

endothelial glomerulonephritis

hypocomplementemic glomerulonephritis

persistent glomerulonephritis

lobular glomerulonephritis

mesangiocapillary glomerulonephritis

mixed membranous and proliferative glomerulonephritis

581.3            With lesion of minimal change glomerulonephritis

Foot process disease

Lipoid nephrosis

Minimal change:

glomerular disease

glomerulitis

nephrotic syndrome

581.8            With other specified pathological lesion in kidney

581.81      Nephrotic syndrome in diseases classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

diabetes mellitus (250.4)

malaria (084.9)

polyarteritis (446.0)

systemic lupus erythematosus (710.0)

Excludes:            nephrosis in epidemic hemorrhagic fever (078.6)

581.89      Other

Glomerulonephritis with edema and lesion of:

exudative nephritis

interstitial (diffuse) (focal) nephritis

581.9            Nephrotic syndrome with unspecified pathological lesion in kidney

Glomerulonephritis with edema NOS

Nephritis:

nephrotic NOS

with edema NOS

Nephrosis NOS

Renal disease with edema NOS

582       Chronic glomerulonephritis

Includes:            chronic nephritis

582.0            With lesion of proliferative glomerulonephritis

Chronic (diffuse) proliferative glomerulonephritis

582.1            With lesion of membranous glomerulonephritis

Chronic glomerulonephritis:

membranous

sclerosing

Focal glomerulosclerosis

Segmental hyalinosis

582.2            With lesion of membranoproliferative glomerulonephritis

Chronic glomerulonephritis:

endothelial

hypocomplementemic persistent

lobular

membranoproliferative

mesangiocapillary

mixed membranous and proliferative

582.4            With lesion of rapidly progressive glomerulonephritis

Chronic nephritis with lesion of necrotizing glomerulitis

582.8            With other specified pathological lesion in kidney

582.81      Chronic glomerulonephritis in diseases classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

systemic lupus erythematosus (710.0)

582.89      Other

Chronic glomerulonephritis with lesion of:

exudative nephritis

interstitial (diffuse) (focal) nephritis

582.9            Chronic glomerulonephritis with unspecified pathological lesion in kidney

Glomerulonephritis: specified as chronic

NOS specified as chronic

hemorrhagic specified as chronic

Nephritis specified as chronic

Nephropathy specified as chronic

583            Nephritis and nephropathy, not specified as acute or chronic

Includes:            "renal disease" so stated, not specified as acute or chronic but with stated pathology or cause

583.0            With lesion of proliferative glomerulonephritis

Proliferative:

glomerulonephritis (diffuse) NOS

nephritis NOS

nephropathy NOS

583.1            With lesion of membranous glomerulonephritis

Membranous:

glomerulonephritis NOS

nephritis NOS

Membranous nephropathy NOS

583.2            With lesion of membranoproliferative glomerulonephritis

Membranoproliferative:

glomerulonephritis NOS

nephritis NOS

nephropathy NOS

Nephritis NOS, with lesion of:

hypocomplementemic persistent glomerulonephritis

lobular glomerulonephritis

mesangiocapillary glomerulonephritis

mixed membranous and proliferative glomerulonephritis

583.4            With lesion of rapidly progressive glomerulonephritis

Necrotizing or rapidly progressive:

glomerulitis NOS

glomerulonephritis NOS

nephritis NOS

nephropathy NOS

Nephritis, unspecified, with lesion of necrotizing glomerulitis

583.6            With lesion of renal cortical necrosis

Nephritis NOS with (renal) cortical necrosis

Nephropathy NOS with (renal) cortical necrosisc

Renal cortical necrosis NOS

583.7            With lesion of renal medullary necrosis

Nephritis NOS with (renal) medullary [papillary] necrosis

Nephropathy NOS with (renal) medullary [papillary] necrosis

583.8            With other specified pathological lesion in kidney

583.81      Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere

Code first underlying disease, as:

amyloidosis (277.3)

diabetes mellitus (250.4)

gonococcal infection (098.19)

Goodpasture's syndrome (446.21)

systemic lupus erythematosus (710.0)

tuberculosis (016.0)

Excludes:            gouty nephropathy (274.10)

syphilitic nephritis (095.4)

583.89      Other

Glomerulitis with lesion of:

exudative nephritis

interstitial nephritis

Glomerulonephritis with lesion of:

exudative nephritis

interstitial nephritis

Nephritis with lesion of:

exudative nephritis

interstitial nephritis

Nephropathy with lesion of:

exudative nephritis

interstitial nephritis

Renal disease with lesion of:

exudative nephritis

interstitial nephritis

583.9            With unspecified pathological lesion in kidney

Glomerulitis NOS

Glomerulonephritis NOS

Nephritis NOS

Nephropathy NOS

Excludes:            nephropathy complicating pregnancy, labor, or the puerperium (642.0-642.9, 646.2)

renal disease NOS with no stated cause (593.9)

584       Acute renal failure

Excludes:            following labor and delivery (669.3)

posttraumatic (958.5)

that complicating:

abortion (634-638 with .3, 639.3)

ectopic or molar pregnancy (639.3)

584.5            With lesion of tubular necrosis

Lower nephron nephrosis

Renal failure with (acute) tubular necrosis

Tubular necrosis:

NOS

acute

584.6            With lesion of renal cortical necrosis

584.7            With lesion of renal medullary [papillary] necrosis

Necrotizing renal papillitis

584.8            With other specified pathological lesion in kidney

584.9            Acute renal failure, unspecified

585       Chronic renal failure

Chronic uremia

Use additional code to identify manifestation as:

uremic:

neuropathy (357.4)

pericarditis (420.0)

Excludes:            that with any condition classifiable to 401 (403.0-403.9 with fifth-digit 1)

586       Renal failure, unspecified

Uremia NOS

Excludes:            following labor and delivery (669.3)

posttraumatic renal failure (958.5)

that complicating:

abortion (634-638 with .3, 639.3)

ectopic or molar pregnancy (639.3)

uremia:

extrarenal (788.9)

prerenal (788.9)

with any condition classifiable to 401 (403.0-403.9 with fifth-digit 1)

587       Renal sclerosis, unspecified

Atrophy of kidney

Contracted kidney

Renal:

cirrhosis

fibrosis

Excludes:            nephrosclerosis (arteriolar) (arteriosclerotic) (403.00-403.92)

with hypertension (403.00-403.92)

588            Disorders resulting from impaired renal function

588.0            Renal osteodystrophy

Azotemic osteodystrophy

Phosphate-losing tubular disorders

Renal:

dwarfism

infantilism

rickets

588.1            Nephrogenic diabetes insipidus

Excludes:            diabetes insipidus NOS (253.5)

588.8            Other specified disorders resulting from impaired renal function

Hypokalemic nephropathy

Secondary hyperparathyroidism (of renal origin)

Excludes:            secondary hypertension (405.0-405.9)

588.9            Unspecified disorder resulting from impaired renal function

589       Small kidney of unknown cause

589.0            Unilateral small kidney

589.1            Bilateral small kidneys

589.9            Small kidney, unspecified

OTHER DISEASES OF URINARY SYSTEM (590-599)

590            Infections of kidney

Use additional code to identify organism, such as Escherichia coli [E. coli] (041.4)

590.0            Chronic pyelonephritis

Chronic pyelitis

Chronic pyonephrosis

Code, if applicable, any causal condition first

590.00      Without lesion of renal medullary necrosis

590.01      With lesion of renal medullary necrosis

590.1            Acute pyelonephritis

Acute pyelitis

Acute pyonephrosis

590.10      Without lesion of renal medullary necrosis

590.11      With lesion of renal medullary necrosis

590.2            Renal and perinephric abscess

Abscess:

kidney

nephritic

perirenal

Carbuncle of kidney

590.3            Pyeloureteritis cystica

Infection of renal pelvis and ureter

Ureteritis cystica

590.8            Other pyelonephritis or pyonephrosis, not specified as acute or chronic

590.80      Pyelonephritis, unspecified

Pyelitis NOS

Pyelonephritis NOS

590.81            Pyelitis or pyelonephritis in diseases classified elsewhere

Code first underlying disease, as:

tuberculosis (016.0)

590.9            Infection of kidney, unspecified

Excludes:            urinary tract infection NOS (599.0)

591            Hydronephrosis

Hydrocalycosis

Hydronephrosis

Hydroureteronephrosis

Excludes:            congenital hydronephrosis (753.29)

hydroureter (593.5)

592            Calculus of kidney and ureter

Excludes:            nephrocalcinosis (275.49)

592.0            Calculus of kidney

Nephrolithiasis NOS

Renal calculus or stone

Staghorn calculus

Stone in kidney

Excludes:            uric acid nephrolithiasis (274.11)

592.1            Calculus of ureter

Ureteric stone

Ureterolithiasis

592.9            Urinary calculus, unspecified

593       Other disorders of kidney and ureter

593.0            Nephroptosis

Floating kidney

Mobile kidney

593.1            Hypertrophy of kidney

593.2            Cyst of kidney, acquired

Cyst (multiple) (solitary) of kidney, not congenital

Peripelvic (lymphatic) cyst

Excludes:            calyceal or pyelogenic cyst of kidney (591)

congenital cyst of kidney (753.1)

polycystic (disease of) kidney (753.1)

593.3            Stricture or kinking of ureter

Angulation of ureter (postoperative)

Constriction of ureter (postoperative)

Stricture of pelviureteric junction

593.4            Other ureteric obstruction

Idiopathic retroperitoneal fibrosis

Occlusion NOS of ureter

Excludes:            that due to calculus (592.1)

593.5            Hydroureter

Excludes:            congenital hydroureter (753.22)

hydroureteronephrosis (591)

593.6            Postural proteinuria

Benign postural proteinuria

Orthostatic proteinuria

Excludes:            proteinuria NOS (791.0)

593.7            Vesicoureteral reflux

593.70      Unspecified or without reflux nephropathy

593.71      With reflux nephropathy, unilateral

593.72      With reflux nephropathy, bilateral

593.73      With reflux nephropathy NOS

593.8            Other specified disorders of kidney and ureter

593.81      Vascular disorders of kidney

Renal (artery):

embolism

hemorrhage

thrombosis

Renal infarction

593.82      Ureteral fistula

Intestinoureteral fistula

Excludes:            fistula between ureter and female genital tract (619.0)

593.89      Other

Adhesions, kidney or ureter

Periureteritis

Polyp of ureter

Pyelectasia

Ureterocele

Excludes:            tuberculosis of ureter (016.2)

ureteritis cystica (590.3)

593.9            Unspecified disorder of kidney and ureter

Renal disease NOS

Salt-losing nephritis or syndrome

Excludes:            cystic kidney disease (753.1)

nephropathy, so stated (583.0-583.9)

renal disease:

acute (580.0-580.9)

arising in pregnancy or the puerperium (642.1-642.2, 642.4-642.7, 646.2)

chronic (582.0-582.9)

not specified as acute or chronic, but with stated pathology or cause (583.0-583.9)

594            Calculus of lower urinary tract

594.0            Calculus in diverticulum of bladder

594.1            Other calculus in bladder

Urinary bladder stone

Excludes:            staghorn calculus (592.0)

594.2            Calculus in urethra

594.8            Other lower urinary tract calculus

594.9            Calculus of lower urinary tract, unspecified

Excludes:            calculus of urinary tract NOS (592.9)

595       Cystitis

Excludes:            prostatocystitis (601.3)

Use additional code to identify organism, such as Escherichia coli [E. coli] (041.4)

595.0            Acute cystitis

Excludes:            trigonitis (595.3)

595.1            Chronic interstitial cystitis

Hunner's ulcer

Panmural fibrosis of bladder

Submucous cystitis

595.2            Other chronic cystitis

Chronic cystitis NOS

Subacute cystitis

Excludes:            trigonitis (595.3)

595.3            Trigonitis

Follicular cystitis

Trigonitis (acute) (chronic)

Urethrotrigonitis

595.4            Cystitis in diseases classified elsewhere

Code first underlying disease, as:

actinomycosis (039.8)

amebiasis (006.8)

bilharziasis (120.0-120.9)

Echinococcus infestation (122.3, 122.6)

Excludes:            cystitis:

diphtheritic (032.84)

gonococcal (098.11, 098.31)

monilial (112.2)

trichomonal (131.09)

tuberculous (016.1)

595.8            Other specified types of cystitis

595.81      Cystitis cystica

595.82      Irradiation cystitis

Use additional E to identify cause

595.89      Other

Abscess of bladder

Cystitis:

bullous

emphysematous

glandularis

595.9            Cystitis, unspecified

596       Other disorders of bladder

Use additional code to identify urinary incontinence (625.6, 788.30-788.39)

596.0            Bladder neck obstruction

Contracture (acquired) of bladder neck or vesicourethral orifice

Obstruction (acquired) of bladder neck or vesicourethral orifice

Stenosis (acquired) of bladder neck or vesicourethral orifice

Excludes:            congenital (753.6)

596.1            Intestinovesical fistula

Fistula:

enterovesical

vesicocolic

vesicoenteric

vesicorectal

596.2            Vesical fistula, not elsewhere classified

Fistula:

bladder NOS

urethrovesical

vesicocutaneous

vesicoperineal

Excludes:            fistula between bladder and female genital tract (619.0)

596.3            Diverticulum of bladder

Diverticulitis of bladder

Diverticulum (acquired) (false) of bladder

Excludes:            that with calculus in diverticulum of bladder (594.0)

596.4            Atony of bladder

High compliance bladder

Hypotonicity of bladder

Inertia of bladder

Excludes:            neurogenic bladder (596.54)

596.5            Other functional disorders of bladder

Excludes:            cauda equina syndrome with neurogenic bladder (344.61)

596.51      Hypertonicity of bladder

Hyperactivity

Overactive bladder

596.52      Low bladder compliance

596.53      Paralysis of bladder

596.54      Neurogenic bladder NOS

596.55      Detrusor sphincter dyssynergia

596.59      Other functional disorder of bladder

Detrusor instability

596.6            Rupture of bladder, nontraumatic

596.7            Hemorrhage into bladder wall

Hyperemia of bladder

Excludes:            acute hemorrhagic cystitis (595.0)

596.8            Other specified disorders of bladder

calcified

contracted

hemorrhage

hypertrophy

Excludes:            cystocele, female (618.0, 618.2-618.4)

hernia or prolapse of bladder, female (618.0, 618.2-618.4)

596.9            Unspecified disorder of bladder

597            Urethritis, not sexually transmitted, and urethral syndrome

Excludes:            nonspecific urethritis, so stated (099.4)

597.0            Urethral abscess

Abscess of:

bulbourethral gland

Cowper's gland

Littré's gland

Abscess:

periurethral

urethral (gland)

Periurethral cellulitis

Excludes:            urethral caruncle (599.3)

597.8            Other urethritis

597.80      Urethritis, unspecified

597.81      Urethral syndrome NOS

597.89      Other

Adenitis, Skene's glands

Cowperitis

Meatitis, urethral

Ulcer, urethra (meatus)

Verumontanitis

Excludes:            trichomonal (131.02)

598       Urethral stricture

Includes:            pinhole meatus

stricture of urinary meatus

Use additional code to identify urinary incontinence (625.6, 788.30-788.39)

Excludes:            congenital stricture of urethra and urinary meatus (753.6)

598.0            Urethral stricture due to infection

598.00      Due to unspecified infection

598.01      Due to infective diseases classified elsewhere

Code first underlying disease, as:

gonococcal infection (098.2)

schistosomiasis (120.0-120.9)

syphilis (095.8)

598.1            Traumatic urethral stricture

Stricture of urethra:

late effect of injury

postobstetric

Excludes:            postoperative following surgery on genitourinary tract (598.2)

598.2            Postoperative urethral stricture

Postcatheterization stricture of urethra

598.8            Other specified causes of urethral stricture

598.9            Urethral stricture, unspecified

599       Other disorders of urethra and urinary tract

599.0            Urinary tract infection, site not specified

Excludes:            Candidiasis of urinary tract (112.2)

urinary tract infection of newborn (771.82)

Use additional code to identify organism, such as Escherichia coli [E. coli] (041.4)

599.1            Urethral fistula

Fistula:

urethroperineal

urethrorectal

Urinary fistula NOS

Excludes:            fistula:

urethroscrotal (608.89)

urethrovaginal (619.0)

urethrovesicovaginal (619.0)

599.2            Urethral diverticulum

599.3            Urethral caruncle

Polyp of urethra

599.4            Urethral false passage

599.5            Prolapsed urethral mucosa

Prolapse of urethra

Urethrocele

Excludes:            urethrocele, female (618.0, 618.2-618.4)

599.6            Urinary obstruction, unspecified

Obstructive uropathy NOS

Urinary (tract) obstruction NOS

Use additional code to identify urinary incontinence (625.6, 788.30-788.39)

Excludes:            obstructive nephropathy NOS (593.89)

599.7            Hematuria

Hematuria (benign) (essential)

Excludes:            hemoglobinuria (791.2)

599.8            Other specified disorders of urethra and urinary tract

Use additional code to identify urinary incontinence (625.6, 788.30-788.39)

Excludes:            symptoms and other conditions classifiable to 788.0-788.2, 788.4-788.9, 791.0-791.9

599.81      Urethral hypermobility

599.82      Intrinsic (urethral) sphincter deficiency [ISD]

599.83      Urethral instability

599.84      Other specified disorders of urethra

Rupture of urethra (nontraumatic)

Urethral:

cyst

granuloma

599.89      Other specified disorders of urinary tract

599.9            Unspecified disorder of urethra and urinary tract

DISEASES OF MALE GENITAL ORGANS (600-608)

600            Hyperplasia of prostate

Use additional code to identify urinary incontinence (788.30-788.39)

600.0            Hypertrophy (benign) of prostate

Benign prostatic hypertrophy

Enlargement of prostate

Smooth enlarged prostate

Soft enlarged prostate

600.1            Nodular prostate

Hard, firm prostate

Multinodular prostate

Excludes:            malignant neoplasm of prostate (185)

600.2            Benign localized hyperplasia of prostate

Adenofibromatous hypertrophy of prostate

Adenoma of prostate

Fibroadenoma of prostate

Fibroma of prostate

Myoma of prostate

Polyp of prostate

Excludes:            benign neoplasms of prostate (222.2)

hypertrophy of prostate (600.0)

malignant neoplasm of prostate (185)

600.3            Cyst of prostate

600.9            Hyperplasia of prostate, unspecified

Median bar

Prostatic obstruction NOS

601            Inflammatory diseases of prostate

Use additional code to identify organism, such as Staphylococcus (041.1), or Streptococcus (041.0)

601.0            Acute prostatitis

601.1            Chronic prostatitis

601.2            Abscess of prostate

601.3            Prostatocystitis

601.4            Prostatitis in diseases classified elsewhere

Code first underlying disease, as:

actinomycosis (039.8)

blastomycosis (116.0)

syphilis (095.8)

tuberculosis (016.5)

Excludes:            prostatitis:

gonococcal (098.12, 098.32)

monilial (112.2)

trichomonal (131.03)

601.8            Other specified inflammatory diseases of prostate

Prostatitis:

cavitary

diverticular

granulomatous

601.9            Prostatitis, unspecified

Prostatitis NOS

602       Other disorders of prostate

602.0            Calculus of prostate

Prostatic stone

602.1            Congestion or hemorrhage of prostate

602.2            Atrophy of prostate

602.3            Dysplasia of prostate

Prostatic intraepithelial neoplasia I (PIN I)

Prostatic intraepithelial neoplasia II (PIN II)

Excludes:            prostatic intraepithelial neoplasia III (PIN III) (233.4)

602.8            Other specified disorders of prostate

Fistula of prostate

Infarction of prostate

Stricture of prostate

Periprostatic adhesions

602.9            Unspecified disorder of prostate

603            Hydrocele

Includes:            hydrocele of spermatic cord, testis, or tunica vaginalis

Excludes:            congenital (778.6)

603.0            Encysted hydrocele

603.1            Infected hydrocele

Use additional code to identify organism

603.8            Other specified types of hydrocele

603.9            Hydrocele, unspecified

604       Orchitis and epididymitis

Use additional code to identify organism such as Escherichia coli [E. coli] (041.4), Staphylococcus (041.1), or Streptococcus (041.0)

604.0            Orchitis, epididymitis, and epididymo-orchitis, with abscess

Abscess of epididymis or testis

604.9            Other orchitis, epididymitis, and epididymo-orchitis, without mention of abscess

604.90      Orchitis and epididymitis, unspecified

604.91      Orchitis and epididymitis in diseases classified elsewhere

Code first underlying disease, as:

diphtheria (032.89)

filariasis (125.0-125.9)

syphilis (095.8)

Excludes:            orchitis:

gonococcal (098.13, 098.33)

mumps (072.0)

tuberculous (016.5)

tuberculous epididymitis (016.4)

604.99      Other

605            Redundant prepuce and phimosis

Adherent prepuce

Paraphimosis

Phimosis (congenital)

Tight foreskin

606            Infertility, male

606.0            Azoospermia

Absolute infertility

Infertility due to:

germinal (cell) aplasia

spermatogenic arrest (complete)

606.1            Oligospermia

Infertility due to:

germinal cell desquamation

hypospermatogenesis

incomplete spermatogenic arrest

606.8            Infertility due to extratesticular causes

Infertility due to:

drug therapy

infection

obstruction of efferent ducts

radiation

systemic disease

606.9            Male infertility, unspecified

607            Disorders of penis

Excludes:            phimosis (605)

607.0            Leukoplakia of penis

Kraurosis of penis

Excludes:            carcinoma in situ of penis (233.5)

erythroplasia of Queyrat (233.5)

607.1            Balanoposthitis

Balanitis

Use additional code to identify organism

607.2            Other inflammatory disorders of penis

Abscess of corpus cavernosum or penis

Boil of corpus cavernosum or penis

Carbuncle of corpus cavernosum or penis

Cellulitis of corpus cavernosum or penis

Cavernitis (penis)

Use additional code to identify organism

Excludes:            herpetic infection (054.13)

607.3            Priapism

Painful erection

607.8            Other specified disorders of penis

607.81      Balanitis xerotica obliterans

Induratio penis plastica

607.82      Vascular disorders of penis

Embolism of corpus cavernosum or penis

Hematoma (nontraumatic) of corpus cavernosum or penis

Hemorrhage of corpus cavernosum or penis

Thrombosis of corpus cavernosum or penis

607.83      Edema of penis

607.84      Impotence of organic origin

Excludes:            nonorganic or unspecified (302.72)

607.89      Other

Atrophy of corpus cavernosum or penis

Fibrosis of corpus cavernosum or penis

Hypertrophy of corpus cavernosum or penis

Ulcer (chronic) of corpus cavernosum or penis

607.9            Unspecified disorder of penis

608       Other disorders of male genital organs

608.0            Seminal vesiculitis

Abscess of seminal vesicle

Cellulitis of seminal vesicle

Vesiculitis (seminal)

Use additional code to identify organism

Excludes:            gonococcal infection (098.14, 098.34)

608.1            Spermatocele

608.2            Torsion of testis

Torsion of:

epididymis

spermatic cord

testicle

608.3            Atrophy of testis

608.4            Other inflammatory disorders of male genital organs

Abscess of scrotum, spermatic cord, testis [except abscess], tunica vaginalis, or vas deferens

Boil of scrotum, spermatic cord, testis [except abscess], tunica vaginalis, or vas deferens

Carbuncle of scrotum, spermatic cord, testis [except abscess], tunica vaginalis, or vas deferens

Cellulitis of scrotum, spermatic cord, testis [except abscess], tunica vaginalis, or vas deferens

Vasitis

Use additional code to identify organism

Excludes:            abscess of testis (604.0)

608.8            Other specified disorders of male genital organs

608.81      Disorders of male genital organs in diseases classified elsewhere

Code first underlying disease, as:

filariasis (125.0-125.9)

tuberculosis (016.5)

608.82      Hematospermia

608.83      Vascular disorders

Hematoma (nontraumatic) of seminal vesicle, spermatic cord, testis, scrotum, tunica vaginalis, or vas deferens

Hemorrhage of seminal vesicle, spermatic cord, testis, scrotum, tunica vaginalis, or vas deferens

Thrombosis of seminal vesicle, spermatic cord, testis, scrotum, tunica vaginalis, or vas deferens

Hematocele NOS, male

608.84      Chylocele of tunica vaginalis

608.85      Stricture

Stricture of:

spermatic cord

tunica vaginalis

vas deferens

608.86      Edema

608.87      Retrograde ejaculation

608.89      Other

Atrophy of seminal vesicle, spermatic cord, testis, scrotum tunica vaginalis, or vas deferens

Fibrosis of seminal vesicle, spermatic cord, testis, scrotum tunica vaginalis, or vas deferens

Hypertrophy of seminal vesicle, spermatic cord, testis, scrotum tunica vaginalis, or vas deferens

Ulcer of seminal vesicle, spermatic cord, testis, scrotum tunica vaginalis, or vas deferens

Excludes:            atrophy of testis (608.3)

608.9            Unspecified disorder of male genital organs

DISORDERS OF BREAST (610-611)

610       Benign mammary dysplasias

610.0            Solitary cyst of breast

Cyst (solitary) of breast

610.1            Diffuse cystic mastopathy

Chronic cystic mastitis

Cystic breast

Fibrocystic disease of breast

610.2            Fibroadenosis of breast

Fibroadenosis of breast:

NOS

chronic

cystic

diffuse

periodic

segmental

610.3            Fibrosclerosis of breast

610.4            Mammary duct ectasia

Comedomastitis

Duct ectasia

Mastitis:

periductal

plasma cell

610.8            Other specified benign mammary dysplasias

Mazoplasia

Sebaceous cyst of breast

610.9            Benign mammary dysplasia, unspecified

611       Other disorders of breast

Excludes:            that associated with lactation or the puerperium (675.0-676.9)

611.0            Inflammatory disease of breast

Abscess (acute) (chronic) (nonpuerperal) of:

areola

breast

Mammillary fistula

Mastitis (acute) (subacute) (nonpuerperal):

NOS

infective

retromammary

submammary

Excludes:            carbuncle of breast (680.2)

chronic cystic mastitis (610.1)

neonatal infective mastitis (771.5)

thrombophlebitis of breast [Mondor's disease] (451.89)

611.1            Hypertrophy of breast

Gynecomastia

Hypertrophy of breast:

NOS

massive pubertal

611.2            Fissure of nipple

611.3            Fat necrosis of breast

Fat necrosis (segmental) of breast

611.4            Atrophy of breast

611.5            Galactocele

611.6            Galactorrhea not associated with childbirth

611.7            Signs and symptoms in breast

611.71      Mastodynia

Pain in breast

611.72      Lump or mass in breast

611.79      Other

Induration of breast

Inversion of nipple

Nipple discharge

Retraction of nipple

611.8            Other specified disorders of breast

Hematoma (nontraumatic) of breast

Infarction of breast

Occlusion of breast duct

Subinvolution of breast (postlactational) (postpartum)

611.9            Unspecified breast disorder

INFLAMMATORY DISEASE OF FEMALE PELVIC ORGANS (614-616)

Use additional code to identify organism, such as Staphylococcus (041.1), or Streptococcus (041.0)

Excludes:            that associated with pregnancy, abortion, childbirth, or the puerperium (630-676.9)

614            Inflammatory disease of ovary, fallopian tube, pelvic cellular tissue, and peritoneum

Excludes:            endometritis (615.0-615.9)

major infection following delivery (670)

that complicating:

abortion (634-638 with .0, 639.0)

ectopic or molar pregnancy (639.0)

pregnancy or labor (646.6)

614.0            Acute salpingitis and oophoritis

Any condition classifiable to 614.2, specified as acute or subacute

614.1            Chronic salpingitis and oophoritis

Hydrosalpinx

Salpingitis:

follicularis

isthmica nodosa

Any condition classifiable to 614.2, specified as chronic

614.2            Salpingitis and oophoritis not specified as acute, subacute, or chronic

Abscess (of):

fallopian tube

ovary

tubo-ovarian

Oophoritis

Perioophoritis

Perisalpingitis

Pyosalpinx

Salpingitis

Salpingo-oophoritis

Tubo-ovarian inflammatory disease

Excludes:            gonococcal infection (chronic) (098.37)

acute (098.17)

tuberculous (016.6)

614.3            Acute parametritis and pelvic cellulitis

Acute inflammatory pelvic disease

Any condition classifiable to 614.4, specified as acute

614.4            Chronic or unspecified parametritis and pelvic cellulitis

Abscess (of):

broad ligament chronic or NOS

parametrium chronic or NOS

pelvis, female chronic or NOS

pouch of Douglas chronic or NOS

Chronic inflammatory pelvic disease

Pelvic cellulitis, female

Excludes:            tuberculous (016.7)

614.5            Acute or unspecified pelvic peritonitis, female

614.6            Pelvic peritoneal adhesions, female (postoperative) (postinfection)

Adhesions:

peritubal

tubo-ovarian

Use additional code to identify any associated infertility (628.2)

614.7            Other chronic pelvic peritonitis, female

Excludes:            tuberculous (016.7)

614.8            Other specified inflammatory disease of female pelvic organs and tissues

614.9            Unspecified inflammatory disease of female pelvic organs and tissues

Pelvic infection or inflammation, female NOS

Pelvic inflammatory disease [PID]

615            Inflammatory diseases of uterus, except cervix

Excludes:            following delivery (670)

hyperplastic endometritis (621.3)

that complicating:

abortion (634-638 with .0, 639.0)

ectopic or molar pregnancy (639.0)

pregnancy or labor (646.6)

615.0            Acute

Any condition classifiable to 615.9, specified as acute or subacute

615.1            Chronic

Any condition classifiable to 615.9, specified as chronic

615.9            Unspecified inflammatory disease of uterus

Endometritis

Endomyometritis

Metritis

Myometritis

Perimetritis

Pyometra

Uterine abscess

616            Inflammatory disease of cervix, vagina, and vulva

Excludes:            that complicating:

abortion (634-638 with .0, 639.0)

ectopic or molar pregnancy (639.0)

pregnancy, childbirth, or the puerperium (646.6)

616.0            Cervicitis and endocervicitis

Cervicitis with or without mention of erosion or ectropion

Endocervicitis with or without mention of erosion or ectropion

Nabothian (gland) cyst or follicle

Excludes:            erosion or ectropion without mention of cervicitis (622.0)

616.1            Vaginitis and vulvovaginitis

616.10      Vaginitis and vulvovaginitis, unspecified

Vaginitis:

NOS

postirradiation

Vulvitis NOS

Vulvovaginitis NOS

Use additional code to identify organism, such as Escherichia coli [E. coli] (041.4), Staphylococcus (041.1), or Streptococcus (041.0)

Excludes:            noninfective leukorrhea (623.5)

postmenopausal or senile vaginitis (627.3)

616.11      Vaginitis and vulvovaginitis in diseases classified elsewhere

Code first underlying disease, as:

pinworm vaginitis (127.4)

Excludes:            herpetic vulvovaginitis (054.11)

monilial vulvovaginitis (112.1)

trichomonal vaginitis or vulvovaginitis (131.01)

616.2            Cyst of Bartholin's gland

Bartholin's duct cyst

616.3            Abscess of Bartholin's gland

Vulvovaginal gland abscess

616.4            Other abscess of vulva

Abscess of vulva

Carbuncle of vulva

Furuncle of vulva

616.5            Ulceration of vulva

616.50      Ulceration of vulva, unspecified

Ulcer NOS of vulva

616.51      Ulceration of vulva in diseases classified elsewhere

Code first underlying disease, as:

Behçet's syndrome (136.1)

tuberculosis (016.7)

Excludes:            vulvar ulcer (in):

gonococcal (098.0)

herpes simplex (054.12)

syphilitic (091.0)

616.8            Other specified inflammatory diseases of cervix, vagina, and vulva

Caruncle, vagina or labium

Ulcer, vagina

Excludes:            noninflammatory disorders of:

cervix (622.0-622.9)

vagina (623.0-623.9)

vulva (624.0-624.9)

616.9            Unspecified inflammatory disease of cervix, vagina, and vulva

OTHER DISORDERS OF FEMALE GENITAL TRACT (617-629)

617            Endometriosis

617.0            Endometriosis of uterus

Adenomyosis

Endometriosis:

cervix

internal

myometrium

Excludes:            stromal endometriosis (236.0)

617.1            Endometriosis of ovary

Chocolate cyst of ovary

Endometrial cystoma of ovary

617.2            Endometriosis of fallopian tube

617.3            Endometriosis of pelvic peritoneum

Endometriosis:

broad ligament

cul-de-sac (Douglas')

parametrium

round ligament

617.4            Endometriosis of rectovaginal septum and vagina

617.5            Endometriosis of intestine

Endometriosis:

appendix

colon

rectum

617.6            Endometriosis in scar of skin

617.8            Endometriosis of other specified sites

Endometriosis:

bladder

lung

umbilicus

vulva

617.9            Endometriosis, site unspecified

618       Genital prolapse

Use additional code to identify urinary incontinence (625.6, 788.31, 788.33-788.39)

Excludes:            that complicating pregnancy, labor, or delivery (654.4)

618.0            Prolapse of vaginal walls without mention of uterine prolapse

Cystocele

Cystourethrocele

Proctocele, female, without mention of uterine prolapse

Rectocele, without mention of uterine prolapse

Urethrocele, female, without mention of uterine prolapse

Vaginal prolapse, without mention of uterine prolapse

Excludes:            that with uterine prolapse (618.2-618.4)

enterocele (618.6)

vaginal vault prolapse following hysterectomy (618.5)

618.1            Uterine prolapse without mention of vaginal wall prolapse

Descensus uteri

Uterine prolapse:

NOS

complete

first degree

second degree

third degree

Excludes:            that with mention of cystocele, urethrocele, or rectocele (618.2-618.4)

618.2            Uterovaginal prolapse, incomplete

618.3            Uterovaginal prolapse, complete

618.4            Uterovaginal prolapse, unspecified

618.5            Prolapse of vaginal vault after hysterectomy

618.6            Vaginal enterocele, congenital or acquired

Pelvic enterocele, congenital or acquired

618.7            Old laceration of muscles of pelvic floor

618.8            Other specified genital prolapse

Incompetence or weakening of pelvic fundus

Relaxation of vaginal outlet or pelvis

618.9            Unspecified genital prolapse

619       Fistula involving female genital tract

Excludes:            vesicorectal and intestinovesical fistula (596.1)

619.0            Urinary-genital tract fistula, female

Fistula:

cervicovesical

ureterovaginal

urethrovaginal

urethrovesicovaginal

uteroureteric

uterovesical

vesicocervicovaginal

vesicovaginal

619.1            Digestive-genital tract fistula, female

Fistula:

intestinouterine

intestinovaginal

rectovaginal

rectovulval

sigmoidovaginal

uterorectal

619.2            Genital tract-skin fistula, female

Fistula:

uterus to abdominal wall

vaginoperineal

619.8            Other specified fistulas involving female genital tract

Fistula:

cervix

cul-de-sac (Douglas')

uterus

vagina

619.9            Unspecified fistula involving female genital tract

620            Noninflammatory disorders of ovary, fallopian tube, and broad ligament

Excludes:            hydrosalpinx (614.1)

620.0            Follicular cyst of ovary

Cyst of graafian follicle

620.1            Corpus luteum cyst or hematoma

Corpus luteum hemorrhage or rupture

Lutein cyst

620.2            Other and unspecified ovarian cyst

Cyst of ovary:

NOS

corpus albicans

retention NOS

serous

theca-lutein

Simple cystoma of ovary

Excludes:            cystadenoma (benign) (serous) (220)

developmental cysts (752.0)

neoplastic cysts (220)

polycystic ovaries (256.4)

Stein-Leventhal syndrome (256.4)

620.3            Acquired atrophy of ovary and fallopian tube

Senile involution of ovary

620.4            Prolapse or hernia of ovary and fallopian tube

Displacement of ovary and fallopian tube

Salpingocele

620.5            Torsion of ovary, ovarian pedicle, or fallopian tube

Torsion:

accessory tube

hydatid of Morgagni

620.6            Broad ligament laceration syndrome

Masters-Allen syndrome

620.7            Hematoma of broad ligament

Hematocele, broad ligament

620.8            Other noninflammatory disorders of ovary, fallopian tube, and broad ligament

Cyst of broad ligament or fallopian tube

Polyp of broad ligament or fallopian tube

Infarction of ovary or fallopian tube

Rupture of ovary or fallopian tube

Hematosalpinx of ovary or fallopian tube

Excludes:            hematosalpinx in ectopic pregnancy (639.2)

peritubal adhesions (614.6)

torsion of ovary, ovarian pedicle, or fallopian tube (620.5)

620.9            Unspecified noninflammatory disorder of ovary, fallopian tube, and broad ligament

621            Disorders of uterus, not elsewhere classified

621.0            Polyp of corpus uteri

Polyp:

endometrium

uterus NOS

Excludes:            cervical polyp NOS (622.7)

621.1            Chronic subinvolution of uterus

Excludes:            puerperal (674.8)

621.2            Hypertrophy of uterus

Bulky or enlarged uterus

Excludes:            puerperal (674.8)

621.3            Endometrial cystic hyperplasia

Hyperplasia (adenomatous) (cystic) (glandular) of endometrium

Hyperplastic endometritis

621.4            Hematometra

Hemometra

Excludes:            that in congenital anomaly (752.2-752.3)

621.5            Intrauterine synechiae

Adhesions of uterus

Band(s) of uterus

621.6            Malposition of uterus

Anteversion of uterus

Retroflexion of uterus

Retroversion of uterus

Excludes:            malposition complicating pregnancy, labor, or delivery (654.3-654.4)

prolapse of uterus (618.1-618.4)

621.7            Chronic inversion of uterus

Excludes:            current obstetrical trauma (665.2)

prolapse of uterus (618.1-618.4)

621.8            Other specified disorders of uterus, not elsewhere classified

Atrophy, acquired of uterus

Cyst of uterus

Fibrosis NOS of uterus

Old laceration (postpartum) of uterus

Ulcer of uterus

Excludes:            bilharzial fibrosis (120.0-120.9)

endometriosis (617.0)

fistulas (619.0-619.8)

inflammatory diseases (615.0-615.9)

621.9            Unspecified disorder of uterus

622            Noninflammatory disorders of cervix

Excludes:            abnormality of cervix complicating pregnancy, labor, or delivery (654.5-654.6)

fistula (619.0-619.8)

622.0            Erosion and ectropion of cervix

Eversion of cervix

Ulcer of cervix

Excludes:            that in chronic cervicitis (616.0)

622.1            Dysplasia of cervix (uteri)

Anaplasia of cervix

Cervical atypism

Cervical intraepithelial neoplasia I (CIN I)

Cervical intraepithelial neoplasia II (CIN II)

High grade squamous intraepithelial dysplasia (HGSIL)

Low grade squamous intraepithelial dysplasia (LGSIL)

Excludes:            carcinoma in situ of cervix (233.1)

cervical intraepithelial neoplasia III [CIN III] (233.1)

622.2            Leukoplakia of cervix (uteri)

Excludes:            carcinoma in situ of cervix (233.1)

622.3            Old laceration of cervix

Adhesions of cervix

Band(s) of cervix

Cicatrix (postpartum) of cervix

Excludes:            current obstetrical trauma (665.3)

622.4            Stricture and stenosis of cervix

Atresia (acquired) of cervix

Contracture of cervix

Occlusion of cervix

Pinpoint os uteri

Excludes:            congenital (752.49)

that complicating labor (654.6)

622.5            Incompetence of cervix

Excludes:            complicating pregnancy (654.5)

that affecting fetus or newborn (761.0)

622.6            Hypertrophic elongation of cervix

622.7            Mucous polyp of cervix

Polyp NOS of cervix

Excludes:            adenomatous polyp of cervix (219.0)

622.8            Other specified noninflammatory disorders of cervix

Atrophy (senile) of cervix

Cyst of cervix

Fibrosis of cervix

Hemorrhage of cervix

Excludes:            endometriosis (617.0)

fistula (619.0-619.8)

inflammatory diseases (616.0)

622.9            Unspecified noninflammatory disorder of cervix

623            Noninflammatory disorders of vagina

Excludes:            abnormality of vagina complicating pregnancy, labor, or delivery (654.7)

congenital absence of vagina (752.49)

congenital diaphragm or bands (752.49)

fistulas involving vagina (619.0-619.8)

623.0            Dysplasia of vagina

Excludes:            carcinoma in situ of vagina (233.3)

623.1            Leukoplakia of vagina

623.2            Stricture or atresia of vagina

Adhesions (postoperative) (postradiation) of vagina

Occlusion of vagina

Stenosis, vagina

Use additional E code to identify any external cause

Excludes:            congenital atresia or stricture (752.49)

623.3            Tight hymenal ring

Rigid hymen acquired or congenital

Tight hymenal ring acquired or congenital

Tight introitus acquired or congenital

Excludes:            imperforate hymen (752.42)

623.4            Old vaginal laceration

Excludes:            old laceration involving muscles of pelvic floor (618.7)

623.5            Leukorrhea, not specified as infective

Leukorrhea NOS of vagina

Vaginal discharge NOS

Excludes:            trichomonal (131.00)

623.6            Vaginal hematoma

Excludes:            current obstetrical trauma (665.7)

623.7            Polyp of vagina

623.8            Other specified noninflammatory disorders of vagina

Cyst of vagina

Hemorrhage of vagina

623.9            Unspecified noninflammatory disorder of vagina

624            Noninflammatory disorders of vulva and perineum

Excludes:            abnormality of vulva and perineum complicating pregnancy, labor, or delivery (654.8)

condyloma acuminatum (078.1)

fistulas involving:

perineum­see Alphabetic Index

vulva (619.0-619.8)

vulval varices (456.6)

vulvar involvement in skin conditions (690-709.9)

624.0            Dystrophy of vulva

Kraurosis of vulva

Leukoplakia of vulva

Excludes:            carcinoma in situ of vulva (233.3)

624.1            Atrophy of vulva

624.2            Hypertrophy of clitoris

Excludes:            that in endocrine disorders (255.2, 256.1)

624.3            Hypertrophy of labia

Hypertrophy of vulva NOS

624.4            Old laceration or scarring of vulva

624.5            Hematoma of vulva

Excludes:            that complicating delivery (664.5)

624.6            Polyp of labia and vulva

624.8            Other specified noninflammatory disorders of vulva and perineum

Cyst of vulva

Edema of vulva

Stricture of vulva

624.9            Unspecified noninflammatory disorder of vulva and perineum

625       Pain and other symptoms associated with female genital organs

625.0            Dyspareunia

Excludes:            psychogenic dyspareunia (302.76)

625.1            Vaginismus

Colpospasm

Vulvismus

Excludes:            psychogenic vaginismus (306.51)

625.2            Mittelschmerz

Intermenstrual pain

Ovulation pain

625.3            Dysmenorrhea

Painful menstruation

Excludes:            psychogenic dysmenorrhea (306.52)

625.4            Premenstrual tension syndromes

Menstrual:

migraine

molimen

Premenstrual syndrome

Premenstrual tension NOS

625.5            Pelvic congestion syndrome

Congestion-fibrosis syndrome

Taylor's syndrome

625.6            Stress incontinence, female

Excludes:            mixed incontinence (788.33)

stress incontinence, male (788.32)

625.8            Other specified symptoms associated with female genital organs

625.9            Unspecified symptom associated with female genital organs

626            Disorders of menstruation and other abnormal bleeding from female genital tract

Excludes:            menopausal and premenopausal bleeding (627.0)

pain and other symptoms associated with menstrual cycle (625.2-625.4)

postmenopausal bleeding (627.1)

626.0            Absence of menstruation

Amenorrhea (primary) (secondary)

626.1            Scanty or infrequent menstruation

Hypomenorrhea

Oligomenorrhea

626.2            Excessive or frequent menstruation

Heavy periods

Menometrorrhagia

Menorrhagia

Polymenorrhea

Excludes:            premenopausal (627.0)

that in puberty (626.3)

626.3            Puberty bleeding

Excessive bleeding associated with onset of menstrual periods

Pubertal menorrhagia

626.4            Irregular menstrual cycle

Irregular:

bleeding NOS

menstruation

periods

626.5            Ovulation bleeding

Regular intermenstrual bleeding

626.6            Metrorrhagia

Bleeding unrelated to menstrual cycle

Irregular intermenstrual bleeding

626.7            Postcoital bleeding

626.8            Other

Dysfunctional or functional uterine hemorrhage NOS

Menstruation:

retained

suppression of

626.9            Unspecified

627            Menopausal and postmenopausal disorders

Excludes:            asymptomatic age-related (natural) postmenopausal status (V49.81)

627.0            Premenopausal menorrhagia

Excessive bleeding associated with onset of menopause

Menorrhagia:

climacteric

menopausal

preclimacteric

627.1            Postmenopausal bleeding

627.2            Symptomatic menopausal or female climacteric states

Symptoms, such as flushing, sleeplessness, headache, lack of concentration, associated with the menopause

627.3            Postmenopausal atrophic vaginitis

Senile (atrophic) vaginitis

627.4            Symptomatic states associated with artificial menopause

Postartificial menopause syndromes

Any condition classifiable to 627.1, 627.2, or 627.3 which follows induced menopause

627.8            Other specified menopausal and postmenopausal disorders

Excludes:            premature menopause NOS (256.31)

627.9            Unspecified menopausal and postmenopausal disorder

628            Infertility, female

Includes:            primary and secondary sterility

628.0            Associated with anovulation

Anovulatory cycle

Use additional code for any associated Stein-Leventhal syndrome (256.4)

628.1            Of pituitary-hypothalamic origin

Code first underlying disease, as:

adiposogenital dystrophy (253.8)

anterior pituitary disorder (253.0-253.4)

628.2            Of tubal origin

Infertility associated with congenital anomaly of tube

Tubal:

block

occlusion

stenosis

Use additional code for any associated peritubal adhesions (614.6)

628.3            Of uterine origin

Infertility associated with congenital anomaly of uterus

Nonimplantation

Use additional code for any associated tuberculous endometritis (016.7)

628.4            Of cervical or vaginal origin

Infertility associated with:

anomaly or cervical mucus

congenital structural anomaly

dysmucorrhea

628.8            Of other specified origin

628.9            Of unspecified origin

629       Other disorders of female genital organs

629.0            Hematocele, female, not elsewhere classified

Excludes:            hematocele or hematoma:

broad ligament (620.7)

fallopian tube (620.8)

that associated with ectopic pregnancy (633.00-633.91)

uterus (621.4)

vagina (623.6)

vulva (624.5)

629.1            Hydrocele, canal of Nuck

Cyst of canal of Nuck (acquired)

Excludes:            congenital (752.41)

629.8            Other specified disorders of female genital organs

629.9            Unspecified disorder of female genital organs

Habitual aborter without current pregnancy

11.  COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-677)

ECTOPIC AND MOLAR PREGNANCY (630-633)

Use additional code from category 639 to identify any complications

630            Hydatidiform mole

Trophoblastic disease NOS

Vesicular mole

Excludes:            chorioadenoma (destruens) (236.1)

chorionepithelioma (181)

malignant hydatidiform mole (236.1)

631       Other abnormal product of conception

Blighted ovum

Mole:

NOS

carneous

fleshy

stone

632       Missed abortion

Early fetal death before completion of 22 weeks' gestation with retention of dead fetus

Retained products of conception, not following spontaneous or induced abortion or delivery

Excludes:            failed induced abortion (638.0-638.9)

fetal death (intrauterine) (late) (656.4)

missed delivery (656.4)

that with abnormal product of conception (630, 631)

633       Ectopic pregnancy

Includes:            ruptured ectopic pregnancy

633.0            Abdominal pregnancy

Intraperitoneal pregnancy

633.00      Abdominal pregnancy without intrauterine pregnancy

633.01      Abdominal pregnancy with intrauterine pregnancy

633.1            Tubal pregnancy

Fallopian pregnancy

Rupture of (fallopian) tube due to pregnancy

Tubal abortion

633.10      Tubal pregnancy without intrauterine pregnancy

633.11      Tubal pregnancy with intrauterine pregnancy

633.2            Ovarian pregnancy

633.20      Ovarian pregnancy without intrauterine pregnancy

633.21      Ovarian pregnancy with intrauterine pregnancy

633.8            Other ectopic pregnancy

Pregnancy:

cervical

combined

cornual

intraligamentous

mesometric

mural

633.80      Other ectopic pregnancy without intrauterine pregnancy

633.81      Other ectopic pregnancy with intrauterine pregnancy

633.9            Unspecified ectopic pregnancy

633.90      Unspecified ectopic pregnancy without intrauterine pregnancy

633.91      Unspecified ectopic pregnancy with intrauterine pregnancy

OTHER PREGNANCY WITH ABORTIVE OUTCOME (634-639)

The following fourth digit subdivisions are for use with categories 634-638:

0         Complicated by genital tract and pelvic infection

Endometritis

Salpingo-oophoritis

Sepsis NOS

Septicemia NOS

Any condition classifiable to 639.0, with condition classifiable to 634-638

Excludes urinary tract infection (634-638 with .7)

1         Complicated by delayed or excessive hemorrhage

Afibrinogenemia

Defibrination syndrome

Intravascular hemolysis

Any condition classifiable to 639.1, with condition classifiable to 634-638

2         Complicated by damage to pelvic organs and tissues

Laceration, perforation, or tear of:

bladder

uterus

Any condition classifiable to 639.2, with condition classifiable to 634-638

3         Complicated by renal failure

Oliguria

Uremia

Any condition classifiable to 639.3, with condition classifiable to 634-638

4         Complicated by metabolic disorder

Electrolyte imbalance with conditions classifiable to 634-638

5         Complicated by shock

Circulatory collapse

Shock (postoperative) (septic)

Any condition classifiable to 639.5, with condition classifiable to 634-638

6         Complicated by embolism

Embolism:

NOS

amniotic fluid

pulmonary

Any condition classifiable to 639.6, with condition classifiable to 634-638

7         With other specified complications

Cardiac arrest or failure

Urinary tract infection

Any condition classifiable to 639.8, with condition classifiable to 634-638

8         With unspecified complications

9         Without mention of complication

634            Spontaneous abortion

Requires fifth digit to identify stage:

0            unspecified

1            incomplete

2            complete

Includes:            miscarriage

spontaneous abortion

634.0            Complicated by genital tract and pelvic infection

634.1            Complicated by delayed or excessive hemorrhage

634.2            Complicated by damage to pelvic organs or tissues

634.3            Complicated by renal failure

634.4            Complicated by metabolic disorder

634.5            Complicated by shock

634.6            Complicated by embolism

634.7            With other specified complications

634.8            With unspecified complication

634.9            Without mention of complication

635       Legally induced abortion

Requires fifth digit to identify stage:

0            unspecified

1            incomplete

2            complete

Includes:            abortion or termination of pregnancy:

elective

legal

therapeutic

Excludes:            menstrual extraction or regulation (V25.3)

635.0            Complicated by genital tract and pelvic infection

635.1            Complicated by delayed or excessive hemorrhage

635.2            Complicated by damage to pelvic organs or tissues

635.3            Complicated by renal failure

635.4            Complicated by metabolic disorder

635.5            Complicated by shock

635.6            Complicated by embolism

635.7            With other specified complications

635.8            With unspecified complication

635.9            Without mention of complication

636       Illegally induced abortion

Requires fifth digit to identify stage:

0            unspecified

1            incomplete

2            complete

Includes:            abortion:

criminal

illegal

self-induced

636.0            Complicated by genital tract and pelvic infection

636.1            Complicated by delayed or excessive hemorrhage

636.2            Complicated by damage to pelvic organs or tissues

636.3            Complicated by renal failure

636.4            Complicated by metabolic disorder

636.5            Complicated by shock

636.6            Complicated by embolism

636.7            With other specified complications

636.8            With unspecified complication

636.9            Without mention of complication

637            Unspecified abortion

Requires following fifth digit to identify stage:

0            unspecified

1            incomplete

2            complete

Includes:            abortion NOS

retained products of conception following abortion, not classifiable elsewhere

637.0            Complicated by genital tract and pelvic infection

637.1            Complicated by delayed or excessive hemorrhage

637.2            Complicated by damage to pelvic organs or tissues

637.3            Complicated by renal failure

637.4            Complicated by metabolic disorder

637.5            Complicated by shock

637.6            Complicated by embolism

637.7            With other specified complications

637.8            With unspecified complication

637.9            Without mention of complication

638       Failed attempted abortion

Includes:            failure of attempted induction of (legal) abortion

Excludes:            incomplete abortion (634.0-637.9)

638.0            Complicated by genital tract and pelvic infection

638.1            Complicated by delayed or excessive hemorrhage

638.2            Complicated by damage to pelvic organs or tissues

638.3            Complicated by renal failure

638.4            Complicated by metabolic disorder

638.5            Complicated by shock

638.6            Complicated by embolism

638.7            With other specified complications

638.8            With unspecified complication

638.9            Without mention of complication

639            Complications following abortion and ectopic and molar pregnancies

Note:    This category is provided for use when it is required to classify separately the complications classifiable to the fourth digit level in categories 634-638; for example:

   a)      when the complication itself was responsible for an episode of medical care, the abortion, ectopic or molar pregnancy itself having been dealt with at a previous episode

   b)      when these conditions are immediate complications of ectopic or molar pregnancies classifiable to 630-633 where they cannot be identified at fourth digit level.

639.0            Genital tract and pelvic infection

Endometritis following conditions classifiable to 630-638

Parametritis following conditions classifiable to 630-638

Pelvic peritonitis following conditions classifiable to 630-638

Salpingitis following conditions classifiable to 630-638

Salpingo-oophoritis following conditions classifiable to 630-638

Sepsis NOS following conditions classifiable to 630-638

Septicemia NOS following conditions classifiable to 630-638

Excludes:            urinary tract infection (639.8)

639.1            Delayed or excessive hemorrhage

Afibrinogenemia following conditions classifiable to 630-638

Defibrination syndrome following conditions classifiable to 630-638

Intravascular hemolysis following conditions classifiable to 630-638

639.2            Damage to pelvic organs and tissues

Laceration, perforation, or tear of:

bladder following conditions classifiable to 630-638

bowel following conditions classifiable to 630-638

broad ligament following conditions classifiable to 630-638

cervix following conditions classifiable to 630-638

periurethral tissue following conditions classifiable to 630-638

uterus following conditions classifiable to 630-638

vagina following conditions classifiable to 630-638

639.3            Renal failure

Oliguria following conditions classifiable to 630-638

Renal:

failure (acute) following conditions classifiable to 630-638

shutdown following conditions classifiable to 630-638

tubular necrosis following conditions classifiable to 630-638

Uremia following conditions classifiable to 630-638

639.4            Metabolic disorders

Electrolyte imbalance following conditions classifiable to 630-638

639.5            Shock

Circulatory collapse following conditions classifiable to 630-638

Shock (postoperative) (septic) following conditions classifiable to 630-638

639.6            Embolism

Embolism:

NOS following conditions classifiable to 630-638

air following conditions classifiable to 630-638

amniotic fluid following conditions classifiable to 630-638

blood-clot following conditions classifiable to 630-638

fat following conditions classifiable to 630-638

pulmonary following conditions classifiable to 630-638

pyemic following conditions classifiable to 630-638

septic following conditions classifiable to 630-638

soap following conditions classifiable to 630-638

639.8            Other specified complications following abortion or ectopic and molar pregnancy

Acute yellow atrophy or necrosis of liver following conditions classifiable to 630-638

Cardiac arrest or failure following conditions classifiable to 630-638

Cerebral anoxia following conditions classifiable to 630-638

Urinary tract infection following conditions classifiable to 630-638

639.9            Unspecified complication following abortion or ectopic and molar pregnancy

Complication(s) not further specified following conditions classifiable to 630-638

COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-648)

Includes:            the listed conditions even if they arose or were present during labor, delivery, or the puerperium

The following fifth-digit subclassification is for use with categories 640-648 to denote the current episode of care:

0            unspecified as to episode of care or not applicable

1            delivered, with or without mention of antepartum condition

Antepartum condition with delivery

Delivery NOS (with mention of antepartum complication during current episode of care)

Intrapartum

obstetric condition (with mention of antepartum complication during current episode of care)

Pregnancy, delivered (with mention of antepartum complication during current episode of care)

2            delivered, with mention of postpartum complication

Delivery with mention of puerperal complication during current episode of care

3            antepartum condition or complication

Antepartum obstetric condition, not delivered during the current episode of care

4            postpartum condition or complication

Postpartum or puerperal obstetric condition or complication following delivery that occurred:

during previous episode of care

outside hospital, with subsequent admission for observation or care

640            Hemorrhage in early pregnancy

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

Includes:            hemorrhage before completion of 22 weeks' gestation

640.0            Threatened abortion

[0,1,3]

640.8            Other specified hemorrhage in early pregnancy

[0,1,3]

640.9            Unspecified hemorrhage in early pregnancy

[0,1,3]

641            Antepartum hemorrhage, abruptio placentae, and placenta previa

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

641.0            Placenta previa without hemorrhage

[0,1,3]

Low implantation of placenta without hemorrhage

Placenta previa noted:

during pregnancy without hemorrhage

before labor (and delivered by cesarean delivery) without hemorrhage

641.1            Hemorrhage from placenta previa

[0,1,3]

Low-lying placenta NOS or with hemorrhage (intrapartum)

Placenta previa:

incomplete NOS or with hemorrhage (intrapartum)

marginal NOS or with hemorrhage (intrapartum)

partial NOS or with hemorrhage (intrapartum)

total NOS or with hemorrhage (intrapartum)

Excludes:            hemorrhage from vasa previa (663.5)

641.2            Premature separation of placenta

[0,1,3]

Ablatio placentae

Abruptio placentae

Accidental antepartum hemorrhage

Couvelaire uterus

Detachment of placenta (premature)

Premature separation of normally implanted placenta

641.3            Antepartum hemorrhage associated with coagulation defects

[0,1,3]

Antepartum or intrapartum hemorrhage associated with:

afibrinogenemia

hyperfibrinolysis

hypofibrinogenemia

641.8            Other antepartum hemorrhage

[0,1,3]

Antepartum or intrapartum hemorrhage associated with:

trauma

uterine leiomyoma

641.9            Unspecified antepartum hemorrhage

[0,1,3]

Hemorrhage:

antepartum NOS

intrapartum NOS

of pregnancy NOS

642            Hypertension complicating pregnancy, childbirth, and the puerperium

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

642.0            Benign essential hypertension complicating pregnancy, childbirth, and the puerperium

[0-4]

Hypertension:

benign essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

chronic NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

pre-existing NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

642.1            Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium

[0-4]

Hypertension secondary to renal disease, specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

642.2            Other pre-existing hypertension complicating pregnancy, childbirth, and the puerperium

[0-4]

Hypertensive:

heart and renal disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

heart disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

renal disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

Malignant hypertension specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

642.3            Transient hypertension of pregnancy

[0-4]

Gestational hypertension

Transient hypertension, so described, in pregnancy, childbirth, or the puerperium

642.4            Mild or unspecified pre-eclampsia

[0-4]

Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; mild or unspecified

Pre-eclampsia:

NOS

mild

Toxemia (pre-eclamptic):

NOS

mild

Excludes:            albuminuria in pregnancy, without mention of hypertension (646.2)

edema in pregnancy, without mention of hypertension (646.1)

642.5            Severe pre-eclampsia

[0-4]

Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; specified as severe

Pre-eclampsia, severe

Toxemia (pre-eclamptic), severe

642.6            Eclampsia

[0-4]

Toxemia:

eclamptic

with convulsions

642.7            Pre-eclampsia or eclampsia superimposed on pre-existing hypertension

[0-4]

Conditions classifiable to 642.4-642.6, with conditions classifiable to 642.0-642.2

642.9            Unspecified hypertension complicating pregnancy, childbirth, or the puerperium

[0-4]

Hypertension NOS, without mention of albuminuria or edema, complicating pregnancy, childbirth, or the puerperium

643            Excessive vomiting in pregnancy

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

Includes:            hyperemesis arising during pregnancy

vomiting:

persistent arising during pregnancy

vicious arising during pregnancy

hyperemesis gravidarum

643.0            Mild hyperemesis gravidarum

[0,1,3]

Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation

643.1            Hyperemesis gravidarum with metabolic disturbance

[0,1,3]

Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance, such as:

carbohydrate depletion

dehydration

electrolyte imbalance

643.2            Late vomiting of pregnancy

[0,1,3]

Excessive vomiting starting after 22 completed weeks of gestation

643.8            Other vomiting complicating pregnancy

[0,1,3]

Vomiting due to organic disease or other cause, specified as complicating pregnancy, or as a reason for obstetric care during pregnancy

Use additional code to specify cause

643.9            Unspecified vomiting of pregnancy

[0,1,3]

Vomiting as a reason for care during pregnancy, length of gestation unspecified

644       Early or threatened labor

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

644.0            Threatened premature labor

[0,3]

Premature labor after 22 weeks, but before 37 completed weeks of gestation without delivery

Excludes:            that occurring before 22 completed weeks of gestation (640.0)

644.1            Other threatened labor

[0,3]

False labor:

NOS without delivery

after 37 completed weeks of gestation without delivery

Threatened labor NOS without delivery

644.2            Early onset of delivery

[0-1]

Onset (spontaneous) of delivery before 37 completed weeks of gestation

Premature labor with onset of delivery before 37 completed weeks of gestation

645       Late pregnancy

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

645.1            Post term pregnancy

[0,1,3]

Pregnancy over 40 completed weeks to 42 completed weeks gestation

645.2            Prolonged pregnancy

[0,1,3]

Pregnancy which has advanced beyond 42 completed weeks of gestation

646       Other complications of pregnancy, not elsewhere classified

Use additional code(s) to further specify complication

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

646.0            Papyraceous fetus

[0,1,3]

646.1            Edema or excessive weight gain in pregnancy, without mention of hypertension

[0-4]

Gestational edema

Maternal obesity syndrome

Excludes:            that with mention of hypertension (642.0-642.9)

646.2            Unspecified renal disease in pregnancy, without mention of hypertension

[0-4]

Albuminuria in pregnancy or the puerperium, without mention of hypertension

Nephropathy NOS in pregnancy or the puerperium, without mention of hypertension

Renal disease NOS in pregnancy or the puerperium, without mention of hypertension

Uremia in pregnancy or the puerperium, without mention of hypertension

Gestational proteinuria in pregnancy or the puerperium, without mention of hypertension

Excludes:            that with mention of hypertension (642.0-642.9)

646.3            Habitual aborter

[0-1,3]

Excludes:            with current abortion (634.0-634.9)

without current pregnancy (629.9)

646.4            Peripheral neuritis in pregnancy

[0-4]

646.5            Asymptomatic bacteriuria in pregnancy

[0-4]

646.6            Infections of genitourinary tract in pregnancy

[0-4]

Conditions classifiable to 590, 595, 597, 599.0, 616 complicating pregnancy, childbirth, or the puerperium

Conditions classifiable to 614.0-614.5, 614.7-614.9, 615 complicating pregnancy or labor

Excludes:            major puerperal infection (670)

646.7            Liver disorders in pregnancy

[0,1,3]

Acute yellow atrophy of liver (obstetric) (true) of pregnancy

Icterus gravis of pregnancy

Necrosis of liver of pregnancy

Excludes:            hepatorenal syndrome following delivery (674.8)

viral hepatitis (647.6)

646.8            Other specified complications of pregnancy

[0-4]

Fatigue during pregnancy

Herpes gestationis

Insufficient weight gain of pregnancy

Uterine size-date discrepancy

646.9            Unspecified complication of pregnancy

[0,1,3]

647            Infectious and parasitic conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium

Use additional code(s) to further specify complication

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

Includes:            the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care

Excludes:            those conditions in the mother known or suspected to have affected the fetus (655.0-655.9)

647.0            Syphilis

[0-4]

Conditions classifiable to 090-097

647.1            Gonorrhea

[0-4]

Conditions classifiable to 098

647.2            Other venereal diseases

[0-4]

Conditions classifiable to 099

647.3            Tuberculosis

[0-4]

Conditions classifiable to 010-018

647.4            Malaria

[0-4]

Conditions classifiable to 084

647.5            Rubella

[0-4]

Conditions classifiable to 056

647.6            Other viral diseases

[0-4]

Conditions classifiable to 042 and 050-079, except 056

647.8            Other specified infectious and parasitic diseases

[0-4]

647.9            Unspecified infection or infestation

[0-4]

648       Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium

Use additional code(s) to identify the condition

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 640-648 for definitions.

Includes:            the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care

Excludes:            those conditions in the mother known or suspected to have affected the fetus (655.0-665.9)

648.0            Diabetes mellitus

[0-4]

Conditions classifiable to 250

Excludes:            gestational diabetes (648.8)

648.1            Thyroid dysfunction

[0-4]

Conditions classifiable to 240-246

648.2            Anemia

[0-4]

Conditions classifiable to 280-285

648.3            Drug dependence

[0-4]

Conditions classifiable to 304

648.4            Mental disorders

[0-4]

Conditions classifiable to 290-303, 305-316, 317-319

648.5            Congenital cardiovascular disorders

[0-4]

Conditions classifiable to 745-747

648.6            Other cardiovascular diseases

[0-4]

Conditions classifiable to 390-398, 410-429

Excludes:            cerebrovascular disorders in the puerperium (674.0)

venous complications (671.0-671.9)

648.7            Bone and joint disorders of back, pelvis, and lower limbs

[0-4]

Conditions classifiable to 720-724, and those classifiable to 711-719 or 725-738, specified as affecting the lower limbs

648.8            Abnormal glucose tolerance

[0-4]

Conditions classifiable to 790.2

Gestational diabetes

648.9            Other current conditions classifiable elsewhere

[0-4]

Conditions classifiable to 440-459

Nutritional deficiencies [conditions classifiable to 260-269]

NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659)

The following fifth-digit subclassification is for use with categories 651-659 to denote the current episode of care:

0            unspecified as to episode of care or not applicable

1            delivered, with or without mention of antepartum condition

2            delivered, with mention of postpartum complication

3            antepartum condition or complication

4            postpartum condition or complication

650       Normal delivery

Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant.  This code is for use as a single diagnosis code and is not to be used with any other code in the range 630-676.

Use additional code to indicate outcome of delivery (V27.0)

Excludes:            breech delivery (assisted) (spontaneous) NOS (652.2)

delivery by vacuum extractor, forceps, cesarean section, or breech extraction, without specified complication (669.5-669.7)

651       Multiple gestation

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

651.0            Twin pregnancy

[0,1,3]

651.1            Triplet pregnancy

[0,1,3]

651.2            Quadruplet pregnancy

[0,1,3]

651.3            Twin pregnancy with fetal loss and retention of one fetus

[0,1,3]

651.4            Triplet pregnancy with fetal loss and retention of one or more fetus(es)

[0,1,3]

651.5            Quadruplet pregnancy with fetal loss and retention of one or more fetus(es)

[0,1,3]

651.6            Other multiple pregnancy with fetal loss and retention of one or more fetus(es)

[0,1,3]

651.8            Other specified multiple gestation

[0,1,3]

651.9            Unspecified multiple gestation

[0,1,3]

652            Malposition and malpresentation of fetus

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

Code first any associated obstructed labor (660.0)

652.0            Unstable lie

[0,1,3]

652.1            Breech or other malpresentation successfully converted to cephalic presentation

[0,1,3]

Cephalic version NOS

652.2            Breech presentation without mention of version

[0,1,3]

Breech delivery (assisted) (spontaneous) NOS

Buttocks presentation

Complete breech

Frank breech

Excludes:            footling presentation (652.8)

incomplete breech (652.8)

652.3            Transverse or oblique presentation

[0,1,3]

Oblique lie

Transverse lie

Excludes:            transverse arrest of fetal head (660.3)

652.4            Face or brow presentation

[0,1,3]

Mentum presentation

652.5            High head at term

[0,1,3]

Failure of head to enter pelvic brim

652.6            Multiple gestation with malpresentation of one fetus or more

[0,1,3]

652.7            Prolapsed arm

[0,1,3]

652.8            Other specified malposition or malpresentation

[0,1,3]

Compound presentation

652.9            Unspecified malposition or malpresentation

[0,1,3]

653            Disproportion

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

Code first any associated obstructed labor (660.1)

653.0            Major abnormality of bony pelvis, not further specified

[0,1,3]

Pelvic deformity NOS

653.1            Generally contracted pelvis

[0,1,3]

Contracted pelvis NOS

653.2            Inlet contraction of pelvis

[0,1,3]

Inlet contraction (pelvis)

653.3            Outlet contraction of pelvis

[0,1,3]

Outlet contraction (pelvis)

653.4            Fetopelvic disproportion

[0,1,3]

Cephalopelvic disproportion NOS

Disproportion of mixed maternal and fetal origin, with normally formed fetus

653.5            Unusually large fetus causing disproportion

[0,1,3]

Disproportion of fetal origin with normally formed fetus

Fetal disproportion NOS

Excludes:            that when the reason for medical care was concern for the fetus (656.6)

653.6            Hydrocephalic fetus causing disproportion

[0,1,3]

Excludes:            that when the reason for medical care was concern for the fetus (655.0)

653.7            Other fetal abnormality causing disproportion

[0,1,3]

Conjoined twins

Fetal:

ascites

hydrops

myelomeningocele

sacral teratoma

tumor

653.8            Disproportion of other origin

[0,1,3]

Excludes:            shoulder (girdle) dystocia (660.4)

653.9            Unspecified disproportion

[0,1,3]

654            Abnormality of organs and soft tissues of pelvis

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

Includes:            the listed conditions during pregnancy, childbirth, or the puerperium

Code first any associated obstructed labor (660.2)

654.0            Congenital abnormalities of uterus

[0-4]

Double uterus

Uterus bicornis

654.1            Tumors of body of uterus

[0-4]

Uterine fibroids

654.2            Previous cesarean delivery

[0,1,3]

Uterine scar from previous cesarean delivery

654.3            Retroverted and incarcerated gravid uterus

[0-4]

654.4            Other abnormalities in shape or position of gravid uterus and of neighboring structures

[0-4]

Cystocele

Pelvic floor repair

Pendulous abdomen

Prolapse of gravid uterus

Rectocele

Rigid pelvic floor

654.5            Cervical incompetence

[0-4]

Presence of Shirodkar suture with or without mention of cervical incompetence

654.6            Other congenital or acquired abnormality of cervix

[0-4]

Cicatricial cervix

Polyp of cervix

Previous surgery to cervix

Rigid cervix (uteri)

Stenosis or stricture of cervix

Tumor of cervix

654.7            Congenital or acquired abnormality of vagina

[0-4]

Previous surgery to vagina

Septate vagina

Stenosis of vagina (acquired) (congenital)

Sricture of vagina

Tumor of vagina

654.8            Congenital or acquired abnormality of vulva

[0-4]

Fibrosis of perineum

Persistent hymen

Previous surgery to perineum or vulva

Rigid perineum

Tumor of vulva

Excludes:            varicose veins of vulva (671.1)

654.9            Other and unspecified

[0-4]

Uterine scar NEC

655       Known or suspected fetal abnormality affecting management of mother

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

Includes:            the listed conditions in the fetus as a reason for observation or obstetrical care of the mother, or for termination of pregnancy

655.0            Central nervous system malformation in fetus

[0,1,3]

Fetal or suspected fetal:

anencephaly

hydrocephalus

spina bifida (with myelomeningocele)

655.1            Chromosomal abnormality in fetus

[0,1,3]

655.2            Hereditary disease in family possibly affecting fetus

[0,1,3]

655.3            Suspected damage to fetus from viral disease in the mother

[0,1,3]

Suspected damage to fetus from maternal rubella

655.4            Suspected damage to fetus from other disease in the mother

[0,1,3]

Suspected damage to fetus from maternal:

alcohol addiction

listeriosis

toxoplasmosis

655.5            Suspected damage to fetus from drugs

[0,1,3]

655.6            Suspected damage to fetus from radiation

[0,1,3]

655.7            Decreased fetal movements

[0, 1, 3]

655.8            Other known or suspected fetal abnormality, not elsewhere classified

[0,1,3]

Suspected damage to fetus from:

environmental toxins

intrauterine contraceptive device

655.9            Unspecified

[0,1,3]

656       Other fetal and placental problems affecting management of mother

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

656.0            Fetal-maternal hemorrhage

[0,1,3]

Leakage (microscopic) of fetal blood into maternal circulation

656.1            Rhesus isoimmunization

[0,1,3]

Anti-D [Rh] antibodies

Rh incompatibility

656.2            Isoimmunization from other and unspecified blood-group incompatibility

[0,1,3]

ABO isoimmunization

656.3            Fetal distress

[0,1,3]

Fetal metabolic acidemia

Excludes:            abnormal fetal acid-base balance (656.8)

abnormality in fetal heart rate or rhythm (659.7)

fetal bradycardia (659.7)

fetal tachycardia (659.7)

meconium in liquor (656.8)

656.4            Intrauterine death

[0,1,3]

Fetal death:

NOS

after completion of 22 weeks' gestation

late

Missed delivery

Excludes:            missed abortion (632)

656.5            Poor fetal growth

[0,1,3]

"Light-for-dates"

"Placental insufficiency"

"Small-for-dates"

656.6            Excessive fetal growth

[0,1,3]

"Large-for-dates"

656.7            Other placental conditions

[0,1,3]

Abnormal placenta

Placental infarct

Excludes:            placental polyp (674.4)

placentitis (658.4)

656.8            Other specified fetal and placental problems

[0,1,3]

Abnormal acid-base balance

Intrauterine acidosis

Lithopedian

Meconium in liquor

656.9            Unspecified fetal and placental problem

[0,1,3]

657            Polyhydramnios

[0,1,3]

Hydramnios

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

Use 0 as fourth digit for category 657

658       Other problems associated with amniotic cavity and membranes

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

Excludes:            amniotic fluid embolism (673.1)

658.0            Oligohydramnios

[0,1,3]

Oligohydramnios without mention of rupture of membranes

658.1            Premature rupture of membranes

[0,1,3]

Rupture of amniotic sac less than 24 hours prior to the onset of labor

658.2            Delayed delivery after spontaneous or unspecified rupture of membranes

[0,1,3]

Prolonged rupture of membranes NOS

Rupture of amniotic sac 24 hours or more prior to the onset of labor

658.3            Delayed delivery after artificial rupture of membranes

[0,1,3]

658.4            Infection of amniotic cavity

[0,1,3]

Amnionitis

Chorioamnionitis

Membranitis

Placentitis

658.8            Other

[0,1,3]

Amnion nodosum

Amniotic cyst

658.9            Unspecified

[0,1,3]

659       Other indications for care or intervention related to labor and delivery, not elsewhere classified

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 650-659 for definitions.

659.0            Failed mechanical induction

[0,1,3]

Failure of induction of labor by surgical or other instrumental methods

659.1            Failed medical or unspecified induction

[0,1,3]

Failed induction NOS

Failure of induction of labor by medical methods, such as oxytocic drugs

659.2            Maternal pyrexia during labor, unspecified

[0,1,3]

659.3            Generalized infection during labor

[0,1,3]

Septicemia during labor

659.4            Grand multiparity

[0,1,3]

Excludes:            supervision only, in pregnancy (V23.3)

without current pregnancy (V61.5)

659.5            Elderly primigravida

[0,1,3]

First pregnancy in a woman who will be 35 years of age or older at expected date of delivery

Excludes:            supervision only, in pregnancy (V23.81)

659.6            Elderly multigravida

[0,1,3]

Second or more pregnancy in a woman who will be 35 years of age or older at expected date of delivery

Excludes:            elderly primigravida (659.5)

supervision only, in pregnancy (V23.82)

659.7            Abnormality in fetal heart rate or rhythm

[0, 1, 3]

Depressed fetal heart tones

Fetal:

bradycardia

tachycardia

Fetal heart rate decelerations

Non-reassuring fetal heart rate or rhythm

659.8            Other specified indications for care or intervention related to labor and delivery

[0,1,3]

Pregnancy in a female less than 16 years of age at expected date of delivery

Very young maternal age

659.9            Unspecified indication for care or intervention related to labor and delivery

[0,1,3]

COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669)

The following fifth-digit subclassification is for use with categories 660-669 to denote the current episode of care:

0            unspecified as to episode of care or not applicable

1            delivered, with or without mention of antepartum condition

2            delivered, with mention of postpartum complication

3            antepartum condition or complication

4            postpartum condition or complication

660            Obstructed labor

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

660.0            Obstruction caused by malposition of fetus at onset of labor

[0,1,3]

Any condition classifiable to 652, causing obstruction during labor

Use additional code from 652.0-652.9 to identify condition

660.1            Obstruction by bony pelvis

[0,1,3]

Any condition classifiable to 653, causing obstruction during labor

Use additional code from 653.0-653.9 to identify condition

660.2            Obstruction by abnormal pelvic soft tissues

[0,1,3]

Prolapse of anterior lip of cervix

Any condition classifiable to 654, causing obstruction during labor

Use additional code from 654.0-654.9 to identify condition

660.3            Deep transverse arrest and persistent occipitoposterior position

[0,1,3]

660.4            Shoulder (girdle) dystocia

[0,1,3]

Impacted shoulders

660.5            Locked twins

[0,1,3]

660.6            Failed trial of labor, unspecified

[0,1,3]

Failed trial of labor, without mention of condition or suspected condition

660.7            Failed forceps or vacuum extractor, unspecified

[0,1,3]

Application of ventouse or forceps, without mention of condition

660.8            Other causes of obstructed labor

[0,1,3]

660.9            Unspecified obstructed labor

[0,1,3]

Dystocia:

NOS

fetal NOS

maternal NOS

661            Abnormality of forces of labor

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

661.0            Primary uterine inertia

[0,1,3]

Failure of cervical dilation

Hypotonic uterine dysfunction, primary

Prolonged latent phase of labor

661.1            Secondary uterine inertia

[0,1,3]

Arrested active phase of labor

Hypotonic uterine dysfunction, secondary

661.2            Other and unspecified uterine inertia

[0,1,3]

Desultory labor

Irregular labor

Poor contractions

Slow slope active phase of labor

661.3            Precipitate labor

[0,1,3]

661.4            Hypertonic, incoordinate, or prolonged uterine contractions

[0,1,3]

Cervical spasm

Contraction ring (dystocia)

Dyscoordinate labor

Hourglass contraction of uterus

Hypertonic uterine dysfunction

Incoordinate uterine action

Retraction ring (Bandl's) (pathological)

Tetanic contractions

Uterine dystocia NOS

Uterine spasm

661.9            Unspecified abnormality of labor

[0,1,3]

662       Long labor

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

662.0            Prolonged first stage

[0,1,3]

662.1            Prolonged labor, unspecified

[0,1,3]

662.2            Prolonged second stage

[0,1,3]

662.3            Delayed delivery of second twin, triplet, etc.

[0,1,3]

663            Umbilical cord complications

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

663.0            Prolapse of cord

[0,1,3]

Presentation of cord

663.1            Cord around neck, with compression

[0,1,3]

Cord tightly around neck

663.2            Other and unspecified cord entanglement, with compression

[0,1,3]

Entanglement of cords of twins in mono-amniotic sac

Knot in cord (with compression)

663.3            Other and unspecified cord entanglement, without mention of compression

[0,1,3]

663.4            Short cord

[0,1,3]

663.5            Vasa previa

[0,1,3]

663.6            Vascular lesions of cord

[0,1,3]

Bruising of cord

Hematoma of cord

Thrombosis of vessels of cord

663.8            Other umbilical cord complications

[0,1,3]

Velamentous insertion of umbilical cord

663.9            Unspecified umbilical cord complication

[0,1,3]

664       Trauma to perineum and vulva during delivery

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

Includes:            damage from instruments

that from extension of episiotomy

664.0            First-degree perineal laceration

[0,1,4]

Perineal laceration, rupture, or tear involving:

fourchette

hymen

labia

skin

vagina

vulva

664.1            Second-degree perineal laceration

[0,1,4]

Perineal laceration, rupture, or tear (following episiotomy) involving:

pelvic floor

perineal muscles

vaginal muscles

Excludes:            that involving anal sphincter (664.2)

664.2            Third-degree perineal laceration

[0,1,4]

Perineal laceration, rupture, or tear (following episiotomy) involving:

anal sphincter

rectovaginal septum

sphincter NOS

Excludes:            that with anal or rectal mucosal laceration (664.3)

664.3            Fourth-degree perineal laceration

[0,1,4]

Perineal laceration, rupture, or tear as classifiable to 664.2 and involving also:

anal mucosa

rectal mucosa

664.4            Unspecified perineal laceration

[0,1,4]

Central laceration

664.5            Vulval and perineal hematoma

[0,1,4]

664.8            Other specified trauma to perineum and vulva

[0,1,4]

664.9            Unspecified trauma to perineum and vulva

[0,1,4]

665       Other obstetrical trauma

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

Includes:            damage from instruments

665.0            Rupture of uterus before onset of labor

[0,1,3]

665.1            Rupture of uterus during labor

[0,1]

Rupture of uterus NOS

665.2            Inversion of uterus

[0,2,4]

665.3            Laceration of cervix

[0,1,4]

665.4            High vaginal laceration

[0,1,4]

Laceration of vaginal wall or sulcus without mention of perineal laceration

665.5            Other injury to pelvic organs

[0,1,4]

Injury to:

bladder

urethra

665.6            Damage to pelvic joints and ligaments

[0,1,4]

Avulsion of inner symphyseal cartilage

Damage to coccyx

Separation of symphysis (pubis)

665.7            Pelvic hematoma

[0-2,4]

Hematoma of vagina

665.8            Other specified obstetrical trauma

[0-4]

665.9            Unspecified obstetrical trauma

[0-4]

666            Postpartum hemorrhage

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

666.0            Third-stage hemorrhage

[0,2,4]

Hemorrhage associated with retained, trapped, or adherent placenta

Retained placenta NOS

666.1            Other immediate postpartum hemorrhage

[0,2,4]

Atony of uterus

Hemorrhage within the first 24 hours following delivery of placenta

Postpartum hemorrhage (atonic) NOS

666.2            Delayed and secondary postpartum hemorrhage

[0,2,4]

Hemorrhage:

after the first 24 hours following delivery

associated with retained portions of placenta or membranes

Postpartum hemorrhage specified as delayed or secondary

Retained products of conception NOS, following delivery

666.3            Postpartum coagulation defects

[0,2,4]

Postpartum:

afibrinogenemia

fibrinolysis

667            Retained placenta without hemorrhage

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

667.0            Retained placenta without hemorrhage

[0,2,4]

Placenta accreta without hemorrhage

Retained placenta:

NOS without hemorrhage

total without hemorrhage

667.1            Retained portions of placenta or membranes, without hemorrhage

[0,2,4]

Retained products of conception following delivery, without hemorrhage

668            Complications of the administration of anesthetic or other sedation in labor and delivery

Use additional code(s) to further specify complication

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

Includes:            complications arising from the administration of a general or local anesthetic, analgesic, or other sedation in labor and delivery

Excludes:            reaction to spinal or lumbar puncture (349.0)

spinal headache (349.0)

668.0            Pulmonary complications

[0-4]

Inhalation [aspiration] of stomach contents or secretions following anesthesia or other sedation in labor or delivery

Mendelson's syndrome following anesthesia or other sedation in labor or delivery

Pressure collapse of lung following anesthesia or other sedation in labor or delivery

668.1            Cardiac complications

[0-4]

Cardiac arrest or failure following anesthesia or other sedation in labor and delivery

668.2            Central nervous system complications

[0-4]

Cerebral anoxia following anesthesia or other sedation in labor and delivery

668.8            Other complications of anesthesia or other sedation in labor and delivery

[0-4]

668.9            Unspecified complication of anesthesia and other sedation

[0-4]

669       Other complications of labor and delivery, not elsewhere classified

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 660-669 for definitions.

669.0            Maternal distress

[0-4]

Metabolic disturbance in labor and delivery

669.1            Shock during or following labor and delivery

[0-4]

Obstetric shock

669.2            Maternal hypotension syndrome

[0-4]

669.3            Acute renal failure following labor and delivery

[0,2,4]

669.4            Other complications of obstetrical surgery and procedures

[0-4]

Cardiac:

arrest following cesarean or other obstetrical surgery or procedure, including delivery NOS

failure following cesarean or other obstetrical surgery or procedure, including delivery NOS

Cerebral anoxia following cesarean or other obstetrical surgery or procedure, including delivery NOS

Excludes:            complications of obstetrical surgical wounds (674.1-674.3)

669.5            Forceps or vacuum extractor delivery without mention of indication

[0,1]

Delivery by ventouse, without mention of indication

669.6            Breech extraction, without mention of indication

[0,1]

Excludes:            breech delivery NOS (652.2)

669.7            Cesarean delivery, without mention of indication

[0,1]

669.8            Other complications of labor and delivery

[0-4]

669.9            Unspecified complication of labor and delivery

[0-4]

COMPLICATIONS OF THE PUERPERIUM (670-677)

Note:   Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth.

The following fifth-digit subclassification is for use with categories 670-676 to denote the current episode of care:

0            unspecified as to episode of care or not applicable

1            delivered, with or without mention of antepartum condition

2            delivered, with mention of postpartum complication

3            antepartum condition or complication

4            postpartum condition or complication

670       Major puerperal infection

[0,2,4]

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

Use 0 as fourth digit for category 670

Puerperal:

endometritis

fever (septic)

pelvic:

cellulitis

sepsis

peritonitis

pyemia

salpingitis

septicemia

Excludes:            infection following abortion (639.0)

minor genital tract infection following delivery (646.6)

puerperal pyrexia NOS (672)

puerperal fever NOS (672)

puerperal pyrexia of unknown origin (672)

urinary tract infection following delivery (646.6)

671       Venous complications in pregnancy and the puerperium

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

671.0            Varicose veins of legs

[0-4]

Varicose veins NOS

671.1            Varicose veins of vulva and perineum

[0-4]

671.2            Superficial thrombophlebitis

[0-4]

Thrombophlebitis (superficial)

671.3            Deep phlebothrombosis, antepartum

[0,1,3]

Deep-vein thrombosis, antepartum

671.4            Deep phlebothrombosis, postpartum

[0,2,4]

Deep-vein thrombosis, postpartum

Pelvic thrombophlebitis, postpartum

Phlegmasia alba dolens (puerperal)

671.5            Other phlebitis and thrombosis

[0-4]

Cerebral venous thrombosis

Thrombosis of intracranial venous sinus

671.8            Other venous complications

[0-4]

Hemorrhoids

671.9            Unspecified venous complication

[0-4]

Phlebitis NOS

Thrombosis NOS

672       Pyrexia of unknown origin during the puerperium

[0,2,4]

Postpartum fever NOS

Puerperal fever NOS

Puerperal pyrexia NOS

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

Use 0 as fourth digit for category 672

 

673            Obstetrical pulmonary embolism

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

Includes:            pulmonary emboli in pregnancy, childbirth, or the puerperium, or specified as puerperal

Excludes:            embolism following abortion (639.6)

673.0            Obstetrical air embolism

[0-4]

673.1            Amniotic fluid embolism

[0-4]

673.2            Obstetrical blood-clot embolism

[0-4]

Puerperal pulmonary embolism NOS

673.3            Obstetrical pyemic and septic embolism

[0-4]

673.8            Other pulmonary embolism

[0-4]

Fat embolism

674       Other and unspecified complications of the puerperium, not elsewhere classified

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

674.0            Cerebrovascular disorders in the puerperium

[0-4]

Any condition classifiable to 430-434, 436-437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal

Excludes:            intracranial venous sinus thrombosis (671.5)

674.1            Disruption of cesarean wound

[0,2,4]

Dehiscence or disruption of uterine wound

Excludes:            uterine rupture before onset of labor (665.0)

uterine rupture during labor (665.1)

674.2            Disruption of perineal wound

[0,2,4]

Breakdown of perineum

Disruption of wound of:

episiotomy

perineal laceration

Secondary perineal tear

674.3            Other complications of obstetrical surgical wounds

[0,2,4]

Hematoma of cesarean section or perineal wound

Hemorrhage of cesarean section or perineal wound

Infection of cesarean section or perineal wound

Excludes:            damage from instruments in delivery (664.0-665.9)

674.4            Placental polyp

[0,2,4]

674.8            Other

[0,2,4]

Hepatorenal syndrome, following delivery

Postpartum:

cardiomyopathy

subinvolution of uterus

uterine hypertrophy

674.9            Unspecified

[0,2,4]

Sudden death of unknown cause during the puerperium

675            Infections of the breast and nipple associated with childbirth

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

Includes:            the listed conditions during pregnancy, childbirth, or the puerperium

675.0            Infections of nipple

[0-4]

Abscess of nipple

675.1            Abscess of breast

[0-4]

Abscess:

mammary

subareolar

submammary

Mastitis:

purulent

retromammary

submammary

675.2            Nonpurulent mastitis

[0-4]

Lymphangitis of breast

Mastitis:

NOS

interstitial

parenchymatous

675.8            Other specified infections of the breast and nipple

[0-4]

675.9            Unspecified infection of the breast and nipple

[0-4]

676       Other disorders of the breast associated with childbirth and disorders of lactation

Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of section 670-676 for definitions.

Includes:            the listed conditions during pregnancy, the puerperium, or lactation

676.0            Retracted nipple

[0-4]

676.1            Cracked nipple

[0-4]

Fissure of nipple

676.2            Engorgement of breasts

[0-4]

676.3            Other and unspecified disorder of breast

[0-4]

676.4            Failure of lactation

[0-4]

Agalactia

676.5            Suppressed lactation

[0-4]

676.6            Galactorrhea

[0-4]

Excludes:            galactorrhea not associated with childbirth (611.6)

676.8            Other disorders of lactation

[0-4]

Galactocele

676.9            Unspecified disorder of lactation

[0-4]

677       Late effect of complication of pregnancy, childbirth, and the puerperium

Note:    This category is to be used to indicate conditions in 632-648.9 and 651-676.9 as the cause of the late effect, themselves classifiable elsewhere.  The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the puerperium.

Code first any sequelae

12.  DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (680-709)

INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE (680-686)

Excludes:            certain infections of skin classified under "Infectious and Parasitic Diseases," such as:

erysipelas (035)

erysipeloid of Rosenbach (027.1)

herpes:

simplex (054.0-054.9)

zoster (053.0-053.9)

molluscum contagiosum (078.0)

viral warts (078.1)

680            Carbuncle and furuncle

Includes:            boil

furunculosis

680.0            Face

Ear [any part]

Face [any part, except eye]

Nose (septum)

Temple (region)

Excludes:            eyelid (373.13)

lacrimal apparatus (375.31)

orbit (376.01)

680.1            Neck

680.2            Trunk

Abdominal wall

Back [any part, except buttocks]

Breast

Chest wall

Flank

Groin

Pectoral region

Perineum

Umbilicus

Excludes:            buttocks (680.5)

external genital organs:

female (616.4)

male (607.2, 608.4)

680.3            Upper arm and forearm

Arm [any part, except hand]

Axilla

Shoulder

680.4            Hand

Finger [any]

Thumb

Wrist

680.5            Buttock

Anus

Gluteal region

680.6            Leg, except foot

Ankle

Hip

Knee

Thigh

680.7            Foot

Heel

Toe

680.8            Other specified sites

Head [any part, except face]

Scalp

Excludes:            external genital organs:

female (616.4)

male (607.2, 608.4)

680.9            Unspecified site

Boil NOS

Carbuncle NOS

Furuncle NOS

681            Cellulitis and abscess of finger and toe

Includes:            that with lymphangitis

Use additional code to identify organism, such as Staphylococcus (041.1)

681.0            Finger

681.00      Cellulitis and abscess, unspecified

681.01      Felon

Pulp abscess

Whitlow

Excludes:            herpetic whitlow (054.6)

681.02      Onychia and paronychia of finger

Panaritium of finger

Perionychia of finger

681.1            Toe

681.10      Cellulitis and abscess, unspecified

681.11      Onychia and paronychia of toe

Panaritium of toe

Perionychia of toe

681.9            Cellulitis and abscess of unspecified digit

Infection of nail NOS

682       Other cellulitis and abscess

Includes:            abscess (acute) (with lymphangitis) except of finger or toe

cellulitis (diffuse) (with lymphangitis) except of finger or toe

lymphangitis, acute (with lymphangitis) except of finger or toe

Use additional code to identify organism, such as Staphylococcus (041.1)

Excludes:            lymphangitis (chronic) (subacute) (457.2)

682.0            Face

Cheek, external

Chin

Forehead

Nose, external

Submandibular

Temple (region)

Excludes:            ear [any part] (380.10-380.16)

eyelid (373.13)

lacrimal apparatus (375.31)

lip (528.5)

mouth (528.3)

nose (internal) (478.1)

orbit (376.01)

682.1            Neck

682.2            Trunk

Abdominal wall

Back [any part, except buttock]

Chest wall

Flank

Groin

Pectoral region

Perineum

Umbilicus, except newborn

Excludes:            anal and rectal regions (566)

breast:

NOS (611.0)

puerperal (675.1)

external genital organs:

female (616.3-616.4)

male (604.0, 607.2, 608.4)

umbilicus, newborn (771.4)

682.3            Upper arm and forearm

Arm [any part, except hand]

Axilla

Shoulder

Excludes:            hand (682.4)

682.4            Hand, except fingers and thumb

Wrist

Excludes:            finger and thumb (681.00-681.02)

682.5            Buttock

Gluteal region

Excludes:            anal and rectal regions (566)

682.6            Leg, except foot

Ankle

Hip

Knee

Thigh

682.7            Foot, except toes

Heel

Excludes:            toe (681.10-681.11)

682.8            Other specified sites

Head [except face]

Scalp

Excludes:            face (682.0)

682.9            Unspecified site

Abscess NOS

Cellulitis NOS

Lymphangitis, acute NOS

Excludes:            lymphangitis NOS (457.2)

683       Acute lymphadenitis

Abscess (acute) lymph gland or node, except mesenteric

Adenitis, acute lymph gland or node, except mesenteric

Lymphadenitis, acute lymph gland or node, except mesenteric

Use additional code to identify organism such as Staphylococcus (041.1)

Excludes:            enlarged glands NOS (785.6)

lymphadenitis:

chronic or subacute, except mesenteric (289.1)

mesenteric (acute) (chronic) (subacute) (289.2)

unspecified (289.3)

684            Impetigo

Impetiginization of other dermatoses

Impetigo (contagiosa) [any site] [any organism]:

bullous

circinate

neonatorum

simplex

Pemphigus neonatorum

Excludes:            impetigo herpetiformis (694.3)

685            Pilonidal cyst

Includes:            fistula, coccygeal or pilonidal

sinus, coccygeal or pilonidal

685.0            With abscess

685.1            Without mention of abscess

686       Other local infections of skin and subcutaneous tissue

Use additional code to identify any infectious organism (041.0-041.8)

686.0            Pyoderma

Dermatitis:

purulent

septic

suppurative

686.00      Pyoderma, unspecified

686.01      Pyoderma gangrenosum

686.09      Other pyoderma

686.1            Pyogenic granuloma

Granuloma:

septic

suppurative

telangiectaticum

Excludes:            pyogenic granuloma of oral mucosa (528.9)

686.8            Other specified local infections of skin and subcutaneous tissue

Bacterid (pustular)

Dermatitis vegetans

Ecthyma

Perlèche

Excludes:            dermatitis infectiosa eczematoides (690.8)

panniculitis (729.30-729.39)

686.9            Unspecified local infection of skin and subcutaneous tissue

Fistula of skin NOS

Skin infection NOS

Excludes:            fistula to skin from internal organs­see Alphabetic Index

OTHER INFLAMMATORY CONDITIONS OF SKIN AND SUBCUTANEOUS TISSUE (690-698)

Excludes:            panniculitis (729.30-729.39)

690            Erythematosquamous dermatosis

Excludes:            eczematous dermatitis of eyelid (373.31)

parakeratosis variegata (696.2)

psoriasis (696.0-696.1)

seborrheic keratosis (702.11-702.19)

690.1            Seborrheic dermatitis

690.10      Seborheic dermatitis, unspecified

Seborrheic dermatitis NOS

690.11      Seborrhea capitis

Cradle cap

690.12      Seborrheic infantile dermatitis

690.18      Other seborrheic dermatitis

690.8            Other erythematosquamous dermatosis

691       Atopic dermatitis and related conditions

691.0            Diaper or napkin rash

Ammonia dermatitis

Diaper or napkin:

dermatitis

erythema

rash

Psoriasiform napkin eruption

691.8            Other atopic dermatitis and related conditions

Atopic dermatitis

Besnier's prurigo

Eczema:

atopic

flexural

intrinsic (allergic)

Neurodermatitis:

atopic

diffuse (of Brocq)

692       Contact dermatitis and other eczema

Includes:            dermatitis:

NOS

contact

occupational

venenata

eczema (acute) (chronic):

NOS

allergic

erythematous

occupational

Excludes:            allergy NOS (995.3)

contact dermatitis of eyelids (373.32)

dermatitis due to substances taken internally (693.0-693.9)

eczema of external ear (380.22)

perioral dermatitis (695.3)

urticarial reactions (708.0-708.9, 995.1)

692.0            Due to detergents

692.1            Due to oils and greases

692.2            Due to solvents

Dermatitis due to solvents of:

chlorocompound group

cyclohexane group

ester group

glycol group

hydrocarbon group

ketone group

692.3            Due to drugs and medicines in contact with skin

Dermatitis (allergic) (contact) due to:

arnica

fungicides

iodine

keratolytics

mercurials

neomycin

pediculocides

phenols

scabicides

any drug applied to skin

Dermatitis medicamentosa due to drug applied to skin

Use additional E to identify drug

Excludes:            allergy NOS due to drugs (995.2)

dermatitis due to ingested drugs (693.0)

dermatitis medicamentosa NOS (693.0)

692.4            Due to other chemical products

Dermatitis due to:

acids

adhesive plaster

alkalis

caustics

dichromate

insecticide

nylon

plastic

rubber

692.5            Due to food in contact with skin

Dermatitis, contact, due to:

cereals

fish

flour

fruit

meat

milk

Excludes:            dermatitis due to:

dyes (692.89)

ingested foods (693.1)

preservatives (692.89)

692.6            Due to plants [except food]

Dermatitis due to:

lacquer tree [Rhus verniciflua]

poison:

ivy [Rhus toxicodendron]

oak [Rhus diversiloba]

sumac [Rhus venenata]

vine [Rhus radicans]

primrose [Primula]

ragweed [Senecio jacobae]

other plants in contact with the skin

Excludes:            allergy NOS due to pollen (477.0)

nettle rash (708.8)

692.7            Due to solar radiation

Excludes:            sunburn due to other ultraviolet radiation exposure (692.82)

692.70      Unspecified dermatitis due to sun

692.71      Sunburn

First degree sunburn

Sunburn NOS

692.72      Acute dermatitis due to solar radiation

Berloque dermatitis

Photoallergic response

Phototoxic response

Polymorphous light eruption

Acute solar skin damage NOS

Excludes:            sunburn (692.71, 692.76-692.77)

Use additional E code to identify drug, if drug induced

692.73      Actinic reticuloid and actinic granuloma

692.74      Other chronic dermatitis due to solar radiation

Chronic solar skin damage NOS

Solar elastosis

Excludes:            actinic [solar] keratosis (702.0)

692.75      Disseminated superficial actinic porokeratosis (DSAP)

692.76      Sunburn of second degree

692.77      Sunburn of third degree

692.79      Other dermatitis due to solar radiation

Hydroa aestivale

Photodermatitis (due to sun)

Photosensitiveness (due to sun)

Solar skin damage NOS

692.8            Due to other specified agents

692.81      Dermatitis due to cosmetics

692.82      Dermatitis due to other radiation

Infrared rays

Light, except from sun

Radiation NOS

Tanning bed

Ultraviolet rays, except from sun

X-rays

Excludes:            that due to solar radiation (692.70-692.79)

692.83      Dermatitis due to metals

Jewelry

692.89      Other

Dermatitis due to:

cold weather

dyes

furs

hot weather

preservatives

Excludes:            allergy NOS due to animal hair, dander (animal), or dust (477.8)

sunburn (692.71, 692.76-692.77)

692.9            Unspecified cause

Dermatitis:

NOS

contact NOS

venenata NOS

Eczema NOS

693            Dermatitis due to substances taken internally

Excludes:            adverse effect NOS of drugs and medicines (995.2)

allergy NOS (995.3)

contact dermatitis (692.0-692.9)

urticarial reactions (708.0-708.9, 995.1)

693.0            Due to drugs and medicines

Dermatitis medicamentosa NOS

Use additional E code to identify drug

Excludes:            that due to drugs in contact with skin (692.3)

693.1            Due to food

693.8            Due to other specified substances taken internally

693.9            Due to unspecified substance taken internally

Excludes:            dermatitis NOS (692.9)

694       Bullous dermatoses

694.0            Dermatitis herpetiformis

Dermatosis herpetiformis

Duhring's disease

Hydroa herpetiformis

Excludes:            herpes gestationis (646.8)

dermatitis herpetiformis:

juvenile (694.2)

senile (694.5)

694.1            Subcorneal pustular dermatosis

Sneddon-Wilkinson disease or syndrome

694.2            Juvenile dermatitis herpetiformis

Juvenile pemphigoid

694.3            Impetigo herpetiformis

694.4            Pemphigus

Pemphigus:

NOS

erythematosus

foliaceus

malignant

vegetans

vulgaris

Excludes:            pemphigus neonatorum (684)

694.5            Pemphigoid

Benign pemphigus NOS

Bullous pemphigoid

Herpes circinatus bullosus

Senile dermatitis herpetiformis

694.6            Benign mucous membrane pemphigoid

Cicatricial pemphigoid

Mucosynechial atrophic bullous dermatitis

694.60      Without mention of ocular involvement

694.61      With ocular involvement

Ocular pemphigus

694.8            Other specified bullous dermatoses

Excludes:            herpes gestationis (646.8)

694.9            Unspecified bullous dermatoses

695            Erythematous conditions

695.0            Toxic erythema

Erythema venenatum

695.1            Erythema multiforme

Erythema iris

Herpes iris

Lyell's syndrome

Scalded skin syndrome

Stevens-Johnson syndrome

Toxic epidermal necrolysis

695.2            Erythema nodosum

Excludes:            tuberculous erythema nodosum (017.1)

695.3            Rosacea

Acne:

erythematosa

rosacea

Perioral dermatitis

Rhinophyma

695.4            Lupus erythematosus

Lupus:

erythematodes (discoid)

erythematosus (discoid), not disseminated

Excludes:            lupus (vulgaris) NOS (017.0)

systemic [disseminated] lupus erythematosus (710.0)

695.8            Other specified erythematous conditions

695.81      Ritter's disease

Dermatitis exfoliativa neonatorum

695.89      Other

Erythema intertrigo

Intertrigo

Pityriasis rubra (Hebra)

Excludes:            mycotic intertrigo (111.0-111.9)

695.9            Unspecified erythematous condition

Erythema NOS

Erythroderma (secondary)

696            Psoriasis and similar disorders

696.0            Psoriatic arthropathy

696.1            Other psoriasis

Acrodermatitis continua

Dermatitis repens

Psoriasis:

NOS

any type, except arthropathic

Excludes:            psoriatic arthropathy (696.0)

696.2            Parapsoriasis

Parakeratosis variegata

Parapsoriasis lichenoides chronica

Pityriasis lichenoides et varioliformis

696.3            Pityriasis rosea

Pityriasis circinata (et maculata)

696.4            Pityriasis rubra pilaris

Devergie's disease

Lichen ruber acuminatus

Excludes:            pityriasis rubra (Hebra) (695.89)

696.5            Other and unspecified pityriasis

Pityriasis:

NOS

alba

streptogenes

Excludes:            pityriasis:

simplex (690.18)

versicolor (111.0)

696.8            Other

697       Lichen

Excludes:            lichen:

obtusus corneus (698.3)

pilaris (congenital) (757.39)

ruber acuminatus (696.4)

sclerosus et atrophicus (701.0)

scrofulosus (017.0)

simplex chronicus (698.3)

spinulosus (congenital) (757.39)

urticatus (698.2)

697.0            Lichen planus

Lichen:

planopilaris

ruber planus

697.1            Lichen nitidus

Pinkus' disease

697.8            Other lichen, not elsewhere classified

Lichen:

ruber moniliforme

striata

697.9            Lichen, unspecified

698       Pruritus and related conditions

Excludes:            pruritus specified as psychogenic (306.3)

698.0            Pruritus ani

Perianal itch

698.1            Pruritus of genital organs

698.2            Prurigo

Lichen urticatus

Prurigo:

NOS

Hebra's

mitis

simplex

Urticaria papulosa (Hebra)

Excludes:            prurigo nodularis (698.3)

698.3            Lichenification and lichen simplex chronicus

Hyde's disease

Neurodermatitis (circumscripta) (local)

Prurigo nodularis

Excludes:            neurodermatitis, diffuse (of Brocq) (691.8)

698.4            Dermatitis factitia [artefacta]

Dermatitis ficta

Neurotic excoriation

Use additional code to identify any associated mental disorder

698.8            Other specified pruritic conditions

Pruritus:

hiemalis

senilis

Winter itch

698.9            Unspecified pruritic disorder

Itch NOS

Pruritus NOS

OTHER DISEASES OF SKIN AND SUBCUTANEOUS TISSUE (700-709)

Excludes:            conditions confined to eyelids (373.0-374.9)

congenital conditions of skin, hair, and nails (757.0-757.9)

700       Corns and callosities

Callus

Clavus

701       Other hypertrophic and atrophic conditions of skin

Excludes:            dermatomyositis (710.3)

hereditary edema of legs (757.0)

scleroderma (generalized) (710.1)

701.0            Circumscribed scleroderma

Addison's keloid

Dermatosclerosis, localized

Lichen sclerosus et atrophicus

Morphea

Scleroderma, circumscribed or localized

701.1            Keratoderma, acquired

Acquired:

ichthyosis

keratoderma palmaris et plantaris

Elastosis perforans serpiginosa

Hyperkeratosis:

NOS

follicularis in cutem penetrans

palmoplantaris climacterica

Keratoderma:

climactericum

tylodes, progressive

Keratosis (blennorrhagica)

Excludes:            Darier's disease [keratosis follicularis] (congenital) (757.39)

keratosis:

arsenical (692.4)

gonococcal (098.81)

701.2            Acquired acanthosis nigricans

Keratosis nigricans

701.3            Striae atrophicae

Atrophic spots of skin

Atrophoderma maculatum

Atrophy blanche (of Milian)

Degenerative colloid atrophy

Senile degenerative atrophy

Striae distensae

701.4            Keloid scar

Cheloid

Hypertrophic scar

Keloid

701.5            Other abnormal granulation tissue

Excessive granulation

701.8            Other specified hypertrophic and atrophic conditions of skin

Acrodermatitis atrophicans chronica

Atrophia cutis senilis

Atrophoderma neuriticum

Confluent and reticulate papillomatosis

Cutis laxa senilis

Elastosis senilis

Folliculitis ulerythematosa reticulata

Gougerot-Carteaud syndrome or disease

701.9            Unspecified hypertrophic and atrophic conditions of skin

Atrophoderma

702       Other dermatoses

Excludes:            carcinoma in situ (232.0-232.9)

702.0            Actinic keratosis

702.1            Seborrheic keratosis

702.11      Inflamed seborrheic keratosis

702.19      Other seborrheic keratosis

Seborrheic keratosis NOS

702.8            Other specified dermatoses

703            Diseases of nail

Excludes:            congenital anomalies (757.5)

onychia and paronychia (681.02, 681.11)

703.0            Ingrowing nail

Ingrowing nail with infection

Unguis incarnatus

Excludes:            infection, nail NOS (681.9)

703.8            Other specified diseases of nail

Dystrophia unguium

Hypertrophy of nail

Koilonychia

Leukonychia (punctata) (striata)

Onychauxis

Onychogryposis

Onycholysis

703.9            Unspecified disease of nail

704            Diseases of hair and hair follicles

Excludes:            congenital anomalies (757.4)

704.0            Alopecia

Excludes:            madarosis (374.55)

syphilitic alopecia (091.82)

704.00      Alopecia, unspecified

Baldness

Loss of hair

704.01      Alopecia areata

Ophiasis

704.02      Telogen effluvium

704.09      Other

Folliculitis decalvans

Hypotrichosis:

NOS

postinfectional NOS

Pseudopelade

704.1            Hirsutism

Hypertrichosis:

NOS

lanuginosa, acquired

Polytrichia

Excludes:            hypertrichosis of eyelid (374.54)

704.2            Abnormalities of the hair

Atrophic hair

Clastothrix

Fragilitas crinium

Trichiasis:

NOS

cicatrical

Trichorrhexis (nodosa)

Excludes:            trichiasis of eyelid (374.05)

704.3            Variations in hair color

Canities (premature)

Grayness, hair (premature)

Heterochromia of hair

Poliosis:

NOS

circumscripta, acquired

704.8            Other specified diseases of hair and hair follicles

Folliculitis:

NOS

abscedens et suffodiens

pustular

Perifolliculitis:

NOS

capitis abscedens et suffodiens

scalp

Sycosis:

NOS

barbae [not parasitic]

lupoid

vulgaris

704.9            Unspecified disease of hair and hair follicles

705            Disorders of sweat glands

705.0            Anhidrosis

Hypohidrosis

Oligohidrosis

705.1            Prickly heat

Heat rash

Miliaria rubra (tropicalis)

Sudamina

705.8            Other specified disorders of sweat glands

705.81      Dyshidrosis

Cheiropompholyx

Pompholyx

705.82      Fox-Fordyce disease

705.83      Hidradenitis

Hidradenitis suppurativa

705.89      Other

Bromhidrosis

Chromhidrosis

Granulosis rubra nasi

Urhidrosis

Excludes:            hidrocystoma (216.0-216.9)

hyperhidrosis (780.8)

705.9            Unspecified disorder of sweat glands

Disorder of sweat glands NOS

706            Diseases of sebaceous glands

706.0            Acne varioliformis

Acne:

frontalis

necrotica

706.1            Other acne

Acne:

NOS

conglobata

cystic

pustular

vulgaris

Blackhead

Comedo

Excludes:            acne rosacea (695.3)

706.2            Sebaceous cyst

Atheroma, skin

Keratin cyst

Wen

706.3            Seborrhea

Excludes:            seborrhea:

capitis (690.11)

sicca (690.18)

seborrheic

dermatitis (690.10)

keratosis (702.11-702.19)

706.8            Other specified diseases of sebaceous glands

Asteatosis (cutis)

Xerosis cutis

706.9            Unspecified disease of sebaceous glands

707       Chronic ulcer of skin

Includes:            non-infected sinus of skin

non-healing ulcer

Excludes:            specific infections classified under "Infectious and Parasitic Diseases" (001.0-136.9)

varicose ulcer (454.0, 454.2)

707.0            Decubitus ulcer

Bed sore

Decubitus ulcer [any site]

Plaster ulcer

Pressure ulcer

707.1            Ulcer of lower limbs, except decubitus

Ulcer, chronic, of lower limb:

neurogenic of lower limb

trophic of lower limb

Code, if applicable, any causal condition first:

atherosclerosis of the extremities with ulceration (440.23)

chronic venous hypertension with ulcer (459.31)

chronic venous hypertension with ulcer and inflammation (459.33)

diabetes mellitus (250.80-250.83)

postphlebetic syndrome with ulcer (459.11)

postphlebetic syndrome with ulcer and inflammation (459.13)

707.10      Ulcer of lower limb, unspecified

707.11      Ulcer of thigh

707.12      Ulcer of calf

707.13      Ulcer of ankle

707.14      Ulcer of heel and midfoot

Plantar surface of midfoot

707.15      Ulcer of other part of foot

Toes

707.19      Ulcer of other part of lower limb

707.8            Chronic ulcer of other specified sites

Ulcer, chronic, of other specified sites:

neurogenic of other specified sites

trophic of other specified sites

707.9            Chronic ulcer of unspecified site

Chronic ulcer NOS

Trophic ulcer NOS

Tropical ulcer NOS

Ulcer of skin NOS

708       Urticaria

Excludes:            edema:

angioneurotic (995.1)

Quincke's (995.1)

hereditary angioedema (277.6)

urticaria:

giant (995.1)

papulosa (Hebra) (698.2)

pigmentosa (juvenile) (congenital) (757.33)

708.0            Allergic urticaria

708.1            Idiopathic urticaria

708.2            Urticaria due to cold and heat

Thermal urticaria

708.3            Dermatographic urticaria

Dermatographia

Factitial urticaria

708.4            Vibratory urticaria

708.5            Cholinergic urticaria

708.8            Other specified urticaria

Nettle rash

Urticaria:

chronic

recurrent periodic

708.9            Urticaria, unspecified

Hives NOS

709       Other disorders of skin and subcutaneous tissue

709.0            Dyschromia

Excludes:            albinism (270.2)

pigmented nevus (216.0-216.9)

that of eyelid (374.52-374.53)

709.00      Dyschromia, unspecified

709.01      Vitiligo

709.09      Other

709.1            Vascular disorders of skin

Angioma serpiginosum

Purpura (primary) annularis telangiectodes

709.2            Scar conditions and fibrosis of skin

Adherent scar (skin)

Cicatrix

Disfigurement (due to scar)

Fibrosis, skin NOS

Scar NOS

Excludes:            keloid scar (701.4)

709.3            Degenerative skin disorders

Calcinosis:

circumscripta

cutis

Colloid milium

Degeneration, skin

Deposits, skin

Senile dermatosis NOS

Subcutaneous calcification

709.4            Foreign body granuloma of skin and subcutaneous tissue

Excludes:            residual foreign body without granuloma of skin and subcutaneous tissue (729.6)

that of muscle (728.82)

709.8            Other specified disorders of skin

Epithelial hyperplasia

Menstrual dermatosis

Vesicular eruption

709.9            Unspecified disorder of skin and subcutaneous tissue

Dermatosis NOS

13.  DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (710-739)

The following fifth-digit subclassification is for use with categories 711-712, 715-716, 718-719, and 730:

0            site unspecified

1            shoulder region

Acromioclavicular joint(s)

Glenohumeral joint(s)

Sternoclavicular joint(s)

Clavicle

Scapula

2            upper arm

Elbow joint

Humerus

3            forearm

Radius

Ulna

Wrist joint

4            hand

Carpus

Metacarpus

Phalanges [fingers]

5            pelvic region and thigh

Buttock

Femur

Hip (joint)

6            lower leg

Fibula

Knee joint

Patella

Tibia

7            ankle and foot

Ankle joint

Digits [toes]

Metatarsus

Phalanges, foot

Tarsus

Other joints in foot

8            other specified sites

Head

Neck

Ribs

Skull

Trunk

Vertebral column

9            multiple sites

ARTHROPATHIES AND RELATED DISORDERS (710-719)

Excludes:            disorders of spine (720.0-724.9)

710       Diffuse diseases of connective tissue

Includes:            all collagen diseases whose effects are not mainly confined to a single system

Excludes:            those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446.0-446.7)

710.0            Systemic lupus erythematosus

Disseminated lupus erythematosus

Libman-Sacks disease

Use additional code to identify manifestation, as:

endocarditis (424.91)

nephritis (583.81)

chronic (582.81)

nephrotic syndrome (581.81)

Excludes:            lupus erythematosus (discoid) NOS (695.4)

710.1            Systemic sclerosis

Acrosclerosis

CRST syndrome

Progressive systemic sclerosis

Scleroderma

Use additional code to identify manifestation, as:

lung involvement (517.8)

myopathy (359.6)

Excludes:            circumscribed scleroderma (701.0)

710.2            Sicca syndrome

Keratoconjunctivitis sicca

Sjögren's disease

710.3            Dermatomyositis

Poikilodermatomyositis

Polymyositis with skin involvement

710.4            Polymyositis

710.5            Eosinophilia myalgia syndrome

Toxic oil syndrome

Use additional E to identify drug, if drug induced

710.8            Other specified diffuse diseases of connective tissue

Multifocal fibrosclerosis (idiopathic) NEC

Systemic fibrosclerosing syndrome

710.9            Unspecified diffuse connective tissue disease

Collagen disease NOS

711            Arthropathy associated with infections

Includes:            arthritis associated with conditions classifiable below

arthropathy associated with conditions classifiable below

polyarthritis associated with conditions classifiable below

polyarthropathy associated with conditions classifiable below

Excludes:            rheumatic fever (390)

The following fifth-digit subclassification is for use with category 711; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

711.0            Pyogenic arthritis

[0-9]

Arthritis or polyarthritis (due to):

coliform [Escherichia coli]

Hemophilus influenzae [H. influenzae]

pneumococcal

Pseudomonas

staphylococcal

streptococcal

Pyarthrosis

Use additional code to identify infectious organism (041.0-041.8)

711.1            Arthropathy associated with Reiter's disease and nonspecific urethritis

[0-9]

Code first underlying disease, as:

nonspecific urethritis (099.4)

Reiter's disease (099.3)

711.2            Arthropathy in Behçet's syndrome

[0-9]

Code first underlying disease (136.1)

711.3            Postdysenteric arthropathy

[0-9]

Code first underlying disease, as:

dysentery (009.0)

enteritis, infectious (008.0-009.3)

paratyphoid fever (002.1-002.9)

typhoid fever (002.0)

Excludes:            salmonella arthritis (003.23)

711.4            Arthropathy associated with other bacterial diseases

[0-9]

Code first underlying disease, as:

diseases classifiable to 010-040, 090-099, except as in 711.1, 711.3, and 713.5

leprosy (030.0-030.9)

tuberculosis (015.0-015.9)

Excludes:            gonococcal arthritis (098.50)

meningococcal arthritis (036.82)

711.5            Arthropathy associated with other viral diseases

[0-9]

Code first underlying disease, as:

diseases classifiable to 045-049. 050-079, 480, 487

O'nyong nyong (066.3)

Excludes:            that due to rubella (056.71)

711.6            Arthropathy associated with mycoses

[0-9]

Code first underlying disease (110.0-118)

711.7            Arthropathy associated with helminthiasis

[0-9]

Code first underlying disease, as:

filariasis (125.0-125.9)

711.8            Arthropathy associated with other infectious and parasitic diseases

[0-9]

Code first underlying disease, as:

diseases classifiable to 080-088, 100-104, 130-136

Excludes:            arthropathy associated with sarcoidosis (713.7)

711.9            Unspecified infective arthritis

[0-9]

Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS

712       Crystal arthropathies

Includes:            crystal-induced arthritis and synovitis

Excludes:            gouty arthropathy (274.0)

The following fifth-digit subclassification is for use with category 712; valid digits are in [brackets] under each code.  See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

712.1            Chondrocalcinosis due to dicalcium phosphate crystals

[0-9]

Chondrocalcinosis due to dicalcium phosphate crystals (with other crystals)

Code first underlying disease (275.49)

712.2            Chondrocalcinosis due to pyrophosphate crystals

[0-9]

Code first underlying disease (275.49)

712.3            Chondrocalcinosis, unspecified

[0-9]

Code first underlying disease (275.49)

712.8            Other specified crystal arthropathies

[0-9]

712.9            Unspecified crystal arthropathy

[0-9]

713            Arthropathy associated with other disorders classified elsewhere

Includes:            arthritis associated with conditions classifiable below

arthropathy associated with conditions classifiable below

polyarthritis associated with conditions classifiable below

polyarthropathy associated with conditions classifiable below

713.0            Arthropathy associated with other endocrine and metabolic disorders

Code first underlying disease, as:

acromegaly (253.0)

hemochromatosis (275.0)

hyperparathyroidism (252.0)

hypogammaglobulinemia (279.00-279.09)

hypothyroidism (243-244.9)

lipoid metabolism disorder (272.0-272.9)

ochronosis (270.2)

Excludes:            arthropathy associated with:

amyloidosis (713.7)

crystal deposition disorders, except gout (712.1-712.9)

diabetic neuropathy (713.5)

gouty arthropathy (274.0)

713.1            Arthropathy associated with gastrointestinal conditions other than infections

Code first underlying disease, as:

regional enteritis (555.0-555.9)

ulcerative colitis (556)

713.2            Arthropathy associated with hematological disorders

Code first underlying disease, as:

hemoglobinopathy (282.4-282.7)

hemophilia (286.0-286.2)

leukemia (204.0-208.9)

malignant reticulosis (202.3)

multiple myelomatosis (203.0)

Excludes:            arthropathy associated with Henoch-Schönlein purpura (713.6)

713.3            Arthropathy associated with dermatological disorders

Code first underlying disease, as:

erythema multiforme (695.1)

erythema nodosum (695.2)

Excludes:            psoriatic arthropathy (696.0)

713.4            Arthropathy associated with respiratory disorders

Code first underlying disease, as:

diseases classifiable to 490-519

Excludes:            arthropathy associated with respiratory infections (711.0, 711.4-711.8)

713.5            Arthropathy associated with neurological disorders

Charcot's arthropathy associated with diseases classifiable elsewhere

Neuropathic arthritis associated with diseases classifiable elsewhere

Code first underlying disease, as:

neuropathic joint disease [Charcot's joints]:

NOS (094.0)

diabetic (250.6)

syringomyelic (336.0)

tabetic [syphilitic] (094.0)

713.6            Arthropathy associated with hypersensitivity reaction

Code first underlying disease, as:

Henoch (-Schönlein) purpura (287.0)

serum sickness (999.5)

Excludes:            allergic arthritis NOS (716.2)

713.7            Other general diseases with articular involvement

Code first underlying disease, as:

amyloidosis (277.3)

familial Mediterranean fever (277.3)

sarcoidosis (135)

713.8            Arthropathy associated with other conditions classifiable elsewhere

Code first underlying disease, as:

conditions classifiable elsewhere except as in 711.1-711.8, 712, and 713.0-713.7

714            Rheumatoid arthritis and other inflammatory polyarthropathies

Excludes:            rheumatic fever (390)

rheumatoid arthritis of spine NOS (720.0)

714.0            Rheumatoid arthritis

Arthritis or polyarthritis:

atrophic

rheumatic (chronic)

Use additional code to identify manifestation, as:

myopathy (359.6)

polyneuropathy (357.1)

Excludes:            juvenile rheumatoid arthritis NOS (714.30)

714.1            Felty's syndrome

Rheumatoid arthritis with splenoadenomegaly and leukopenia

714.2            Other rheumatoid arthritis with visceral or systemic involvement

Rheumatoid carditis

714.3            Juvenile chronic polyarthritis

714.30      Polyarticular juvenile rheumatoid arthritis, chronic or unspecified

Juvenile rheumatoid arthritis NOS

Still's disease

714.31      Polyarticular juvenile rheumatoid arthritis, acute

714.32      Pauciarticular juvenile rheumatoid arthritis

714.33      Monoarticular juvenile rheumatoid arthritis

714.4            Chronic postrheumatic arthropathy

Chronic rheumatoid nodular fibrositis

Jaccoud's syndrome

714.8            Other specified inflammatory polyarthropathies

714.81      Rheumatoid lung

Caplan's syndrome

Diffuse interstitial rheumatoid disease of lung

Fibrosing alveolitis, rheumatoid

714.89      Other

714.9            Unspecified inflammatory polyarthropathy

Inflammatory polyarthropathy or polyarthritis NOS

Excludes:            polyarthropathy NOS (716.5)

715            Osteoarthrosis and allied disorders

Note:   Localized, in the subcategories below, includes bilateral involvement of the same site.

Includes:            arthritis or polyarthritis:

degenerative

hypertrophic

degenerative joint disease

osteoarthritis

Excludes:            Marie-Strümpell spondylitis (720.0)

osteoarthrosis [osteoarthritis] of spine (721.0-721.9)

The following fifth-digit subclassification is for use with category 715; valid digits are in [brackets] under each code.  See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

715.0            Osteoarthrosis, generalized

[0,4,9]

Degenerative joint disease, involving multiple joints

Primary generalized hypertrophic osteoarthrosis

715.1            Osteoarthrosis, localized, primary

[0-8]

Localized osteoarthropathy, idiopathic

715.2            Osteoarthrosis, localized, secondary

[0-8]

Coxae malum senilis

715.3            Osteoarthrosis, localized, not specified whether primary or secondary

[0-8]

Otto's pelvis

715.8            Osteoarthrosis involving, or with mention of more than one site, but not specified as generalized

[0,9]

715.9            Osteoarthrosis, unspecified whether generalized or localized

[0-8]

716       Other and unspecified arthropathies

Excludes:            cricoarytenoid arthropathy (478.79)

The following fifth-digit subclassification is for use with category 716; valid digits are in [brackets] under each code.  See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

716.0            Kaschin-Beck disease

[0-9]

Endemic polyarthritis

716.1            Traumatic arthropathy

[0-9]

716.2            Allergic arthritis

[0-9]

Excludes:            arthritis associated with Henoch-Schönlein purpura or serum sickness (713.6)

716.3            Climacteric arthritis

[0-9]

Menopausal arthritis

716.4            Transient arthropathy

[0-9]

Excludes:            palindromic rheumatism (719.3)

716.5            Unspecified polyarthropathy or polyarthritis

[0-9]

716.6            Unspecified monoarthritis

[0-8]

Coxitis

716.8            Other specified arthropathy

[0-9]

716.9            Arthropathy, unspecified

[0-9]

Arthritis, (acute) (chronic) (subacute)

Arthropathy, (acute) (chronic) (subacute)

Articular rheumatism, (chronic)

Inflammation of joint, NOS

717       Internal derangement of knee

Includes:            degeneration of articular cartilage or meniscus of knee

rupture, old of articular cartilage or meniscus of knee

tear, old of articular cartilage or meniscus of knee

Excludes:            acute derangement of knee (836.0-836.6)

ankylosis (718.5)

contracture (718.4)

current injury (836.0-836.6)

deformity (736.4-736.6)

recurrent dislocation (718.3)

717.0            Old bucket handle tear of medial meniscus

Old bucket handle tear of unspecified cartilage

717.1            Derangement of anterior horn of medial meniscus

717.2            Derangement of posterior horn of medial meniscus

717.3            Other and unspecified derangement of medial meniscus

Degeneration of internal semilunar cartilage

717.4            Derangement of lateral meniscus

717.40      Derangement of lateral meniscus, unspecified

717.41      Bucket handle tear of lateral meniscus

717.42      Derangement of anterior horn of lateral meniscus

717.43      Derangement of posterior horn of lateral meniscus

717.49      Other

717.5            Derangement of meniscus, not elsewhere classified

Congenital discoid meniscus

Cyst of semilunar cartilage

Derangement of semilunar cartilage NOS

717.6            Loose body in knee

Joint mice, knee

Rice bodies, knee (joint)

717.7            Chondromalacia of patella

Chondromalacia patellae

Degeneration [softening] of articular cartilage of patella

717.8            Other internal derangement of knee

717.81      Old disruption of lateral collateral ligament

717.82      Old disruption of medial collateral ligament

717.83      Old disruption of anterior cruciate ligament

717.84      Old disruption of posterior cruciate ligament

717.85      Old disruption of other ligaments of knee

Capsular ligament of knee

717.89      Other

Old disruption of ligaments of knee NOS

717.9            Unspecified internal derangement of knee

Derangement NOS of knee

718       Other derangement of joint

Excludes:            current injury (830.0-848.9)

jaw (524.6)

The following fifth-digit subclassification is for use with category 718; valid digits are in [brackets] under each code.  See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

718.0            Articular cartilage disorder

[0-5,7-9]

Meniscus:

disorder

rupture, old

tear, old

Old rupture of ligament(s) of joint NOS

Excludes:            articular cartilage disorder:

in ochronosis (270.2)

knee (717.0-717.9)

chondrocalcinosis (275.49)

metastatic calcification (275.40)

718.1            Loose body in joint

[0-5,7-9]

Joint mice

Excludes:            knee (717.6)

718.2            Pathological dislocation

[0-9]

Dislocation or displacement of joint, not recurrent and not current

718.3            Recurrent dislocation of joint

[0-9]

718.4            Contracture of joint

[0-9]

718.5            Ankylosis of joint

[0-9]

Ankylosis of joint (fibrous) (osseous)

Excludes:            spine (724.9)

stiffness of joint without mention of ankylosis (719.5)

718.6            Unspecified intrapelvic protrusion of acetabulum

[0,5]

Protrusio acetabuli, unspecified

718.7            Developmental dislocation of joint

[0-9]

Excludes:            congenital dislocation of joint (754.0-755.8)

traumatic dislocation of joint (830-839)

718.8            Other joint derangement, not elsewhere classified

[0-9]

Flail joint (paralytic)

Instability of joint

Excludes:            deformities classifiable to 736 (736.0-736.9)

718.9            Unspecified derangement of joint

[0-5,7-9]

Excludes:            knee (717.9)

719       Other and unspecified disorders of joint

Excludes:            jaw (524.6)

The following fifth-digit subclassification is for use with category 719; valid digits are in [brackets] under each code.  See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

719.0            Effusion of joint

[0-9]

Hydrarthrosis

Swelling of joint, with or without pain

Excludes:            intermittent hydrarthrosis (719.3)

719.1            Hemarthrosis

[0-9]

Excludes:            current injury (840.0-848.9)

719.2            Villonodular synovitis

[0-9]

719.3            Palindromic rheumatism

[0-9]

Hench-Rosenberg syndrome

Intermittent hydrarthrosis

719.4            Pain in joint

[0-9]

Arthralgia

719.5            Stiffness of joint, not elsewhere classified

[0-9]

719.6            Other symptoms referable to joint

[0-9]

Joint crepitus

Snapping hip

719.7            Difficulty in walking

[0,5-9]

Excludes:            abnormality of gait (781.2)

719.8            Other specified disorders of joint

[0-9]

Calcification of joint

Fistula of joint

Excludes:            temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.6)

719.9            Unspecified disorder of joint

[0-9]

DORSOPATHIES (720-724)

Excludes:            curvature of spine (737.0-737.9)

osteochondrosis of spine (juvenile) (732.0) adult (732.8)

720            Ankylosing spondylitis and other inflammatory spondylopathies

720.0            Ankylosing spondylitis

Rheumatioid arthritis of spine NOS

Spondylitis:

Marie-Strümpell

rheumatoid

720.1            Spinal enthesopathy

Disorder of peripheral ligamentous or muscular attachments of spine

Romanus lesion

720.2            Sacroiliitis, not elsewhere classified

Inflammation of sacroiliac joint NOS

720.8            Other inflammatory spondylopathies

720.81      Inflammatory spondylopathies in diseases classified elsewhere

Code first underlying disease, as:

tuberculosis (015.0)

720.89      Other

720.9            Unspecified inflammatory spondylopathy

Spondylitis NOS

721            Spondylosis and allied disorders

721.0            Cervical spondylosis without myelopathy

Cervical or cervicodorsal:

arthritis

osteoarthritis

spondylarthritis

721.1            Cervical spondylosis with myelopathy

Anterior spinal artery compression syndrome

Spondylogenic compression of cervical spinal cord

Vertebral artery compression syndrome

721.2            Thoracic spondylosis without myelopathy

Thoracic:

arthritis

osteoarthritis

spondylarthritis

721.3            Lumbosacral spondylosis without myelopathy

Lumbar or lumbosacral:

arthritis

osteoarthritis

spondylarthritis

721.4            Thoracic or lumbar spondylosis with myelopathy

721.41      Thoracic region

Spondylogenic compression of thoracic spinal cord

721.42      Lumbar region

Spondylogenic compression of lumbar spinal cord

721.5            Kissing spine

Baastrup's syndrome

721.6            Ankylosing vertebral hyperostosis

721.7            Traumatic spondylopathy

Kümmell's disease or spondylitis

721.8            Other allied disorders of spine

721.9            Spondylosis of unspecified site

721.90      Without mention of myelopathy

Spinal:

arthritis (deformans) (degenerative) (hypertrophic)

osteoarthritis NOS

Spondylarthrosis NOS

721.91      With myelopathy

Spondylogenic compression of  spinal cord NOS

722            Intervertebral disc disorders

722.0            Displacement of cervical intervertebral disc without myelopathy

Neuritis (brachial) or radiculitis due to displacement or rupture of cervical intervertebral disc

Any condition classifiable to 722.2 of the cervical or cervicothoracic intervertebral disc

722.1            Displacement of thoracic or lumbar intervertebral disc without myelopathy

722.10      Lumbar intervertebral disc without myelopathy

Lumbago or sciatica due to displacement of intervertebral disc

Neuritis or radiculitis due to displacement or rupture of lumbar intervertebral disc

Any condition classifiable to 722.2 of the lumbar or lumbosacral intervertebral disc

722.11      Thoracic intervertebral disc without myelopathy

Any condition classifiable to 722.2 of thoracic intervertebral disc

722.2            Displacement of intervertebral disc, site unspecified, without myelopathy

Discogenic syndrome NOS

Herniation of nucleus pulposus NOS

Intervertebral disc NOS:

extrusion

prolapse

protrusion

rupture

Neuritis or radiculitis due to displacement or rupture of intervertebral disc

722.3            Schmorl's nodes

722.30      Unspecified region

722.31      Thoracic region

722.32      Lumbar region

722.39      Other

722.4            Degeneration of cervical intervertebral disc

Degeneration of cervicothoracic intervertebral disc

722.5            Degeneration of thoracic or lumbar intervertebral disc

722.51      Thoracic or thoracolumbar intervertebral disc

722.52      Lumbar or lumbosacral intervertebral disc

722.6            Degeneration of intervertebral disc, site unspecified

Degenerative disc disease NOS

Narrowing of intervertebral disc or space NOS

722.7            Intervertebral disc disorder with myelopathy

722.70      Unspecified region

722.71      Cervical region

722.72      Thoracic region

722.73      Lumbar region

722.8            Postlaminectomy syndrome

722.80      Unspecified region

722.81      Cervical region

722.82      Thoracic region

722.83      Lumbar region

722.9            Other and unspecified disc disorder

Calcification of intervertebral cartilage or disc Discitis

722.90      Unspecified region

722.91      Cervical region

722.92      Thoracic region

722.93      Lumbar region

723       Other disorders of cervical region

Excludes:            conditions due to:

intervertebral disc disorders (722.0-722.9)

spondylosis (721.0-721.9)

723.0            Spinal stenosis of cervical region

723.1            Cervicalgia

Pain in neck

723.2            Cervicocranial syndrome

Barré-Liéou syndrome

Posterior cervical sympathetic syndrome

723.3            Cervicobrachial syndrome (diffuse)

723.4            Brachia neuritis or radiculitis NOS

Cervical radiculitis

Radicular syndrome of upper limbs

723.5            Torticollis, unspecified

Contracture of neck

Excludes:            congenital (754.1)

due to birth injury (767.8)

hysterical (300.11)

ocular torticollis (781.93)

psychogenic (306.0)

spasmodic (333.83)

traumatic, current (847.0)

723.6            Panniculitis specified as affecting neck

723.7            Ossification of posterior longitudinal ligament in cervical region

723.8            Other syndromes affecting cervical region

Cervical syndrome NEC

Klippel's disease

Occipital neuralgia

723.9            Unspecified musculoskeletal disorders and symptoms referable to neck

Cervical (region) disorder NOS

724       Other and unspecified disorders of back

Excludes:            collapsed vertebra (code to cause, e.g., osteoporosis, 733.00-733.09)

conditions due to:

intervertebral disc disorders (722.0-722.9)

spondylosis (721.0-721.9)

724.0            Spinal stenosis, other than cervical

724.00      Spinal stenosis, unspecified region

724.01      Thoracic region

724.02      Lumbar region

724.09      Other

724.1            Pain in thoracic spine

724.2            Lumbago

Low back pain

Low back syndrome

Lumbalgia

724.3            Sciatia

Neuralgia or neuritis of sciatic nerve

Excludes:            specified lesion of sciatic nerve (355.0)

724.4            Thoracic or lumbosacral neuritis or radiculitis, unspecified

Radicular syndrome of lower limbs

724.5            Backache, unspecified

Vertebrogenic (pain) syndrome NOS

724.6            Disorders of sacrum

Ankylosis, lumbosacral or sacroiliac (joint)

Instability, lumbosacral or sacroiliac (joint)

724.7            Disorders of coccyx

724.70      Unspecified disorder of coccyx

724.71      Hypermobility of coccyx

724.79      Other

Coccygodynia

724.8            Other symptoms referable to back

Ossification of posterior longitudinal ligament NOS

Panniculitis specified as sacral or affecting back

724.9            Other unspecified back disorders

Ankylosis of spine NOS

Compression of spinal nerve root NEC

Spinal disorder NOS

Excludes:            sacroiliitis (720.2)

RHEUMATISM, EXCLUDING THE BACK (725-729)

Includes:            disorders of muscles and tendons and their attachments, and of other soft tissues

725            Polymyalgia rheumatica

726            Peripheral enthesopathies and allied syndromes

Note:   Enthesopathies are disorders of peripheral ligamentous or muscular attachments.

Excludes:            spinal enthesopathy (720.1)

726.0            Adhesive capsulitis of shoulder

726.1            Rotator cuff syndrome of shoulder and allied disorders

726.10      Disorders of bursae and tendons in shoulder region, unspecified

Rotator cuff syndrome NOS

Supraspinatus syndrome NOS

726.11      Calcifying tendinitis of shoulder

726.12      Bicipital tenosynovitis

726.19      Other specified disorders

Excludes:            complete rupture of rotator cuff, nontraumatic (727.61)

726.2            Other affections of shoulder region, not elsewhere classified

Periarthritis of shoulder

Scapulohumeral fibrositis

726.3            Enthesopathy of elbow region

726.30      Enthesopathy of elbow, unspecified

726.31      Medial epicondylitis

726.32      Lateral epicondylitis

Epicondylitis NOS

Golfers' elbow

Tennis elbow

726.33      Olecranon bursitis

Bursitis of elbow

726.39      Other

726.4            Enthesopathy of wrist and carpus

Bursitis of hand or wrist

Periarthritis of wrist

726.5            Enthesopathy of hip region

Bursitis of hip

Gluteal tendinitis

Iliac crest spur

Psoas tendinitis

Trochanteric tendinitis

726.6            Enthesopathy of knee

726.60      Enthesopathy of knee, unspecified

Bursitis of knee NOS

726.61      Pes anserinus tendinitis or bursitis

726.62      Tibial collateral ligament bursitis

Pellegrini-Stieda syndrome

726.63      Fibular collateral ligament bursitis

726.64      Patellar tendinitis

726.65      Prepatellar bursitis

726.69      Other

Bursitis:

infrapatellar

subpatellar

726.7            Enthesopathy of ankle and tarsus

726.70      Enthesopathy of ankle and tarsus, unspecified

Metatarsalgia NOS

Excludes:            Morton's metatarsalgia (355.6)

726.71      Achilles bursitis or tendinitis

726.72      Tibialis tendinitis

Tibialis (anterior) (posterior) tendinitis

726.73      Calcaneal spur

726.79      Other

Peroneal tendinitis

726.8            Other peripheral enthesopathies

726.9            Unspecified enthesopathy

726.90      Enthesopathy of unspecified site

Capsulitis NOS

Periarthritis NOS

Tendinitis NOS

726.91      Exostosis of unspecified site

Bone spur NOS

727       Other disorders of synovium, tendon, and bursa

727.0            Synovitis and tenosynovitis

727.00      Synovitis and tenosynovitis, unspecified

Synovitis NOS

Tenosynovitis NOS

727.01      Synovitis and tenosynovitis in diseases classified elsewhere

Code first underlying disease, as:tuberculosis (015.0-015.9)

Excludes:            crystal-induced (275.49)

gonococcal (098.51)

gouty (274.0)

syphilitic (095.7)

727.02      Giant cell tumor of tendon sheath

727.03      Trigger finger (acquired)

727.04      Radial styloid tenosynovitis

de Quervain's disease

727.05      Other tenosynovitis or hand and wrist

727.06      Tenosynovitis of foot and ankle

727.09      Other

727.1            Bunion

727.2            Specific bursitides often of occupational origin

Beat:

elbow

hand

knee

Chronic crepitant synovitis of wrist

Miners':

elbow

knee

727.3            Other bursitis

Bursitis NOS

Excludes:            bursitis:

gonococcal (098.52)

subacromial (726.19)

subcoracoid (726.19)

subdeltoid (726.19)

syphilitic (095.7)

"frozen shoulder" (726.0)

727.4            Ganglion and cyst of synovium, tendon, and bursa

727.40      Synovial cyst, unspecified

Excludes:            that of popliteal space (727.51)

727.41      Ganglion of joint

727.42      Ganglion of tendon sheath

727.43      Ganglion, unspecified

727.49      Other

Cyst of bursa

727.5            Rupture of synovium

727.50      Rupture of synovium, unspecified

727.51      Synovial cyst of popliteal space

Baker's cyst (knee)

727.59      Other

727.6            Rupture of tendon, nontraumatic

727.60      Nontraumatic rupture of unspecified tendon

727.61      Complete rupture of rotator cuff

727.62      Tendons of biceps (long head)

727.63      Extensor tendons of hand and wrist

727.64      Flexor tendons of hand and wrist

727.65      Quadriceps tendon

727.66      Patellar tendon

727.67      Achilles tendon

727.68      Other tendons of foot and ankle

727.69      Other

727.8            Other disorders of synovium, tendon, and bursa

727.81      Contracture of tendon (sheath)

Short Achilles tendon (acquired)

727.82      Calcium deposits in tendon and bursa

Calcification of tendon NOS

Calcific tendinitis NOS

Excludes:            peripheral ligamentous or muscular attachments (726.0-726.9)

727.83      Plica syndrome

Plica knee

727.89      Other

Abscess of bursa or tendon

Excludes:            xanthomatosis localized to tendons (272.7)

727.9            Unspecified disorder of synovium, tendon, and bursa

728            Disorders of muscle, ligament, and fascia

Excludes:            enthesopathies (726.0-726.9)

muscular dystrophies (359.0-359.1)

myoneural disorders (358.0-358.9)

myopathies (359.2-359.9)

old disruption of ligaments of knee (717.81-717.89)

728.0            Infective myositis

Myositis:

purulent

suppurative

Excludes:            myositis:

epidemic (074.1)

interstitial (728.81)

syphilitic (095.6)

tropical (040.81)

728.1            Muscular calcification and ossification

728.10      Calcification and ossification, unspecified

Massive calcification (paraplegic)

728.11      Progressive myositis ossificans

728.12      Traumatic myositis ossifications

Myisitis ossificans (circumscripta)

728.13      Postoperative heterotopic calcification

728.19      Other

Polymyositis ossificans

728.2            Muscular wasting and disuse atrophy, not elsewhere classified

Amyotrophia NOS

Myofibrosis

Excludes:            neuralgic amyotrophy (353.5)

progressive muscular atrophy (335.0-335.9)

728.3            Other specific muscle disorders

Arthrogryposis

Immobility syndrome (paraplegic)

Excludes:            arthrogryposis multiplex congenita (754.89)

stiff-man syndrome (333.91)

728.4            Laxity of ligament

728.5            Hypermobility syndrome

728.6            Contracture of palmar fascia

Dupuytren's contracture

728.7            Other fibromatoses

728.71      Plantar fascial fibromatosis

Contracture of plantar fascia

Plantar fasciitis (traumatic)

728.79      Other

Garrod's or knuckle pads

Nodular fasciitis

Pseudosarcomatous Fibromatosis (proliferative) (subcutaneous)

728.8            Other disorders of muscle, ligament, and fascia

728.81      Interstitial myositis

728.82      Foreign body granuloma of muscle

Talc granuloma of muscle

728.83      Rupture of muscle, nontraumatic

728.84      Diastasis of muscle

Diastatsis recti (abdomen)

Excludes:            diastatsis recti complicating pregnancy, labor, and delivery (665.8)

728.85      Spasm of muscle

728.86      Necrotizing fasciitis

Use additional code to identify:

infectious organism (041.00-041.89)

gangrene (785.4), if applicable

728.89      Other

Eosinophilic fasciitis

Use additional E code to identify drug, if drug induced

728.9            Unspecified disorder of muscle, ligament, and fascia

729       Other disorders of soft tissues

Excludes:            acroparesthesia (443.89)

carpal tunnel syndrome (354.0)

disorders of the back (720.0-724.9)

entrapment syndromes (354.0-355.9)

palindromic rheumatism (719.3)

periarthritis (726.0-726.9)

psychogenic rheumatism (306.0)

729.0            Rheumatism, unspecified and fibrositis

729.1            Mylagia and myositis, unspecified

Fibromyositis NOS

729.2            Neuralgia, neuritis, and radiculitis, unspecified

Excludes:            brachia radiculitis (723.4)

cervical radiculitis (723.4)

lumbosacral radiculitis (724.4)

mononeuritis (354.0-355.9)

radiculitis due to intervertebral disc involvement (722.0-722.2,722.7)

sciatica (724.3)

729.3            Panniculitis, unspecified

729.30      Panniculitis, unspecified site

Weber-Christian disease

729.31      Hypertrophy of fat pad, knee

Hypertrophy of infrapatellar fat pad

729.39      Other site

Excludes:            panniculitis specified as (affecting):

back (724.8)

neck (723.6)

sacral (724.8)

729.4            Fasciitis, unspecified

Excludes:            necrotizing fasciitis (728.86)

nodular fasciitis (728.79)

729.5            Pain in limb

729.6            Residual foreign body in soft tissue

Excludes:            foreign body granuloma:

muscle (728.82)

skin and subcutaneous tissue (709.4)

729.8            Other musculoskeletal symptoms referable to limbs

729.81      Swelling of limb

729.82      Cramp

729.89      Other

Excludes:            abnormality of gait (781.2)

tetany (781.7)

transient paralysis of limb (781.4)

729.9            Other and unspecified disorders of soft tissue

Polyalgia

OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL DEFORMITIES (730-739)

730            Osteomyelitis, periostitis, and other infections involving bone

Excludes:            jaw (526.4-526.5)

petrous bone (383.2)

Use additional code to identify organism, such as Staphylococcus (041.1)

The following fifth-digit subclassification is for use with category 730; valid digits are in [brackets] under each code.  See list at beginning of chapter for definitions:

0            site unspecified

1            shoulder region

2            upper arm

3            forearm

4            hand

5            pelvic region and thigh

6            lower leg

7            ankle and foot

8            other specified sites

9            multiple sites

730.0            Acute osteomyelitis

[0-9]

Abscess of any bone except accessory sinus, jaw, or mastoid

Acute or subacute osteomyelitis, with or without mention of periostitis

730.1            Chronic osteomyelitis

[0-9]

Brodie's abscess

Chronic or old osteomyelitis, with or without mention of periostitis

Sequestrum

Sclerosing osteomyelitis of Garré

Excludes:            aseptic necrosis of bone (733.40-733.49)

730.2            Unspecified osteomyelitis

[0-9]

Osteitis or osteomyelitis NOS, with or without mention of periostitis

730.3            Periostitis without mention of ostemyelitis

[0-9]

Abscess of periosteum, without mention of osteomyelitis

Periostosis, without mention of osteomyelitis

Excludes:            that in secondary syphilis (091.61)

730.7            Osteopathy resulting from poliomyelitis

[0-9]

Code first underlying disease (045.0-045.9)

730.8            Other infections involving bone in disease classified elsewhere

[0-9]

Code first underlying disease, as:

tuberculosis (015.0-015.9)

typhoid fever (002.0)

Excludes:            syphilitis of bone NOS (095.5)

730.9            Unspecified infection of bone

[0-9]

731       Osteitis deformans and osteopathies associated with other disorders classified elsewhere

731.0            Osteitis deformans without mention of bone tumor

Paget's disease of bone

731.1            Osteitis deformans in diseases classified elsewhere

Code first underlying disease, as:

malignant neoplasm of bone (170.0-170.9)

731.2            Hypertrophic pulmonary osteoarthropathy

Bamberger-Marie disease

731.8            Other bone involvement in diseases classified elsewhere

Code first underlying disease, as:

diabetes mellitus (250.8)

Use additional code to specify bone condition, such as:

acute osteomyelitis (730.00-730.09)

732            Osteochondropathies

732.0            Juvenile osteochondrosis of spine

Juvenile osteochondrosis (of):

marginal  or vertebral ephiphysis (of Scheurermann) spine NOS

Vertebral epiphysitis

Excludes:            adolescent postural kyphosis (737.0)

732.1            Juvenile osteochondrosis of hip and pelvis

Coxa plana

Ischiopubic synchondrosis (of van Neck)

Osteochondrosis (juvenile) of:

acetabulum

head of femur (of Legg-Calvé-Perthes)

iliac crest (of Buchanan)

symphysis pubis (of Pierson)

Pseudocoxalgia

732.2            Nontraumatic slipped upper femoral epiphysis

Slipped upper femoral epiphysis NOS

732.3            Juvenile osteochondrosis of upper extremity

Osteochondrosis (juvenile) of:

capitulum of humerus (of Panner)

carpal lunate (of Kienbock)

hand NOS

head of humerus (of Haas)

heads of metacarpas (of Mauclaire)

lower ulna (of Burns)

radial head (of Brailsford)

upper extremity NOS

732.4            Juvenile osteochondrosis of lower extremity, excluding foot

Osteochondrosis (juvenile) of:

lower extremity NOS

primary patellar center (of Köhler)

proximal tibia (of Blount)

secondary patellar center (of Sinding-Larsen)

tibial tubercle (of Osgood-Schlatter)

Tibia vara

732.5            Juvenile osteochondrosis of foot

Calcaneal apophysitis

Epiphysitis, os calcis

Osteochondrosis (juvenile) of:

astragalus (of Diaz)

calcaneum (of Sever)

foot NOS

metatarsal:

second (of Freilberg)

fifth (of Iselin)

os tibiale externum (of Haglund)

tarsal navicular (of Köhler)

732.6            Other juvenile osteochondrosis

Apophysitis specified as juvenile, of other site, or site NOS

Epiphysitis specified as juvenile, of other site, or site NOS

Osteochondritis specified as juvenile, of other site, or site NOS

Osteochondrosis specified as juvenile, of other site, or site NOS

732.7            Osteochondritis dissecans

732.8            Other specified forms of osteochondropathy

Adult osteochondrosis of spine

732.9            Unspecified osteochondropathy

Apophysitis

NOS

not specified as adult or juvenile, of unspecified site

Epiphysitis

NOS

not specified as adult or juvenile, of unspecified site

Osteochondritis

NOS

not specified as adult or juvenile, of unspecified site

Osteochondrosis

NOS

not specified as adult or juvenile, of unspecified site

733       Other disorders of bone and cartilage

Excludes:            bone spur (726.91)

cartilage of, or loose body in, joint (717.0-717.9, 718.0-718.9)

giant cell granuloma of jaw (526.3)

osteitis fibrosa cystica generalisata (252.0)

osteomalacia (268.2)

polyostotic fibrous dysplasia of bone (756.54)

prognathism, retrognathism (524.1)

xanthomatosis localized to bone (272.7)

733.0            Osteoporosis

733.00      Osteoporosis, unspecified

Wedging of vertebra NOS

733.01      Senile osteoporosis

Postmenopausal osteoporosis

733.02      Idiopathic osteoporosis

733.03      Disuse osteoporosis

733.09      Other

Drug-induced osteoporosis

Use additional E code to identify drug

733.1            Pathologic fracture

Spontaneous fracture

Excludes:            stress fracture (733.93-733.95)

traumatic fractures (800-829)

733.10      Pathologic fracture, unspecified site

733.11      Pathologic fracture of humerus

733.12      Pathologic fracture of distal radius and ulna

Wrist NOS

733.13      Pathologic fracture of vertebrae

Collapse of vertebra NOS

733.14      Pathologic fracture of neck of femur

Femur NOS

Hip NOS

733.15      Pathologic fracture of other specified part of femur

733.16      Pathologic fracture of tibia and fibula

Ankle NOS

733.19      Pathologic fracture of other specified site

733.2            Cyst of bone

733.20      Cyst of bone (localized), unspecified

733.21      Solitary bone cyst

Unicameral bone cyst

733.22      Aneurysmal bone cyst

733.29      Other

Fibrous dysplasia (monostotic)

Excludes:            cyst of jaw (526.0-526.2, 526.89)

osteitis fibrosa cystica (252.0)

polyostotic fibrous dysplasia of bone (756.54)

733.3            Hyperostosis of skull

Hyperostosis interna frontalis

Leontiasis ossium

733.4            Aseptic necrosis of bone

Excludes:            osteochondropathies (732.0-732.9)

733.40      Aseptic necrosis of bone, site unspecified

733.41      Head of humerus

733.42      Head and neck of femur

Femur NOS

Excludes:            Legg-Calvé-Perthes disease (732.1)

733.43      Medial femoral condyle

733.44      Talus

733.49      Other

733.5            Osteitis condensans

Piriform sclerosis of ilium

733.6            Tietze's disease

Costochondral junction syndrome

Costochondritis

733.7            Algoneurodystrophy

Disuse atrophy of bone

Sudeck's atrophy

733.8            Malunion and nonunion of fracture

733.81      Malunion of fracture

733.82      Nonunion of fracture

Psedoarthrosis (bone)

733.9            Other and unspecified disorders of bone and cartilage

733.90      Disorder of bone and cartilage, unspecified

733.91      Arrest of bone development or growth

Epiphyseal arrest

733.92      Chondromalacia

Chondromalacia:

NOS

localized, except patella

systemic

tibial plateau

Excludes:            chondromalacia of patella (717.7)

733.93      Stress fracture of tibia or fibula

Stress reaction of tibia or fibula

733.94      Stress fracture of the metatarsals

Stress reaction of metatarsals

733.95      Stress fracture of other bone

Stress reaction of other bone

733.99      Other

Diaphysitis

Hypertrophy of bone

Relapsing polychondritis

734       Flat foot

Pes planus (acquired)

Talipes planus (acquired)

Excludes:            congenital (754.61)

rigid flat foot (754.61)

spastic (everted) flat foot (754.61)

735            Acquired deformities of toe

Excludes:            congenital (754.60-754.69, 755.65-755.66)

735.0            Hallux valgus (acquired)

735.1            Hallux varus (acquired)

735.2            Hallux rigidus

735.3            Hallux malleus

735.4            Other hammer toe (acquired)

735.5            Claw toe (acquired)

735.8            Other acquired deformities of toe

735.9            Unspecified acquired deformity of toe

736       Other acquired deformities of limbs

Excludes:            congenital (754.3-755.9)

736.0            Acquired deformities of forearm, excluding fingers

736.00      Unspecified deformity

Deformity of elbow, forearm, hand, or wrist (acquired) NOS

736.01      Cubitus valgus (acquired)

736.02      Cubitus varus (acquired)

736.03      Valgus deformity of wrist (acquired)

736.04      Varus deformity of wrist (acquired)

736.05      Wrist drop (acquired)

736.06      Claw hand (acquired)

736.07      Club hand (acquired)

736.09      Other

736.1            Mallet finger

736.2            Other acquired deformities of finger

736.20      Unspecified deformity

Deformity of finger (acquired) NOS

736.21      Boutonniere deformity

736.22      Swan-neck deformity

736.29      Other

Excludes:            trigger finger (727.03)

736.3            Acquired deformities of hip

736.30      Unspecified deformity

Deformity of hip (acquired) NOS

736.31      Coxa valga (acquired)

736.32      Coxa vara (acquired)

736.39      Other

736.4            Genu valgum or varum (acquired)

736.41      Genu valgum (acquired)

736.42      Genu varum (acquired)

736.5            Genu recurvatum (acquired)

736.6            Other acquired deformities of knee

Deformity of knee (acquired) NOS

736.7            Other acquired deformities of ankle and foot

Excludes:            deformities of toe (acquired) (735.0-735.9)

pes planu (acquired) (734)

736.70      Unspecified deformity of ankle and foot, acquired

736.71      Acquired equinovarus deformity

Clubfoot, acquired

Excludes:            clubfoot not specified as acquired (754.5-754.7)

736.72      Equinus deformity of foot, acquired

736.73      Cavus deformity of foot

Excludes:            that with claw foot (736.74)

736.74      Claw foot, acquired

736.75      Cavovarus deformity of foot, acquired

736.76      Other calcaneus deformity

736.79      Other

Acquired:

pes not elsewhere classified

talipes not elsewhere classified

736.8            Acquired deformities of other parts of limbs

736.81      Unequal leg length (acquired)

736.89      Other

Deformity (acquired):

arm or leg, not elsewhere classified

shoulder

736.9            Acquired deformity of limb, site unspecified

737            Curvature of spine

Excludes:            congenital (754.2)

737.0            Adolescent postural kyphosis

Excludes:            osteochondrosis of spine (juvenile) (732.0)

adult (732.8)

737.1            Kyphosis (acquired)

737.10      Kyphosis (acquired) (postural)

737.11      Kyphosis due to radiation

737.12      Kyphosis, postlaminectomy

737.19      Other

Excludes:            that associated with conditions classifiable elsewhere (737.41)

737.2            Lordosis (acquired)

737.20      Lordosis (acquired) (postural)

737.21      Lordosis, postlaminectomy

737.22      Other postsurgical lordosis

737.29      Other

Excludes:            that associated with conditions classifiable elsewhere (737.42)

737.3            Kyphoscoliosis and scoliosis

737.30      Scoliosis [and kyphoscoliosis], idiopathic

737.31      Resolving infantile idiopathic scoliosis

737.32      Progressive infantile idiopathic scoliosis

737.33      Scoliosis due to radiation

737.34      Thoracogenic scoliosis

737.39      Other

Excludes:            that associated with conditions classifiable elsewhere (737.43)

that in kyphoscoliotic heart disease (416.1)

737.4            Curvature of spine associated with other conditions

Code first associated condition, as:

Charcot-Marie-Tooth disease (356.1)

mucopolysaccharidosis (277.5)

neurofibromatosis (237.7)

osteitis deformans (731.0)

osteitis fibrosa cystica (252.0)

osteoporosis (733.00-733.09)

poliomyelitis (138)

tuberculosis [Pott's curvature] (015.0)

737.40      Curvature of spine, unspecified

737.41      Kyphosis

737.42      Lordosis

737.43      Scoliosis

737.8            Other curvatures of spine

737.9            Unspecified curvature of spine

Curvature of spine (acquired) (idiopathic) NOS

Hunchback, acquired

Excludes:            deformity of spine NOS (738.5)

738       Other acquired deformity

Excludes:            congenital (754.0-756.9, 758.0-759.9)

dentofacial anomalies (524.0-524.9)

738.0            Acquired deformity of nose

Deformity of nose (acquired)

Overdevelopment of nasal bones

Excludes:            deflected of deviated nasal septum (470)

738.1            Other acquired deformity of head

738.10      Unspecified deformity

738.11      Zygomatic hyperplasia

738.12      Zygomatic hypoplasia

738.19      Other specified deformity

738.2            Acquired deformity of neck

738.3            Acquired deformity of chest and rib

Deformity:

chest (acquired)

rib (acquired)

Pectus:

carinatum, acquired

excavatum, acquired

738.4            Acquired spondylolisthesis

Degenerative spondylolisthesis

Spondylolysis, acquired

Excludes:            congenital (756.12)

738.5            Other acquired deformity of back or spine

Deformity of spine NOS

Excludes:            curvature of spine (737.0-737.9)

738.6            Acquired deformity of pelvis

Pelvic obliquity

Excludes:            intrapelvic protrusion of acetabulum (718.6)

that in relation to labor and delivery (653.0-653.4, 653.8-653.9)

738.7            Cauliflower ear

738.8            Acquired deformity of other specified site

Deformity of clavicle

738.9            Acquired deformity of unspecified site

739            Nonallopathic lesions, not elsewhere classified

Includes:            segmental dysfunction

somatic dysfunction

739.0            Head region

Occipitocervical region

739.1            Cervical region

Cervicothoracic region

739.2            Thoracic region

Thoracolumbar region

739.3            Lumbar region

Lumbosacral region

739.4            Sacral region

Sacrococcygeal region

Sacroiliac region

739.5            Pelvic region

Hip region

Pubic region

739.6            Lower extremities

739.7            Upper extremities

Acromioclavicular region

Sternoclavicular region

739.8            Rib cage

Costochondral region

Costovertebral region

Sternochondral region

739.9            Abdomen and other

14.  CONGENITAL ANOMALIES (740-759)

740            Anencephalus and similar anomalies

740.0            Anencephalus

Acrania

Amyelencephalus

Hemianencephaly

Hemicephaly

740.1            Craniorachischisis

740.2            Iniencephaly

741       Spina bifida

Excludes:            spina bifida occulta (756.17)

The following fifth-digit subclassification is for use with category 741:

0            unspecified region

1            cervical region

2            dorsal (thoracic) region

3            lumbar region

741.0            With hydrocephalus

Arnold-Chiari syndrome, type II

Chiari malformation, type II

Any condition classifiable to 741.9 with any condition classifiable to 742.3

741.9            Without mention of hydrocephalus

Hydromeningocele (spinal)

Hydromyelocele

Meningocele (spinal)

Meningomyelocele

Myelocele

Myelocystocele

Rachischisis

Spina bifida (aperta)

Syringomyelocele

742       Other congenital anomalies of nervous system

742.0            Encephalocele

Encephalocystocele

Encephalomyelocele

Hydroencephalocele

Hydromeningocele, cranial

Meningocele, cerebral

Meningoencephalocele

742.1            Microcephalus

Hydromicrocephaly

Micrencephaly

742.2            Reduction deformities of brain

Absence of part of brain

Agenesis of part of brain

Agyria

Aplasia of part of brain

Arhinencephaly

Holoprosencephaly

Hypoplasia of part of brain

Microgyria

742.3            Congenital hydrocephalus

Aqueduct of Sylvius:

anomaly

obstruction, congenital

stenosis

Atresia of foramina of Magendie and Luschka

Hydrocephalus in newborn

Excludes:            hydrocephalus:

acquired (331.3-331.4)

due to congenital toxoplasmosis (771.2)

with any condition classifiable to 741.9 (741.0)

742.4            Other specified anomalies of brain

Congenital cerebral cyst

Macroencephaly

Macrogyria

Megalencephaly

Multiple anomalies of brain NOS

Porencephaly

Ulegyria

742.5            Other specified anomalies of spinal cord

742.51      Diastematomyelia

742.53      Hydromyelia

Hydrorhachis

742.59      Other

Amyelia

Atelomyelia

Congenital anomaly of spinal meninges

Defective development of cauda equina

Hypoplasia of spinal cord

Myelatelia

Myelodysplasia

742.8            Other specified anomalies of nervous system

Agenesis of nerve

Displacement of brachial plexus

Familial dysautonomia

Jaw-winking syndrome

Marcus-Gunn syndrome

Riley-Day syndrome

Excludes:            neurofibromatosis (237.7)

742.9            Unspecified anomaly of brain, spinal cord, and nervous system

Anomaly of brain, nervous system, and spinal cord

Congenital, of brain, nervous system, and spinal cord:

disease of brain, nervous system, and spinal cord

lesion of brain, nervous system, and spinal cord

Deformity of brain, nervous system, and spinal cord

743            Congenital anomalies of eye

743.0            Anophthalmos

743.00      Clinical anophthalmos, unspecified

Agenesis

Congenital absence of eye

Anophthalmos NOS

743.03      Cystic eyeball, congenital

743.06      Cryptophthalmos

743.1            Microphthalmos

Dysplasia of eye

Hypoplasia of eye

Rudimentary eye

743.10      Microphthalmos, unspecified

743.11      Simple microphthalmos

743.12      Microphthalmos associated with other anomalies of eye and adnexa

743.2            Buphthalmos

Glaucoma:

congenital

newborn

Hydrophthalmos

Excludes:            glaucoma of childhood (365.14)

traumatic glaucoma due to birth injury (767.8)

743.20      Buphthalmos, unspecified

743.21      Simple buphthalmos

743.22      Buphthalmos associated with other ocular anomalies

Keratoglobus, congenital, associated with buphthalmos

Megalocornea associated with buphthalmos

743.3            Congenital cataract and lens anomalies

Excludes:            infantile cataract (366.00-366.09)

743.30      Congenital cataract, unspecified

743.31      Capsular and subcapsular cataract

743.32      Cortical and zonular cataract

743.33      Nuclear cataract

743.34      Total and subtotal cataract, congenital

743.35      Congenital aphakia

Congenital absence of lens

743.36      Anomalies of lens shape

Microphakia

Spherophakia

743.37      Congenital ectopic lens

743.39      Other

743.4            Coloboma and other anomalies of anterior segment

743.41      Anomalies of corneal size and shape

Microcornea

Excludes:            that associated with buphthalmos (743.22)

743.42      Corneal opacities, interfering with vision, congenital

743.43      Other corneal opacities, congenital

743.44      Specified anomalies of anterior chamber, chamber angle, and related structures

Anomaly:

Axenfeld's

Peters'

Rieger's

743.45      Aniridia

743.46      Other specified anomalies of iris and ciliary body

Anisocoria, congenital

Atresia of pupil

Coloboma of iris

Corectopia

743.47      Specified anomalies of sclera

743.48      Multiple and combined anomalies of anterior segment

743.49      Other

743.5            Congenital anomalies of posterior segment

743.51      Vitreous anomalies

Congenital vitreous opacity

743.52      Fundus coloboma

743.53      Chorioretinal degeneration, congenital

743.54      Congenital folds and cysts of posterior segment

743.55      Congenital macular changes

743.56      Other retinal changes, congenital

743.57      Specified anomalies of optic disc

Coloboma of optic disc (congenital)

743.58      Vascular anomalies

Congenital retinal aneurysm

743.59      Other

743.6            Congenital anomalies of eyelids, lacrimal system, and orbit

743.61      Congenital ptosis

743.62      Congenital deformities of eyelids

Ablepharon

Absence of eyelid

Accessory eyelid

Congenital:

ectropion

entropion

743.63      Other specified congenital anomalies of eyelid

Absence, agenesis, of cilia

743.64      Specified congenital anomalies of lacrimal gland

743.65      Specified congenital anomalies of lacrimal passages

Absence, agenesis of:

lacrimal apparatus

punctum lacrimale

Accessory lacrimal canal

743.66      Specified congenital anomalies of orbit

743.69      Other

Accessory eye muscles

743.8            Other specified anomalies of eye

Excludes:            congenital nystagmus (379.51)

ocular albinism (270.2)

retinitis pigmentosa (362.74)

743.9            Unspecified anomaly of eye

Congenital:

anomaly NOS of eye [any part]

deformity NOS of eye [any part]

744            Congenital anomalies of ear, face, and neck

Excludes:            anomaly of:

cervical spine (754.2, 756.10-756.19)

larynx (748.2-748.3)

nose (748.0-748.1)

parathyroid gland (759.2)

thyroid gland (759.2)

cleft lip (749.10-749.25)

744.0            Anomalies of ear causing impairment of hearing

Excludes:            congenital deafness without mention of cause (380.0-389.9)

744.00      Unspecified anomaly of ear with impairment of hearing

744.01      Absence of external ear

Absence of:

auditory canal (external)

auricle (ear) (with stenosis or atresia of auditory canal)

744.02      Other anomalies of external ear with impairment of hearing

Atresia or stricture of auditory canal (external)

744.03      Anomaly of middle ear, except ossicles

Atresia or stricture of osseous meatus (ear)

744.04      Anomalies of ear ossicles

Fusion of ear ossicles

744.05      Anomalies of inner ear

Congenital anomaly of:

membranous labyrinth

organ of Corti

744.09      Other

Absence of ear, congenital

744.1            Accessory auricle

Accessory tragus

Polyotia

Preauricular appendage

Supernumerary:

ear

lobule

744.2            Other specified anomalies of ear

Excludes:            that with impairment of hearing (744.00-744.09)

744.21      Absence of ear lobe, congenital

744.22      Macrotia

744.23      Microtia

744.24      Specified anomalies of Eustachian tube

Absence of Eustachian tube

744.29      Other

Bat ear

Darwin's tubercle

Pointed ear

Prominence of auricle

Ridge ear

Excludes:            preauricular sinus (744.46)

744.3            Unspecified anomaly of ear

Congenital:

anomaly NOS of ear, NEC

deformity NOS of ear, NEC

744.4            Branchial cleft cyst or fistula; preauricular sinus

744.41      Branchial cleft sinus or fistula

Branchial:

sinus (external) (internal)

vestige

744.42      Branchial cleft cyst

744.43      Cervical auricle

744.46      Preauricular sinus or fistula

744.47      Preauricular cyst

744.49      Other

Fistula (of):

auricle, congenital

cervicoaural

744.5            Webbing of neck

Pterygium colli

744.8            Other specified anomalies of face and neck

744.81      Macrocheilia

Hypertrophy of lip, congenital

744.82      Microcheilia

744.83      Macrostomia

744.84      Microstomia

744.89      Other

Excludes:            congenital fistula of lip (750.25)

musculoskeletal anomalies (754.0-754.1, 756.0)

744.9            Unspecified anomalies of face and neck

Congenital:

anomaly NOS of face [any part] or neck [any part]

deformity NOS of face [any part] or neck [any part]

745       Bulbus cordis anomalies and anomalies of cardiac septal closure

745.0            Common truncus

Absent septum between aorta and pulmonary artery

Communication (abnormal) between aorta and pulmonary artery

Aortic septal defect

Common aortopulmonary trunk

Persistent truncus arteriosus

745.1            Transposition of great vessels

745.10      Complete transposition of great vessels

Transposition of great vessels:

NOS

classical

745.11      Double outlet right ventricle

Dextratransposition of aorta

Incomplete transposition of great vessels

Origin of both great vessels from right ventricle

Taussig-Bing syndrome or defect

745.12      Corrected transposition of great vessels

745.19      Other

745.2            Tetralogy of Fallot

Fallot's pentalogy

Ventricular septal defect with pulmonary stenosis or atresia, dextraposition of aorta, and hypertrophy of right ventricle

Excludes:            Fallot's triad (746.09)

745.3            Common ventricle

Cor triloculare biatriatum

Single ventricle

745.4            Ventricular septal defect

Eisenmenger's defect or complex

Gerbode defect

Interventricular septal defect

Left ventricular-right atrial communication

Roger's disease

Excludes:            common atrioventricular canal type (745.69)

single ventricle (745.3)

745.5            Ostium secundum type atrial septal defect

Defect:

atrium secundum

fossa ovalis

Lutembacher's syndrome

Patent or persistent:

foramen ovale

ostium secundum

745.6            Endocardial cushion defects

745.60      Endocardial cushion defect, unspecified type

745.61      Ostium primum defect

Persistent ostium primum

745.69      Other

Absence of atrial septum

Atrioventricular canal type ventricular septal defect

Common atrioventricular canal

Common atrium

745.7            Cor biloculare

Absence of atrial and ventricular septa

745.8            Other

745.9            Unspecified defect of septal closure

Septal defect NOS

746       Other congenital anomalies of heart

Excludes:            endocardial fibroelastosis (425.3)

746.0            Anomalies of pulmonary valve

Excludes:            infundibular or subvalvular pulmonic stenosis (746.83)

tetralogy of Fallot (745.2)

746.00      Pulmonary valve anomaly, unspecified

746.01      Atresia, congenital

Congenital absence of pulmonary valve

746.02      Stenosis, congenital

746.09      Other

Congenital insufficiency of pulmonary valve

Fallot's triad or trilogy

746.1            Tricuspid atresia and stenosis, congenital

Absence of tricuspid valve

746.2            Ebstein's anomaly

746.3            Congenital stenosis of aortic valve

Congenital aortic stenosis

Excludes:            congenital:

subaortic stenosis (746.81)

supravalvular aortic stenosis (747.22)

746.4            Congenital insufficiency of aortic valve

Bicuspid aortic valve

Congenital aortic insufficiency

746.5            Congenital mitral stenosis

Fused commissure of mitral valve

Parachute deformity of mitral valve

Supernumerary cusps of mitral valve

746.6            Congenital mitral insufficiency

746.7            Hypoplastic left heart syndrome

Atresia, or marked hypoplasia, of aortic orifice or valve, with hypoplasia of ascending aorta and defective development of left ventricle (with mitral valve atresia)

746.8            Other specified anomalies of heart

746.81      Subaortic stenosis

746.82      Cor triatriatum

746.83      Infundibular pulmonic stenosis

Subvalvular pulmonic stenosis

746.84      Obstructive anomalies of heart, NEC

Uhl's disease

746.85      Coronary artery anomaly

Anomalous origin or communication of coronary artery

Arteriovenous malformation of coronary artery

Coronary artery:

absence

arising from aorta or pulmonary trunk

single

746.86      Congenital heart block

Complete or incomplete atrioventricular [AV] block

746.87      Malposition of heart and cardiac apex

Abdominal heart

Dextrocardia

Ectopia cordis

Levocardia (isolated)

Mesocardia

Excludes:            dextrocardia with complete transposition of viscera (759.3)

746.89      Other

Atresia of cardiac vein

Hypoplasia of cardiac vein

Congenital:

cardiomegaly

diverticulum, left ventricle

pericardial defect

746.9            Unspecified anomaly of heart

Congenital:

anomaly of heart NOS

heart disease NOS

747       Other congenital anomalies of circulatory system

747.0            Patent ductus arteriosus

Patent ductus Botalli

Persistent ductus arteriosus

747.1            Coarctation of aorta

747.10      Coarctation of aorta (preductal) (postductal)

Hypoplasia of aortic arch

747.11      Interruption of aortic arch

747.2            Other anomalies of aorta

747.20      Anomaly of aorta, unspecified

747.21      Anomalies of aortic arch

Anomalous origin, right subclavian artery

Dextraposition of aorta

Double aortic arch

Kommerell's diverticulum

Overriding aorta

Persistent:

convolutions, aortic arch

right aortic arch

Vascular ring

Excludes:            hypoplasia of aortic arch (747.10)

747.22      Atresia and stenosis of aorta

Absence of aorta

Aplasia of aorta

Hypoplasia of aorta

Stricture of aorta

Supra (valvular)-aortic stenosis

Excludes:            congenital aortic (valvular) stenosis or stricture, so stated (746.3)

hypoplasia of aorta in hypoplastic left heart syndrome (746.7)

747.29      Other

Aneurysm of sinus of Valsalva

Congenital:

aneurysm of aorta

dilation of aorta

747.3            Anomalies of pulmonary artery

Agenesis of pulmonary artery

Anomaly of pulmonary artery

Atresia of pulmonary artery

Coarctation of pulmonary artery

Hypoplasia of pulmonary artery

Stenosis of pulmonary artery

Pulmonary arteriovenous aneurysm

747.4            Anomalies of great veins

747.40      Anomaly of great veins, unspecified

Anomaly NOS of:

pulmonary veins

vena cava

747.41      Total anomalous pulmonary venous connection

Total anomalous pulmonary venous return [TAPVR]:

subdiaphragmatic

supradiaphragmatic

747.42      Partial anomalous pulmonary venous connection

Partial anomalous pulmonary venous return

747.49      Other anomalies of great veins

Absence of vena cava (inferior) (superior)

Congenital stenosis of vena cava (inferior) (superior)

Persistent:

left posterior cardinal vein

left superior vena cava

Scimitar syndrome

Transposition of pulmonary veins NOS

747.5            Absence or hypoplasia of umbilical artery

Single umbilical artery

747.6            Other anomalies of peripheral vascular system

Absence of artery or vein, NEC

Anomaly of artery or vein, NEC

Atresia of artery or vein, NEC

Arteriovenous aneurysm (peripheral)

Arteriovenous malformation of the peripheral vascular system

Congenital:

aneurysm (peripheral)

phlebectasia

stricture, artery

varix

Multiple renal arteries

Excludes:            anomalies of:

cerebral vessels (747.81)

pulmonary artery (747.3)

congenital retinal aneurysm (743.58)

hemangioma (228.00-228.09)

lymphangioma (228.1)

747.60      Anomaly of the peripheral vascular system, unspecified site

747.61      Gastrointestinal vessel anomaly

747.62      Renal vessel anomaly

747.63      Upper limb vessel anomaly

747.64      Lower limb vessel anomaly

747.69      Anomalies of other specified sites of peripheral vascular system

747.8            Other specified anomalies of circulatory system

747.81      Anomalies of cerebrovascular system

Arteriovenous malformation of brain

Cerebral arteriovenous aneurysm, congenital

Congenital anomalies of cerebral vessels

Excludes:            ruptured cerebral (arteriovenous) aneurysm (430)

747.82      Spinal vessel anomaly

Arteriovenous malformation of spinal vessel

747.83      Persistent fetal circulation

Persistent pulmonary hypertension

Primary pulmonary hypertension of newborn

747.89      Other

Aneurysm, congenital, specified site not elsewhere classified

Excludes:            congenital aneurysm:

coronary (746.85)

peripheral (747.6)

pulmonary (747.3)

retinal (743.58)

747.9            Unspecified anomaly of circulatory system

748            Congenital anomalies of respiratory system

Excludes:            congenital defect of diaphragm (756.6)

748.0            Choanal atresia

Atresia of nares (anterior) (posterior)

Congenital stenosis of nares (anterior) (posterior)

748.1            Other anomalies of nose

Absent nose

Accessory nose

Cleft nose

Deformity of wall of nasal sinus

Congenital:

deformity of nose

notching of tip of nose

performation of wall of nasal sinus

Excludes:            congenital deviation of nasal septum (754.0)

748.2            Web of larynx

Web of larynx:

NOS

glottic

subglottic

748.3            Other anomalies of larynx, trachea, and bronchus

Absence or agenesis of:

bronchus

larynx

trachea

Anomaly (of):

cricoid cartilage

epiglottis

thyroid cartilage

tracheal cartilage

Atresia (of):

epiglottis

glottis

larynx

trachea

Cleft thyroid, cartilage, congenital

Congenital:

dilation, trachea

stenosis:

larynx

trachea

tracheocele

Diverticulum:

bronchus

trachea

Fissure of epiglottis

Laryngocele

Posterior cleft of cricoid cartilage (congenital)

Rudimentary tracheal bronchus

Stridor, laryngeal, congenital

748.4            Congenital cystic lung

Disease, lung:

cystic, congenital

polycystic, congenital

Honeycomb lung, congenital

Excludes:            acquired or unspecified cystic lung (518.89)

748.5            Agenesis, hypoplasia, and dysplasia of lung

Absence of  lung (fissures) (lobe)

Aplasia of lung

Hypoplasia of lung (lobe)

Sequestration of lung

748.6            Other anomalies of lung

748.60      Anomaly of lung, unspecified

748.61      Congenital bronchiectasis

748.69      Other

Accessory lung (lobe)

Azygos lobe (fissure), lung

748.8            Other specified anomalies of respiratory system

Abnormal communication between pericardial and pleural sacs

Anomaly, pleural folds

Atresia of nasopharynx

Congenital cyst of mediastinum

748.9            Unspecified anomaly of respiratory system

Anomaly of respiratory system NOS

749       Cleft palate and cleft lip

749.0            Cleft palate

749.00      Cleft palate, unspecified

749.01      Unilateral, complete

749.02      Unilateral, incomplete

Cleft uvula

749.03      Bilateral, complete

749.04      Bilateral, incomplete

749.1            Cleft lip

Cheiloschisis

Congenital fissure of lip

Harelip

Labium leporinum

749.10      Cleft lip, unspecified

749.11      Unilateral, complete

749.12      Unilateral, incomplete

749.13      Bilateral, complete

749.14      Bilateral, incomplete

749.2            Cleft palate with cleft lip

Cheilopalatoschisis

749.20      Cleft palate with cleft lip, unspecified

749.21      Unilateral, complete

749.22      Unilateral, incomplete

749.23      Bilateral, complete

749.24      Bilateral, incomplete

749.25      Other combinations

750       Other congenital anomalies of upper alimentary tract

Excludes:            dentofacial anomalies (524.0-524.9)

750.0            Tongue tie

Ankyloglossia

750.1            Other anomalies of tongue

750.10      Anomaly of tongue, unspecified

750.11      Aglossia

750.12      Congenital adhesions of tongue

750.13      Fissure of tongue

Bifid tongue

Double tongue

750.15      Macroglossia

Congenital hypertrophy of tongue

750.16      Microglossia

Hypoplasia of tongue

750.19      Other

750.2            Other specified anomalies of mouth and pharynx

750.21      Absence of salivary gland

750.22      Accessory salivary gland

750.23      Atresia, salivary gland

Imperforate salivary duct

750.24      Congenital fistula of salivary gland

750.25      Congenital fistula of lip

Congenital (mucus) lip pits

750.26      Other specified anomalies of mouth

Absence of uvula

750.27      Diverticulum of pharynx

Pharyngeal pouch

750.29      Other specified anomalies of pharynx

Imperforate pharynx

750.3            Tracheoesophageal fistula, esophageal atresia and stenosis

Absent esophagus

Atresia of esophagus

Congenital:

esophageal ring

stenosis of esophagus

stricture of esophagus

Congenital fistula:

esophagobronchial

esophagotracheal

Imperforate esophagus

Webbed esophagus

750.4            Other specified anomalies of esophagus

Dilatation, congenital, of esophagus

Displacement, congenital, of esophagus

Diverticulum of esophagus

Duplication of esophagus

Giant esophagus

Esophageal pouch

Excludes:            congenital hiatus hernia (750.6)

750.5            Congenital hypertrophic pyloric stenosis

Congenital or infantile:

constriction of pylorus

hypertrophy of pylorus

spasm of pylorus

stenosis of pylorus

stricture of pylorus

750.6            Congenital hiatus hernia

Displacement of cardia through esophageal hiatus

Excludes:            congenital diaphragmatic hernia (756.6)

750.7            Other specified anomalies of stomach

Congenital:

cardiospasm

hourglass stomach

Displacement of stomach

Diverticulum of stomach, congenital

Duplication of stomach

Megalogastria

Microgastria

Transposition of stomach

750.8            Other specified anomalies of upper alimentary tract

750.9            Unspecified anomaly of upper alimentary tract

Congenital:

anomaly NOS of upper alimentary tract [any part, except tongue]

deformity NOS of upper alimentary tract [any part, except tongue]

751       Other congenital anomalies of digestive system

751.0            Meckel's diverticulum

Meckel's diverticulum (displaced) (hypertrophic)

Persistent:

omphalomesenteric duct

vitelline duct

751.1            Atresia and stenosis of small intestine

Atresia of:

duodenum

ileum

intestine NOS

Congenital:

absence of small intestine or intestine NOS

obstruction of small intestine or intestine NOS

stenosis of small intestine or intestine NOS

stricture of small intestine or intestine NOS

Imperforate jejunum

751.2            Atresia and stenosis of large intestine, rectum, and anal canal

Absence:

anus (congenital)

appendix, congenital

large instestine, congenital

rectum

Atresia of:

anus

colon

rectum

Congenital or infantile:

obstruction of large intestine

occlusion of anus

stricture of anus

Imperforate:

anus

rectum

Stricture of rectum, congenital

751.3            Hirschsprung's disease and other congenital functional disorders of colon

Aganglionosis

Congenital dilation of colon

Congenital megacolon

Marcrocolon

751.4            Anomalies of intestinal fixation

Congenital adhesions:

omental, anomalous

peritoneal

Jackson's membrane

Malrotation of colon

Rotation of cecum or colon:

failure of

incomplete

insufficient

Universal mesentery

751.5            Other anomalies of intestine

Congenital diverticulum, colon

Dolichocolon

Duplication of:

anus

appendix

cecum

intestine

Ectopic anus

Megaloappendix

Megaloduodenum

Microcolon

Persistent cloaca

Transposition of:

appendix

colon

intestine

751.6            Anomalies of gallbladder, bile ducts, and liver

751.60      Unspecified anomaly of gallbladder, bile ducts, and liver

751.61      Biliary atresia

Congenital:

absence of bile duct (common) or passage

hypoplasia of bile duct (common) or passage

obstruction of bile duct (common) or passage

stricture of bile duct (common) or passage

751.62      Congenital cystic disease of liver

Congenital polycystic disease of liver

Fibrocystic disease of liver

751.69      Other anomalies of gallbladder, bile ducts, and liver

Absence of:

gallbladder, congenital

liver (lobe)

Accessory:

hepatic ducts

liver

Congenital:

choledochal cyst

hepatomegaly

Duplication of:

biliary duct

cystic duct

gallbladder

liver

Floating:

gallbladder

liver

Intrahepatic gallbladder

751.7            Anomalies of pancreas

Absence of pancreas

Accessory pancreas

Agenesis of pancreas

Annular pancreas

Ectopic pancreatic tissue

Hypoplasia of pancreas

Pancreatic heterotopia

Excludes:            diabetes mellitus:

congenital (250.0-250.9)

neonatal (775.1)

fibrocystic disease of pancreas (277.00-277.09)

751.8            Other specified anomalies of digestive system

Absence (complete) (partial) of alimentary tract NOS

Duplication of digestive organs NOS

Malposition, congenital of digestive organs NOS

Excludes:            congenital diaphragmatic hernia (756.6)

congenital hiatus hernia (750.6)

751.9            Unspecified anomaly of digestive system

Congenital:

anomaly NOS of digestive system NOS

deformity NOS of digestive system NOS

752            Congenital anomalies of genital organs

Excludes:            syndromes associated with anomalies in the number and form of chromosomes (758.0-758.9)

testicular feminization syndrome (257.8)

752.0            Anomalies of ovaries

Absence, congenital, of ovary

Accessory ovary

Ectopic ovary

Streak of ovary

752.1            Anomalies of fallopian tubes and broad ligaments

752.10      Unspecified anomaly of fallopian tubes and broad ligaments

752.11      Embryonic cyst of fallopian tubes and broad ligaments

Cyst:

epoophoron

fimbrial

Gartner's duct

parovarian

752.19      Other

Absence of fallopian tube or broad ligament

Accessory fallopian tube or broad ligament

Atresia of fallopian tube or broad ligament

752.2            Doubling of uterus

Didelphic uterus

Doubling of uterus [any degree] (associated with doubling of cervix and vagina)

752.3            Other anomalies of uterus

Absence, congenital, of uterus

Agenesis of uterus

Aplasia of uterus

Bicornuate uterus

Uterus unicornis

Uterus with only one functioning horn

752.4            Anomalies of cervix, vagina, and external female genitalia

752.40      Unspecified anomaly of cervix, vagina, and external female genitalia

752.41      Embryonic cyst of cervix, vagina, and external female genitalia

Cyst of:

canal of Nuck, congenital

vagina, embryonal

vulva, congenital

752.42      Imperforate hymen

752.49      Other anomalies of cervix, vagina, and external female genitalia

Absence of cervix, clitoris, vagina, or vulva

Agenesis of cervix, clitoris, vagina, or vulva

Congenital stenosis or stricture of:

cervical canal

vagina

Excludes:            double vagina associated with total duplication (752.2)

752.5            Undescended and retractile testicle

752.51      Undescended testis

Cryptorchism

Ectopic testis

752.52      Retractile testis

752.6            Hypospadias and epispadias and other penile anomalies

752.61      Hypospadias

752.62      Epispadias

Anaspadias

752.63      Congenital chordee

752.64      Micropenis

752.65      Hidden penis

752.69      Other penile anomalies

752.7            Indeterminate sex and pseudohermaphroditism

Gynandrism

Hermaphroditism

Ovotestis

Pseudohermaphroditism (male) (female)

Pure gonadal dysgenesis

Excludes:            pseudohermaphroditism:

female, with adrenocortical disorder (255.2)

male, with gonadal disorder (257.8)

with specified chromosomal anomaly (758.0-758.9)

testicular feminization syndrome (257.8)

752.8            Other specified anomalies of genital organs

Absence of:

prostate

spermatic cord

vas deferens

Anorchism

Aplasia (congenital) of:

prostate

round ligament

testicle

Atresia of:

ejaculatory duct

vas deferens

Fusion of testes

Hypoplasia of testis

Monorchism

Polyorchism

Excludes:            congenital hydrocele (778.6)

penile anomalies (752.61-752.69)

phimosis or paraphimosis (605)

752.9            Unspecified anomaly of genital organs

Congenital:

anomaly NOS of genital organ, NEC

deformity NOS of genital organ, NEC

753            Congenital anomalies of urinary system

753.0            Renal agenesis and dysgenesis

Atrophy of kidney:

congenital

infantile

Congenital absence of kidney(s)

Hypoplasia of kidney(s)

753.1            Cystic kidney disease

Excludes:            acquired cyst of kidney (593.2)

753.10      Cystic kidney disease, unspecified

753.11      Congenital single renal cyst

753.12      Polycystic kidney, unspecified type

753.13      Polycystic kidney, autosomal dominant

753.14      Polycystic kidney, autosomal recessive

753.15      Renal dysplasia

753.16      Medullary cystic kidney

Nephronopthisis

753.17      Medullary sponge kidney

753.19      Other specified cystic kidney disease

Multicystic kidney

753.2            Obstructive defects of renal pelvis and ureter

753.20      Unspecified obstructive defect of renal pelvis and ureter

753.21      Congenital obstruction of ureteropelvic junction

753.22      Congenital obstruction of ureterovesical junction

Adynamic ureter

Congenital hydroureter

753.23      Congenital ureterocele

753.29      Other

753.3            Other specified anomalies of kidney

Accessory kidney

Congenital:

calculus of kidney

displaced kidney

Discoid kidney

Double kidney with double pelvis

Ectopic kidney

Fusion of kidneys

Giant kidney

Horseshoe kidney

Hyperplasia of kidney

Lobulation of kidney

Malrotation of kidney

Trifid kidney (pelvis)

753.4            Other specified anomalies of ureter

Absent ureter

Accessory ureter

Deviaton of ureter

Displaced ureteric orifice

Double ureter

Ectopic ureter

Implantation, anomalous, of ureter

753.5            Exstrophy of urinary bladder

Ectopia vesicae

Extroversion of bladder

753.6            Atresia and stenosis of urethra and bladder neck

Congenital obstruction:

bladder neck

urethra

Congenital stricture of:

urethra (valvular)

urinary meatus

vesicourethral orifice

Imperforate urinary meatus

Impervious urethra

Urethral valve formation

753.7            Anomalies of urachus

Cyst (of) urachus

Fistula (of) urachus

Patent (of) urachus

Persistent umbilical sinus

753.8            Other specified anomalies of bladder and urethra

Absence, congenital of:

bladder

urethra

Accessory:

bladder

urethra

Congenital:

diverticulum of bladder

hernia of bladder

Congenital urethrorectal fistula

Congenital prolapse of:

bladder (mucosa)

urethra

Double:

urethra

urinary meatus

753.9            Unspecified anomaly of urinary system

Congenital:

anomaly NOS of urinary system [any part, except urachus]

deformity NOS  of urinary system [any part, except urachus]

754       Certain congenital musculoskeletal deformities

Includes:            nonteratogenic deformities which are considered to be due to intrauterine malposition and pressure

754.0            Of skull, face, and jaw

Asymmetry of face

Compression facies

Depressions in skull

Deviation of nasal septum, congenital

Dolichocephaly

Plagiocephaly

Potter's facies

Squashed or bent nose, congenital

Excludes:            dentofacial anomalies (524.0-524.9)

syphilitic saddle nose (090.5)

754.1            Of sternocleidomastoid muscle

Congenital sternomastoid torticollis

Congenital wryneck

Contracture of sternocleidomastoid (muscle)

Sternomastoid tumor

754.2            Of spine

Congenital postural:

lordosis

scoliosis

754.3            Congenital dislocation of hip

754.30      Congenital dislocation of hip, unilateral

Congenital dislocation of hip NOS

754.31      Congenital dislocation of hip, bilateral

754.32      Congenital subluxation of hip, unilateral

Congenital flexion deformity, hip or thigh

Predislocation status of hip at birth

Preluxation of hip, congenital

754.33      Congenital subluxation of hip, bilateral

754.35      Congenital dislocation of one hip with subluxation of other hip

754.4            Congenital genu recurvatum and bowing of long bones of leg

754.40      Genu recurvatum

754.41      Congenital dislocation of knee (with genu recurvatum)

754.42      Congenital bowing of femur

754.43      Congenital bowing of tibia and fibula

754.44      Congenital bowing of unspecified long bones of leg

754.5            Varus deformities of feet

Excludes:            acquired (736.71, 736.75, 736.79)

754.50      Talipes varus

Congenital varus deformity of foot, unspecified

Pes varus

754.51      Talipes equinovarus

Equinovarus (congenital)

754.52      Metatarsus primus varus

754.53      Metatarsus varus

754.59      Other

Talipes calcaneovarus

754.6            Valgus deformities of feet

Excludes:            valgus deformity of foot (acquired) (736.79)

754.60      Talipes valgus

Congenital valgus deformity of foot, unspecified

754.61      Congenital pes planus

Congenital rocker bottom flat foot

Flat foot, congenital

Excludes:            pes planus (acquired) (734)

754.62      Talipes calcaneovalgus

754.69      Other

Talipes:

equinovalgus

planovalgus

754.7            Other deformities of feet

Excludes:            acquired (736.70-736.79)

754.70      Talipes, unspecified

Congenital deformity of foot NOS

754.71      Talipes cavus

Cavus foot (congenital)

754.79      Other

Asymmetric talipes

Talipes:

calcaneus

equinus

754.8            Other specified nonteratogenic anomalies

754.81      Pectus excavatum

Congenital funnel chest

754.82      Pectus carinatum

Congenital pigeon chest [breast]

754.89      Other

Club hand (congenital)

Congenital:

deformity of chest wall

dislocation of elbow

Generalized flexion contractures of lower limb joints, congenital

Spade-like hand (congenital)

755       Other congenital anomalies of limbs

Excludes:            those deformities classifiable to 754.0-754.8

755.0            Polydactyly

755.00      Polydactyly, unspecified digits

Supernumerary digits

755.01      Of fingers

Accessory fingers

755.02      Of toes

Accessory toes

755.1            Syndactyly

Symphalangy

Webbing of digits

755.10      Of multiple and unspecified sites

755.11      Of fingers without fusion of bone

755.12      Of fingers with fusion of bone

755.13      Of toes without fusion of bone

755.14      Of toes with fusion of bone

755.2            Reduction deformities of upper limb

755.20      Unspecified reduction deformity of upper limb

Ectromelia NOS of upper limb

Hemimelia NOS of upper limb

Shortening of arm, congenital

755.21      Transverse deficiency of upper limb

Amelia of upper limb

Congenital absence of:

fingers, all (complete or partial)

forearm, including hand and fingers

upper limb, complete

Congenital amputation of upper limb

Transverse hemimelia of upper limb

755.22      Longitudinal deficiency of upper limb, NEC

Phocomelia NOS of upper limb

Rudimentary arm

755.23      Longitudinal deficiency, combined, involving humerus, radius, and ulna (complete or incomplete)

Congenital absence of arm and forearm (complete or incomplete) with or without metacarpal deficiency and/or phalangeal deficiency, incomplete

Phocomelia, complete, of upper limb

755.24      Longitudinal deficiency, humeral, complete or partial (with or without distal deficiencies, incomplete)

Congenital absence of humerus (with or without absence of some [but not all] distal elements)

Proximal phocomelia of upper limb

755.25      Longitudinal deficiency, radioulnar, complete or partial (with or without distal deficiencies, incomplete)

Congenital absence of radius and ulna (with or without absence of some [but not all] distal elements)

Distal phocomelia of upper limb

755.26      Longitudinal deficiency, radial, complete or partial (with or without distal deficiencies, incomplete)

Agenesis of radius

Congenital absence of radius (with or without absence of some [but not all] distal elements)

755.27      Longitudinal deficiency, ulnar, complete or partial (with or without distal deficiencies, incomplete)

Agenesis of ulna

Congenital absence of ulna (with or without absence of some [but not all] distal elements)

755.28      Longitudinal deficiency, carpals or metacarpals, complete or partial (with or without incomplete phalangeal deficiency)

755.29      Longitudinal deficiency, phalanges, complete or partial

Absence of finger, congenital

Aphalangia of upper limb, terminal, complete or partial

Excludes:            terminal deficiency of all five digits (755.21)

transverse deficiency of phalanges (755.21)

755.3            Reduction deformities of lower limb

755.30      Unspecified reduction deformity of lower limb

Ectromelia NOS of lower limb

Hemimelia NOS of lower limb

Shortening of leg, congenital

755.31      Transverse deficiency of lower limb

Amelia of lower limb

Congenital absence of:

foot

leg, including foot and toes

lower limb, complete

toes, all, complete

Transverse hemimelia of lower limb

755.32      Longitudinal deficiency of lower limb, NEC

Phocomelia NOS of lower limb

755.33      Longitudinal deficiency, combined, involving femur, tibia, and fibula (complete or incomplete)

Congenital absence of thigh and (lower) leg (complete or incomplete) with or without metacarpal deficiency and/or phalangeal deficiency, incomplete

Phocomelia, complete, of lower limb

755.34      Longitudinal deficiency, femoral, complete or partial (with or without distal deficiencies, incomplete)

Congenital absence of femur (with or without absence of some [but not all] distal elements)

Proximal phocomelia of lower limb

755.35      Longitudinal deficiency, tibiofibular, complete or partial (with or without distal deficiencies, incomplete)

Congenital absence of tibia and fibula (with or without absence of some [but not all] distal elements)

Distal phocomelia of lower limb

755.36      Longitudinal deficiency, tibia, complete or partial (with or without distal deficiencies, incomplete)

Agenesis of tibia

Congenital absence of tibia (with or without absence of some [but not all] distal elements)

755.37      Longitudinal deficiency, fibular, complete or partial (with or without distal deficiencies, incomplete)

Agenesis of fibula

Congenital absence of fibula (with or without absence of some [but not all] distal elements)

755.38      Longitudinal deficiency, tarsals or metatarsals, complete or partial (with or without incomplete phalangeal deficiency)

755.39      Longitudinal deficiency, phalanges, complete or partial

Absence of toe, congenital

Aphalangia of lower limb, terminal, complete or partial

Excludes:            terminal deficiency of all five digits (755.31)

transverse deficiency of phalanges (755.31)

755.4            Reduction deformities, unspecified limb

Absence, congenital (complete or partial) of limb NOS

Amelia of unspecified limb

Ectromelia of unspecified limb

Hemimelia of unspecified limb

Phocomelia of unspecified limb

755.5            Other anomalies of upper limb, including shoulder girdle

755.50      Unspecified anomaly of upper limb

755.51      Congenital deformity of clavicle

755.52      Congenital elevation of scapula

Sprengel's deformity

755.53      Radioulnar synostosis

755.54      Madelung's deformity

755.55      Acrocephalosyndactyly

Apert's syndrome

755.56      Accessory carpal bones

755.57      Macrodactylia (fingers)

755.58      Cleft hand, congenital

Lobster-claw hand

755.59      Other

Cleidocranial dysostosis

Cubitus:

valgus, congenital

varus, congenital

Excludes:            club hand (congenital) (754.89)

congenital dislocation of elbow (754.89)

755.6            Other anomalies of lower limb, including pelvic girdle

755.60      Unspecified anomaly of lower limb

755.61      Coxa valga, congenital

755.62      Coxa vara, congenital

755.63      Other congenital deformity of hip (joint)

Congenital anteversion of femur (neck)

Excludes:            congenital dislocation of hip (754.30-754.35)

755.64      Congenital deformity of knee (joint)

Congenital:

absence of patella

genu valgum [knock-knee]

genu varum [bowleg]

Rudimentary patella

755.65      Macrodactylia of toes

755.66      Other anomalies of toes

Congenital:

hallux valgus

hallux varus

hammer toe

755.67      Anomalies of foot, NEC

Astragaloscaphoid synostosis

Calcaneonavicular bar

Coalition of calcaneus

Talonavicular synostosis

Tarsal coalitions

755.69      Other

Congenital:

angulation of tibia

deformity (of):

ankle (joint)

sacroiliac (joint)

fusion of sacroiliac joint

755.8            Other specified anomalies of unspecified limb

755.9            Unspecified anomaly of unspecified limb

Congenital:

anomaly NOS of unspecified limb

deformity NOS of unspecified limb

Excludes:            reduction deformity of unspecified limb (755.4)

756       Other congenital musculoskeletal anomalies

Excludes:            those deformities classifiable to 754.0-754.8

756.0            Anomalies of skull and face bones

Absence of skull bones

Acrocephaly

Congenital deformity of forehead

Craniosynostosis

Crouzon's disease

Hypertelorism

Imperfect fusion of skull

Oxycephaly

Platybasia

Premature closure of cranial sutures

Tower skull

Trigonocephaly

Excludes:            acrocephalosyndactyly [Apert's syndrome] (755.55)

dentofacial anomalies (524.0-524.9)

skull defects associated with brain anomalies, such as:

anencephalus (740.0)

encephalocele (742.0)

hydrocephalus (742.3)

microcephalus (742.1)

756.1            Anomalies of spine

756.10      Anomaly of spine, unspecified

756.11      Spondylolysis, lumbosacral region

Prespondylolisthesis (lumbosacral)

756.12      Spondylolisthesis

756.13      Absence of vertebra, congenital

756.14      Hemivertebra

756.15      Fusion of spine [vertebra], congenital

756.16      Klippel-Feil syndrome

756.17      Spina bifida occulta

Excludes:            spina bifida (aperta) (741.0-741.9)

756.19      Other

Platyspondylia

Supernumerary vertebra

756.2            Cervical rib

Supernumerary rib in the cervical region

756.3            Other anomalies of ribs and sternum

Congenital absence of:

rib

sternum

Congenital:

fissure of sternum

fusion of ribs

Sternum bifidum

Excludes:            nonteratogenic deformity of chest wall (754.81-754.89)

756.4            Chondrodystrophy

Achondroplasia

Chondrodystrophia (fetalis)

Dyschondroplasia

Enchondromatosis

Ollier's disease

Excludes:            lipochondrodystrophy [Hurler's syndrome] (277.5)

Morquio's disease (277.5)

756.5            Osteodystrophies

756.50      Osteodystrophy, unspecified

756.51      Osteogenesis imperfecta

Fragilitas ossium

Osteopsathyrosis

756.52      Osteopetrosis

756.53      Osteopoikilosis

756.54      Polyostotic fibrous dysplasia of bone

756.55      Chondroectodermal dysplasia

Ellis-van Creveld syndrome

756.56      Multiple epiphyseal dysplasia

756.59      Other

Albright (-McCune)-Sternberg syndrome

756.6            Anomalies of diaphragm

Absence of diaphragm

Congenital hernia:

diaphragmatic

foramen of Morgagni

Eventration of diaphragm

Excludes:            congenital hiatus hernia (750.6)

756.7            Anomalies of abdominal wall

756.70      Anomaly of abdominal wall, unspecified

756.71      Prune belly syndrome

Eagle-Barrett syndrome

Prolapse of bladder mucosa

756.79      Other congenital anomalies of abdominal wall

Exomphalos

Gastroschisis

Omphalocele

Excludes            umbilical hernia (551-553 with .1)

756.8            Other specified anomalies of muscle, tendon, fascia, and connective tissue

756.81      Absence of muscle and tendon

Absence of muscle (pectoral)

756.82      Accessory muscle

756.83      Ehlers-Danlos syndrome

756.89      Other

Amyotrophia congenita

Congenital shortening of tendon

756.9            Other and unspecified anomalies of musculoskeletal system

Congenital:

anomaly NOS of musculoskeletal system, NEC

deformity NOS of musculoskeletal system, NEC

757            Congenital anomalies of the integument

Includes:            anomalies of skin, subcutaneous tissue, hair, nails, and breast

Excludes:            hemangioma (228.00-228.09)

pigmented nevus (216.0-216.9)

757.0            Hereditary edema of legs

Congenital lymphedema

Hereditary trophedema

Milroy's disease

757.1            Ichthyosis congenita

Congenital ichthyosis

Harlequin fetus

Ichthyosiform erythroderma

757.2            Dermatoglyphic anomalies

Abnormal palmar creases

757.3            Other specified anomalies of skin

757.31      Congenital ectodermal dysplasia

757.32      Vascular hamartomas

Birthmarks

Port-wine stain

Strawberry nevus

757.33      Congenital pigmentary anomalies of skin

Congenital poikiloderma

Urticaria pigmentosa

Xeroderma pigmentosum

Excludes:            albinism (270.2)

757.39      Other

Accessory skin tags, congenital

Congenital scar

Epidermolysis bullosa

Keratoderma (congenital)

Excludes:            pilonidal cyst (685.0-685.1)

757.4            Specified anomalies of hair

Congenital:

alopecia

atrichosis

beaded hair

hypertrichosis

monilethrix

Persistent lanugo

757.5            Specified anomalies of nails

Anonychia

Congenital:

clubnail

koilonychia

leukonychia

onychauxis

pachyonychia

757.6            Specified anomalies of breast

Absent breast or nipple

Accessory breast or nipple

Supernumerary breast or nipple

Hypoplasia of breast

Excludes:            absence of pectoral muscle (756.81)

757.8            Other specified anomalies of the integument

757.9            Unspecified anomaly of the integument

Congenital:

anomaly NOS of integument

deformity NOS of integument

758            Chromosomal anomalies

Includes:            syndromes associated with anomalies in the number and form of chromosomes

758.0            Down's syndrome

Mongolism

Translocation Down's syndrome

Trisomy:

21 or 22

G

758.1            Patau's syndrome

Trisomy:

13

D1

758.2            Edward's syndrome

Trisomy:

18

E3

758.3            Autosomal deletion syndromes

Antimongolism syndrome

Cri-du-chat syndrome

758.4            Balanced autosomal translocation in normal individual

758.5            Other conditions due to autosomal anomalies

Accessory autosomes NEC

758.6            Gonadal dysgenesis

Ovarian dysgenesis

Turner's syndrome

XO syndrome

Excludes:            pure gonadal dysgenesis (752.7)

758.7            Klinefelter's syndrome

XXY syndrome

758.8            Other conditions due to chromosome anomalies

758.81      Other conditions due to sex chromosome anomalies

758.89      Other

758.9            Conditions due to anomaly of unspecified chromosome

759       Other and unspecified congenital anomalies

759.0            Anomalies of spleen

Aberrant spleen

Absent spleen

Accessory spleen

Congenital splenomegaly

Ectopic spleen

Lobulation of spleen

759.1            Anomalies of adrenal gland

Aberrant adrenal gland

Absent adrenal gland

Accessory adrenal gland

Excludes:            adrenogenital disorders (255.2)

congenital disorders of steroid metabolism (255.2)

759.2            Anomalies of other endocrine glands

Absent parathyroid gland

Accessory thyroid gland

Persistent thyroglossal or thyrolingual duct

Thyroglossal (duct) cyst

Excludes:            congenital:

goiter (246.1)

hypothyroidism (243)

759.3            Situs inversus

Situs inversus or transversus:

abdominalis

thoracis

Transposition of viscera:

abdominal

thoracic

Excludes:            dextrocardia without mention of complete transposition (746.87)

759.4            Conjoined twins

Craniopagus

Dicephalus

Pygopagus

Thoracopagus

Xiphopagus

759.5            Tuberous sclerosis

Bourneville's disease

Epiloia

759.6            Other hamartoses, NEC

Syndrome:

Peutz-Jeghers

Sturge-Weber (-Dimitri)

von Hippel-Lindau

Excludes:            neurofibromatosis (237.7)

759.7            Multiple congenital anomalies, so described

Congenital:

anomaly, multiple NOS

deformity, multiple NOS

759.8            Other specified anomalies

759.81      Prader-Willi syndrome

759.82      Marfan syndrome

759.83      Fragile X syndrome

759.89      Other

Congenital malformation syndromes affecting multiple systems, NEC

Laurence-Moon-Biedl syndrome

759.9            Congenital anomaly, unspecified

15.  CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (760-779)

Includes:            conditions which have their origin in the perinatal period even though death or morbidity occurs later

Use additional code(s) to further specify condition

MATERNAL CAUSES OF PERINATAL MORBIDITY AND MORTALITY (760-763)

760       Fetus or newborn affected by maternal conditions which may be unrelated to present pregnancy

Includes:            the listed maternal conditions only when specified as a cause of mortality or morbidity of the fetus or newborn

Excludes:            maternal endocrine and metabolic disorders affecting fetus or newborn (775.0-775.9)

760.0            Maternal hypertensive disorders

Fetus or newborn affected by maternal conditions classifiable to 642

760.1            Maternal renal and urinary tract diseases

Fetus or newborn affected by maternal conditions classifiable to 580-599

760.2            Maternal infections

Fetus or newborn affected by maternal infectious disease classifiable to 001-136 and 487, but fetus or newborn not manifesting that disease

Excludes:            congenital infectious diseases (771.0-771.8)

maternal genital tract and other localized infections (760.8)

760.3            Other chronic maternal circulatory and respiratory diseases

Fetus or newborn affected by chronic maternal conditions classifiable to 390-459, 490-519, 745-748

760.4            Maternal nutritional disorders

Fetus or newborn affected by:

maternal disorders classifiable to 260-269

maternal malnutrition NOS

Excludes:            fetal malnutrition (764.10-764.29)

760.5            Maternal injury

Fetus or newborn affected by maternal conditions classifiable to 800-995

760.6            Surgical operation on mother

Excludes:            cesarean section for present delivery (763.4)

damage to placenta from amniocentesis, cesarean section, or surgical induction (762.1)

previous surgery to uterus or pelvic organs (763.89)

760.7            Noxious influences affecting fetus via placenta or breast milk

Fetus or newborn affected by noxious substance transmitted via placenta or breast milk

Excludes:            anesthetic and analgesic drugs administered during labor and delivery (763.5)

drug withdrawal syndrome in newborn (779.5)

760.70      Unspecified noxious substance

Fetus or newborn affected by:

Drug NEC

760.71      Alcohol

Fetal alcohol syndrome

760.72      Narcotics

760.73      Hallucinogenic agents

760.74      Anti-infectives

Antibiotics

760.75      Cocaine

760.76      Diethylstilbestrol [DES]

760.79      Other

Fetus or newborn affected by:

immune sera transmitted via placenta or breast milk

medicinal agents NEC transmitted via placenta or breast milk

toxic substance NEC transmitted via placenta or breast milk

760.8            Other specified maternal conditions affecting fetus or newborn

Maternal genital tract and other localized infection affecting fetus or newborn, but fetus or newborn not manifesting that disease

Excludes:            maternal urinary tract infection affecting fetus or newborn (760.1)

760.9            Unspecified maternal condition affecting fetus or newborn

761       Fetus or newborn affected by maternal complications of pregnancy

Includes:            the listed maternal conditions only when specified as a cause of mortality or morbidity of the fetus or newborn

761.0            Incompetent cervix

761.1            Premature rupture of membranes

761.2            Oligohydramnios

Excludes:            that due to premature rupture of membranes (761.1)

761.3            Polyhydramnios

Hydramnios (acute) (chronic)

761.4            Ectopic pregnancy

Pregnancy:

abdominal

intraperitoneal

tubal

761.5            Multiple pregnancy

Triplet (pregnancy)

Twin (pregnancy)

761.6            Maternal death

761.7            Malpresentation before labor

Breech presentation before labor

External version before labor

Oblique lie before labor

Transverse lie before labor

Unstable lie before labor

761.8            Other specified maternal complications of pregnancy affecting fetus or newborn

Spontaneous abortion, fetus

761.9            Unspecified maternal complication of pregnancy affecting fetus or newborn

762       Fetus or newborn affected by complications of placenta, cord, and membranes

Includes:            the listed maternal conditions only when specified as a cause of mortality or morbidity in the fetus or newborn

762.0            Placenta previa

762.1            Other forms of placental separation and hemorrhage

Abruptio placentae

Antepartum hemorrhage

Damage to placenta from amniocentesis, cesarean section, or surgical induction

Maternal blood loss

Premature separation of placenta

Rupture of marginal sinus

762.2            Other and unspecified morphological and functional abnormalities of placenta

Placental:

dysfunction

infarction

insufficiency

762.3            Placental transfusion syndromes

Placental and cord abnormality resulting in twin-to-twin or other transplacental transfusion

Use additional code to indicate resultant condition in fetus or newborn:

fetal blood loss (772.0)

polycythemia neonatorum (776.4)

762.4            Prolapsed cord

Cord presentation

762.5            Other compression of umbilical cord

Cord around neck

Entanglement of cord

Knot in cord

Torsion of cord

762.6            Other and unspecified conditions of umbilical cord

Short cord

Thrombosis of umbilical cord

Varices of umbilical cord

Velamentous insertion of umbilical cord

Vasa previa

Excludes:            infection of umbilical cord (771.4)

single umbilical artery (747.5)

762.7            Chorioamnionitis

Amnionitis

Membranitis

Placentitis

762.8            Other specified abnormalities of chorion and amnion

762.9            Unspecified abnormality of chorion and amnion

763       Fetus or newborn affected by other complications of labor and delivery

Includes:            the listed conditions only when specified as a cause of mortality or morbidity in the fetus or newborn

763.0            Breech delivery and extraction

763.1            Other malpresentation, malposition, and disproportion during labor and delivery

Fetus or newborn affected by:

abnormality of bony pelvis

contracted pelvis

persistent occipitoposterior position

shoulder presentation

transverse lie

conditions classifiable to 652, 653, and 660

763.2            Forceps delivery

Fetus or newborn affected by forceps extraction

763.3            Delivery by vacuum extractor

763.4            Cesarean delivery

Excludes:            placental separation or hemorrhage from cesarean section (762.1)

763.5            Maternal anesthesia and analgesia

Reactions and intoxications from maternal opiates and trauilizers during labor and delivery

Excludes:            drug withdrawal syndrome in newborn (779.5)

763.6            Precipitate delivery

Rapid second stage

763.7            Abnormal uterine contractions

Fetus or newborn affected by:

contraction ring

hypertonic labor

hypotonic uterine dysfunction

uterine inertia or dysfunction

conditions classifiable to 661, except 661.3

763.8            Other specified complications of labor and delivery affecting fetus or newborn

763.81      Abnormality in fetal heart rate or rhythm before the onset of labor

763.82      Abnormality in fetal heart rate or rhythm during labor

763.83      Abnormality in fetal heart rate or rhythm, unspecified as to time of onset

763.89      Other specified complications of labor and delivery affecting fetus or newborn

Fetus or newborn affected by:

abnormality of maternal soft tissues

destructive operation on live fetus to facilitate delivery

induction of labor (medical)

previous surgery to uterus or pelvic organs

other conditions classifiable to 650-669

other procedures used in labor and delivery

763.9            Unspecified complication of labor and delivery affecting fetus or newborn

OTHER CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (764-779)

The following fifth-digit subclassification is for use with category 764 and codes 765.0 and 765.1 to denote birthweight:

0            unspecified [weight]

1            less than 500 grams

2            500-749 grams

3            750-999 grams

4            1,000-1,249 grams

5            1,250-1,499 grams

6            1,500-1,749 grams

7            1,750-1,999 grams

8            2,000-2,499 grams

9            2,500 grams and over

764       Slow fetal growth and fetal malnutrition

Requires fifth digit. See beginning of section 764-779 for codes and definitions.

764.0    "Light-for-dates" without mention of fetal malnutrition

Infants underweight for gestational age

"Small-for-dates"

764.1            "Light-for-dates" with signs of fetal malnutrition

Infants "light-for-dates" classifiable to 764.0, who in addition show signs of fetal malnutrition, such as dry peeling skin and loss of subcutaneous tissue

764.2            Fetal malnutrition without mention of "light-for-dates"

Infants, not underweight for gestational age, showing signs of fetal malnutrition, such as dry peeling skin and loss of subcutaneous tissue

Intrauterine malnutrition

764.9            Fetal growth retardation, unspecified

Intrauterine growth retardation

765            Disorders relating to short gestation and low birthweight

Requires fifth digit. See beginning of section 764-779 for codes and definitions.

Includes:            the listed conditions, without further specification, as causes of mortality, morbidity, or additional care, in fetus or newborn

765.0            Extreme immaturity

Note:            Usually implies a birthweight of less than 1,000 grams.

Use additional code for weeks of gestation (765.20-765.29)

765.1            Other preterm infants

Note:            Usually implies birthweight of 1,000-2,499 grams.

Prematurity NOS

Prematurity or small size, not classifiable to 765.0 or as "light-for-dates" in 764

Use additional code for weeks of gestation (765.20-765.29)

765.2            Weeks of gestation

765.20      Unspecified weeks of gestation

765.21      Less than 24 completed weeks of gestation

765.22      24 weeks of gestation

765.23      25-26 weeks of gestation

765.24      27-28 weeks of gestation

765.25      29-30 weeks of gestation

765.26      31-32 weeks of gestation

765.27      33-34 weeks of gestation

765.28      35-36 weeks of gestation

765.29      37 or more weeks of gestation

766            Disorders relating to long gestation and high birthweight

Includes:            the listed conditions, without further specification, as causes of mortality, morbidity, or additional care, in fetus or newborn

766.0            Exceptionally large baby

Note:            Usually implies a birthweight of 4,500 grams or more.

766.1            Other "heavy-for-dates" infants

Other fetus or infant "heavy-" or "large-for-dates" regardless of period of gestation

766.2            Post-term infant, not "heavy-for-dates"

Fetus or infant with gestation period of 294 days or more [42 or more completed weeks], not "heavy-" or "large-for-dates"

Postmaturity NOS

767       Birth trauma

767.0            Subdural and cerebral hemorrhage

Subdural and cerebral hemorrhage, whether described as due to birth trauma or to intrapartum anoxia or hypoxia

Subdural hematoma (localized)

Tentorial tear

Use additional code to identify cause

Excludes:            intraventricular hemorrhage (772.10-772.14)

subarachnoid hemorrhage (772.2)

767.1            Injuries to scalp

Caput succedaneum

Cephalhematoma

Chignon (from vacuum extraction)

Massive epicranial subaponeurotic hemorrhage

767.2            Fracture of clavicle

767.3            Other injuries to skeleton

Fracture of:

long bones

skull

Excludes:            congenital dislocation of hip (754.30-754.35)

fracture of spine, congenital (767.4)

767.4            Injury to spine and spinal cord

Dislocation of spine or spinal cord due to birth trauma

Fracture of spine or spinal cord due to birth trauma

Laceration of spine or spinal cord due to birth trauma

Rupture of spine or spinal cord due to birth trauma

767.5            Facial nerve injury

Facial palsy

767.6            Injury to brachial plexus

Palsy or paralysis:

brachial

Erb (-Duchenne)

Klumpke (-Déjérine)

767.7            Other cranial and peripheral nerve injuries

Phrenic nerve paralysis

767.8            Other specified birth trauma

Eye damage

Hematoma of:

liver (subcapsular)

testes

vulva

Rupture of:

liver

spleen

Scalpel wound

Traumatic glaucoma

Excludes:            hemorrhage classifiable to 772.0-772.9

767.9            Birth trauma, unspecified

Birth injury NOS

768            Intrauterine hypoxia and birth asphyxia

Use only when associated with newborn morbidity classifiable elsewhere

768.0            Fetal death from asphyxia or anoxia before onset of labor or at unspecified time

768.1            Fetal death from asphyxia or anoxia during labor

768.2            Fetal distress before onset of labor, in liveborn infant

Fetal metabolic acidemia before onset of labor, in liveborn infant

768.3            Fetal distress first noted during labor, in liveborn infant

Fetal metabolic acidemia first noted during labor, in liveborn infant

768.4            Fetal distress, unspecified as to time of onset, in liveborn infant

Fetal metabolic acidemia unspecified as to time of onset, in liveborn infant

768.5            Severe birth asphyxia

Birth asphyxia with neurologic involvement

768.6            Mild or moderate birth asphyxia

Other specified birth asphyxia (without mention of neurologic involvement)

768.9            Unspecified birth asphyxia in liveborn infant

Anoxia NOS, in liveborn infant

Asphyxia NOS, in liveborn infant

Hypoxia NOS, in liveborn infant

769            Respiratory distress syndrome

Cardiorespiratory distress syndrome of newborn

Hyaline membrane disease (pulmonary)

Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn

Pulmonary hypoperfusion syndrome

Excludes:            transient tachypnea of newborn (770.6)

770       Other respiratory conditions of fetus and newborn

770.0            Congenital pneumonia

Infective pneumonia acquired prenatally

Excludes:            pneumonia from infection acquired after birth (480.0-486)

770.1            Meconium aspiration syndrome

Aspiration of contents of birth canal NOS

Meconium aspiration below vocal cords

Pneumonitis:

fetal aspiration

meconium

770.2            Interstitial emphysema and related conditions

Pneumomediastinum originating in the perinatal period

Pneumopericardium originating in the perinatal period

Pneumothorax originating in the perinatal period

770.3            Pulmonary hemorrhage

Hemorrhage:

alveolar (lung) originating in the perinatal period

intra-alveolar (lung) originating in the perinatal period

massive pulmonary originating in the perinatal period

770.4            Primary atelectasis

Pulmonary immaturity NOS

770.5            Other and unspecified atelectasis

Atelectasis:

NOS originating in the perinatal period

partial originating in the perinatal period

secondary originating in the perinatal period

Pulmonary collapse originating in the perinatal period

770.6            Transitory tachypnea of newborn

Ideopathic tachypnea of newborn

Wet lung syndrome

Excludes:            respiratory distress syndrome (769)

770.7            Chronic respiratory disease arising in the perinatal period

Bronchopulmonary dysplasia

Interstitial pulmonary fibrosis of prematurity

Wilson-Mikity syndrome

770.8            Other respiratory problems after birth

770.81      Primary apnea of newborn

Apneic spells of newborn NOS

Essential apnea of newborn

Sleep apnea of newborn

770.82      Other apnea of newborn

Obstructive apnea of newborn

770.83      Cyanotic attacks of newborn

770.84      Respiratory failure of newborn

Excludes:            respiratory distress syndrome (769)

770.89      Other respiratory problems after birth

770.9            Unspecified respiratory condition of fetus and newborn

771            Infections specific to the perinatal period

Includes:            infections acquired before or during birth or via the umbilicus

Excludes:            congenital pneumonia (770.0)

congenital syphilis (090.0-090.9)

maternal infectious disease as a cause of mortality or morbidity in fetus or newborn, but fetus or newborn not manifesting the disease (760.2)

ophthalmia neonatorum due to gonococcus (098.40)

other infections not specifically classified to this category

771.0            Congenital rubella

Congenital rubella pneumonitis

771.1            Congenital cytomegalovirus infection

Congenital cytomegalic inclusion disease

771.2            Other congenital infections

Congenital:

herpes simplex

listeriosis

malaria

toxoplasmosis

tuberculosis

771.3            Tetanus neonatorum

Tetanus omphalitis

Excludes:            hypocalcemic tetany (775.4)

771.4            Omphalitis of the newborn

Infection:

navel cord

umbilical stump

Excludes:            tetanus omphalitis (771.3)

771.5            Neonatal infective mastitis

Excludes:            noninfective neonatal mastitis (778.7)

771.6            Neonatal conjunctivitis and dacryocystitis

Ophthalmia neonatorum NOS

Excludes:            ophthalmia neonatorum due to gonococcus (098.40)

771.7            Neonatal Candida infection

Neonatal moniliasis

Thrush in newborn

771.8            Other infections specific to the perinatal period

Use additional code to identify organism

771.81      Septicemia [sepsis] of newborn

771.82      Urinary tract infection of newborn

771.83      Bacteremia of newborn

771.89      Other infections specific to the perinatal period

Intra-amniotic infection of fetus NOS

Infection of newborn NOS

772       Fetal and neonatal hemorrhage

Excludes:            hematological disorders of fetus and newborn (776.0-776.9)

772.0            Fetal blood loss

Fetal blood loss from:

cut end of co-twin's cord

placenta

ruptured cord

vasa previa

Fetal exsanguination

Fetal hemorrhage into:

co-twin

mother's circulation

772.1            Intraventricular hemorrhage

Intraventricular hemorrhage from any perinatal cause

772.10      Unspecified grade

772.11      Grade I

Bleeding into germinal matrix

772.12      Grade II

Bleeding into ventricle

772.13      Grade III

Bleeding with enlargement of ventricle

772.14      Grade IV

Bleeding into cerebral cortex

772.2            Subarachnoid hemorrhage

Subarachnoid hemorrhage from any perinatal cause

Excludes:            subdural and cerebral hemorrhage (767.0)

772.3            Umbilical hemorrhage after birth

Slipped umbilical ligature

772.4            Gastrointestinal hemorrhage

Excludes:            swallowed maternal blood (777.3)

772.5            Adrenal hemorrhage

772.6            Cutaneous hemorrhage

Bruising in fetus or newborn

Ecchymoses in fetus or newborn

Petechiae in fetus or newborn

Superficial hematoma in fetus or newborn

772.8            Other specified hemorrhage of fetus or newborn

Excludes:            hemorrhagic disease of newborn (776.0)

pulmonary hemorrhage (770.3)

772.9            Unspecified hemorrhage of newborn

773            Hemolytic disease of fetus or newborn, due to isoimmunization

773.0            Hemolytic disease due to Rh isoimmunization

Anemia due to RH:

antibodies

isoimmunization

maternal/fetal incompatibility

Erythroblastosis (fetalis) due to RH:

antibodies

isoimmunization

maternal/fetal incompatibility

Hemolytic disease (fetus) (newborn) due to RH:

antibodies

isoimmunization

maternal/fetal incompatibility

Jaundice due to RH:

antibodies

isoimmunization

maternal/fetal incompatibility

Rh hemolytic disease

Rh isoimmunization

773.1            Hemolytic disease due to ABO isoimmunization

ABO hemolytic disease

ABO isoimmunization

Anemia due to ABO:

antibodies

isoimmunization

maternal/fetal incompatibility

Erythroblastosis (fetalis) due to ABO:

antibodies

isoimmunization

maternal/fetal incompatibility

Hemolytic disease (fetus) (newborn) due to ABO:

antibodies

isoimmunization

maternal/fetal incompatibility

Jaundice due to ABO:

antibodies

isoimmunization

maternal/fetal incompatibility

773.2            Hemolytic disease due to other and unspecified isoimmunization

Erythroblastosis (fetalis) (neonatorum) NOS

Hemolytic disease (fetus) (newborn) NOS

Jaundice or anemia due to other and unspecified blood-group incompatibility

773.3            Hydrops fetalis due to isoimmunization

Use additional code, if desired, to identify type of isoimmunization (773.0-773.2)

773.4            Kernicterus due to isoimmunization

Use additional code, if desired, to identify type of isoimmunization (773.0-773.2)

773.5            Late anemia due to isoimmunization

774       Other perinatal jaundice

774.0            Perinatal jaundice from hereditary hemolytic anemias

Code first underlying disease (282.0-282.9)

774.1            Perinatal jaundice from other excessive hemolysis

Fetal or neonatal jaundice from:

bruising

drugs or toxins transmitted from mother

infection

polycythemia

swallowed maternal blood

Use additional code to identify cause

Excludes:            jaundice due to isoimmunization (773.0-773.2)

774.2            Neonatal jaundice associated with preterm delivery

Hyperbilirubinemia of prematurity

Jaundice due to delayed conjugation associated with preterm delivery

774.3            Neonatal jaundice due to delayed conjugation from other causes

774.30      Neonatal jaundice due to delayed conjugation, cause unspecified

774.31      Neonatal jaundice due to delayed conjugation in diseases classified elsewhere

Code first underlying diseases, as:

congenital hypothyroidism (243)

Crigler-Najjar syndrome (277.4)

Gilbert's syndrome (277.4)

774.39      Other

Jaundice due to delayed conjugation from causes, such as:

breast milk inhibitors

delayed development of conjugating system

774.4            Perinatal jaundice due to hepatocellular damage

Fetal or neonatal hepatitis

Giant cell hepatitis

Inspissated bile syndrome

774.5            Perinatal jaundice from other causes

Code first underlying cause, as:

congenital obstruction of bile duct (751.61)

galactosemia (271.1)

mucoviscidosis (277.00-277.09)

774.6            Unspecified fetal and neonatal jaundice

Icterus neonatorum

Neonatal hyperbilirubinemia (transient)

Physiologic jaundice NOS in newborn

Excludes:            that in preterm infants (774.2)

774.7            Kernicterus not due to isoimmunization

Bilirubin encephalopathy

Kernicterus of newborn NOS

Excludes:            kernicterus due to isoimmunization (773.4)

775            Endocrine and metabolic disturbances specific to the fetus and newborn

Includes:            transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, its removal from them, or its adjustment to extrauterine existence

775.0            Syndrome of "infant of a diabetic mother"

Maternal diabetes mellitus affecting fetus or newborn (with hypoglycemia)

775.1            Neonatal diabetes mellitus

Diabetes mellitus syndrome in newborn infant

775.2            Neonatal myasthenia gravis

775.3            Neonatal thyrotoxicosis

Neonatal hyperthyroidism (transient)

775.4            Hypocalcemia and hypomagnesemia of newborn

Cow's milk hypocalcemia

Hypocalcemic tetany, neonatal

Neonatal hypoparathyroidism

Phosphate-loading hypocalcemia

775.5            Other transitory neonatal electrolyte disturbances

Dehydration, neonatal

775.6            Neonatal hypoglycemia

Excludes:            infant of mother with diabetes mellitus (775.0)

775.7            Late metabolic acidosis of newborn

775.8            Other transitory neonatal endocrine and metabolic disturbances

Amino-acid metabolic disorders described as transitory

775.9            Unspecified endocrine and metabolic disturbances specific to the fetus and newborn

776            Hematological disorders of fetus and newborn

Includes:            disorders specific to the fetus or newborn

776.0            Hemorrhagic disease of newborn

Hemorrhagic diathesis of newborn

Vitamin K deficiency of newborn

Excludes:            fetal or neonatal hemorrhage (772.0-772.9)

776.1            Transient neonatal thrombocytopenia

Neonatal thrombocytopenia due to:

exchange transfusion

idiopathic maternal thrombocytopenia

isoimmunization

776.2            Disseminated intravascular coagulation in newborn

776.3            Other transient neonatal disorders of coagulation

Transient coagulation defect, newborn

776.4            Polycythemia neonatorum

Plethora of newborn

Polycythemia due to:

donor twin transfusion

maternal-fetal transfusion

776.5            Congenital anemia

Anemia following fetal blood loss

Excludes:            anemia due to isoimmunization (773.0-773.2, 773.5)

hereditary hemolytic anemias (282.0-282.9)

776.6            Anemia of prematurity

776.7            Transient neonatal neutropenia

Isoimmune neutropenia

Maternal transfer neutropenia

Excludes:            congenital neutropenia (nontransient) (288.0)

776.8            Other specified transient hematological disorders

776.9            Unspecified hematological disorder specific to fetus or newborn

777            Perinatal disorders of digestive system

Includes:            disorders specific to the fetus and newborn

Excludes:            intestinal obstruction classifiable to 560.0-560.9

777.1            Meconium obstruction

Congenital fecaliths

Delayed passage of meconium

Meconium ileus NOS

Meconium plug syndrome

Excludes:            meconium ileus in cystic fibrosis (277.01)

777.2            Intestinal obstruction due to inspissated milk

777.3            Hematemesis and melena due to swallowed maternal blood

Swallowed blood syndrome in newborn

Excludes:            that not due to swallowed maternal blood (772.4)

777.4            Transitory ileus of newborn

Excludes:            Hirschsprung's disease (751.3)

777.5            Necrotizing enterocolitis in fetus or newborn

Pseudomembranous enterocolitis in newborn

777.6            Perinatal intestinal perforation

Meconium peritonitis

777.8            Other specified perinatal disorders of digestive system

777.9            Unspecified perinatal disorder of digestive system

778            Conditions involving the integument and temperature regulation of fetus and newborn

778.0            Hydrops fetalis not due to isoimmunization

Idiopathic hydrops

Excludes:            hydrops fetalis due to isoimmunization (773.3)

778.1            Sclerema neonatorum

778.2            Cold injury syndrome of newborn

778.3            Other hypothermia of newborn

778.4            Other disturbances of temperature regulation of newborn

Dehydration fever in newborn

Environmentally induced pyrexia

Hyperthermia in newborn

Transitory fever of newborn

778.5            Other and unspecified edema of newborn

Edema neonatorum

778.6            Congenital hydrocele

Congenital hydrocele of tunica vaginalis

778.7            Breast engorgement in newborn

Noninfective mastitis of newborn

Excludes:            infective mastitis of newborn (771.5)

778.8            Other specified conditions involving the integument of fetus and newborn

Urticaria neonatorum

Excludes:            impetigo neonatorum (684)

pemphigus neonatorum (684)

778.9            Unspecified condition involving the integument and temperature regulation of fetus and newborn

779       Other and ill-defined conditions originating in the perinatal period

779.0            Convulsions in newborn

Fits in newborn

Seizures in newborn

779.1            Other and unspecified cerebral irritability in newborn

779.2            Cerebral depression, coma, and other abnormal cerebral signs

CNS dysfunction in newborn NOS

779.3            Feeding problems in newborn

Regurgitation of food in newborn

Slow feeding in newborn

Vomiting in newborn

779.4            Drug reactions and intoxications specific to newborn

Gray syndrome from chloramphenicol administration in newborn

Excludes:            fetal alcohol syndrome (760.71)

reactions and intoxications from maternal opiates and tranquilizers (763.5)

779.5            Drug withdrawal syndrome in newborn

Drug withdrawal syndrome in infant of dependent mother

Excludes:            fetal alcohol syndrome (760.71)

779.6            Termination of pregnancy (fetus)

Fetal death due to:

induced abortion

termination of pregnancy

Excludes:            spontaneous abortion (fetus) (761.8)

779.7            Periventricular leukomalacia

779.8            Other specified conditions originating in the perinatal period

779.81      Neonatal bradycardia

Excludes:            abnormality in fetal heart rate or rhythm complicating labor and delivery (763.81-763.83)

bradycardia due to birth asphyxia (768.5-768.9)

779.82      Neonatal tachycardia

Excludes:            abnormality in fetal heart rate or rhythm complicating labor and delivery (763.81-763.83)

779.89      Other specified conditions originating in the perinatal period

779.9            Unspecified condition originating in the perinatal period

Congenital debility NOS

Stillbirth NEC

16.  SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS (780-799)

This section includes symptoms, signs, abnormal results of laboratory or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.

Signs and symptoms that point rather definitely to a given diagnosis are assigned to some category in the preceding part of the classification. In general, categories 780-796 include the more ill-defined conditions and symptoms that point with perhaps equal suspicion to two or more diseases or to two or more systems of the body, and without the necessary study of the case to make a final diagnosis. Practically all categories in this group could be designated as "not otherwise specified," or as "unknown etiology," or as "transient." The Alphabetic Index should be consulted to determine which symptoms and signs are to be allocated here and which to more specific sections of the classification; the residual subcategories numbered .9 are provided for other relevant symptoms which cannot be allocated elsewhere in the classification.

The conditions and signs or symptoms included in categories 780-796 consist of: (a) cases for which no more specific diagnosis can be made even after all facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnoses in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms which represent important problems in medical care and which it might be desired to classify in addition to a known cause.

SYMPTOMS (780-789)

780       General symptoms

780.0            Alteration of consciousness

Excludes:            coma:

diabetic (250.2-250.3)

hepatic (572.2)

originating in the perinatal period  (779.2)

780.01      Coma

780.02      Transient alteration of awareness

780.03      Persistent vegetative state

780.09      Other

Drowsiness

Semicoma

Unconsciousness

Somnolence

Stupor

780.1            Hallucinations

Hallucinations:

NOS

auditory

gustatory

olfactory

tactile

Excludes:            those associated with mental disorders, as functional psychoses (295.0-298.9)

organic brain syndromes (290.0-294.9, 310.0-310.9)

visual hallucinations (368.16)

780.2            Syncope and collapse

Blackout

Fainting

(Near) (Pre)syncope

Vasovagal attack

Excludes:            carotid sinus syncope (337.0)

heat syncope (992.1)

neurocirculatory asthenia (306.2)

orthostatic hypotension (458.0)

shock NOS (785.50)

780.3            Convulsions

Excludes:            convulsions:

epileptic (345.10-345.91)

in newborn (779.0)

780.31      Febrile convulsions

Febrile seizures

780.39      Other convulsions

Convulsive disorder NOS

Fits NOS

Seizures NOS

780.4            Dizziness and giddiness

Light-headedness

Vertigo NOS

Excludes:            Ménière's disease and other specified vertiginous syndromes (386.0-386.9)

780.5            Sleep disturbances

Excludes:            that of nonorganic origin (307.40-307.49)

780.50      Sleep disturbance, unspecified

780.51      Insomnia with sleep apnea

780.52      Other insomnia

Insomnia NOS

780.53      Hypersomnia with sleep apnea

780.54      Other hypersomnia

Hypersomnia NOS

780.55      Disruptions of 24-hour sleep-wake cycle

Inversion of sleep rhythm

Irregular sleep-wake rhythm NOS

Non-24-hour sleep-wake rhythm

780.56      Dysfunctions associated with sleep stages or arousal from sleep

780.57      Other and unspecified sleep apnea

780.59      Other

780.6            Fever

Chills with fever

Fever NOS

Fever of unknown origin (FUO)

Hyperpyrexia NOS

Pyrexia NOS

Pyrexia of unknown origin

Excludes:            pyrexia of unknown origin (during):

in newborn (778.4)

labor (659.2)

the puerperium (672)

780.7            Malaise and fatigue

Excludes:            debility, unspecified (799.3)

fatigue (during):

combat (308.0-308.9)

heat (992.6)

pregnancy (646.8)

neurasthenia (300.5)

senile asthenia (797)

780.71      Chronic fatigue syndrome

780.79      Other malaise and fatigue

Asthenia NOS

Lethargy

Postviral (asthenic) syndrome

Tiredness

780.8            Hyperhidrosis

Diaphoresis

Excessive sweating

780.9            Other general symptoms

Excludes:            hypothermia:

NOS (accidental) (991.6)

due to anesthesia (995.89)

of newborn (778.2-778.3)

memory disturbance as part of a pattern of mental disorder

780.91      Fussy infant (baby)

780.92      Excessive crying of infant (baby)

780.99      Other general symptoms

Amnesia (retrograde)

Chill(s) NOS

Generalized pain

Hypothermia, not associated with low environmental temperature

781            Symptoms involving nervous and musculoskeletal systems

Excludes:            depression NOS (311)

disorders specifically relating to:

back (724.0-724.9)

hearing (388.0-389.9)

joint (718.0-719.9)

limb (729.0-729.9)

neck (723.0-723.9)

vision (368.0-369.9)

pain in limb (729.5)

781.0            Abnormal involuntary movements

Abnormal head movements

Fasciculation

Spasms NOS

Tremor NOS

Excludes:            abnormal reflex (796.1)

chorea NOS (333.5)

infantile spasms (345.60-345.61)

spastic paralysis (342.1, 343.0-344.9)

specified movement disorders classifiable to 333 (333.0-333.9)

that of nonorganic origin (307.2-307.3)

781.1            Disturbances of sensation of smell and taste

Anosmia

Parageusia

Parosmia

781.2            Abnormality of gait

Gait:

ataxic

paralytic

spastic

staggering

Excludes:            ataxia:

NOS (781.3)

locomotor (progressive) (094.0)

difficulty in walking (719.7)

781.3            Lack of coordination

Ataxia NOS

Muscular incoordination

Excludes:            ataxic gait (781.2)

cerebellar ataxia (334.0-334.9)

difficulty in walking (719.7)

vertigo NOS (780.4)

781.4            Transient paralysis of limb

Monoplegia, transient NOS

Excludes:            paralysis (342.0-344.9)

781.5            Clubbing of fingers

781.6            Meningismus

Dupre's syndrome

Meningism

781.7            Tetany

Carpopedal spasm

Excludes:            tetanus neonatorum (771.3)

tetany:

hysterical (300.11)

newborn (hypocalcemic) (775.4)

parathyroid (252.1)

psychogenic (306.0)

781.8            Neurologic neglect syndrone

Asomatognosia

Hemi-akinesia

Hemi-inattention

Hemispatial neglect

Left-sided neglect

Sensory extinction

Sensory neglect

Visuospatial neglect

781.9            Other symptoms involving nervous and musculoskeletal systems

781.91      Loss of height

Excludes:            osteoporosis (733.00-733.09)

781.92      Abnormal posture

781.93      Ocular torticollis

781.99      Other symptoms involving nervous and musculoskeletal systems

782            Symptoms involving skin and other integumentary tissue

Excludes:            symptoms relating to breast (611.71-611.79)

782.0            Disturbance of skin sensation

Anesthesia of skin

Burning or prickling sensation

Hyperesthesia

Hypoesthesia

Numbness

Paresthesia

Tingling

782.1            Rash and other nonspecific skin eruption

Exanthem

Excludes:            vesicular eruption (709.8)

782.2            Localized superficial swelling, mass, or lump

Subcutaneous nodules

Excludes:            localized adiposity (278.1)

782.3            Edema

Anasarca

Dropsy

Localized edema NOS

Excludes:            ascites (789.5)

edema of:

newborn NOS (778.5)

pregnancy (642.0-642.9, 646.1)

fluid retention (276.6)

hydrops fetalis (773.3, 778.0)

hydrothorax (511.8)

nutritional edema (260, 262)

782.4            Jaundice, unspecified, not of newborn

Cholemia NOS

Icterus NOS

Excludes:            jaundice in newborn (774.0-774.7)

due to isoimmunization (773.0-773.2, 773.4)

782.5            Cyanosis

Excludes:            newborn (770.83)

782.6            Pallor and flushing

782.61      Pallor

782.62      Flushing

Excessive blushing

782.7            Spontaneous ecchymoses

Petechiae

Excludes:            ecchymosis in fetus or newborn (772.6)

purpura (287.0-287.9)

782.8            Changes in skin texture

Induration of skin

Thickening of skin

782.9            Other symptoms involving skin and integumentary tissues

783            Symptoms concerning nutrition, metabolism, and development

783.0            Anorexia

Loss of appetite

Excludes:            anorexia nervosa (307.1)

loss of appetite of nonorganic origin (307.59)

783.1            Abnormal weight gain

Excludes:            excessive weight gain in pregnancy (646.1)

obesity (278.00)

morbid (278.01)

783.2            Abnormal loss of weight and underweight

783.21      Loss of weight

783.22      Underweight

783.3            Feeding difficulties and mismanagement

Feeding problem (elderly) (infant)

Excludes:            feeding disturbance or problems:

in newborn (779.3)

of nonorganic origin (307.50-307.59)

783.4            Lack of expected normal physiological development in childhood

Excludes:            delay in sexual development and puberty (259.0)

gonadal dysgenesis (758.6)

pituitary dwarfism (253.3)

slow fetal growth and fetal malnutrition (764.00-764.99)

specific delays in mental development (315.0-315.9)

783.40      Lack of normal physiological development, unspecified

Inadequate development

Lack of development

783.41      Failure to thrive

Failure to gain weight

783.42      Delayed milestones

Late talker

Late walker

783.43      Short stature

Growth failure

Growth retardation

Lack of growth

Physical retardation

783.5            Polydipsia

Excessive thirst

783.6            Polyphagia

Excessive eating

Hyperalimentation NOS

Excludes:            disorders of eating of nonorganic origin (307.50-307.59)

783.7            Adult failure to thrive

783.9            Other symptoms concerning nutrition, metabolism, and development

Hypometabolism

Excludes:            abnormal basal metabolic rate (794.7)

dehydration (276.5)

other disorders of fluid, electrolyte, and acid-base balance (276.0-276.9)

784            Symptoms involving head and neck

Excludes:            encephalopathy NOS (348.3)

specific symptoms involving neck classifiable to 723 (723.0-723.9)

784.0            Headache

Facial pain

Pain in head NOS

Excludes:            atypical face pain (350.2)

migraine (346.0-346.9)

tension headache (307.81)

784.1            Throat pain

Excludes:            dysphagia (787.2)

neck pain (723.1)

sore throat (462)

chronic (472.1)

784.2            Swelling, mass, or lump in head and neck

Space-occupying lesion, intracranial NOS

784.3            Aphasia

Excludes:            developmental aphasia (315.31)

784.4            Voice disturbance

784.40      Voice disturbance, unspecified

784.41      Aphonia

Loss of voice

784.49      Other

Change in voice

Dysphonia

Hoarseness

Hypernasality

Hyponasality

784.5            Other speech disturbance

Dysarthria

Dysphasia

Slurred speech

Excludes:            stammering and stuttering (307.0)

that of nonorganic origin (307.0, 307.9)

784.6            Other symbolic dysfunction

Excludes:            developmental learning delays (315.0-315.9)

784.60      Symbolic dysfunction, unspecified

784.61      Alexia and dyslexia

Alexia (with agraphia)

784.69      Other

Acalculia

Agnosia

Agraphia NOS

Apraxia

784.7            Epistaxis

Hemorrhage from nose

Nosebleed

784.8            Hemorrhage from throat

Excludes:            hemoptysis (786.3)

784.9            Other symptoms involving head and neck

Choking sensation

Halitosis

Mouth breathing

Sneezing

785            Symptoms involving cardiovascular system

Excludes:            heart failure NOS (428.9)

785.0            Tachycardia, unspecified

Rapid heart beat

Excludes:            neonatal tachycardia (779.82)

paroxysmal tachycardia (427.0-427.2)

785.1            Palpitations

Awareness of heart beat

Excludes:            specified dysrhythmias (427.0-427.9)

785.2            Undiagnosed cardiac murmurs

Heart murmur NOS

785.3            Other abnormal heart sounds

Cardiac dullness, increased or decreased

Friction fremitus, cardiac

Precordial friction

785.4            Gangrene

Gangrene:

NOS

spreading cutaneous

Gangrenous cellulitis

Phagedena

Code first  any associated underlying condition

Excludes:            gangrene of certain sites­see Alphabetic Index

gangrene with atherosclerosis of the extremities (440.24)

gas gangrene (040.0)

785.5            Shock without mention of trauma

785.50      Shock, unspecified

Failure of peripheral circulation

785.51      Cardiogenic shock

785.59      Other

Shock:

endotoxic

gram-negative

hypovolemic

septic

Excludes:            shock (due to):

anesthetic (995.4)

anaphylactic (995.0)

due to serum (999.4)

electric (994.8)

following abortion (639.5)

lightning (994.0)

obstetrical (669.1)

postoperative (998.0)

traumatic (958.4)

785.6            Enlargement of lymph nodes

Lymphadenopathy

"Swollen glands"

Excludes:            lymphadenitis (chronic) (289.1-289.3)

acute (683)

785.9            Other symptoms involving cardiovascular system

Bruit (arterial)

Weak pulse

786            Symptoms involving respiratory system and other chest symptoms

786.0            Dyspnea and respiratory abnormalities

786.00      Respiratory abnormality, unspecified

786.01      Hyperventilation

Excludes:            hyperventilation, psychogenic (306.1)

786.02      Orthopnea

786.03      Apnea

Excludes:            apnea of newborn (770.81, 770.82)

sleep apnea (780.51, 780.53, 780.57)

786.04      Cheyne-Stokes respiration

786.05      Shortness of breath

786.06      Tachypnea

Excludes:            transitory tachypnea of newborn (770.6)

786.07      Wheezing

Excludes:            asthma (493.00-493.92)

786.09      Other

Respiratory:

distress

insufficiency

Excludes:            respiratory distress:

following trauma and surgery (518.5)

newborn (770.89)

syndrome (newborn) (769)

adult (518.5)

respiratory failure (518.81, 518.83-518.84)

newborn (770.84)

786.1            Stridor

Excludes:            congenital laryngeal stridor (748.3)

786.2            Cough

Excludes:            cough:

psychogenic (306.1)

smokers' (491.0)

with hemorrhage (786.3)

786.3            Hemoptysis

Cough with hemorrhage

Pulmonary hemorrhage NOS

Excludes:            pulmonary hemorrhage of newborn (770.3)

786.4            Abnormal sputum

Abnormal:

amount of sputum

color of sputum

odor of sputum

Excessive sputum

786.5            Chest pain

786.50      Chest pain, unspecified

786.51      Precordial pain

786.52      Painful respiration

Pain:

anterior chest wall

pleuritic

Pleurodynia

Excludes:            epidemic pleurodynia (074.1)

786.59      Other

Discomfort in chest

Pressure in chest

Tightness in chest

Excludes:            pain in breast (611.71)

786.6            Swelling, mass, or lump in chest

Excludes:            lump in breast (611.72)

786.7            Abnormal chest sounds

Abnormal percussion, chest

Friction sounds, chest

Rales

Tympany, chest

Excludes:            wheezing (786.07)

786.8            Hiccough

Excludes:            psychogenic hiccough (306.1)

786.9            Other symptoms involving respiratory system and chest

Breath-holding spell

787            Symptoms involving digestive system

Excludes:            constipation (564.0-564.9)

pylorospasm (537.81)

congenital (750.5)

787.0            Nausea and vomiting

Emesis

Excludes:            hematemesis NOS (578.0)

vomiting:

bilious, following gastrointestinal surgery (564.3)

cyclical (536.2)

psychogenic (306.4)

excessive, in pregnancy (643.0-643.9)

habit (536.2)

of newborn (779.3)

psychogenic NOS (307.54)

787.01      Nausea with vomiting

787.02      Nausea alone

787.03      Vomiting alone

787.1            Heartburn

Pyrosis

Waterbrash

Excludes:            dyspepsia or indigestion (536.8)

787.2            Dysphagia

Difficulty in swallowing

787.3            Flatulence, eructation, and gas pain

Abdominal distention (gaseous)

Bloating

Tympanites (abdominal) (intestinal)

Excludes:            aerophagy (306.4)

787.4            Visible peristalsis

Hyperperistalsis

787.5            Abnormal bowel sounds

Absent bowel sounds

Hyperactive bowel sounds

787.6            Incontinence of feces

Encopresis NOS

Incontinence of sphincter ani

Excludes:            that of nonorganic origin (307.7)

787.7            Abnormal feces

Bulky stools

Excludes:            abnormal stool content (792.1)

melena:

NOS (578.1)

newborn (772.4, 777.3)

787.9            Other symptoms involving digestive system

 

Excludes:            gastrointestinal hemorrhage (578.0-578.9)

intestinal obstruction (560.0-560.9)

specific functional digestive disorders:

esophagus (530.0-530.9)

stomach and duodenum (536.0-536.9)

those not elsewhere classified (564.0-564.9)

787.91      Diarrhea

Diarrhea NOS

787.99      Other

Change in bowel habits

Tenesmus (rectal)

788            Symptoms involving urinary system

Excludes:            hematuria (599.7)

nonspecific findings on examination of the urine (791.0-791.9)

small kidney of unknown cause (589.0-589.9)

uremia NOS (586)

788.0            Renal colic

Colic (recurrent) of:

kidney

ureter

788.1            Dysuria

Painful urination

Strangury

788.2            Retention of urine

788.20      Retention of urine, unspecified

788.21      Incomplete bladder emptying

788.29      Other specified retention of urine

788.3            Urinary incontinence

Excludes:            that of nonorganic origin (307.6)

Code, if applicable, any causal condition first, such as:

congenital ureterocele (753.23)

genital prolapse (618.0-618.9)

788.30      Urinary incontinence, unspecified

Enuresis NOS

788.31      Urge incontinence

788.32      Stress incontinence, male

Excludes:            stress incontinence, female (625.6)

788.33      Mixed incontinence (female) (male)

Urge and stress

788.34      Incontinence without sensory awareness

788.35      Post-void dribbling

788.36      Nocturnal enuresis

788.37      Continuous leakage

788.39      Other urinary incontinence

788.4            Frequency of urination and polyuria

788.41      Urinary frequency

Frequency of micturition

788.42      Polyuria

788.43      Nocturia

788.5            Oliguria and anuria

Deficient secretion of urine

Suppression of urinary secretion

Excludes:            that complicating:

abortion (634-638 with .3, 639.3)

ectopic or molar pregnancy (639.3)

pregnancy, childbirth, or the puerperium (642.0-642.9, 646.2)

788.6            Other abnormality of urination

788.61      Splitting of urinary stream

Intermittent urinary stream

788.62      Slowing of urinary stream

Weak stream

788.69      Other

788.7            Urethral discharge

Penile discharge

Urethrorrhea

788.8            Extravasation of urine

788.9            Other symptoms involving urinary system

Extrarenal uremia

Vesical:

pain

tenesmus

789       Other symptoms involving abdomen and pelvis

The following fifth-digit subclassification is to be used for codes 789.0, 789.3, 789.4, 789.6

0            unspecified site

1            right upper quadrant

2            left upper quadrant

3            right lower quadrant

4            left lower quadrant

5            periumbilic

6            epigastric

7            generalized

9            other specified site

multiple sites

Excludes:            symptoms referable to genital organs:

female (625.0-625.9)

male (607.0-608.9)

psychogenic (302.70-302.79)

789.0            Abdominal pain

Colic:

NOS

infantile

Cramps, abdominal

Excludes:            renal colic (788.0)

789.1            Hepatomegaly

Enlargement of liver

789.2            Splenomegaly

Enlargement of spleen

789.3            Abdominal or pelvic swelling, mass, or lump

Diffuse or generalized swelling or mass:

abdominal NOS

umbilical

Excludes:            abdominal distention (gaseous) (787.3)

ascites (789.5)

789.4            Abdominal rigidity

789.5            Ascites

Fluid in peritoneal cavity

789.6            Abdominal tenderness

Rebound tenderness

789.9            Other symptoms involving abdomen and pelvis

Umbilical:

bleeding

discharge

NONSPECIFIC ABNORMAL FINDINGS (790-796)

790            Nonspecific findings on examination of blood

Excludes:            abnormality of:

platelets (287.0-287.9)

thrombocytes (287.0-287.9)

white blood cells (288.0-288.9)

790.0            Abnormality of red blood cells

Excludes:            anemia:

congenital (776.5)

newborn, due to isoimmunization (773.0-773.2, 773.5)

of premature infant (776.6)

other specified types (280.0-285.9)

hemoglobin disorders (282.5-282.7)

polycythemia:

familial (289.6)

neonatorum (776.4)

secondary (289.0)

vera (238.4)

790.01      Precipitous drop in hematocrit

Drop in hematocrit

790.09      Other abnormality of red blood cells

Abnormal red cell morphology NOS

Abnormal red cell volume NOS

Anisocytosis

Poikilocytosis

790.1            Elevated sedimentation rate

790.2            Abnormal glucose tolerance test

Excludes:            that complicating pregnancy, childbirth, or the puerperium (648.8)

790.3            Excessive blood level of alcohol

Elevated blood-alcohol

790.4            Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH]

790.5            Other nonspecific abnormalserum enzyme levels

Abnormal serum level of:

acid phosphatase

alkaline phosphatase

amylase

lipase

Excludes:            deficiency of circulating enzymes (277.6)

790.6            Other abnormal blood chemistry

Abnormal blood levels of:

cobalt

copper

iron

lithium

magnesium

mineral

zinc

Excludes:            abnormality of electrolyte or acid-base balance (276.0-276.9)

hypoglycemia NOS (251.2)

specific finding indicating abnormality of:

amino-acid transport and metabolism (270.0-270.9)

carbohydrate transport and metabolism (271.0-271.9)

lipid metabolism (272.0-272.9)

uremia NOS (586)

790.7            Bacteremia

Excludes:            bacteremia of newborn (771.83)

septicemia (038)

Use additional code to identify organism (041)

790.8            Viremia, unspecified

790.9            Other nonspecific findings on examination of blood

790.91      Abnormal arterial blood gases

790.92      Abnormal coagulation profile

Abnormal or prolonged:

bleeding time

coagulation time

partial thromboplastin time [PTT]

prothrombin time [PT]

Excludes:            coagulation (hemorrhagic) disorders (286.0-286.9)

790.93      Elevated prostate specific antigen [PSA]

790.94      Euthyroid sick syndrome

790.99      Other

791            Nonspecific findings on examination of urine

Excludes:            hematuria NOS (599.7)

specific findings indicating abnormality of:

amino-acid transport and metabolism (270.0-270.9)

carbohydrate transport and metabolism (271.0-271.9)

791.0            Proteinuria

Albuminuria

Bence-Jones proteinuria

Excludes:            postural proteinuria (593.6)

that arising during pregnancy or the puerperium (642.0-642.9, 646.2)

791.1            Chyluria

Excludes:            filarial (125.0-125.9)

791.2            Hemoglobinuria

791.3            Myoglobinuria

791.4            Biliuria

791.5            Glycosuria

Excludes:            renal glycosuria (271.4)

791.6            Acetonuria

Ketonuria

791.7            Other cells and casts in urine

791.9            Other nonspecific findings on examination of urine

Crystalluria

Elevated urine levels of:

17-ketosteroids

catecholamines

indolacetic acid

vanillylmandelic acid [VMA]

Melanuria

792            Nonspecific abnormal findings in other body substances

Excludes:            that in chromosomal analysis (795.2)

792.0            Cerebrospinal fluid

792.1            Stool contents

Abnormal stool color

Fat in stool

Mucus in stool

Occult blood

Pus in stool

Excludes:            blood in stool [melena] (578.1)

newborn (772.4, 777.3)

792.2            Semen

Abnormal spermatozoa

Excludes:            azoospermia (606.0)

oligospermia (606.1)

792.3            Amniotic fluid

792.4            Saliva

Excludes:            that in chromosomal analysis (795.2)

792.5            Cloudy (hemodialysis) (peritoneal) dialysis effluent

792.9            Other nonspecific abnormal findings in body substances

Peritoneal fluid

Pleural fluid

Synovial fluid

Vaginal fluids

793            Nonspecific abnormal findings on radiological and other examination of body structure

Includes:            nonspecific abnormal findings of:

thermography

ultrasound examination [echogram]

x-ray examination

Excludes:            abnormal results of function studies and radioisotope scans (794.0-794.9)

793.0            Skull and head

Excludes:            nonspecific abnormal echoencephalogram (794.01)

793.1            Lung field

Coin lesion lung

Shadow, lung

793.2            Other intrathoracic organ

Abnormal:

echocardiogram

heart shadow

ultrasound cardiogram

Mediastinal shift

793.3            Biliary tract

Nonvisualization of gallbladder

793.4            Gastrointestinal tract

793.5            Genitourinary organs

Filling defect:

bladder

kidney

ureter

793.6            Abdominal area, including retroperitoneum

793.7            Musculoskeletal system

793.8            Breast

793.80      Abnormal mammogram, unspecified

793.81      Mammographic microcalcification

793.89      Other abnormal findings on radiological examination of breast

793.9            Other

Abnormal:

placental finding by x-ray or ultrasound method

radiological findings in skin and subcutaneous tissue

Excludes:            abnormal finding by radioisotope localization of placenta (794.9)

794            Nonspecific abnormal results of function studies

Includes:            radioisotope:

scans

uptake studies

scintiphotography

794.0            Brain and central nervous system

794.00      Abnormal function study, unspecified

794.01      Abnormal echoencephalogram

794.02      Abnormal electroencephalogram [EEG]

794.09      Other

Abnormal brain scan

794.1            Peripheral nervous system and special senses

794.10      Abnormal response to nerve stimulation, unspecified

794.11      Abnormal retinal function studies

Abnormal electroretinogram [ERG]

794.12      Abnormal electro-oculogram [EOG]

794.13      Abnormal visually evoked potential

794.14      Abnormal oculomotor studies

794.15      Abnormal auditory function studies

794.16      Abnormal vestibular function studies

794.17      Abnormal electromyogram [EMG]

Excludes:            that of eye (794.14)

794.19      Other

794.2            Pulmonary

Abnormal lung scan

Reduced:

ventilatory capacity

vital capacity

794.3            Cardiovascular

794.30      Abnormal function study, unspecified

794.31      Abnormal electrocardiogram [ECG] [EKG]

794.39      Other

Abnormal:

ballistocardiogram

phonocardiogram

vectorcardiogram

794.4            Kidney

Abnormal renal function test

794.5            Thyroid

Abnormal thyroid:

scan

uptake

794.6            Other endocrine function study

794.7            Basal metabolism

Abnormal basal metabolic rate [BMR]

794.8            Liver

Abnormal liver scan

794.9            Other

Bladder

Pancreas

Placenta

Spleen

795            Nonspecific abnormal histological and immunological findings

Excludes:            nonspecific abnormalities of red blood cells (790.01-790.09)

795.0            Nonspecific abnormal Papanicolaou smear of cervix

Excludes:            Carcinoma in-situ of cervix (233.1)

Cervical intraepithelial neoplasia I (CIN I) (622.1)

Cervical intraepithelial neoplasia II (CIN II) (622.1)

Cervical intraepithelial neoplasia III (CIN III) (233.1)

Dysplasia of cervix (uteri) (622.1)

High grade squamous intraepithelial dysplasia (HGSIL) (622.1)

Low grade squamous intraepithelial dysplasia (LGSIL) (622.1)

795.00      Nonspecific abnormal Papanicolaou smear of cervix, unspecified

795.01      Atypical squamous cell changes of undetermined significance favor benign (ASCUS favor benign)

Atypical glandular cell changes of undetermined significance favor benign (AGCUS favor benign)

795.02      Atypical squamous cell changes of undetermined significance favor dysplasia (ASCUS favor dysplasia)

Atypical glandular cell changes of undetermined significance favor dysplasia (AGCUS favor dysplasia)

795.09      Other nonspecific abnormal Papanicolaou smear of cervix

Benign cellular changes

Unsatisfactory smear

795.1            Nonspecific abnormal Papanicolaou smear of other site

795.2            Nonspecific abnormal findings on chromosomal analysis

Abnormal karyotype

795.3            Nonspecific positive culture findings

Positive culture findings in:

nose

sputum

throat

wound

Excludes:            that of:

blood (790.7-790.8)

urine (791.9)

795.31      Nonspecific positive findings for anthrax

Positive findings by nasal swab

795.39      Other nonspecific positive culture findings

795.4            Other nonspecific abnormal histological findings

795.5            Nonspecific reaction to tuberculin skin test without active tuberculosis

Abnormal result of Mantoux test

PPD positive

Tuberculin (skin test):

positive

reactor

795.6            False positive serological test for syphilis

False positive Wassermann reaction

795.7            Other nonspecific immunological findings

Excludes:            isoimmunization, in pregnancy (656.1-656.2)

affecting fetus or newborn (773.0-773.2)

795.71      Nonspecific serologic evidence of human immunodeficiency virus [HIV]

Inconclusive human immunodeficiency virus [HIV] test (adult) (infant)

Note:            This code is ONLY to be used when a test finding is reported as nonspecific.  Asymptomatic positive findings are coded to V08.  If any HIV infection symptom or condition is present, see code 042.  Negative findings are not coded.

Excludes:            acquired immunodeficiency syndrome [AIDS] (042)

asymptomatic human immunodeficiency virus, [HIV] infection status (V08)

HIV infection, symptomatic (042)

human immunodeficiency virus [HIV] disease (042)

positive (status) NOS (V08)

795.79      Other and unspecified nonspecific immunological findings

Raised antibody titer

Raised level of immunoglobulins

796       Other nonspecific abnormal findings

796.0            Nonspecific abnormal toxicological findings

Abnormal levels of heavy metals or drugs in blood, urine, or other tissue

Excludes:            excessive blood level of alcohol (790.3)

796.1            Abnormal reflex

796.2            Elevated blood pressure reading without diagnosis of hypertension

Note:            This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an incidental finding.

796.3            Nonspecific low blood pressure reading

796.4            Other abnormal clinical findings

796.5            Abnormal finding on antenatal screening

796.9            Other

ILL-DEFINED AND UNKNOWN CAUSES OF MORBIDITY AND MORTALITY (797-799)

797       Senility without mention of psychosis

Old age

Senescence

Senile asthenia

Senile:

debility

exhaustion

Excludes:            senile psychoses (290.0-290.9)

798       Sudden death, cause unknown

798.0            Sudden infant death syndrome

Cot death

Crib death

Sudden death of nonspecific cause in infancy

798.1            Instantaneous death

798.2            Death occurring in less than 24 hours from onset of symptoms, not otherwise explained

Death known not to be violent or instantaneous, for which no cause could be discovered

Died without sign of disease

798.9            Unattended death

Death in circumstances where the body of the deceased was found and no cause could be discovered

Found dead

799       Other ill-defined and unknown causes of morbidity and mortality

799.0            Asphyxia

Excludes:            asphyxia (due to):

carbon monoxide (986)

inhalation of food or foreign body (932-934.9)

newborn (768.0-768.9)

traumatic (994.7)

799.1            Respiratory arrest

Cardiorespiratory failure

Excludes:            cardiac arrest (427.5)

failure of peripheral circulation (785.50)

respiratory distress:

NOS (786.09)

acute (518.82)

following trauma or surgery (518.5)

newborn (770.89)

syndrome (newborn) (769)

adult (following trauma or surgery) (518.5)

other (518.82)

respiratory failure (518.81, 518.83-518.84)

newborn (770.84)

respiratory insufficiency (786.09)

acute (518.82)

799.2            Nervousness

"Nerves"

799.3            Debility, unspecified

Excludes:            asthenia (780.79)

nervous debility (300.5)

neurasthenia (300.5)

senile asthenia (797)

799.4            Cachexia

Wasting disease

Excludes:            nutritional marasmus (261)

799.8            Other ill-defined conditions

799.9            Other unknown and unspecified cause

Undiagnosed disease, not specified as to site or system involved

Unknown cause of morbidity or mortality

17.  INJURY AND POISONING (800-999)

Use E code(s) to identify the cause and intent of the injury or poisoning (E800-E999)

Note:

1.         The principle of multiple coding of injuries should be followed wherever possible. Combination categories for multiple injuries are provided for use when there is insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record a single code; otherwise, the component injuries should be coded separately.

            Where multiple sites of injury are specified in the titles, the word "with" indicates involvement of both sites, and the word "and" indicates involvement of either or both sites. The word "finger" includes thumb.

2.   Categories for "late effect" of injuries are to be found at 905-909.

FRACTURES (800-829)

Excludes:            malunion (733.81)

nonunion (733.82)

pathologic or spontaneous fracture (733.10-733.19)

stress fracture (733.93-733.95)

The terms "condyle," "coronoid process," "ramus," and "symphysis" indicate the portion of the bone fractured, not the name of the bone involved.

The descriptions "closed" and "open" used in the fourth-digit subdivisions include the following terms:

closed (with or without delayed healing):

comminuted

depressed

elevated

fissured

fracture NOS

greenstick

impacted

linear

simple

slipped epiphysis

spiral

open (with or without delayed healing):

compound

infected

missile

puncture

with foreign body

Note:    A fracture not indicated as closed or open should be classified as closed.

FRACTURE OF SKULL (800-804)

The following fifth-digit subclassification is for use with the appropriate codes in categories 800, 801, 803, and 804:

0            unspecified state of consciousness

1            with no loss of consciousness

2            with brief [less than one hour] loss of consciousness

3            with moderate [1-24 hours] loss of consciousness

4            with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level

5            with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level

Use fifth-digit 5 to designate when a patient is unconscious and dies before regaining consciousness, regardless of the duration of the loss of consciousness

6            with loss of consciousness of unspecified duration

9            with concussion, unspecified

800       Fracture of vault of skull

Requires fifth digit. See beginning of section 800-804 for codes and definitions.

Includes:            frontal bone

parietal bone

800.0            Closed without mention of intracranial injury

800.1            Closed with cerebral laceration and contusion

800.2            Closed wtih subarachnoid, subdural, and extradural hemorrhage

800.3            Closed with other and unspecified intracranial hemorrhage

800.4            Closed with intracranialinjury of other and unspecified nature

800.5            Open without mention of intracranial injury

800.6            Open with cerebral laceration and contusion

800.7            Open with subarachnoid, subdural, and extradural hemorrhage

800.8            Open with other and unspecified intracranial hemorrhage

800.9            Open with intracranial injury of other and unspecified nature

801       Fracture of base of skull

Requires fifth digit. See beginning of section 800-804 for codes and definitions.

Includes:            fossa:

anterior

middle

posterior

occiput bone

orbital roof

sinus:

ethmoid

frontal

sphenoid bone

temporal bone

801.0            Closed without mention of intracranial injury

801.1            Closed with cerebral laceration and contusion

801.2            Closed with subarachnoid, subdural, and extradural hemorrhage

801.3            Closed with other and unspecified intracranial hemorrhage

801.4            Closed with intracranial injury of other and unspecified nature

801.5            Open without mention of intracranial injury

801.6            Open with cerebral laceration and contusion

801.7            Open with subarachnoid, subdural, and extradural hemorrhage

801.8            Open with other and unspecified intracranial hemorrhage

801.9            Open with intracranial injury of other and unspecified nature

802       Fracture of face bones

802.0            Nasal bones, closed

802.1            Nasal bones, open

802.2            Mandible, closed

Inferior maxilla

Lower jaw (bone)

802.20      Unspecified site

802.21      Condylar process

802.22      Subcondylar

802.23      Coronoid process

802.24      Ramus, unspecified

802.25      Angle of jaw

802.26      Symphysis of body

802.27      Alveolar border of body

802.28      Body, other and unspecified

802.29      Multiple sites

802.3            Mandible, open

802.30      Unspecified site

802.31      Condylar process

802.32      Subcondylar

802.33      Coronoid process

802.34      Ramus, unspecified

802.35      Angle of jaw

802.36      Symphysis of body

802.37      Alveolar border of body

802.38      Body, other and unspecified

802.39      Multiple sites

802.4            Malar and maxillary bones, closed

Superior maxilla

Upper jaw (bone)

Zygoma

Zygomatic arch

802.5            Malar and maxillary bones, open

802.6            Orbital floor (blow-out), closed

802.7            Orbital floor (blow-out), open

802.8            Other facial bones, closed

Alveolus

Orbit:

NOS

part other than roof or floor

Palate

Excludes:            orbital:

floor (802.6)

roof (801.0-801.9)

802.9            Other facial bones, open

803       Other and unqualified skull fractures

Requires fifth digit. See beginning of section 800-804 for codes and definitions.

Includes:            skull NOS

skull multiple NOS

803.0            Closed without mention of intracranial injury

803.1            Closed with cerebral laceration and contusion

803.2            Closed with subarachnoid, subdural, and extradural hemorrhage

803.3            Closed with other and unspecified intracranial hemorrhage

803.4            Closed with intracranial injury of other and unspecified nature

803.5            Open without mention of intracranial injury

803.6            Open with cerebral laceration and contusion

803.7            Open with subarachnoid, subdural, and extradural hemorrhage

803.8            Open with other and unspecified intracranial hemorrhage

803.9            Open with intracranial injury of other and unspecified nature

804       Multiple fractures involving skull or face with other bones

Requires fifth digit. See beginning of section 800-804 for codes and definitions.

804.0            Closed without mention of intracranial injury

804.1            Closed with cerebral laceration and contusion

804.2            Closed with subarachnoid, subdural, and extradural hemorrhage

804.3            Closed with other and unspecified intracranial hemorrhage

804.4            Closed with intracranialinjury of other and unspecified nature

804.5            Open without mention of intracranial injury

804.6            Open with cerebral laceration and contusion

804.7            Open with subarachnoid, subdural, and extradural hemorrhage

804.8            Open with other and unspecified intracranial hemorrhage

804.9            Open with intracranial injury of other and unspecified nature

FRACTURE OF NECK AND TRUNK (805-809)

805       Fracture of vertebral column without mention of spinal cord injury

Includes:            neural arch

spine

spinous process

transverse process

vertebra

The following fifth-digit subclassification is for use with codes 805.0-805.1:

0            cervical vertebra, unspecified level

1            first cervical vertebra

2            second cervical vertebra

3            third cervical vertebra

4            fourth cervical vertebra

5            fifth cervical vertebra

6            sixth cervical vertebra

7            seventh cervical vertebra

8            multiple cervical vertebrae

805.0            Cervical, closed

Atlas

Axis

805.1            Cervical, open

805.2            Dorsal [thoracic], closed

805.3            Dorsal [thoracic], open

805.4            Lumbar, closed

805.5            Lumbar, open

805.6            Sacrum and coccyx, closed

805.7            Sacrum and coccyx, open

805.8            Unspecified, closed

805.9            Unspecified, open

806       Fracture of vertebral column with spinal cord injury

Includes:            any condition classifiable to 805 with:

complete or incomplete transverse lesion (of cord)

hematomyelia

injury to:

cauda equina

nerve

paralysis

paraplegia

quadriplegia

spinal concussion

806.0            Cervical, closed

806.00      C1-C4 level with unspecified spinal cord injury

Cervical region NOS with spinal cord injury NOS

806.01      C1-C4 level with complete lesion of cord

806.02      C1-C4 level with anterior cord syndrome

806.03      C1-C4 level with central cord syndrome

806.04      C1-C4 level with other specified spinal cord injury

C1-C4 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.05      C5-C7 level with unspecified spinal cord injury

806.06      C5-C7 level with complete lesion of cord

806.07      C5-C7 level with anterior cord syndrome

806.08      C5-C7 level with central cord syndrome

806.09      C5-C7 level with other specified spinal cord injury

C5-C7 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.1            Cervical, open

806.10      C1-C4 level with unspecified spinal cord injury

806.11      C1-C4 level with complete lesion of cord

806.12      C1-C4 level with anterior cord syndrome

806.13      C1-C4 level with central cord syndrome

806.14      C1-C4 level with other specified spinal cord injury

C1-C4 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.15      C5-C7 level with unspecified spinal cord injury

806.16      C5-C7 level with complete lesion of cord

806.17      C5-C7 level with anterior cord syndrome

806.18      C5-C7 level with central cord syndrome

806.19      C5-C7 level with other specified spinal cord injury

C5-C7 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.2            Dorsal [thoracic], closed

806.20      T1-T6 level with unspecified spinal cord injury

Thoracic region NOS with spinal cord injury NOS

806.21      T1-T6 level with complete lesion of cord

806.22      T1-T6 level with anterior cord syndrome

806.23      T1-T6 level with central cord syndrome

806.24      T1-T6 level with other specified spinal cord injury

T1-T6 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.25      T7-T12 level with unspecified spinal cord injury

806.26      T7-T12 level with complete lesion of cord

806.27      T7-T12 level with anterior cord syndrome

806.28      T7-T12 level with central cord syndrome

806.29      T7-T12 level with other specified spinal cord injury

T7-T12 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.3            Dorsal [thoracic], open

806.30      T1-T6 level with unspecified spinal cord injury

806.31      T1-T6 level with complete lesion of cord

806.32      T1-T6 level with anterior cord syndrome

806.33      T1-T6 level with central cord syndrome

806.34      T1-T6 level with other specified spinal cord injury

T1-T6 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.35      T7-T12 level with unspecified spinal cord injury

806.36      T7-T12 level with complete lesion of cord

806.37      T7-T12 level with anterior cord syndrome

806.38      T7-T12 level with central cord syndrome

806.39      T7-T12 level with other specified spinal cord injury

T7-T12 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.4            Lumbar, closed

806.5            Lumbar, open

806.6            Sacrum and coccyx, closed

806.60      With unspecified spinal cord injury

806.61      With complete cauda equina lesion

806.62      With other cauda equina injury

806.69      With other spinal cord injury

806.7            Sacrum and coccyx, open

806.70      With unspecified spinal cord injury

806.71      With complete cauda equina lesion

806.72      With other cauda equina injury

806.79      With other spinal cord injury

806.8            Unspecified, closed

806.9            Unspecified, open

807       Fracture of rib(s), sternum, larynx, and trachea

The following fifth-digit subclassification is for use with codes 807.0-807.1:

0            rib(s), unspecified

1            one rib

2            two ribs

3            three ribs

4            four ribs

5            five ribs

6            six ribs

7            seven ribs

8            eight or more ribs

9            multiple ribs, unspecified

807.0            Rib(s), closed

807.1            Rib(s), open

807.2            Sternum, closed

807.3            Sternum, open

807.4            Flail chest

807.5            Larynx and trachea, closed

Hyoid bone

Thyroid cartilage

Trachea

807.6            Larynx and trachea, open

808       Fracture of pelvis

808.0            Acetabulum, closed

808.1            Acetabulum, open

808.2            Pubis, closed

808.3            Pubis, open

808.4            Other specified part, closed

808.41      Ilium

808.42      Ischium

808.43      Multiple pelvic fractures with disruption of pelvic circle

808.49      Other

Innominate bone

Pelvic rim

808.5            Other specified part, open

808.51      Ilium

808.52      Ischium

808.53      Multiple pelvic fractures with disruption of pelvic circle

808.59      Other

808.8            Unspecified, closed

808.9            Unspecified, open

809       Ill-defined fractures of bones of trunk

Includes:            bones of trunk with other bones except those of skull and face

multiple bones of trunk

Excludes:            multiple fractures of:

pelvic bones alone (808.0-808.9)

ribs alone (807.0-807.1, 807.4)

ribs or sternum with limb bones (819.0-819.1, 828.0-828.1)

skull or face with other bones (804.0-804.9)

809.0            Fracture of bones of trunk, closed

809.1            Fracture of bones of trunk, open

FRACTURE OF UPPER LIMB (810-819)

810       Fracture of clavicle

Includes:            collar bone

interligamentous part of clavicle

The following fifth-digit subclassification is for use with category 810:

0            unspecified part

Clavicle NOS

1            sternal end of clavicle

2            shaft of clavicle

3            acromial end of clavicle

810.0            Closed

810.1            Open

811       Fracture of scapula

Includes:            shoulder blade

The following fifth-digit subclassification is for use with category 811:

0            unspecified part

1            acromial process

Acromion (process)

2            coracoid process

3            glenoid cavity and neck of scapula

9            other

811.0            Closed

811.1            Open

812       Fracture of humerus

812.0            Upper end, closed

812.00      Upper end, unspecified part

Proximal end

Shoulder

812.01      Surgical neck

Neck of humerus NOS

812.02      Anatomical neck

812.03      Greater tuberosity

812.09      Other

Head

Upper epiphysis

812.1            Upper end, open

812.10      Upper end, unspecified part

812.11      Surgical neck

812.12      Anatomical neck

812.13      Greater tuberosity

812.19      Other

812.2            Shaft or unspecified part, closed

812.20      Unspecified part of humerus

Humerus NOS

Upper arm NOS

812.21      Shaft of humerus

812.3            Shaft or unspecified part, open

812.30      Unspecified part of humerus

812.31      Shaft of humerus

812.4            Lower end, closed

Distal end of humerus

Elbow

812.40      Lower end, unspecified part

812.41      Supracondylar fracture of humerus

812.42      Lateral condyle

External condyle

812.43      Medial condyle

Internal epicondyle

812.44      Condyle(s), unspecified

Articular process NOS

Lower epiphysis

812.49      Other

Multiple fractures of lower end

Trochlea

812.5            Lower end, open

812.50      Lower end, unspecified part

812.51      Supracondylar fracture of humerus

812.52      Lateral condyle

812.53      Medial condyle

812.54      Condyle(s), unspecified

812.59      Other

813       Fracture of radius and ulna

813.0            Upper end, closed

Proximal end

813.00      Upper end of forearm, unspecified

813.01      Olecranon process of ulna

813.02      Coronoid process of ulna

813.03      Monteggia's fracture

813.04      Other and unspecified fractures of proximal end of ulna (alone)

Multiple fractures of ulna, upper end

813.05      Head of radius

813.06      Neck of radius

813.07      Other and unspecified fractures of proximal end of radius (alone)

Multiple fractures of radius, upper end

813.08      Radius with ulna, upper end [any part]

813.1            Upper end, open

813.10      Upper end of forearm, unspecified

813.11      Olecranon process of ulna

813.12      Coronoid process of ulna

813.13      Monteggia's fracture

813.14      Other and unspecified fractures of proximal end of ulna (alone)

813.15      Head of radius

813.16      Neck of radius

813.17      Other and unspecified fractures of proximal end of radius (alone)

813.18      Radius with ulna, upper end [any part]

813.2            Shaft, closed

813.20      Shaft, unspecified

813.21      Radius (alone)

813.22      Ulna (alone)

813.23      Radius with ulna

813.3            Shaft, open

813.30      Shaft, unspecified

813.31      Radius (alone)

813.32      Ulna (alone)

813.33      Radius with ulna

813.4            Lower end, closed

Distal end

813.40      Lower end of forearm, unspecified

813.41      Colles' fracture

Smith's fracture

813.42      Other fractures of distal end of radius (alone)

Dupuytren's fracture, radius

Radius, lower end

813.43      Distal end of ulna (alone)

Ulna:

head

lower end

lower epiphysis

styloid process

813.44      Radius with ulna, lower end

813.45      Torus fracture of radius

813.5            Lower end, open

813.50      Lower end of forearm, unspecified

813.51      Colles' fracture

813.52      Other fractures of distal end of radius (alone)

813.53      Distal end of ulna (alone)

813.54      Radius with ulna, lower end

813.8            Unspecified part, closed

813.80      Forearm, unspecified

813.81      Radius (alone)

813.82      Ulna (alone)

813.83      Radius with ulna

813.9            Unspecified part, open

813.90      Forearm, unspecified

813.91      Radius (alone)

813.92      Ulna (alone)

813.93      Radius with ulna

814       Fracture of carpal bone(s)

The following fifth-digit subclassification is for use with category 814:

0            carpal bone, unspecified

Wrist NOS

1            navicular [scaphoid] of wrist

2            lunate [semilunar] bone of wrist

3            triquetral [cuneiform] bone of wrist

4            pisiform

5            trapezium bone [larger multangular]

6            trapezoid bone [smaller multangular]

7            capitate bone [os magnum]

8            hamate [unciform] bone

9            other

814.0            Closed

814.1            Open

815       Fracture of metacarpal bone(s)

Includes:            hand [except finger]

metacarpus

The following fifth-digit subclassification is for use with category 815:

0            metacarpal bone(s), site unspecified

1            base of thumb [first] metacarpal

Bennett's fracture

2            base of other metacarpal bone(s)

3            shaft of metacarpal bone(s)

4            neck of metacarpal bone(s)

9            multiple sites of metacarpus

815.0            Closed

815.1            Open

816       Fracture of one or more phalanges of hand

Includes:            finger(s)

thumb

The following fifth-digit subclassification is for use with category 816:

0            phalanx or phalanges, unspecified

1            middle or proximal phalanx or phalanges

2            distal phalanx or phalanges

3            multiple sites

816.0            Closed

816.1            Open

817       Multiple fractures of hand bones

Includes:            metacarpal bone(s) with phalanx or phalanges of same hand

817.0            Closed

817.1            Open

818       Ill-defined fractures of upper limb

Includes:            arm NOS

multiple bones of same upper limb

Excludes:            multiple fractures of:

metacarpal bone(s) with phalanx or phalanges (817.0-817.1)

phalanges of hand alone (816.0-816.1)

radius with ulna (813.0-813.9)

818.0            Closed

818.1            Open

819       Multiple fractures involving both upper limbs, and upper limb with rib(s) and sternum

Includes:            arm(s) with rib(s) or sternum

both arms [any bones]

819.0            Closed

819.1            Open

FRACTURE OF LOWER LIMB (820-829)

820       Fracture of neck of femur

820.0            Transcervical fracture, closed

820.00      Intracapsular section, unspecified

820.01      Epiphysis (separation) (upper)

Transepiphyseal

820.02      Midcervical section

Transcervical NOS

820.03      Base of neck

Cervicotrochanteric section

820.09      Other

Head of femur

Subcapital

820.1            Transcervical fracture, open

820.10      Intracapsular section, unspecified

820.11      Epiphysis (separation) (upper)

820.12      Midcervical section

820.13      Base of neck

820.19      Other

820.2            Pertrochanteric fracture, closed

820.20      Trochanteric section, unspecified

Trochanter:

NOS

greater

lesser

820.21      Intertrochanteric section

820.22      Subtrochanteric section

820.3            Pertrochanteric fracture, open

820.30      Trochanteric section, unspecified

820.31      Intertrochanteric section

820.32      Subtrochanteric section

820.8            Unspecified part of neck of femur, closed

Hip NOS

Neck of femur NOS

820.9            Unspecified part of neck of femur, open

821       Fracture of other and unspecified parts of femur

821.0            Shaft or unspecified part, closed

821.00      Unspecified part of femur

Thigh

Upper leg

Excludes:            hip NOS (820.8)

821.01      Shaft

821.1            Shaft or unspecified part, open

821.10      Unspecified part of femur

821.11      Shaft

821.2            Lower end, closed

Distal end

821.20      Lower end, unspecified part

821.21      Condyle, femoral

821.22      Epiphysis, lower (separation)

821.23      Supracondylar fracture of femur

821.29      Other

Multiple fractures of lower end

821.3            Lower end, open

821.30      Lower end, unspecified part

821.31      Condyle, femoral

821.32      Epiphysis, lower (separation)

821.33      Supracondylar fracture of femur

821.39      Other

822       Fracture of patella

822.0            Closed

822.1            Open

823       Fracture of tibia and fibula

Excludes:            Dupuytren's fracture (824.4-824.5)

ankle (824.4-824.5)

radius (813.42, 813.52)

Pott's fracture (824.4-824.5)

that involving ankle (824.0-824.9)

The following fifth-digit subclassification is for use with category 823:

0            tibia alone

1            fibula alone

2            fibula with tibia

823.0            Upper end, closed

Head

Proximal end

Tibia:

condyles

tuberosity

823.1            Upper end, open

823.2            Shaft, closed

823.3            Shaft, open

823.4            Torus fracture

823.8            Unspecified part, closed

Lower leg NOS

823.9            Unspecified part, open

824       Fracture of ankle

824.0            Medial malleolus, closed

Tibia involving:

ankle

malleolus

824.1            Medial malleolus, open

824.2            Lateral malleolus, closed

Fibula involving:

ankle

malleolus

824.3            Lateral malleolus, open

824.4            Bimalleolar, closed

Dupuytren's fracture, fibula

Pott's fracture

824.5            Bimalleolar, open

824.6            Trimalleolar, closed

Lateral and medial malleolus with anterior or posterior lip of tibia

824.7            Trimalleolar, open

824.8            Unspecified, closed

Ankle NOS

824.9            Unspecified, open

825       Fracture of one or more tarsal and metatarsal bones

825.0            Fracture of calcaneus, closed

Heel bone

Os calcis

825.1            Fracture of calcaneus, open

825.2            Fracture of other tarsal and metatarsal bones, closed

825.20      Unspecified bone(s) of foot [except toes]

Instep

825.21      Astragalus

Talus

825.22      Navicular [scaphoid], foot

825.23      Cuboid

825.24      Cuneiform, foot

825.25      Metatarsal bone(s)

825.29      Other

Tarsal with metatarsal bone(s) only

Excludes:            calcaneus (825.0)

825.3            Fracture of other tarsal and metatarsal bones, open

825.30      Unspecified bone(s) of foot [except toes]

825.31      Astragalus

825.32      Navicular [scaphoid], foot

825.33      Cuboid

825.34      Cuneiform, foot

825.35      Metatarsal bone(s)

825.39      Other

826       Fracture of one or more phalanges of foot

Includes:            toe(s)

826.0            Closed

826.1            Open

827       Other, multiple, and ill-defined fractures of lower limb

Includes:            leg NOS

multiple bones of same lower limb

Excludes:            multiple fractures of:

ankle bones alone (824.4-824.9)

phalanges of foot alone (826.0-826.1)

tarsal with metatarsal bones (825.29, 825.39)

tibia with fibula (823.0-823.9 with fifth-digit 2)

827.0            Closed

827.1            Open

828       Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum

Includes:            arm(s) with leg(s) [any bones]

both legs [any bones]

leg(s) with rib(s) or sternum

828.0            Closed

828.1            Open

829       Fracture of unspecified bones

829.0            Unspecified bone, closed

829.1            Unspecified bone, open

DISLOCATION (830-839)

Includes:            displacement

subluxation

Excludes:            congenital dislocation (754.0-755.8)

pathological dislocation (718.2)

recurrent dislocation (718.3)

The descriptions "closed" and "open," used in the fourth-digit subdivisions, include the following terms:

closed:

complete

dislocation NOS

partial

simple

uncomplicated

open:

compound

infected

with foreign body

Note:    A dislocation not indicated as closed or open should be classified as closed.

830            Dislocation of jaw

Includes:            jaw (cartilage) (meniscus)

mandible

maxilla (inferior)

temporomandibular (joint)

830.0            Closed dislocation

830.1            Open dislocation

831            Dislocation of shoulder

Excludes:            sternoclavicular joint (839.61, 839.71)

sternum (839.61, 839.71)

The following fifth-digit subclassification is for use with category 831:

0            shoulder, unspecified

Humerus NOS

1            anterior dislocation of humerus

2            posterior dislocation of humerus

3            inferior dislocation of humerus

4            acromioclavicular (joint)

Clavicle

9            other

Scapula

831.0            Closed dislocation

831.1            Open dislocation

832            Dislocation of elbow

The following fifth-digit subclassification is for use with category 832:

0            elbow unspecified

1            anterior dislocation of elbow

2            posterior dislocation of elbow

3            medial dislocation of elbow

4            lateral dislocation of elbow

9            other

832.0            Closed dislocation

832.1            Open dislocation

833            Dislocation of wrist

The following fifth-digit subclassification is for use with category 833:

0            wrist, unspecified part

Carpal (bone)

Radius, distal end

1            radioulnar (joint), distal

2            radiocarpal (joint)

3            midcarpal (joint)

4            carpometacarpal (joint)

5            metacarpal (bone), proximal end

9            other

Ulna, distal end

833.0            Closed dislocation

833.1            Open dislocation

834            Dislocation of finger

Includes:            finger(s)

phalanx of hand

thumb

The following fifth-digit subclassification is for use with category 834:

0            finger, unspecified part

1            metacarpophalangeal (joint)

Metacarpal (bone), distal end

2            interphalangeal (joint), hand

834.0            Closed dislocation

834.1            Open dislocation

835            Dislocation of hip

The following fifth-digit subclassification is for use with category 835:

0            dislocation of hip, unspecified

1            posterior dislocation

2            obturator dislocation

3            other anterior dislocation

835.0            Closed dislocation

835.1            Open dislocation

836            Dislocation of knee

Excludes:            dislocation of knee:

old or pathological (718.2)

recurrent (718.3)

internal derangement of knee joint (717.0-717.5, 717.8-717.9)

old tear of cartilage or meniscus of knee (717.0-717.5, 717.8-717.9)

836.0            Tear of medial cartilage or meniscus of knee, current

Bucket handle tear:

NOS current injury

medial meniscus current injury

836.1            Tear of lateral cartilage or meniscus of knee, current

836.2            Other tear of cartilage or meniscus of knee, current

Tear of:

cartilage (semilunar) current injury, not specified as medial or lateral

meniscus current injury, not specified as medial or lateral

836.3            Dislocation of patella, closed

836.4            Dislocation of patella, open

836.5            Other dislocation of knee, closed

836.50      Dislocation of knee, unspecified

836.51      Anterior dislocation of tibia, proximal end

Posterior dislocation of femur, distal end

836.52      Posterior dislocation of tibia, proximal end

Anterior dislocation of femur, distal end

836.53      Medial dislocation of tibia, proximal end

836.54      Lateral dislocation of tibia, proximal end

836.59      Other

836.6            Other dislocation of knee, open

836.60      Dislocation of knee, unspecified

836.61      Anterior dislocation of tibia, proximal end

836.62      Posterior dislocation of tibia, proximal end

836.63      Medial dislocation of tibia, proximal end

836.64      Lateral dislocation of tibia, proximal end

836.69      Other

837            Dislocation of ankle

Includes:            astragalus

fibula, distal end

navicular, foot

scaphoid, foot

tibia, distal end

837.0            Closed dislocation

837.1            Open dislocation

838            Dislocation of foot

The following fifth-digit subclassification is for use with category 838:

0            foot, unspecified

1            tarsal (bone), joint unspecified

2            midtarsal (joint)

3            tarsometatarsal (joint)

4            metatarsal (bone), joint unspecified

5            metatarsophalangeal (joint)

6            interphalangeal (joint), foot

9            other

Phalanx of foot

Toe(s)

838.0            Closed dislocation

838.1            Open dislocation

839       Other, multiple, and ill-defined dislocations

839.0            Cervical vertebra, closed

Cervical spine

Neck

839.00      Cervical vertebra, unspecified

839.01      First cervical vertebra

839.02      Second cervical vertebra

839.03      Third cervical vertebra

839.04      Fourth cervical vertebra

839.05      Fifth cervical vertebra

839.06      Sixth cervical vertebra

839.07      Seventh cervical vertebra

839.08      Multiple cervical vertebrae

839.1            Cervical vertebra, open

839.10      Cervical vertebra, unspecified

839.11      First cervical vertebra

839.12      Second cervical vertebra

839.13      Third cervical vertebra

839.14      Fourth cervical vertebra

839.15      Fifth cervical vertebra

839.16      Sixth cervical vertebra

839.17      Seventh cervical vertebra

839.18      Multiple cervical vertebrae

839.2            Thoracic and lumbar vertebra, closed

839.20      Lumbar vertebra

839.21      Thoracic vertebra

Dorsal [thoracic] vertebra

839.3            Thoracic and lumbar vertebra, open

839.30      Lumbar vertebra

839.31      Thoracic vertebra

839.4            Other vertebra, closed

839.40      Vertebra, unspecified site

Spine NOS

839.41      Coccyx

839.42      Sacrum

Sacroiliac (joint)

839.49      Other

839.5            Other vertebra, open

839.50      Vertebra, unspecified site

839.51      Coccyx

839.52      Sacrum

839.59      Other

839.6            Other location, closed

839.61      Sternum

Sternoclavicular joint

839.69      Other

Pelvis

839.7            Other location, open

839.71      Sternum

839.79      Other

839.8            Multiple and ill-defined, closed

Arm

Back

Hand

Multiple locations, except fingers or toes alone

Other ill-defined locations

Unspecified location

839.9            Multiple and ill-defined, open

SPRAINS AND STRAINS OF JOINTS AND ADJACENT MUSCLES (840-848)

Includes:            avulsion of joint capsule, legament, muscle, tendon

hemarthrosis of joint capsule, legament, muscle, tendon

laceration of joint capsule, legament, muscle, tendon

rupture of joint capsule, legament, muscle, tendon

sprain of joint capsule, legament, muscle, tendon

strain of joint capsule, legament, muscle, tendon

tear of joint capsule, legament, muscle, tendon

Excludes:            laceration of tendon in open wounds (880-884 and 890-894 with .2)

840       Sprains and strains of shoulder and upper arm

840.0            Acromioclavicular (joint) (ligament)

840.1            Coracoclavicular (ligament)

840.2            Coracohumeral (ligament)

840.3            Infraspinatus (muscle) (tendon)

840.4            Rotator cuff (capsule)

Excludes:            complete rupture of rotator cuff, nontraumatic (727.61)

840.5            Subscapularis (muscle)

840.6            Supraspinatus (muscle) (tendon)

840.7            Superior glenoid labrum lesion

SLAP lesion

840.8            Other specified sites of shoulder and upper arm

840.9            Unspecified site of shoulder and upper arm

Arm NOS

Shoulder NOS

841       Sprains and strains of elbow and forearm

841.0            Radial collateral ligament

841.1            Ulnar collateral ligament

841.2            Radiohumeral (joint)

841.3            Ulnohumeral (joint)

841.8            Other specified sites of elbow and forearm

841.9            Unspecified site of elbow and forearm

Elbow NOS

842       Sprains and strains of wrist and hand

842.0            Wrist

842.00      Unspecified site

842.01      Carpal (joint)

842.02      Radiocarpal (joint) (ligament)

842.09      Other

Radioulnar joint, distal

842.1            Hand

842.10      Unspecified site

842.11      Carpometacarpal (joint)

842.12      Metacarpophalangeal (joint)

842.13      Interphalangeal (joint)

842.19      Other

Midcarpal (joint)

843       Sprains and strains of hip and thigh

843.0            Iliofemoral (ligament)

843.1            Ischiocapsular (ligament)

843.8            Other specified sites of hip and thigh

843.9            Unspecified site of hip and thigh

Hip NOS

Thigh NOS

844       Sprains and strains of knee and leg

844.0            Lateral collateral ligament of knee

844.1            Medial collateral ligament of knee

844.2            Cruciate ligament of knee

844.3            Tibiofibular (joint) (ligament), superior

844.8            Other specified sites of knee and leg

844.9            Unspecified site of knee and leg

Knee NOS

Leg NOS

845       Sprains and strains of ankle and foot

845.0            Ankle

845.00      Unspecified site

845.01      Deltoid (ligament), ankle

Internal collateral (ligament), ankle

845.02      Calcaneofibular (ligament)

845.03      Tibiofibular (ligament), distal

845.09      Other

Achilles tendon

845.1            Foot

845.10      Unspecified site

845.11      Tarsometatarsal (joint) (ligament)

845.12      Metatarsophalangeal (joint)

845.13      Interphalangeal (joint), toe

845.19      Other

846       Sprains and strains of sacroiliac region

846.0            Lumbosacral (joint) (ligament)

846.1            Sacroiliac ligament

846.2            Sacrospinatus (ligament)

846.3            Sacrotuberous (ligament)

846.8            Other specified sites of sacroiliac region

846.9            Unspecified site of sacroiliac region

847       Sprains and strains of other and unspecified parts of back

Excludes:            lumbosacral (846.0)

847.0            Neck

Anterior longitudinal (ligament), cervical

Atlanto-axial (joints)

Atlanto-occipital (joints)

Whiplash injury

Excludes:            neck injury NOS (959.09)

thyroid region (848.2)

847.1            Thoracic

847.2            Lumbar

847.3            Sacrum

Sacrococcygeal (ligament)

847.4            Coccyx

847.9            Unspecified site of back

Back NOS

848       Other and ill-defined sprains and strains

848.0            Septal cartilage of nose

848.1            Jaw

Temporomandibular (joint) (ligament)

848.2            Thyroid region

Cricoarytenoid (joint) (ligament)

Cricothyroid (joint) (ligament)

Thyroid cartilage

848.3            Ribs

Chondrocostal (joint) without mention of injury to sternum

Costal cartilage without mention of injury to sternum

848.4            Sternum

848.40      Unspecified site

848.41      Sternoclavicular (joint) (ligament)

848.42      Chondrosternal (joint)

848.49      Other

Xiphoid cartilage

848.5            Pelvis

Symphysis pubis

Excludes:            that in childbirth (665.6)

848.8            Other specified sites of sprains and strains

848.9            Unspecified site of sprain and strain

INTRACRANIAL INJURY, EXCLUDING THOSE WITH SKULL FRACTURE (850-854)

Excludes:            intracranial injury with skull fracture (800-801 and 803-804, except .0 and .5)

open wound of head without intracranial injury (870.0-873.9)

skull fracture alone (800-801 and 803-804 with .0, .5)

Note:    The description "with open intracranial wound," used in the fourth-digit subdivisions, includes those specified as open or with mention of infection or foreign body.

The following fifth-digit subclassification is for use with categories 851-854:

0            unspecified state of consciousness

1            with no loss of consciousness

2            with brief [less than one hour] loss of consciousness

3            with moderate [1-24 hours] loss of consciousness

4            with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level

5            with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level

Use fifth-digit 5 to designate when a patient is unconscious and dies before regaining consciousness, regardless of the duration of the loss of consciousness

6            with loss of consciousness of unspecified duration

9            with concussion, unspecified

850            Concussion

Includes:            commotio cerebri

Excludes:            concussion with:

cerebral laceration or contusion (851.0-851.9)

cerebral hemorrhage (852-853)

head injury NOS (959.01)

850.0            With no loss of consciousness

Concussion with mental confusion or disorientation, without loss of consciousness

850.1            With brief loss of consciousness

Loss of consciousness for less than one hour

850.2            With moderate loss of consciousness

Loss of consciousness for 1-24 hours

850.3            With prolonged loss of consciousness and return to pre-existing conscious level

Loss of consciousness for more than 24 hours with complete recovery

850.4            With prolonged loss of consousness, without return to pre-existing conscious level

850.5            With loss of consciousness of unspecified duration

850.9            Concussion, unspecified

851       Cerebral laceration and contusion

Requires fifth digit. See beginning of section 850-854 for codes and definitions.

851.0            Cortex (cerebral) contusion without mention of open intracranial wound

851.1            Cortex (cerebral) contusion with open intracranial wound

851.2            Cortex (cerebral) laceration without mention of open intracranial wound

851.3            Cortex (cerebral) laceration with open intracranial wound

851.4            Cerebellar or brain stem contusion without mention of open intracranial wound

851.5            Cerebellar or brain stem contusion with open intracranial wound

851.6            Cerebellar or brain stem laceration without mention of open intracranial wound

851.7            Cerebellar or brain stem laceration with open intracranial wound

851.8            Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound

Brain (membrane) NOS

851.9            Other and unspecified cerebral laceration and contusion, with open intracranial wound

852            Subarachnoid, subdural, and extradural hemorrhage, following injury

Requires fifth digit. See beginning of section 850-854 for codes and definitions.

Excludes:            cerebral contusion or laceration (with hemorrhage) (851.0-851.9)

852.0            Subarachnoid hemorrhage following injury without mention of open intracranial wound

Middle meningeal hemorrhage following injury

852.1            Subarachnoid hemorrhage following injury with open intracranial wound

852.2            Subdural hemorrhage following injury without mention of open intracranial wound

852.3            Subdural hemorrhage following injury with open intracranial wound

852.4            Extradural hemorrhage following injury without mention of open intracranial wound

Epidural hematoma following injury

852.5            Extradural hemorrhage following injury with open intracranial wound

853       Other and unspecified intracranial hemorrhage following injury

Requires fifth digit. See beginning of section 850-854 for codes and definitions.

853.0            Without mention of open intracranial wound

Cerebral compression due to injury

Intracranial hematoma following injury

Traumatic cerebral hemorrhage

853.1            With open intracranial wound

854            Intracranial injury of other and unspecified nature

Includes:            injury:

brain NOS

cavernous sinus

intracranial

Excludes:            any condition classifiable to 850-853

head injury NOS (959.01)

854.0            Without mention of open intracranial wound

854.1            With open intracranial wound

INTERNAL INJURY OF THORAX, ABDOMEN, AND PELVIS (860-869)

Includes:            blast injuries of internal organs

blunt trauma of internal organs

bruise of internal organs

concussion injuries (except cerebral) of internal organs

crushing of internal organs

hematoma of internal organs

laceration of internal organs

puncture of internal organs

tear of internal organs

traumatic rupture of internal organs

Excludes:            concussion NOS (850.0-850.9)

flail chest (807.4)

foreign body entering through orifice (930.0-939.9)

injury to blood vessels (901.0-902.9)

Note:    The description "with open wound," used in the fourth-digit subdivisions, includes those with mention of infection or foreign body.

860            Traumatic pneumothorax and hemothorax

860.0            Pneumothorax without mention of open wound into thorax

860.1            Pneumothorax with open wound into thorax

860.2            Hemothorax without mention of open wound into thorax

860.3            Hemothorax with open wound into thorax

860.4            Pneumohemothorax without mention of open wound into thorax

860.5            Pneumohemothorax with open wound into thorax

861       Injury to heart and lung

Excludes:            injury to blood vessels of thorax (901.0-901.9)

861.0            Heart, without mention of open wound into thorax

861.00      Unspecified injury

861.01      Contusion

Cardiac contusion

Myocardial contusion

861.02      Laceration without penetration of heart chambers

861.03      Laceration with penetration of heart chambers

861.1            Heart, with open wound into thorax

861.10      Unspecified injury

861.11      Contusion

861.12      Laceration without penetration of heart chambers

861.13      Laceration with penetration of heart chambers

861.2            Lung, without mention of open wound into thorax

861.20      Unspecified injury

861.21      Contusion

861.22      Laceration

861.3            Lung, with open wound into thorax

861.30      Unspecified injury

861.31      Contusion

861.32      Laceration

862       Injury to other and unspecified intrathoracic organs

Excludes:            injury to blood vessels of thorax (901.0-901.9)

862.0            Diaphragm, without mention of open wound into cavity

862.1            Diaphragm, with open wound into cavity

862.2            Other specified intrathoracic organs, without mention of open wound into cavity

862.21      Bronchus

862.22      Esophagus

862.29      Other

Pleura

Thymus gland

862.3            Other specified intrathoracic organs, with open wound into cavity

862.31      Bronchus

862.32      Esophagus

862.39      Other

862.8            Multiple and unspecified intrathoracic organs, without mention of open wound into cavity

Crushed chest

Multiple intrathoracic organs

862.9            Multiple and unspecified intrathoracic organs, with open wound into cavity

863       Injury to gastrointestinal tract

Excludes:            anal sphincter laceration during delivery (664.2)

bile duct (868.0-868.1 with fifth-digit 2)

gallbladder (868.0-868.1 with fifth-digit 2)

863.0            Stomach, without mention of open wound into cavity

863.1            Stomach, with open wound into cavity

863.2            Small intestine, without mention of open wound into cavity

863.20      Small intestine, unspecified site

863.21      Duodenum

863.29      Other

863.3            Small intestine, with open wound into cavity

863.30      Small intestine, unspecified site

863.31      Duodenum

863.39      Other

863.4            Colon or rectum, without mention of open wound into cavity

863.40      Colon, unspecified site

863.41      Ascending [right] colon

863.42      Transverse colon

863.43      Descending [left] colon

863.44      Sigmoid colon

863.45      Rectum

863.46      Multiple sites in colon and rectum

863.49      Other

863.5            Colon or rectum, with open wound into cavity

863.50      Colon, unspecified site

863.51      Ascending [right] colon

863.52      Transverse colon

863.53      Descending [left] colon

863.54      Sigmoid colon

863.55      Rectum

863.56      Multiple sites in colon and rectum

863.59      Other

863.8            Other and unspecified gastrointestinal sites, without mention of open wound into cavity

863.80      Gastrointestinal tract, unspecified site

863.81      Pancreas, head

863.82      Pancreas, body

863.83      Pancreas, tail

863.84      Pancreas, multiple and unspecified sites

863.85      Appendix

863.89      Other

Intestine NOS

863.9            Other and unspecified gastrointestinal sites, with open wound into cavity

863.90      Gastrointestinal tract, unspecified site

863.91      Pancreas, head

863.92      Pancreas, body

863.93      Pancreas, tail

863.94      Pancreas, multiple and unspecified sites

863.95      Appendix

863.99      Other

864       Injury to liver

The following fifth-digit subclassification is for use with category 864:

0            unspecified injury

1            hematoma and contusion

2            laceration, minor

Laceration involving capsule only, or without significant involvement of hepatic parenchyma [i.e., less than 1 cm deep]

3            laceration, moderate

Laceration involving parenchyma but without major disruption of parenchyma [i.e., less than 10 cm long and less than 3 cm deep]

4            laceration, major

Laceration with significant disruption of hepatic parenchyma [i.e., 10 cm long and 3 cm deep]

Multiple moderate lacerations, with or without hematoma

Stellate lacerations of liver

5            laceration, unspecified

9            other

864.0            Without mention of open wound into cavity

864.1            With open wound into cavity

865       Injury to spleen

The following fifth-digit subclassification is for use with category 865:

0            unspecified injury

1            hematoma without rupture of capsule

2            capsular tears, without major disruption of parenchyma

3            laceration extending into parenchyma

4            massive parenchymal disruption

9            other

865.0            Without mention of open wound into cavity

865.1            With open wound into cavity

866       Injury to kidney

The following fifth-digit subclassification is for use with category 866:

0            unspecified injury

1            hematoma without rupture of capsule

2            laceration

3            complete disruption of kidney parenchyma

866.0            Without mention of open wound into cavity

866.1            With open wound into cavity

867       Injury to pelvic organs

Excludes:            injury during delivery (664.0-665.9)

867.0            Bladder and urethra, without mention of open wound into cavity

867.1            Bladder and urethra, with open wound into cavity

867.2            Ureter, without mention of open wound into cavity

867.3            Ureter, with open wound into cavity

867.4            Uterus, without mention of open wound into cavity

867.5            Uterus, with open wound into cavity

867.6            Other specified pelvic organs, without mention of open wound into cavity

Fallopian tube

Ovary

Prostate

Seminal vesicle

Vas deferens

867.7            Other specified pelvic organs, with open wound into cavity

867.8            Unspecified pelvic organ, without mention of open wound into cavity

867.9            Unspecified pelvic organ, with open wound into cavity

868       Injury to other intra-abdominal organs

The following fifth-digit subclassification is for use with category 868:

0            unspecified intra-abdominal organ

1            adrenal gland

2            bile duct and gallbladder

3            peritoneum

4            retroperitoneum

9            other and multiple intra-abdominal organs

868.0            Without mention of open wound into cavity

868.1            With open wound into cavity

869       Internal injury to unspecified or ill-defined organs

Includes:            internal injury NOS

multiple internal injury NOS

869.0            Without mention of open wound into cavity

869.1            With open wound into cavity

OPEN WOUNDS (870-897)

Includes:            animal bite

avulsion

cut

laceration

puncture wound

traumatic amputation

Excludes:            burn (940.0-949.5)

crushing (925-929.9)

puncture of internal organs (860.0-869.1)

superficial injury (910.0-919.9)

that incidental to:

dislocation (830.0-839.9)

fracture (800.0-829.1)

internal injury (860.0-869.1)

intracranial injury (851.0-854.1)

Note:    The description "complicated" used in the fourth-digit subdivisions includes those with mention of delayed healing, delayed treatment, foreign body, or infection.

Use additional code to identify infection

OPEN WOUND OF HEAD, NECK, AND TRUNK (870-879)

870       Open wound of ocular adnexa

870.0            Laceration of skin of eyelid and periocular area

870.1            Laceration of eyelid, full-thickness, not involving lacrimal passages

870.2            Laceration of eyelid involving lacrimal passages

870.3            Penetrating wound of orbit, without mention of foreign body

870.4            Penetrating wound of orbit with foreign body

Excludes:            retained (old) foreign body in orbit (376.6)

870.8            Other specified open wounds of ocular adnexa

870.9            Unspecified open wound of ocular adnexa

871       Open wound of eyeball

Excludes:            2nd cranial nerve [optic] injury (950.0-950.9)

3rd cranial nerve [oculomotor] injury (951.0)

871.0            Ocular laceration without prolapse of intraocular tissue

871.1            Ocular laceration with prolapse or exposure of intraocular tissue

871.2            Rupture of eye with partial loss of intraocular tissue

871.3            Avulsion of eye

Traumatic enucleation

871.4            Unspecified laceration of eye

871.5            Penetration of eyeball with magnetic foreign body

Excludes:            retained (old) magnetic foreign body in globe (360.50-360.59)

871.6            Penetration of eyeball with (nonmagnetic) foreign body

Excludes:            retained (old) (nonmagnetic) foreign body in globe (360.60-360.69)

871.7            Unspecified ocular penetration

871.9            Unspecified open wound of eyeball

872       Open wound of ear

872.0            External ear, without mention of complication

872.00      External ear, unspecified site

872.01      Auricle, ear

Pinna

872.02      Auditory canal

872.1            External ear, complicated

872.10      External ear, unspecified site

872.11      Auricle, ear

872.12      Auditory canal

872.6            Other specified parts of ear, without mention of complication

872.61      Ear drum

Drumhead

Tympanic membrane

872.62      Ossicles

872.63      Eustachian tube

872.64      Cochlea

872.69      Other and multiple sites

872.7            Other specified parts of ear, complicated

872.71      Ear drum

872.72      Ossicles

872.73      Eustachian tube

872.74      Cochlea

872.79      Other and multiple sites

872.8            Ear, part unspecified, without mention of complication

Ear NOS

872.9            Ear, part unspecified, complicated

873       Other open wound of head

873.0            Scalp, without mention of complication

873.1            Scalp, complicated

873.2            Nose, without mention of complication

873.20      Nose, unspecified site

873.21      Nasal septum

873.22      Nasal cavity

873.23      Nasal sinus

873.29      Multiple sites

873.3            Nose, complicated

873.30      Nose, unspecified site

873.31      Nasal septum

873.32      Nasal cavity

873.33      Nasal sinus

873.39      Multiple sites

873.4            Face, without mention of complication

873.40      Face, unspecified site

873.41      Cheek

873.42      Forehead

Eyebrow

873.43      Lip

873.44      Jaw

873.49      Other and multiple sites

873.5            Face, complicated

873.50      Face, unspecified site

873.51      Cheek

873.52      Forehead

873.53      Lip

873.54      Jaw

873.59      Other and multiple sites

873.6            Internal structures of mouth, without mention of complication

873.60      Mouth, unspecified site

873.61      Buccal mucosa

873.62      Gum (alveolar process)

873.63      Tooth (broken)

873.64      Tongue and floor of mouth

873.65      Palate

873.69      Other and multiple sites

873.7            Internal structures of mouth, complicated

873.70      Mouth, unspecified site

873.71      Buccal mucosa

873.72      Gum (alveolar process)

873.73      Tooth (broken)

873.74      Tongue and floor of mouth

873.75      Palate

873.79      Other and multiple sites

873.8            Other and unspecified open wound of head without mention of complication

Head NOS

873.9            Other and unspecified open wound of head, complicated

874       Open wound of neck

874.0            Larynx and trachea, without mention of complication

874.00      Larynx with trachea

874.01      Larynx

874.02      Trachea

874.1            Larynx and trachea, complicated

874.10      Larynx with trachea

874.11      Larynx

874.12      Trachea

874.2            Thyroid gland, without mention of complication

874.3            Thyroid gland, complicated

874.4            Pharynx, without mention of complication

Cervical esophagus

874.5            Pharynx, complicated

874.8            Other and unspecified parts, without mention of complication

Nape of neck

Supraclavicular region

Throat NOS

874.9            Other and unspecified parts, complicated

875       Open wound of chest (wall)

Excludes:            open wound into thoracic cavity (860.0-862.9)

traumatic pneumothorax and hemothorax (860.1, 860.3, 860.5)

875.0            Without mention of complication

875.1            Complicated

876       Open wound of back

Includes:            loin

lumbar region

Excludes:            open wound into thoracic cavity (860.0-862.9)

traumatic pneumothorax and hemothorax (860.1, 860.3, 860.5)

876.0            Without mention of complication

876.1            Complicated

877       Open wound of buttock

Includes:            sacroiliac region

877.0            Without mention of complication

877.1            Complicated

878       Open wound of genital organs (external), including traumatic amputation

Excludes:            injury during delivery (664.0-665.9)

internal genital organs (867.0-867.9)

878.0            Penis, without mention of complication

878.1            Penis, complicated

878.2            Scrotum and testes, without mention of complication

878.3            Scrotum and testes, complicated

878.4            Vulva, without mention of complication

Labium (majus) (minus)

878.5            Vulva, complicated

878.6            Vagina, without mention of complication

878.7            Vagina, complicated

878.8            Other and unspecified parts, without mention of complication

878.9            Other and unspecified parts, complicated

879       Open wound of other and unspecified sites, except limbs

879.0            Breast, without mention of complication

879.1            Breast, complicated

879.2            Abdominal wall, anterior, without mention of complication

Abdominal wall NOS

Epigastric region

Hypogastric region

Pubic region

Umbilical region

879.3            Abdominal wall, anterior, complicated

879.4            Abdominal wall, lateral, without mention of complication

Flank

Groin

Hypochondrium

Iliac (region)

Inguinal region

879.5            Abdominal wall, lateral, complicated

879.6            Other and unspecified parts of trunk, without mention of complication

Pelvic region

Perineum

Trunk NOS

879.7            Other and unspecified parts of trunk, complicated

879.8            Open wound(s) (multiple) of unspecified site(s) without mention of complication

Multiple open wounds NOS

Open wound NOS

879.9            Open wound(s) (multiple) of unspecified site(s), complicated

OPEN WOUND OF UPPER LIMB (880-887)

880       Open wound of shoulder and upper arm

The following fifth-digit subclassification is for use with category 880:

0            shoulder region

1            scapular region

2            axillary region

3            upper arm

9            multiple sites

880.0            Without mention of complication

880.1            Complicated

880.2            With tendon involvement

881       Open wound of elbow, forearm, and wrist

The following fifth-digit subclassification is for use with category 881:

0            forearm

1            elbow

2            wrist

881.0            Without mention of complication

881.1            Complicated

881.2            With tendon involvement

882       Open wound of hand except finger(s) alone

882.0            Without mention of complication

882.1            Complicated

882.2            With tendon involvement

883       Open wound of finger(s)

Includes:            fingernail

thumb (nail)

883.0            Without mention of complication

883.1            Complicated

883.2            With tendon involvement

884       Multiple and unspecified open wound of upper limb

Includes:            arm NOS

multiple sites of one upper limb

upper limb NOS

884.0            Without mention of complication

884.1            Complicated

884.2            With tendon involvement

885            Traumatic amputation of thumb (complete) (partial)

Includes:            thumb(s) (with finger(s) of either hand)

885.0            Without mention of complication

885.1            Complicated

886            Traumatic amputation of other finger(s) (complete) (partial)

Includes:            finger(s) of one or both hands, without mention of thumb(s)

886.0            Without mention of complication

886.1            Complicated

887            Traumatic amputation of arm and hand (complete) (partial)

887.0            Unilateral, below elbow, without mention of complication

887.1            Unilateral, below elbow, complicated

887.2            Unilateral, at or above elbow, without mention of complication

887.3            Unilateral, at or above elbow, complicated

887.4            Unilateral, level not specified, without mention of complication

887.5            Unilateral, level not specified, complicated

887.6            Bilateral [any level], without mention of complication

One hand and other arm

887.7            Bilateral [any level], complicated

OPEN WOUND OF LOWER LIMB (890-897)

890       Open wound of hip and thigh

890.0            Without mention of complication

890.1            Complicated

890.2            With tendon involvement

891       Open wound of knee, leg [except thigh], and ankle

Includes:            leg NOS

multiple sites of leg, except thigh

Excludes:            that of thigh (890.0-890.2)

with multiple sites of lower limb (894.0-894.2)

891.0            Without mention of complication

891.1            Complicated

891.2            With tendon involvement

892       Open wound of foot except toe(s) alone

Includes:            heel

892.0            Without mention of complication

892.1            Complicated

892.2            With tendon involvement

893       Open wound of toe(s)

Includes:            toenail

893.0            Without mention of complication

893.1            Complicated

893.2            With tendon involvement

894       Multiple and unspecified open wound of lower limb

Includes:            lower limb NOS

multiple sites of one lower limb, with thigh

894.0            Without mention of complication

894.1            Complicated

894.2            With tendon involvement

895            Traumatic amputation of toe(s) (complete) (partial)

Includes:            toe(s) of one or both feet

895.0            Without mention of complication

895.1            Complicated

896            Traumatic amputation of foot (complete) (partial)

896.0            Unilateral, without mention of complication

896.1            Unilateral, complicated

896.2            Bilateral, without mention of complication

Excludes:            one foot and other leg (897.6-897.7)

896.3            Bilateral, complicated

897            Traumatic amputation of leg(s) (complete) (partial)

897.0            Unilateral, below knee, without mention of complication

897.1            Unilateral, below knee, complicated

897.2            Unilateral, at or above knee, without mention of complication

897.3            Unilateral, at or above knee, complicated

897.4            Unilateral, level not specified, without mention of complication

897.5            Unilateral, level not specified, complicated

897.6            Bilateral [any level], without mention of complication

One foot and other leg

897.7            Bilateral [any level], complicated

INJURY TO BLOOD VESSELS (900-904)

Includes:            arterial hematoma of blood vessel, secondary to other injuries, e.g., fracture or open wound

avulsion of blood vessel, secondary to other injuries, e.g., fracture or open wound

cut of blood vessel, secondary to other injuries, e.g., fracture or open wound

laceration of blood vessel, secondary to other injuries, e.g., fracture or open wound

rupture of blood vessel, secondary to other injuries, e.g., fracture or open wound

traumatic aneurysm or fistula (arteriovenous) of blood vessel, secondary to other injuries, e.g., fracture or open wound

Excludes:            accidental puncture or laceration during medical procedure (998.2)

intracranial hemorrhage following injury (851.0-854.1)

900       Injury to blood vessels of head and neck

900.0            Carotid artery

900.00      Carotid artery, unspecified

900.01      Common carotid artery

900.02      External carotid artery

900.03      Internal carotid artery

900.1            Internal jugular vein

900.8            Other specified blood vessels of head and neck

900.81      External jugular vein

Jugular vein NOS

900.82      Multiple blood vessels of head and neck

900.89      Other

900.9            Unspecified bloodvessel of head and neck

901       Injury to blood vessels of thorax

Excludes:            traumatic hemothorax (860.2-860.5)

901.0            Thoracic aorta

901.1            Innominate and subclavian arteries

901.2            Superior vena cava

901.3            Innominate and subclavian veins

901.4            Pulmonary blood vessels

901.40      Pulmonary vessel(s), unspecified

901.41      Pulmonary artery

901.42      Pulmonary vein

901.8            Other specified blood vessels of thorax

901.81      Intercostal artery or vein

901.82      Internal mammary artery or vein

901.83      Multiple blood vessels of thorax

901.89      Other

Azygos vein

Hemiazygos vein

901.9            Unspecified blood vessel of thorax

902       Injury to blood vessels of abdomen and pelvis

902.0            Abdominal aorta

902.1            Inferior vena cava

902.10      Inferior vena cava, unspecified

902.11      Hepatic veins

902.19      Other

902.2            Celiac and mesenteric arteries

902.20      Celiac and mesenteric arteries, unspecified

902.21      Gastric artery

902.22      Hepatic artery

902.23      Splenic artery

902.24      Other specified branches of celiac axis

902.25      Superior mesenteric artery (trunk)

902.26      Primary branches of superior mesenteric artery

Ileo-colic artery

902.27      Inferior mesenteric artery

902.29      Other

902.3            Portal and splenic veins

902.31      Superior mesenteric vein and primary subdivisions

Ileo-colic vein

902.32      Inferior mesenteric vein

902.33      Portal vein

902.34      Splenic vein

902.39      Other

Cystic vein

Gastric vein

902.4            Renal blood vessels

902.40      Renal vessel(s), unspecified

902.41      Renal artery

902.42      Renal vein

902.49      Other

Suprarenal arteries

902.5            Iliac blood vessels

902.50      Iliac vessel(s), unspecified

902.51      Hypogastric artery

902.52      Hypogastric vein

902.53      Iliac artery

902.54      Iliac vein

902.55      Uterine artery

902.56      Uterine vein

902.59      Other

902.8            Other specified blood vessels of abdomen and pelvis

902.81      Ovarian artery

902.82      Ovarian vein

902.87      Multiple blood vessels of abdomen and pelvis

902.89      Other

902.9            Unspecified blood vessel of abdomen and pelvis

903       Injury to blood vessels of upper extremity

903.0            Axillary blood vessels

903.00      Axillary vessel(s), unspecified

903.01      Axillary artery

903.02      Axillary vein

903.1            Brachial blood vessels

903.2            Radial blood vessels

903.3            Ulnar blood vessels

903.4            Palmar artery

903.5            Digital blood vessels

903.8            Other specified blood vessels of upper extremity

Multiple blood vessels of upper extremity

903.9            Unspecified blood vessel of upper extremity

904       Injury to blood vessels of lower extremity and unspecified sites

904.0            Common femoral artery

Femoral artery above profunda origin

904.1            Superficial femoral artery

904.2            Femoral veins

904.3            Saphenous veins

Saphenous vein (greater) (lesser)

904.4            Popliteal blood vessels

904.40      Popliteal vessel(s), unspecified

904.41      Popliteal artery

904.42      Popliteal vein

904.5            Tibial blood vessels

904.50      Tibial vessel(s), unspecified

904.51      Anterior tibial artery

904.52      Anterior tibial vein

904.53      Posterior tibial artery

904.54      Posterior tibial vein

904.6            Deep plantar blood vessels

904.7            Other specified blood vessels of lower extremity

Multiple blood vessels of lower extremity

904.8            Unspecified blood vessel of lower extremity

904.9            Unspecified site

Injury to blood vessel NOS

LATE EFFECTS OF INJURIES, POISONINGS, TOXIC EFFECTS, AND OTHER EXTERNAL CAUSES (905-909)

Note:    These categories are to be used to indicate conditions classifiable to 800-999 as the cause of late effects, which are themselves classified elsewhere. The "late effects" include those specified as such, or as sequelae, which may occur at any time after the acute injury.

905       Late effects of musculoskeletal and connective tissue injuries

905.0            Late effect of fracture of skull and face bones

Late effect of injury classifiable to 800-804

905.1            Late effect of fracture of spine and trunk without mention of spinal cord lesion

Late effect of injury classifiable to 805, 807-809

905.2            Late effect of fracture of upper extremities

Late effect of injury classifiable to 810-819

905.3            Late effect of fracture of neck of femur

Late effect of injury classifiable to 820

905.4            Late effect of fracture of lower extremities

Late effect of injury classifiable to 821-827

905.5            Late effect of fracture of multiple and unspecified bones

Late effect of injury classifiable to 828-829

905.6            Late effect of dislocation

Late effect of injury classifiable to 830-839

905.7            Late effect of sprain and strain without mention of tendon injury

Late effect of injury classifiable to 840-848, except tendon injury

905.8            Late effect of tendon injury

Late effect of tendon injury due to:

open wound [injury classifiable to 880-884 with .2, 890-894 with .2]

sprain and strain [injury classifiable to 840-848]

905.9            Late effect of traumatic amputation

Late effect of injury classifiable to 885-887, 895-897

Excludes:            late amputation stump complication (997.60-997.69)

906       Late effects of injuries to skin and subcutaneous tissues

906.0            Late effect of open wound of head, neck, and trunk

Late effect of injury classifiable to 870-879

906.1            Late effect of open wound of extremities without mention of tendon injury

Late effect of injury classifiable to 880-884, 890-894 except .2

906.2            Late effect of superficial injury

Late effect of injury classifiable to 910-919

906.3            Late effect of contusion

Late effect of injury classifiable to 920-924

906.4            Late effect of crushing

Late effect of injury classifiable to 925-929

906.5            Late effect of burn of eye, face, head, and neck

Late effect of injury classifiable to 940-941

906.6            Late effect of burn of wrist and hand

Late effect of injury classifiable to 944

906.7            Late effect of burn of other extremities

Late effect of injury classifiable to 943 or 945

906.8            Late effect of burns of other specified sites

Late effect of injury classifiable to 942, 946-947

906.9            Late effect of burn of unspecified site

Late effect of injury classifiable to 948-949

907       Late effects of injuries to the nervous system

907.0            Late effect of intracranial injury without mention of skull fracture

Late effect of injury classifiable to 850-854

907.1            Late effect of injury to cranial nerve

Late effect of injury classifiable to 950-951

907.2            Late effect of spinal cord injury

Late effect of injury classifiable to 806, 952

907.3            Late effect of injury to nerve root(s), spinal plexus(es), and other nerves of trunk

Late effect of injury classifiable to 953-954

907.4            Late effect of injury to peripheral nerve of shoulder girdle and upper limb

Late effect of injury classifiable to 955

907.5            Late effect of injury to peripheral nerve of pelvic girdle and lower limb

Late effect of injury classifiable to 956

907.9            Late effect of injury to other and unspecified nerve

Late effect of injury classifiable to 957

908       Late effects of other and unspecified injuries

908.0            Late effect of internal injury to chest

Late effect of injury classifiable to 860-862

908.1            Late effect of internal injury to intra-abdominal organs

Late effect of injury classifiable to 863-866, 868

908.2            Late effect of internal injury to other internal organs

Late effect of injury classifiable to 867 or 869

908.3            Late effect of injury to blood vessel of head, neck, and extremities

Late effect of injury classifiable to 900, 903-904

908.4            Late effect of injury to blood vessel of thorax, abdomen, and pelvis

Late effect of injury classifiable to 901-902

908.5            Late effect of foreign body in orifice

Late effect of injury classifiable to 930-939

908.6            Late effect of certain complications of trauma

Late effect of complications classifiable to 958

908.9            Late effect of unspecified injury

Late effect of injury classifiable to 959

909       Late effects of other and unspecified external causes

909.0            Late effect of poisoning due to drug, medicinal or biological substance

Late effect of conditions classifiable to 960-979

Excludes:            Late effect of adverse effect of drug, medicinal or biological substance (909.5)

909.1            Late effect of toxic effects of nonmedical substances

Late effect of conditions classifiable to 980-989

909.2            Late effect of radiation

Late effect of conditions classifiable to 990

909.3            Late effect of complications of surgical and medical care

Late effect of conditions classifiable to 996-999

909.4            Late effect of certain other external causes

Late effect of conditions classifiable to 991-994

909.5            Late effect of adverse effect of drug, medicinal or biological substance

Excludes:            late effect of poisoning due to drug, medicinal or biological substances (909.0)

909.9            Late effect of other and unspecified external causes

SUPERFICIAL INJURY (910-919)

Excludes:            burn (blisters) (940.0-949.5)

contusion (920-924.9)

foreign body:

granuloma (728.82)

inadvertently left in operative wound (998.4)

residual, in soft tissue (729.6)

insect bite, venomous (989.5)

open wound with incidental foreign body (870.0-897.7)

910            Superficial injury of face, neck, and scalp except eye

Includes:            cheek

ear

gum

lip

nose

throat

Excludes:            eye and adnexa (918.0-918.9)

910.0            Abrasion or friction burn without mention of infection

910.1            Abrasion or friction burn, infected

910.2            Blister without mention of infection

910.3            Blister, infected

910.4            Insect bite, nonvenomous, without mention of infection

910.5            Insect bite, nonvenomous, infected

910.6            Superficial foreign body (splinter) without major open wound and without mention of infection

910.7            Superficial foreign body (splinter) without major open wound, infected

910.8            Other and unspecified superficial injury of face, neck, and scalp without mention of infection

910.9            Other and unspecified superficial injury of face, neck, and scalp, infected

911            Superficial injury of trunk

Includes:            abdominal wall

anus

back

breast

buttock

chest wall

flank

groin

interscapular region

labium (majus) (minus)

penis

perineum

scrotum

testis

vagina

vulva

Excludes:            hip (916.0-916.9)

scapular region (912.0-912.9)

911.0            Abrasion or friction burn without mention of infection

911.1            Abrasion or friction burn, infected

911.2            Blister without mention of infection

911.3            Blister, infected

911.4            Insect bite, nonvenomous, without mention of infection

911.5            Insect bite, nonvenomous, infected

911.6            Superficial foreign body (splinter) without major open wound and without mention of infection

911.7            Superficial foreign body (splinter) without major open wound, infected

911.8            Other and unspecified superficial injury of trunk without mention of infection

911.9            Other and unspecified superficial injury of trunk, infected

912            Superficial injury of shoulder and upper arm

Includes:            axilla

scapular region

912.0            Abrasion or friction burn without mention of infection

912.1            Abrasion or friction burn, infected

912.2            Blister without mention of infection

912.3            Blister, infected

912.4            Insect bite, nonvenomous, without mention of infection

912.5            Insect bite, nonvenomous, infected

912.6            Superficial foreign body (splinter) without major open wound and without mention of infection

912.7            Superficial foreign body (splinter) without major open wound, infected

912.8            Other and unspecified superficial injury of shoulder and upper arm without mention of infection

912.9            Other and unspecified superficial injury of shoulder and upper arm, infected

913            Superficial injury of elbow, forearm, and wrist

913.0            Abrasion or friction burn without mention of infection

913.1            Abrasion or friction burn, infected

913.2            Blister without mention of infection

913.3            Blister, infected

913.4            Insect bite, nonvenomous, without mention of infection

913.5            Insect bite, nonvenomous, infected

913.6            Superficial foreign body (splinter) without major open wound and without mention of infection

913.7            Superficial foreign body (splinter) without major open wound, infected

913.8            Other and unspecified superficial injury of elbow, forearm, and wrist without mention of infection

913.9            Other and unspecified superficial injury of elbow, forearm, and wrist, infected

914            Superficial injury of hand(s) except finger(s) alone

914.0            Abrasion or friction burn without mention of infection

914.1            Abrasion or friction burn, infected

914.2            Blister without mention of infection

914.3            Blister, infected

914.4            Insect bite, nonvenomous, without mention of infection

914.5            Insect bite, nonvenomous, infected

914.6            Superficial foreign body (splinter) without major open wound and without mention of infection

914.7            Superficial foreign body (splinter) without major open wound, infected

914.8            Other and unspecified superficial injury of hand without mention of infection

914.9            Other and unspecified superficial injury of hand, infected

915            Superficial injury of finger(s)

Includes:            fingernail

thumb (nail)

915.0            Abrasion or friction burn without mention of infection

915.1            Abrasion or friction burn, infected

915.2            Blister without mention of infection

915.3            Blister, infected

915.4            Insect bite, nonvenomous, without mention of infection

915.5            Insect bite, nonvenomous, infected

915.6            Superficial foreign body (splinter) without major open wound and without mention of infection

915.7            Superficial foreign body (splinter) without major open wound, infected

915.8            Other and unspecified superficial injury of fingers without mention of infection

915.9            Other and unspecified superficial injury of fingers, infected

916            Superficial injury of hip, thigh, leg, and ankle

916.0            Abrasion or friction burn without mention of infection

916.1            Abrasion or friction burn, infected

916.2            Blister without mention of infection

916.3            Blister, infected

916.4            Insect bite, nonvenomous, without mention of infection

916.5            Insect bite, nonvenomous, infected

916.6            Superficial foreign body (splinter) without major open wound and without mention of infection

916.7            Superficial foreign body (splinter) without major open wound, infected

916.8            Other and unspecified superficial injury of hip, thigh, leg, and ankle without mention of infection

916.9            Other and unspecified superficial injury of hip, thigh, leg, and ankle, infected

917            Superficial injury of foot and toe(s)

Includes:            heel

toenail

917.0            Abrasion or friction burn without mention of infection

917.1            Abrasion or friction burn, infected

917.2            Blister without mention of infection

917.3            Blister, infected

917.4            Insect bite, nonvenomous, without mention of infection

917.5            Insect bite, nonvenomous, infected

917.6            Superficial foreign body (splinter) without major open wound and without mention of infection

917.7            Superficial foreign body (splinter) without major open wound, infected

917.8            Other and unspecified superficial injury of foot and toes without mention of infection

917.9            Other and unspecified superficial injury of foot and toes, infected

918            Superficial injury of eye and adnexa

Excludes:            burn (940.0-940.9)

foreign body on external eye (930.0-930.9)

918.0            Eyelids and periocular area

Abrasion

Insect bite

Superficial foreign body (splinter)

918.1            Cornea

Corneal abrasion

Superficial laceration

Excludes:            corneal injury due to contact lens (371.82)

918.2            Conjunctiva

918.9            Other and unspecified superficial injuries of eye

Eye (ball) NOS

919            Superficial injury of other, multiple, and unspecified sites

Excludes:            multiple sites classifiable to the same three-digit category (910.0-918.9)

919.0            Abrasion or friction burn without mention of infection

919.1            Abrasion or friction burn, infected

919.2            Blister without mention of infection

919.3            Blister, infected

919.4            Insect bite, nonvenomous, without mention of infection

919.5            Insect bite, nonvenomous, infected

919.6            Superficial foreign body (splinter) without major open wound and without mention of infection

919.7            Superficial foreign body (splinter) without major open wound, infected

919.8            Other and unspecified superficial injury without mention of infection

919.9            Other and unspecified superficial injury, infected

CONTUSION WITH INTACT SKIN SURFACE (920-924)

Includes:            bruise without fracture or open wound

hematoma without fracture or open wound

Excludes:            concussion (850.0-850.9)

hemarthrosis (840.0-848.9)

internal organs (860.0-869.1)

that incidental to:

crushing injury (925-929.9)

dislocation (830.0-839.9)

fracture (800.0-829.1)

internal injury (860.0-869.1)

intracranial injury (850.0-854.1)

nerve injury (950.0-957.9)

open wound (870.0-897.7)

920            Contusion of face, scalp, and neck except eye(s)

Cheek

Ear (auricle)

Gum

Lip

Mandibular joint area

Nose

Throat

921            Contusion of eye and adnexa

921.0            Black eye, NOS

921.1            Contusion of eyelids and periocular area

921.2            Contusion of orbital tissues

921.3            Contusion of eyeball

921.9            Unspecified contusion of eye

Injury of eye NOS

922            Contusion of trunk

922.0            Breast

922.1            Chest wall

922.2            Abdominal wall

Flank

Groin

922.3            Back

922.31      Back

Excludes:            interscapular region (922.33)

922.32      Buttock

922.33      Interscapular region

Excludes:            scapular region (923.01)

922.4            Genital organs

Labium (majus) (minus)

Penis

Perineum

Scrotum

Testis

Vagina

Vulva

922.8            Multiple sites of trunk

922.9            Unspecified part

Trunk NOS

923            Contusion of upper limb

923.0            Shoulder and upper arm

923.00      Shoulder region

923.01      Scapular region

923.02      Axillary region

923.03      Upper arm

923.09      Multiple sites

923.1            Elbow and forearm

923.10      Forearm

923.11      Elbow

923.2            Wrist and hand(s), except finger(s) alone

923.20      Hand(s)

923.21      Wrist

923.3            Finger

Fingernail

Thumb (nail)

923.8            Multiple sites of upper limb

923.9            Unspecified part of upper limb

Arm NOS

924            Contusion of lower limb and of other and unspecified sites

924.0            Hip and thigh

924.00      Thigh

924.01      Hip

924.1            Knee and lower leg

924.10      Lower leg

924.11      Knee

924.2            Ankle and foot, excluding toe(s)

924.20      Foot

Heel

924.21      Ankle

924.3            Toe

Toenail

924.4            Multiple sites of lower limb

924.5            Unspecified part of lower limb

Leg NOS

924.8            Multiple sites, not elsewhere classified

924.9            Unspecified site

CRUSHING INJURY (925-929)

Excludes:            concussion (850.0-850.9)

fractures (800-829)

internal organs (860.0-869.1)

that incidental to:

internal injury (860.0-869.1)

intracranial injury (850.0-854.1)

925            Crushing injury of face, scalp, and neck

Cheek

Ear

Larynx

Pharynx

Throat

925.1            Crushing injury of face and scalp

Cheek

Ear

925.2            Crushing injury of neck

Larynx

Throat

Pharynx

926            Crushing injury of trunk

Excludes:            crush injury of internal organs (860.0-869.1)

926.0            External genitalia

Labium (majus) (minus)

Penis

Scrotum

Testis

Vulva

926.1            Other specified sites

926.11      Back

926.12      Buttock

926.19      Other

Breast

Excludes:            crushing of chest (860.0-862.9)

926.8            Multiple sites of trunk

926.9            Unspecified site

Trunk NOS

927            Crushing injury of upper limb

927.0            Shoulder and upper arm

927.00      Shoulder region

927.01      Scapular region

927.02      Axillary region

927.03      Upper arm

927.09      Multiple sites

927.1            Elbow and forearm

927.10      Forearm

927.11      Elbow

927.2            Wrist and hand(s), except finger(s) alone

927.20      Hand(s)

927.21      Wrist

927.3            Finger(s)

927.8            Multiple sites of upper limb

927.9            Unspecified site

Arm NOS

928            Crushing injury of lower limb

928.0            Hip and thigh

928.00      Thigh

928.01      Hip

928.1            Knee and lower leg

928.10      Lower leg

928.11      Knee

928.2            Ankle and foot, excluding toe(s) alone

928.20      Foot

Heel

928.21      Ankle

928.3            Toe(s)

928.8            Multiple sites of lower limb

928.9            Unspecified site

Leg NOS

929            Crushing injury of multiple and unspecified sites

Excludes:            multiple internal injury NOS (869.0-869.1)

929.0            Multiple sites, not elsewhere classified

929.9            Unspecified site

EFFECTS OF FOREIGN BODY ENTERING THROUGH ORIFICE (930-939)

Excludes:            foreign body:

granuloma (728.82)

inadvertently left in operative wound (998.4, 998.7)

in open wound (800-839, 851-897)

residual, in soft tissues (729.6)

superficial without major open wound (910-919 with .6 or .7)

930       Foreign body on external eye

Excludes:            foreign body in penetrating wound of:

eyeball (871.5-871.6)

retained (old) (360.5-360.6)

ocular adnexa (870.4)

retained (old) (376.6)

930.0            Corneal foreign body

930.1            Foreign body in conjunctival sac

930.2            Foreign body in lacrimal punctum

930.8            Other and combined sites

930.9            Unspecified site

External eye NOS

931       Foreign body in ear

Auditory canal

Auricle

932       Foreign body in nose

Nasal sinus

Nostril

933       Foreign body in pharynx and larynx

933.0            Pharynx

Nasopharynx

Throat NOS

933.1            Larynx

Asphyxia due to foreign body

Choking due to:

food (regurgitated)

phlegm

934       Foreign body in trachea, bronchus, and lung

934.0            Trachea

934.1            Main bronchus

934.8            Other specified parts

Bronchioles

Lung

934.9            Respiratory tree, unspecified

Inhalation of liquid or vomitus, lower respiratory tract NOS

935       Foreign body in mouth, esophagus, and stomach

935.0            Mouth

935.1            Esophagus

935.2            Stomach

936       Foreign body in intestine and colon

937       Foreign body in anus and rectum

Rectosigmoid (junction)

938       Foreign body in digestive system, unspecified

Alimentary tract NOS

Swallowed foreign body

939       Foreign body in genitourinary tract

939.0            Bladder and urethra

939.1            Uterus, any part

Excludes:            intrauterine contraceptive device:

complications from (996.32, 996.65)

presence of (V45.51)

939.2            Vulva and vagina

939.3            Penis

939.9            Unspecified site

BURNS (940-949)

Includes:            burns from:

electrical heating appliance

electricity

flame

hot object

lightning

radiation

chemical burns (external) (internal)

scalds

Excludes:            friction burns (910-919 with .0, .1)

sunburn (692.71, 692.76-692.77)

940       Burn confined to eye and adnexa

940.0            Chemical burn of eyelids and periocular area

940.1            Other burns of eyelids and periocular area

940.2            Alkaline chemical burn of cornea and conjunctival sac

940.3            Acid chemical burn of cornea and conjunctival sac

940.4            Other burn of cornea and conjunctival sac

940.5            Burn with resulting rupture and destruction of eyeball

940.9            Unspecified burn of eye and adnexa

941       Burn of face, head, and neck

Excludes:            mouth (947.0)

The following fifth-digit subclassification is for use with category 941:

0            face and head, unspecified site

1            ear [any part]

2            eye (with other parts of face, head, and neck)

3            lip(s)

4            chin

5            nose (septum)

6            scalp [any part]

Temple (region)

7            forehead and cheek

8            neck

9            multiple sites [except with eye] of face, head, and neck

941.0            Unspecified degree

941.1            Erythema [first degree]

941.2            Blisters, epidermal loss [second degree]

941.3            Full-thickness skin loss [third degree NOS]

941.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

941.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

942       Burn of trunk

Excludes:            scapular region (943.0-943.5 with fifth-digit 6)

The following fifth-digit subclassification is for use with category 942:

0            trunk, unspecified site

1            breast

2            chest wall, excluding breast and nipple

3            abdominal wall

Flank

Groin

4            back [any part]

Buttock

Interscapular region

5            genitalia

Labium (majus) (minus)

Penis

Perineum

Scrotum

Testis

Vulva

9            other and multiple sites of trunk

942.0            Unspecified degree

942.1            Erythema [first degree]

942.2            Blisters, epidermal loss [second degree]

942.3            Full-thickness skin loss [third degree NOS]

942.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

942.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

943       Burn of upper limb, except wrist and hand

The following fifth-digit subclassification is for use with category 943:

0            upper limb, unspecified site

1            forearm

2            elbow

3            upper arm

4            axilla

5            shoulder

6            scapular region

9            multiple sites of upper limb, except wrist and hand

943.0            Unspecified degree

943.1            Erythema [first degree]

943.2            Blisters, epidermal loss [second degree]

943.3            Full-thickness skin loss [third degree NOS]

943.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

943.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

944       Burn of wrist(s) and hand(s)

The following fifth-digit subclassification is for use with category 944:

0            hand, unspecified site

1            single digit [finger (nail)] other than thumb

2            thumb (nail)

3            two or more digits, not including thumb

4            two or more digits including thumb

5            palm

6            back of hand

7            wrist

8            multiple sites of wrist(s) and hand(s)

944.0            Unspecified degree

944.1            Erythema [first degree]

944.2            Blisters, epidermal loss [second degree]

944.3            Full-thickness skin loss [third degree NOS]

944.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

944.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

945       Burn of lower limb(s)

The following fifth-digit subclassification is for use with category 945:

0            lower limb [leg], unspecified site

1            toe(s) (nail)

2            foot

3            ankle

4            lower leg

5            knee

6            thigh [any part]

9            multiple sites of lower limb(s)

945.0            Unspecified degree

945.1            Erythema [first degree]

945.2            Blisters, epidermal loss [second degree]

945.3            Full-thickness skin loss [third degree NOS]

945.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

945.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

946       Burns of multiple specified sites

Includes:            burns of sites classifiable to more than one three-digit category in 940-945

Excludes:            multiple burns NOS (949.0-949.5)

946.0            Unspecified degree

946.1            Erythema [first degree]

946.2            Blisters, epidermal loss [second degree]

946.3            Full-thickness skin loss [third degree NOS]

946.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

946.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

947       Burn of internal organs

Includes:            burns from chemical agents (ingested)

947.0            Mouth and pharynx

Gum

Tongue

947.1            Larynx, trachea, and lung

947.2            Esophagus

947.3            Gastrointestinal tract

Colon

Rectum

Small intestine

Stomach

947.4            Vagina and uterus

947.8            Other specified sites

947.9            Unspecified site

948       Burns classified according to extent of body surface involved

Excludes:            sunburn (692.71, 692.76-692.77)

Note:    This category is to be used when the site of the burn is unspecified, or with categories 940-947 when the site is specified.

The following fifth-digit subclassification is for use with category 948 to indicate the percent of body surface with third degree burn; valid digits are in [brackets] under each code:

0            less than 10 percent or unspecified

1            10-19%

2            20-29%

3            30-39%

4            40-49%

5            50-59%

6            60-69%

7            70-79%

8            80-89%

9            90% or more of body surface

948.0            Burn [any degree] involving less than 10 percent of body surface

[0]

948.1            10-19 percent of body surface

[0-1]

948.2            20-29 percent of body surface

[0-2]

948.3            30-39 percent of body surface

[0-3]

948.4            40-49 percent of body surface

[0-4]

948.5            50-59 percent of body surface

[0-5]

948.6            60-69 percent of body surface

[0-6]

948.7            70-79 percent of body surface

[0-7]

948.8            80-89 percent of body surface

[0-8]

948.9            90 percent or more of body surface

[0-9]

949       Burn, unspecified

Includes:            burn NOS

multiple burns NOS

Excludes:            burn of unspecified site but with statement of the extent of body surface involved (948.0-948.9)

949.0            Unspecified degree

949.1            Erythema [first degree]

949.2            Blisters, epidermal loss [second degree]

949.3            Full-thickness skin loss [third degree NOS]

949.4            Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part

949.5            Deep necrosis of underlying tissues [deep third degree] with loss of a body part

INJURY TO NERVES AND SPINAL CORD (950-957)

Includes:            division of nerve

lesion in continuity (with open wound)

traumatic neuroma (with open wound)

traumatic transient paralysis (with open wound)

Excludes:            accidental puncture or laceration during medical procedure (998.2)

950       Injury to optic nerve and pathways

950.0            Optic nerve injury

Second cranial nerve

950.1            Injury to optic chiasm

950.2            Injury to optic pathways

950.3            Injury to visual cortex

950.9            Unspecified

Traumatic blindness NOS

951       Injury to other cranial nerve(s)

951.0            Injury to oculomotor nerve

Third cranial nerve

951.1            Injury to trochlear nerve

Fourth cranial nerve

951.2            Injury to trigeminal nerve

Fifth cranial nerve

951.3            Injury to abducens nerve

Sixth cranial nerve

951.4            Injury to facial nerve

Seventh cranial nerve

951.5            Injury to acoustic nerve

Auditory nerve

Eighth cranial nerve

Traumatic deafness NOS

951.6            Injury to accessory nerve

Eleventh cranial nerve

951.7            Injury to hypoglossal nerve

Twelfth cranial nerve

951.8            Injury to other specified cranial nerves

Glossopharyngeal [9th cranial] nerve

Olfactory [1st cranial] nerve

Pneumogastric [10th cranial] nerve

Traumatic anosmia NOS

Vagus [10th cranial] nerve

951.9            Injury to unspecified cranial nerve

952       Spinal cord injury without evidence of spinal bone injury

952.0            Cervical

952.00      C1-C4 level with unspecified spinal cord injury

Spinal cord injury, cervical region NOS

952.01      C1-C4 level with complete lesion of spinal cord

952.02      C1-C4 level with anterior cord syndrome

952.03      C1-C4 level with central cord syndrome

952.04      C1-C4 level with other specified spinal cord injury

Incomplete spinal cord lesion at C1-C4 level:

NOS

with posterior cord syndrome

952.05      C5-C7 level with unspecified spinal cord injury

952.06      C5-C7 level with complete lesion of spinal cord

952.07      C5-C7 level with anterior cord syndrome

952.08      C5-C7 level with central cord syndrome

952.09      C5-C7 level with other specified spinal cord injury

Incomplete spinal cord lesion at C5-C7 level:

NOS

with posterior cord syndrome

952.1            Dorsal [thoracic]

952.10      T1-T6 level with unspecified spinal cord injury

Spinal cord injury, thoracic region NOS

952.11      T1-T6 level with complete lesion of spinal cord

952.12      T1-T6 level with anterior cord syndrome

952.13      T1-T6 level with central cord syndrome

952.14      T1-T6 level with other specified spinal cord injury

Incomplete spinal cord lesion at T1-T6 level:

NOS

with posterior cord syndrome

952.15      T7-T12 level with unspecified spinal cord injury

952.16      T7-T12 level with complete lesion of spinal cord

952.17      T7-T12 level with anterior cord syndrome

952.18      T7-T12 level with central cord syndrome

952.19      T7-T12 level with other specified spinal cord injury

Incomplete spinal cord lesion at T7-T12 level:

NOS

with posterior cord syndrome

952.2            Lumbar

952.3            Sacral

952.4            Cauda equina

952.8            Multiple sites of spinal cord

952.9            Unspecified site of spinal cord

953       Injury to nerve roots and spinal plexus

953.0            Cervical root

953.1            Dorsal root

953.2            Lumbar root

953.3            Sacral root

953.4            Brachial plexus

953.5            Lumbosacral plexus

953.8            Multiple sites

953.9            Unspecified site

954       Injury to other nerve(s) of trunk, excluding shoulder and pelvic girdles

954.0            Cervical sympathetic

954.1            Other sympathetic

Celiac ganglion or plexus

Inferior mesenteric plexus

Splanchnic nerve(s)

Stellate ganglion

954.8            Other specified nerve(s) of trunk

954.9            Unspecified nerve of trunk

955       Injury to peripheral nerve(s) of shoulder girdle and upper limb

955.0            Axillary nerve

955.1            Median nerve

955.2            Ulnar nerve

955.3            Radial nerve

955.4            Musculocutaneous nerve

955.5            Cutaneous sensory nerve, upper limb

955.6            Digital nerve

955.7            Other specified nerve(s) of shoulder girdle and upper limb

955.8            Multiple nerves of shoulder girdle and upper limb

955.9            Unspecified nerve of shoulder girdle and upper limb

956       Injury to peripheral nerve(s) of pelvic girdle and lower limb

956.0            Sciatic nerve

956.1            Femoral nerve

956.2            Posterior tibial nerve

956.3            Peroneal nerve

956.4            Cutaneous sensory nerve, lower limb

956.5            Other specified nerve(s) of pelvic girdle and lower limb

956.8            Multiple nerves of pelvic girdle and lower limb

956.9            Unspecified nerve of pelvic girdle and lower limb

957       Injury to other and unspecified nerves

957.0            Superficial nerves of head and neck

957.1            Other specified nerve(s)

957.8            Multiple nerves in several parts

Multiple nerve injury NOS

957.9            Unspecified site

Nerve injury NOS

CERTAIN TRAUMATIC COMPLICATIONS AND UNSPECIFIED INJURIES (958-959)

958       Certain early complications of trauma

Excludes:            adult respiratory distress syndrome (518.5)

flail chest (807.4)

shock lung (518.5)

that occurring during or following medical procedures (996.0-999.9)

958.0            Air embolism

Pneumathemia

Excludes:            that complicating:

abortion (634-638 with .6, 639.6)

ectopic or molar pregnancy (639.6)

pregnancy, childbirth, or the puerperium (673.0)

958.1            Fat embolism

Excludes:            that complicating:

abortion (634-638 with .6, 639.6)

pregnancy, childbirth, or the puerperium (673.8)

958.2            Secondary and recurrent hemorrhage

958.3            Posttraumatic wound infection, not elsewhere classified

Excludes:            infected open wounds - code to complicated open wound of site

958.4            Traumatic shock

Shock (immediate) (delayed) following injury

Excludes:            shock:

anaphylactic (995.0)

due to serum (999.4)

anesthetic (995.4)

electric (994.8)

following abortion (639.5)

lightning (994.0)

nontraumatic NOS (785.50)

obstetric (669.1)

postoperative (998.0)

958.5            Traumatic anuria

Crush syndrome

Renal failure following crushing

Excludes:            that due to a medical procedure (997.5)

958.6            Volkmann's ischemic contracture

Posttraumatic muscle contracture

958.7            Traumatic subcutaneous emphysema

Excludes:            subcutaneous emphysema resulting from a procedure (998.81)

958.8            Other early complications of trauma

959       Injury, other and unspecified

Includes:            injury NOS

Excludes:            injury NOS of:

blood vessels (900.0-904.9)

eye (921.0-921.9)

internal organs (860.0-869.1)

intracranial sites (854.0-854.1)

nerves (950.0-951.9, 953.0-957.9)

spinal cord (952.0-952.9)

959.0            Head, face and neck

959.01      Head injury, unspecified

Excludes:            concussion (850.0-850.9)

with head injury NOS (850.0-850.9)

head injury NOS with loss of consciousness (850.1-850.5)

specified head injuries (850.0-854.1)

959.09      Injury of face and neck

959.1            Trunk

Abdominal wall

Back

Breast

Buttock

Chest wall

External genital organs

Flank

Groin

Interscapular region

Perineum

Excludes:            scapular region (959.2)

959.2            Shoulder and upper arm

Axilla

Scapular region

959.3            Elbow, forearm, and wrist

959.4            Hand, except finger

959.5            Finger

Fingernail

Thumb (nail)

959.6            Hip and thigh

Upper leg

959.7            Knee, leg, ankle, and foot

959.8            Other specified sites, including multiple

Excludes:            multiple sites classifiable to the same four-digit category (959.0-959.7)

959.9            Unspecified site

POISONING BY DRUGS, MEDICINAL AND BIOLOGICAL SUBSTANCES (960-979)

Includes:            overdose of these substances

wrong substance given or taken in error

Excludes:            adverse effects ["hypersensitivity," "reaction," etc.] of correct substance properly administered. Such cases are to be classified according to the nature of the adverse effect, such as:

adverse effect NOS (995.2)

allergic lymphadenitis (289.3)

aspirin gastritis (535.4)

blood disorders (280.0-289.9)

dermatitis:

contact (692.0-692.9)

due to ingestion (693.0-693.9)

nephropathy (583.9)

[The drug giving rise to the adverse effect may be identified by use of categories E930-E949.]

drug dependence (304.0-304.9)

drug reaction and poisoning affecting the newborn (760.0-779.9)

nondependent abuse of drugs (305.0-305.9)

pathological drug intoxication (292.2)

Use additional code to specify the effects of the poisoning

960            Poisoning by antibiotics

Excludes:            antibiotics:

ear, nose, and throat (976.6)

eye (976.5)

local (976.0)

960.0            Penicillins

Ampicillin

Carbenicillin

Cloxacillin

Penicillin G

960.1            Antifungal antibiotics

Amphotericin B

Griseofulvin

Nystatin

Trichomycin

Excludes:            preparations intended for topical use (976.0-976.9)

960.2            Chloramphenicol group

Chloramphenicol

Thiamphenicol

960.3            Erythromycin and other macrolides

Oleandomycin

Spiramycin

960.4            Tetracycline group

Doxycycline

Minocycline

Oxytetracycline

960.5            Cephalosporin group

Cephalexin

Cephaloglycin

Cephaloridine

Cephalothin

960.6            Antimycobacterial antibiotics

Kanamycin

Rifampin

Streptomycin

Cycloserine

960.7            Antineoplastic antibiotics

Actinomycin such as:

Bleomycin

Cactinomycin

Dactinomycin

Daunorubicin

Mitomycin

960.8            Other specified antibiotics

960.9            Unspecified antibiotic

961            Poisoning by other anti-infectives

Excludes:            anti-infectives:

ear, nose, and throat (976.6)

eye (976.5)

local (976.0)

961.0            Sulfonamides

Sulfadiazine

Sulfafurazole

Sulfamethoxazole

961.1            Arsenical anti-infectives

961.2            Heavy metal anti-infectives

Compounds of:

antimony

bismuth

lead

mercury

Excludes:            mercurial diuretics (974.0)

961.3            Quinoline and hydroxyquinoline derivatives

Chiniofon

Diiodohydroxyquin

Excludes:            antimalarial drugs (961.4)

961.4            Antimalarials and drugs acting on other blood protozoa

Chloroquine

Cycloguanil

Primaquine

Proguanil [chloroguanide]

Pyrimethamine

Quinine

961.5            Other antiprotozoal drugs

Emetine

961.6            Anthelmintics

Hexylresorcinol

Piperazine

Thiabendazole

961.7            Antiviral drugs

Methisazone

Excludes:            amantadine (966.4)

cytarabine (963.1)

idoxuridine (976.5)

961.8            Other antimycobacterial drugs

Ethambutol

Ethionamide

Isoniazid

Para-aminosalicylic acid derivatives

Sulfones

961.9            Other and unspecified anti-infectives

Flucytosine

Nitrofuran derivatives

962            Poisoning by hormones and synthetic substitutes

Excludes:            oxytocic hormones (975.0)

962.0            Adrenal cortical steroids

Cortisone derivatives

Desoxycorticosterone derivatives

Fluorinated corticosteroids

962.1            Androgens and anabolic congeners

Methandriol

Nandrolone

Oxymetholone

Testosterone

962.2            Ovarian hormones and synthetic substitutes

Contraceptives, oral

Estrogens

Estrogens and progestogens, combined

Progestogens

962.3            Insulins and antidiabetic agents

Acetohexamide

Biguanide derivatives, oral

Chlorpropamide

Glucagon

Insulin

Phenformin

Sulfonylurea derivatives, oral

Tolbutamide

962.4            Anterior pituitary hormones

Corticotropin

Gonadotropin

Somatotropin [growth hormone]

962.5            Posterior pituitary hormones

Vasopressin

Excludes:            oxytocic hormones (975.0)

962.6            Parathyroid and parathyroid derivatives

962.7            Thyroid and thyroid derivatives

Dextrothyroxin

Levothyroxine sodium

Liothyronine

Thyroglobulin

962.8            Antithyroid agents

Iodides

Thiouracil

Thiourea

962.9            Other and unspecified hormones and synthetic substitutes

963            Poisoning by primarily systemic agents

963.0            Antiallergic and antiemetic drugs

Antihistamines

Chlorpheniramine

Diphenhydramine

Diphenylpyraline

Thonzylamine

Tripelennamine

Excludes:            phenothiazine-based tranquilizers (969.1)

963.1            Antineoplastic and immunosuppressive drugs

Azathioprine

Busulfan

Chlorambucil

Cyclophosphamide

Cytarabine

Fluorouracil

Mercaptopurine

thio-TEPA

Excludes:            antineoplastic antibiotics (960.7)

963.2            Acidifying agents

963.3            Alkalizing agents

963.4            Enzymes, not elsewhere classified

Penicillinase

963.5            Vitamins, not elsewhere classified

Vitamin A

Vitamin D

Excludes:            nicotinic acid (972.2)

vitamin K (964.3)

963.8            Other specified systemic agents

Heavy metal antagonists

963.9            Unspecified systemic agent

964            Poisoning by agents primarily affecting blood constituents

964.0            Iron and its compounds

Ferric salts

Ferrous sulfate and other ferrous salts

964.1            Liver preparations and other antianemic agents

Folic acid

964.2            Anticoagulants

Coumarin

Heparin

Phenindione

Warfarin sodium

964.3            Vitamin K [phytonadione]

964.4            Fibrinolysis-affecting drugs

Aminocaproic acid

Streptodornase

Streptokinase

Urokinase

964.5            Anticoagulant antagonists and other coagulants

Hexadimethrine

Protamine sulfate

964.6            Gamma globulin

964.7            Natural blood and blood products

Blood plasma

Human fibrinogen

Packed red cells

Whole blood

Excludes:            transfusion reactions (999.4-999.8)

964.8            Other specified agents affecting blood constituents

Macromolecular blood substitutes

Plasma expanders

964.9            Unspecified agents affecting blood constituents

965            Poisoning by analgesics, antipyretics, and antirheumatics

Use additional code to identify:

drug dependence (304.0-304.9)

nondependent abuse (305.0-305.9)

965.0            Opiates and related narcotics

965.00      Opium (alkaloids), unspecified

965.01      Heroin

Diacetylmorphine

965.02      Methadone

965.09      Other

Codeine [methylmorphine]

Meperidine [pethidine]

Morphine

965.1            Salicylates

Acetylsalicylic acid [aspirin]

Salicylic acid salts

965.4            Aromatic analgesics, not elsewhere classified

Acetanilid

Paracetamol [acetaminophen]

Phenacetin [acetophenetidin]

965.5            Pyrazole derivatives

Aminophenazone [aminopyrine]

Phenylbutazone

965.6            Antirheumatics [antiphlogistics]

Excludes:            salicylates (965.1)

steroids (962.0-962.9)

965.61      Propionic acid derivatives

Fenoprofen

Flurbiprofen

Ibuprofen

Ketoprofen

Naproxen

Oxaprozin

965.69      Other antirheumatics

Gold salts

Indomethacin

965.7            Other non-narcotic analgesics

Pyrabital

965.8            Other specified analgesics and antipyretics

Pentazocine

965.9            Unspecified analgesic and antipyretic

966            Poisoning by anticonvulsants and anti-Parkinsonism drugs

966.0            Oxazolidine derivatives

Paramethadione

Trimethadione

966.1            Hydantoin derivatives

Phenytoin

966.2            Succinimides

Ethosuximide

Phensuximide

966.3            Other and unspecified anticonvulsants

Primidone

Excludes:            barbiturates (967.0)

sulfonamides (961.0)

966.4            Anti-Parkinsonism drugs

Amantadine

Ethopropazine [profenamine]

Levodopa [L-dopa]

967            Poisoning by sedatives and hypnotics

Use additional code to identify:

drug dependence (304.0-304.9)

nondependent abuse (305.0-305.9)

967.0            Barbiturates

Amobarbital [amylobarbitone]

Barbital [barbitone]

Butabarbital [butabarbitone]

Pentobarbital [pentobarbitone]

Phenobarbital [phenobarbitone]

Secobarbital [quinalbarbitone]

Excludes:            thiobarbiturate anesthetics (968.3)

967.1            Chloral hydrate group

967.2            Paraldehyde

967.3            Bromine compounds

Bromide

Carbromal (derivatives)

967.4            Methaqualone compounds

967.5            Glutethimide group

967.6            Mixed sedatives, not elsewhere classified

967.8            Other sedatives and hypnotics

967.9            Unspecified sedative or hypnotic

Sleeping:

drug NOS

pill NOS

tablet NOS

968            Poisoning by other central nervous system depressants and anesthetics

Use additional code to identify:

drug dependence (304.0-304.9)

nondependent abuse (305.0-305.9)

968.0            Central nervous system muscle-tone depressants

Chlorphenesin (carbamate)

Mephenesin

Methocarbamol

968.1            Halothane

968.2            Other gaseous anesthetics

Ether

Halogenated hydrocarbon derivatives, except halothane

Nitrous oxide

968.3            Intravenous anesthetics

Ketamine

Methohexital [methohexitone]

Thiobarbiturates, such as thiopental sodium

968.4            Other and unspecified general anesthetics

968.5            Surface [topical] and infiltration anesthetics

Cocaine

Lidocaine [lignocaine]

Procaine

Tetracaine

968.6            Peripheral nerve- and plexus-blocking anesthetics

968.7            Spinal anesthetics

968.9            Other and unspecified local anesthetics

969            Poisoning by psychotropic agents

Use additional code to identify:

drug dependence (304.0-304.9)

nondependent abuse (305.0-305.9)

969.0            Antidepressants

Amitriptyline

Imipramine

Monoamine oxidase [MAO] inhibitors

969.1            Phenothiazine-based tranquilizers

Chlorpromazine

Fluphenazine

Prochlorperazine

Promazine

969.2            Butyrophenone-based tranquilizers

Haloperidol

Spiperone

Trifluperidol

969.3            Other antipsychotics, neuroleptics, and major tranquilizers

969.4            Benzodiazepine-based tranquilizers

Chlordiazepoxide

Diazepam

Flurazepam

Lorazepam

Medazepam

Nitrazepam

969.5            Other tranquilizers

Hydroxyzine

Meprobamate

969.6            Psychodysleptics [hallucinogens]

Cannabis (derivatives)

Lysergide [LSD]

Marihuana (derivatives)

Mescaline

Psilocin

Psilocybin

969.7            Psychostimulants

Amphetamine

Caffeine

Excludes:            central appetite depressants (977.0)

969.8            Other specified psychotropic agents

969.9            Unspecified psychotropic agent

970            Poisoning by central nervous system stimulants

970.0            Analeptics

Lobeline

Nikethamide

970.1            Opiate antagonists

Levallorphan

Nalorphine

Naloxone

970.8            Other specified central nervous system stimulants

970.9            Unspecified central nervous system stimulant

971            Poisoning by drugs primarily affecting the autonomic nervous system

971.0            Parasympathomimetics [cholinergics]

Acetylcholine

Anticholinesterase:

organophosphorus

reversible

Pilocarpine

971.1            Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

Atropine

Homatropine

Hyoscine [scopolamine]

Quaternary ammonium derivatives

Excludes:            papaverine (972.5)

971.2            Sympathomimetics [adrenergics]

Epinephrine [adrenalin]

Levarterenol [noradrenalin]

971.3            Sympatholytics [antiadrenergics]

Phenoxybenzamine

Tolazoline hydrochloride

971.9            Unspecified drug primarily affecting autonomic nervous system

972            Poisoning by agents primarily affecting the cardiovascular system

972.0            Cardiac rhythm regulators

Practolol

Procainamide

Propranolol

Quinidine

Excludes:            lidocaine (968.5)

972.1            Cardiotonic glycosides and drugs of similar action

Digitalis glycosides

Digoxin

Strophanthins

972.2            Antilipemic and antiarteriosclerotic drugs

Clofibrate

Nicotinic acid derivatives

972.3            Ganglion-blocking agents

Pentamethonium bromide

972.4            Coronary vasodilators

Dipyridamole

Nitrates [nitroglycerin]

Nitrites

972.5            Other vasodilators

Cyclandelate

Diazoxide

Papaverine

Excludes:            nicotinic acid (972.2)

972.6            Other antihypertensive agents

Clonidine

Guanethidine

Rauwolfia alkaloids

Reserpine

972.7            Antivaricose drugs, including sclerosing agents

Sodium morrhuate

Zinc salts

972.8            Capillary-active drugs

Adrenochrome derivatives

Metaraminol

972.9            Other and unspecified agents primarily affecting the cardiovascular system

973            Poisoning by agents primarily affecting the gastrointestinal system

973.0            Antacids and antigastric secretion drugs

Aluminum hydroxide

Magnesium trisilicate

973.1            Irritant cathartics

Bisacodyl

Castor oil

Phenolphthalein

973.2            Emollient cathartics

Dioctyl sulfosuccinates

973.3            Other cathartics, including intestinal atonia drugs

Magnesium sulfate

973.4            Digestants

Pancreatin

Papain

Pepsin

973.5            Antidiarrheal drugs

Kaolin

Pectin

Excludes:            anti-infectives (960.0-961.9)

973.6            Emetics

973.8            Other specified agents primarily affecting the gastrointestinal system

973.9            Unspecified agent primarily affecting the gastrointestinal system

974            Poisoning by water, mineral, and uric acid metabolism drugs

974.0            Mercurial diuretics

Chlormerodrin

Mercaptomerin

Mersalyl

974.1            Purine derivative diuretics

Theobromine

Theophylline

Excludes:            aminophylline [theophylline ethylenediamine] (975.7)

caffeine (969.7)

974.2            Carbonic acid anhydrase inhibitors

Acetazolamide

974.3            Saluretics

Benzothiadiazides

Chlorothiazide group

974.4            Other diuretics

Ethacrynic acid

Furosemide

974.5            Electrolytic, caloric, and water-balance agents

974.6            Other mineral salts, not elsewhere classified

974.7            Uric acid metabolism drugs

Allopurinol

Colchicine

Probenecid

975            Poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system

975.0            Oxytocic agents

Ergot alkaloids

Oxytocin

Prostaglandins

975.1            Smooth muscle relaxants

Adiphenine

Metaproterenol [orciprenaline]

Excludes:            papaverine (972.5)

975.2            Skeletal muscle relaxants

975.3            Other and unspecified drugs acting on muscles

975.4            Antitussives

Dextromethorphan

Pipazethate

975.5            Expectorants

Acetylcysteine

Guaifenesin

Terpin hydrate

975.6            Anti-common cold drugs

975.7            Antiasthmatics

Aminophylline [theophylline ethylenediamine]

975.8            Other and unspecified respiratory drugs

976            Poisoning by agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological, and dental drugs

976.0            Local anti-infectives and anti-inflammatory drugs

976.1            Antipruritics

976.2            Local astringents and local detergents

976.3            Emollients, demulcents, and protectants

976.4            Keratolytics, keratoplastics, other hair treatment drugs and preparations

976.5            Eye anti-infectives and other eye drugs

Idoxuridine

976.6            Anti-infectives and other drugs and preparations for ear, nose, and throat

976.7            Dental drugs topically applied

Excludes:            anti-infectives (976.0)

local anesthetics (968.5)

976.8            Other agents primarily affecting skin and mucous membrane

Spermicides [vaginal contraceptives]

976.9            Unspecified agent primarily affecting skin and mucous membrane

977            Poisoning by other and unspecified drugs and medicinal substances

977.0            Dietetics

Central appetite depressants

977.1            Lipotropic drugs

977.2            Antidotes and chelating agents, not elsewhere classified

977.3            Alcohol deterrents

977.4            Pharmaceutical excipients

Pharmaceutical adjuncts

977.8            Other specified drugs and medicinal substances

Contrast media used for diagnostic x-ray procedures

Diagnostic agents and kits

977.9            Unspecified drug or medicinal substance

978            Poisoning by bacterial vaccines

978.0            BCG

978.1            Typhoid and paratyphoid

978.2            Cholera

978.3            Plague

978.4            Tetanus

978.5            Diphtheria

978.6            Pertussis vaccine, including combinations with a pertussis component

978.8            Other and unspecified bacterial vaccines

978.9            Mixed bacterial vaccines, except combinations with a pertussis component

979            Poisoning by other vaccines and biological substances

Excludes:            gamma globulin (964.6)

979.0            Smallpox vaccine

979.1            Rabies vaccine

979.2            Typhus vaccine

979.3            Yellow fever vaccine

979.4            Measles vaccine

979.5            Poliomyelitis vaccine

979.6            Other and unspecified viral and rickettsial vaccines

Mumps vaccine

979.7            Mixed viral-rickettsial and bacterial vaccines, except combinations with a pertussis component

Excludes:            combinations with a pertussis component (978.6)

979.9            Other and unspecified vaccines and biological substances

TOXIC EFFECTS OF SUBSTANCES CHIEFLY NONMEDICINAL AS TO SOURCE (980-989)

Excludes:            burns from chemical agents (ingested) (947.0-947.9)

localized toxic effects indexed elsewhere (001.0-799.9)

respiratory conditions due to external agents (506.0-508.9)

Use additional code to specify the nature of the toxic effect

980       Toxic effect of alcohol

980.0            Ethyl alcohol

Denatured alcohol

Ethanol

Grain alcohol

Use additional code to identify any associated:

acute alcohol intoxication (305.0)

in alcoholism (303.0)

drunkenness (simple) (305.0)

pathological (291.4)

980.1            Methyl alcohol

Methanol

Wood alcohol

980.2            Isopropyl alcohol

Dimethyl carbinol

Isopropanol

Rubbing alcohol

980.3            Fusel oil

Alcohol:

amyl

butyl

propyl

980.8            Other specified alcohols

980.9            Unspecified alcohol

981       Toxic effect of petroleum products

Benzine

Gasoline

Kerosene

Paraffin wax

Petroleum:

ether

naphtha

spirit

982       Toxic effect of solvents other than petroleum based

982.0            Benzene and homologues

982.1            Carbon tetrachloride

982.2            Carbon disulfide

Carbon bisulfide

982.3            Other chlorinated hydrocarbon solvents

Tetrachloroethylene

Trichloroethylene

Excludes:            chlorinated hydrocarbon preparations other than solvents (989.2)

982.4            Nitroglycol

982.8            Other nonpetroleum-based solvents

Acetone

983       Toxic effect of corrosive aromatics, acids, and caustic alkalis

983.0            Corrosive aromatics

Carbolic acid or phenol

Cresol

983.1            Acids

Acid:

hydrochloric

nitric

sulfuric

983.2            Caustic alkalis

Lye

Potassium hydroxide

Sodium hydroxide

983.9            Caustic, unspecified

984       Toxic effect of lead and its compounds (including fumes)

Includes:            that from all sources except medicinal substances

984.0            Inorganic lead compounds

Lead dioxide

Lead salts

984.1            Organic lead compounds

Lead acetate

Tetraethyl lead

984.8            Other lead compounds

984.9            Unspecified lead compound

985       Toxic effect of other metals

Includes:            that from all sources except medicinal substances

985.0            Mercury and its compounds

Minamata disease

985.1            Arsenic and its compounds

985.2            Manganese and its compounds

985.3            Beryllium and its compounds

985.4            Antimony and its compounds

985.5            Cadmium and its compounds

985.6            Chromium

985.8            Other specified metals

Brass fumes

Copper salts

Iron compounds

Nickel compounds

985.9            Unspecified metal

986       Toxic effect of carbon monoxide

987       Toxic effect of other gases, fumes, or vapors

987.0            Liquefied petroleum gases

Butane

Propane

987.1            Other hydrocarbon gas

987.2            Nitrogen oxides

Nitrogen dioxide

Nitrous fumes

987.3            Sulfur dioxide

987.4            Freon

Dichloromonofluoromethane

987.5            Lacrimogenic gas

Bromobenzyl cyanide

Chloroacetophenone

Ethyliodoacetate

987.6            Chlorine gas

987.7            Hydrocyanic acid gas

987.8            Other specified gases, fumes, or vapors

Phosgene

Polyester fumes

987.9            Unspecified gas, fume, or vapor

988       Toxic effect of noxious substances eaten as food

Excludes:            allergic reaction to food, such as:

gastroenteritis (558.3)

rash (692.5, 693.1)

food poisoning (bacterial) (005.0-005.9)

toxic effects of food contaminants, such as:

aflatoxin and other mycotoxin (989.7)

mercury (985.0)

988.0            Fish and shellfish

988.1            Mushrooms

988.2            Berries and other plants

988.8            Other specified noxious substances eaten as food

988.9            Unspecified noxious substance eaten as food

989       Toxic effect of other substances, chiefly nonmedicinal as to source

989.0            Hydrocyanic acid and cyanides

Potassium cyanide

Sodium cyanide

Excludes:            gas and fumes (987.7)

989.1            Strychnine and salts

989.2            Chlorinated hydrocarbons

Aldrin

Chlordane

DDT

Dieldrin

Excludes:            chlorinated hydrocarbon solvents (982.0-982.3)

989.3            Organophosphate and carbamate

Carbaryl

Dichlorvos

Malathion

Parathion

Phorate

Phosdrin

989.4            Other pesticides, not elsewhere classified

Mixtures of insecticides

989.5            Venom

Bites of venomous snakes, lizards, and spiders

Tick paralysis

989.6            Soaps and detergents

989.7            Aflatoxin and other mycotoxin [food contaminants]

989.8            Other substances, chiefly nonmedicinal as to source

989.81      Asbestos

Excludes:            asbestosis (501)

exposure to asbestos (V15.84)

989.82      Latex

989.83      Silicone

Excludes:            silicone used in medical devices, implants and grafts (996.00-996.79)

989.84      Tobacco

989.89      Other

989.9            Unspecified substance, chiefly nonmedicinal as to source

OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES (990-995)

990       Effects of radiation, unspecified

Complication of:

phototherapy

radiation therapy

Radiation sickness

Excludes:            specified adverse effects of radiation. Such conditions are to be classified according to the nature of the adverse effect, as:

burns (940.0-949.5)

dermatitis (692.7-692.8)

leukemia (204.0-208.9)

pneumonia (508.0)

sunburn (692.71, 692.76-692.77)

[The type of radiation giving rise to the adverse effect may be identified by use of the E codes.]

991       Effects of reduced temperature

991.0            Frostbite of face

991.1            Frostbite of hand

991.2            Frostbite of foot

991.3            Frostbite of other and unspecified sites

991.4            Immersion foot

Trench foot

991.5            Chilblains

Erythema pernio

Perniosis

991.6            Hypothermia

Hypothermia (accidental)

Excludes:            hypothermia following anesthesia (995.89)

hypothermia not associated with low environmental temperature (780.99)

991.8            Other specified effects of reduced temperature

991.9            Unspecified effect of reduced temperature

Effects of freezing or excessive cold NOS

992       Effects of heat and light

Excludes:            burns (940.0-949.5)

diseases of sweat glands due to heat (705.0-705.9)

malignant hyperpyrexia following anesthesia (995.86)

sunburn (692.71, 692.76-692.77)

992.0            Heat stroke and sunstroke

Heat apoplexy

Heat pyrexia

Ictus solaris

Siriasis

Thermoplegia

992.1            Heat syncope

Heat collapse

992.2            Heat cramps

992.3            Heat exhaustion, anhydrotic

Heat prostration due to water depletion

Excludes:            that associated with salt depletion (992.4)

992.4            Heat exhaustion due to salt depletion

Heat prostration due to salt (and water) depletion

992.5            Heat exhaustion, unspecified

Heat prostration NOS

992.6            Heat fatigue, transient

992.7            Heat edema

992.8            Other specified heat effects

992.9            Unspecified

993       Effects of air pressure

993.0            Barotrauma, otitic

Aero-otitis media

Effects of high altitude on ears

993.1            Barotrauma, sinus

Aerosinusitis

Effects of high altitude on sinuses

993.2            Other and unspecified effects of high altitude

Alpine sickness

Andes disease

Anoxia due to high altitude

Hypobaropathy

Mountain sickness

993.3            Caisson disease

Bends

Compressed-air disease

Decompression sickness

Divers' palsy or paralysis

993.4            Effects of air pressure caused by explosion

993.8            Other specified effects of air pressure

993.9            Unspecified effect of air pressure

994       Effects of other external causes

Excludes:            certain adverse effects not elsewhere classified (995.0-995.8)

994.0            Effects of lightning

Shock from lightning

Struck by lightning NOS

Excludes:            burns (940.0-949.5)

994.1            Drowning and nonfatal submersion

Bathing cramp

Immersion

994.2            Effects of hunger

Deprivation of food

Starvation

994.3            Effects of thirst

Deprivation of water

994.4            Exhaustion due to exposure

994.5            Exhaustion due to excessive exertion

Overexertion

994.6            Motion sickness

Air sickness

Seasickness

Travel sickness

994.7            Asphyxiation and strangulation

Suffocation (by):

bedclothes

cave-in

constriction

mechanical

plastic bag

pressure

strangulation

Excludes:            asphyxia from:

carbon monoxide (986)

inhalation of food or foreign body (932-934.9)

other gases, fumes, and vapors (987.0-987.9)

994.8            Electrocution and nonfatal effects of electric current

Shock from electric current

Excludes:            electric burns (940.0-949.5)

994.9            Other effects of external causes

Effects of:

abnormal gravitational [G] forces or states

weightlessness

995       Certain adverse effects not elsewhere classified

Excludes:            complications of surgical and medical care (996.0-999.9)

995.0            Other anaphylactic shock

Allergic shock NOS or due to adverse effect of correct medicinal substance properly administered

Anaphylactic reaction NOS or due to adverse effect of correct medicinal substance properly administered

Anaphylaxis NOS or due to adverse effect of correct medicinal substance properly administered

Excludes:            anaphylactic reaction to serum (999.4)

anaphylactic shock due to adverse food reaction (995.60-995.69)

Use additional E code to identify external cause, such as:

adverse effects of correct medicinal substance properly administered [E930-E949]

995.1            Angioneurotic edema

Giant urticaria

Excludes:            urticaria:

due to serum (999.5)

other specified (698.2, 708.0-708.9, 757.33)

995.2            Unspecified adverse effect of drug, medicinal and biological substance (due) to correct medicinal substance properly administered

Adverse effect to correct medicinal substance properly administered

Allergic reaction to correct medicinal substance properly administered

Hypersensitivity to correct medicinal substance properly administered

Idiosyncrasy due to correct medicinal substance properly administered

Drug:

hypersensitivity NOS

reaction NOS

Excludes:            pathological drug intoxication (292.2)

995.3            Allergy, unspecified

Allergic reaction NOS

Hypersensitivity NOS

Idiosyncrasy NOS

Excludes:            allergic reaction NOS to correct medicinal substance properly administered (995.2)

specific types of allergic reaction, such as:

allergic diarrhea (558.3)

dermatitis (691.0-693.9)

hayfever (477.0-477.9)

995.4            Shock due to anesthesia

Shock due to anesthesia in which the correct substance was properly administered

Excludes:            complications of anesthesia in labor or delivery (668.0-668.9)

overdose or wrong substance given (968.0-969.9)

postoperative shock NOS (998.0)

specified adverse effects of anesthesia classified elsewhere, such as:

anoxic brain damage (348.1)

hepatitis (070.0-070.9), etc.

unspecified adverse effect of anesthesia (995.2)

995.5            Child maltreatment syndrome

Use additional code(s), if applicable, to identify any associated injuries

Use additional E code to identify:

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.50      Child abuse, unspecified

995.51      Child emotional/psychological abuse

995.52      Child neglect (nutritional)

Use additional code to identify intent of neglect (E904.0,E968.4)

995.53      Child sexual abuse

995.54      Child physical abuse

Battered baby or child syndrome

Excludes:            Shaken infant syndrome (995.55)

995.55      Shaken infant syndrome

Use additional code(s) to identify any associated injuries

995.59      Other child abuse and neglect

Multiple forms of abuse

 Use additional code to identify intent of neglect (E904.0,E968.4)

995.6            Anaphylactic shock due to adverse food reaction

Anaphylactic shock due to nonpoisonous foods

995.60      Due to unspecified food

995.61      Due to peanuts

995.62      Due to crustaceans

995.63      Due to fruits and vegetables

995.64      Due to tree nuts and seeds

995.65      Due to fish

995.66      Due to food additives

995.67      Due to milk products

995.68      Due to eggs

995.69      Due to other specified food

995.7            Other adverse food reactions, not elsewhere classified

Use additional code to identify the type of reaction, such as:

hives (708.0)

wheezing (786.07)

Excludes:            anaphylactic shock due to adverse food reaction (995.6)

asthma (493.0, 493.9)

dermatitis due to food (693.1)

in contact with the skin (692.5)

gastroenteritis and colitis due to food (558.3)

rhinitis due to food (477.1)

995.8            Other specified adverse effects, not elsewhere classified

995.80      Adult maltreatment, unspecified

Abused person NOS

Use additional code to identify:

any associated injury

nature of abuse (E960-E968)

perpetrator  (E967.0-E967.9)

995.81      Adult physical abuse

Battered:

person syndrome NEC

man

spouse

woman

Use additional code to identify:

any associated injury

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.82      Adult emotional/psychological abuse

Use additional E code to identify perpetrator (E967.0-E967.9)

995.83      Adult sexual abuse

Use additional code to identify:

any associated injury

perpetrator (E967.0-E967.9)

995.84      Adult neglect (nutritional)

Use additional code to identify:

intent of neglect (E904.0-E968.4)

perpetrator (E967.0-E967.9)

995.85      Other adult abuse and neglect

Multiple forms of abuse and neglect

Use additional code to identify:

any associated injury

intent of neglect (E904.0,  E968.4)

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.86      Malignant hyperthermia

Malignant hyperpyrexia due to anesthesia

995.89      Other

Hypothermia due to anesthesia

995.9            Systemic inflammatory response syndrome (SIRS)

995.90      Systemic inflammatory response syndrome, unspecified

SIRS NOS

995.91      Systemic inflammatory response syndrome due to infectious process without organ dysfunction

995.92      Systemic inflammatory response syndrome due to infectious process with organ dysfunction

Severe sepsis

Use additional code to specify organ dysfunction, such as:

encephalopathy (348.3)

heart failure (428.0-428.9)

kidney failure (584.5-584.9, 585, 586)

995.93      Systemic inflammatory response syndrome due to non-infectious process without organ dysfunction

995.94      Systemic inflammatory response syndrome due to non-infectious process with organ dysfunction

Use additional code to specify organ dysfunction, such as:

encephalopathy (348.3)

heart failure (428.0-428.9)

kidney failure (584.5-584.9, 585, 586)

COMPLICATIONS OF SURGICAL AND MEDICAL CARE, NOT ELSEWHERE CLASSIFIED (996-999)

Excludes:            adverse effects of medicinal agents (001.0-799.9, 995.0-995.8)

burns from local applications and irradiation (940.0-949.5)

complications of:

conditions for which the procedure was performed

surgical procedures during abortion, labor, and  delivery (630-676.9)

poisoning and toxic effects of drugs and chemicals (960.0-989.9)

postoperative conditions in which no complications are present, such as:

artificial opening status (V44.0-V44.9)

closure of external stoma (V55.0-V55.9)

fitting of prosthetic device (V52.0-V52.9)

specified complications classified elsewhere

anesthetic shock (995.4)

electrolyte imbalance (276.0-276.9)

postlaminectomy syndrome (722.80-722.83)

postmastectomy lymphedema syndrome (457.0)

postoperative psychosis (293.0-293.9)

any other condition classified elsewhere in the Alphabetic Index when described as due to a procedure

996            Complications peculiar to certain specified procedures

Includes:            complications, not elsewhere classified, in the use of artificial substitutes [e.g., Dacron, metal, Silastic, Teflon] or natural sources [e.g., bone] involving:

anastomosis (internal)

graft (bypass) (patch)

implant

internal device:

catheter

electronic

fixation

prosthetic

reimplant

transplant

Excludes:            accidental puncture or laceration during procedure (998.2)

complications of internal anastomosis of:

gastrointestinal tract (997.4)

urinary tract (997.5)

other specified complications classified elsewhere, such as:

hemolytic anemia (283.1)

functional cardiac disturbances (429.4)

serum hepatitis (070.2-070.3)

996.0            Mechanical complication of cardiac device, implant, and graft

Breakdown (mechanical)

Displacement

Leakage

Obstruction, mechanical

Perforation

Protrusion

996.00      Unspecified device, implant, and graft

996.01      Due to cardiac pacemaker (electrode)

996.02      Due to heart valve prosthesis

996.03      Due to coronary bypass graft

Excludes:            atherosclerosis of graft (414.02, 414.03)

embolism [occlusion NOS] [thrombus] of graft (996.72)

996.04      Due to automatic implantable cardiac defibrillator

996.09      Other

996.1            Mechanical complication of other vascular device, implant, and graft

Mechanical complications involving:

aortic (bifurcation) graft (replacement)

arteriovenous:

dialysis catheter

fistula surgically created

shunt surgically created

balloon (counterpulsation) device, intra-aortic

carotid artery bypass graft

femoral-popliteal bypass graft

umbrella device, vena cava

Excludes:            atherosclerosis of biological graft (440.30-440.32)

embolism [occlusion NOS] [thrombus] of (biological) (synthetic) graft (996.74)

peritoneal dialysis catheter (996.56)

996.2            Mechanical complication of nervous system device, implant, and graft

Mechanical complications involving:

dorsal column stimulator

electrodes implanted in brain [brain "pacemaker"]

peripheral nerve graft

ventricular (communicating) shunt

996.3            Mechanical complication of genitourinary device, implant, and graft

996.30      Unspecified device, implant, and graft

996.31      Due to urethral [indwelling] catheter

996.32      Due to intrauterine contraceptive device

996.39      Other

Cystostomy catheter

Prosthetic reconstruction of vas deferens

Repair (graft) of ureter without mention of resection

Excludes:            complications due to:

external stoma of urinary tract (997.5)

internal anastomosis of urinary tract (997.5)

996.4            Mechanical complication of internal orthopedic device, implant, and graft

Mechanical complications involving:

external (fixation) device utilizing internal screw(s), pin(s) or other methods of fixation

grafts of bone, cartilage, muscle, or tendon

internal (fixation) device such as nail, plate, rod, etc.

Excludes:            complications of external orthopedic device, such as:

pressure ulcer due to cast (707.0)

996.5            Mechanical complication of other specified prosthetic device, implant, and graft

Mechanical complications involving:

prosthetic implant in:

bile duct

breast

chin

orbit of eye

nonabsorbable surgical material NOS

other graft, implant, and internal device, not elsewhere classified

996.51      Due to corneal graft

996.52      Due to graft of other tissue, not elsewhere classified

Skin graft failure or rejection

Excludes:            failure of artificial skin graft (996.55)

failure of decellularized allodermis (996.55)

sloughing of temporary skin allografts or xenografts (pigskin)­omit code

996.53      Due to ocular lens prosthesis

Excludes:            contact lenses­code to condition

996.54      Due to breast prosthesis

Breast capsule (prosthesis)

Mammary implant

996.55      Due to artificial skin graft and decellularized allodermis

Dislodgement

Displacement

Failure

Non-adherence

Poor incorporation

Shearing

996.56      Due to peritoneal dialysis catheter

Excludes:            mechancial complication of arteriovenous dialysis catheter (996.1)

996.59      Due to other implant and internal device, not elsewhere classified

Nonabsorbable surgical material NOS

Prosthetic implant in:

bile duct

chin

orbit of eye

996.6            Infection and inflammatory reaction due to internal prosthetic device, implant, and graft

Infection (causing obstruction) due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Inflammation due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Use additional code to identify specified infections

996.60      Due to unspecified device, implant and graft

996.61      Due to cardiac device, implant and graft

Cardiac pacemaker or defibrillator:

electrode(s), lead(s)

pulse generator

subcutaneous pocket

Coronary artery bypass graft

Heart valve prosthesis

996.62      Due to vascular device, implant and graft

Arterial graft

Arteriovenous fistula or shunt

Infusion pump

Vascular catheter (arterial) (dialysis) (venous)

996.63      Due to nervous system device, implant and graft

Electrodes implanted in brain

Peripheral nerve graft

Spinal canal catheter

Ventricular (communicating) shunt (catheter)

996.64      Due to indwelling urinary catheter

Use additional code to identify specified infections, such as:

Cystitis (595.0-595.9)

Sepsis (038.0-038.9)

996.65      Due to other genitourinary device, implant and graft

Intrauterine contraceptive device

996.66      Due to internal joint prosthesis

996.67      Due to other internal orthopedic device, implant and graft

Bone growth stimulator (electrode)

Internal fixation device (pin) (rod) (screw)

996.68      Due to peritoneal dialysis catheter

Exit-site infection or inflammation

996.69      Due to other internal prosthetic device, implant, and graft

Breast prosthesis

Ocular lens prosthesis

Prosthetic orbital implant

996.7            Other complications of internal (biological) (synthetic) prosthetic device, implant, and graft

Complication NOS due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

occlusion NOS

Embolism due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Fibrosis due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Hemorrhage due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Pain due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Stenosis due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Thrombus due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Excludes:            transplant rejection (996.8)

996.70      Due to unspecified device, implant, and graft

996.71      Due to heart valve prosthesis

996.72      Due to other cardiac device, implant, and graft

Cardiac pacemaker or defibrillator:

electrode(s), lead(s)

subcutaneous pocket

Coronary artery bypass (graft)

Excludes:            occlusion due to atherosclerosis (414.00-414.06)

996.73      Due to renal dialysis device, implant, and graft

996.74      Due to vascular device, implant, and graft

Excludes:            occlusion of biological graft due to atherosclerosis (440.30-440.32)

996.75      Due to nervous system device, implant, and graft

996.76      Due to genitourinary device, implant, and graft

996.77      Due to internal joint prosthesis

996.78      Due to other internal orthopedic device, implant, and graft

996.79      Due to other internal prosthetic device, implant, and graft

996.8            Complications of transplanted organ

Transplant failure or rejection

Use additional code to identify nature of complication, such as:

Cytomegalovirus [CMV] infection (078.5)

996.80      Transplanted organ, unspecified

996.81      Kidney

996.82      Liver

996.83      Heart

996.84      Lung

996.85      Bone marrow

Graft-versus-host disease (acute) (chronic)

996.86      Pancreas

996.87      Intestine

996.89      Other specified transplanted organ

996.9            Complications of reattached extremity or body part

996.90      Unspecified extremity

996.91      Forearm

996.92      Hand

996.93      Finger(s)

996.94      Upper extremity, other and unspecified

996.95      Foot and toe(s)

996.96      Lower extremity, other and unspecified

996.99      Other specified body part

997            Complications affecting specified body systems, not elsewhere classified

Use additional code to identify complication

Excludes:            the listed conditions when specified as:

causing shock (998.0)

complications of:

anesthesia:

adverse effect (001.0-799.9, 995.0-995.8)

in labor or delivery (668.0-668.9)

poisoning (968.0-969.9)

implanted device or graft (996.0-996.9)

obstetrical procedures (669.0-669.4)

reattached extremity (996.90-996.96)

transplanted organ (996.80-996.89)

997.0            Nervous system complications

997.00      Nervous system complication, unspecified

997.01      Central nervous system complication

Anoxic brain damage

Cerebral hypoxia

Excludes:            Cerebrovascular hemorrhage or infarction (997.02)

997.02      Iatrogenic cerebrovascular infarction or hemorrhage

Postoperative stroke

997.09      Other nervous system complications

997.1            Cardiac complications

Cardiac:

arrest during or resulting from a procedure

insufficiency during or resulting from a procedure

Cardiorespiratory failure during or resulting from a procedure

Heart failure during or resulting from a procedure

Excludes:            the listed conditions as long-term effects of cardiac surgery or due to the presence of cardiac prosthetic device (429.4)

997.2            Peripheral vascular complications

Phlebitis or thrombophlebitis during or resulting from a procedure

Excludes:            the listed conditions due to:

implant or catheter device (996.62)

infusion, perfusion, or transfusion (999.2)

complications affecting blood vessels (997.71-997.79)

997.3            Respiratory complications

Mendelson's syndrome resulting from a procedure

Pneumonia (aspiration) resulting from a procedure

Excludes:            iatrogenic [postoperative] pneumothorax (512.1)

iatrogenic pulmonary embolism (415.11)

Mendelson's syndrome in labor and delivery (668.0)

specified complications classified elsewhere, such as:

adult respiratory distress syndrome (518.5)

pulmonary edema, postoperative (518.4)

respiratory insufficiency, acute, postoperative (518.5)

shock lung (518.5)

tracheostomy complications (519.00-519.09)

997.4            Digestive system complications

Complications of:

Intestinal (internal) anastomosis and bypass, not elsewhere classified, except that involving urinary tract

Hepatic failure specified as due to a procedure

Hepatorenal syndrome specified as due to a procedure

Intestinal obstruction NOS specified as due to a procedure

Excludes:            specified gastrointestinal complications classified elsewhere, such as:

blind loop syndrome (579.2)

colostomy or enterostomy complications (569.60-569.69)

gastrojejunal ulcer (534.0-534.9)

gastrostomy complications (536.40-536.49)

infection of external stoma (569.61)

pelvic peritoneal adhesions, female (614.6)

peritoneal adhesions (568.0)

peritoneal adhesions with obstruction (560.81)

postcholecystectomy syndrome (576.0)

postgastric surgery syndromes (564.2)

997.5            Urinary complications

Complications of:

external stoma of urinary tract

internal anastomosis and bypass of urinary tract, including that involving intestinal tract

Oliguria or anuria specified as due to procedure

Renal:

failure (acute) specified as due to procedure

insufficiency (acute) specified as due to procedure

Tubular necrosis (acute) specified as due to procedure

Excludes:            specified complications classified elsewhere, such as:

postoperative stricture of:

ureter (593.3)

urethra (598.2)

997.6            Amputation stump complication

Excludes:            admission for treatment for a current traumatic amputation- code to complicated traumatic amptutation

phantom limb (syndrome) (353.6)

997.60      Unspecified complication

997.61      Neuroma of amputation stump

997.62      Infection (chronic)

Use additional code to identify the organism

997.69      Other

997.7            Vascular complications of other vessels

Excludes:            peripheral vascular complications (997.2)

997.71      Vascular complications of mesenteric artery

997.72      Vascular complications of renal artery

997.79      Vascular complications of other vessels

997.9            Complications affecting other specified body systems, not elsewhere classified

Excludes:            specified complications classified elsewhere, such as:

broad ligament laceration syndrome (620.6)

postartificial menopause syndrome (627.4)

postoperative stricture of vagina (623.2)

997.91      Hypertension

Excludes:            Essential hypertension (401. 0-401.9)

997.99      Other

Vitreous touch syndrome

998       Other complications of procedures, NEC

998.0            Postoperative shock

Collapse NOS during or resulting from a surgical procedure

Shock (endotoxic) (hypovolemic) (septic) during or resulting from a surgical procedure

Excludes:            shock:

anaphylactic due to serum (999.4)

anesthetic (995.4)

electric (994.8)

following abortion (639.5)

obstetric (669.1)

traumatic (958.4)

998.1            Hemorrhage or hematoma or seroma complicating a procedure

Excludes:            hemorrhage, hematoma or seroma:

complicating cesarean section or puerperal perineal wound (674.3)

due to implanted device or graft (996.70-996.79)

998.11      Hemorrhage complicating a procedure

998.12      Hematoma complicating a procedure

998.13      Seroma complicating a procedure

998.2            Accidental puncture or laceration during a procedure

Accidental perforation by catheter or other instrument during a procedure on:

blood vessel

nerve

organ

Excludes:            iatrogenic [postoperative] pneumothorax (512.1)

puncture or laceration caused by implanted device intentionally left in operation wound (996.0-996.5)

specified complications classified elsewhere, such as:

broad ligament laceration syndrome (620.6)

trauma from instruments during delivery (664.0-665.9)

998.3            Disruption of operation wound

Dehiscence of operation wound

Rupture of operation wound

Excludes:            disruption of:

amputation stump (997.69)

cesarean wound (674.1)

perineal wound, puerperal (674.2)

998.31      Disruption of internal operation wound

998.32      Disruption of external operation wound

Disruption of operation wound NOS

998.4            Foreign body accidentally left during a procedure

Adhesions due to foreign body accidentally left in operative wound or body cavity during a procedure

Obstruction due to foreign body accidentally left in operative wound or body cavity during a procedure

Perforation due to foreign body accidentally left in operative wound or body cavity during a procedure

Excludes:            obstruction or perforation caused by implanted device intentionally left in body (996.0-996.5)

998.5            Postoperative infection

Excludes:            infection due to:

implanted device (996.60-996.69)

infusion, perfusion, or transfusion (999.3)

postoperative obstetrical wound infection (674.3)

998.51      Infected postoperative seroma

Use additional code to identify organism

998.59      Other postoperative infection

Abscess: postoperative

intra-abdominal postoperative

stitch postoperative

subphrenic postoperative

wound postoperative

Septicemia postoperative

Use additional code to identify infection

998.6            Persistent postoperative fistula

998.7            Acute reaction to foreign substance accidentally left during a procedure

Peritonitis:

aseptic

chemical

998.8            Other specified complications of procedures, not elsewhere classified

998.81      Emphysema (subcutaneous) (surgical) resulting from a procedure

998.82      Cataract fragments in eye following cataract surgery

998.83      Non-healing surgical wound

998.89      Other specified complications

998.9            Unspecified complication of procedure, not elsewhere classified

Postoperative complication NOS

Excludes:            complication NOS of obstetrical surgery or procedure (669.4)

999            Complications of medical care, not elsewhere classified

Includes:            complications, not elsewhere classified, of:

dialysis (hemodialysis) (peritoneal) (renal)

extracorporeal circulation

hyperalimentation therapy

immunization

infusion

inhalation therapy

injection

inoculation

perfusion

transfusion

vaccination

ventilation therapy

Excludes:            specified complications classified elsewhere such as:

complications of implanted device (996.0-996.9)

contact dermatitis due to drugs (692.3)

dementia dialysis (294.8)

transient (293.9)

dialysis disequilibrium syndrome (276.0-276.9)

poisoning and toxic effects of drugs and chemicals (960.0-989.9)

postvaccinal encephalitis (323.5)

water and electrolyte imbalance (276.0-276.9)

999.0            Generalized vaccinia

999.1            Air embolism

Air embolism to any site following infusion, perfusion, or transfusion

Excludes:            embolism specified as:

complicating:

abortion (634-638 with .6, 639.6)

ectopic or molar pregnancy (639.6)

pregnancy, childbirth, or the puerperium (673.0)

due to implanted device (996.7)

traumatic (958.0)

999.2            Other vascular complications

Phlebitis following infusion, perfusion, or transfusion

Thromboembolism following infusion, perfusion, or transfusion

Thrombophlebitis following infusion, perfusion, or transfusion

Excludes:            the listed conditions when specified as:

due to implanted device (996.61-996.62, 996.72-996.74)

postoperative NOS (997.2, 997.71-997.79)

999.3            Other infection

Infection following infusion, injection, transfusion, or vaccination

Sepsis following infusion, injection, transfusion, or vaccination

Septicemia following infusion, injection, transfusion, or vaccination

Excludes:            the listed conditions when specified as:

due to implanted device (996.60-996.69)

postoperative NOS (998.51-998.59)

999.4            Anaphylactic shock due to serum

Excludes:            shock:

allergic NOS (995.0)

anaphylactic:

NOS (995.0)

due to drugs and chemicals (995.0)

999.5            Other serum reaction

Intoxication by serum

Protein sickness

Serum rash

Serum sickness

Urticaria due to serum

Excludes:            serum hepatitis (070.2-070.3)

999.6            ABO incompatibility reaction

Incompatible blood transfusion

Reaction to blood group incompatibility in infusion or transfusion

999.7            Rh incompatibility reaction

Reactions due to Rh factor in infusion or transfusion

999.8            Other transfusion reaction

Septic shock due to transfusion

Transfusion reaction NOS

Excludes:            postoperative shock (998.0)

999.9            Other and unspecified complications of medical care, not elsewhere classified

Complications, not elsewhere classified, of:

electroshock therapy

inhalation therapy

ultrasound therapy

ventilation therapy

Unspecified misadventure of medical care

Excludes:            unspecified complication of:

phototherapy (990)

radiation therapy (990)

SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (V01-V83)

This classification is provided to deal with occasions when circumstances other than a disease or injury classifiable to categories 001-999 (the main part of ICD) are recorded as "diagnoses" or "problems." This can arise mainly in three ways:

a)   When a person who is not currently sick encounters the health services for some specific purpose, such as to act as a donor of an organ or tissue, to receive prophylactic vaccination, or to discuss a problem which is in itself not a disease or injury. This will be a fairly rare occurrence among hospital inpatients, but will be relatively more common among hospital outpatients and patients of family practitioners, health clinics, etc.

b)   When a person with a known disease or injury, whether it is current or resolving, encounters the health care system for a specific treatment of that disease or injury (e.g., dialysis for renal disease; chemotherapy for malignancy; cast change).

c)   When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some current illness or injury classifiable to categories 001-999.

In the latter circumstances the V code should be used only as a supplementary code and should not be the one selected for use in primary, single cause tabulations. Examples of these circumstances are a personal history of certain diseases, or a person with an artificial heart valve in situ.

PERSONS WITH POTENTIAL HEALTH HAZARDS RELATED TO COMMUNICABLE DISEASES (V01-V06)

Excludes:            family history of infectious and parasitic diseases (V18.8)

personal history of infectious and parasitic diseases (V12.0)

V01      Contact with or exposure to communicable diseases

V01.0            Cholera

Conditions classifiable to 001

V01.1            Tuberculosis

Conditions classifiable to 010-018

V01.2            Poliomyelitis

Conditions classifiable to 045

V01.3            Smallpox

Conditions classifiable to 050

V01.4            Rubella

Conditions classifiable to 056

V01.5            Rabies

Conditions classifiable to 071

V01.6            Venereal diseases

Conditions classifiable to 090-099

V01.7            Other viral diseases

Conditions classifiable to 042-078, and V08, except as above

V01.8            Other communicable diseases

Conditions classifiable to 001-136, except as above

V01.81      Anthrax

V01.89      Other communicable diseases

V01.9            Unspecified communicable disease

V02      Carrier or suspected carrier of infectious diseases

V02.0            Cholera

V02.1            Typhoid

V02.2            Amebiasis

V02.3            Other gastrointestinal pathogens

V02.4            Diphtheria

V02.5            Other specified bacterial diseases

V02.51      Group B streptococcus

V02.52      Other streptococcus

V02.59      Other specified bacterial diseases

Meningococcal

Staphylococcal

V02.6            Viral hepatitis

V02.60      Viral hepatitis carrier, unspecified

V02.61      Hepatitis B carrier

V02.62      Hepatitis C carrier

V02.69      Other viral hepatitis carrier

V02.7            Gonorrhea

V02.8            Other venereal diseases

V02.9            Other specified infectious organism

V03      Need for prophylactic vaccination and inoculation against bacterial diseases

Excludes:            vaccination not carried out because of contraindication (V64.0)

vaccines against combinations of diseases (V06.0-V06.9)

V03.0            Cholera alone

V03.1            Typhoid-paratyphoid alone [TAB]

V03.2            Tuberculosis [BCG]

V03.3            Plague

V03.4            Tularemia

V03.5            Diphtheria alone

V03.6            Pertussis alone

V03.7            Tetanus toxoid alone

V03.8            Other specified vaccinations against single bacterial diseases

V03.81      Hemophilus influenza, type B [Hib]

V03.82      Streptococcus pneumoniae [pneumococcus]

V03.89      Other specified vaccination

V03.9            Unspecified single bacterial disease

V04      Need for prophylactic vaccination and inoculation against certain diseases

Excludes:            vaccines against combinations of diseases (V06.0-V06.9)

V04.0            Poliomyelitis

V04.1            Smallpox

V04.2            Measles alone

V04.3            Rubella alone

V04.4            Yellow fever

V04.5            Rabies

V04.6            Mumps alone

V04.7            Common cold

V04.8            Influenza

V05      Need for prophylactic vaccination and inoculation against single diseases

Excludes:            vaccines against combinations of diseases (V06.0-V06.9)

V05.0            Arthropod-borne viral encephalitis

V05.1            Other arthropod-borne viral diseases

V05.2            Leishmaniasis

V05.3            Viral hepatitis

V05.4            Varicella

Chicken pox

V05.8            Other specified disease

V05.9            Unspecified single disease

V06      Need for prophylactic vaccination and inoculation against combinations of diseases

Note:    Use additional single vaccination codes from categories V03-V05 to identify any vaccinations not included in a combination code.

V06.0            Cholera with typhoid-paratyphoid [cholera TAB]

V06.1            Diphtheria-tetanus-pertussis, combined [DTP]

V06.2            Diphtheria-tetanus-pertussis with typhoid-paratyphoid [DTP TAB]

V06.3            Diphtheria-tetanus-pertussis with poliomyelitis [DTP+polio]

V06.4            Measles-mumps-rubella [MMR]

V06.5            Tetanus-diphtheria [Td]

V06.6            Streptococcus pneumoniae [pneumococcus] and influenza

V06.8            Other combinations

Excludes:            multiple single vaccination codes (V03.0-V05.9)

V06.9            Unspecified combined vaccine

PERSONS WITH NEED FOR ISOLATION, OTHER POTENTIAL HEALTH HAZARDS AND PROPHYLACTIC MEASURES (V07-V09)

V07      Need for isolation and other prophylactic measures

Excludes:            prophylactic organ removal (V50.41-V50.49)

V07.0            Isolation

Admission to protect the individual from his surroundings or for isolation of individual after contact with infectious diseases

V07.1            Desensitization to allergens

V07.2            Prophylactic immunotherapy

Administration of:

antivenin

immune sera [gamma globulin]

RhoGAM

tetanus antitoxin

V07.3            Other prophylactic chemotherapy

V07.31      Prophylactic fluoride administration

V07.39      Other prophylactic chemotherapy

Excludes:            maintenance chemotherapy following disease (V58.1)

V07.4            Postmenopausal hormone replacement therapy

V07.8            Other specified prophylactic measure

V07.9            Unspecified prophylactic measure

V08            Asymptomatic human immunodeficiency virus [HIV] infection status

HIV positive NOS

Note:    This code is ONLY to be used when NO HIV infection symptoms or conditions are present.  If any HIV infection symptoms or conditions are present, see code 042.

Excludes:            AIDS (042)

human immunodeficiency virus [HIV] disease (042)

exposure to HIV (V01.7)

nonspecific serologic evidence of HIV (795.71)

symptomatic human immunodeficiency virus [HIV] infection (042)

V09      Infection with drug-resistant microorganisms

Note:    This category is intended for use as an additional code for infectious conditions classified elsewhere to indicate the presence of drug-resistance of the infectious organism.

V09.0            Infection with microorganisms resistant to penicillins

V09.1            Infection with microorganisms resistant to cephalosporins and other B-lactam antibiotics

V09.2            Infection with microorganisms resistant to macrolides

V09.3            Infection with microorganisms resistant to tetracyclines

V09.4            Infection with microorganisms resistant to aminoglycosides

V09.5            Infection with microorganisms resistant to quinolones and fluoroquinolones

V09.50      Without mention of resistance to multiple quinolones and fluoroquinoles

V09.51      With resistance to multiple quinolones and fluoroquinoles

V09.6            Infection with microorganisms resistant to sulfonamides

V09.7            Infection with microorganisms resistant to other specified antimycobacterial agents

Excludes:            Amikacin (V09.4)

Kanamycin (V09.4)

Streptomycin [SM] (V09.4)

V09.70      Without mention of resistance to multiple antimycobacterial agents

V09.71      With resistance to multiple antimycobacterial agents

V09.8            Infection with microorganisms resistant to other specified drugs

V09.80      Without mention of resistance to multiple drugs

V09.81      With resistance to multiple drugs

V09.9            Infection with drug-resistant microorganisms, unspecified

Drug resistance NOS

V09.90      Without mention of multiple drug resistance

V09.91      With multiple drug resistance

Multiple drug resistance NOS

PERSONS WITH POTENTIAL HEALTH HAZARDSRELATED TO PERSONAL AND FAMILY HISTORY (V10-V19)

Excludes:            obstetric patients where the possibility that the fetus might be affected is the reason for observation or management during pregnancy (655.0-655.9)

V10            Personal history of malignant neoplasm

V10.0            Gastrointestinal tract

History of conditions classifiable to 140-159

V10.00      Gastrointestinal tract, unspecified

V10.01      Tongue

V10.02      Other and unspecified oral cavity and pharynx

V10.03      Esophagus

V10.04      Stomach

V10.05      Large intestine

V10.06      Rectum, rectosigmoid junction, and anus

V10.07      Liver

V10.09      Other

V10.1            Trachea, bronchus, and lung

History of conditions classifiable to 162

V10.11      Bronchus and lung

V10.12      Trachea

V10.2            Other respiratory and intrathoracic organs

History of conditions classifiable to 160, 161, 163-165

V10.20      Respiratory organ, unspecified

V10.21      Larynx

V10.22      Nasal cavities, middle ear, and accessory sinuses

V10.29      Other

V10.3            Breast

History of conditions classifiable to 174 and 175

V10.4            Genital organs

History of conditions classifiable to 179-187

V10.40      Female genital organ, unspecified

V10.41      Cervix uteri

V10.42      Other parts of uterus

V10.43      Ovary

V10.44      Other female genital organs

V10.45      Male genital organ, unspecified

V10.46      Prostate

V10.47      Testis

V10.48      Epididymis

V10.49      Other male genital organs

V10.5            Urinary organs

History of conditions classifiable to 188 and 189

V10.50      Urinary organ, unspecified

V10.51      Bladder

V10.52      Kidney

Excludes:            renal pelvis (V10.53)

V10.53      Renal pelvis

V10.59      Other

V10.6            Leukemia

Conditions classifiable to 204-208

Excludes:            leukemia in remission (204-208)

V10.60      Leukemia, unspecified

V10.61      Lymphoid leukemia

V10.62      Myeloid leukemia

V10.63      Monocytic leukemia

V10.69      Other

V10.7            Other lymphatic and hematopoietic neoplasms

Conditions classifiable to 200-203

Excludes:            listed conditions in 200-203 in remission

V10.71      Lymphosarcoma and reticulosarcoma

V10.72      Hodgkin's disease

V10.79      Other

V10.8            Personal history of malignant neoplasm of other sites

History of conditions classifiable to 170-173, 190-195

V10.81      Bone

V10.82      Malignant melanoma of skin

V10.83      Other malignant neoplasm of skin

V10.84      Eye

V10.85      Brain

V10.86      Other parts of nervous system

Excludes:            peripheral, sympathetic, and parasympathetic nerves (V10.89)

V10.87      Thyroid

V10.88      Other endocrine glands and related structures

V10.89      Other

V10.9            Unspecified personal history of malignant neoplasm

V11            Personal history of mental disorder

V11.0            Schizophrenia

Excludes:            that in remission (295.0-295.9 with fifth-digit 5)

V11.1            Affective disorders

Personal history of manic-depressive psychosis

Excludes:            that in remission (296.0-296.6 with fifth-digit 5, 6)

V11.2            Neurosis

V11.3            Alcoholism

V11.8            Other mental disorders

V11.9            Unspecified mental disorder

V12            Personal history of certain other diseases

V12.0            Infectious and parasitic diseases

V12.00      Unspecified infectious and parasitic disease

V12.01      Tuberculosis

V12.02      Poliomyelitis

V12.03      Malaria

V12.09      Other

V12.1            Nutritional deficiency

V12.2            Endocrine, metabolic, and immunity disorders

Excludes:            history of allergy (V14.0-V14.9, V15.01-V15.09)

V12.3            Diseases of blood and blood-forming organs

V12.4            Disorders of nervous system and sense organs

V12.40      Unspecified disorder of nervous system and sense organs

V12.41      Benign neoplasm of the brain

V12.49      Other disorders of nervous system and sense organs

V12.5            Diseases of circulatory system

Excludes:            old myocardial infarction (412)

postmyocardial infarction syndrome (411.0)

V12.50      Unspecified circulatory disease

V12.51      Venous thrombosis and embolism

Pulmonary embolism

V12.52      Thrombophlebitis

V12.59      Other

V12.6            Diseases of respiratory system

V12.7            Diseases of digestive system

V12.70      Unspecified digestive disease

V12.71      Peptic ulcer disease

V12.72      Colonic polyps

V12.79      Other

V13            Personal history of other diseases

V13.0            Disorders of urinary system

V13.00      Unspecified urinary disorder

V13.01      Urinary calculi

V13.09      Other

V13.1            Trophoblastic disease

Excludes:            supervision during a current pregnancy (V23.1)

V13.2            Other genital system and obstetric disorders

Excludes:            supervision during a current pregnancy of a woman with poor obstetric history (V23.0-V23.9)

habitual aborter (646.3)

without current pregnancy (629.9)

V13.21      Personal history of pre-term labor

Excludes:            current pregnancy with history of pre-term labor (V23.41)

V13.29      Other genital system and obstetric disorders

V13.3            Diseases of skin and subcutaneous tissue

V13.4            Arthritis

V13.5            Other musculoskeletal disorders

V13.6            Congenital malformations

V13.61      Hypospadias

V13.69      Other congenital malformations

V13.7            Perinatal problems

Excludes: low birth weight status (V21.30-V21.35)

V13.8            Other specified diseases

V13.9            Unspecified disease

V14            Personal history of allergy to medicinal agents

V14.0            Penicillin

V14.1            Other antibiotic agent

V14.2            Sulfonamides

V14.3            Other anti-infective agent

V14.4            Anesthetic agent

V14.5            Narcotic agent

V14.6            Analgesic agent

V14.7            Serum or vaccine

V14.8            Other specified medicinal agents

V14.9            Unspecified medicinal agent

V15      Other personal history presenting hazards to health

V15.0            Allergy, other than to medicinal agents

Excludes:            allergy to food substance used as base for medicinal agent (V14.0-V14.9)

V15.01      Allergy to peanuts

V15.02      Allergy to milk products

Excludes:            lactose intolerance (271.3)

V15.03      Allergy to eggs

V15.04      Allergy to seafood

Seafood (octopus) (squid) ink

Shellfish

V15.05      Allergy to other foods

Food additives

Nuts other than peanuts

V15.06      Allergy to insects

Bugs

Insect bites and stings

Spiders

V15.07      Allergy to latex

Latex sensitivity

V15.08      Allergy to radiographic dye

Contrast media used for diagnostic x-ray procedures

V15.09      Other allergy, other than to medicinal agents

V15.1            Surgery to heart and great vessels

Excludes:            replacement by transplant or other means (V42.1-V42.2, V43.2-V43.4)

V15.2            Surgery to other major organs

Excludes:            replacement by transplant or other means (V42.0-V43.8)

V15.3            Irradiation

Previous exposure to therapeutic or other ionizing radiation

V15.4            Psychological trauma

Excludes:            history of condition classifiable to 290-316 (V11.0-V11.9)

V15.41      History of physical abuse

Rape

V15.42      History of emotional abuse

Neglect

V15.49      Other

V15.5            Injury

V15.6            Poisoning

V15.7            Contraception

Excludes:            current contraceptive management (V25.0-V25.4)

presence of intrauterine contraceptive device as incidental finding (V45.5)

V15.8            Other specified personal history presenting hazards to health

V15.81      Noncompliance with medical treatment

V15.82      History of tobacco use

Excludes:            tobacco dependence (305.1)

V15.84      Exposure to asbestos

V15.85      Exposure to potentially hazardous body fluids

V15.86      Exposure to lead

V15.89      Other

V15.9            Unspecified personal history presenting hazards to health

V16      Family history of malignant neoplasm

V16.0            Gastrointestinal tract

Family history of condition classifiable to 140-159

V16.1            Trachea, bronchus, and lung

Family history of condition classifiable to 162

V16.2            Other respiratory and intrathoracic organs

Family history of condition classifiable to 160-161, 163-165

V16.3            Breast

Family history of condition classifiable to 174

V16.4            Genital organs

Family history of condition classifiable to 179-187

V16.40      Genital organ, unspecified

V16.41      Ovary

V16.42      Prostate

V16.43      Testis

V16.49      Other

V16.5            Urinary organs

Family history of condition classifiable to 189

V16.51      Kidney

V16.59      Other

V16.6            Leukemia

Family history of condition classifiable to 204-208

V16.7            Other lymphatic and hematopoietic neoplasms

Family history of condition classifiable to 200-203

V16.8            Other specified malignant neoplasm

Family history of other condition classifiable to 140-199

V16.9            Unspecified malignant neoplasm

V17      Family history of certain chronic disabling diseases

V17.0            Psychiatric condition

Excludes:            family history of mental retardation (V18.4)

V17.1            Stroke (cerebrovascular)

V17.2            Other neurological diseases

Epilepsy

Huntington's chorea

V17.3            Ischemic heart disease

V17.4            Other cardiovascular diseases

V17.5            Asthma

V17.6            Other chronic respiratory conditions

V17.7            Arthritis

V17.8            Other musculoskeletal diseases

V18      Family history of certain other specific conditions

V18.0            Diabetes mellitus

V18.1            Other endocrine and metabolic diseases

V18.2            Anemia

V18.3            Other blood disorders

V18.4            Mental retardation

V18.5            Digestive disorders

V18.6            Kidney diseases

V18.61      Polycystic kidney

V18.69      Other kidney diseases

V18.7            Other genitourinary diseases

V18.8            Infectious and parasitic diseases

V19      Family history of other conditions

V19.0            Blindness or visual loss

V19.1            Other eye disorders

V19.2            Deafness or hearing loss

V19.3            Other ear disorders

V19.4            Skin conditions

V19.5            Congenital anomalies

V19.6            Allergic disorders

V19.7            Consanguinity

V19.8            Other condition

PERSONS ENCOUNTERING HEALTH SERVICES IN CIRCUMSTANCES RELATED TO REPRODUCTION AND DEVELOPMENT (V20-V29)

V20      Health supervision of infant or child

V20.0            Foundling

V20.1            Other healthy infant or child receiving care

Medical or nursing care supervision of healthy infant in cases of:

maternal illness, physical or psychiatric

socioeconomic adverse condition at home

too many children at home preventing or interfering with normal care

V20.2            Routine infant or child health check

Developmental testing of infant or child

Immunizations appropriate for age

Routine vision and hearing testing

Excludes:            special screening for developmental handicaps (V79.3)

Use additional code(s) to identify:

Special screening examination(s) performed (V73.0-V82.9)

V21            Constitutional states in development

V21.0            Period of rapid growth in childhood

V21.1            Puberty

V21.2            Other adolescence

V21.3            Low birth weight status

Excludes:            history of perinatal problems (V13.7)

V21.30      Low birth weight status, unspecified

V21.31      Low birth weight status, less than 500 grams

V21.32      Low birth weight status, 500-999 grams

V21.33      Low birth weight status, 1000-1499 grams

V21.34      Low birth weight status, 1500-1999 grams

V21.35      Low birth weight status, 2000-2500 grams

V21.8            Other specified constitutional states in development

V21.9            Unspecified constitutional state in development

V22      Normal pregnancy

Excludes:            pregnancy examination or test, pregnancy unconfirmed (V72.4)

V22.0            Supervision of normal first pregnancy

V22.1            Supervision of other normal pregnancy

V22.2            Pregnant state, incidental

Pregnant state NOS

V23            Supervision of high-risk pregnancy

V23.0            Pregnancy with history of infertility

V23.1            Pregnancy with history of trophoblastic disease

Pregnancy with history of:

hydatidiform mole

vesicular mole

Excludes:            that without current pregnancy (V13.1)

V23.2            Pregnancy with history of abortion

Pregnancy with history of conditions classifiable to 634-638

Excludes:            habitual aborter:

care during pregnancy (646.3)

that without current pregnancy (629.9)

V23.3            Grand multiparity

Excludes:            care in relation to labor and delivery (659.4)

that without current pregnancy (V61.5)

V23.4            Pregnancy with other poor obstetric history

Pregnancy with history of other conditions classifiable to 630-676

V23.41      Pregnancy with history of pre-term labor

V23.49      Pregnancy with other poor obstetric history

V23.5            Pregnancy with other poor reproductive history

Pregnancy with history of stillbirth or neonatal death

V23.7            Insufficient prenatal care

History of little or no prenatal care

V23.8            Other high-risk pregnancy

V23.81      Elderly primigravida

First pregnancy in a woman who will be 35 years of age or older at expected date of delivery

Excludes:            elderly primigravida complicating pregnancy (659.5)

V23.82      Elderly multigravida

Second or more pregnancy in a woman who will be 35 years of age or older at expected date of delivery

Excludes:            elderly multigravida complicating pregnancy (659.6)

V23.83      Young primigravida

First pregnancy in a female less than 16 years old at expected date of delivery

Excludes:            young primigravida complicating pregnancy (659.8)

V23.84      Young multigravida

Second or more pregnancy in a female less than 16 years old at expected date of delivery

Excludes:            young multigravida complicating pregnancy (659.8)

V23.89      Other high-risk pregnancy

V23.9            Unspecified high-risk pregnancy

V24            Postpartum care and examination

V24.0            Immediately after delivery

Care and observation in uncomplicated cases

V24.1            Lactating mother

Supervision of lactation

V24.2            Routine postpartum follow-up

V25            Encounter for contraceptive management

V25.0            General counseling and advice

V25.01      Prescription of oral contraceptives

V25.02      Initiation of other contraceptive measures

Fitting of diaphragm

Prescription of foams, creams, or other agents

V25.09      Other

Family planning advice

V25.1            Insertion of intrauterine contraceptive device

V25.2            Sterilization

Admission for interruption of fallopian tubes or vas deferens

V25.3            Menstrual extraction

Menstrual regulation

V25.4            Surveillance of previously prescribed contraceptive methods

Checking, reinsertion, or removal of contraceptive device

Repeat prescription for contraceptive method

Routine examination in connection with contraceptive maintenance

Excludes:            presence of intrauterine contraceptive device as incidental finding (V45.5)

V25.40      Contraceptive surveillance, unspecified

V25.41      Contraceptive pill

V25.42      Intrauterine contraceptive device

Checking, reinsertion, or removal of intrauterine device

V25.43      Implantable subdermal contraceptive

V25.49      Other contraceptive method

V25.5            Insertion of implantable subdermal contraceptive

V25.8            Other specified contraceptive management

Postvasectomy sperm count

Excludes:            sperm count following sterilization reversal (V26.22)

sperm count for fertility testing (V26.21)

V25.9            Unspecified contraceptive management

V26            Procreative management

V26.0            Tuboplasty or vasoplasty after previous sterilization

V26.1            Artificial insemination

V26.2            Investigation and testing

Excludes:            postvasectomy sperm count (V25.8)

V26.21      Fertility testing

Fallopian insufflation

Sperm count for fertility testing

Excludes:            genetic counseling and testing (V26.3)

V26.22      Aftercare following sterilization reversal

Fallopian insufflation following sterilization reversal

Sperm count following sterilization reversal

V26.29      Other investigation and testing

V26.3            Genetic counseling and testing

Excludes:            fertility testing (V26.21)

V26.4            General counseling and advice

V26.5            Sterilization status

V26.51      Tubal ligation status

Excludes:            infertility not due to previous tubal ligation (628.0-628.9)

V26.52      Vasectomy status

V26.8            Other specified procreative management

V26.9            Unspecified procreative management

V27            Outcome of delivery

Note:    This category is intended for the coding of the outcome of delivery on the mother's record.

V27.0            Single liveborn

V27.1            Single stillborn

V27.2            Twins, both liveborn

V27.3            Twins, one liveborn and one stillborn

V27.4            Twins, both stillborn

V27.5            Other multiple birth, all liveborn

V27.6            Other multiple birth, some liveborn

V27.7            Other multiple birth, all stillborn

V27.9            Unspecified outcome of delivery

routine prenatal care (V22.0-V23.9)

V28            Antenatal screening

Excludes:            abnormal findings on screening- code to findings

V28.0            Amniocentesis

V28.1            Levels in amniotic fluid

V28.2            Other screening based on amniocentesis

V28.3            Screening for malformation using ultrasonics

V28.4            Screening for fetal growth retardation using ultrasonics

V28.5            Screening for isoimmunization

V28.6            Screening for Streptococcus B

V28.8            Other specified antenatal screening

V28.9            Unspecified antenatal screening

V29            Observation and evaluation of newborns for suspected condition not found

Note:    This category is to be used for newborns, within the neonatal period (the first 28 days of life), who are suspected of having an abnormal condition resulting from exposure from the mother or the birth process, but without signs or symptoms, and which, after examination and observation, is found not to exist.

V29.0            Observation for suspected infectious condition

V29.1            Observation for suspected neurological condition

V29.2            Observation for suspected respiratory condition

V29.3            Observation for suspected genetic or metabolic condition

V29.8            Observation for other specified suspected condition

V29.9            Observation for unspecified suspected condition

LIVEBORN INFANTS ACCORDING TO TYPE OF BIRTH (V30-V39)

Note:    These categories are intended for the coding of liveborn infants who are consuming health care [e.g., crib or bassinet occupancy].

The following fourth-digit subdivisions are for use with categories V30-V39:

0         Born in hospital

1         Born before admission to hospital

2         Born outside hospital and not hospitalized

The following two fifths-digits are for use with the fourth-digit .0, Born in hospital:

0            delivered without mention of cesarean delivery

1            delivered by cesarean delivery

V30      Single liveborn

V31      Twin, mate liveborn

V32      Twin, mate stillborn

V33      Twin, unspecified

V34      Other multiple, mates all liveborn

V35      Other multiple, mates all stillborn

V36      Other multiple, mates live- and stillborn

V37      Other multiple, unspecified

V39            Unspecified

PERSONS WITH A CONDITION INFLUENCING THEIR HEALTH STATUS (V40-V49)

Note:    These categories are intended for use when these conditions are recorded as "diagnoses" or "problems."

V40      Mental and behavioral problems

V40.0            Problems with learning

V40.1            Problems with communication [including speech]

V40.2            Other mental problems

V40.3            Other behavioral problems

V40.9            Unspecified mental or behavioral problem

V41            Problems with special senses and other special functions

V41.0            Problems with sight

V41.1            Other eye problems

V41.2            Problems with hearing

V41.3            Other ear problems

V41.4            Problems with voice production

V41.5            Problems with smell and taste

V41.6            Problems with swallowing and mastication

V41.7            Problems with sexual function

Excludes:            marital problems (V61.10)

psychosexual disorders (302.0-302.9)

V41.8            Other problems with special functions

V41.9            Unspecified problem with special functions

V42      Organ or tissue replaced by transplant

Includes:            homologous or heterologous (animal) (human) transplant organ status

V42.0            Kidney

V42.1            Heart

V42.2            Heart valve

V42.3            Skin

V42.4            Bone

V42.5            Cornea

V42.6            Lung

V42.7            Liver

V42.8            Other specified organ or tissue

V42.81      Bone marrow

V42.82      Peripheral stem cells

V42.83      Pancreas

V42.84      Intestines

V42.89      Other

V42.9            Unspecified organ or tissue

V43      Organ or tissue replaced by other means

Includes:            replacement of organ by:

artificial device

mechanical device

prosthesis

Excludes:            cardiac pacemaker in situ (V45.01)

fitting and adjustment of prosthetic device (V52.0-V52.9)

renal dialysis status (V45.1)

V43.0            Eye globe

V43.1            Lens

Pseudophakos

V43.2            Heart

V43.3            Heart valve

V43.4            Blood vessel

V43.5            Bladder

V43.6            Joint

V43.60      Unspecified joint

V43.61      Shoulder

V43.62      Elbow

V43.63      Wrist

V43.64      Hip

V43.65      Knee

V43.66      Ankle

V43.69      Other

V43.7            Limb

V43.8            Other organ or tissue

V43.81      Larynx

V43.82      Breast

V43.83      Artificial skin

V43.89      Other

V44      Artificial opening status

Excludes:            artificial openings requiring attention or management (V55.0-V55.9)

V44.0            Tracheostomy

V44.1            Gastrostomy

V44.2            Ileostomy

V44.3            Colostomy

V44.4            Other artificial opening of gastrointestinal tract

V44.5            Cystostomy

V44.50      Cystostomy, unspecified

V44.51      Cutaneous-vesicostomy

V44.52      Appendico-vesicostomy

V44.59      Other cystostomy

V44.6            Other artificial opening of urinary tract

Nephrostomy

Ureterostomy

Urethrostomy

V44.7            Artificial vagina

V44.8            Other artificial opening status

V44.9            Unspecified artificial opening status

V45      Other postsurgical states

Excludes:            aftercare management (V51-V58.9)

malfunction or other complication­code to condition

V45.0            Cardiac device in situ

V45.00      Unspecified cardiac device

V45.01      Cardiac pacemaker

V45.02      Automatic implantable cardiac defibrillator

V45.09      Other specified cardiac device

Carotid sinus pacemaker in situ

V45.1            Renal dialysis status

Patient requiring intermittent renal dialysis

Presence of arterial-venous shunt (for dialysis)

Excludes:            admission for dialysis treatment or session (V56.0)

V45.2            Presence of cerebrospinal fluid drainage device

Cerebral ventricle (communicating) shunt, valve, or device in situ

Excludes:            malfunction (996.2)

V45.3            Intestinal bypass or anastomosis status

V45.4            Arthrodesis status

V45.5            Presence of contraceptive device

Excludes:            checking, reinsertion, or removal of device (V25.42)

complication from device (996.32)

insertion of device (V25.1)

V45.51      Intrauterine contraceptive device

V45.52      Subdermal contraceptive implant

V45.59      Other

V45.6            States following surgery of eye and adnexa

Excludes:            aphakia (379.31)

artificial eye globe (V43.0)

V45.61      Cataract extraction status

Use additional code for associated artifical lens status (V43.1)

V45.69      Other states following surgery of eye and adnexa

V45.7            Acquired absence of organ

V45.71      Acquired absence of breast

V45.72      Acquired absence of intestine (large) (small)

V45.73      Acquired absence of kidney

V45.74      Other parts of urinary tract

Bladder

V45.75      Stomach

V45.76      Lung

V45.77      Genital organs

V45.78      Eye

V45.79      Other acquired absence of organ

V45.8            Other postsurgical status

V45.81      Aortocoronary bypass status

V45.82      Percutaneous transluminal coronary angioplasty status

V45.83      Breast implant removal status

V45.84      Dental restoration status

Dental crowns status

Dental fillings status

V45.89      Other

Presence of neuropacemaker or other electronic device

Excludes:            artificial heart valve in situ (V43.3)

vascular prosthesis in situ (V43.4)

V46      Other dependence on machines

V46.0            Aspirator

V46.1            Respirator

Iron lung

V46.2            Supplemental oxygen

Long-term oxygen therapy

V46.8            Other enabling machines

Hyperbaric chamber

Possum [Patient-Operated-Selector-Mechanism]

Excludes:            cardiac pacemaker (V45.0)

kidney dialysis machine (V45.1)

V46.9            Unspecified machine dependence

V47      Other problems with internal organs

V47.0            Deficiencies of internal organs

V47.1            Mechanical and motor problems with internal organs

V47.2            Other cardiorespiratory problems

Cardiovascular exercise intolerance with pain (with):

at rest

less than ordinary activity

ordinary activity

V47.3            Other digestive problems

V47.4            Other urinary problems

V47.5            Other genital problems

V47.9            Unspecified

V48            Problems with head, neck, and trunk

V48.0            Deficiencies of head

Excludes:            deficiencies of ears, eyelids, and nose (V48.8)

V48.1            Deficiencies of neck and trunk

V48.2            Mechanical and motor problems with head

V48.3            Mechanical and motor problems with neck and trunk

V48.4            Sensory problem with head

V48.5            Sensory problem with neck and trunk

V48.6            Disfigurements of head

V48.7            Disfigurements of neck and trunk

V48.8            Other problems with head, neck, and trunk

V48.9            Unspecified problem with head, neck, or trunk

V49      Other conditions influencing health status

V49.0            Deficiencies of limbs

V49.1            Mechanical problems with limbs

V49.2            Motor problems with limbs

V49.3            Sensory problems with limbs

V49.4            Disfigurements of limbs

V49.5            Other problems of limbs

V49.6            Upper limb amputation status

V49.60      Unspecified level

V49.61      Thumb

V49.62      Other finger(s)

V49.63      Hand

V49.64      Wrist

Disarticulation of wrist

V49.65      Below elbow

V49.66      Above elbow

Disarticulation of elbow

V49.67      Shoulder

Disarticulation of shoulder

V49.7            Lower limb amputation status

V49.70      Unspecified level

V49.71      Great toe

V49.72      Other toe(s)

V49.73      Foot

V49.74      Ankle

Disarticulation of ankle

V49.75      Below knee

V49.76      Above knee

Disarticulation of knee

V49.77      Hip

Disarticulation of hip

V49.8            Other specified conditions influencing health status

V49.81      Asymptomatic postmenopausal status (age-related) (natural)

Excludes:            menopausal and premenopausal disorders (627.0-627.9)

postsurgical menopause (256.2)

premature menopause (256.31)

symptomatic menopause(627.0-627.9)

V49.82      Dental sealant status

V49.89      Other specified conditions influencing health status

V49.9            Unspecified

PERSONS ENCOUNTERING HEALTH SERVICES FOR SPECIFIC PROCEDURES AND AFTERCARE (V50-V59)

Note:   Categories V51-V58 are intended for use to indicate a reason for care in patients who may have already been treated for some disease or injury not now present, or who are receiving care to consolidate the treatment, to deal with residual states, or to prevent recurrence.

Excludes:            follow-up examination for medical surveillance following treatment (V67.0-V67.9)

V50      Elective surgery for purposes other than remedying health states

V50.0            Hair transplant

V50.1            Other plastic surgery for unacceptable cosmetic appearance

Breast augmentation or reduction

Face-lift

Excludes:            plastic surgery following healed injury or operation (V51)

V50.2            Routine or ritual circumcision

Circumcision in the absence of significant medical indication

V50.3            Ear piercing

V50.4            Prophylactic organ removal

Excludes:            organ donations (V59.0-V59.9)

therapeutic organ removal­code to condition

V50.41      Breast

V50.42      Ovary

V50.49      Other

V50.8            Other

V50.9            Unspecified

V51            Aftercare involving the use of plastic surgery

Plastic surgery following healed injury or operation

Excludes:            cosmetic plastic surgery (V50.1)

plastic surgery as treatment for current injury­code to condition

repair of scar tissue-code to scar

V52      Fitting and adjustment of prosthetic device and implant

Includes:            removal of device

Excludes:            malfunction or complication of prosthetic device (996.0-996.7)

status only, without need for care (V43.0-V43.8)

V52.0            Artificial arm (complete) (partial)

V52.1            Artificial leg (complete) (partial)

V52.2            Artificial eye

V52.3            Dental prosthetic device

V52.4            Breast prosthesis and implant

Excludes:            admission for breast implant insertion (V50.1)

V52.8            Other specified prosthetic device

V52.9            Unspecified prosthetic device

V53      Fitting and adjustment of other device

Includes:            removal of device

replacement of device

Excludes:            status only, without need for care (V45.0-V45.8)

V53.0            Devices related to nervous system and special senses

V53.01      Fitting and adjustment of cerebral ventricle (communicating) shunt

V53.02      Neuropacemaker (brain) (peripheral nerve) (spinal cord)

V53.09      Fitting and adjustment of other devices related to nervous system and special senses

Auditory substitution device

Visual substitution device

V53.1            Spectacles and contact lenses

V53.2            Hearing aid

V53.3            Cardiac device

Reprogramming

V53.31      Cardiac pacemaker

Excludes:            mechanical complication of cardiac pacemaker (996.01)

V53.32      Automatic implantable cardiac defibrillator

V53.39      Other cardiac device

V53.4            Orthodontic devices

V53.5            Other intestinal appliance

Excludes:            colostomy (V55.3)

ileostomy (V55.2)

other artifical opening of digestive tract (V55.4)

V53.6            Urinary devices

urinary catheter

Excludes:            cystostomy (V55.5)

nephrostomy (V55.6)

ureterostomy (V55.6)

urethrostomy (V55.6)

V53.7            Orthopedic devices

Orthopedic:

brace

cast

corset

shoes

Excludes:            other orthopedic aftercare (V54)

V53.8            Wheelchair

V53.9            Other and unspecified device

V54      Other orthopedic aftercare

Excludes:            fitting and adjustment of orthopedic devices (V53.7)

malfunction of internal orthopedic device (996.4)

other complication of nonmechanical nature (996.60-996.79)

V54.0            Aftercare involving removal of fracture plate or other internal fixation device

Removal of:

pins

plates

rods

screws

Excludes:            malfunction of internal orthopedic device (996.4)

other complication of nonmechanical nature (996.60-996.79)

removal of external fixation device (V54.89)

V54.1            Aftercare for healing traumatic fracture

V54.10      Aftercare for healing traumatic fracture of arm, unspecified

V54.11      Aftercare for healing traumatic fracture of upper arm

V54.12      Aftercare for healing traumatic fracture of lower arm

V54.13      Aftercare for healing traumatic fracture of hip

V54.14      Aftercare for healing traumatic fracture of leg, unspecified

V54.15      Aftercare for healing traumatic fracture of upper leg

Excludes:            aftercare for healing traumatic fracture of hip (V54.13)

V54.16      Aftercare for healing traumatic fracture of lower leg

V54.17      Aftercare for healing traumatic fracture of vertebrae

V54.19      Aftercare for healing traumatic fracture of other bone

V54.2            Aftercare for healing pathologic fracture

V54.20      Aftercare for healing pathologic fracture of arm, unspecified

V54.21      Aftercare for healing pathologic fracture of upper arm

V54.22      Aftercare for healing pathologic fracture of lower arm

V54.23      Aftercare for healing pathologic fracture of hip

V54.24      Aftercare for healing pathologic fracture of leg, unspecified

V54.25      Aftercare for healing pathologic fracture of upper leg

Excludes:            aftercare for healing pathologic fracture of hip (V54.23)

V54.26      Aftercare for healing pathologic fracture of lower leg

V54.27      Aftercare for healing pathologic fracture of vertebrae

V54.29      Aftercare for healing pathologic fracture of other bone

V54.8            Other orthopedic aftercare

V54.81      Aftercare following joint replacement

Use additional code to identify joint replacement site (V43.60-V43.69)

V54.89      Other orthopedic aftercare

Aftercare for healing fracture NOS

V54.9            Unspecified orthopedic aftercare

V55            Attention to artificial openings

Includes:            adjustment or repositioning of catheter

closure

passage of sounds or bougies

reforming

removal or replacement of catheter

toilet or cleansing

Excludes:            complications of external stoma (519.00-519.09, 569.60-569.69, 997.4, 997.5)

status only, without need for care (V44.0-V44.9)

V55.0            Tracheostomy

V55.1            Gastrostomy

V55.2            Ileostomy

V55.3            Colostomy

V55.4            Other artificial opening of digestive tract

V55.5            Cystostomy

V55.6            Other artificial opening of urinary tract

Nephrostomy

Ureterostomy

Urethrostomy

V55.7            Artificial vagina

V55.8            Other specified artificial opening

V55.9            Unspecified artificial opening

V56            Encounter for dialysis and dialysis catheter care

Use additional code to identify the associated condition

Excludes:            dialysis preparation­code to condition

V56.0            Extracorporeal dialysis

Dialysis (renal) NOS

Excludes:            dialysis status (V45.1)

V56.1            Fitting and adjustment of extracorporeal dialysis catheter

Removal or replacement of catheter

Toilet or cleansing

Use additional code for any concurrent extracorporeal dialysis (V56.0)

V56.2            Fitting and adjustment of peritoneal dialysis catheter

Use additional code for any concurrent peritoneal dialysis (V56.8)

V56.3            Encounter for adequacy testing for dialysis

V56.31      Encounter for adequacy testing for hemodialysis

V56.32      Encounter for adequacy testing for peritoneal dialysis

Peritoneal equilibration test

V56.8            Other dialysis

Peritoneal dialysis

V57      Care involving use of rehabilitation procedures

Use additional code to identify underlying condition

V57.0            Breathing exercises

V57.1            Other physical therapy

Therapeutic and remedial exercises, except breathing

V57.2            Occupational therapy and vocational rehabilitation

V57.21      Encounter for occupational therapy

V57.22      Encounter for vocational therapy

V57.3            Speech therapy

V57.4            Orthoptic training

V57.8            Other specified rehabilitation procedure

V57.81      Orthotic training

Gait training in the use of artificial limbs

V57.89      Other

Multiple training or therapy

V57.9            Unspecified rehabilitation procedure

V58            Encounter for other and unspecified procedures and aftercare

Excludes:            convalescence and palliative care(V66.0-V66.9)

V58.0            Radiotherapy

Encounter or admission for radiotherapy

Excludes:            encounter for radioactive implant­code to condition

radioactive iodine therapy-code to condition

V58.1            Chemotherapy

Encounter or admission for chemotherapy

Excludes:            prophylactic chemotherapy against disease which has never been present (V03.0-V07.9)

V58.2            Blood transfusion, without reported diagnosis

V58.3            Attention to surgical dressings and sutures

Change of dressings

Removal of sutures

V58.4            Other aftercare following surgery

Note:            Codes from this subcategory should be used in conjunction with other aftercare codes to fully identify the reason for the aftercare encounter.

Excludes:            aftercare following sterilization reversal surgery (V26.22)

attention to artificial openings (V55.0-V55.9)

orthopedic aftercare (V54.0-V54.9)

V58.41      Encounter for planned post-operative wound closure

Excludes:            disruption of operative wound (998.3)

V58.42      Aftercare following surgery for neoplasm

Conditions classifiable to 140-239

V58.43      Aftercare following surgery for injury and trauma

Conditions classifiable to 800-999

Excludes:            aftercare for healing traumatic fracture (V54.10-V54.19)

V58.49      Other specified aftercare following surgery

V58.5            Orthodontics

Excludes:            fitting and adjustment of orthodontic device (V53.4)

V58.6            Long-term (current) drug use

Excludes:            drug abuse (305.00-305.93)

drug dependence (304.00-304.93)

V58.61      Long-term (current) use of anticoagulants

V58.62      Long-term (current) use of antibiotics

V58.69      Long-term (current) use of other medications

High-risk medications

V58.7            Aftercare following surgery to specified body systems, not elsewhere classified

Note:            Codes from this subcategory should be used in conjunction with other aftercare codes to fully identify the reason for the aftercare encounter.

V58.71      Aftercare following surgery of the sense organs, NEC

Conditions classifiable to 360-379, 380-389

V58.72      Aftercare following surgery of the nervous system, NEC

Conditions classifiable to 320-359

Excludes:            aftercare following surgery of the sense organs, NEC (V58.71)

V58.73      Aftercare following surgery of the circulatory system, NEC

Conditions classifiable to 390-459

V58.74      Aftercare following surgery of the respiratory system, NEC

Conditions classifiable to 460-519

V58.75      Aftercare following surgery of the teeth, oral cavity and digestive system, NEC

Conditions classifiable to 520-579

V58.76      Aftercare following surgery of the genitourinary system, NEC

Conditions classifiable to 580-629

Excludes:            aftercare following sterilization reversal (V26.22)

V58.77      Aftercare following surgery of the skin and subcutaneous tissue, NEC

Conditions classifiable to 680-709

V58.78      Aftercare following surgery of the musculoskeletal system, NEC

Conditions classifiable to 710-739

V58.8            Other specified procedures and aftercare

V58.81      Fitting and adjustment of vascular catheter

Removal or replacement of catheter

Toilet or cleansing

Excludes:            complications of renal dialysis (996.73)

complications of vascular catheter (996.74)

dialysis preparation-code to condition

encounter for dialysis (V56.0-V56.8)

fitting and adjustment of dialysis catheter (V56.1)

V58.82      Fitting and adjustment of non-vascular catheter NEC

Removal or replacement of catheter

Toilet or cleansing

Excludes:            fitting and adjustment of peritoneal dialysis catheter (V56.2)

fitting and adjustment of urinary catheter (V53.6)

V58.83      Encounter for therapeutic drug monitoring

Use additional code for any associated long-term (current) drug use (V58.61-V58.69)

Excludes:            blood-drug testing for medicolegal reasons (V70.4)

V58.89      Other specified aftercare

V58.9            Unspecified aftercare

V59      Donors

Excludes:            examination of potential donor (V70.8)

self-donation of organ or tissue-code to condition

V59.0            Blood

V59.01      Whole blood

V59.02      Stem cells

V59.09      Other

V59.1            Skin

V59.2            Bone

V59.3            Bone marrow

V59.4            Kidney

V59.5            Cornea

V59.6            Liver

V59.8            Other specified organ or tissue

V59.9            Unspecified organ or tissue

PERSONS ENCOUNTERING HEALTH SERVICES IN OTHER CIRCUMSTANCES (V60-V68)

V60            Housing, household, and economic circumstances

V60.0            Lack of housing

Hobos

Social migrants

Tramps

Transients

Vagabonds

V60.1            Inadequate housing

Lack of heating

Restriction of space

Technical defects in home preventing adequate care

V60.2            Inadequate material resources

Economic problem

Poverty NOS

V60.3            Person living alone

V60.4            No other household member able to render care

Person requiring care (has) (is):

family member too handicapped, ill, or otherwise unsuited to render care

partner temporarily away from home

temporarily away from usual place of abode

Excludes:            holiday relief care (V60.5)

V60.5            Holiday relief care

Provision of health care facilities to a person normally cared for at home, to enable relatives to take a vacation

V60.6            Person living in residential institution

Boarding school resident

V60.8            Other specified housing or economic circumstances

V60.9            Unspecified housing or economic circumstance

V61      Other family circumstances

Includes:            when these circumstances or fear of them, affecting the person directly involved or others, are mentioned as the reason, justified or not, for seeking or receiving medical advice or care

V61.0            Family disruption

Divorce

Estrangement

V61.1            Counseling for marital and partner problems

Excludes:            problems related to:

psychosexual disorders (302.0-302.9)

sexual function (V41.7)

V61.10      Counseling for marital and partner problems, unspecified

Marital conflict

Partner conflict

V61.11      Counseling for victim of spousal and partner abuse

Excludes:            encounter for treatment of current injuries due to abuse (995.80-995.85)

V61.12      Counseling for perpetrator of spousal and partner abuse

V61.2            Parent-child problems

V61.20      Counseling for parent-child problem, unspecified

Concern about behavior of child

Parent-child conflict

V61.21      Counseling for victim of child abuse

Child battering

Child neglect

Excludes:            current injuries due to abuse (995.50-995.59)

V61.22      Counseling for perpetrator of parental child abuse

Excludes:            counseling for non-parental abuser (V62.83)

V61.29      Other

Problem concerning adopted or foster child

V61.3            Problems with aged parents or in-laws

V61.4            Health problems within family

V61.41      Alcoholism in family

V61.49      Other

Care of sick or handicapped person in family or household

Presence of sick or handicapped person in family or household

V61.5            Multiparity

V61.6            Illegitimacy or illegitimate pregnancy

V61.7            Other unwanted pregnancy

V61.8            Other specified family circumstances

Problems with family members NEC

V61.9            Unspecified family circumstance

V62      Other psychosocial circumstances

Includes:            those circumstances or fear of them, affecting the person directly involved or others, mentioned as the reason, justified or not, for seeking or receiving medical advice or care

Excludes:            previous psychological trauma (V15.41-V15.49)

V62.0            Unemployment

Excludes:            circumstances when main problem is economic inadequacy or poverty (V60.2)

V62.1            Adverse effects of work environment

V62.2            Other occupational circumstances or maladjustment

Career choice problem

Dissatisfaction with employment

V62.3            Educational circumstances

Dissatisfaction with school environment

Educational handicap

V62.4            Social maladjustment

Cultural deprivation

Political, religious, or sex discrimination

Social:

isolation

persecution

V62.5            Legal circumstances

Imprisonment

Legal investigation

Litigation

Prosecution

V62.6            Refusal of treatment for reasons of religion or conscience

V62.8            Other psychological or physical stress, not elsewhere classified

V62.81      Interpersonal problems, not elsewhere classified

V62.82      Bereavement, uncomplicated

Excludes:            bereavement as adjustment reaction (309.0)

V62.83      Counseling for perpetrator of physical/sexual abuse

Excludes:            counseling for perpetrator of parental child abuse (V61.22)

counseling for perpetrator of spousal and partner abuse (V61.12)

V62.89      Other

Life circumstance problems

Phase of life problems

V62.9            Unspecified psychosocial circumstance

V63            Unavailability of other medical facilities for care

V63.0            Residence remote from hospital or other health care facility

V63.1            Medical services in home not available

Excludes:            no other household member able to render care (V60.4)

V63.2            Person awaiting admission to adequate facility elsewhere

V63.8            Other specified reasons for unavailability of medical facilities

Person on waiting list undergoing social agency investigation

V63.9            Unspecified reason for unavailability of medical facilities

V64      Persons encountering health services for specific procedures, not carried out

V64.0            Vaccination not carried out because of contraindication

V64.1            Surgical or other procedure not carried out because of contraindication

V64.2            Surgical or other procedure not carried out because of patient's decision

V64.3            Procedure not carried out for other reasons

V64.4            Laparoscopic surgical procedure converted to open procedure

V65      Other persons seeking consultation without complaint or sickness

V65.0            Healthy person accompanying sick person

Boarder

V65.1            Person consulting on behalf of another person

Advice or treatment for nonattending third party

Excludes:            concern (normal) about sick person in family (V61.41-V61.49)

V65.2            Person feigning illness

Malingerer

Peregrinating patient

V65.3            Dietary surveillance and counseling

Dietary surveillance and counseling (in):

NOS

colitis

diabetes mellitus

food allergies or intolerance

gastritis

hypercholesterolemia

hypoglycemia

obesity

V65.4            Other counseling, not elsewhere classified

Health:

advice

education

instruction

Excludes:            counseling (for):

contraception (V25.40-V25.49)

genetic (V26.3)

on behalf of third party (V65.1)

procreative management (V26.4)

V65.40      Counseling NOS

V65.41      Exercise counseling

V65.42      Counseling on substance use and abuse

V65.43      Counseling on injury prevention

V65.44      Human immunodeficiency virus [HIV] counseling

V65.45      Counseling on other sexually transmitted diseases

V65.49      Other specified counseling

V65.5            Person with feared complaint in whom no diagnosis was made

Feared condition not demonstrated

Problem was normal state

"Worried well"

V65.8            Other reasons for seeking consultation

Excludes:            specified symptoms

V65.9            Unspecified reason for consultation

V66            Convalescence and palliative care

V66.0            Following surgery

V66.1            Following radiotherapy

V66.2            Following chemotherapy

V66.3            Following psychotherapy and other treatment for mental disorder

V66.4            Following treatment of fracture

V66.5            Following other treatment

V66.6            Following combined treatment

V66.7            Encounter for palliative care

End-of-life care

Hospice care

Terminal care

Code first underlying disease

V66.9            Unspecified convalescence

V67      Follow-up examination

Includes:            surveillance only following completed treatment

Excludes:            surveillance of contraception (V25.40-V25.49)

V67.0            Following surgery

V67.00      Following surgery, unspecified

V67.01      Follow-up vaginal pap smear

Vaginal pap smear, status-post hysterectomy for malignant condition

Use additional code to identify:

acquired absence of uterus (V45.77)

personal history of malignant neoplasm (V10.40-V10.44)

Excludes:            vaginal pap smear status-post hysterectomy for non-malignant condition (V76.47)

V67.09      Following other surgery

Excludes:            sperm count following sterilization reversal (V26.22)

sperm count for fertility testing (V26.21)

V67.1            Following radiotherapy

V67.2            Following chemotherapy

Cancer chemotherapy follow-up

V67.3            Following psychotherapy and other treatment for mental disorder

V67.4            Following treatment of healed fracture

Excludes:            current (healing) fracture aftercare (V54.0-V54.9)

V67.5            Following other treatment

V67.51      Following completed treatment with high-risk

 medication, not elsewhere classified

Excludes:            Long-term (current) drug use (V58.61-V58.69)

V67.59      Other

V67.6            Following combined treatment

V67.9            Unspecified follow-up examination

V68            Encounters for administrative purposes

V68.0            Issue of medical certificates

Issue of medical certificate of:

cause of death

fitness

incapacity

Excludes:            encounter for general medical examination (V70.0-V70.9)

V68.1            Issue of repeat prescriptions

Issue of repeat prescription for:

appliance

glasses

medications

Excludes:            repeat prescription for contraceptives (V25.41-V25.49)

V68.2            Request for expert evidence

V68.8            Other specified administrative purpose

V68.81      Referral of patient without examination or treatment

V68.89      Other

V68.9            Unspecified administrative purpose

V69            Problems related to lifestyle

V69.0            Lack of physical exercise

V69.1            Inappropriate diet and eating habits

Excludes:            anorexia nervosa (307.1)

bulimia (783.6)

malnutrition and other nutritional deficiencies (260-269.9)

other and unspecified eating disorders (307.50-307.59)

V69.2            High-risk sexual behavior

V69.3            Gambling and betting

Excludes:            pathological gambling (312.31)

V69.8            Other problems related to lifestyle

Self-damaging behavior

V69.9            Problem related to lifestyle, unspecified

PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION  OF INDIVIDUALS AND POPULATIONS (V70-V83)

Note:   Nonspecific abnormal findings disclosed at the time of these examinations are classifiable to categories 790-796.

V70      General medical examination

Use additional code(s) to identify any special screening examination(s) performed (V73.0-V82.9)

V70.0            Routine general medical examination at a health care facility

Health checkup

Excludes:            health checkup of infant or child (V20.2)

V70.1            General psychiatric examination, requested by the authority

V70.2            General psychiatric examination, other and unspecified

V70.3            Other medical examination for administrative purposes

General medical examination for:

admission to old age home

adoption

camp

driving license

immigration and naturalization

insurance certification

marriage

prison

school admission

sports competition

Excludes:            attendance for issue of medical certificates (V68.0)

pre-employment screening (V70.5)

V70.4            Examination for medicolegal reasons

Blood-alcohol tests

Blood-drug tests

Paternity testing

Excludes:            examination and observation following:

accidents (V71.3, V71.4)

assault (V71.6)

rape (V71.5)

V70.5            Health examination of defined subpopulations

Armed forces personnel

Inhabitants of institutions

Occupational health examinations

Pre-employment screening

Preschool children

Prisoners

Prostitutes

Refugees

School children

Students

V70.6            Health examination in population surveys

Excludes:            special screening (V73.0-V82.9)

V70.7            Examination of participant in clinical trial

Examination of participant or control in clinical research

V70.8            Other specified general medical examinations

Examination of potential donor of organ or tissue

V70.9            Unspecified general medical examination

V71            Observation and evaluation for suspected conditions not found

Note:    This category is to be used when persons without a diagnosis are suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is found not to exist.  This category is also for use for administrative and legal observation status.

V71.0            Observation for suspected mental condition

V71.01      Adult antisocial behavior

Dyssocial behavior or gang activity in adult without manifest psychiatric disorder

V71.02      Childhood or adolescent antisocial behavior

Dyssocial behavior or gang activity in child or adolescent without manifest psychiatric disorder

V71.09      Other suspected mental condition

V71.1            Observation for suspected malignant neoplasm

V71.2            Observation for suspected tuberculosis

V71.3            Observation following accident at work

V71.4            Observation following other accident

Examination of individual involved in motor vehicle traffic accident

V71.5            Observation following alleged rape or seduction

Examination of victim or culprit

V71.6            Observation following other inflicted injury

Examination of victim or culprit

V71.7            Observation for suspected cardiovascular disease

V71.8            Observation and evaluation for other specified suspected conditions

V71.81      Abuse and neglect

Excludes:            adult abuse and neglect (995.80-995.85)

child abuse and neglect (995.50-995.59)

V71.82      Observation and evaluation for suspected exposure to anthrax

V71.83      Observation and evaluation for suspected exposure to other biological agent

V71.89      Other specified suspected conditions

V71.9            Observation for unspecified suspected condition

V72      Special investigations and examinations

Includes:            routine examination of specific system

Excludes:            general medical examination (V70.0-70.4)

general screening examination of defined populaiton groups (V70.5, V70.6, V70.7)

routine examination of infant or child (V20.2)

Use additional code(s) to identify any special screening examination(s) performed (V73.0-V82.9)

V72.0            Examination of eyes and vision

V72.1            Examination of ears and hearing

V72.2            Dental examination

V72.3            Gynecological examination

Papanicolaou cervical smear as part of general gynecological examination

Pelvic examination (annual) (periodic)

Use additional code to identify routine vaginal Papanicolaou smear (V76.47)

Excludes:            cervical Papanicolaou smear without general gynecological examination (V76.2)

routine examination in contraceptive management (V25.40-V25.49)

V72.4            Pregnancy examination or test, pregnancy unconfirmed

Possible pregnancy, not (yet) confirmed

Excludes:            pregnancy examination with immediate confirmation (V22.0-V22.1)

V72.5            Radiological examination, not elsewhere classified

Routine chest x-ray

Excludes:            examination for suspected tuberculosis (V71.2)

V72.6            Laboratory examination

Excludes:            that for suspected disorder (V71.0-V71.9)

V72.7            Diagnostic skin and sensitization tests

Allergy tests

Skin tests for hypersensitivity

Excludes:            diagnostic skin tests for bacterial diseases (V74.0-V74.9)

V72.8            Other specified examinations

V72.81      Preoperative cardiovascular examination

V72.82      Preoperative respiratory examination

V72.83      Other specified preoperative examination

V72.84      Preoperative examination, unspecified

V72.85      Other specified examination

V72.9            Unspecified examination

V73      Special screening examination for viral and chlamydial diseases

V73.0            Poliomyelitis

V73.1            Smallpox

V73.2            Measles

V73.3            Rubella

V73.4            Yellow fever

V73.5            Other arthropod-borne viral diseases

Dengue fever

Hemorrhagic fever

Viral encephalitis:

mosquito-borne

tick-borne

V73.6            Trachoma

V73.8            Other specified viral and chlamydial diseases

V73.88      Other specified chlamydial diseases

V73.89      Other specified viral diseases

V73.9            Unspecified viral and chlamydial disease

V73.98      Unspecified chlamydial disease

V73.99      Unspecified viral disease

V74      Special screening examination for bacterial and spirochetal diseases

Includes:            diagnostic skin tests for these diseases

V74.0            Cholera

V74.1            Pulmonary tuberculosis

V74.2            Leprosy [Hansen's disease]

V74.3            Diphtheria

V74.4            Bacterial conjunctivitis

V74.5            Venereal disease

V74.6            Yaws

V74.8            Other specified bacterial and spirochetal diseases

Brucellosis

Leptospirosis

Plague

Tetanus

Whooping cough

V74.9            Unspecified bacterial and spirochetal disease

V75      Special screening examination for other infectious diseases

V75.0            Rickettsial diseases

V75.1            Malaria

V75.2            Leishmaniasis

V75.3            Trypanosomiasis

Chagas' disease

Sleeping sickness

V75.4            Mycotic infections

V75.5            Schistosomiasis

V75.6            Filariasis

V75.7            Intestinal helminthiasis

V75.8            Other specified parasitic infections

V75.9            Unspecified infectious disease

V76      Special screening for malignant neoplasms

V76.0            Respiratory organs

V76.1            Breast

V76.10      Breast screening, unspecified

V76.11      Screening mammogram for high-risk patient

V76.12      Other screening mammogram

V76.19      Other screening breast examination

V76.2            Cervix

Routine cervical Papanicolaou smear

Excludes:            that as part of a general gynecological examination (V72.3)

V76.3            Bladder

V76.4            Other sites

V76.41      Rectum

V76.42      Oral cavity

V76.43      Skin

V76.44      Prostate

V76.45      Testis

V76.46  Ovary

V76.47      Vagina

Vaginal pap smear status-post hysterectomy for non-malignant condition

Use additional code to identify acquired absence of uterus (V45.77)

Excludes:            vaginal pap smear status-post hysterectomy for malignant condition (V67.01)

V76.49      Other sites

V76.5            Intestine

V76.50      Intestine, unspecified

V76.51      Colon

Excludes:            rectum (V76.41)

V76.52      Small intestine

V76.8            Other neoplasm

V76.81      Nervous system

V76.89      Other neoplasm

V76.9            Unspecified

V77      Special screening for endocrine, nutritional, metabolic, and immunity disorders

V77.0            Thyroid disorders

V77.1            Diabetes mellitus

V77.2            Malnutrition

V77.3            Phenylketonuria [PKU]

V77.4            Galactosemia

V77.5            Gout

V77.6            Cystic fibrosis

Screening for mucoviscidosis

V77.7            Other inborn errors of metabolism

V77.8            Obesity

V77.9            Other and unspecified endocrine, nutritional, metabolic, and immunity disorders

V77.91      Screening for lipoid disorders

Screening cholesterol level

Screening for hypercholesterolemia

Screening for hyperlipidemia

V77.99      Other and unspecified endocrine, nutritional, metabolic, and immunity disorders

V78      Special screening for disorders of blood and blood-forming organs

V78.0            Iron deficiency anemia

V78.1            Other and unspecified deficiency anemia

V78.2            Sickle-cell disease or trait

V78.3            Other hemoglobinopathies

V78.8            Other disorders of blood and blood-forming organs

V78.9            Unspecified disorder of blood and blood-forming organs

V79      Special screening for mental disorders and developmental handicaps

V79.0            Depression

V79.1            Alcoholism

V79.2            Mental retardation

V79.3            Developmental handicaps in early childhood

V79.8            Other specified mental disorders and developmental handicaps

V79.9            Unspecified mental disorder and developmental handicap

V80      Special screening for neurological, eye, and ear diseases

V80.0            Neurological conditions

V80.1            Glaucoma

V80.2            Other eye conditions

Screening for:

cataract

congenital anomaly of eye

senile macular lesions

Excludes:            general vision examination (V72.0)

V80.3            Ear diseases

Excludes:            general hearing examination (V72.1)

V81      Special screening for cardiovascular, respiratory, and genitourinary diseases

V81.0            Ischemic heart disease

V81.1            Hypertension

V81.2            Other and unspecified cardiovascular conditions

V81.3            Chronic bronchitis and emphysema

V81.4            Other and unspecified respiratory conditions

Excludes:            screening for:

lung neoplasm (V76.0)

pulmonary tuberculosis (V74.1)

V81.5            Nephropathy

Screening for asymptomatic bacteriuria

V81.6            Other and unspecified genitourinary conditions

V82      Special screening for other conditions

V82.0            Skin conditions

V82.1            Rheumatoid arthritis

V82.2            Other rheumatic disorders

V82.3            Congenital dislocation of hip

V82.4            Maternal postnatal screening for chromosomal anomalies

Excludes:            antenatal screening by amniocentesis (V28.0)

V82.5            Chemical poisoning and other contamination

Screening for:

heavy metal poisoning

ingestion of radioactive substance

poisoning from contaminated water supply

radiation exposure

V82.6            Multiphasic screening

V82.8            Other specified conditions

V82.81      Osteoporosis

Use additional code to identify:

postmenopausal hormone replacement therapy status (V07.4)

postmenopausal (natural) status (V49.81)

V82.89      Other specified conditions

V82.9            Unspecified condition

V83      Genetic carrier status

V83.0            Hemophilia A carrier

V83.01      Asymptomatic hemophilia A carrier

V83.02      Symptomatic hemophilia A carrier

V83.8            Other genetic carrier status

V83.81      Cystic fibrosis gene carrier

V83.89      Other genetic carrier status

SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING (E800-E999)

This section is provided to permit the classification of environmental events, circumstances, and conditions as the cause of injury, poisoning, and other adverse effects.  Where a code from this section is applicable, it is intended that it shall be used in addition to a code from one of the main chapters of ICD-9-CM, indicating the nature of the condition.  Certain other conditions which may be stated to be due to external causes are classified in Chapters 1 to 16 of ICD-9-CM. For these, the "E" code classification should be used as an additional code for more detailed analysis.

Machinery accidents [other than those connected with transport] are classifiable to category E919, in which the fourth digit allows a broad classification of the type of machinery involved.  If a more detailed classification of type of machinery is required, it is suggested that the "Classification of Industrial Accidents according to Agency," prepared by the International Labor Office, be used in addition; it is included in this publication.

Categories for "late effects" of accidents and other external causes are to be found at E929, E959, E969, E977, E989, and E999.

Definitions and examples related to transport accidents

(a)  A transport accident (E800-E848) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

Includes:            accidents involving:

aircraft and spacecraft (E840-E845)

watercraft (E830-E838)

motor vehicle (E810-E825)

railway (E800-E807)

other road vehicles (E826-E829)

In classifying accidents which involve more than one kind of transport, the above order of precedence of transport accidents should be used.

Accidents involving agricultural and construction machines, such as tractors, cranes, and bulldozers, are regarded as transport accidents only when these vehicles are under their own power on a highway [otherwise the vehicles are regarded as machinery]. Vehicles which can travel on land or water, such as hovercraft and other amphibious vehicles, are regarded as watercraft when on the water, as motor vehicles when on the highway, and as off-road motor vehicles when on land, but off the highway.

Excludes:            accidents:

in sports which involve the use of transport but where the transport vehicle itself was not involved in the accident

involving vehicles which are part of industrial equipment used entirely on industrial premises

occurring during transportation but unrelated to the hazards associated with the means of transportation [e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm such as an earthquake]

to persons engaged in the maintenance or repair of transport equipment or vehicle not in motion, unless injured by another vehicle in motion

(b)  A railway accident is a transport accident involving a railway train or other railway vehicle operated on rails, whether in motion or not.

Excludes:            accidents:

in repair shops

in roundhouse or on turntable

on railway premises but not involving a train or other railway vehicle

(c)  A railway train or railway vehicle is any device with or without cars coupled to it, designed for traffic on a railway.

Includes:            interurban:

electric car (operated chiefly on its own right-of-way, not open to other traffic)

streetcar (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]

funicular

monorail or two-rail

subterranean or elevated

other vehicle designed to run on a railway track

Excludes:            interurban electric cars [streetcars] specified to be operating on a right-of-way that forms part of the public street or highway [definition (n)]

(d)  A railway or railroad is a right-of-way designed for traffic on rails, which is used by carriages or wagons transporting passengers or freight, and by other rolling stock, and which is not open to other public vehicular traffic

(e)  A motor vehicle accident is a transport accident involving a motor vehicle.  It is defined as a motor vehicle traffic accident or as a motor vehicle nontraffic accident according to whether the accident occurs on a public highway or elsewhere.

Excludes:            injury or damage due to cataclysm

injury or damage while a motor vehicle, not under its own power, is being loaded on, or unloaded from, another conveyance

(f)   A motor vehicle traffic accident is any motor vehicle accident occurring on a public highway [i.e., originating, terminating, or involving a vehicle partially on the highway]. A motor vehicle accident is assumed to have occurred on the highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles which are classified as nontraffic accidents unless the contrary is stated.

(g)  A motor vehicle nontraffic accident is any motor vehicle accident which occurs entirely in any place other than a public highway.

(h)  A public highway [trafficway] or street is the entire width between property lines [or other boundary lines] of every way or place, of which any part is open to the use of the public for purposes of vehicular traffic as a matter of right or custom. A roadway is that part of the public highway designed, improved, and ordinarily used, for vehicular travel.

Includes:            approaches (public) to:

docks

public building

station

Excludes:            driveway (private)

parking lot

ramp

roads in:

airfield

farm

industrial premises

mine

private grounds

quarry

(i)   A motor vehicle is any mechanically or electrically powered device, not operated on rails, upon which any person or property may be transported or drawn upon a highway. Any object such as a trailer, coaster, sled, or wagon being towed by a motor vehicle is considered a part of the motor vehicle.

Includes:            automobile [any type]

bus

construction machinery, farm and industrial machinery, steam roller, tractor, army tank, highway grader, or similar vehicle on wheels or treads, while in transport under own power

fire engine (motorized)

motorcycle

motorized bicycle [moped] or scooter

trolley bus not operating on rails

truck

van

Excludes:            devices used solely to move persons or materials within the confines of a building and its premises, such as:

building elevator

coal car in mine

electric baggage or mail truck used solely within a railroad station

electric truck used solely within an industrial plant

moving overhead crane

(j)   A motorcycle is a two-wheeled motor vehicle having one or two riding saddles and sometimes having a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Includes:            motorized:

bicycle [moped]

scooter

tricycle

(k)  An off-road motor vehicle is a motor vehicle of special design, to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tires, driven by treads, or support on a cushion of air.

Includes:            all terrain vehicle [ATV]

army tank

hovercraft, on land or swamp

snowmobile

(l)   A driver of a motor vehicle is the occupant of the motor vehicle operating it or intending to operate it. A motorcyclist is the driver of a motorcycle. Other authorized occupants of a motor vehicle are passengers.

(m) An other road vehicle is any device, except a motor vehicle, in, on, or by which any person or property may be transported on a highway.

Includes:            animal carrying a person or goods

animal-drawn vehicle

animal harnessed to conveyance

bicycle [pedal cycle]

streetcar

tricycle (pedal)

Excludes:            pedestrian conveyance [definition (q)]

(n)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the traffic way. A trailer being towed by a streetcar is considered a part of the streetcar.

Includes:            interurban or intraurban electric or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(o)  A pedal cycle is any road transport vehicle operated solely by pedals.

Includes:            bicycle

pedal cycle

tricycle

Excludes:            motorized bicycle [definition (i)]

(p)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar attached to such a vehicle.

(q)  A pedestrian conveyance is any human powered device by which a pedestrian may move other than by walking or by which a walking person may move another pedestrian.

Includes:            baby carriage

coaster wagon

ice skates

perambulator

pushcart

pushchair

roller skates

scooter

skateboard

skis

sled

wheelchair

(r)   A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railroad train, streetcar, animal-drawn or other vehicle, or on a bicycle or animal.

Includes:            person:

changing tire of vehicle

in or operating a pedestrian conveyance

making adjustment to motor of vehicle

on foot

(s)  A watercraft is any device for transporting passengers or goods on the water.

(t)  A small boat is any watercraft propelled by paddle, oars, or small motor, with a passenger capacity of less than ten.

Includes:            boat NOS

canoe

coble

dinghy

punt

raft

rowboat

rowing shell

scull

skiff

small motorboat

Excludes:            barge

lifeboat (used after abandoning ship)

raft (anchored) being used as a diving platform

yacht

(u)  An aircraft is any device for transporting passengers or goods in the air.

Includes:            airplane [any type]

balloon

bomber

dirigible

glider (hang)

military aircraft

parachute

(v)   A commercial transport aircraft is any device for collective passenger or freight transportation by air, whether run on commercial lines for profit or by government authorities, with the exception of military craft.

RAILWAY ACCIDENTS (E800-E807)

Note:    For definitions of railway accident and related terms see definitions (a) to (d).

Excludes:            accidents involving railway train and:

aircraft (E840.0-E845.9)

motor vehicle (E810.0-E825.9)

watercraft (E830.0-E838.9)

The following fourth-digit subdivisions are for use with categories E800-E807 to identify the injured person:

0         Railway employee

Any person who by virtue of his employment in connection with a railway, whether by the railway company or not, is at increased risk of involvement in a railway accident, such as:

catering staff of train

driver

guard

porter

postal staff on train

railway fireman

shunter

sleeping car attendant

1         Passenger on railway

Any authorized person traveling on a train, except a railway employee.

Excludes:            intending passenger waiting at station (8)

unauthorized rider on railway vehicle (8)

2         Pedestrian

See definition (r)

3         Pedal cyclist

See definition (p)

8         Other specified person

Intending passenger or bystander waiting at station

Unauthorized rider on railway vehicle

9         Unspecified person

E800     Railway accident involving collision with rolling stock

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision between railway trains or railway vehicles, any kind

collision NOS on railway

derailment with antecedent collision with rolling stock or NOS

E801     Railway accident involving collision with other object

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision of railway train with:

buffers

fallen tree on railway

gates

platform

rock on railway

streetcar

other nonmotor vehicle

other object

Excludes:            collision with:

aircraft (E840.0-E842.9)

motor vehicle (E810.0-E810.9, E820.0-E822.9)

E802     Railway accident involving derailment without antecedent collision

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

E803     Railway accident involving explosion, fire, or burning

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Excludes:            explosion or fire, with antecedent derailment (E802.0-E802.9)

explosion or fire, with mention of antecedent collision (E800.0-E801.9)

E804     Fall in, on, or from railway train

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            fall while alighting from or boarding railway train

Excludes:            fall related to collision, derailment, or explosion of railway train (E800.0-E803.9)

E805     Hit by rolling stock

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            crushed by railway train or part

injured by railway train or part

killed by railway train or part

knocked down by railway train or part

run over by railway train or part

Excludes:            pedestrian hit by object set in motion by railway train (E806.0-E806.9)

E806     Other specified railway accident

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            hit by object falling in railway train

injured by door or window on railway train

nonmotor road vehicle or pedestrian hit by object set in motion by railway train

railway train hit by falling:

earth NOS

rock

tree

other object

Excludes:            railway accident due to cataclysm (E908-E909)

E807     Railway accident of unspecified nature

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            found dead on railway right-of-way NOS

injured on railway right-of-way NOS

railway accident NOS

MOTOR VEHICLE TRAFFIC ACCIDENTS (E810-E819)

Note:    For definitions of motor vehicle traffic accident, and related terms, see definitions (e) to (k).

Excludes:            accidents involving motor vehicle and aircraft (E840.0-E845.9)

The following fourth-digit subdivisions are for use with categories E810-E819 to identify the injured person:

0         Driver of motor vehicle other than motorcycle

See definition (l)

1         Passenger in motor vehicle other than motorcycle

See definition (l)

2         Motorcyclist

See definition (l)

3         Passenger on motorcycle

See definition (l)

4         Occupant of streetcar

5         Rider of animal; occupant of animal-drawn vehicle

6         Pedal cyclist

See definition (p)

7         Pedestrian

See definition (r)

8         Other specified person

Occupant of vehicle other than above

Person in railway train involved in accident

Unauthorized rider of motor vehicle

9         Unspecified person

E810     Motor vehicle traffic accident involving collision with train

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Excludes:            motor vehicle collision with object set in motion by railway train (E815.0-E815.9)

railway train hit by object set in motion by motor vehicle (E818.0-E818.9)

E811     Motor vehicle traffic accident involving re-entrant collision with another motor vehicle

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision between motor vehicle which accidentally leaves the roadway then re-enters the same roadway, or the opposite roadway on a divided highway, and another motor vehicle

Excludes:            collision on the same roadway when none of the motor vehicles involved have left and re-entered the roadway (E812.0-E812.9)

E812     Other motor vehicle traffic accident involving collision with motor vehicle

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision with another motor vehicle parked, stopped, stalled, disabled, or abandoned on the highway

motor vehicle collision NOS

Excludes:            collision with object set in motion by another motor vehicle (E815.0-E815.9)

re-entrant collision with another motor vehicle (E811.0-E811.9)

E813     Motor vehicle traffic accident involving collision with other vehicle

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision between motor vehicle, any kind, and:

other road (nonmotor transport) vehicle, such as:

animal carrying a person

animal-drawn vehicle

pedal cycle

streetcar

Excludes:            collision with:

object set in motion by nonmotor road vehicle (E815.0-E815.9)

pedestrian (E814.0-E814.9)

nonmotor road vehicle hit by object set in motion by motor vehicle (E818.0-E818.9)

E814     Motor vehicle traffic accident involving collision with pedestrian

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision between motor vehicle, any kind, and pedestrian

pedestrian dragged, hit, or run over by motor vehicle, any kind

Excludes:            pedestrian hit by object set in motion by motor vehicle (E818.0-E818.9)

E815     Other motor vehicle traffic accident involving collision on the highway

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision (due to loss of control) (on highway) between motor vehicle, any kind, and:

abutment (bridge) (overpass)

animal (herded) (unattended)

fallen stone, traffic sign, tree, utility pole

guard rail or boundary fence

interhighway divider

landslide (not moving)

object set in motion by railway train or road vehicle (motor) (nonmotor)

object thrown in front of motor vehicle

safety island

temporary traffic sign or marker

wall of cut made for road

other object, fixed, movable, or moving

Excludes:            collision with:

any object off the highway (resulting from loss of control) (E816.0-E816.9)

any object which normally would have been off the highway and is not stated to have been on it (E816.0-E816.9)

motor vehicle parked, stopped, stalled, disabled, or abandoned on highway (E812.0-E812.9)

moving landslide (E909.2)

motor vehicle hit by object:

set in motion by railway train or road vehicle (motor) (nonmotor) (E818.0-E818.9)

thrown into or on vehicle (E818.0-E818.9)

E816     Motor vehicle traffic accident due to loss of control, without collision on the highway

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            motor vehicle:

failing to make curve and:

colliding with object off the highway

overturning

stopping abruptly off the highway

going out of control (due to)

blowout and:

colliding with object off the highway

overturning

stopping abruptly off the highway

burst tire and:

colliding with object off the highway

overturning

stopping abruptly off the highway

driver falling asleep and:

colliding with object off the highway

overturning

stopping abruptly off the highway

driver inattention and:

colliding with object off the highway

overturning

stopping abruptly off the highway

excessive speed and:

colliding with object off the highway

overturning

stopping abruptly off the highway

failure of mechanical part and:

colliding with object off the highway

overturning

stopping abruptly off the highway

Excludes:            collision on highway following loss of control (E810.0-E815.9)

loss of control of motor vehicle following collision on the highway (E810.0-E815.9)

E817            Noncollision motor vehicle traffic accident while boarding or alighting

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            fall down stairs of motor bus while boarding or alighting

fall from car in street while boarding or alighting

injured by moving part of the vehicle while boarding or alighting

trapped by door of motor bus boarding or alighting while boarding or alighting

E818     Other noncollision motor vehicle traffic accident

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            accidental poisoning from exhaust gas generated by motor vehicle while in motion

breakage of any part of motor vehicle while in motion

explosion of any part of motor vehicle while in motion

fall, jump, or being accidentally pushed from motor vehicle while in motion

fire starting in motor vehicle while in motion

hit by object thrown into or on motor vehicle while in motion

injured by being thrown against some part of, or object in motor vehicle while in motion

injury from moving part of motor vehicle while in motion

object falling in or on motor vehicle while in motion

object thrown on motor vehicle while in motion

collision of railway train or road vehicle except motor vehicle, with object set in motion by motor vehicle

motor vehicle hit by object set in motion by railway train or road vehicle (motor) (nonmotor)

pedestrian, railway train, or road vehicle (motor) (nonmotor) hit by object set in motion by motor vehicle

Excludes:            collision between motor vehicle and:

object set in motion by railway train or road vehicle (motor) (nonmotor) (E815.0-E815.9)

object thrown towards the motor vehicle (E815.0-E815.9)

person overcome by carbon monoxide generated by stationary motor vehicle off the roadway with motor running (E868.2)

E819     Motor vehicle traffic accident of unspecified nature

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            motor vehicle traffic accident NOS

traffic accident NOS

MOTOR VEHICLE NONTRAFFIC ACCIDENTS (E820-E825)

Note:    For definitions of motor vehicle nontraffic accident and related terms see definition (a) to (k).

Includes:            accidents involving motor vehicles being used in recreational or sporting activities off the highway

collision and noncollision motor vehicle accidents occurring entirely off the highway

Excludes:            accidents involving motor vehicle and:

aircraft (E840.0-E845.9)

watercraft (E830.0-E838.9)

accidents, not on the public highway, involving agricultural and construction machinery but not involving another motor vehicle (E919.0, E919.2, E919.7)

The following fourth-digit subdivisions are for use with categories E820-E825 to identify the injured person:

0         Driver of motor vehicle other than motorcycle

See definition (l)

1         Passenger in motor vehicle other than motorcycle

See definition (l)

2         Motorcyclist

See definition (l)

3         Passenger on motorcycle

See definition (l)

4         Occupant of streetcar

5         Rider of animal; occupant of animal-drawn vehicle

6         Pedal cyclist

See definition (p)

7         Pedestrian

See definition (r)

8         Other specified person

Occupant of vehicle other than above

Person on railway train involved in accident

Unauthorized rider of motor vehicle

9         Unspecified person

E820            Nontraffic accident involving motor-driven snow vehicle

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            breakage of part of motor-driven snow vehicle (not on public highway)

fall from motor-driven snow vehicle (not on public highway)

hit by motor-driven snow vehicle (not on public highway)

overturning of motor-driven snow vehicle (not on public highway)

run over or dragged by motor-driven snow vehicle (not on public highway)

collision of motor-driven snow vehicle with:

animal (being ridden) (-drawn vehicle)

another off-road motor vehicle

other motor vehicle, not on public highway

railway train

other object, fixed or movable

injury caused by rough landing of motor-driven snow vehicle (after leaving ground on rough terrain)

Excludes:            accident on the public highway involving motor driven snow vehicle (E810.0-E819.9)

E821            Nontraffic accident involving other off-road motor vehicle

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            breakage of part of off-road motor vehicle, except snow vehicle (not on public highway)

fall from off-road motor vehicle, except snow vehicle (not on public highway)

hit by off-road motor vehicle, except snow vehicle (not on public highway)

overturning of off-road motor vehicle, except snow vehicle (not on public highway)

run over or dragged by off-road motor vehicle, except snow vehicle (not on public highway)

thrown against some part of or object in off-road motor vehicle, except snow vehicle (not on public highway)

collision with:

animal (being ridden) (-drawn vehicle)

another off-road motor vehicle, except snow vehicle

other motor vehicle, not on public highway

other object, fixed or movable

Excludes:            accident on public highway involving off-road motor vehicle (E810.0-E819.9)

collision between motor driven snow vehicle and other off-road motor vehicle (E820.0-E820.9)

hovercraft accident on water (E830.0-E838.9)

E822     Other motor vehicle nontraffic accident involving collision with moving object

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision, not on public highway, between motor vehicle, except off-road motor vehicle and:

animal

nonmotor vehicle

other motor vehicle, except off-road motor vehicle

pedestrian

railway train

other moving object

Excludes:            collision with:

motor-driven snow vehicle (E820.0-E820.9)

other off-road motor vehicle (E821.0-E821.9)

E823     Other motor vehicle nontraffic accident involving collision with stationary object

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision, not on public highway, between motor vehicle, except off-road motor vehicle, and any object, fixed or movable, but not in motion

E824     Other motor vehicle nontraffic accident while boarding and alighting

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            fall while boarding or alighting from motor vehicle except off-road motor vehicle, not on public highway

injury from moving part of motor vehicle while boarding or alighting from motor vehicle except off-road motor vehicle, not on public highway

trapped by door of motor vehicle while boarding or alighting from motor vehicle except off-road motor vehicle, not on public highway

E825     Other motor vehicle nontraffic accident of other and unspecified nature

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            accidental poisoning from carbon monoxide generated by motor vehicle while in motion, not on public highway

breakage of any part of motor vehicle while in motion, not on public highway

explosion of any part of motor vehicle while in motion, not on public highway

fall, jump, or being accidentally pushed from motor vehicle while in motion, not on public highway

fire starting in motor vehicle while in motion, not on public highway

hit by object thrown into, towards, or on motor vehicle while in motion, not on public highway

injured by being thrown against some part of, or object in motor vehicle while in motion, not on public highway

injury from moving part of motor vehicle while in motion, not on public highway

object falling in or on motor vehicle while in motion, not on public highway

motor vehicle nontraffic accident NOS

Excludes:            fall from or in stationary motor vehicle (E884.9, E885.9)

overcome by carbon monoxide or exhaust gas generated by stationary motor vehicle off the roadway with motor running (E868.2)

struck by falling object from or in stationary motor vehicle (E916)

OTHER ROAD VEHICLE ACCIDENTS (E826-E829)

Note:    Other road vehicle accidents are transport accidents involving road vehicles other than motor vehicles. For definitions of other road vehicle and related terms see definitions (m) to (o).

Includes:            accidents involving other road vehicles being used in recreational or sporting activities

Excludes:            collision of other road vehicle [any] with:

aircraft (E840.0-E845.9)

motor vehicle (E813.0-E813.9, E820.0-E822.9)

railway train (E801.0-E801.9)

The following fourth-digit subdivisions are for use with categories E826-E829 to identify the injured person:

0         Pedestrian

See definition (r)

1         Pedal cyclist

See definition (p)

2         Rider of animal

3         Occupant of animal-drawn vehicle

4         Occupant of streetcar

8         Other specified person

9         Unspecified person

E826     Pedal cycle accident

[0-9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            breakage of any part of pedal cycle

collision between pedal cycle and:

animal (being ridden) (herded) (unattended)

another pedal cycle

nonmotor road vehicle, any

pedestrian

other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft

entanglement in wheel of pedal cycle

fall from pedal cycle

hit by object falling or thrown on the pedal cycle

pedal cycle accident NOS

pedal cycle overturned

E827     Animal-drawn vehicle accident

[0,2-4,8,9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            breakage of any part of vehicle

collision between animal-drawn vehicle and:

animal (being ridden) (herded) (unattended)

nonmotor road vehicle, except pedal cycle

pedestrian, pedestrian conveyance, or pedestrian vehicle

other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft

fall from animal-drawn vehicle

knocked down by animal-drawn vehicle

overturning of animal-drawn vehicle

run over by animal-drawn vehicle

thrown from animal-drawn vehicle

Excludes:            collision of animal-drawn vehicle with pedal cycle (E826.0-E826.9)

E828            Accident involving animal being ridden

[0,2,4,8,9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision between animal being ridden and:

another animal

nonmotor road vehicle, except pedal cycle, and animal-drawn vehicle

pedestrian, pedestrian conveyance, or pedestrian vehicle

other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft

fall from animal being ridden

knocked down by animal being ridden

thrown from animal being ridden

trampled by animal being ridden

ridden animal stumbled and fell

Excludes:            collision of animal being ridden with:

animal-drawn vehicle (E827.0-E827.9)

pedal cycle (E826.0-E826.9)

E829     Other road vehicle accidents

[0,4,8,9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            accident while boarding or alighting from

streetcar

nonmotor road vehicle not classifiable to E826-E828

blow from object in

streetcar

nonmotor road vehicle not classifiable to E826-E828

breakage of any part of

streetcar

nonmotor road vehicle not classifiable to E826-E828

caught in door of

streetcar

nonmotor road vehicle not classifiable to E826-E828

derailment of

streetcar

nonmotor road vehicle not classifiable to E826-E828

fall in, on, or from

streetcar

nonmotor road vehicle not classifiable to E826-E828

fire in

streetcar

nonmotor road vehicle not classifiable to E826-E828

collision between streetcar or nonmotor road vehicle, except as in E826-E828, and:

animal (not being ridden)

another nonmotor road vehicle not classifiable to E826-E828

pedestrian

other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft

nonmotor road vehicle accident NOS

streetcar accident NOS

Excludes:            collision with:

animal being ridden (E828.0-E828.9)

animal-drawn vehicle (E827.0-E827.9)

pedal cycle (E826.0-E826.9)

WATER TRANSPORT ACCIDENTS (E830-E838)

Note:    For definitions of water transport accident and related terms see definitions (a), (s), and (t).

Includes:            watercraft accidents in the course of recreational activities

Excludes:            accidents involving both aircraft, including objects set in motion by aircraft, and watercraft (E840.0-E845.9)

The following fourth-digit subdivisions are for use with categories E830-E838 to identify the injured person:

0         Occupant of small boat, unpowered

1         Occupant of small boat, powered

See definition (t)

Excludes:            water skier (4)

2         Occupant of other watercraft­crew

Persons:

engaged in operation of watercraft

providing passenger services [cabin attendants, ship's physician, catering personnel]

working on ship during voyage in other capacity [musician in band, operators of shops and beauty parlors]

3         Occupant of other watercraft -- other than crew

Passenger

Occupant of lifeboat, other than crew, after abandoning ship

4         Water skier

5         Swimmer

6         Dockers, stevedores

Longshoreman employed on the dock in loading and unloading ships

8         Other specified person

Immigration and custom officials on board ship

Person:

accompanying passenger or member of crew

visiting boat

Pilot (guiding ship into port)

9         Unspecified person

E830            Accident to watercraft causing submersion

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            submersion and drowning due to:

boat overturning

boat submerging

falling or jumping from burning ship

falling or jumping from crushed watercraft

ship sinking

other accident to watercraft

E831            Accident to watercraft causing other injury

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            any injury, except submersion and drowning, as a result of an accident to watercraft

burned while ship on fire

crushed between ships in collision

crushed by lifeboat after abandoning ship

fall due to collision or other accident to watercraft

hit by falling object due to accident to watercraft

injured in watercraft accident involving collision

struck by boat or part thereof after fall or jump from damaged boat

Excludes:            burns from localized fire or explosion on board ship (E837.0-E837.9)

E832     Other accidental submersion or drowning in water transport accident

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            submersion or drowning as a result of an accident other than accident to the watercraft, such as:

fall:

from gangplank

from ship

overboard

thrown overboard by motion of ship

washed overboard

Excludes:            submersion or drowning of swimmer or diver who voluntarily jumps from boat not involved in an accident (E910.0-E910.9)

E833     Fall on stairs or ladders in water transport

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Excludes:            fall due to accident to watercraft (E831.0-E831.9)

E834     Other fall from one level to another in water transport

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Excludes:            fall due to accident to watercraft (E831.0-E831.9)

E835     Other and unspecified fall in water transport

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Excludes:            fall due to accident to watercraft (E831.0-E831.9)

E836            Machinery accident in water transport

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            injuries in water transport caused by:

deck machinery

engine room machinery

galley machinery

laundry machinery

loading machinery

E837            Explosion, fire, or burning in watercraft

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            explosion of boiler on steamship

localized fire on ship

Excludes:            burning ship (due to collision or explosion) resulting in:

submersion or drowning (E830.0-E830.9)

other injury (E831.0-E831.9)

E838     Other and unspecified water transport accident

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            accidental poisoning by gases or fumes on ship

atomic power plant malfunction in watercraft

crushed between ship and stationary object [wharf]

crushed between ships without accident to watercraft

crushed by falling object on ship or while loading or unloading

hit by boat while water skiing

struck by boat or part thereof (after fall from boat)

watercraft accident NOS

AIR AND SPACE TRANSPORT ACCIDENTS (E840-E845)

Note:    For definition of aircraft and related terms see definitions (u) and (v).

The following fourth-digit subdivisions are for use with categories E840-E845 to identify the injured person:

0         Occupant of spacecraft

1         Occupant of military aircraft, any

Crew in military aircraft [air force] [army] [national guard] [navy]

Passenger (civilian) (military) in military aircraft [air force] [army] [national guard] [navy]

Troops in military aircraft [air force] [army] [national guard] [navy]

Excludes:            occupants of aircraft operated under jurisdiction of police departments (5)

parachutist (7)

2         Crew of commercial aircraft (powered) in surface-to-surface transport

3         Other occupant of commercial aircraft (powered) in surface-to-surface transport

Flight personnel:

not part of crew

on familiarization flight

Passenger on aircraft (powered) NOS

4         Occupant of commercial aircraft (powered) in surface-to-air transport

Occupant [crew] [passenger] of aircraft (powered) engaged in activities, such as:

aerial spraying (crops) (fire retardants)

air drops of emergency supplies

air drops of parachutists, except from military craft

crop dusting

lowering of construction material [bridge or telephone pole]

sky writing

5         Occupant of other powered aircraft

Occupant [crew] [passenger] of aircraft [powered] engaged in activities, such as:

aerobatic flying

aircraft racing

rescue operation

storm surveillance

traffic surveillance

Occupant of private plane NOS

6         Occupant of unpowered aircraft, except parachutist

Occupant of aircraft classifiable to E842

7         Parachutist (military) (other)

Person making voluntary descent

Excludes:            person making descent after accident to aircraft (.1-.6)

8         Ground crew, airline employee

Persons employed at airfields (civil) (military) or launching pads, not occupants of aircraft

9         Other person

E840            Accident to powered aircraft at takeoff or landing

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            collision of aircraft with any object, fixed, movable, or moving while taking off or landing

crash while taking off or landing

explosion on aircraft while taking off or landing

fire on aircraft while taking off or landing

forced landing

E841            Accident to powered aircraft, other and unspecified

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            aircraft accident NOS

aircraft crash or wreck NOS

any accident to powered aircraft while in transit or when not specified whether in transit, taking off, or landing

collision of aircraft with another aircraft, bird, or any object, while in transit

explosion on aircraft while in transit

fire on aircraft while in transit

E842            Accident to unpowered aircraft

[6-9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            any accident, except collision with powered aircraft, to:

balloon

glider

hang glider

kite carrying a person

hit by object falling from unpowered aircraft

E843     Fall in, on, or from aircraft

[0-9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            accident in boarding or alighting from aircraft, any kind

fall in, on, or from aircraft [any kind], while in transit, taking off, or landing, except when as a result of an accident to aircraft

E844     Other specified air transport accidents

[0-9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            hit by aircraft without accident to aircraft

hit by object falling from aircraft without accident to aircraft

injury by or from machinery on aircraft without accident to aircraft

injury by or from rotating propeller without accident to aircraft

injury by or from voluntary parachute descent without accident to aircraft

poisoning by carbon monoxide from aircraft while in transit without accident to aircraft

sucked into jet without accident to aircraft

any accident involving other transport vehicle (motor) (nonmotor) due to being hit by object set in motion by aircraft (powered)

Excludes:            air sickness (E903)

effects of:

high altitude (E902.0-E902.1)

pressure change (E902.0-E902.1)

injury in parachute descent due to accident to aircraft (E840.0-E842.9)

E845            Accident involving spacecraft

[0,8,9]

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Includes:            launching pad accident

Excludes:            effects of weightlessness in spacecraft (E928.0)

VEHICLE ACCIDENTS NOT ELSEWHERE CLASSIFIABLE (E846-E848)

E846            Accidents involving powered vehicles used solely within the buildings and premises of industrial or commercial establishment

Accident to, on, or involving:

battery-powered airport passenger vehicle

battery-powered trucks (baggage) (mail)

coal car in mine

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck, or tub (powered) in mine or quarry

Breakage of any part of vehicle

Collision with:

pedestrian

other vehicle or object within premises

Explosion of powered vehicle, industrial or commercial

Fall from powered vehicle, industrial or commercial

Overturning of powered vehicle, industrial or commercial

Struck by powered vehicle, industrial or commercial

Excludes:            accidental poisoning by exhaust gas from vehicle not elsewhere classifiable (E868.2)

injury by crane, lift (fork), or elevator (E919.2)

E847            Accidents involving cable cars not running on rails

Accident to, on, or involving:

cable car, not on rails

ski chair-lift

ski-lift with gondola

teleferique

Breakage of cable

Caught or dragged by cable car, not on rails

Fall or jump from cable car, not on rails

Object thrown from or in cable car not on rails

E848            Accidents involving other vehicles, not elsewhere classifiable

Accident to, on, or involving:

ice yacht

land yacht

nonmotor, nonroad vehicle NOS

   PLACE OF OCCURENCE (E849)

Note:    The following category is for use to denote the place where the injury or poisoning occurred.

E849.0            Home

Apartment

Boarding house

Farm house

Home premises

House (residential)

Noninstitutional place of residence

Private:

driveway

garage

garden

home

walk

Swimming pool in private house or garden

Yard of home

Excludes:            home under construction but not yet occupied (E849.3)

institutional place of residence (E849.7)

E849.1            Farm

buildings

land under cultivation

Excludes:            farm house and home premises of farm (E849.0)

E849.2            Mine and quarry

Gravel pit

Sand pit

Tunnel under construction

E849.3            Industrial place and premises

Building under construction

Dockyard

Dry dock

Factory

building

premises

Garage (place of work)

Industrial yard

Loading platform (factory) (store)

Plant, industrial

Railway yard

Shop (place of work)

Warehouse

Workhouse

E849.4            Place for recreation and sport

Amusement park

Baseball field

Basketball court

Beach resort

Cricket ground

Fives court

Football field

Golf course

Gymnasium

Hockey field

Holiday camp

Ice palace

Lake resort

Mountain resort

Playground, including school playground

Public park

Racecourse

Resort NOS

Riding school

Rifle range

Seashore resort

Skating rink

Sports palace

Stadium

Swimming pool, public

Tennis court

Vacation resort

Excludes:            that in private house or garden (E849.0)

E849.5            Street and highway

E849.6            Public building

Building (including adjacent grounds) used by the general public or by a particular group of the public, such as:

airport

bank

cafe

casino

church

cinema

clubhouse

courthouse

dance hall

garage building (for car storage)

hotel

market (grocery or other commodity)

movie house

music hall

nightclub

office

office building

opera house

post office

public hall

radio broadcasting station

restaurant

school (state) (public) (private)

shop, commercial

station (bus) (railway)

store

theater

Excludes:            home garage (E849.0)

industrial building or workplace (E849.3)

E849.7            Residential institution

Children's home

Dormitory

Hospital

Jail

Old people's home

Orphanage

Prison

Reform School

E849.8            Other specified places

Beach NOS

Canal

Caravan site NOS

Derelict house

Desert

Dock

Forest

Harbor

Hill

Lake NOS

Mountain

Parking lot

Parking place

Pond or pool (natural)

Prairie

Public place NOS

Railway line

Reservoir

River

Sea

Seashore NOS

Stream

Swamp

Trailer court

Woods

E849.9            Unspecified place

ACCIDENTAL POISONING BY DRUGS, MEDICINAL SUBSTANCES, AND BIOLOGICALS (E850-E858)

Includes:            accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently

accidents in the use of drugs and biologicals in medical and surgical procedures

Excludes:            administration with suicidal or homicidal intent or intent to harm, or in circumstances classifiable to E980-E989 (E950.0-E950.5, E962.0, E980.0-E980.5)

correct drug properly administered in therapeutic or prophylactic dosage, as the cause of adverse effect (E930.0-E949.9)

Note:    See Alphabetic Index for more complete list of specific drugs to be classified under the fourth-digit subdivisions. The American Hospital Formulary numbers can be used to classify new drugs listed by the American Hospital Formulary Service (AHFS).  See appendix C.

E850            Accidental poisoning by analgesics, antipyretics, and antirheumatics

E850.0            Heroin

Diacetylmorphine

E850.1            Methadone

E850.2            Other opiates and related narcotics

Codeine [methylmorphine]

Meperidine [pethidine]

Morphine

Opium (alkaloids)

E850.3            Salicylates

Acetylsalicylic acid [aspirin]

Amino derivatives of salicylic acid

Salicylic acid salts

E850.4            Aromatic analgesics, not elsewhere classified

Acetanilid

Paracetamol [acetaminophen]

Phenacetin [acetophenetidin]

E850.5            Pyrazole derivatives

Aminophenazone [amidopyrine]

Phenylbutazone

E850.6            Antirheumatics [antiphlogistics]

Gold salts

Indomethacin

Excludes:            salicylates (E850.3)

steroids (E858.0)

E850.7            Other non-narcotic analgesics

Pyrabital

E850.8            Other specified analgesics and antipyretics

Pentazocine

E850.9            Unspecified analgesic or antipyretic

E851            Accidental poisoning by barbiturates

Amobarbital [amylobarbitone]

Barbital [barbitone]

Butabarbital [butabarbitone]

Pentobarbital [pentobarbitone]

Phenobarbital [phenobarbitone]

Secobarbital [quinalbarbitone]

Excludes:            thiobarbiturates (E855.1)

E852            Accidental poisoning by other sedatives and hypnotics

E852.0            Chloral hydrate group

E852.1            Paraldehyde

E852.2            Bromine compounds

Bromides

Carbromal (derivatives)

E852.3            Methaqualone compounds

E852.4            Glutethimide group

E852.5            Mixed sedatives, not elsewhere classified

E852.8            Other specified sedatives and hypnotics

E852.9            Unspecified sedative or hypnotic

Sleeping:

drug NOS

pill NOS

tablet NOS

E853            Accidental poisoning by tranquilizers

E853.0            Phenothiazine-based tranquilizers

Chlorpromazine

Fluphenazine

Prochlorperazine

Promazine

E853.1            Butyrophenone-based tranquilizers

Haloperidol

Spiperone

Trifluperidol

E853.2            Benzodiazepine-based tranquilizers

Chlordiazepoxide

Diazepam

Flurazepam

Lorazepam

Medazepam

Nitrazepam

E853.8            Other specified tranquilizers

Hydroxyzine

Meprobamate

E853.9            Unspecified tranquilizer

E854            Accidental poisoning by other psychotropic agents

E854.0            Antidepressants

Amitriptyline

Imipramine

Monoamine oxidase [MAO] inhibitors

E854.1            Psychodysleptics [hallucinogens]

Cannabis derivatives

Lysergide [LSD]

Marihuana (derivatives)

Mescaline

Psilocin

Psilocybin

E854.2            Psychostimulants

Amphetamine

Caffeine

Excludes:            central appetite depressants (E858.8)

E854.3            Central nervous system stimulants

Analeptics

Opiate antagonists

E854.8            Other psychotropic agents

E855            Accidental poisoning by other drugs acting on central and autonomic nervous system

E855.0            Anticonvulsant and anti-Parkinsonism drugs

Amantadine

Hydantoin derivatives

Levodopa [L-dopa]

Oxazolidine derivatives [paramethadione] [trimethadione]

Succinimides

E855.1            Other central nervous system depressants

Ether

Gaseous anesthetics

Halogenated hydrocarbon derivatives

Intravenous anesthetics

Thiobarbiturates, such as thiopental sodium

E855.2            Local anesthetics

Cocaine

Lidocaine [lignocaine]

Procaine

Tetracaine

E855.3            Parasympathomimetics [cholinergics]

Acetylcholine

Anticholinesterase:

organophosphorus

reversible

Pilocarpine

E855.4            Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

Atropine

Homatropine

Hyoscine [scopolamine]

Quaternary ammonium derivatives

E855.5            Sympathomimetics [adrenergics]

Epinephrine [adrenalin]

Levarterenol [noradrenalin]

E855.6            Sympatholytics [antiadrenergics]

Phenoxybenzamine

Tolazoline hydrochloride

E855.8            Other specified drugs acting on central and autonomic nervous systems

E855.9            Unspecified drug acting on central and autonomic nervous systems

E856            Accidental poisoning by antibiotics

E857            Accidental poisoning by other anti-infectives

E858            Accidental poisoning by other drugs

E858.0            Hormones and synthetic substitutes

E858.1            Primarily systemic agents

E858.2            Agents primarily affecting blood constituents

E858.3            Agents primarily affecting cardiovascular system

E858.4            Agents primarily affecting gastrointestinal system

E858.5            Water, mineral, and uric acid metabolism drugs

E858.6            Agents primarily acting on the smooth and skeletal muscles and respiratory system

E858.7            Agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological, and dental drugs

E858.8            Other specified drugs

Central appetite depressants

E858.9            Unspecified drug

ACCIDENTAL POISONING BY OTHER SOLID AND LIQUID SUBSTANCES, GASES, AND VAPORS (E860-E869)

Note:   Categories in this section are intended primarily to indicate the external cause of poisoning states classifiable to 980-989.  They may also be used to indicate external causes of localized effects classifiable to 001-799.

E860            Accidental poisoning by alcohol, not elsewhere classified

E860.0            Alcoholic beverages

Alcohol in preparations intended for consumption

E860.1            Other and unspecified ethyl alcohol and its products

Denatured alcohol

Ethanol NOS

Grain alcohol NOS

Methylated spirit

E860.2            Methyl alcohol

Methanol

Wood alcohol

E860.3            Isopropyl alcohol

Dimethyl carbinol

Isopropanol

Rubbing alcohol substitute

Secondary propyl alcohol

E860.4            Fusel oil

Alcohol:

amyl

butyl

propyl

E860.8            Other specified alcohols

E860.9            Unspecified alcohol

E861            Accidental poisoning by cleansing and polishing agents, disinfectants, paints, and varnishes

E861.0            Synthetic detergents and shampoos

E861.1            Soap products

E861.2            Polishes

E861.3            Other cleansing and polishing agents

Scouring powders

E861.4            Disinfectants

Household and other disinfectants not ordinarily used on the person

Excludes:            carbolic acid or phenol (E864.0)

E861.5            Lead paints

E861.6            Other paints and varnishes

Lacquers

Oil colors

Paints, other than lead

White washes

E861.9            Unspecified

E862            Accidental poisoning by petroleum products, other solvents and their vapors, not elsewhere classified

E862.0            Petroleum solvents

Petroleum:

ether

benzine

naphtha

E862.1            Petroleum fuels and cleaners

Antiknock additives to petroleum fuels

Gas oils

Gasoline or petrol

Kerosene

Excludes:            kerosene insecticides (E863.4)

E862.2            Lubricating oils

E862.3            Petroleum solids

Paraffin wax

E862.4            Other specified solvents

Benzene

E862.9            Unspecified solvent

E863            Accidental poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers

Excludes:            plant foods and fertilizers (E866.5)

E863.0            Insecticides of organochlorine compounds

Benzene hexachloride

Chlordane

DDT

Dieldrin

Endrine

Toxaphene

E863.1            Insecticides of organophosphorus compounds

Demeton

Diazinon

Dichlorvos

Malathion

Methyl parathion

Parathion

Phenylsulphthion

Phorate

Phosdrin

E863.2            Carbamates

Aldicarb

Carbaryl

Propoxur

E863.3            Mixtures of insecticides

E863.4            Other and unspecified insecticides

Kerosene insecticides

E863.5            Herbicides

2,4-Dichlorophenoxyacetic acid [2, 4-D]

2,4,5-Trichlorophenoxyacetic acid [2, 4, 5-T]

Chlorates

Diquat

Mixtures of plant foods and fertilizers with herbicides

Paraquat

E863.6            Fungicides

Organic mercurials (used in seed dressing)

Pentachlorophenols

E863.7            Rodenticides

Fluoroacetates

Squill and derivatives

Thallium

Warfarin

Zinc phosphide

E863.8            Fumigants

Cyanides

Methyl bromide

Phosphine

E863.9            Other and unspecified

E864            Accidental poisoning by corrosives and caustics, not elsewhere classified

Excludes:            those as components of disinfectants (E861.4)

E864.0            Corrosive aromatics

Carbolic acid or phenol

E864.1            Acids

Acid:

hydrochloric

nitric

sulfuric

E864.2            Caustic alkalis

Lye

E864.3            Other specified corrosives and caustics

E864.4            Unspecified corrosives and caustics

E865            Accidental poisoning from poisonous foodstuffs and poisonous plants

Includes:            any meat, fish, or shellfish

plants, berries, and fungi eaten as, or in mistake for food, or by a child

Excludes:            anaphlyactic shock due to adverse food reaction (995.60-995.69)

food poisoning (bacterial) (005.0-005.9)

poisoning and toxic reactions to venomous plants (E905.6-E905.7)

E865.0            Meat

E865.1            Shellfish

E865.2            Other fish

E865.3            Berries and seeds

E865.4            Other specified plants

E865.5            Mushrooms and other fungi

E865.8            Other specified foods

E865.9            Unspecified foodstuff or poisonous plant

E866            Accidental poisoning by other and unspecified solid and liquid substances

Excludes:            these substances as a component of:

medicines (E850.0-E858.9)

paints (E861.5-E861.6)

pesticides (E863.0-E863.9)

petroleum fuels (E862.1)

E866.0            Lead and its compounds and fumes

E866.1            Mercury and its compounds and fumes

E866.2            Antimony and its compounds and fumes

E866.3            Arsenic and its compounds and fumes

E866.4            Other metals and their compounds and fumes

Beryllium (compounds)

Brass fumes

Cadmium (compounds)

Copper salts

Iron (compounds)

Manganese (compounds)

Nickel (compounds)

Thallium (compounds)

E866.5            Plant foods and fertilizers

Excludes:            mixtures with herbicides (E863.5)

E866.6            Glues and adhesives

E866.7            Cosmetics

E866.8            Other specified solid or liquid substances

E866.9            Unspecified solid or liquid substance

E867            Accidental poisoning by gas distributed by pipeline

Carbon monoxide from incomplete combustion of piped gas

Coal gas NOS

Liquefied petroleum gas distributed through pipes (pure or mixed with air)

Piped gas (natural) (manufactured)

E868            Accidental poisoning by other utility gas and other carbon monoxide

E868.0            Liquefied petroleum gas distributed in mobile containers

Butane or carbon monoxide from incomplete combustion of these gases

Liquefied hydrocarbon gas NOS or carbon monoxide from incomplete combustion of these gases

Propane or carbon monoxide from incomplete combustion of these gases

E868.1            Other and unspecified utility gas

Acetylene or carbon monoxide from incomplete combustion of these gases

Gas NOS used for lighting, heating, or cooking or carbon monoxide from incomplete combustion of these gases

Water gas or carbon monoxide from incomplete combustion of these gases

E868.2            Motor vehicle exhaust gas

Exhaust gas from:

farm tractor, not in transit

gas engine

motor pump

motor vehicle, not in transit

any type of combustion engine not in watercraft

Excludes:            poisoning by carbon monoxide from:

aircraft while in transit (E844.0-E844.9)

motor vehicle while in transit (E818.0-E818.9)

watercraft whether or not in transit (E838.0-E838.9)

E868.3            Carbon monoxide from incomplete combustion of other domestic fuels

Carbon monoxide from incomplete combustion of:

coal in domestic stove or fireplace

coke in domestic stove or fireplace

kerosene in domestic stove or fireplace

wood in domestic stove or fireplace

Excludes:            carbon monoxide from smoke and fumes due to conflagration (E890.0-E893.9)

E868.8            Carbon monoxide from other sources

Carbon monoxide from:

blast furnace gas

incomplete combustion of fuels in industrial use

kiln vapor

E868.9            Unspecified carbon monoxide

E869            Accidental poisoning by other gases and vapors

Excludes:            effects of gases used as anesthetics (E855.1, E938.2)

fumes from heavy metals (E866.0-E866.4)

smoke and fumes due to conflagration or explosion (E890.0-E899)

E869.0            Nitrogen oxides

E869.1            Sulfur dioxide

E869.2            Freon

E869.3            Lacrimogenic gas [tear gas]

Bromobenzyl cyanide

Chloroacetophenone

Ethyliodoacetate

E869.4            Second-hand tobacco smoke

E869.8            Other specified gases and vapors

Chlorine

Hydrocyanic acid gas

E869.9            Unspecified gases and vapors

MISADVENTURES TO PATIENTS DURING SURGICAL AND MEDICAL CARE (E870-E876)

Excludes:            accidental overdose of drug and wrong drug given in error (E850.0-E858.9)

surgical and medical procedures as the cause of abnormal reaction by the patient, without mention of misadventure at the time of procedure (E878.0-E879.9)

E870            Accidental cut, puncture, perforation, or hemorrhage during medical care

E870.0            Surgical operation

E870.1            Infusion or transfusion

E870.2            Kidney dialysis or other perfusion

E870.3            Injection or vaccination

E870.4            Endoscopic examination

E870.5            Aspiration of fluid or tissue, puncture, and catheterization

Abdominal paracentesis

Aspirating needle biopsy

Blood sampling

Lumbar puncture

Thoracentesis

Excludes:            heart catheterization (E870.6)

E870.6            Heart catheterization

E870.7            Administration of enema

E870.8            Other specified medical care

E870.9            Unspecified medical care

E871     Foreign object left in body during procedure

E871.0            Surgical operation

E871.1            Infusion or transfusion

E871.2            Kidney dialysis or other perfusion

E871.3            Injection or vaccination

E871.4            Endoscopic examination

E871.5            Aspiration of fluid or tissue, puncture, and catheterization

Abdominal paracentesis

Aspiration needle biopsy

Blood sampling

Lumbar puncture

Thoracentesis

Excludes:            heart catheterization (E871.6)

E871.6            Heart catheterization

E871.7            Removal of catheter or packing

E871.8            Other specified procedures

E871.9            Unspecified procedure

E872     Failure of sterile precautions during procedure

E872.0            Surgical operation

E872.1            Infusion or transfusion

E872.2            Kidney dialysis and other perfusion

E872.3            Injection or vaccination

E872.4            Endoscopic examination

E872.5            Aspiration of fluid or tissue, puncture, and catheterization

Abdominal paracentesis

Aspirating needle biopsy

Blood sampling

Lumbar puncture

Thoracentesis

Excludes:            heart catheterization (E872.6)

E872.6            Heart catheterization

E872.8            Other specified procedures

E872.9            Unspecified procedure

E873     Failure in dosage

Excludes:            accidental overdose of drug, medicinal or biological substance (E850.0-E858.9)

E873.0            Excessive amount of blood or other fluid during transfusion or infusion

E873.1            Incorrect dilution of fluid during infusion

E873.2            Overdose of radiation in therapy

E873.3            Inadvertent exposure of patient to radiation during medical care

E873.4            Failure in dosage in electroshock or insulin-shock therapy

E873.5            Inappropriate [too hot or too cold] temperature in local application and packing

E873.6            Nonadministration of necessary drug or medicinal substance

E873.8            Other specified failure in dosage

E873.9            Unspecified failure in dosage

E874            Mechanical failure of instrument or apparatus during procedure

E874.0            Surgical operation

E874.1            Infusion and transfusion

Air in system

E874.2            Kidney dialysis and other perfusion

E874.3            Endoscopic examination

E874.4            Aspiration of fluid or tissue, puncture, and catheterization

Abdominal paracentesis

Aspirating needle biopsy

Blood sampling

Lumbar puncture

Thoracentesis

Excludes:            heart catheterization (E874.5)

E874.5            Heart catheterization

E874.8            Other specified procedures

E874.9            Unspecified procedure

E875            Contaminated or infected blood, other fluid, drug, or biological substance

Includes:            presence of:

            bacterial pyrogens

            endotoxin-producing bacteria

            serum hepatitis-producing agent

E875.0            Contaminated substance transfused or infused

E875.1            Contaminated substance injected or used for vaccination

E875.2            Contaminated drug or biological substance administered by other means

E875.8            Other

E875.9            Unspecified

E876     Other and unspecified misadventures during medical care

E876.0            Mismatched blood in transfusion

E876.1            Wrong fluid in infusion

E876.2            Failure in suture and ligature during surgical operation

E876.3            Endotracheal tube wrongly placed during anesthetic procedure

E876.4            Failure to introduce or to remove other tube or instrument

Excludes:            foreign object left in body during procedure (E871.0-E871.9)

E876.5            Performance of inappropriate operation

E876.8            Other specified misadventures during medical care

Performance of inappropriate treatment NEC

E876.9            Unspecified misadventure during medical care

SURGICAL AND MEDICAL PROCEDURES AS THE CAUSE OF ABNORMAL REACTION OF PATIENT OR LATER COMPLICATION,WITHOUT MENTION OF MISADVENTURE AT THE TIME OF PROCEDURE (E878-E879)

Includes:            procedures as the cause of abnormal reaction, such as:

displacement or malfunction of prosthetic device

hepatorenal failure, postoperative

malfunction of external stoma

postoperative intestinal obstruction

rejection of transplanted organ

Excludes:            anesthetic management properly carried out as the cause of adverse effect (E937.0-E938.9)

infusion and transfusion, without mention of misadventure in the technique of procedure (E930.0-E949.9)

E878     Surgical operation and other surgical procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at the time of operation

E878.0            Surgical operation with transplant of whole organ

Transplantation of:

heart

kidney

liver

E878.1            Surgical operation with implant of artificial internal device

Cardiac pacemaker

Electrodes implanted in brain

Heart valve prosthesis

Internal orthopedic device

E878.2            Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant

Anastomosis:

arteriovenous

gastrojejunal

Graft of blood vessel, tendon, or skin

Excludes:            external stoma (E878.3)

E878.3            Surgical operation with formation of external stoma

Colostomy

Cystostomy

Duodenostomy

Gastrostomy

Ureterostomy

E878.4            Other restorative surgery

E878.5            Amputation of limb(s)

E878.6            Removal of other organ (partial) (total)

E878.8            Other specified surgical operations and procedures

E878.9            Unspecified surgical operations and procedures

E879     Other procedures, without mention of misadventure at the time of procedure, as the cause of abnormal reaction of patient, or of later complication

E879.0            Cardiac catheterization

E879.1            Kidney dialysis

E879.2            Radiological procedure and radiotherapy

Excludes:            radio-opaque dyes for diagnostic x-ray procedures (E947.8)

E879.3            Shock therapy

Electroshock therapy

Insulin-shock therapy

E879.4            Aspiration of fluid

Lumbar puncture

Thoracentesis

E879.5            Insertion of gastric or duodenal sound

E879.6            Urinary catheterization

E879.7            Blood sampling

E879.8            Other specified procedures

Blood transfusion

E879.9            Unspecified procedure

ACCIDENTAL FALLS (E880-E888)

Excludes:            falls (in or from):

burning building (E890.8, E891.8)

into fire (E890.0-E899)

into water (with submersion or drowning) (E910.0-E910.9)

machinery (in operation) (E919.0-E919.9)

on edged, pointed, or sharp object (E920.0-E920.9)

transport vehicle (E800.0-E845.9)

vehicle not elsewhere classifiable (E846-E848)

E880     Fall on or from stairs or steps

E880.0            Escalator

E880.1            Fall on or from sidewalk curb

Excludes:            fall from moving sidewalk (E885.9)

E880.9            Other stairs or steps

E881     Fall on or from ladders or scaffolding

E881.0            Fall from ladder

E881.1            Fall from scaffolding

E882     Fall from or out of building or other structure

Fall from:

balcony

bridge

building

flagpole

tower

turret

viaduct

wall

window

Fall through roof

Excludes:            collapse of a building or structure (E916)

fall or jump from burning building (E890.8, E891.8)

E883     Fall into hole or other opening in surface

Includes:            fall into:

cavity

dock

hole

pit

quarry

shaft

swimming pool

tank

well

Excludes:            fall into water NOS (E910.9)

that resulting in drowning or submersion without mention of injury (E910.0-E910.9)

E883.0            Accident from diving or jumping into water [swimming pool]

Strike or hit:

against bottom when jumping or diving into water

wall or board of swimming pool

water surface

Excludes:            diving with insufficient air supply (E913.2)

effects of air pressure from diving (E902.2)

E883.1            Accidental fall into well

E883.2            Accidental fall into storm drain or manhole

E883.9            Fall into other hole or other opening in surface

E884     Other fall from one level to another

E884.0            Fall from playground equipment

Excludes:            recreational machinery (E919.8)

E884.1            Fall from cliff

E884.2            Fall from chair

E884.3            Fall from wheelchair

E884.4            Fall from bed

E884.5            Fall from other furniture

E884.6            Fall from commode

Toilet

E884.9            Other fall from one level to another

Fall from:

embankment

haystack

stationary vehicle

tree

E885     Fall on same level from slipping, tripping, or stumbling

E885.0            Fall from (nonmotorized) scooter

E885.1            Fall from roller skates

In-line skates

E885.2            Fall from skateboard

E885.3            Fall from skis

E885.4            Fall from snowboard

E885.9            Fall from other slipping, tripping, or stumbling

Fall on moving sidewalk

E886     Fall on same level from collision, pushing, or shoving, by or with other person

Excludes:            crushed or pushed by a crowd or human stampede (E917.1, E917.6)

E886.0            In sports

Tackles in sports

Excludes:            kicked, stepped on, struck by object, in sports (E917.0, E917.5)

E886.9            Other and unspecified

Fall from collision of pedestrian (conveyance) with another pedestrian (conveyance)

E887            Fracture, cause unspecified

E888     Other and unspecified fall

Accidental fall NOS

Fall on same level NOS

E888.0            Fall resulting in striking against sharp object

Use additional external cause code to identify object (E920)

E888.1            Fall resulting in striking against other object

E888.8            Other fall

E888.9            Unspecified fall

Fall NOS

ACCIDENTS CAUSED BY FIRE AND FLAMES (E890-E899)

Includes:            asphyxia or poisoning due to conflagration or ignition

burning by fire

secondary fires resulting from explosion

Excludes:            arson (E968.0)

fire in or on:

machinery (in operation) (E919.0-E919.9)

transport vehicle other than stationary vehicle (E800.0-E845.9)

vehicle not elsewhere classifiable (E846-E848)

E890            Conflagration in private dwelling

Includes:            conflagration in:

apartment

boarding house

camping place

caravan

farmhouse

house

lodging house

mobile home

private garage

rooming house

tenement

conflagration originating from sources classifiable to E893-E898 in the above buildings

E890.0            Explosion caused by conflagration

E890.1            Fumes from combustion of polyvinylchloride [PVC] and similar material in conflagration

E890.2            Other smoke and fumes from conflagration

Carbon monoxide from conflagration in private building

Fumes NOS from conflagration in private building

Smoke NOS from conflagration in private building

E890.3            Burning caused by conflagration

E890.8            Other accident resulting from conflagration

Collapse of burning private building

Fall from burning private building

Hit by object falling from burning private building

Jump from burning private building

E890.9            Unspecified accident resulting from conflagration in private dwelling

E891            Conflagration in other and unspecified building or structure

Conflagration in:

barn

church

convalescent and other residential home

dormitory of educational institution

factory

farm outbuildings

hospital

hotel

school

store

theater

Conflagration originating from sources classifiable to E893-E898, in the above buildings

E891.0            Explosion caused by conflagration

E891.1            Fumes from combustion of polyvinylchloride [PVC] and similar material in conflagration

E891.2            Other smoke and fumes from conflagration

Carbon monoxide from conflagration in building or structure

Fumes NOS from conflagration in building or structure

Smoke NOS from conflagration in building or structure

E891.3            Burning caused by conflagration

E891.8            Other accident resulting from conflagration

Collapse of burning building or structure

Fall from burning building or structure

Hit by object falling from burning building or structure

Jump from burning building or structure

E891.9            Unspecified accident resulting from conflagration of other and unspecified building or structure

E892            Conflagration not in building or structure

Fire (uncontrolled) (in) (of):

forest

grass

hay

lumber

mine

prairie

transport vehicle [any], except while in transit

tunnel

E893            Accident caused by ignition of clothing

Excludes:            ignition of clothing:

from highly inflammable material (E894)

with conflagration (E890.0-E892)

E893.0            From controlled fire in private dwelling

Ignition of clothing from:

normal fire (charcoal) (coal) (electric) (gas) (wood) in:

brazier in private dwelling (as listed in E890)

fireplace in private dwelling (as listed in E890)

furnace in private dwelling (as listed in E890)

stove in private dwelling (as listed in E890)

E893.1            From controlled fire in other building or structure

Ignition of clothing from:

normal fire (charcoal) (coal) (electric) (gas) (wood) in:

brazier in other building or structure (as listed in E891)

fireplace in other building or structure (as listed in E891)

furnace in other building or structure (as listed in E891)

stove in other building or structure (as listed in E891)

E893.2            From controlled fire not in building or structure

Ignition of clothing from:

bonfire (controlled)

brazier fire (controlled), not in building or structure

trash fire (controlled)

Excludes:            conflagration not in building (E892)

trash fire out of control (E892)

E893.8            From other specified sources

Ignition of clothing from:

blowlamp

blowtorch

burning bedspread

candle

cigar

cigarette

lighter

matches

pipe

welding torch

E893.9            Unspecified source

Ignition of clothing (from controlled fire NOS) (in building NOS) NOS

E894     Ignition of highly inflammable material

Ignition of:

benzine (with ignition of clothing)

gasoline (with ignition of clothing)

fat (with ignition of clothing)

kerosene (with ignition of clothing)

paraffin (with ignition of clothing)

petrol (with ignition of clothing)

Excludes:            ignition of highly inflammable material with:

conflagration (E890.0-E892)

explosion (E923.0-E923.9)

E895            Accident caused by controlled fire in private dwelling

Burning by (flame of) normal fire (charcoal) (coal) (electric) (gas) (wood) in:

brazier in private dwelling (as listed in E890)

fireplace in private dwelling (as listed in E890)

furnace in private dwelling (as listed in E890)

stove in private dwelling (as listed in E890)

Excludes:            burning by hot objects not producing fire or flames (E924.0-E924.9)

ignition of clothing from these sources (E893.0)

poisoning by carbon monoxide from incomplete combustion of fuel (E867-E868.9)

that with conflagration (E890.0-E890.9)

E896            Accident caused by controlled fire in other and unspecified building or structure

Burning by (flame of) normal fire (charcoal) (coal) (electric) (gas) (wood) in:

brazier in other building or structure (as listed in E891)

fireplace in other building or structure (as listed in E891)

furnace in other building or structure (as listed in E891)

stove in other building or structure (as listed in E891)

Excludes:            burning by hot objects not producing fire or flames (E924.0-E924.9)

ignition of clothing from these sources (E893.1)

poisoning by carbon monoxide from incomplete combustion of fuel (E867-E868.9)

that with conflagration (E891.0-E891.9)

E897            Accident caused by controlled fire not in building or structure

Burns from flame of:

bonfire (controlled)

brazier fire (controlled), not in building or structure

trash fire (controlled)

Excludes:            ignition of clothing from these sources (E893.2)

trash fire out of control (E892)

that with conflagration (E892)

E898            Accident caused by other specified fire and flames

Excludes:            conflagration (E890.0-E892)

that with ignition of:

clothing (E893.0-E893.9)

highly inflammable material (E894)

E898.0            Burning bedclothes

Bed set on fire NOS

E898.1            Other

Burning by:

blowlamp

blowtorch

candle

cigar

cigarette

fire in room NOS

lamp

lighter

matches

pipe

welding torch

E899            Accident caused by unspecified fire

Burning NOS

ACCIDENTS DUE TO NATURAL AND ENVIRONMENTAL FACTORS (E900-E909)

E900            Excessive heat

E900.0            Due to weather conditions

Excessive heat as the external cause of:

ictus solaris

siriasis

sunstroke

E900.1            Of man-made origin

Heat (in):

boiler room

drying room

factory

furnace room

generated in transport vehicle

kitchen

E900.9            Of unspecified origin

E901            Excessive cold

E901.0            Due to weather conditions

Excessive cold as the cause of:

chilblains NOS

immersion foot

E901.1            Of man-made origin

Contact with or inhalation of:

dry ice

liquid air

liquid hydrogen

liquid nitrogen

Prolonged exposure in:

deep freeze unit

refrigerator

E901.8            Other specified origin

E901.9            Of unspecified origin

E902     High and low air pressure and changes in air pressure

E902.0            Residence or prolonged visit at high altitude

Residence or prolonged visit at high altitude as the cause of:

Acosta syndrome

Alpine sickness

altitude sickness

Andes disease

anoxia, hypoxia

barotitis, barodontalgia, barosinusitis, otitic barotrauma

hypobarism, hypobaropathy

mountain sickness

range disease

E902.1            In aircraft

Sudden change in air pressure in aircraft during ascent or descent as the cause of:

aeroneurosis

aviators' disease

E902.2            Due to diving

High air pressure from rapid descent in water as the cause of:

caisson disease

divers' disease

divers' palsy or paralysis

Reduction in atmospheric pressure while surfacing from deep water diving as the cause of:

caisson disease

divers' disease

divers' palsy or paralysis

E902.8            Due to other specified causes

Reduction in atmospheric pressure while surfacing from underground

E902.9            Unspecified cause

E903     Travel and motion

E904     Hunger, thirst, exposure, and neglect

Excludes:            any condition resulting from homicidal intent (E968.0-E968.9)

hunger, thirst, and exposure resulting from accidents connected with transport (E800.0-E848)

E904.0            Abandonment or neglect of infants and helpless persons

Exposure to weather conditions resulting from abandonment or neglect

Hunger or thirst resulting from abandonment or neglect

Desertion of newborn

Inattention at or after birth

Lack of care (helpless person) (infant)

Excludes:            criminal [purposeful] neglect (E968.4)

E904.1            Lack of food

Lack of food as the cause of:

inanition

insufficient nourishment

starvation

Excludes:            hunger resulting from abandonment or neglect (E904.0)

E904.2            Lack of water

Lack of water as the cause of:

dehydration

inanition

Excludes:            dehydration due to acute fluid loss (276.5)

E904.3            Exposure (to weather conditions), not elsewhere classifiable

Exposure NOS

Humidity

Struck by hailstones

Excludes:            struck by lightning (E907)

E904.9            Privation, unqualified

Destitution

E905            Venomous animals and plants as the cause of poisoning and toxic reactions

Includes:            chemical released by animal

insects

release of venom through fangs, hairs, spines, tentacles, and other venom apparatus

Excludes:            eating of poisonous animals or plants (E865.0-E865.9)

E905.0            Venomous snakes and lizards

Cobra

Copperhead snake

Coral snake

Fer de lance

Gila monster

Krait

Mamba

Rattlesnake

Sea snake

Snake (venomous)

Viper

Water moccasin

Excludes:            bites of snakes and lizards known to be nonvenomous (E906.2)

E905.1            Venomous spiders

Black widow spider

Brown spider

Tarantula (venomous)

E905.2            Scorpion

E905.3            Hornets, wasps, and bees

Yellow jacket

E905.4            Centipede and venomous millipede (tropical)

E905.5            Other venomous arthropods

Sting of:

ant

caterpillar

E905.6            Venomous marine animals and plants

Puncture by sea urchin spine

Sting of:

coral

jelly fish

nematocysts

sea anemone

sea cucumber

other marine animal or plant

Excludes:            bites and other injuries caused by nonvenomous marine animal (E906.2-E906.8)

bite of sea snake (venomous) (E905.0)

E905.7            Poisoning and toxic reactions caused by other plants

Injection of poisons or toxins into or through skin by plant thorns, spines, or other mechanisms

Excludes:            puncture wound NOS by plant thorns or spines (E920.8)

E905.8            Other specified

E905.9            Unspecified

Sting NOS

Venomous bite NOS

E906     Other injury caused by animals

Excludes:            poisoning and toxic reactions caused by venomous animals and insects (E905.0-E905.9)

road vehicle accident involving animals (E827.0-E828.9)

tripping or falling over an animal (E885.9)

E906.0            Dog bite

E906.1            Rat bite

E906.2            Bite of nonvenomous snakes and lizards

E906.3            Bite of other animal except arthropod

Cats

Moray eel

Rodents, except rats

Shark

E906.4            Bite of nonvenomous arthropod

Insect bite NOS

E906.5            Bite by unspecified animal

Animal bite NOS

E906.8            Other specified injury caused by animal

Butted by animal

Fallen on by horse or other animal, not being ridden

Gored by animal

Implantation of quills of porcupine

Pecked by bird

Run over by animal, not being ridden

Stepped on by animal, not being ridden

Excludes:            injury by animal being ridden (E828.0-E828.9)

E906.9            Unspecified injury caused by animal

E907            Lightning

Excludes:            injury from:

fall of tree or other object caused by lightning (E916)

fire caused by lightning (E890.0-E892)

E908            Cataclysmic storms, and floods resulting from storms

Excludes:            collapse of dam or man-made structure causing flood (E909.3)

E908.0            Hurricane

Storm surge

"Tidal wave" caused by storm action

Typhoon

E908.1            Tornado

Cyclone

Twisters

E908.2            Floods

Torrential rainfall

Flash flood

Excludes:            collapse of dam or man-made structure causing flood (E909.3)

E908.3            Blizzard (snow) (ice)

E908.4            Dust storm

E908.8            Other cataclysmic storms

E908.9            Unspecified cataclysmic storms, and floods resulting from storms

Storm NOS

E909            Cataclysmic earth surface movements and eruptions

E909.0            Earthquakes

E909.1            Volcanic eruptions

Burns from lava

Ash inhalation

E909.2            Avalanche, landslide, or mudslide

E909.3            Collapse of dam or man-made structure

E909.4            Tidalwave caused by earthquake

Tidalwave NOS

Tsunami

Excludes:            tidalwave caused by tropical storm (E908.0)

E909.8            Other cataclysmic earth surface movements and eruptions

E909.9            Unspecified cataclysmic earth surface movements and eruptions

ACCIDENTS CAUSED BY SUBMERSION, SUFFOCATION, AND FOREIGN BODIES (E910-E915)

E910            Accidental drowning and submersion

Includes:            immersion

swimmers' cramp

Excludes:            diving accident (NOS) (resulting in injury except drowning) (E883.0)

diving with insufficient air supply (E913.2)

drowning and submersion due to:

cataclysm (E908-E909)

machinery accident (E919.0-E919.9)

transport accident (E800.0-E845.9)

effect of high and low air pressure (E902.2)

injury from striking against objects while in running water (E917.2)

E910.0            While water-skiing

Fall from water skis with submersion or drowning

Excludes:            accident to water-skier involving a watercraft and resulting in submersion or other injury (E830.4, E831.4)

E910.1            While engaged in other sport or recreational activity with diving equipment

Scuba diving NOS

Skin diving NOS

Underwater spear fishing NOS

E910.2            While engaged in other sport or recreational activity without diving equipment

Fishing or hunting, except from boat or with diving equipment

Ice skating

Playing in water

Surfboarding

Swimming NOS

Voluntarily jumping from boat, not involved in accident, for swim NOS

Wading in water

Excludes:            jumping into water to rescue another person (E910.3)

E910.3            While swimming or diving for purposes other than recreation or sport

Marine salvage (with diving equipment)

Pearl diving (with diving equipment)

Placement of fishing nets (with diving equipment)

Rescue (attempt) of another person (with diving equipment)

Underwater construction or repairs (with diving equipment)

E910.4            In bathtub

E910.8            Other accidental drowning or submersion

Drowning in:

quenching tank

swimming pool

E910.9            Unspecified accidental drowning or submersion

Accidental fall into water NOS

Drowning NOS

E911            Inhalation and ingestion of food causing obstruction of respiratory tract or suffocation

Aspiration and inhalation of food [any] (into respiratory tract) NOS

Asphyxia by food [including bone, seed in food, regurgitated food]

Choked on food [including bone, seed in food, regurgitated food]

Suffocation by food [including bone, seed in food, regurgitated food]

Compression of trachea by food lodged in esophagus

Interruption of respiration by food lodged in esophagus

Obstruction of respiration by food lodged in esophagus

Obstruction of pharynx by food (bolus)

Excludes:            injury, except asphyxia and obstruction of respiratory passage, caused by food (E915)

obstruction of esophagus by food without mention of asphyxia or obstruction of respiratory passage (E915)

E912            Inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation

Aspiration and inhalation of foreign body except food (into respiratory tract) NOS

Foreign object [bean] [marble] in nose

Obstruction of pharynx by foreign body

Compression by foreign body in esophagus

Interruption of respiration by foreign body in esophagus

Obstruction of respiration by foreign body in esophagus

Excludes:            injury, except asphyxia and obstruction of respiratory passage, caused by foreign body (E915)

obstruction of esophagus by foreign body without mention of asphyxia or obstruction in respiratory passage (E915)

E913            Accidental mechanical suffocation

Excludes:            mechanical suffocation from or by:

accidental inhalation or ingestion of:

food (E911)

foreign object (E912)

cataclysm (E908-E909)

explosion (E921.0-E921.9, E923.0-E923.9)

machinery accident (E919.0-E919.9)

E913.0            In bed or cradle

Excludes:            suffocation by plastic bag (E913.1)

E913.1            By plastic bag

E913.2            Due to lack of air (in closed place)

Accidentally closed up in refrigerator or other airtight enclosed space

Diving with insufficient air supply

Excludes:            suffocation by plastic bag (E913.1)

E913.3            By falling earth or other substance

Cave-in NOS

Excludes:            cave-in caused by cataclysmic earth surface movements and eruptions (E909.8)

struck by cave-in without asphyxiation or suffocation (E916)

E913.8            Other specified means

Accidental hanging, except in bed or cradle

E913.9            Unspecified means

Asphyxia, mechanical NOS

Strangulation NOS

Suffocation NOS

E914     Foreign body accidentally entering eye and adnexa

Excludes:            corrosive liquid (E924.1)

E915     Foreign body accidentally entering other orifice

Excludes:            aspiration and inhalation of foreign body, any, (into respiratory tract) NOS (E911-E912)

OTHER ACCIDENTS (E916-E928)

E916     Struck accidentally by falling object

Collapse of building, except on fire

Falling:

rock

snowslide NOS

stone

tree

Object falling from:

machine, not in operation

stationary vehicle

Code first:            collapse of building on fire (E890.0-E891.9)

falling object in:

cataclysm (E908-E909)

machinery accidents (E919.0-E919.9)

transport accidents (E800.0-E845.9)

vehicle accidents not elsewhere classifiable (E846-E848)

object set in motion by:

explosion (E921.0-E921.9, E923.0-E923.9)

firearm (E922.0-E922.9)

projected object (E917.0-E917.9)

E917     Striking against or struck accidentally by objects or persons

Includes:            bumping into or against

object (moving) (projected) (stationary)

pedestrian conveyance

person

colliding with

object (moving) (projected) (stationary)

pedestrian conveyance

person

kicking against

object (moving) (projected) (stationary)

pedestrian conveyance

person

stepping on

object (moving) (projected) (stationary)

pedestrian conveyance

person

struck by

object (moving) (projected) (stationary)

pedestrian conveyance

person

Excludes:            fall from:

collision with another person, except when caused by a crowd (E886.0-E886.9)

stumbling over object (E885.9)

fall resulting in striking against object (E888.0-E888.1)

injury caused by:

assault (E960.0-E960.1, E967.0-E967.9)

cutting or piercing instrument (E920.0-E920.9)

explosion (E921.0-E921.9, E923.0-E923.9)

firearm (E922.0-E922.9)

machinery (E919.0-E919.9)

transport vehicle (E800.0-E845.9)

vehicle not elsewhere classifiable (E846-E848)

E917.0            In sports without subsequent fall

Kicked or stepped on during game (football) (rugby)

Struck by hit or thrown ball

Struck by hockey stick or puck

E917.1            Caused by a crowd, by collective fear or panic without subsequent fall

Crushed by crowd or human stampede

Pushed by crowd or human stampede

Stepped on by crowd or human stampede

E917.2            In running water without subsequent fall

Excludes:            drowning or submersion (E910.0-E910.9) that in sports (E917.0, E917.5)

E917.3            Furniture without subsequent fall

Excludes:            fall from furniture (E884.2, E884.4-E884.5)

E917.4            Other stationary object without subsequent fall

Bath tub

Fence

Lamp-post

E917.5            Object in sports with subsequent fall

Knocked down while boxing

E917.6            Caused by a crowd, by collective fear or panic with subsequent fall

E917.7            Furniture with subsequent fall

Excludes:            fall from furniture (E884.2, E884.4-E884.5)

E917.8            Other stationary object with subsequent fall

Bath tub

Fence

Lamp-post

E917.9            Other striking against with or without subsequent fall

E918     Caught accidentally in or between objects

Caught, crushed, jammed, or pinched in or between moving or stationary objects, such as:

escalator

folding object

hand tools, appliances, or implements

sliding door and door frame

under packing crate

washing machine wringer

Excludes:            injury caused by:

cutting or piercing instrument (E920.0-E920.9)

machinery (E919.0-E919.9)

transport vehicle (E800.0-E845.9)

vehicle not elsewhere classifiable (E846-E848)

struck accidentally by:

falling object (E916)

object (moving) (projected) (E917.0-E917.9)

E919            Accidents caused by machinery

Includes:            burned by machinery (accident)

caught in (moving parts of) machinery (accident)

collapse of machinery (accident)

crushed by machinery (accident)

cut or pierced by machinery (accident)

drowning or submersion caused by machinery (accident)

explosion of, on, in machinery (accident)

fall from or into moving part of machinery (accident)

fire starting in or on machinery (accident)

mechanical suffocation caused by machinery (accident)

object falling from, on, in motion by machinery (accident)

overturning of machinery (accident)

pinned under machinery (accident)

run over by machinery (accident)

struck by machinery (accident)

thrown from machinery (accident)

caught between machinery and other object

machinery accident NOS

Excludes:            accidents involving machinery, not in operation (E884.9, E916-E918)

injury caused by:

electric current in connection with machinery (E925.0-E925.9)

escalator (E880.0, E918)

explosion of pressure vessel in connection with machinery (E921.0-E921.9)

moving sidewalk (E885.9)

powered hand tools, appliances, and implements (E916-E918, E920.0-E921.9, E923.0-E926.9)

transport vehicle accidents involving machinery (E800.0-E848.9)

poisoning by carbon monoxide generated by machine (E868.8)

E919.0            Agricultural machines

Animal-powered agricultural machine

Combine

Derrick, hay

Farm machinery NOS

Farm tractor

Harvester

Hay mower or rake

Reaper

Thresher

Excludes:            that in transport under own power on the highway (E810.0-E819.9)

that being towed by another vehicle on the highway (E810.0-E819.9, E827.0-E827.9, E829.0-E829.9)

that involved in accident classifiable to E820-E829 (E820.0-E829.9)

E919.1            Mining and earth-drilling machinery

Bore or drill (land) (seabed)

Shaft hoist

Shaft lift

Under-cutter

Excludes:            coal car, tram, truck, and tub in mine (E846)

E919.2            Lifting machines and appliances

Chain hoist except in agricultural or mining operations

Crane except in agricultural or mining operations

Derrick except in agricultural or mining operations

Elevator (building) (grain) except in agricultural or mining operations

Forklift truck except in agricultural or mining operations

Lift except in agricultural or mining operations

Pulley block except in agricultural or mining operations

Winch except in agricultural or mining operations

Excludes:            that being towed by another vehicle on the highway (E810.0-E819.9, E827.0-E827.9, E829.0-E829.9)

that in transport under own power on the highway (E810.0-E819.9)

that involved in accident classifiable to E820-E829 (E820.0-E829.9)

E919.3            Metalworking machines

Abrasive wheel

Forging machine

Lathe

Mechanical shears

Metal:

drilling machine

milling machine

power press

rolling-mill

sawing machine

E919.4            Woodworking and forming machines

Band saw

Bench saw

Circular saw

Molding machine

Overhead plane

Powered saw

Radial saw

Sander

Excludes:            hand saw (E920.1)

E919.5            Prime movers, except electrical motors

Gas turbine

Internal combustion engine

Steam engine

Water driven turbine

Excludes:            that being towed by other vehicle on the highway (E810.0-E819.9, E827.0-E827.9, E829.0-E829.9)

that in transport under own power on the highway (E810.0-E819.9)

E919.6            Transmission machinery

Transmission:

belt

cable

chain

gear

pinion

pulley

shaft

E919.7            Earth moving, scraping, and other excavating machines

Bulldozer

Road scraper

Steam shovel

Excludes:            that being towed by other vehicle on the highway (E810.0-E819.9)

that in transport under own power on the highway (E810.0-E819.9)

E919.8            Other specified machinery

Machines for manufacture of:

clothing

foodstuffs and beverages

paper

Printing machine

Recreational machinery

Spinning, weaving, and textile machines

E919.9            Unspecified machinery

E920            Accidents caused by cutting and piercing instruments or objects

Includes:            accidental injury (by) object:

edged

pointed

sharp

E920.0            Powered lawn mower

E920.1            Other powered hand tools

Any powered hand tool [compressed air] [electric] [explosive cartridge] [hydraulic power], such as:

drill

hand saw

hedge clipper

rivet gun

snow blower

staple gun

Excludes:            band saw (E919.4)

bench saw (E919.4)

E920.2            Powered household appliances and implements

Blender

Electric:

beater or mixer

can opener

fan

knife

sewing machine

Garbage disposal appliance

E920.3            Knives, swords, and daggers

E920.4            Other hand tools and implements

Axe

Can opener NOS

Chisel

Fork

Hand saw

Hoe

Ice pick

Needle (sewing)

Paper cutter

Pitchfork

Rake

Scissors

Screwdriver

Sewing machine, not powered

Shovel

E920.5            Hypodermic needle

Contaminated needle

Needle stick

E920.8            Other specified cutting and piercing instruments or objects

Arrow

Broken glass

Dart

Edge of stiff paper

Lathe turnings

Nail

Plant thorn

Splinter

Tin can lid

Excludes:            animal spines or quills (E906.8)

flying glass due to explosion (E921.0-E923.9)

E920.9            Unspecified cutting and piercing instrument or object

E921            Accident caused by explosion of pressure vessel

Includes:            accidental explosion of pressure vessels, whether or not part of machinery

Excludes:            explosion of pressure vessel on transport vehicle (E800.0-E845.9)

E921.0            Boilers

E921.1            Gas cylinders

Air tank

Pressure gas tank

E921.8            Other specified pressure vessels

Aerosol can

Automobile tire

Pressure cooker

E921.9            Unspecified pressure vessel

E922            Accident caused by firearm and air gun missile

E922.0            Handgun

Pistol

Revolver

Excludes:            Verey pistol (E922.8)

E922.1            Shotgun (automatic)

E922.2            Hunting rifle

E922.3            Military firearms

Army rifle

Machine gun

E922.4            Air gun

BB gun

Pellet gun

E922.5            Paintball gun

E922.8            Other specified firearm missile

Verey pistol [flare]

E922.9            Unspecified firearm missile

Gunshot wound NOS

Shot NOS

E923            Accident caused by explosive material

Includes:            flash burns and other injuries resulting from explosion of explosive material

ignition of highly explosive material with explosion

Excludes:            explosion:

in or on machinery (E919.0-E919.9)

on any transport vehicle, except stationary motor vehicle (E800.0-E848)

with conflagration (E890.0, E891.0, E892)

secondary fires resulting from explosion (E890.0-E899)

E923.0            Fireworks

E923.1            Blasting materials

Blasting cap

Detonator

Dynamite

Explosive [any] used in blasting operations

E923.2            Explosive gases

Acetylene

Butane

Coal gas

Explosion in mine NOS

Fire damp

Gasoline fumes

Methane

Propane

E923.8            Other explosive materials

Bomb

Explosive missile

Grenade

Mine

Shell

Torpedo

Explosion in munitions:

dump

factory

E923.9            Unspecified explosive material

Explosion NOS

E924            Accident caused by hot substance or object, caustic or corrosive material, and steam

Excludes:            burning NOS (E899)

chemical burn resulting from swallowing a corrosive substance (E860.0-E864.4)

fire caused by these substances and objects (E890.0-E894)

radiation burns (E926.0-E926.9)

therapeutic misadventures (E870.0-E876.9)

E924.0            Hot liquids and vapors, including steam

Burning or scalding by:

boiling water

hot or boiling liquids not primarily caustic or corrosive

liquid metal

steam

other hot vapor

Excludes:            hot (boiling) tap water (E924.2)

E924.1            Caustic and corrosive substances

Burning by:

acid [any kind]

ammonia

caustic oven cleaner or other substance

corrosive substance

lye

vitriol

E924.2            Hot (boiling) tap water

E924.8            Other

Burning by:

heat from electric heating appliance

hot object NOS

light bulb

steam pipe

E924.9            Unspecified

E925            Accident caused by electric current

Includes:            electric current from exposed wire, faulty appliance, high voltage cable, live rail, or open electric socket as the cause of:

burn

cardiac fibrillation

convulsion

electric shock

electrocution

puncture wound

respiratory paralysis

Excludes:            burn by heat from electrical appliance (E924.8)

lightning (E907)

E925.0            Domestic wiring and appliances

E925.1            Electric power generating plants, distribution stations, transmission lines

Broken power line

E925.2            Industrial wiring, appliances, and electrical machinery

Conductors

Control apparatus

Electrical equipment and machinery

Transformers

E925.8            Other electric current

Wiring and appliances in or on:

farm [not farmhouse]

outdoors

public building

residential institutions

schools

E925.9            Unspecified electric current

Burns or other injury from electric current NOS

Electric shock NOS

Electrocution NOS

E926            Exposure to radiation

Excludes:            abnormal reaction to or complication of treatment without mention of misadventure (E879.2)

atomic power plant malfunction in water transport (E838.0-E838.9)

misadventure to patient in surgical and medical procedures (E873.2-E873.3)

use of radiation in war operations (E996-E997.9)

E926.0            Radiofrequency radiation

Overexposure to:

microwave radiation from:

high-powered radio and television transmitters

industrial radiofrequency induction heaters

radar installations

radar radiation from:

high-powered radio and television transmitters

industrial radiofrequency induction heaters

radar installations

radiofrequency from:

high-powered radio and television transmitters

industrial radiofrequency induction heaters

radar installations

radiofrequency radiation [any] from:

high-powered radio and television transmitters

industrial radiofrequency induction heaters

radar installations

E926.1            Infra-red heaters and lamps

Exposure to infra-red radiation from heaters and lamps as the cause of:

blistering

burning

charring

inflammatory change

Excludes:            physical contact with heater or lamp (E924.8)

E926.2            Visible and ultraviolet light sources

Arc lamps

Black light sources

Electrical welding arc

Oxygas welding torch

Sun rays

Tanning bed

Excludes:            excessive heat from these sources (E900.1-E900.9)

E926.3            X-rays and other electromagnetic ionizing radiation

Gamma rays

X-rays (hard) (soft)

E926.4            Lasers

E926.5            Radioactive isotopes

Radiobiologicals

Radiopharmaceuticals

E926.8            Other specified radiation

Artificially accelerated beams of ionized particles generated by:

betatrons

synchrotrons

E926.9            Unspecified radiation

Radiation NOS

E927            Overexertion and strenuous movements

Excessive physical exercise

Overexertion (from):

lifting

pulling

pushing

Strenuous movements in:

recreational activities

other activities

E928     Other and unspecified environmental and accidental causes

E928.0            Prolonged stay in weightless environment

Weightlessness in spacecraft (simulator)

E928.1            Exposure to noise

Noise (pollution)

Sound waves

Supersonic waves

E928.2            Vibration

E928.3            Human bite

E928.8            Other

E928.9            Unspecified accident

Accident NOS stated as accidentally inflicted

Blow NOS stated as accidentally inflicted

Casualty (not due to war) stated as accidentally inflicted

Decapitation stated as accidentally inflicted

Injury [any part of body, or unspecified] stated as accidentally inflicted, but not otherwise specified

Killed stated as accidentally inflicted, but not otherwise specified

Knocked down stated as accidentally inflicted, but not otherwise specified

Mangled stated as accidentally inflicted, but not otherwise specified

Wound stated as accidentally inflicted, but not otherwise specified

Excludes:            fracture, cause unspecified (E887)

injuries undetermined whether accidentally or purposely inflicted (E980.0-E989)

LATE EFFECTS OF ACCIDENTAL INJURY (E929)

Note:    This category is to be used to indicate accidental injury as the cause of death or disability from late effects, which are themselves classifiable elsewhere. The "late effects" include conditions reported as such or as sequelae, which may occur at any time  after the acute accidental injury.

E929     Late effects of accidental injury

Excludes:            late effects of:

surgical and medical procedures (E870.0-E879.9)

therapeutic use of drugs and medicines (E930.0-E949.9)

E929.0            Late effects of motor vehicle accident

Late effects of accidents classifiable to E810-E825

E929.1            Late effects of other transport accident

Late effects of accidents classifiable to E800-E807, E826-E838, E840-E848

E929.2            Late effects of accidental poisoning

Late effects of accidents classifiable to E850-E858, E860-E869

E929.3            Late effects of accidental fall

Late effects of accidents classifiable to E880-E888

E929.4            Late effects of accident caused by fire

Late effects of accidents classifiable to E890-E899

E929.5            Late effects of accident due to natural and environmental factors

Late effects of accidents classifiable to E900-E909

E929.8            Late effects of other accidents

Late effects of accidents classifiable to E910-E928.8

E929.9            Late effects of unspecified accident

Late effects of accidents classifiable to E928.9

DRUGS, MEDICINAL AND BIOLOGICAL SUBSTANCES CAUSING ADVERSE EFFECTS IN THERAPEUTIC USE (E930-E949)

Includes:            correct drug properly administered in therapeutic or prophylactic dosage, as the cause of any adverse effect including allergic or hypersensitivity reactions

Excludes:            accidental overdose of drug and wrong drug given or taken in error (E850.0-E858.9)

accidents in the technique of administration of drug or biological substance such as accidental puncture during injection, or contamination of drug (E870.0-E876.9)

administration with suicidal or homicidal intent or intent to harm, or in circumstances classifiable to E980-E989 (E950.0-E950.5, E962.0, E980.0-E980.5)

See Alphabetic Index for more complete list of specific drugs to be classified under the fourth-digit subdivisions. The American Hospital Formulary numbers can be used to classify new drugs listed by the American Hospital Formulary Service (AHFS).  See appendix C.

E930            Antibiotics

Excludes:            that used as eye, ear, nose, and throat [ENT], and local anti-infectives (E946.0-E946.9)

E930.0            Penicillins

Natural

Synthetic

Semisynthetic, such as:

ampicillin

cloxacillin

nafcillin

oxacillin

E930.1            Antifungal antibiotics

Amphotericin B

Griseofulvin

Hachimycin [trichomycin]

Nystatin

E930.2            Chloramphenicol group

Chloramphenicol

Thiamphenicol

E930.3            Erythromycin and other macrolides

Oleandomycin

Spiramycin

E930.4            Tetracycline group

Doxycycline

Minocycline

Oxytetracycline

E930.5            Cephalosporin group

Cephalexin

Cephaloglycin

Cephaloridine

Cephalothin

E930.6            Antimycobacterial antibiotics

Cycloserine

Kanamycin

Rifampin

Streptomycin

E930.7            Antineoplastic antibiotics

Actinomycins, such as:

Cactinomycin

Dactinomycin

Bleomycin

Daunorubicin

Mitomycin

Excludes:            other antineoplastic drugs (E933.1)

E930.8            Other specified antibiotics

E930.9            Unspecified antibiotic

E931     Other anti-infectives

Excludes:            ENT, and local anti-infectives (E946.0-E946.9)

E931.0            Sulfonamides

Sulfadiazine

Sulfafurazole

Sulfamethoxazole

E931.1            Arsenical anti-infectives

E931.2            Heavy metal anti-infectives

Compounds of:

antimony

bismuth

lead

mercury

Excludes:            mercurial diuretics (E944.0)

E931.3            Quinoline and hydroxyquinoline derivatives

Chiniofon

Diiodohydroxyquin

Excludes:            antimalarial drugs (E931.4)

E931.4            Antimalarials and drugs acting on other blood protozoa

Chloroquine phosphate

Cycloguanil

Primaquine

Proguanil [chloroguanide]

Pyrimethamine

Quinine (sulphate)

E931.5            Other antiprotozoal drugs

Emetine

E931.6            Anthelmintics

Hexylresorcinol

Male fern oleoresin

Piperazine

Thiabendazole

E931.7            Antiviral drugs

Methisazone

Excludes:            amantadine (E936.4)

cytarabine (E933.1)

idoxuridine (E946.5)

E931.8            Other antimycobacterial drugs

Ethambutol

Ethionamide

Isoniazid

Para-aminosalicylic acid derivatives

Sulfones

E931.9            Other and unspecified anti-infectives

Flucytosine

Nitrofuran derivatives

E932            Hormones and synthetic substitutes

E932.0            Adrenal cortical steroids

Cortisone derivatives

Desoxycorticosterone derivatives

Fluorinated corticosteroids

E932.1            Androgens and anabolic congeners

Nandrolone phenpropionate

Oxymetholone

Testosterone and preparations

E932.2            Ovarian hormones and synthetic substitutes

Contraceptives, oral

Estrogens

Estrogens and progestogens combined

Progestogens

E932.3            Insulins and antidiabetic agents

Acetohexamide

Biguanide derivatives, oral

Chlorpropamide

Glucagon

Insulin

Phenformin

Sulfonylurea derivatives, oral

Tolbutamide

Excludes:            adverse effect of insulin administered for shock therapy (E879.3)

E932.4            Anterior pituitary hormones

Corticotropin

Gonadotropin

Somatotropin [growth hormone]

E932.5            Posterior pituitary hormones

Vasopressin

Excludes:            oxytocic agents (E945.0)

E932.6            Parathyroid and parathyroid derivatives

E932.7            Thyroid and thyroid derivatives

Dextrothyroxine

Levothyroxine sodium

Liothyronine

Thyroglobulin

E932.8            Antithyroid agents

Iodides

Thiouracil

Thiourea

E932.9            Other and unspecified hormones and synthetic substitutes

E933            Primarily systemic agents

E933.0            Antiallergic and antiemetic drugs

Antihistamines

Chlorpheniramine

Diphenhydramine

Diphenylpyraline

Thonzylamine

Tripelennamine

Excludes:            phenothiazine-based tranquilizers (E939.1)

E933.1            Antineoplastic and immunosuppressive drugs

Azathioprine

Busulfan

Chlorambucil

Cyclophosphamide

Cytarabine

Fluorouracil

Mechlorethamine hydrochloride

Mercaptopurine

Triethylenethiophosphoramide [thio-TEPA]

Excludes:            antineoplastic antibiotics (E930.7)

E933.2            Acidifying agents

E933.3            Alkalizing agents

E933.4            Enzymes, not elsewhere classified

Penicillinase

E933.5            Vitamins, not elsewhere classified

Vitamin A

Vitamin D

Excludes:            nicotinic acid (E942.2)

vitamin K (E934.3)

E933.8            Other systemic agents, not elsewhere classified

Heavy metal antagonists

E933.9            Unspecified systemic agent

E934     Agents primarily affecting blood constituents

E934.0            Iron and its compounds

Ferric salts

Ferrous sulphate and other ferrous salts

E934.1            Liver preparations and other antianemic agents

Folic acid

E934.2            Anticoagulants

Coumarin

Heparin

Phenindione

Prothrombin synthesis inhibitor

Warfarin sodium

E934.3            Vitamin K [phytonadione]

E934.4            Fibrinolysis-affecting drugs

Aminocaproic acid

Streptodornase

Streptokinase

Urokinase

E934.5            Anticoagulant antagonists and other coagulants

Hexadimethrine bromide

Protamine sulfate

E934.6            Gamma globulin

E934.7            Natural blood and blood products

Blood plasma

Human fibrinogen

Packed red cells

Whole blood

E934.8            Other agents affecting blood constituents

Macromolecular blood substitutes

E934.9            Unspecified agent affecting blood constituents

E935            Analgesics, antipyretics, and antirheumatics

E935.0            Heroin

Diacetylmorphine

E935.1            Methadone

E935.2            Other opiates and related narcotics

Codeine [methylmorphine]

Morphine

Opium (alkaloids)

Meperidine [pethidine]

E935.3            Salicylates

Acetylsalicylic acid [aspirin]

Amino derivatives of salicylic acid

Salicylic acid salts

E935.4            Aromatic analgesics, not elsewhere classified

Acetanilid

Paracetamol [acetaminophen]

Phenacetin [acetophenetidin]

E935.5            Pyrazole derivatives

Aminophenazone [aminopyrine]

Phenylbutazone

E935.6            Antirheumatics [antiphlogistics]

Gold salts

Indomethacin

Excludes:            salicylates (E935.3)

steroids (E932.0)

E935.7            Other non-narcotic analgesics

Pyrabital

E935.8            Other specified analgesics and antipyretics

Pentazocine

E935.9            Unspecified analgesic and antipyretic

E936            Anticonvulsants and anti-Parkinsonism drugs

E936.0            Oxazolidine derivatives

Paramethadione

Trimethadione

E936.1            Hydantoin derivatives

Phenytoin

E936.2            Succinimides

Ethosuximide

Phensuximide

E936.3            Other and unspecified anticonvulsants

Beclamide

Primidone

E936.4            Anti-Parkinsonism drugs

Amantadine

Ethopropazine [profenamine]

Levodopa [L-dopa]

E937            Sedatives and hypnotics

E937.0            Barbiturates

Amobarbital [amylobarbitone]

Barbital [barbitone]

Butabarbital [butabarbitone]

Pentobarbital [pentobarbitone]

Phenobarbital [phenobarbitone]

Secobarbital [quinalbarbitone]

Excludes:            thiobarbiturates (E938.3)

E937.1            Chloral hydrate group

E937.2            Paraldehyde

E937.3            Bromine compounds

Bromide

Carbromal (derivatives)

E937.4            Methaqualone compounds

E937.5            Glutethimide group

E937.6            Mixed sedatives, not elsewhere classified

E937.8            Other sedatives and hypnotics

E937.9            Unspecified

Sleeping:

drug NOS

pill NOS

tablet NOS

E938     Other central nervous system depressants and anesthetics

E938.0            Central nervous system muscle-tone depressants

Chlorphenesin (carbamate)

Mephenesin

Methocarbamol

E938.1            Halothane

E938.2            Other gaseous anesthetics

Ether

Halogenated hydrocarbon derivatives, except halothane

Nitrous oxide

E938.3            Intravenous anesthetics

Ketamine

Methohexital [methohexitone]

Thiobarbiturates, such as thiopental sodium

E938.4            Other and unspecified general anesthetics

E938.5            Surface and infiltration anesthetics

Cocaine

Lidocaine [lignocaine]

Procaine

Tetracaine

E938.6            Peripheral nerve- and plexus-blocking anesthetics

E938.7            Spinal anesthetics

E938.9            Other and unspecified local anesthetics

E939            Psychotropic agents

E939.0            Antidepressants

Amitriptyline

Imipramine

Monoamine oxidase [MAO] inhibitors

E939.1            Phenothiazine-based tranquilizers

Chlorpromazine

Fluphenazine

Phenothiazine

Prochlorperazine

Promazine

E939.2            Butyrophenone-based tranquilizers

Haloperidol

Spiperone

Trifluperidol

E939.3            Other antipsychotics, neuroleptics, and major tranquilizers

E939.4            Benzodiazepine-based tranquilizers

Chlordiazepoxide

Diazepam

Flurazepam

Lorazepam

Medazepam

Nitrazepam

E939.5            Other tranquilizers

Hydroxyzine

Meprobamate

E939.6            Psychodysleptics [hallucinogens]

Cannabis (derivatives)

Lysergide [LSD]

Marihuana (derivatives)

Mescaline

Psilocin

Psilocybin

E939.7            Psychostimulants

Amphetamine

Caffeine

Excludes:            central appetite depressants (E947.0)

E939.8            Other psychotropic agents

E939.9            Unspecified psychotropic agent

E940     Central nervous system stimulants

E940.0            Analeptics

Lobeline

Nikethamide

E940.1            Opiate antagonists

Levallorphan

Nalorphine

Naloxone

E940.8            Other specified central nervous system stimulants

E940.9            Unspecified central nervous system stimulant

E941     Drugs primarily affecting the autonomic nervous system

E941.0            Parasympathomimetics [cholinergics]

Acetylcholine

Anticholinesterase:

organophosphorus

reversible

Pilocarpine

E941.1            Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

Atropine

Homatropine

Hyoscine [scopolamine]

Quaternary ammonium derivatives

Excludes:            papaverine (E942.5)

E941.2            Sympathomimetics [adrenergics]

Epinephrine [adrenalin]

Levarterenol [noradrenalin]

E941.3            Sympatholytics [antiadrenergics]

Phenoxybenzamine

Tolazoline hydrochloride

E941.9            Unspecified drug primarily affecting the autonomic nervous system

E942     Agents primarily affecting the cardiovascular system

E942.0            Cardiac rhythm regulators

Practolol

Procainamide

Propranolol

Quinidine

E942.1            Cardiotonic glycosides and drugs of similar action

Digitalis glycosides

Digoxin

Strophanthins

E942.2            Antilipemic and antiarteriosclerotic drugs

Cholestyramine

Clofibrate

Nicotinic acid derivatives

Sitosterols

Excludes:            dextrothyroxine (E932.7)

E942.3            Ganglion-blocking agents

Pentamethonium bromide

E942.4            Coronary vasodilators

Dipyridamole

Nitrates [nitroglycerin]

Nitrites

Prenylamine

E942.5            Other vasodilators

Cyclandelate

Diazoxide

Hydralazine

Papaverine

E942.6            Other antihypertensive agents

Clonidine

Guanethidine

Rauwolfia alkaloids

Reserpine

E942.7            Antivaricose drugs, including sclerosing agents

Monoethanolamine

Zinc salts

E942.8            Capillary-active drugs

Adrenochrome derivatives

Bioflavonoids

Metaraminol

E942.9            Other and unspecified agents primarily affecting the cardiovascular system

E943     Agents primarily affecting gastrointestinal system

E943.0            Antacids and antigastric secretion drugs

Aluminum hydroxide

Magnesium trisilicate

E943.1            Irritant cathartics

Bisacodyl

Castor oil

Phenolphthalein

E943.2            Emollient cathartics

Sodium dioctyl sulfosuccinate

E943.3            Other cathartics, including intestinal atonia drugs

Magnesium sulfate

E943.4            Digestants

Pancreatin

Papain

Pepsin

E943.5            Antidiarrheal drugs

Bismuth subcarbonate

Kaolin

Pectin

Excludes:            anti-infectives (E930.0-E931.9)

E943.6            Emetics

E943.8            Other specified agents primarily affecting the gastrointestinal system

E943.9            Unspecified agent primarily affecting the gastrointestinal system

E944     Water, mineral, and uric acid metabolism drugs

E944.0            Mercurial diuretics

Chlormerodrin

Mercaptomerin

Mercurophylline

Mersalyl

E944.1            Purine derivative diuretics

Theobromine

Theophylline

Excludes:            aminophylline [theophylline ethylenediamine] (E945.7)

E944.2            Carbonic acid anhydrase inhibitors

Acetazolamide

E944.3            Saluretics

Benzothiadiazides

Chlorothiazide group

E944.4            Other diuretics

Ethacrynic acid

Furosemide

E944.5            Electrolytic, caloric, and water-balance agents

E944.6            Other mineral salts, not elsewhere classified

E944.7            Uric acid metabolism drugs

Cinchophen and congeners

Colchicine

Phenoquin

Probenecid

E945     Agents primarily acting on the smooth and skeletal muscles and respiratory system

E945.0            Oxytocic agents

Ergot alkaloids

Prostaglandins

E945.1            Smooth muscle relaxants

Adiphenine

Metaproterenol [orciprenaline]

Excludes:            papaverine (E942.5)

E945.2            Skeletal muscle relaxants

Alcuronium chloride

Suxamethonium chloride

E945.3            Other and unspecified drugs acting on muscles

E945.4            Antitussives

Dextromethorphan

Pipazethate hydrochloride

E945.5            Expectorants

Acetylcysteine

Cocillana

Guaifenesin [glyceryl guaiacolate]

Ipecacuanha

Terpin hydrate

E945.6            Anti-common cold drugs

E945.7            Antiasthmatics

Aminophylline [theophylline ethylenediamine]

E945.8            Other and unspecified respiratory drugs

E946     Agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological, and dental drugs

E946.0            Local anti-infectives and anti-inflammatory drugs

E946.1            Antipruritics

E946.2            Local astringents and local detergents

E946.3            Emollients, demulcents, and protectants

E946.4            Keratolytics, keratoplastics, other hair treatment drugs and preparations

E946.5            Eye anti-infectives and other eye drugs

Idoxuridine

E946.6            Anti-infectives and other drugs and preparations for ear, nose, and throat

E946.7            Dental drugs topically applied

E946.8            Other agents primarily affecting skin and mucous membrane

Spermicides

E946.9            Unspecified agent primarily affecting skin and mucous membrane

E947     Other and unspecified drugs and medicinal substances

E947.0            Dietetics

E947.1            Lipotropic drugs

E947.2            Antidotes and chelating agents, not elsewhere classified

E947.3            Alcohol deterrents

E947.4            Pharmaceutical excipients

E947.8            Other drugs and medicinal substances

Contrast media used for diagnostic x-ray procedures

Diagnostic agents and kits

E947.9            Unspecified drug or medicinal substance

E948            Bacterial vaccines

E948.0            BCG vaccine

E948.1            Typhoid and paratyphoid

E948.2            Cholera

E948.3            Plague

E948.4            Tetanus

E948.5            Diphtheria

E948.6            Pertussis vaccine, including combinations with a pertussis component

E948.8            Other and unspecified bacterial vaccines

E948.9            Mixed bacterial vaccines, except combinations with a pertussis component

E949     Other vaccines and biological substances

Excludes:            gamma globulin (E934.6)

E949.0            Smallpox vaccine

E949.1            Rabies vaccine

E949.2            Typhus vaccine

E949.3            Yellow fever vaccine

E949.4            Measles vaccine

E949.5            Poliomyelitis vaccine

E949.6            Other and unspecified viral and rickettsial vaccines

Mumps vaccine

E949.7            Mixed viral-rickettsial and bacterial vaccines, except combinations with a pertussis component

Excludes:            combinations with a pertussis component (E948.6)

E949.9            Other and unspecified vaccines and biological substances

SUICIDE AND SELF-INFLICTED INJURY (E950-E959)

Includes:            injuries in suicide and attempted suicide

self-inflicted injuries specified as intentional

E950     Suicide and self-inflicted poisoning by solid or liquid substances

E950.0            Analgesics, antipyretics, and antirheumatics

E950.1            Barbiturates

E950.2            Other sedatives and hypnotics

E950.3            Tranquilizers and other psychotropic agents

E950.4            Other specified drugs and medicinal substances

E950.5            Unspecified drug or medicinal substance

E950.6            Agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers

E950.7            Corrosive and caustic substances

Suicide and self-inflicted poisoning by substances classifiable to E864

E950.8            Arsenic and its compounds

E950.9            Other and unspecified solid and liquid substances

E951     Suicide and self-inflicted poisoning by gases in domestic use

E951.0            Gas distributed by pipeline

E951.1            Liquefied petroleum gas distributed in mobile containers

E951.8            Other utility gas

E952     Suicide and self-inflicted poisoning by other gases and vapors

E952.0            Motor vehicle exhaust gas

E952.1            Other carbon monoxide

E952.8            Other specified gases and vapors

E952.9            Unspecified gases and vapors

E953     Suicide and self-inflicted injury by hanging, strangulation, and suffocation

E953.0            Hanging

E953.1            Suffocation by plastic bag

E953.8            Other specified means

E953.9            Unspecified means

E954     Suicide and self-inflicted injury by submersion [drowning]

E955     Suicide and self-inflicted injury by firearms, air guns and explosives

E955.0            Handgun

E955.1            Shotgun

E955.2            Hunting rifle

E955.3            Military firearms

E955.4            Other and unspecified firearm

Gunshot NOS

Shot NOS

E955.5            Explosives

E955.6            Air gun

BB gun

Pellet gun

E955.7            Paintball gun

E955.9            Unspecified

E956     Suicide and self-inflicted injury by cutting and piercing instrument

E957     Suicide and self-inflicted injuries by jumping from high place

E957.0            Residential premises

E957.1            Other man-made structures

E957.2            Natural sites

E957.9            Unspecified

E958     Suicide and self-inflicted injury by other and unspecified means

E958.0            Jumping or lying before moving object

E958.1            Burns, fire

E958.2            Scald

E958.3            Extremes of cold

E958.4            Electrocution

E958.5            Crashing of motor vehicle

E958.6            Crashing of aircraft

E958.7            Caustic substances, except poisoning

Excludes:            poisoning by caustic substance (E950.7)

E958.8            Other specified means

E958.9            Unspecified means

E959     Late effects of self-inflicted injury

Note:    This category is to be used to indicate circumstances classifiable to E950-E958 as the cause of death or disability from late effects, which are themselves classifiable elsewhere.  The "late effects" include conditions reported as such or as sequelae which may occur at any time after the attempted suicide or self-inflicted injury.

HOMICIDE AND INJURY PURPOSELY INFLICTED BY OTHER PERSONS (E960-E969)

Includes:            injuries inflicted by another person with intent to injure or kill, by any means

Excludes:            injuries due to:

legal intervention (E970-E978)

operations of war (E990-E999)

terrorism (E979)

E960     Fight, brawl, rape

E960.0            Unarmed fight or brawl

Beatings NOS

Brawl or fight with hands, fists, feet

Injured or killed in fight NOS

Excludes:            homicidal:

injury by weapons (E965.0-E966, E969)

strangulation (E963)

submersion (E964)

E960.1            Rape

E961     Assault by corrosive or caustic substance, except poisoning

Injury or death purposely caused by corrosive or caustic substance, such as:

acid [any]

corrosive substance

vitriol

Excludes:            burns from hot liquid (E968.3)

chemical burns from swallowing a corrosive substance (E962.0-E962.9)

E962     Assault by poisoning

E962.0            Drugs and medicinal substances

Homicidal poisoning by any drug or medicinal substance

E962.1            Other solid and liquid substances

E962.2            Other gases and vapors

E962.9            Unspecified poisoning

E963     Assault by hanging and strangulation

Homicidal (attempt):

garrotting or ligature

hanging

strangulation

suffocation

E964     Assault by submersion [drowning]

E965     Assault by firearms and explosives

E965.0            Handgun

Pistol

Revolver

E965.1            Shotgun

E965.2            Hunting rifle

E965.3            Military firearms

E965.4            Other and unspecified firearm

E965.5            Antipersonnel bomb

E965.6            Gasoline bomb

E965.7            Letter bomb

E965.8            Other specified explosive

Bomb NOS (placed in):

car

house

Dynamite

E965.9            Unspecified explosive

E966     Assault by cutting and piercing instrument

Assassination (attempt), homicide (attempt) by any instrument classifiable under E920

Homicidal:

cut any part of body

puncture any part of body

stab any part of body

Stabbed any part of body

E967            Perpetrator of child and adult abuse

Note:   selection of the correct perpetrator code is based on the relationship between the perpetrator and the victim.

E967.0            By father, stepfather, or boyfriend

Male partner of child's parent or guardian

E967.1            By other specified person

E967.2            By mother, stepmother, or girlfriend

Female partner of child's parent or guardian

E967.3            By spouse or partner

Abuse of spouse or partner by ex-spouse or ex-partner

E967.4            By child

E967.5            By sibling

E967.6            By grandparent

E967.7            By other relative

E967.8            By non-related caregiver

E967.9            By unspecified person

E968     Assault by other and unspecified means

E968.0            Fire

Arson

Homicidal burns NOS

Excludes:            burns from hot liquid (E968.3)

E968.1            Pushing from a high place

E968.2            Striking by blunt or thrown object

E968.3            Hot liquid

Homicidal burns by scalding

E968.4            Criminal neglect

Abandonment of child, infant, or other helpless person with intent to injure or kill

E968.5            Transport vehicle

Being struck by other vehicle or run down with intent to injure

Pushed in front of, thrown from, or dragged by moving vehicle with intent to injure

E968.6            Air gun

BB gun

Pellet gun

E968.7            Human bite

E968.8            Other specified means

E968.9            Unspecified means

Assassination (attempt) NOS

Homicidal (attempt):

injury NOS

wound NOS

Manslaughter (nonaccidental)

Murder (attempt) NOS

Violence, non-accidental

E969     Late effects of injury purposely inflicted by other person

Note:    This category is to be used to indicate circumstances classifiable to E960-E968 as the cause of death or disability from late effects, which are themselves classifiable elsewhere.  The "late effects" include conditions reported as such, or as sequelae which may occur at any time after the injury purposely inflicted by another person.

LEGAL INTERVENTION (E970-E978)

Includes:            injuries inflicted by the police or other law-enforcing agents, including military on duty, in the course of arresting or attempting to arrest lawbreakers, suppressing disturbances, maintaining order, and other legal action

legal execution

Excludes:            injuries caused by civil insurrections (E990.0-E999)

E970     Injury due to legal intervention by firearms

Gunshot wound

Injury by:

machine gun

revolver

rifle pellet or rubber bullet

shot NOS

E971     Injury due to legal intervention by explosives

Injury by:

dynamite

explosive shell

grenade

motor bomb

E972     Injury due to legal intervention by gas

Asphyxiation by gas

Injury by tear gas

Poisoning by gas

E973     Injury due to legal intervention by blunt object

Hit, struck by:

baton (nightstick)

blunt object

stave

E974     Injury due to legal intervention by cutting and piercing instrument

Cut

Incised wound

Injured by bayonet

Stab wound

E975     Injury due to legal intervention by other specified means

Blow

Manhandling

E976     Injury due to legal intervention by unspecified means

E977     Late effects of injuries due to legal intervention

Note:    This category is to be used to indicate circumstances classifiable to E970-E976 as the cause of death or disability from late effects, which are themselves classifiable elsewhere.  The "late effects" include conditions reported as such, or as sequelae which may occur at any time after the injury due to legal intervention.

E978     Legal execution

All executions performed at the behest of the judiciary or ruling authority [whether permanent or temporary] as:

asphyxiation by gas

beheading, decapitation (by guillotine)

capital punishment

electrocution

hanging

poisoning

shooting

other specified means

TERRORISM (E979)

E979            Terrorism

Injuries resulting from the unlawful use of force or violence against persons or property to intimidate or coerce a Government, the civilian population, or any segment thereof, in furtherance of political or social objective

E979.0            Terrorism involving explosion of marine weapons

Depth-charge

Marine mine

Mine NOS, at sea or in harbour

Sea-based artillery shell

Torpedo

Underwater blast

E979.1            Terrorism involving destruction of aircraft

Aircraft used as a weapon

Aircraft:

burned

exploded

shot down

Crushed by falling aircraft

E979.2            Terrorism involving other explosions and fragments

Antipersonnel bomb (fragments)

Blast NOS

Explosion (of):

artillery shell

breech-block

cannon block

mortar bomb

munitions being used in terrorism

NOS

Fragments from:

artillery shell

bomb

grenade

guided missile

land-mine

rocket

shell

shrapnel

Mine NOS

E979.3            Terrorism involving fires, conflagration and hot substances

Burning building or structure:

collapse of

fall from

hit by falling object in

jump from

Conflagration NOS

Fire (causing):

asphyxia

burns

NOS

other injury

Melting of fittings and furniture in burning

Petrol bomb

Smouldering building or structure

E979.4            Terrorism involving firearms

Bullet:

carbine

machine gun

pistol

rifle

rubber (rifle)

Pellets (shotgun)

E979.5            Terrorism involving nuclear weapons

Blast effects

Exposure to ionizing radiation from nuclear weapon

Fireball effects

Heat from nuclear weapon

Other direct and secondary effects of nuclear weapons

E979.6            Terrorism involving biological weapons

Anthrax

Cholera

Smallpox

E979.7            Terrorism involving chemical weapons

Gases, fumes, chemicals

Hydrogen cyanide

Phosgene

Sarin

E979.8            Terrorism involving other means

Drowning and submersion

Lasers

Piercing or stabbing instruments

Terrorism NOS

E979.9            Terrorism, secondary effects

Note:            This code is for use to identify conditions occurring subsequent to a terrorist attack not those that are due to the initial terrorist attack

Excludes:            late effect of terrorist attack (E999.1)

INJURY UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED (E980-E989)

Note:   Categories E980-E989 are for use when it is unspecified or it cannot be determined whether the injuries are accidental (unintentional), suicide (attempted), or assault.

E980            Poisoning by solid or liquid substances, undetermined whether accidentally or purposely inflicted

E980.0            Analgesics, antipyretics, and antirheumatics

E980.1            Barbiturates

E980.2            Other sedatives and hypnotics

E980.3            Tranquilizers and other psychotropic agents

E980.4            Other specified drugs and medicinal substances

E980.5            Unspecified drug or medicinal substance

E980.6            Corrosive and caustic substances

Poisoning, undetermined whether accidental or purposeful, by substances classifiable to E864

E980.7            Agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers

E980.8            Arsenic and its compounds

E980.9            Other and unspecified solid and liquid substances

E981            Poisoning by gases in domestic use, undetermined whether accidentally or purposely inflicted

E981.0            Gas distributed by pipeline

E981.1            Liquefied petroleum gas distributed in mobile containers

E981.8            Other utility gas

E982            Poisoning by other gases, undetermined whether accidentally or purposely inflicted

E982.0            Motor vehicle exhaust gas

E982.1            Other carbon monoxide

E982.8            Other specified gases and vapors

E982.9            Unspecified gases and vapors

E983            Hanging, strangulation, or suffocation, undetermined whether accidentally or purposely inflicted

E983.0            Hanging

E983.1            Suffocation by plastic bag

E983.8            Other specified means

E983.9            Unspecified means

E984            Submersion [drowning], undetermined whether accidentally or purposely inflicted

E985     Injury by firearms, air guns and explosives, undetermined whether accidentally or purposely inflicted

E985.0            Handgun

E985.1            Shotgun

E985.2            Hunting rifle

E985.3            Military firearms

E985.4            Other and unspecified firearm

E985.5            Explosives

E985.6            Air gun

BB gun

Pellet gun

E985.7            Paintball gun

E986     Injury by cutting and piercing instruments, undetermined whether accidentally or purposely inflicted

E987     Falling from high place, undetermined whether accidentally or purposely inflicted

E987.0            Residential premises

E987.1            Other man-made structures

E987.2            Natural sites

E987.9            Unspecified site

E988     Injury by other and unspecified means, undetermined whether accidentally or purposely inflicted

E988.0            Jumping or lying before moving object

E988.1            Burns, fire

E988.2            Scald

E988.3            Extremes of cold

E988.4            Electrocution

E988.5            Crashing of motor vehicle

E988.6            Crashing of aircraft

E988.7            Caustic substances, except poisoning

E988.8            Other specified means

E988.9            Unspecified means

E989     Late effects of injury, undetermined whether accidentally or purposely inflicted

Note:    This category is to be used to indicate circumstances classifiable to E980-E988 as the cause of death or disability from late effects, which are themselves classifiable elsewhere.  The "late effects" include conditions reported as such or as sequelae which may occur at any time after injury, undetermined whether accidentally or purposely inflicted.

INJURY RESULTING FROM OPERATIONS OF WAR (E990-E999)

Includes:            injuries to military personnel and civilians caused by war and civil insurrections and occurring during the time of war and insurrection

Excludes:            accidents during training of military personnel, manufacture of war material and transport, unless attributable to enemy action

E990     Injury due to war operations by fires and conflagrations

Includes:            asphyxia, burns, or other injury originating from fire caused by a fire-producing device or indirectly by any conventional weapon

E990.0            From gasoline bomb

E990.9            From other and unspecified source

E991     Injury due to war operations by bullets and fragments

E991.0            Rubber bullets (rifle)

E991.1            Pellets (rifle)

E991.2            Other bullets

Bullet [any, except rubber bullets and pellets]

carbine

machine gun

pistol

rifle

shotgun

E991.3            Antipersonnel bomb (fragments)

E991.9            Other and unspecified fragments

Fragments from:

artillery shell

bombs, except antipersonnel

grenade

guided missile

land mine

rockets

shell

Shrapnel

E992     Injury due to war operations by explosion of marine weapons

Depth charge

Marine mines

Mine NOS, at sea or in harbor

Sea-based artillery shell

Torpedo

Underwater blast

E993     Injury due to war operations by other explosion

Accidental explosion of munitions being used in war

Accidental explosion of own weapons

Air blast NOS

Blast NOS

Explosion NOS

Explosion of:

artillery shell

breech block

cannon block

mortar bomb

Injury by weapon burst

E994     Injury due to war operations by destruction of aircraft

Airplane:

burned

exploded

shot down

Crushed by falling airplane

E995     Injury due to war operations by other and unspecified forms of conventional warfare

Battle wounds

Bayonet injury

Drowned in war operations

E996     Injury due to war operations by nuclear weapons

Blast effects

Exposure to ionizing radiation from nuclear weapons

Fireball effects

Heat

Other direct and secondary effects of nuclear weapons

E997     Injury due to war operations by other forms of unconventional warfare

E997.0            Lasers

E997.1            Biological warfare

E997.2            Gases, fumes, and chemicals

E997.8            Other specified forms of unconventional warfare

E997.9            Unspecified form of unconventional warfare

E998     Injury due to war operations but occurring after cessation of hostilities

Injuries due to operations of war but occurring after cessation of hostilities by any means classifiable under E990-E997

Injuries by explosion of bombs or mines placed in the course of operations of war, if the explosion occurred after cessation of hostilities

E999     Late effect of injury due to war operations and terrorism

Note:    This category is to be used to indicate circumstances classifiable to E979, E990-E998 as the cause of death or disability from late effects, which are themselves classifiable elsewhere.  The "late effects" include conditions reported as such or as sequelae which may occur at any time after injury resulting from operations of war or terrorism.

E999.0            Late effect of injury due to war operations

E999.1            Late effect of injury due to terrorism

Appendix A:
Morphology of Neoplasms

Appendix B:
Glossary of Mental Disorders

Appendix C:
Classification of Drugs by American Hospital Formulary Service List Number and their ICD9-CM Equivalents

Appendix D:
Classification of Industrial Accidents According to Agency

Appendix E:
List of Three-Digit Categories